chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium increased, Blood chloride normal, Blood creatinine normal
Clinical narrative: Patient discharged after (4) day in patient admission.  84-year-old female with past medical history of TIAs, peptic ulcer disease, coronary artery disease status post drug-eluting stent, polymyalgia rheumatica on chronic prednisone, hypertension, of hypersensitivity pneumonitis on chronic CellCept, immunosuppression and hypothyroidism.  Patient presents to the emergency department with worsening cough and fever.  She was vaccinated with J&J in April.  Emergency department she tested positive for COVID.  Chest x-ray showed bilateral patchy airspace disease consistent with COVID pneumonia.  Patient was hypoxic in the 80s and required supplemental oxygen.  She was admitted and started on Decadron.  She had reported acute on chronic cough for approximately 2 weeks and thus was not started on remdesivir at time of admission.  However due to vague differentiation between her chronic cough and worsening symptoms it was decided to consider symptom onset when patient began having fevers on 11/22 and thus remdesivir was started.  Family requested monoclonal antibodies however given hypoxia patient did not meet criteria.  Since patient had improvement in symptoms but continued to require 2 L of oxygen.  She was evaluated by Pulmonary Rehab who recommended 2 L of oxygen at rest and with activity which was arranged for the patient.  She was instructed to follow-up with PCP for weaning of oxygen as well as ongoing blood pressure control.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea increased, COVID-19
Clinical narrative: Patient discharged after (4) day in patient admission.  84-year-old female with past medical history of TIAs, peptic ulcer disease, coronary artery disease status post drug-eluting stent, polymyalgia rheumatica on chronic prednisone, hypertension, of hypersensitivity pneumonitis on chronic CellCept, immunosuppression and hypothyroidism.  Patient presents to the emergency department with worsening cough and fever.  She was vaccinated with J&J in April.  Emergency department she tested positive for COVID.  Chest x-ray showed bilateral patchy airspace disease consistent with COVID pneumonia.  Patient was hypoxic in the 80s and required supplemental oxygen.  She was admitted and started on Decadron.  She had reported acute on chronic cough for approximately 2 weeks and thus was not started on remdesivir at time of admission.  However due to vague differentiation between her chronic cough and worsening symptoms it was decided to consider symptom onset when patient began having fevers on 11/22 and thus remdesivir was started.  Family requested monoclonal antibodies however given hypoxia patient did not meet criteria.  Since patient had improvement in symptoms but continued to require 2 L of oxygen.  She was evaluated by Pulmonary Rehab who recommended 2 L of oxygen at rest and with activity which was arranged for the patient.  She was instructed to follow-up with PCP for weaning of oxygen as well as ongoing blood pressure control.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Carbon dioxide normal, Chest X-ray abnormal, Cough, Globulin
Clinical narrative: Patient discharged after (4) day in patient admission.  84-year-old female with past medical history of TIAs, peptic ulcer disease, coronary artery disease status post drug-eluting stent, polymyalgia rheumatica on chronic prednisone, hypertension, of hypersensitivity pneumonitis on chronic CellCept, immunosuppression and hypothyroidism.  Patient presents to the emergency department with worsening cough and fever.  She was vaccinated with J&J in April.  Emergency department she tested positive for COVID.  Chest x-ray showed bilateral patchy airspace disease consistent with COVID pneumonia.  Patient was hypoxic in the 80s and required supplemental oxygen.  She was admitted and started on Decadron.  She had reported acute on chronic cough for approximately 2 weeks and thus was not started on remdesivir at time of admission.  However due to vague differentiation between her chronic cough and worsening symptoms it was decided to consider symptom onset when patient began having fevers on 11/22 and thus remdesivir was started.  Family requested monoclonal antibodies however given hypoxia patient did not meet criteria.  Since patient had improvement in symptoms but continued to require 2 L of oxygen.  She was evaluated by Pulmonary Rehab who recommended 2 L of oxygen at rest and with activity which was arranged for the patient.  She was instructed to follow-up with PCP for weaning of oxygen as well as ongoing blood pressure control.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Haematocrit increased, Haemoglobin normal, Hypoxia, Laboratory test
Clinical narrative: Patient discharged after (4) day in patient admission.  84-year-old female with past medical history of TIAs, peptic ulcer disease, coronary artery disease status post drug-eluting stent, polymyalgia rheumatica on chronic prednisone, hypertension, of hypersensitivity pneumonitis on chronic CellCept, immunosuppression and hypothyroidism.  Patient presents to the emergency department with worsening cough and fever.  She was vaccinated with J&J in April.  Emergency department she tested positive for COVID.  Chest x-ray showed bilateral patchy airspace disease consistent with COVID pneumonia.  Patient was hypoxic in the 80s and required supplemental oxygen.  She was admitted and started on Decadron.  She had reported acute on chronic cough for approximately 2 weeks and thus was not started on remdesivir at time of admission.  However due to vague differentiation between her chronic cough and worsening symptoms it was decided to consider symptom onset when patient began having fevers on 11/22 and thus remdesivir was started.  Family requested monoclonal antibodies however given hypoxia patient did not meet criteria.  Since patient had improvement in symptoms but continued to require 2 L of oxygen.  She was evaluated by Pulmonary Rehab who recommended 2 L of oxygen at rest and with activity which was arranged for the patient.  She was instructed to follow-up with PCP for weaning of oxygen as well as ongoing blood pressure control.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Lung disorder, Lung opacity, Mean cell volume normal, Neutrophil count increased, Platelet count normal
Clinical narrative: Patient discharged after (4) day in patient admission.  84-year-old female with past medical history of TIAs, peptic ulcer disease, coronary artery disease status post drug-eluting stent, polymyalgia rheumatica on chronic prednisone, hypertension, of hypersensitivity pneumonitis on chronic CellCept, immunosuppression and hypothyroidism.  Patient presents to the emergency department with worsening cough and fever.  She was vaccinated with J&J in April.  Emergency department she tested positive for COVID.  Chest x-ray showed bilateral patchy airspace disease consistent with COVID pneumonia.  Patient was hypoxic in the 80s and required supplemental oxygen.  She was admitted and started on Decadron.  She had reported acute on chronic cough for approximately 2 weeks and thus was not started on remdesivir at time of admission.  However due to vague differentiation between her chronic cough and worsening symptoms it was decided to consider symptom onset when patient began having fevers on 11/22 and thus remdesivir was started.  Family requested monoclonal antibodies however given hypoxia patient did not meet criteria.  Since patient had improvement in symptoms but continued to require 2 L of oxygen.  She was evaluated by Pulmonary Rehab who recommended 2 L of oxygen at rest and with activity which was arranged for the patient.  She was instructed to follow-up with PCP for weaning of oxygen as well as ongoing blood pressure control.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total decreased, Pyrexia, Red blood cell count normal, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Patient discharged after (4) day in patient admission.  84-year-old female with past medical history of TIAs, peptic ulcer disease, coronary artery disease status post drug-eluting stent, polymyalgia rheumatica on chronic prednisone, hypertension, of hypersensitivity pneumonitis on chronic CellCept, immunosuppression and hypothyroidism.  Patient presents to the emergency department with worsening cough and fever.  She was vaccinated with J&J in April.  Emergency department she tested positive for COVID.  Chest x-ray showed bilateral patchy airspace disease consistent with COVID pneumonia.  Patient was hypoxic in the 80s and required supplemental oxygen.  She was admitted and started on Decadron.  She had reported acute on chronic cough for approximately 2 weeks and thus was not started on remdesivir at time of admission.  However due to vague differentiation between her chronic cough and worsening symptoms it was decided to consider symptom onset when patient began having fevers on 11/22 and thus remdesivir was started.  Family requested monoclonal antibodies however given hypoxia patient did not meet criteria.  Since patient had improvement in symptoms but continued to require 2 L of oxygen.  She was evaluated by Pulmonary Rehab who recommended 2 L of oxygen at rest and with activity which was arranged for the patient.  She was instructed to follow-up with PCP for weaning of oxygen as well as ongoing blood pressure control.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Dyspnoea, Fibrin D dimer increased, Palpitations
Clinical narrative: Pt began to experience heart palpitations and shortness of breath a few months after vaccine received.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Pain, Pain in extremity, Respiratory tract congestion
Clinical narrative: I had a sore arm and that was it initially after receiving the shot. I caught COVID on 11/26/2021. I had body aches, a headache, sinus, and congestion. On 11/29/2021 I went to the local urgent care and I was diagnosed with COVID. I have a follow up appointment on 12/16/2021 to make sure everything is okay. I am almost feeling better now.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: I had a sore arm and that was it initially after receiving the shot. I caught COVID on 11/26/2021. I had body aches, a headache, sinus, and congestion. On 11/29/2021 I went to the local urgent care and I was diagnosed with COVID. I have a follow up appointment on 12/16/2021 to make sure everything is okay. I am almost feeling better now.
Age: 47.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray abnormal, Cough, Dyspnoea, Oxygen saturation decreased
Clinical narrative: I didn't have any problems after the vaccination but 6 weeks I was diagnosed with Pulmonary emboli, I was coughing and short of breath and my oxygen dropped. I went to the clinic and I had and x-ray where I had a pulmonary Emboli. I was given Eliquis 10MG 2x daily for the first week, and now I'm on 5MG once a day. I am still having a significant cough and I have an appt again on 12/08/2021.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: I didn't have any problems after the vaccination but 6 weeks I was diagnosed with Pulmonary emboli, I was coughing and short of breath and my oxygen dropped. I went to the clinic and I had and x-ray where I had a pulmonary Emboli. I was given Eliquis 10MG 2x daily for the first week, and now I'm on 5MG once a day. I am still having a significant cough and I have an appt again on 12/08/2021.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Client given 0.5mL Moderna instead of 0.25mL (booster) dose.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Client given 0.5mL Moderna instead of 0.25mL (booster) dose.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 13 days after the QR code expiry date.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Dizziness, Dyspnoea, Headache
Clinical narrative: Blurred vision 1/2 hr. dizziness 1/2 hr., headache 1/2 hr., shortness of breath,  no treatment it just went away on it's own. following month patient had a stroke.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging head abnormal, Vision blurred
Clinical narrative: Blurred vision 1/2 hr. dizziness 1/2 hr., headache 1/2 hr., shortness of breath,  no treatment it just went away on it's own. following month patient had a stroke.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Feeling cold, Frequent bowel movements, Hyperhidrosis
Clinical narrative: Woke up in a bed of sweat, had to go to the bathroom, I urinated, pooped and shook all at the same time. I was freezing cold. Not th runs solid poop, back to bed fell right back to sleep, only to wake about 2 hours later for a second bout of sweating out in the bed, shaking cold as I urinated and again pooped. This continuesd for about every 2 hours, When I did finally get up, I was not hungry, no appetite, no strength, basically worthless. Saturday 2 days later I felt almost normal. My husband had the same shot, same day and he just felt achy.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, Tremor
Clinical narrative: Woke up in a bed of sweat, had to go to the bathroom, I urinated, pooped and shook all at the same time. I was freezing cold. Not th runs solid poop, back to bed fell right back to sleep, only to wake about 2 hours later for a second bout of sweating out in the bed, shaking cold as I urinated and again pooped. This continuesd for about every 2 hours, When I did finally get up, I was not hungry, no appetite, no strength, basically worthless. Saturday 2 days later I felt almost normal. My husband had the same shot, same day and he just felt achy.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Blood culture, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal
Clinical narrative: Hospitalized 11/28/2021-still admitted currently; COVID-19 positive 11/26/2021; fully vaccinated  CHIEF COMPLAINT COVID ASSESSMENT AND PLAN COVID pneumonia Acute respiratory failure with hypoxia - patient with symptoms starting around 11/20.  Progressively worsening cough and shortness of breath. Hypoxic at home to low 80s on RA. Patient is vaccinated with Moderna but has not gotten 3rd booster - requiring 2-4 L via NC - COVID positive 11/26 - CT thorax negative for PE.  Scattered bilateral ground-glass opacities consistent with COVID - started on Decadron, continue - will start remdesivir - prn supportive care - monitor on pulse ox 12/1/2021 note:  PLAN COVID pneumonia Acute respiratory failure with hypoxia - Symptom Onset: 11/20 - Vaccinated -COVID positive 11/26  - Switched to HFNC overnight. 75% FiO2 - CT thorax 11/28: negative for PE.  Scattered bilateral ground-glass opacities consistent with COVID - Decadron 6mg (11/29-11/30) Transitioned to solumedrol 40mg IV bid (12/1-present) - Remdesivir (11/29-present) plan for 5 days  - prn supportive care -Continue to trend inflammatory markers  -Check infectious workup: procal, blood cx, strep pneumonia and legionella 12/3/2021 note: PLAN COVID pneumonia Acute respiratory failure with hypoxia - Switched to HFNC overnight. 55% FiO2
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Feeding disorder, Inflammatory marker test
Clinical narrative: Hospitalized 11/28/2021-still admitted currently; COVID-19 positive 11/26/2021; fully vaccinated  CHIEF COMPLAINT COVID ASSESSMENT AND PLAN COVID pneumonia Acute respiratory failure with hypoxia - patient with symptoms starting around 11/20.  Progressively worsening cough and shortness of breath. Hypoxic at home to low 80s on RA. Patient is vaccinated with Moderna but has not gotten 3rd booster - requiring 2-4 L via NC - COVID positive 11/26 - CT thorax negative for PE.  Scattered bilateral ground-glass opacities consistent with COVID - started on Decadron, continue - will start remdesivir - prn supportive care - monitor on pulse ox 12/1/2021 note:  PLAN COVID pneumonia Acute respiratory failure with hypoxia - Symptom Onset: 11/20 - Vaccinated -COVID positive 11/26  - Switched to HFNC overnight. 75% FiO2 - CT thorax 11/28: negative for PE.  Scattered bilateral ground-glass opacities consistent with COVID - Decadron 6mg (11/29-11/30) Transitioned to solumedrol 40mg IV bid (12/1-present) - Remdesivir (11/29-present) plan for 5 days  - prn supportive care -Continue to trend inflammatory markers  -Check infectious workup: procal, blood cx, strep pneumonia and legionella 12/3/2021 note: PLAN COVID pneumonia Acute respiratory failure with hypoxia - Switched to HFNC overnight. 55% FiO2
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Legionella test, Lung opacity, Malaise, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/28/2021-still admitted currently; COVID-19 positive 11/26/2021; fully vaccinated  CHIEF COMPLAINT COVID ASSESSMENT AND PLAN COVID pneumonia Acute respiratory failure with hypoxia - patient with symptoms starting around 11/20.  Progressively worsening cough and shortness of breath. Hypoxic at home to low 80s on RA. Patient is vaccinated with Moderna but has not gotten 3rd booster - requiring 2-4 L via NC - COVID positive 11/26 - CT thorax negative for PE.  Scattered bilateral ground-glass opacities consistent with COVID - started on Decadron, continue - will start remdesivir - prn supportive care - monitor on pulse ox 12/1/2021 note:  PLAN COVID pneumonia Acute respiratory failure with hypoxia - Symptom Onset: 11/20 - Vaccinated -COVID positive 11/26  - Switched to HFNC overnight. 75% FiO2 - CT thorax 11/28: negative for PE.  Scattered bilateral ground-glass opacities consistent with COVID - Decadron 6mg (11/29-11/30) Transitioned to solumedrol 40mg IV bid (12/1-present) - Remdesivir (11/29-present) plan for 5 days  - prn supportive care -Continue to trend inflammatory markers  -Check infectious workup: procal, blood cx, strep pneumonia and legionella 12/3/2021 note: PLAN COVID pneumonia Acute respiratory failure with hypoxia - Switched to HFNC overnight. 55% FiO2
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test
Clinical narrative: Hospitalized 11/28/2021-still admitted currently; COVID-19 positive 11/26/2021; fully vaccinated  CHIEF COMPLAINT COVID ASSESSMENT AND PLAN COVID pneumonia Acute respiratory failure with hypoxia - patient with symptoms starting around 11/20.  Progressively worsening cough and shortness of breath. Hypoxic at home to low 80s on RA. Patient is vaccinated with Moderna but has not gotten 3rd booster - requiring 2-4 L via NC - COVID positive 11/26 - CT thorax negative for PE.  Scattered bilateral ground-glass opacities consistent with COVID - started on Decadron, continue - will start remdesivir - prn supportive care - monitor on pulse ox 12/1/2021 note:  PLAN COVID pneumonia Acute respiratory failure with hypoxia - Symptom Onset: 11/20 - Vaccinated -COVID positive 11/26  - Switched to HFNC overnight. 75% FiO2 - CT thorax 11/28: negative for PE.  Scattered bilateral ground-glass opacities consistent with COVID - Decadron 6mg (11/29-11/30) Transitioned to solumedrol 40mg IV bid (12/1-present) - Remdesivir (11/29-present) plan for 5 days  - prn supportive care -Continue to trend inflammatory markers  -Check infectious workup: procal, blood cx, strep pneumonia and legionella 12/3/2021 note: PLAN COVID pneumonia Acute respiratory failure with hypoxia - Switched to HFNC overnight. 55% FiO2
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Head ache and soreness
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Presyncope
Clinical narrative: Patient had near syncope episode and felt dizzy 2 minutes after first dose of primary series.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Headache, Pyrexia
Clinical narrative: Roughly 14 hours after receiving her second vaccine, my daughter had a 100.3 temperature, vomited once, and said her head hurt.  She also had chills with her fever.  Tylenol was given and that helped.  This morning I gave her another dose of Tylenol and she has started to eat a little.  She says her head still hurts and we are pushing the fluids.  I haven't taken her temperature this morning but she feels cooler and is feeling better, although her energy comes & goes.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Roughly 14 hours after receiving her second vaccine, my daughter had a 100.3 temperature, vomited once, and said her head hurt.  She also had chills with her fever.  Tylenol was given and that helped.  This morning I gave her another dose of Tylenol and she has started to eat a little.  She says her head still hurts and we are pushing the fluids.  I haven't taken her temperature this morning but she feels cooler and is feeling better, although her energy comes & goes.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anal incontinence, Chills, Muscle spasms, Rhinorrhoea, Tremor
Clinical narrative: chills, shakes, cant control bowels, runny nose, muscle cramps
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: swelling at site
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Lethargy, Limb discomfort, Loss of personal independence in daily activities
Clinical narrative: The day after the shot I was very lethargic and my legs felt like lead.  Appetite and desire to go about my daily routine were drastically impacted.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood pressure abnormal, Breast neoplasm, COVID-19
Clinical narrative: Patient currently inpatient admission at (4) days. Acute hypoxemic respiratory failure due to COVID pneumonia: Symptom onset 11/17, started with sinus congestion. She was found to be COVID positive 11/19. She started having fevers 11/24. o Trend appropriate labs daily o Prone patient TID for 1 hour if they can tolerate o Dexamethasone for 10 day course o Continuous pulse oximetry. Goal SpO2 >92%.   Dehydration:  Likely due to poor PO intake o LR at 100 mL an hour o Hold home HCTZ   Anxiety/depression Seasonal allergic rhinitis Morbidity obesity HTN Asthma GERD o Continue essential home medications unless otherwise stated above o     VTE Prophylaxis:   This patient is high risk per the VTE risk assessment tool, pharmacologic prophylaxis is indicated. Lovenox has been ordered.    Diet: General Code Status: Full     HPI    CHIEF COMPLAINT: SHORTNESS OF BREATH (Covid + 11/19 worsening cough the last 3 days. persistent dry cough was found hypoxic when fire arrived. patient reports 86% on home pulse ox. chest pain with movement and cough. )    HISTORY OF PRESENT ILLNESS: Patient is a 50 y.o. female with a pertinent past medical history for anxiety, depression, asthma, HTN, GERD who presented to the ED primarily with shortness of breath.  She denies a history of tobacco or alcohol abuse.  She states that she started having symptoms of 11/17 with congestion similar to previous episodes of sinusitis, she was found to be positive 11/19, she started having fevers 11/24, last few days she has been dealing with increased cough and shortness of breath. She has also been having chest pains with cough, mostly dry cough.  In the emergency department she desatted to 81% on room air, with improvement in saturations with 2 L of oxygen.  Her blood pressure was soft in the emergency department and she received 1 L of IV fluids with improvement in her blood pressure.  She was given Decadron 6 mg IV. Chest x-ray showed ?prominent diffuse airspace disease consistent with COVID pneumonia.?
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest pain, Cough, Dehydration
Clinical narrative: Patient currently inpatient admission at (4) days. Acute hypoxemic respiratory failure due to COVID pneumonia: Symptom onset 11/17, started with sinus congestion. She was found to be COVID positive 11/19. She started having fevers 11/24. o Trend appropriate labs daily o Prone patient TID for 1 hour if they can tolerate o Dexamethasone for 10 day course o Continuous pulse oximetry. Goal SpO2 >92%.   Dehydration:  Likely due to poor PO intake o LR at 100 mL an hour o Hold home HCTZ   Anxiety/depression Seasonal allergic rhinitis Morbidity obesity HTN Asthma GERD o Continue essential home medications unless otherwise stated above o     VTE Prophylaxis:   This patient is high risk per the VTE risk assessment tool, pharmacologic prophylaxis is indicated. Lovenox has been ordered.    Diet: General Code Status: Full     HPI    CHIEF COMPLAINT: SHORTNESS OF BREATH (Covid + 11/19 worsening cough the last 3 days. persistent dry cough was found hypoxic when fire arrived. patient reports 86% on home pulse ox. chest pain with movement and cough. )    HISTORY OF PRESENT ILLNESS: Patient is a 50 y.o. female with a pertinent past medical history for anxiety, depression, asthma, HTN, GERD who presented to the ED primarily with shortness of breath.  She denies a history of tobacco or alcohol abuse.  She states that she started having symptoms of 11/17 with congestion similar to previous episodes of sinusitis, she was found to be positive 11/19, she started having fevers 11/24, last few days she has been dealing with increased cough and shortness of breath. She has also been having chest pains with cough, mostly dry cough.  In the emergency department she desatted to 81% on room air, with improvement in saturations with 2 L of oxygen.  Her blood pressure was soft in the emergency department and she received 1 L of IV fluids with improvement in her blood pressure.  She was given Decadron 6 mg IV. Chest x-ray showed ?prominent diffuse airspace disease consistent with COVID pneumonia.?
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypophagia, Lung disorder, Lung opacity, Oxygen saturation decreased
Clinical narrative: Patient currently inpatient admission at (4) days. Acute hypoxemic respiratory failure due to COVID pneumonia: Symptom onset 11/17, started with sinus congestion. She was found to be COVID positive 11/19. She started having fevers 11/24. o Trend appropriate labs daily o Prone patient TID for 1 hour if they can tolerate o Dexamethasone for 10 day course o Continuous pulse oximetry. Goal SpO2 >92%.   Dehydration:  Likely due to poor PO intake o LR at 100 mL an hour o Hold home HCTZ   Anxiety/depression Seasonal allergic rhinitis Morbidity obesity HTN Asthma GERD o Continue essential home medications unless otherwise stated above o     VTE Prophylaxis:   This patient is high risk per the VTE risk assessment tool, pharmacologic prophylaxis is indicated. Lovenox has been ordered.    Diet: General Code Status: Full     HPI    CHIEF COMPLAINT: SHORTNESS OF BREATH (Covid + 11/19 worsening cough the last 3 days. persistent dry cough was found hypoxic when fire arrived. patient reports 86% on home pulse ox. chest pain with movement and cough. )    HISTORY OF PRESENT ILLNESS: Patient is a 50 y.o. female with a pertinent past medical history for anxiety, depression, asthma, HTN, GERD who presented to the ED primarily with shortness of breath.  She denies a history of tobacco or alcohol abuse.  She states that she started having symptoms of 11/17 with congestion similar to previous episodes of sinusitis, she was found to be positive 11/19, she started having fevers 11/24, last few days she has been dealing with increased cough and shortness of breath. She has also been having chest pains with cough, mostly dry cough.  In the emergency department she desatted to 81% on room air, with improvement in saturations with 2 L of oxygen.  Her blood pressure was soft in the emergency department and she received 1 L of IV fluids with improvement in her blood pressure.  She was given Decadron 6 mg IV. Chest x-ray showed ?prominent diffuse airspace disease consistent with COVID pneumonia.?
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Patient currently inpatient admission at (4) days. Acute hypoxemic respiratory failure due to COVID pneumonia: Symptom onset 11/17, started with sinus congestion. She was found to be COVID positive 11/19. She started having fevers 11/24. o Trend appropriate labs daily o Prone patient TID for 1 hour if they can tolerate o Dexamethasone for 10 day course o Continuous pulse oximetry. Goal SpO2 >92%.   Dehydration:  Likely due to poor PO intake o LR at 100 mL an hour o Hold home HCTZ   Anxiety/depression Seasonal allergic rhinitis Morbidity obesity HTN Asthma GERD o Continue essential home medications unless otherwise stated above o     VTE Prophylaxis:   This patient is high risk per the VTE risk assessment tool, pharmacologic prophylaxis is indicated. Lovenox has been ordered.    Diet: General Code Status: Full     HPI    CHIEF COMPLAINT: SHORTNESS OF BREATH (Covid + 11/19 worsening cough the last 3 days. persistent dry cough was found hypoxic when fire arrived. patient reports 86% on home pulse ox. chest pain with movement and cough. )    HISTORY OF PRESENT ILLNESS: Patient is a 50 y.o. female with a pertinent past medical history for anxiety, depression, asthma, HTN, GERD who presented to the ED primarily with shortness of breath.  She denies a history of tobacco or alcohol abuse.  She states that she started having symptoms of 11/17 with congestion similar to previous episodes of sinusitis, she was found to be positive 11/19, she started having fevers 11/24, last few days she has been dealing with increased cough and shortness of breath. She has also been having chest pains with cough, mostly dry cough.  In the emergency department she desatted to 81% on room air, with improvement in saturations with 2 L of oxygen.  Her blood pressure was soft in the emergency department and she received 1 L of IV fluids with improvement in her blood pressure.  She was given Decadron 6 mg IV. Chest x-ray showed ?prominent diffuse airspace disease consistent with COVID pneumonia.?
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Ear discomfort, Ear pain
Clinical narrative: right ear clogged/pain
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy, Pain, Pain in extremity, Pyrexia
Clinical narrative: (L) Armpit & Collar Bone Lymph Swelling and Pain  remains at time of form being written  (L) arm sit pain  Fever 102.7 for 14 hours  Joint pain
Age: 8.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Product preparation issue
Clinical narrative: diluent may have been injected instead of vaccine
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Chills, 103 temp, headache, leg pain, vaccine arm swollen-itching.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Client presented to HD on 12/3/2021.  She complains of swollen lymph node to axilla region right arm.  Injection site is free of swelling or redness.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 16 days after the QR code expiry date.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Malaise, Pyrexia, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review.  Did receive booster 11/23/21 SxS include fever, dyspnea, malaise, cough, increase O2 needs.
Age: 7.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Product preparation issue
Clinical narrative: dilutent may have been injected instead of vacccine
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram normal, Maternal exposure during breast feeding, Nausea
Clinical narrative: (1) Severe, persistent nausea. Was only able to lay down, could not do anything else the nausea was so intense. Woke up 4 times during the night on the date of vaccination (11/22), all day the next day (11/23) - went to urgent care, and all day the following day (11/24). Nausea resolved with Zofran (2) Hot internal chest pain/pressure in the middle of the sternum. Not consistent - came and went. Lasted for 15-30 minutes, then went away, and only happened a few times each day on 11/22-11/24
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: (1) Severe, persistent nausea. Was only able to lay down, could not do anything else the nausea was so intense. Woke up 4 times during the night on the date of vaccination (11/22), all day the next day (11/23) - went to urgent care, and all day the following day (11/24). Nausea resolved with Zofran (2) Hot internal chest pain/pressure in the middle of the sternum. Not consistent - came and went. Lasted for 15-30 minutes, then went away, and only happened a few times each day on 11/22-11/24
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Feeling cold, Flushing
Clinical narrative: Face became flushed, red, felt cold. Temporal temp: 97.9. Denies any itching in mouth/tongue, breathing normal. Held for extra 15 mins, returned to class as 1030. Alerted school nurse staff.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache and fatigue resolved after NSAIDs and rest.
Age: 11.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: dilutent may have been injected instead of vaccine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lymphadenopathy, Musculoskeletal pain, Pain in extremity, Pruritus
Clinical narrative: SORE ARM AND RED AND ITCHY ARM THEN ACHING IN COLLARBLADE AREA LYMPH NODE SWOLLEN AND MOVES
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no none reactions
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Laboratory test, Myalgia, Vaccination site erythema
Clinical narrative: patient with severe myalgias in left arm and left leg lasting for several weeks following the vaccine.  He also had significantly prolong redness and swelling at the vaccine site.  He also developed dyspnea
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site swelling, X-ray
Clinical narrative: patient with severe myalgias in left arm and left leg lasting for several weeks following the vaccine.  He also had significantly prolong redness and swelling at the vaccine site.  He also developed dyspnea
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None, Moderna Booster Vaccine 0.25ml given from 21st punctured on Vial on 12/2/21 at 10:12pm. No Adverse effects noted at that time.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was 12 years of age and received a pediatric dose of Pfizer instead of the 12 yr and older dose of Pfizer. Patient received 0.2 ml of Pfizer instead of 0.3 ml.  Patient had no prior medical history noted at the time of the event and or reported.  No adverse signs and or symptoms noted at the time of event and or after. No treatment noted or necessary at this time or at the time of the event.  No further orders/instructions were given per Branch Director, Incident Command and Program Administrator,  and or health care provider.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive, Syncope
Clinical narrative: SYNCOPE, WEAKNESS
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Profuse menstrual bleeding lasting 47 days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Pt received Pfizer vaccines on 04/01/2021 and 04/22/2021. Pt presented to the ED on 12/03/2021 with complaints of SOB. Pt noted that he tested positive outpatient on 11/28/21.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no known adverse reactions
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Malaise, Pyrexia
Clinical narrative: After the shot I had severe chills, maliege and severe headache and high fever. I did not contact any doctor and I just went to bed. It went away after 20 hours.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 17 days after QR code expiry date
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood lactic acid increased, COVID-19, Chest X-ray normal
Clinical narrative: Patient discharged after 23 hours    60-year-old with past medical history significant for chronic obstructive pulmonary disease, diabetes 2, hypertension, hyperlipidemia admitted with acute hypoxic respiratory insufficiency secondary to COVID illness.  Patient is fully vaccinated for COVID.  She was noted to be hypoxic with ambulation the ER.  Also was noted to have elevated lactate in the ER as well.  Suspect patient's elevated lactate secondary to dehydration, hypotension from decreased oral intake with COVID illness.  Her blood pressure responded well to IV fluids, elevated lactate resolved.  On room air during hospital stay.  Patient discharged stable condition.  Home ACEI reduced by 1/2 at discharge and continued on Coreg and advised to follow up closely with PCP. Patient is a 60 y.o. female with a past medical history significant for chronic obstructive pulmonary disease, tobacco abuse, diabetes mellitus type 2, essential hypertension, hyperlipidemia and chronic low back pain who presents today with a chief complaint of generalized body aches.  She was found the be COVID-19 positive, hypoxic with ambulation, and hypotensive with a lactic acidosis.   Patient had 5 days of symptoms prior to presentation.  She has been vaccinated previously with 2 doses.   Patient was admitted for further evaluation and treatment.  She responded remarkably well to IV fluid resuscitation with resolution of her hypotension and lactic acidosis.  Her hypoxia also improved and the morning of 11/30 she was able to ambulate around her room without desaturation on room air.   Given patient's significant improvement, she was discharged home in stable condition on 11/30/2021.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dehydration, Dyspnoea, Hypophagia, Hypotension
Clinical narrative: Patient discharged after 23 hours    60-year-old with past medical history significant for chronic obstructive pulmonary disease, diabetes 2, hypertension, hyperlipidemia admitted with acute hypoxic respiratory insufficiency secondary to COVID illness.  Patient is fully vaccinated for COVID.  She was noted to be hypoxic with ambulation the ER.  Also was noted to have elevated lactate in the ER as well.  Suspect patient's elevated lactate secondary to dehydration, hypotension from decreased oral intake with COVID illness.  Her blood pressure responded well to IV fluids, elevated lactate resolved.  On room air during hospital stay.  Patient discharged stable condition.  Home ACEI reduced by 1/2 at discharge and continued on Coreg and advised to follow up closely with PCP. Patient is a 60 y.o. female with a past medical history significant for chronic obstructive pulmonary disease, tobacco abuse, diabetes mellitus type 2, essential hypertension, hyperlipidemia and chronic low back pain who presents today with a chief complaint of generalized body aches.  She was found the be COVID-19 positive, hypoxic with ambulation, and hypotensive with a lactic acidosis.   Patient had 5 days of symptoms prior to presentation.  She has been vaccinated previously with 2 doses.   Patient was admitted for further evaluation and treatment.  She responded remarkably well to IV fluid resuscitation with resolution of her hypotension and lactic acidosis.  Her hypoxia also improved and the morning of 11/30 she was able to ambulate around her room without desaturation on room air.   Given patient's significant improvement, she was discharged home in stable condition on 11/30/2021.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lactic acidosis, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient discharged after 23 hours    60-year-old with past medical history significant for chronic obstructive pulmonary disease, diabetes 2, hypertension, hyperlipidemia admitted with acute hypoxic respiratory insufficiency secondary to COVID illness.  Patient is fully vaccinated for COVID.  She was noted to be hypoxic with ambulation the ER.  Also was noted to have elevated lactate in the ER as well.  Suspect patient's elevated lactate secondary to dehydration, hypotension from decreased oral intake with COVID illness.  Her blood pressure responded well to IV fluids, elevated lactate resolved.  On room air during hospital stay.  Patient discharged stable condition.  Home ACEI reduced by 1/2 at discharge and continued on Coreg and advised to follow up closely with PCP. Patient is a 60 y.o. female with a past medical history significant for chronic obstructive pulmonary disease, tobacco abuse, diabetes mellitus type 2, essential hypertension, hyperlipidemia and chronic low back pain who presents today with a chief complaint of generalized body aches.  She was found the be COVID-19 positive, hypoxic with ambulation, and hypotensive with a lactic acidosis.   Patient had 5 days of symptoms prior to presentation.  She has been vaccinated previously with 2 doses.   Patient was admitted for further evaluation and treatment.  She responded remarkably well to IV fluid resuscitation with resolution of her hypotension and lactic acidosis.  Her hypoxia also improved and the morning of 11/30 she was able to ambulate around her room without desaturation on room air.   Given patient's significant improvement, she was discharged home in stable condition on 11/30/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Feeling cold, Headache, Hyperhidrosis, Myalgia
Clinical narrative: Severe headache, sharp stabbing pain on top right side if head- stabbing in 20-30 sec increments, pain I right arm  Muscle pain throughout body  Joints extremely inflamed ( ankles, knees , hip & wrist /hands   Nausea  Sweating  Freezing
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain in extremity
Clinical narrative: Severe headache, sharp stabbing pain on top right side if head- stabbing in 20-30 sec increments, pain I right arm  Muscle pain throughout body  Joints extremely inflamed ( ankles, knees , hip & wrist /hands   Nausea  Sweating  Freezing
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood cholesterol increased, Blood creatine increased, Blood thyroid stimulating hormone increased, Glomerular filtration rate decreased, Lethargy
Clinical narrative: After 2nd shot, extremely lethargic, pain in kidneys
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Renal pain
Clinical narrative: After 2nd shot, extremely lethargic, pain in kidneys
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error- dose administered 6 days after QR code expiry date
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Body aches, chills, fever x2 days, nausea, headaches improving over 4 days
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Immediate post-injection reaction, Injection site nodule, Injection site pain, Injection site swelling
Clinical narrative: pain immediately at the injection site (left upper arm).  Knot formed at injection site within a few minutes.  Developed swelling at injection site which then spread down the left arm to just above the left wrist.  Several hours later felt nauseous and had adverse taste sensation of rotten eggs.  Nausea resolved the next day.  Swelling and pain resolved after 2 days.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling
Clinical narrative: pain immediately at the injection site (left upper arm).  Knot formed at injection site within a few minutes.  Developed swelling at injection site which then spread down the left arm to just above the left wrist.  Several hours later felt nauseous and had adverse taste sensation of rotten eggs.  Nausea resolved the next day.  Swelling and pain resolved after 2 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Atrial flutter, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient discharged after (3) days inpatient admission. Patient is a 73-year-old man with a past medical history significant for coronary artery disease status post PCI, paroxysmal atrial relation Eliquis, parkinsonism along with cognitive impairment who presented with weakness and mechanical fall.  He was found to be hypoxic requiring 2 L. patient tested positive for COVID-19 pneumonia.  He was started oral dexamethasone.  Given the unclear etiology of fall, echocardiogram performed which showed LVEF 38% and moderate global hypokinesis.  Cardiology is consulted recommended starting Entresto.  Patient was initially on IV Lasix and was transition to oral Lasix 20 mg at discharge.  Cardiology recommending patient following with mitral cardiologist to evaluate for possible stress testing given that etiology for cardiomyopathy was unclear.  Patient was evaluated by PT and OT recommended home with home health.  Patient was evaluated by pulmonary rehab who recommended patient be discharged on 2 L by nasal cannula supplemental oxygen at all times.  Patient is discharged home in medically stable condition.