chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Lung opacity, Oxygen saturation decreased, Pleural effusion
Clinical narrative: 74 y.o. female admitted 1/11/2022 with PMH significant for COPD on 2 L home O2 continuously, diastolic CHF, chronic cor pulmonale, OSA, HTN, and dyslipidemia who presents to ED with complaint of shortness of breath.  Patient notes she started feeling more tired and short of breath 2 or 3 weeks ago, similar to how she felt when she was diagnosed with CHF in 2002 with dyspnea on exertion and orthopnea.  Yesterday, patient became increasingly short of breath and her daughter called her PCP to have her seen today.  On the way to her appointment patient became extremely short of breath and her daughter brought her to the ED.  Patient denies any known exposure to COVID-19 or other illness, cough, change in taste or smell, fever or chills, or N/V/D.  Of note, she states she got her COVID booster yesterday, 1/10/2022, at pharmacy.   In the ED, patient was placed on a nonrebreather at 10 L.  No documentation of O2 sat on admission.  CT angio was negative for PE, but did show mid and lower lung opacifications of bronchopneumonia superimposed upon interstitial pulmonary edema, trace left pleural effusion.  Patient's COVID test came back positive.  Of note, patient's creatinine is elevated at 1.24 beyond baseline of 0.95.  She also has a low H&H, 9.6/31.8.  During physical exam, patient desatted into the low 70s after talking and had to be placed back on nonrebreather after being on 5 L NC.  She will be admitted to hospital medicine for further evaluation and treatment.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia, Pulmonary oedema, SARS-CoV-2 test positive, Superinfection
Clinical narrative: 74 y.o. female admitted 1/11/2022 with PMH significant for COPD on 2 L home O2 continuously, diastolic CHF, chronic cor pulmonale, OSA, HTN, and dyslipidemia who presents to ED with complaint of shortness of breath.  Patient notes she started feeling more tired and short of breath 2 or 3 weeks ago, similar to how she felt when she was diagnosed with CHF in 2002 with dyspnea on exertion and orthopnea.  Yesterday, patient became increasingly short of breath and her daughter called her PCP to have her seen today.  On the way to her appointment patient became extremely short of breath and her daughter brought her to the ED.  Patient denies any known exposure to COVID-19 or other illness, cough, change in taste or smell, fever or chills, or N/V/D.  Of note, she states she got her COVID booster yesterday, 1/10/2022, at pharmacy.   In the ED, patient was placed on a nonrebreather at 10 L.  No documentation of O2 sat on admission.  CT angio was negative for PE, but did show mid and lower lung opacifications of bronchopneumonia superimposed upon interstitial pulmonary edema, trace left pleural effusion.  Patient's COVID test came back positive.  Of note, patient's creatinine is elevated at 1.24 beyond baseline of 0.95.  She also has a low H&H, 9.6/31.8.  During physical exam, patient desatted into the low 70s after talking and had to be placed back on nonrebreather after being on 5 L NC.  She will be admitted to hospital medicine for further evaluation and treatment.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Tingling in feet and legs
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid+
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Abscess, Acute kidney injury, Acute respiratory failure, Asthenia, COVID-19
Clinical narrative: Patient is fully vaccinated. COVID + 11/25/2021.  Hospitalized 11/25-11/30, 2021. 81 year old male patient, known to our service, presented with generalized weakness, SOB, and dry cough. He was recently admitted and discharged for flank abscess with IR drainage. Patient was supposed to continue with oral levaquin 500 mg and flagyl 500 BID for 10 days. Pt states he had an appointment for his nephroureteral drain to be checked with IR today. Denies any CP,  N/V/D at the time of evaluation.  Admitting dx:  UTI, weakness, chronic kidney disease, infection due to urinary stents, COVID.  Pneumonia due to COVID, acute hyposic respiratory failure, CXR with left lower lobe infiltrate. L side flank abscess treated with stent exchange and drain/aspiration of pus, antibiotics. AKI: started on Patiromer or Lokelma. Hyperkalemia, HCTZ 12.5 mg daily for 2 weeks. Patient discharged.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chronic kidney disease, Cough, Drainage, Dyspnoea
Clinical narrative: Patient is fully vaccinated. COVID + 11/25/2021.  Hospitalized 11/25-11/30, 2021. 81 year old male patient, known to our service, presented with generalized weakness, SOB, and dry cough. He was recently admitted and discharged for flank abscess with IR drainage. Patient was supposed to continue with oral levaquin 500 mg and flagyl 500 BID for 10 days. Pt states he had an appointment for his nephroureteral drain to be checked with IR today. Denies any CP,  N/V/D at the time of evaluation.  Admitting dx:  UTI, weakness, chronic kidney disease, infection due to urinary stents, COVID.  Pneumonia due to COVID, acute hyposic respiratory failure, CXR with left lower lobe infiltrate. L side flank abscess treated with stent exchange and drain/aspiration of pus, antibiotics. AKI: started on Patiromer or Lokelma. Hyperkalemia, HCTZ 12.5 mg daily for 2 weeks. Patient discharged.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, Infection, Lung infiltration, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. COVID + 11/25/2021.  Hospitalized 11/25-11/30, 2021. 81 year old male patient, known to our service, presented with generalized weakness, SOB, and dry cough. He was recently admitted and discharged for flank abscess with IR drainage. Patient was supposed to continue with oral levaquin 500 mg and flagyl 500 BID for 10 days. Pt states he had an appointment for his nephroureteral drain to be checked with IR today. Denies any CP,  N/V/D at the time of evaluation.  Admitting dx:  UTI, weakness, chronic kidney disease, infection due to urinary stents, COVID.  Pneumonia due to COVID, acute hyposic respiratory failure, CXR with left lower lobe infiltrate. L side flank abscess treated with stent exchange and drain/aspiration of pus, antibiotics. AKI: started on Patiromer or Lokelma. Hyperkalemia, HCTZ 12.5 mg daily for 2 weeks. Patient discharged.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Ureteral stent insertion, Urinary tract infection
Clinical narrative: Patient is fully vaccinated. COVID + 11/25/2021.  Hospitalized 11/25-11/30, 2021. 81 year old male patient, known to our service, presented with generalized weakness, SOB, and dry cough. He was recently admitted and discharged for flank abscess with IR drainage. Patient was supposed to continue with oral levaquin 500 mg and flagyl 500 BID for 10 days. Pt states he had an appointment for his nephroureteral drain to be checked with IR today. Denies any CP,  N/V/D at the time of evaluation.  Admitting dx:  UTI, weakness, chronic kidney disease, infection due to urinary stents, COVID.  Pneumonia due to COVID, acute hyposic respiratory failure, CXR with left lower lobe infiltrate. L side flank abscess treated with stent exchange and drain/aspiration of pus, antibiotics. AKI: started on Patiromer or Lokelma. Hyperkalemia, HCTZ 12.5 mg daily for 2 weeks. Patient discharged.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID 19
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated
Clinical narrative: Between 7 pm 01/12/2022 and 10 pm 01/13/2022 patient had 6 asthma attacks, which were relieved with Albuterol inhaler. Patient advised not to receive anymore COVID-19 Pfizer vaccine in future.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Decreased appetite, Fatigue
Clinical narrative: Severe painful stomach cramps for 4 hrs then off and on for 3 days Extreme fatigue, extreme exhaustion for 3.5 days only got out of bed to go to the bathroom,  Severe nausea for the first day and nauseous off and on for the next 3 days.  I did not eat for 3.5 days.  Heart palpitations - my heart was pounding through my chest at times off an on for 3 days  Lost peripheral vision in my Left Eye on day 3 post vaccine and my peripheral vision has not returned Headaches Muscle pain Muscle weakness Joint pain and aches Fever and chills  It took 7 days for me to feel back to some what normal
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscular weakness, Myalgia, Nausea, Palpitations
Clinical narrative: Severe painful stomach cramps for 4 hrs then off and on for 3 days Extreme fatigue, extreme exhaustion for 3.5 days only got out of bed to go to the bathroom,  Severe nausea for the first day and nauseous off and on for the next 3 days.  I did not eat for 3.5 days.  Heart palpitations - my heart was pounding through my chest at times off an on for 3 days  Lost peripheral vision in my Left Eye on day 3 post vaccine and my peripheral vision has not returned Headaches Muscle pain Muscle weakness Joint pain and aches Fever and chills  It took 7 days for me to feel back to some what normal
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Visual field defect
Clinical narrative: Severe painful stomach cramps for 4 hrs then off and on for 3 days Extreme fatigue, extreme exhaustion for 3.5 days only got out of bed to go to the bathroom,  Severe nausea for the first day and nauseous off and on for the next 3 days.  I did not eat for 3.5 days.  Heart palpitations - my heart was pounding through my chest at times off an on for 3 days  Lost peripheral vision in my Left Eye on day 3 post vaccine and my peripheral vision has not returned Headaches Muscle pain Muscle weakness Joint pain and aches Fever and chills  It took 7 days for me to feel back to some what normal
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Inflammatory marker increased, Laboratory test
Clinical narrative: October 4 months after the 2nd shot of Pfizer, I was hospitalized and diagnosed with paracarditus and inflammation of lungs, plura-paracarditus. 2 Days to diagnose and rule out infections. Negative for covid 19 as they tested me immediately. Symptoms started with back pain for 1 day then left shoulder pain for 1 day and it then moved to pain in my throat and chest. This was quick and sharp pains in throat. I checked into er that night. Exact dates I don't remember but discharged 10/13/2021.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pericarditis, Pleural disorder, Pneumonitis, SARS-CoV-2 test negative
Clinical narrative: October 4 months after the 2nd shot of Pfizer, I was hospitalized and diagnosed with paracarditus and inflammation of lungs, plura-paracarditus. 2 Days to diagnose and rule out infections. Negative for covid 19 as they tested me immediately. Symptoms started with back pain for 1 day then left shoulder pain for 1 day and it then moved to pain in my throat and chest. This was quick and sharp pains in throat. I checked into er that night. Exact dates I don't remember but discharged 10/13/2021.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: cough, chills, fever  +COVID test
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/10/21 documented to have positive covid. PT received Pfizer 12/30/20 Lot EP1685 for dose 1. Dose 2 was Pfizer given on 01/20/21 Lot EJ1685.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: developed sx including low grade temp, nasal drainage, congestion and tested positive for covid 1/13/2022. Tested on binax rapid antigen. She is fully vaccinated and boosted for covid- booster dose information listed above. Had potential exposure from another resident on unit who tested positive earlier in the week.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID In-patient
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: chills, fatigue, cough, short of breath + COVID test
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: chills, fatigue, cough, short of breath + COVID test
Age: 24.0
Sex: U
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: short of breath, cough + COVID test
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Skin hypopigmentation
Clinical narrative: Developed loss of skin pigmentation on chest and back. Appears similar to sudden onset vitiligo.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Lip swelling, Swelling face, Swollen tongue
Clinical narrative: Allergic reaction.  Face, lips and tongue swelling
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer batch/lot #FJ6369 with temperature excursion. Reported to Pfizer and they ok'd for use. Instructed by Pfizer staff to report each dose given in this system.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: cough + COVID test
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received the 5 to 11-year-old dose of the vaccine.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Feeling abnormal
Clinical narrative: I saw the possibility of it impacting blood sugars. For 7 days, my blood sugars were all over the place, despite no changes to my exercise regimen or diet. I have been under 100 glucose for weeks, then had readings between 24 and 58 points above. I felt a head fog and most importantly stress. I had disappointment with these readings as it felt like the diet and exercise were not helping.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Palpitations, X-ray
Clinical narrative: heart palpitations
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 55.0
Sex: M
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Contracted COVID
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Asymptomatic bacteriuria, Bladder catheterisation, Blood glucose decreased
Clinical narrative: 39 hours inpatient admission. Patient is a 74-year-old female with a past medical history of Alzheimer's dementia, hypothyroidism, hypertension, diabetes mellitus type 2 who presented to the emergency department after mechanical fall.  She tested positive for COVID-19 on 01/05/2022 1 multiple family members were positive.  She was noted to have a fall that was unwitnessed by her family currently on anticoagulation.  Family felt he has been falling more often recently.  As far as COVID symptoms, family stated that in the last 2 days she has had a cough, nasal congestion, generalized fatigue and weakness and diarrhea.  She also had nausea without vomiting.  She is fully vaccinated and boosted.  Upon arrival of EMS, she was found to be hypoglycemic with blood sugars in the 40s.  She was given dextrose with improvement.  She arrived in the emergency department with stable vital signs.  Head CT showed no acute process.  Blood work showed a potassium of 2.0, but was otherwise unremarkable.  She did end up with a magnesium level that was low as well.  Magnesium and potassium were replaced.  Her potassium improved.  Family was consult increased potassium in her diet or use supplements.  She should follow-up with her PCP for further lab work.  Her A1c was 5.1.  Her Lantus and metformin were held initially.  Blood sugars increased with eating, but were still not very high.  She was discharged without Lantus or metformin.  She was told to follow-up with her PCP and to monitor her blood sugar at home.  Initially there was concern for a urinary tract infection, but sample was contaminated with 13 squamous cells.  Repeat UA with straight catheterization showed moderate leukocytes, small blood in the 100 white blood cells.  This was not felt to be a true urinary tract infection and was likely asymptomatic bacteriuria.  Her symptoms were consistent with COVID-19.  Rocephin was initially started, but was stopped upon these results.  PT/OT recommended home with family.  She was discharged home on 01/09/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium decreased, Blood potassium decreased, Blood test, COVID-19, Cerebral ischaemia
Clinical narrative: 39 hours inpatient admission. Patient is a 74-year-old female with a past medical history of Alzheimer's dementia, hypothyroidism, hypertension, diabetes mellitus type 2 who presented to the emergency department after mechanical fall.  She tested positive for COVID-19 on 01/05/2022 1 multiple family members were positive.  She was noted to have a fall that was unwitnessed by her family currently on anticoagulation.  Family felt he has been falling more often recently.  As far as COVID symptoms, family stated that in the last 2 days she has had a cough, nasal congestion, generalized fatigue and weakness and diarrhea.  She also had nausea without vomiting.  She is fully vaccinated and boosted.  Upon arrival of EMS, she was found to be hypoglycemic with blood sugars in the 40s.  She was given dextrose with improvement.  She arrived in the emergency department with stable vital signs.  Head CT showed no acute process.  Blood work showed a potassium of 2.0, but was otherwise unremarkable.  She did end up with a magnesium level that was low as well.  Magnesium and potassium were replaced.  Her potassium improved.  Family was consult increased potassium in her diet or use supplements.  She should follow-up with her PCP for further lab work.  Her A1c was 5.1.  Her Lantus and metformin were held initially.  Blood sugars increased with eating, but were still not very high.  She was discharged without Lantus or metformin.  She was told to follow-up with her PCP and to monitor her blood sugar at home.  Initially there was concern for a urinary tract infection, but sample was contaminated with 13 squamous cells.  Repeat UA with straight catheterization showed moderate leukocytes, small blood in the 100 white blood cells.  This was not felt to be a true urinary tract infection and was likely asymptomatic bacteriuria.  Her symptoms were consistent with COVID-19.  Rocephin was initially started, but was stopped upon these results.  PT/OT recommended home with family.  She was discharged home on 01/09/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Cough, Culture urine positive, Diarrhoea
Clinical narrative: 39 hours inpatient admission. Patient is a 74-year-old female with a past medical history of Alzheimer's dementia, hypothyroidism, hypertension, diabetes mellitus type 2 who presented to the emergency department after mechanical fall.  She tested positive for COVID-19 on 01/05/2022 1 multiple family members were positive.  She was noted to have a fall that was unwitnessed by her family currently on anticoagulation.  Family felt he has been falling more often recently.  As far as COVID symptoms, family stated that in the last 2 days she has had a cough, nasal congestion, generalized fatigue and weakness and diarrhea.  She also had nausea without vomiting.  She is fully vaccinated and boosted.  Upon arrival of EMS, she was found to be hypoglycemic with blood sugars in the 40s.  She was given dextrose with improvement.  She arrived in the emergency department with stable vital signs.  Head CT showed no acute process.  Blood work showed a potassium of 2.0, but was otherwise unremarkable.  She did end up with a magnesium level that was low as well.  Magnesium and potassium were replaced.  Her potassium improved.  Family was consult increased potassium in her diet or use supplements.  She should follow-up with her PCP for further lab work.  Her A1c was 5.1.  Her Lantus and metformin were held initially.  Blood sugars increased with eating, but were still not very high.  She was discharged without Lantus or metformin.  She was told to follow-up with her PCP and to monitor her blood sugar at home.  Initially there was concern for a urinary tract infection, but sample was contaminated with 13 squamous cells.  Repeat UA with straight catheterization showed moderate leukocytes, small blood in the 100 white blood cells.  This was not felt to be a true urinary tract infection and was likely asymptomatic bacteriuria.  Her symptoms were consistent with COVID-19.  Rocephin was initially started, but was stopped upon these results.  PT/OT recommended home with family.  She was discharged home on 01/09/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Escherichia test positive, Exposure to SARS-CoV-2, Fall, Fatigue, Glycosylated haemoglobin normal
Clinical narrative: 39 hours inpatient admission. Patient is a 74-year-old female with a past medical history of Alzheimer's dementia, hypothyroidism, hypertension, diabetes mellitus type 2 who presented to the emergency department after mechanical fall.  She tested positive for COVID-19 on 01/05/2022 1 multiple family members were positive.  She was noted to have a fall that was unwitnessed by her family currently on anticoagulation.  Family felt he has been falling more often recently.  As far as COVID symptoms, family stated that in the last 2 days she has had a cough, nasal congestion, generalized fatigue and weakness and diarrhea.  She also had nausea without vomiting.  She is fully vaccinated and boosted.  Upon arrival of EMS, she was found to be hypoglycemic with blood sugars in the 40s.  She was given dextrose with improvement.  She arrived in the emergency department with stable vital signs.  Head CT showed no acute process.  Blood work showed a potassium of 2.0, but was otherwise unremarkable.  She did end up with a magnesium level that was low as well.  Magnesium and potassium were replaced.  Her potassium improved.  Family was consult increased potassium in her diet or use supplements.  She should follow-up with her PCP for further lab work.  Her A1c was 5.1.  Her Lantus and metformin were held initially.  Blood sugars increased with eating, but were still not very high.  She was discharged without Lantus or metformin.  She was told to follow-up with her PCP and to monitor her blood sugar at home.  Initially there was concern for a urinary tract infection, but sample was contaminated with 13 squamous cells.  Repeat UA with straight catheterization showed moderate leukocytes, small blood in the 100 white blood cells.  This was not felt to be a true urinary tract infection and was likely asymptomatic bacteriuria.  Her symptoms were consistent with COVID-19.  Rocephin was initially started, but was stopped upon these results.  PT/OT recommended home with family.  She was discharged home on 01/09/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Hypoglycaemia, Intraocular lens implant, Klebsiella test positive, Mucosal hypertrophy
Clinical narrative: 39 hours inpatient admission. Patient is a 74-year-old female with a past medical history of Alzheimer's dementia, hypothyroidism, hypertension, diabetes mellitus type 2 who presented to the emergency department after mechanical fall.  She tested positive for COVID-19 on 01/05/2022 1 multiple family members were positive.  She was noted to have a fall that was unwitnessed by her family currently on anticoagulation.  Family felt he has been falling more often recently.  As far as COVID symptoms, family stated that in the last 2 days she has had a cough, nasal congestion, generalized fatigue and weakness and diarrhea.  She also had nausea without vomiting.  She is fully vaccinated and boosted.  Upon arrival of EMS, she was found to be hypoglycemic with blood sugars in the 40s.  She was given dextrose with improvement.  She arrived in the emergency department with stable vital signs.  Head CT showed no acute process.  Blood work showed a potassium of 2.0, but was otherwise unremarkable.  She did end up with a magnesium level that was low as well.  Magnesium and potassium were replaced.  Her potassium improved.  Family was consult increased potassium in her diet or use supplements.  She should follow-up with her PCP for further lab work.  Her A1c was 5.1.  Her Lantus and metformin were held initially.  Blood sugars increased with eating, but were still not very high.  She was discharged without Lantus or metformin.  She was told to follow-up with her PCP and to monitor her blood sugar at home.  Initially there was concern for a urinary tract infection, but sample was contaminated with 13 squamous cells.  Repeat UA with straight catheterization showed moderate leukocytes, small blood in the 100 white blood cells.  This was not felt to be a true urinary tract infection and was likely asymptomatic bacteriuria.  Her symptoms were consistent with COVID-19.  Rocephin was initially started, but was stopped upon these results.  PT/OT recommended home with family.  She was discharged home on 01/09/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nausea, Proteus test positive, SARS-CoV-2 test positive, Scoliosis
Clinical narrative: 39 hours inpatient admission. Patient is a 74-year-old female with a past medical history of Alzheimer's dementia, hypothyroidism, hypertension, diabetes mellitus type 2 who presented to the emergency department after mechanical fall.  She tested positive for COVID-19 on 01/05/2022 1 multiple family members were positive.  She was noted to have a fall that was unwitnessed by her family currently on anticoagulation.  Family felt he has been falling more often recently.  As far as COVID symptoms, family stated that in the last 2 days she has had a cough, nasal congestion, generalized fatigue and weakness and diarrhea.  She also had nausea without vomiting.  She is fully vaccinated and boosted.  Upon arrival of EMS, she was found to be hypoglycemic with blood sugars in the 40s.  She was given dextrose with improvement.  She arrived in the emergency department with stable vital signs.  Head CT showed no acute process.  Blood work showed a potassium of 2.0, but was otherwise unremarkable.  She did end up with a magnesium level that was low as well.  Magnesium and potassium were replaced.  Her potassium improved.  Family was consult increased potassium in her diet or use supplements.  She should follow-up with her PCP for further lab work.  Her A1c was 5.1.  Her Lantus and metformin were held initially.  Blood sugars increased with eating, but were still not very high.  She was discharged without Lantus or metformin.  She was told to follow-up with her PCP and to monitor her blood sugar at home.  Initially there was concern for a urinary tract infection, but sample was contaminated with 13 squamous cells.  Repeat UA with straight catheterization showed moderate leukocytes, small blood in the 100 white blood cells.  This was not felt to be a true urinary tract infection and was likely asymptomatic bacteriuria.  Her symptoms were consistent with COVID-19.  Rocephin was initially started, but was stopped upon these results.  PT/OT recommended home with family.  She was discharged home on 01/09/2022.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine analysis abnormal, Urine leukocyte esterase positive, White blood cells urine positive
Clinical narrative: 39 hours inpatient admission. Patient is a 74-year-old female with a past medical history of Alzheimer's dementia, hypothyroidism, hypertension, diabetes mellitus type 2 who presented to the emergency department after mechanical fall.  She tested positive for COVID-19 on 01/05/2022 1 multiple family members were positive.  She was noted to have a fall that was unwitnessed by her family currently on anticoagulation.  Family felt he has been falling more often recently.  As far as COVID symptoms, family stated that in the last 2 days she has had a cough, nasal congestion, generalized fatigue and weakness and diarrhea.  She also had nausea without vomiting.  She is fully vaccinated and boosted.  Upon arrival of EMS, she was found to be hypoglycemic with blood sugars in the 40s.  She was given dextrose with improvement.  She arrived in the emergency department with stable vital signs.  Head CT showed no acute process.  Blood work showed a potassium of 2.0, but was otherwise unremarkable.  She did end up with a magnesium level that was low as well.  Magnesium and potassium were replaced.  Her potassium improved.  Family was consult increased potassium in her diet or use supplements.  She should follow-up with her PCP for further lab work.  Her A1c was 5.1.  Her Lantus and metformin were held initially.  Blood sugars increased with eating, but were still not very high.  She was discharged without Lantus or metformin.  She was told to follow-up with her PCP and to monitor her blood sugar at home.  Initially there was concern for a urinary tract infection, but sample was contaminated with 13 squamous cells.  Repeat UA with straight catheterization showed moderate leukocytes, small blood in the 100 white blood cells.  This was not felt to be a true urinary tract infection and was likely asymptomatic bacteriuria.  Her symptoms were consistent with COVID-19.  Rocephin was initially started, but was stopped upon these results.  PT/OT recommended home with family.  She was discharged home on 01/09/2022.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary, Axillary pain, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: None stated.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Echocardiogram abnormal, Ejection fraction, Electrocardiogram normal, Fatigue
Clinical narrative: None stated.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Palpitations, Pericardial effusion, Pyrexia, Specialist consultation
Clinical narrative: None stated.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin normal
Clinical narrative: None stated.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rash pruritic, Vomiting
Clinical narrative: itchy rash, Nausea, vomiting
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swelling
Clinical narrative: Swollen lymph nodes, swollen chest area.
Age: 11.0
Sex: M
Vaccine: COVID19, MNQ, TDAP
Symptoms: Product administration error, Product preparation error
Clinical narrative: Administration error-Patient was given 0.2 mL of the UNDILUTED pediatric (orange top) Covid Vaccine
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect route of product administration, X-ray
Clinical narrative: injection missed Deltoid muscle and entered shoulder joint hitting bursae sac. vaccine administered into bursae.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Throat irritation
Clinical narrative: Patient received 1st Pfizer vaccine (booster) 1/13/22.   Patient had previously received 1 J&J COVID vaccine.    Patient experienced flushing and itchy throat approx 15 minutes after vaccination.  Patient was in observation room and reported symptoms to  Paramedic who was monitoring observation room.  Paramedic notified Health Dept nurses. Paramedic administered 50ml oral Benadryl to patient. Patient's symptoms resolved.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: DIZZINESS, VITALS TAKEN, PHYSICIAN EVALUATION, VITALS RECHECKED, MONITOR, & DISCHARGE AS PATIENT FELT BETTER.  PATIENT WAS MONITORED FOR 20 MINIUTES AFTER DIZZINESS OCCURRED.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Patient is fully vacciated.  COVID+ on 11/25/2021.  Hospitalized from 11/25/2021-12/5/2021.  Dx on admission: hypoxia, new onset afib with rapid ventricular response, elevated troponin, COVID virus infection.Positive for fatigue. He presents to the ED due to a 2 day history of fatigue, cough, shortness of breath, fever, body aches, nausea, vomiting and diarrhea. Positive for dizziness.  Denies chest pain. Upon arrival, patient was found to be in A. fib with RVR, which he does not have a history of. Patient started on a heparin drip and Cardizem drip due to A. fib with heart rate ranging from 100 up to 130-140s. He is followed by cardiology infectious disease and palliative care.  He is followed by social work.  He is treated for covid 19 pneumonia.  DVT prophylaxis with heparin.  Remdesivir and decatron given. Despite medical treatment he continued to decline and he subsequent passed away.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Patient is fully vacciated.  COVID+ on 11/25/2021.  Hospitalized from 11/25/2021-12/5/2021.  Dx on admission: hypoxia, new onset afib with rapid ventricular response, elevated troponin, COVID virus infection.Positive for fatigue. He presents to the ED due to a 2 day history of fatigue, cough, shortness of breath, fever, body aches, nausea, vomiting and diarrhea. Positive for dizziness.  Denies chest pain. Upon arrival, patient was found to be in A. fib with RVR, which he does not have a history of. Patient started on a heparin drip and Cardizem drip due to A. fib with heart rate ranging from 100 up to 130-140s. He is followed by cardiology infectious disease and palliative care.  He is followed by social work.  He is treated for covid 19 pneumonia.  DVT prophylaxis with heparin.  Remdesivir and decatron given. Despite medical treatment he continued to decline and he subsequent passed away.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Hypoxia, Nausea, Pain, Pyrexia
Clinical narrative: Patient is fully vacciated.  COVID+ on 11/25/2021.  Hospitalized from 11/25/2021-12/5/2021.  Dx on admission: hypoxia, new onset afib with rapid ventricular response, elevated troponin, COVID virus infection.Positive for fatigue. He presents to the ED due to a 2 day history of fatigue, cough, shortness of breath, fever, body aches, nausea, vomiting and diarrhea. Positive for dizziness.  Denies chest pain. Upon arrival, patient was found to be in A. fib with RVR, which he does not have a history of. Patient started on a heparin drip and Cardizem drip due to A. fib with heart rate ranging from 100 up to 130-140s. He is followed by cardiology infectious disease and palliative care.  He is followed by social work.  He is treated for covid 19 pneumonia.  DVT prophylaxis with heparin.  Remdesivir and decatron given. Despite medical treatment he continued to decline and he subsequent passed away.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased, Vomiting
Clinical narrative: Patient is fully vacciated.  COVID+ on 11/25/2021.  Hospitalized from 11/25/2021-12/5/2021.  Dx on admission: hypoxia, new onset afib with rapid ventricular response, elevated troponin, COVID virus infection.Positive for fatigue. He presents to the ED due to a 2 day history of fatigue, cough, shortness of breath, fever, body aches, nausea, vomiting and diarrhea. Positive for dizziness.  Denies chest pain. Upon arrival, patient was found to be in A. fib with RVR, which he does not have a history of. Patient started on a heparin drip and Cardizem drip due to A. fib with heart rate ranging from 100 up to 130-140s. He is followed by cardiology infectious disease and palliative care.  He is followed by social work.  He is treated for covid 19 pneumonia.  DVT prophylaxis with heparin.  Remdesivir and decatron given. Despite medical treatment he continued to decline and he subsequent passed away.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Pain, Pyrexia
Clinical narrative: Syncope over twelve hours post vaccination, severe dizziness, lightheadedness, vomiting, diarrhea, fever, chills, body aches
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Syncope over twelve hours post vaccination, severe dizziness, lightheadedness, vomiting, diarrhea, fever, chills, body aches
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Bone pain, Feeling cold, Hot flush, Injected limb mobility decreased, Lethargy
Clinical narrative: I've had off and on hot and cold flashes, lost most usage of my arm, it had a deep aching pain that felt like it came from my bone, had a migraine, fever, lethargy, muscle aches.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: I've had off and on hot and cold flashes, lost most usage of my arm, it had a deep aching pain that felt like it came from my bone, had a migraine, fever, lethargy, muscle aches.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Ear pain, Fatigue, Feeling abnormal
Clinical narrative: Severe headache, pain in the back of my head, neck pain redness at the site of vaccination arm swelling all the way down to the hand, dizziness lightheaded pain in the left ear overall feeling tired weak and horrible.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Neck pain, Peripheral swelling
Clinical narrative: Severe headache, pain in the back of my head, neck pain redness at the site of vaccination arm swelling all the way down to the hand, dizziness lightheaded pain in the left ear overall feeling tired weak and horrible.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal, Confusional state
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 02/13/2021.  73 y/o PMH CVA secondary to carotid artery stenosis (s/p Right CEA 1/10/2022), COPD, DVT, Fibromyalgia, HTN, HLS, OSA, PVD, Seizures, dementia presents to ED with increased weakness, confusion, chronic cough and chronic nausea.  Husband called EMS with concern for stroke symptoms due to increased lethargy and being uncoordinated. Pt found hypotensive, room air sats 85%, placed on O2 2LNC. CXR interstitial/alveolar densities.  CT brain neg.  Started on IV ABX.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Coordination abnormal, Cough, Hypotension, Interstitial lung disease, Lethargy
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 02/13/2021.  73 y/o PMH CVA secondary to carotid artery stenosis (s/p Right CEA 1/10/2022), COPD, DVT, Fibromyalgia, HTN, HLS, OSA, PVD, Seizures, dementia presents to ED with increased weakness, confusion, chronic cough and chronic nausea.  Husband called EMS with concern for stroke symptoms due to increased lethargy and being uncoordinated. Pt found hypotensive, room air sats 85%, placed on O2 2LNC. CXR interstitial/alveolar densities.  CT brain neg.  Started on IV ABX.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Neurological symptom, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 02/13/2021.  73 y/o PMH CVA secondary to carotid artery stenosis (s/p Right CEA 1/10/2022), COPD, DVT, Fibromyalgia, HTN, HLS, OSA, PVD, Seizures, dementia presents to ED with increased weakness, confusion, chronic cough and chronic nausea.  Husband called EMS with concern for stroke symptoms due to increased lethargy and being uncoordinated. Pt found hypotensive, room air sats 85%, placed on O2 2LNC. CXR interstitial/alveolar densities.  CT brain neg.  Started on IV ABX.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Shortness of breath and chest pain.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Nausea, Pain, Tremor, Visual impairment
Clinical narrative: Adverse reaction to the COVID vaccine.  Pt. complained of aches all over, wanting to vomit, feeling shaky, heart beating fast, and seeing colors. Pt. was presented at ER for observation.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 38.0
Sex: F
Vaccine: HEP
Symptoms: Erythema, Impaired work ability, Peripheral swelling, Rash papular, Vomiting
Clinical narrative: Redness on arm with raised bumps, & swelling,  vomitted 2x   After midnight the night of vaccine patient had the symptoms Called in work the next week  to recover from symptoms Patient has now re covered & returned to work
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: chills, fatigue, cough, short of breath
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: chills, fatigue, cough, short of breath
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Cold sweat, Head injury, Nausea, Pain
Clinical narrative: Body aches, cold sweats, queasiness, Fainted, put a hole in the wall with my head and hurt my tailbone.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal column injury, Syncope
Clinical narrative: Body aches, cold sweats, queasiness, Fainted, put a hole in the wall with my head and hurt my tailbone.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I had sore throat, headache, running nose, cough, and congestion.  These lasted for about 10 days.  On Jan 3rd, I got tested positive for Covid-19.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had sore throat, headache, running nose, cough, and congestion.  These lasted for about 10 days.  On Jan 3rd, I got tested positive for Covid-19.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt received the 5-11 year old dose of the vaccine.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: fever, cough
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute sinusitis, Computerised tomogram abnormal, Electrocardiogram normal, Hypoaesthesia, Hypotension
Clinical narrative: After an hour lips & tongue tingled and throat felt tight.  Took Benadryl and entire face went numb- it took an additional dose and finally went away after 12 hours. Fever, dry heaving and low bp to the point I passed out and my husband called an ambulance.  My pulse was very weak and my bp was 90/60.  Hospital gave me  units of iv.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Paraesthesia oral, Pulse abnormal, Pyrexia, Renal function test normal
Clinical narrative: After an hour lips & tongue tingled and throat felt tight.  Took Benadryl and entire face went numb- it took an additional dose and finally went away after 12 hours. Fever, dry heaving and low bp to the point I passed out and my husband called an ambulance.  My pulse was very weak and my bp was 90/60.  Hospital gave me  units of iv.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Retching, Throat tightness, Urine analysis normal
Clinical narrative: After an hour lips & tongue tingled and throat felt tight.  Took Benadryl and entire face went numb- it took an additional dose and finally went away after 12 hours. Fever, dry heaving and low bp to the point I passed out and my husband called an ambulance.  My pulse was very weak and my bp was 90/60.  Hospital gave me  units of iv.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: ?Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Dyspnoea
Clinical narrative: 66-year-old male admitted 1/12/2022 with a past medical history significant for hypertension, HLD, COPD, OSA, DM2, CKD III, MTHFR deficiency, Factor V Leiden chronically anticoagulated on coumadin, and chronic respiratory failure secondary right diaphragmatic paralysis related to remote CVA (plus residual right-sided weakness and dysphagia) on chronic 6L NC. He presents today with complaints of progressive generalized weakness and falls going on for several days. Patient stated about 10 days ago he had productive cough, myalgias, loss of taste and smell and dyspnea. Patient's family was concerned and brought him for evaluation by PCP. He tested positive at outpatient visit on 1/10/2022. He is vaccinated X2. He presents today with complaints of persistent congestion and recurrent falls due to weakness. He denied head trauma or LOC.