chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Double stranded DNA antibody positive, Electrocardiogram ST segment depression, Electrocardiogram normal, Facial paralysis, Facial paresis
Clinical narrative: The patient was found to have an elevated ANA as well as double stranded DNA on her recent testing. 11.4.21 Patient present to ED on 4.27.21-for TIA symptoms of left sided facial weakness with drooping, elevated blood pressure 181/91, fatigue & tachycardia 119.  Facial drooping-resolved-possible neurological side effect from vaccine
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypertension, Laboratory test normal, Neurological symptom, Palpitations
Clinical narrative: The patient was found to have an elevated ANA as well as double stranded DNA on her recent testing. 11.4.21 Patient present to ED on 4.27.21-for TIA symptoms of left sided facial weakness with drooping, elevated blood pressure 181/91, fatigue & tachycardia 119.  Facial drooping-resolved-possible neurological side effect from vaccine
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Stress echocardiogram abnormal, Supraventricular tachycardia, Tachycardia
Clinical narrative: The patient was found to have an elevated ANA as well as double stranded DNA on her recent testing. 11.4.21 Patient present to ED on 4.27.21-for TIA symptoms of left sided facial weakness with drooping, elevated blood pressure 181/91, fatigue & tachycardia 119.  Facial drooping-resolved-possible neurological side effect from vaccine
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: The Pfizer Pediatric dose was not diluted before immunizing the patient
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Accident, Thermal burn
Clinical narrative: **Case was involved in a serious house fire . He suffered multiple burns. Was tested in hospital and is currently in the  Burn Unit at Hospital. No known COVID symptoms reported by family members.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cough, Dyspnoea, Respiratory tract congestion
Clinical narrative: Pt has a past medical history of type II NDDM, and was status post craniotomy from 2017 for a subdural hemorrhage.  Had symptoms that started several weeks ago including shortness of breath, weakness, cough and congestion.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Respiratory symptom, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: developed sx of URI 1/17/22- tested negative at physician office tested positive 1/18/22 on binax rapid antigen test fully vax w/ Moderna- no booster
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given adult pfizer vaccine dose instead of 5-11 year old vaccine
Age: 0.75
Sex: F
Vaccine: HEP
Symptoms: Body temperature increased, Chills
Clinical narrative: Patient took a nap after her vaccine and woke up with shivering and a rectal temp of 101.3
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Pain, Pyrexia
Clinical narrative: 07/13/2021- in the morning, she developed a fever. She had a very average fever 101 to 102, and the next day her fever was 103.8 and hovering to 104. She had a fever for 5 whole days. She was fatigue and sore. She missed an entire week of camp and an entire week of soccer. I was giving her Tylenol and it would never bring her fever to normal. So I called her doctor on day 3, they told me they are seeing fever in their patients for up to a week and kind of keep an eye on her and have her rest and give her fluids. Note: She received her meningitis vaccine on 05/19/2021.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Chest pain, Echocardiogram abnormal, Electrocardiogram abnormal, Laboratory test
Clinical narrative: Pt developed chest pain the next morning which continued intermittently for 2 weeks and became severe on 1/10/22 which lead to hospitalization. Pt was found to be in a tachycardic junctional rhythm and treated with adenosine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Nodal rhythm, Tachycardia
Clinical narrative: Pt developed chest pain the next morning which continued intermittently for 2 weeks and became severe on 1/10/22 which lead to hospitalization. Pt was found to be in a tachycardic junctional rhythm and treated with adenosine.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Chills, Dizziness, Dyspnoea
Clinical narrative: I felt extremely fatigued around 6pm the night of my booster shot. I tried going to be around 11pm, however I was no longer tired. Instead, I found it very very difficult to fall asleep. I drifted in an out of sleep for a few hours when I was jolted suddenly awake at around 3am. My body was shaking uncontrollably, it was like I had severe chills but I couldn't control my movements. I thought I was cold so I put on a jacket and sweat pants and bundled up under my coveres, but I was still convulsing. This lasted for about an hour. During this time, I had numbness in my fingers and toes. I also felt like if I stood up I would pass out. I was extremely nauseous. I also experienced chest pain and felt unable to breathe properly. The convulsions stopped after about an hour, maybe an hour and a half but my body is extremely weak still and my chest pain is still persistent. I still feel like my hands and feet are numb. And I'm still extremely nauseous.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoaesthesia, Insomnia, Nausea, Seizure
Clinical narrative: I felt extremely fatigued around 6pm the night of my booster shot. I tried going to be around 11pm, however I was no longer tired. Instead, I found it very very difficult to fall asleep. I drifted in an out of sleep for a few hours when I was jolted suddenly awake at around 3am. My body was shaking uncontrollably, it was like I had severe chills but I couldn't control my movements. I thought I was cold so I put on a jacket and sweat pants and bundled up under my coveres, but I was still convulsing. This lasted for about an hour. During this time, I had numbness in my fingers and toes. I also felt like if I stood up I would pass out. I was extremely nauseous. I also experienced chest pain and felt unable to breathe properly. The convulsions stopped after about an hour, maybe an hour and a half but my body is extremely weak still and my chest pain is still persistent. I still feel like my hands and feet are numb. And I'm still extremely nauseous.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: I felt extremely fatigued around 6pm the night of my booster shot. I tried going to be around 11pm, however I was no longer tired. Instead, I found it very very difficult to fall asleep. I drifted in an out of sleep for a few hours when I was jolted suddenly awake at around 3am. My body was shaking uncontrollably, it was like I had severe chills but I couldn't control my movements. I thought I was cold so I put on a jacket and sweat pants and bundled up under my coveres, but I was still convulsing. This lasted for about an hour. During this time, I had numbness in my fingers and toes. I also felt like if I stood up I would pass out. I was extremely nauseous. I also experienced chest pain and felt unable to breathe properly. The convulsions stopped after about an hour, maybe an hour and a half but my body is extremely weak still and my chest pain is still persistent. I still feel like my hands and feet are numb. And I'm still extremely nauseous.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Vulval ulceration
Clinical narrative: within 48hours of third dose of Pfizer covid vaccine developed Lipschutz ulcers on her vulva.  no fever
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling
Clinical narrative: Pt reported bilateral neck swelling 1 mo after receiving Moderna vaccine, which resolved 2 months later. Stated she saw her pcp Dr, and he did not attribute symptoms to the vaccine. However, she then reported she saw a nurse practitioner that suspected it might be a vaccine reaction. She is nervous today about having a booster, as she believes it was possibly a lymphatic vaccine reaction.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: About a week and a half after receiving Moderna booster shot, entire body began breaking out in itchy hives that would appear/disappear/reappear over time
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for covid on binax rapid antigen test 1/18/22 fully vax w/ Pfizer- no booster
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: tested positive for covid on binax rapid antigen test 1/18/22 fully vax w/ Pfizer- no booster
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Crohn's disease, SARS-CoV-2 test positive
Clinical narrative: Hospitalized for Crohns disease on biological agent, incidentally positive for COVID without respiratory symptoms.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Injection site paraesthesia
Clinical narrative: As soon as the injection went into my arm, I felt a tingling from the site of the shot to my wrist.  I thought the next day, the pain was from having an injection, and that it would go away.  However, my arm continued to hurt, so much so that I couldn't raise my arm, put a seatbelt on, carry/lift anything.  I went to my primary care doctor, on 11/22/21 and another visit on 12/14/21.  The doctor put me on a week of steroids, with no effect, and then prescribed indomethacin (50 mg) twice daily for a month.  Once the month of medicine was done, the pain came back as strong as before.  I called for a neuro consult, as Doctor thinks the pharmacist hit a nerve.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Vaccine was given without diluting
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dyspepsia, Gastrooesophageal reflux disease
Clinical narrative: Patient began to experience chronic indigestion, stomach pain and acid reflux within one week after of their first dose of COVID vaccine. Patient has been taking OTC medication at the prescription of her doctor
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: short of breath, chest pain
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oedema peripheral, Pruritus, Rash
Clinical narrative: The patient reported very itchy, red palms after waiting 15 minutes in our waiting area. I observed her hands and there was obvious erythema over the entire palm surface of both hands with slight edema. I had the patient wait for a further 5-10 minutes with no progression of the rash on both hands, no reaction in her upper respiratory system, and no rash on any other body areas. I gave the patient 25mg of liquid Benadryl and instructed her to wait in the area a bit longer for observation. I also instructed the patient's mother who was with her to have her take an additional 25mg before bed if the rash persists that long.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain
Clinical narrative: Continuing under arm ache, persistent and increasing
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 12 year old received pediatric instead of adult dose of Pfizer covid-19
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram normal, Cough, Fatigue, Headache
Clinical narrative: I received three vaccinations (12/30/20; 01/22/2021; and 12/06/2021) and tested positively for Covid on 12/27/2021.  I experienced coughing, congestions, body aches and pains, fatigue, and mild headaches from 12/26/21 to 01/02/22.  I seemed to recover, along with my husband and five-year-old son who also had the same symptoms and tested positive for Covid on the same day, but then I experienced extreme fatigue on 01/04/21 and 01/05/21.  I had to stay in bed all day and could not work or carry out my daily activities.  On 01/06/21, I got a severe headache in the evening.  For the next five days i tried to treat it with Ibuprofen and Tylenol but could not get any relief.  By 01/13/21, the headache was a 10 on a scale of 1-10, and so sever that I got an MRI that showed abnormalities. My doctor prescribed Sumatriptan (spelling?) but it did not help. On 01/14/21, I went to urgent care because the headache was so extreme that I couldn't move. CT scans confirmed that there weren't any blood clots and I was told the headache was caused by inflammation of blood vessels. I was given IV steroids and a week-long oral taper of steroids.  I feel back to normal now.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Mobility decreased, Pain, Respiratory tract congestion
Clinical narrative: I received three vaccinations (12/30/20; 01/22/2021; and 12/06/2021) and tested positively for Covid on 12/27/2021.  I experienced coughing, congestions, body aches and pains, fatigue, and mild headaches from 12/26/21 to 01/02/22.  I seemed to recover, along with my husband and five-year-old son who also had the same symptoms and tested positive for Covid on the same day, but then I experienced extreme fatigue on 01/04/21 and 01/05/21.  I had to stay in bed all day and could not work or carry out my daily activities.  On 01/06/21, I got a severe headache in the evening.  For the next five days i tried to treat it with Ibuprofen and Tylenol but could not get any relief.  By 01/13/21, the headache was a 10 on a scale of 1-10, and so sever that I got an MRI that showed abnormalities. My doctor prescribed Sumatriptan (spelling?) but it did not help. On 01/14/21, I went to urgent care because the headache was so extreme that I couldn't move. CT scans confirmed that there weren't any blood clots and I was told the headache was caused by inflammation of blood vessels. I was given IV steroids and a week-long oral taper of steroids.  I feel back to normal now.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vasculitis
Clinical narrative: I received three vaccinations (12/30/20; 01/22/2021; and 12/06/2021) and tested positively for Covid on 12/27/2021.  I experienced coughing, congestions, body aches and pains, fatigue, and mild headaches from 12/26/21 to 01/02/22.  I seemed to recover, along with my husband and five-year-old son who also had the same symptoms and tested positive for Covid on the same day, but then I experienced extreme fatigue on 01/04/21 and 01/05/21.  I had to stay in bed all day and could not work or carry out my daily activities.  On 01/06/21, I got a severe headache in the evening.  For the next five days i tried to treat it with Ibuprofen and Tylenol but could not get any relief.  By 01/13/21, the headache was a 10 on a scale of 1-10, and so sever that I got an MRI that showed abnormalities. My doctor prescribed Sumatriptan (spelling?) but it did not help. On 01/14/21, I went to urgent care because the headache was so extreme that I couldn't move. CT scans confirmed that there weren't any blood clots and I was told the headache was caused by inflammation of blood vessels. I was given IV steroids and a week-long oral taper of steroids.  I feel back to normal now.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dysphagia, Echocardiogram, Inflammation
Clinical narrative: At the time of my vaccine I told them about my allergies and waited the 15 minutes afterwards, and I was fine and leaving the place and on my way home talking to my husband on the phone when all of a sudden I noticed I couldn't swallow and so I went straight to the ER. My tongue was feeling funny and I told them I could still breathe but I was having trouble swallowing and my tongue was tingling. They took me back and gave me Benadryl and Raglan. I felt fine after the Benadryl and went home and 1-2 days later I noticed a pain behind my left ear and went to the ER again and had swelling and inflammation there. The ER doctor it had something to do with my lymph nodes and it was very ride. I was itching so bad and he said my histamine levels were high. At this point, I had been to urgent care and ER many times. I was going because of chest discomfort that wouldn't ease up and they said I was having precordial pain and I ended up having to have a echocardiogram 4-5 days after vaccine. A few weeks later I had another test that showed I had fluid and stuff. They're going to check this time because it showed twice already I had fluid by my heart around pericardia. I've had to take hydroxyzine and other medications. It took some time but the itching has gotten way better because at first it was off the charts and felt like it was inside my body. All of this didn't happen until after the vaccine and it happened for months before it was controlled. I still have chest discomfort which I push to the side because of my gastritis but with my medication my chest discomfort subsides. I have a cardiac MRI on 01/26/22.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia oral, Pericardial effusion, Pruritus, Swelling
Clinical narrative: At the time of my vaccine I told them about my allergies and waited the 15 minutes afterwards, and I was fine and leaving the place and on my way home talking to my husband on the phone when all of a sudden I noticed I couldn't swallow and so I went straight to the ER. My tongue was feeling funny and I told them I could still breathe but I was having trouble swallowing and my tongue was tingling. They took me back and gave me Benadryl and Raglan. I felt fine after the Benadryl and went home and 1-2 days later I noticed a pain behind my left ear and went to the ER again and had swelling and inflammation there. The ER doctor it had something to do with my lymph nodes and it was very ride. I was itching so bad and he said my histamine levels were high. At this point, I had been to urgent care and ER many times. I was going because of chest discomfort that wouldn't ease up and they said I was having precordial pain and I ended up having to have a echocardiogram 4-5 days after vaccine. A few weeks later I had another test that showed I had fluid and stuff. They're going to check this time because it showed twice already I had fluid by my heart around pericardia. I've had to take hydroxyzine and other medications. It took some time but the itching has gotten way better because at first it was off the charts and felt like it was inside my body. All of this didn't happen until after the vaccine and it happened for months before it was controlled. I still have chest discomfort which I push to the side because of my gastritis but with my medication my chest discomfort subsides. I have a cardiac MRI on 01/26/22.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue discomfort
Clinical narrative: At the time of my vaccine I told them about my allergies and waited the 15 minutes afterwards, and I was fine and leaving the place and on my way home talking to my husband on the phone when all of a sudden I noticed I couldn't swallow and so I went straight to the ER. My tongue was feeling funny and I told them I could still breathe but I was having trouble swallowing and my tongue was tingling. They took me back and gave me Benadryl and Raglan. I felt fine after the Benadryl and went home and 1-2 days later I noticed a pain behind my left ear and went to the ER again and had swelling and inflammation there. The ER doctor it had something to do with my lymph nodes and it was very ride. I was itching so bad and he said my histamine levels were high. At this point, I had been to urgent care and ER many times. I was going because of chest discomfort that wouldn't ease up and they said I was having precordial pain and I ended up having to have a echocardiogram 4-5 days after vaccine. A few weeks later I had another test that showed I had fluid and stuff. They're going to check this time because it showed twice already I had fluid by my heart around pericardia. I've had to take hydroxyzine and other medications. It took some time but the itching has gotten way better because at first it was off the charts and felt like it was inside my body. All of this didn't happen until after the vaccine and it happened for months before it was controlled. I still have chest discomfort which I push to the side because of my gastritis but with my medication my chest discomfort subsides. I have a cardiac MRI on 01/26/22.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Anaemia, COVID-19, Cardiac failure acute, SARS-CoV-2 test positive
Clinical narrative: Pt was admitted for symptomatic anemia and acute decompensated heart failure with acute respiratory failure with hypoxia.  Pt was tested for COVID on day 2 of admission and positive.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 16 year old patient given Booster dose before boosters were approved for this age range and with the Moderna vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Cough, Headache, Pain, Pyrexia
Clinical narrative: headache cough fever chills body aches, tried starting 1/13/22
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Pyrexia, Rhinorrhoea
Clinical narrative: chills, fever, rhinorrhea, cough
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: chills, fever, rhinorrhea, cough
Age: 66.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Pain in extremity, Peripheral swelling
Clinical narrative: pt stated her left arm started hurting.  It was hot and it started swelling and developed red streaks underneath her arm going up around the injection site.   It was very painful so she went to her Doctor and was diagnosed with cellulitis.  She was prescribed Keflex 2000mg for 10 days.  This helped with her infection.   She developed shingles on 1/2/22 but has never had chicken pox.  It was spreading around her left side of her face, neck and hairline.  She had one spot on her right cheek.  She was treated with antiviral Valtrex 2gm and steroid pack medication.   She no longer has these symptoms.
Age: 66.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Skin warm
Clinical narrative: pt stated her left arm started hurting.  It was hot and it started swelling and developed red streaks underneath her arm going up around the injection site.   It was very painful so she went to her Doctor and was diagnosed with cellulitis.  She was prescribed Keflex 2000mg for 10 days.  This helped with her infection.   She developed shingles on 1/2/22 but has never had chicken pox.  It was spreading around her left side of her face, neck and hairline.  She had one spot on her right cheek.  She was treated with antiviral Valtrex 2gm and steroid pack medication.   She no longer has these symptoms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dyspepsia, Gastrooesophageal reflux disease, Lip swelling, Oropharyngeal discomfort
Clinical narrative: Hives on scalp, neck, trunk and arms and legs. GERD like symptoms came on for the next few weeks, with a feeling of heartburn and something stuck in my throat. Took Allegra for one month and kept hives at bay. Tried OTC stomach meds.  After not taking one dose of Allegra, I broke out worse than first time and have been full of hives and itchiness.  Lips swollen one day.  Doctor suggests Allegra 2X day, Benadryl and omeprazole for stomach /GERD reaction.  Fewer hives once I started a stronger dosage of antihistamines, but still breaking out daily on different parts of my body.  Hard to sleep when itchiness occurs.  It has been just over 2 months with hives and GERD.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep disorder, Urticaria, White blood cell count increased
Clinical narrative: Hives on scalp, neck, trunk and arms and legs. GERD like symptoms came on for the next few weeks, with a feeling of heartburn and something stuck in my throat. Took Allegra for one month and kept hives at bay. Tried OTC stomach meds.  After not taking one dose of Allegra, I broke out worse than first time and have been full of hives and itchiness.  Lips swollen one day.  Doctor suggests Allegra 2X day, Benadryl and omeprazole for stomach /GERD reaction.  Fewer hives once I started a stronger dosage of antihistamines, but still breaking out daily on different parts of my body.  Hard to sleep when itchiness occurs.  It has been just over 2 months with hives and GERD.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: itchy rash
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, COVID-19 pneumonia, Chest pain, Chronic obstructive pulmonary disease
Clinical narrative: 63 y.o. female with a history of asthma and COPD who presents to the emergency department via EMS for evaluation of a breathing problem. The patient reports that a few days ago she developed a cough, rhinorrhea, loss of smell, and right-sided chest pain that has been constant since onset but worsens with coughing. The patient has been using her Albuterol inhaler with no improvement. The patient is on 3 L of supplemental O2 at baseline and has had to increase this with onset of her symptoms, and she has still had difficulty breathing, so she decided to come to the ED. Here, the patient denies vomiting, diarrhea, fever. Of note, the patient is vaccinated for COVID. She is not currently on steroids.  Albuterol inhaler did not improve and she increased her oxygen to 4 L/min without improvement in her breathing. Patient was found to have COVID 19 as well as CAP 2/2 strep pneumonae.  Patient treated with abx, steroids and improved to her baseline 3-4L NC. She was discharged with refills of her medications and will complete a 7 day course of abx for her CAP.     COVID-19 pneumonia COPD exacerbation Chronic hypoxic respiratory failure CAP 2/2 strep pneumonae -Patient states that she is on 3-4 L/min of oxygen via nasal cannula at baseline -She presented with shortness of breath, worsening cough -Likely COPD exacerbation in the setting of COVID-19 pneumonia -Patient started on 6 mg IV Decadron on 1/6.  Further steroids were discontinued at that time as she appeared to be on her baseline oxygen requirements.  However, with worsening cough, shortness of breath. Patient started on IV Solu-Medrol 80 mg BID on 1/8. -PTA aclidinium bromide BID, Symbicort BID--refilled at d/c -Sputum cx from 1/8 growing strep pneumonae-- given ceftriaxone changed to ceftin at d/c -she was at her baseline 02 requirement at discharge -cleared by PT to return to prior living situation.    Hypertension: Blood pressures stable -Continue PTA clonidine and amlodipine   Tachycardia-resolved Intermittent right-sided chest pain -Could be related to shortness of breath, coughing.  Concern for mild withdrawal from methadone and presentation. -Continue Tylenol PRN  -Continue PO Oxycodone 5 mg q8h prn    Chronic pain Hx opioid use disorder, on methadone Well controlled on methadone 90 mg daily.  Patient stated that she did not take methadone for 2 days due to shortness of breath -Continue PTA methadone   Major depressive disorder: Continue PTA Paxil   Anxiety: Continue PTA Buspar
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Condition aggravated, Cough, Dyspnoea, Hypertension
Clinical narrative: 63 y.o. female with a history of asthma and COPD who presents to the emergency department via EMS for evaluation of a breathing problem. The patient reports that a few days ago she developed a cough, rhinorrhea, loss of smell, and right-sided chest pain that has been constant since onset but worsens with coughing. The patient has been using her Albuterol inhaler with no improvement. The patient is on 3 L of supplemental O2 at baseline and has had to increase this with onset of her symptoms, and she has still had difficulty breathing, so she decided to come to the ED. Here, the patient denies vomiting, diarrhea, fever. Of note, the patient is vaccinated for COVID. She is not currently on steroids.  Albuterol inhaler did not improve and she increased her oxygen to 4 L/min without improvement in her breathing. Patient was found to have COVID 19 as well as CAP 2/2 strep pneumonae.  Patient treated with abx, steroids and improved to her baseline 3-4L NC. She was discharged with refills of her medications and will complete a 7 day course of abx for her CAP.     COVID-19 pneumonia COPD exacerbation Chronic hypoxic respiratory failure CAP 2/2 strep pneumonae -Patient states that she is on 3-4 L/min of oxygen via nasal cannula at baseline -She presented with shortness of breath, worsening cough -Likely COPD exacerbation in the setting of COVID-19 pneumonia -Patient started on 6 mg IV Decadron on 1/6.  Further steroids were discontinued at that time as she appeared to be on her baseline oxygen requirements.  However, with worsening cough, shortness of breath. Patient started on IV Solu-Medrol 80 mg BID on 1/8. -PTA aclidinium bromide BID, Symbicort BID--refilled at d/c -Sputum cx from 1/8 growing strep pneumonae-- given ceftriaxone changed to ceftin at d/c -she was at her baseline 02 requirement at discharge -cleared by PT to return to prior living situation.    Hypertension: Blood pressures stable -Continue PTA clonidine and amlodipine   Tachycardia-resolved Intermittent right-sided chest pain -Could be related to shortness of breath, coughing.  Concern for mild withdrawal from methadone and presentation. -Continue Tylenol PRN  -Continue PO Oxycodone 5 mg q8h prn    Chronic pain Hx opioid use disorder, on methadone Well controlled on methadone 90 mg daily.  Patient stated that she did not take methadone for 2 days due to shortness of breath -Continue PTA methadone   Major depressive disorder: Continue PTA Paxil   Anxiety: Continue PTA Buspar
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia streptococcal, Respiratory failure, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 63 y.o. female with a history of asthma and COPD who presents to the emergency department via EMS for evaluation of a breathing problem. The patient reports that a few days ago she developed a cough, rhinorrhea, loss of smell, and right-sided chest pain that has been constant since onset but worsens with coughing. The patient has been using her Albuterol inhaler with no improvement. The patient is on 3 L of supplemental O2 at baseline and has had to increase this with onset of her symptoms, and she has still had difficulty breathing, so she decided to come to the ED. Here, the patient denies vomiting, diarrhea, fever. Of note, the patient is vaccinated for COVID. She is not currently on steroids.  Albuterol inhaler did not improve and she increased her oxygen to 4 L/min without improvement in her breathing. Patient was found to have COVID 19 as well as CAP 2/2 strep pneumonae.  Patient treated with abx, steroids and improved to her baseline 3-4L NC. She was discharged with refills of her medications and will complete a 7 day course of abx for her CAP.     COVID-19 pneumonia COPD exacerbation Chronic hypoxic respiratory failure CAP 2/2 strep pneumonae -Patient states that she is on 3-4 L/min of oxygen via nasal cannula at baseline -She presented with shortness of breath, worsening cough -Likely COPD exacerbation in the setting of COVID-19 pneumonia -Patient started on 6 mg IV Decadron on 1/6.  Further steroids were discontinued at that time as she appeared to be on her baseline oxygen requirements.  However, with worsening cough, shortness of breath. Patient started on IV Solu-Medrol 80 mg BID on 1/8. -PTA aclidinium bromide BID, Symbicort BID--refilled at d/c -Sputum cx from 1/8 growing strep pneumonae-- given ceftriaxone changed to ceftin at d/c -she was at her baseline 02 requirement at discharge -cleared by PT to return to prior living situation.    Hypertension: Blood pressures stable -Continue PTA clonidine and amlodipine   Tachycardia-resolved Intermittent right-sided chest pain -Could be related to shortness of breath, coughing.  Concern for mild withdrawal from methadone and presentation. -Continue Tylenol PRN  -Continue PO Oxycodone 5 mg q8h prn    Chronic pain Hx opioid use disorder, on methadone Well controlled on methadone 90 mg daily.  Patient stated that she did not take methadone for 2 days due to shortness of breath -Continue PTA methadone   Major depressive disorder: Continue PTA Paxil   Anxiety: Continue PTA Buspar
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum culture positive, Tachycardia
Clinical narrative: 63 y.o. female with a history of asthma and COPD who presents to the emergency department via EMS for evaluation of a breathing problem. The patient reports that a few days ago she developed a cough, rhinorrhea, loss of smell, and right-sided chest pain that has been constant since onset but worsens with coughing. The patient has been using her Albuterol inhaler with no improvement. The patient is on 3 L of supplemental O2 at baseline and has had to increase this with onset of her symptoms, and she has still had difficulty breathing, so she decided to come to the ED. Here, the patient denies vomiting, diarrhea, fever. Of note, the patient is vaccinated for COVID. She is not currently on steroids.  Albuterol inhaler did not improve and she increased her oxygen to 4 L/min without improvement in her breathing. Patient was found to have COVID 19 as well as CAP 2/2 strep pneumonae.  Patient treated with abx, steroids and improved to her baseline 3-4L NC. She was discharged with refills of her medications and will complete a 7 day course of abx for her CAP.     COVID-19 pneumonia COPD exacerbation Chronic hypoxic respiratory failure CAP 2/2 strep pneumonae -Patient states that she is on 3-4 L/min of oxygen via nasal cannula at baseline -She presented with shortness of breath, worsening cough -Likely COPD exacerbation in the setting of COVID-19 pneumonia -Patient started on 6 mg IV Decadron on 1/6.  Further steroids were discontinued at that time as she appeared to be on her baseline oxygen requirements.  However, with worsening cough, shortness of breath. Patient started on IV Solu-Medrol 80 mg BID on 1/8. -PTA aclidinium bromide BID, Symbicort BID--refilled at d/c -Sputum cx from 1/8 growing strep pneumonae-- given ceftriaxone changed to ceftin at d/c -she was at her baseline 02 requirement at discharge -cleared by PT to return to prior living situation.    Hypertension: Blood pressures stable -Continue PTA clonidine and amlodipine   Tachycardia-resolved Intermittent right-sided chest pain -Could be related to shortness of breath, coughing.  Concern for mild withdrawal from methadone and presentation. -Continue Tylenol PRN  -Continue PO Oxycodone 5 mg q8h prn    Chronic pain Hx opioid use disorder, on methadone Well controlled on methadone 90 mg daily.  Patient stated that she did not take methadone for 2 days due to shortness of breath -Continue PTA methadone   Major depressive disorder: Continue PTA Paxil   Anxiety: Continue PTA Buspar
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, Hypoxia, Pyrexia
Clinical narrative: fever, short of breath, diarrhea, hypoxia
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: fever, short of breath, diarrhea, hypoxia
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: ADULT CLIENT COMPLETED PEDIATRIC CONSENT. ACCORDING TO PRE-STAMPED LOT AND DOSE, RECEIVED A PEDIATRIC LOT# AND DOSE INSTEAD OF APPROPRIATE ADULT LOT AND DOSE.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered after deadline of use.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pruritus, Pain, Pyrexia
Clinical narrative: Had the COVID arm with swelling and big red rash. Itching at injection site, fever, heachache, chills and body ache.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Swelling
Clinical narrative: Had the COVID arm with swelling and big red rash. Itching at injection site, fever, heachache, chills and body ache.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pfizer vaccine was ordered for patients first dose. Moderna booster dose documented.  Unsure if actually received Moderna Booster dose or if this is a documentation error.  Person who administered is no longer with our agency.  Subsequent dose was Pfizer Orange Cap
Age: 56.0
Sex: M
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: Expired dose
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Fatigue, Mental disorder, Palpitations
Clinical narrative: Asthma flare up, fever, fatigue, heart palpitations, new mental health issues including suicidal thoughts.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Suicidal ideation
Clinical narrative: Asthma flare up, fever, fatigue, heart palpitations, new mental health issues including suicidal thoughts.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chemotherapy, Cough, Feeding disorder, Oral pain
Clinical narrative: Hospitalized 1/9/2022 for pain control and inability to eat with oral pain due to chemotherapy. Positive for COVID on 1/17 tested due to the new development of a strong cough and increased O2 needs from nasal canula to face mask.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 1/9/2022 for pain control and inability to eat with oral pain due to chemotherapy. Positive for COVID on 1/17 tested due to the new development of a strong cough and increased O2 needs from nasal canula to face mask.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Crying, Decreased appetite, Erythema, Influenza virus test negative, Injection site rash
Clinical narrative: Patient was administered the MMR, varicella, and flu vaccines on Jan 6. On Jan 12, 6 days later he experienced mild to high fevers, red swollen cheeks, lost of appetite, scream crying. Day 10 he developed a rash on one of the injection sites and a rash all over the body chest, back, legs, face.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Pyrexia, Rash, SARS-CoV-2 test negative, Screaming, Swelling face
Clinical narrative: Patient was administered the MMR, varicella, and flu vaccines on Jan 6. On Jan 12, 6 days later he experienced mild to high fevers, red swollen cheeks, lost of appetite, scream crying. Day 10 he developed a rash on one of the injection sites and a rash all over the body chest, back, legs, face.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, COVID-19, Faeces discoloured
Clinical narrative: Patient is fully vaccinated and booster given on 11/8/2021.  Patient is COVID + on 12/7/2021.  ED visit on 12/7/2021.  61 year old male who presents for black tarry stools and lower abdominal pain. History of cirrhosis. Daily ETOH drinking. no chest pain, no congestion, no cough, no fatigue, no fever, no nausea, no rash, no shortness of breath, no vomiting and no wheezing. BP 134/82  | Pulse 85  | Temp 98.4 °F (36.9 °C) (Oral)  | Resp (!) 26  | Wt 120 kg (265 lb)  | SpO2 99%  | BMI 36.96 kg/m² CT abd unremarkable for actue process. Started on Rocephin, Protonix. Incidentally found to be covid+. Oxygenation stable. Temp stable.   Discharged
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Electrocardiogram ambulatory abnormal, Fatigue, Headache, Heart rate increased
Clinical narrative: Tachycardia, fatigue, headache, nausea
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Tachycardia
Clinical narrative: Tachycardia, fatigue, headache, nausea
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Ultrasound scan normal
Clinical narrative: lymphadenopathy in the  right groin and left axilla
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Myalgia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: fever, myalgias, headache
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Arthralgia, Computerised tomogram normal, Insomnia, Lacrimation increased
Clinical narrative: Since shortly after booster shot I've had watery eyes with tears leaking out both sides of the eye, bilaterally. Have had blurry vision where I need to blink several times to clear vision. Have had significant pain to right elbow joint of unknown etiology. Have had increasing bouts of insomnia. Mild pain in right abdomen.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging normal, Vision blurred
Clinical narrative: Since shortly after booster shot I've had watery eyes with tears leaking out both sides of the eye, bilaterally. Have had blurry vision where I need to blink several times to clear vision. Have had significant pain to right elbow joint of unknown etiology. Have had increasing bouts of insomnia. Mild pain in right abdomen.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Rash
Clinical narrative: pt woke up the following day with red bump on dorsum of R hand, + itchy, swelling , during the course of the day redness and bumps increased. Mom applied ice to area and gave Benadryl with rash resolving.  Denies any new foods, changes in foods, meds or creams. soaps used per parental report  Injection site clear.  no other body parts affected
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash
Clinical narrative: After booster shot broke out in rash all over
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Sensitive skin, Urticaria
Clinical narrative: I got hives approximately 12 days after receiving the Moderna booster. It comes when my skins comes into contact with surfaces, itches, but goes away after 30 min to 1hr. This has been reoccurring from Jan 15th to now.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: no adverse event. vial of pediatric pfizer was not diluted prior to administration. patient received 0.2ml
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dizziness, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Found to be COVID positive on admission.  Pt has a past medical history of ESRD and is on dialysis.  He arrived to the ED with generalized weakness, dizziness, and increasing fatigue.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after use date.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Myalgia, Pyrexia
Clinical narrative: fatigue, fever, congestion, cough myalgias
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: fatigue, fever, congestion, cough myalgias
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Fatigue, Feeling cold, Hot flush, Pain
Clinical narrative: I was having hot flashes and cold chills at the sametime.  I couldn't regulate my body temperature.  Bodyaches and sneezing.  This last about 3 days.  I also had extreme fatigue, which lasted around 2 weeks.
Age: 38.0
Sex: M
Vaccine: UNK
Symptoms: Sneezing, Temperature regulation disorder
Clinical narrative: I was having hot flashes and cold chills at the sametime.  I couldn't regulate my body temperature.  Bodyaches and sneezing.  This last about 3 days.  I also had extreme fatigue, which lasted around 2 weeks.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: Patient is a 66 y.o. male, a prior medical history of lung cancer s/p right pneumonectomy, gout, dyslipidemia went to urgent care for evaluation of shortness of breath.  Patient found to have hypoxia, not on oxygen at baseline, sent to ER, tested positive for Covid.  Patient was initially placed on ceftriaxone and Zithromax, which were discontinued due to negative procalcitonin.  Treated with dexamethasone during hospital stay.  Patient has history of smoking in the past, possible undiagnosed COPD.  Discharged on prednisone taper.  Patient was on 2 L of oxygen, discharged on home oxygen.  Patient was stable at the time of discharge, recommended to follow-up with primary care provider within a week.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: congestion, cough, diarrhea
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Radiculopathy
Clinical narrative: Left shoulder pain with radiculopathy to left wrist.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: developed Bell's palsy, recovered in 2-3 weeks with treatment
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Breath sounds abnormal, COVID-19, Chest pain, SARS-CoV-2 test positive
Clinical narrative: Pt was in the ER with coarse breath sounds bilaterally.  He also complained of chest pain during exertion.  He was found to be COVID positive.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after use date.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: cough, short of breath
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pollakiuria, Pruritus, Rash macular, Retinal tear, Urticaria
Clinical narrative: On December 11, 2021, I broke-out in hives. It started on my legs, then spread to my back and torso. I took Benadryl, which lessened the itching. Hives continued to occur in the evenings every day for 2 weeks with gradually lessening intensity. Also had red blotches on my face and other parts of my body where I itched. Red blotches would come and go. I also had a retinal tear in my right eye and so did my wife after we received the Moderna  vaccine. My retinal tear occurred on December 1, 2021. I saw my optometrist on December 2, 2021. He made the diagnosis of a retinal tear that resulted in a large floater in my eye. I also had unusual, frequent urination for a 12-hour period on December 2, 2021.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: On December 11, 2021, I broke-out in hives. It started on my legs, then spread to my back and torso. I took Benadryl, which lessened the itching. Hives continued to occur in the evenings every day for 2 weeks with gradually lessening intensity. Also had red blotches on my face and other parts of my body where I itched. Red blotches would come and go. I also had a retinal tear in my right eye and so did my wife after we received the Moderna  vaccine. My retinal tear occurred on December 1, 2021. I saw my optometrist on December 2, 2021. He made the diagnosis of a retinal tear that resulted in a large floater in my eye. I also had unusual, frequent urination for a 12-hour period on December 2, 2021.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Hypertension, Oropharyngeal pain
Clinical narrative: I had sore throat and running nose.  Then, I my blood pressure was really high.  Then, I had no energy and very weak.  I had a lot of mucus and congestive.  I had body aches as well.  I was also coughing and sneezing.  These symptoms are still ongoing since Dec 28th, so about 3 weeks now.  On Dec 30th, I was tested positive for Covid-19.  I went on Jan 12th for another Covid-19 test, negative results for that one.  I do have an appointment on Jan 21th, to see my doctor about this.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had sore throat and running nose.  Then, I my blood pressure was really high.  Then, I had no energy and very weak.  I had a lot of mucus and congestive.  I had body aches as well.  I was also coughing and sneezing.  These symptoms are still ongoing since Dec 28th, so about 3 weeks now.  On Dec 30th, I was tested positive for Covid-19.  I went on Jan 12th for another Covid-19 test, negative results for that one.  I do have an appointment on Jan 21th, to see my doctor about this.