chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Narrative:  Patient states he received covid booster shot and flu shot 8 days ago, "I ended up going to the emergency room in hospital due to headache and double vision in my right eye. They did a CT scan, drew some lab work, did an EKG - everything came back okay, so set me up to see an eye doctor on 11/18/ 2021." Patient states he is still experiencing a headache and double vision - "hasn't let up at all." Rating headache "2"/10 at this time. + subjective low grade fever, body aches. + Mild cough/chest congestion, + nausea. Some intermittent diarrhea, "none the past 2 days." States he was having some mild symptoms when he went to ER, did not mention these symptoms to ER physician while there. ***States patient's son has covid now, "and we were around him." They were notified that the eye doctor he has been set up with, most likely will not let him in clinic while he is experiencing covid symptoms (told them to call). Recommended he return to local ER, states he will return to hospital at this time, wife states she will work on encouraging him to go.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased, Pain, Palpitations
Clinical narrative: Narrative:  Patient presented to ER 10/31/2021, 11/1/2021, 11/3/2021, 11/4/2021, 11/6/2021 with same complaints of rapid heart rate, palpitations, chest pressure, shortness of breath, generalized pain. It doesn't appear when patient was ER these were documented occurring when present. Patient explained around 11/10/2021 symptoms seemed improved.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Dyspnoea, Fatigue, Respiratory tract congestion
Clinical narrative: SVHC, weak, fatigue, SOB X 6 days, covid pneumonia, congestion, mucous. tx remdesivir, dex. Moderna x 2, oxygen due to COPD. Discharged to home on oxygen.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Secretion discharge
Clinical narrative: SVHC, weak, fatigue, SOB X 6 days, covid pneumonia, congestion, mucous. tx remdesivir, dex. Moderna x 2, oxygen due to COPD. Discharged to home on oxygen.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Chills, Cough, Diarrhoea
Clinical narrative: Narrative:  Covid +, Moderna #2, cough, congestion, diarrhea, weight loss, AKI, sweat, chills, oxygen, remdesivir and dexamethasone. Discharged to home.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Respiratory tract congestion, SARS-CoV-2 test positive, Weight decreased
Clinical narrative: Narrative:  Covid +, Moderna #2, cough, congestion, diarrhea, weight loss, AKI, sweat, chills, oxygen, remdesivir and dexamethasone. Discharged to home.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Cough, Death, Dyspnoea
Clinical narrative: Narrative:  MC admission, Covid+, Moderna #2, SOB, low oxygen sats, cough, falls, pneumonia, COPD, palliative care. solumedrol, remdesivir, pt deceased
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Oxygen saturation decreased, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  MC admission, Covid+, Moderna #2, SOB, low oxygen sats, cough, falls, pneumonia, COPD, palliative care. solumedrol, remdesivir, pt deceased
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Pt received 2 vaccinations of covid19 on 4/7/21 & 5/7/21. Patient was placed in 30 min observation after receiving 2nd dose of moderna.approximately 23 min after immunization, pt's husband alereted this nurse that his wife was experiencing right leg cramps. Pt denies having leg cramps prior to injection. Pt states " I am only getting cramps on and off in the right leg for the past 15 min. Itr started about 10 min after injection. cramps don't last that long." Pt also states that she is now not having the cramping." Patient was taken to ER for observation and given an RX for TIZANIDINE HCL 4MG TAB five day supply.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Narrative:  Patient present to medical center on 3/26/21 for administration of Moderna Covid vaccination. Approximately 30 minutes after receiving shot, patient developed shortness of breath for approximately 1 hour after which, the shortness of breath spontaneously resolved.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cardiac monitoring, Failure to thrive, Fluid intake reduced
Clinical narrative: Narrative:  As per 10/13/21 ED Note HPI: Patient is a 81-year-old male who presents to the emergency department as a transfer from the hospital with chief complaint of decreased p.o. intake, failure to thrive, 25 pound weight loss, generalized weakness. Patient on 9/10/2021 underwent vascular procedure on his legs at clinic and was discharged from the hospital at 9/17/2021 to rehab. He was then discharged from rehab on 10/1/2021. He was discharged home with his spouse. Patient apparently has not been eating over the past for some time. He has also decreased fluid intake. At the hospital, patient was tested for Covid and this resulted as positive. It was initially reported the patient was hypotensive at 92/62 with a heart rate of 115 but was afebrile. Upon arrival, patient was normotensive at 140/62 with a heart rate of 96. No known exacerbating or remitting factors. Patient is a 81-year-old male presenting to the hospital with complaints of significant weight loss and failure to thrive with positive COVID-19 test. Case was discussed with the admitting physician and patient treatment plan as below. COVID-19 infection -Patient is currently not requiring supplemental oxygen and does not qualify for remdesivir therapy or dexamethasone -Patient is not in respiratory distress and will be monitored while inpatient. -Patient will need placement as he is unable to care for himself at home and his wife is unable to supplement his care -Continue to monitor for exacerbation of the patient's condition with nasal pulse ox time cardiac monitor Failure to thrive -Patient reports significant weight loss even while being in an institution for rehabilitation -Patient will have supplemental protein replacement at each meal -Patient have a heart healthy diet -At this time prealbumin will be obtained -Patient is high risk to return home and current living conditions and medical therapy requirements according to the patient should return to rehabilitation in the short-term
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Hypotension, Impaired self-care, Medical procedure, SARS-CoV-2 test positive
Clinical narrative: Narrative:  As per 10/13/21 ED Note HPI: Patient is a 81-year-old male who presents to the emergency department as a transfer from the hospital with chief complaint of decreased p.o. intake, failure to thrive, 25 pound weight loss, generalized weakness. Patient on 9/10/2021 underwent vascular procedure on his legs at clinic and was discharged from the hospital at 9/17/2021 to rehab. He was then discharged from rehab on 10/1/2021. He was discharged home with his spouse. Patient apparently has not been eating over the past for some time. He has also decreased fluid intake. At the hospital, patient was tested for Covid and this resulted as positive. It was initially reported the patient was hypotensive at 92/62 with a heart rate of 115 but was afebrile. Upon arrival, patient was normotensive at 140/62 with a heart rate of 96. No known exacerbating or remitting factors. Patient is a 81-year-old male presenting to the hospital with complaints of significant weight loss and failure to thrive with positive COVID-19 test. Case was discussed with the admitting physician and patient treatment plan as below. COVID-19 infection -Patient is currently not requiring supplemental oxygen and does not qualify for remdesivir therapy or dexamethasone -Patient is not in respiratory distress and will be monitored while inpatient. -Patient will need placement as he is unable to care for himself at home and his wife is unable to supplement his care -Continue to monitor for exacerbation of the patient's condition with nasal pulse ox time cardiac monitor Failure to thrive -Patient reports significant weight loss even while being in an institution for rehabilitation -Patient will have supplemental protein replacement at each meal -Patient have a heart healthy diet -At this time prealbumin will be obtained -Patient is high risk to return home and current living conditions and medical therapy requirements according to the patient should return to rehabilitation in the short-term
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: Narrative:  As per 10/13/21 ED Note HPI: Patient is a 81-year-old male who presents to the emergency department as a transfer from the hospital with chief complaint of decreased p.o. intake, failure to thrive, 25 pound weight loss, generalized weakness. Patient on 9/10/2021 underwent vascular procedure on his legs at clinic and was discharged from the hospital at 9/17/2021 to rehab. He was then discharged from rehab on 10/1/2021. He was discharged home with his spouse. Patient apparently has not been eating over the past for some time. He has also decreased fluid intake. At the hospital, patient was tested for Covid and this resulted as positive. It was initially reported the patient was hypotensive at 92/62 with a heart rate of 115 but was afebrile. Upon arrival, patient was normotensive at 140/62 with a heart rate of 96. No known exacerbating or remitting factors. Patient is a 81-year-old male presenting to the hospital with complaints of significant weight loss and failure to thrive with positive COVID-19 test. Case was discussed with the admitting physician and patient treatment plan as below. COVID-19 infection -Patient is currently not requiring supplemental oxygen and does not qualify for remdesivir therapy or dexamethasone -Patient is not in respiratory distress and will be monitored while inpatient. -Patient will need placement as he is unable to care for himself at home and his wife is unable to supplement his care -Continue to monitor for exacerbation of the patient's condition with nasal pulse ox time cardiac monitor Failure to thrive -Patient reports significant weight loss even while being in an institution for rehabilitation -Patient will have supplemental protein replacement at each meal -Patient have a heart healthy diet -At this time prealbumin will be obtained -Patient is high risk to return home and current living conditions and medical therapy requirements according to the patient should return to rehabilitation in the short-term
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bladder catheterisation, COVID-19, Cough, Fatigue
Clinical narrative: Narrative: Covid+, J&J vaccine 8/11/21; fever, cough, weakness, fatigue, pneumonia Patient remains inpatient in the ICU, continues on Remdesivir, Solumedrol, abx., +foley, afebrile, high flow oxygen AVAPS NRB PEG tube, ICU, Vent. Discharged to select specialty
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrostomy, Intensive care, Mechanical ventilation, Pneumonia, Pyrexia
Clinical narrative: Narrative: Covid+, J&J vaccine 8/11/21; fever, cough, weakness, fatigue, pneumonia Patient remains inpatient in the ICU, continues on Remdesivir, Solumedrol, abx., +foley, afebrile, high flow oxygen AVAPS NRB PEG tube, ICU, Vent. Discharged to select specialty
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative: Covid+, J&J vaccine 8/11/21; fever, cough, weakness, fatigue, pneumonia Patient remains inpatient in the ICU, continues on Remdesivir, Solumedrol, abx., +foley, afebrile, high flow oxygen AVAPS NRB PEG tube, ICU, Vent. Discharged to select specialty
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood potassium increased, COVID-19, Chest X-ray normal, Condition aggravated
Clinical narrative: Narrative:  HPI: 92-year-old male here today with fatigue, decreased appetite, cough and shortness of breath over the last week. He states he has been vaccinated for Covid. He denies any fever but has felt chilled. Denies any chest pain. No shortness of breath at rest but states when he exerts himself he feels short of breath. He states anytime he eats anything he has vomiting, he denies any abdominal pain. Denies any loss of taste or smell. No swelling in his legs or new rashes. He has not tried taking anything for his complaints. Nothing specifically seems to make him feel better or worse. He states he has only been able to drink a few sips of water and soda here and there. He denies other complaints at this time. He is here by himself. Medical Decision Making 92-year-old male here with failure to thrive, inability to eat or drink over the last week, nausea, vomiting, cough and shortness of breath feeling generally unwell. Lab work obtained. Thrombocytopenia noted, he does have a history of this however appears worse than baseline. He does not have any active sites of bleeding at this time, will hold on transfusion. Hemoglobin appears to be at patient's baseline. Creatinine elevated above baseline, potassium mildly elevated, I do not appreciate evidence of pneumonia on chest x-ray. No leukocytosis. Will hold on antibiotics at this time. Lipase is elevated, IV fluids were given. Covid testing is positive. In the setting of his age, comorbidities, inability to eat or drink, I do anticipate admission at this time. He was given steroids in department. He is not hypoxic and has been maintaining oxygen saturation on room air. He is agreeable to admission at this time. Hospitalist consulted. Patient to be admitted. Discharged to home with home health
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Dyspnoea exertional, Failure to thrive
Clinical narrative: Narrative:  HPI: 92-year-old male here today with fatigue, decreased appetite, cough and shortness of breath over the last week. He states he has been vaccinated for Covid. He denies any fever but has felt chilled. Denies any chest pain. No shortness of breath at rest but states when he exerts himself he feels short of breath. He states anytime he eats anything he has vomiting, he denies any abdominal pain. Denies any loss of taste or smell. No swelling in his legs or new rashes. He has not tried taking anything for his complaints. Nothing specifically seems to make him feel better or worse. He states he has only been able to drink a few sips of water and soda here and there. He denies other complaints at this time. He is here by himself. Medical Decision Making 92-year-old male here with failure to thrive, inability to eat or drink over the last week, nausea, vomiting, cough and shortness of breath feeling generally unwell. Lab work obtained. Thrombocytopenia noted, he does have a history of this however appears worse than baseline. He does not have any active sites of bleeding at this time, will hold on transfusion. Hemoglobin appears to be at patient's baseline. Creatinine elevated above baseline, potassium mildly elevated, I do not appreciate evidence of pneumonia on chest x-ray. No leukocytosis. Will hold on antibiotics at this time. Lipase is elevated, IV fluids were given. Covid testing is positive. In the setting of his age, comorbidities, inability to eat or drink, I do anticipate admission at this time. He was given steroids in department. He is not hypoxic and has been maintaining oxygen saturation on room air. He is agreeable to admission at this time. Hospitalist consulted. Patient to be admitted. Discharged to home with home health
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeding disorder, Feeling cold, Fluid intake reduced, Haemoglobin
Clinical narrative: Narrative:  HPI: 92-year-old male here today with fatigue, decreased appetite, cough and shortness of breath over the last week. He states he has been vaccinated for Covid. He denies any fever but has felt chilled. Denies any chest pain. No shortness of breath at rest but states when he exerts himself he feels short of breath. He states anytime he eats anything he has vomiting, he denies any abdominal pain. Denies any loss of taste or smell. No swelling in his legs or new rashes. He has not tried taking anything for his complaints. Nothing specifically seems to make him feel better or worse. He states he has only been able to drink a few sips of water and soda here and there. He denies other complaints at this time. He is here by himself. Medical Decision Making 92-year-old male here with failure to thrive, inability to eat or drink over the last week, nausea, vomiting, cough and shortness of breath feeling generally unwell. Lab work obtained. Thrombocytopenia noted, he does have a history of this however appears worse than baseline. He does not have any active sites of bleeding at this time, will hold on transfusion. Hemoglobin appears to be at patient's baseline. Creatinine elevated above baseline, potassium mildly elevated, I do not appreciate evidence of pneumonia on chest x-ray. No leukocytosis. Will hold on antibiotics at this time. Lipase is elevated, IV fluids were given. Covid testing is positive. In the setting of his age, comorbidities, inability to eat or drink, I do anticipate admission at this time. He was given steroids in department. He is not hypoxic and has been maintaining oxygen saturation on room air. He is agreeable to admission at this time. Hospitalist consulted. Patient to be admitted. Discharged to home with home health
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal, Lipase increased, Malaise, Nausea, SARS-CoV-2 test positive
Clinical narrative: Narrative:  HPI: 92-year-old male here today with fatigue, decreased appetite, cough and shortness of breath over the last week. He states he has been vaccinated for Covid. He denies any fever but has felt chilled. Denies any chest pain. No shortness of breath at rest but states when he exerts himself he feels short of breath. He states anytime he eats anything he has vomiting, he denies any abdominal pain. Denies any loss of taste or smell. No swelling in his legs or new rashes. He has not tried taking anything for his complaints. Nothing specifically seems to make him feel better or worse. He states he has only been able to drink a few sips of water and soda here and there. He denies other complaints at this time. He is here by himself. Medical Decision Making 92-year-old male here with failure to thrive, inability to eat or drink over the last week, nausea, vomiting, cough and shortness of breath feeling generally unwell. Lab work obtained. Thrombocytopenia noted, he does have a history of this however appears worse than baseline. He does not have any active sites of bleeding at this time, will hold on transfusion. Hemoglobin appears to be at patient's baseline. Creatinine elevated above baseline, potassium mildly elevated, I do not appreciate evidence of pneumonia on chest x-ray. No leukocytosis. Will hold on antibiotics at this time. Lipase is elevated, IV fluids were given. Covid testing is positive. In the setting of his age, comorbidities, inability to eat or drink, I do anticipate admission at this time. He was given steroids in department. He is not hypoxic and has been maintaining oxygen saturation on room air. He is agreeable to admission at this time. Hospitalist consulted. Patient to be admitted. Discharged to home with home health
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombocytopenia, Vomiting
Clinical narrative: Narrative:  HPI: 92-year-old male here today with fatigue, decreased appetite, cough and shortness of breath over the last week. He states he has been vaccinated for Covid. He denies any fever but has felt chilled. Denies any chest pain. No shortness of breath at rest but states when he exerts himself he feels short of breath. He states anytime he eats anything he has vomiting, he denies any abdominal pain. Denies any loss of taste or smell. No swelling in his legs or new rashes. He has not tried taking anything for his complaints. Nothing specifically seems to make him feel better or worse. He states he has only been able to drink a few sips of water and soda here and there. He denies other complaints at this time. He is here by himself. Medical Decision Making 92-year-old male here with failure to thrive, inability to eat or drink over the last week, nausea, vomiting, cough and shortness of breath feeling generally unwell. Lab work obtained. Thrombocytopenia noted, he does have a history of this however appears worse than baseline. He does not have any active sites of bleeding at this time, will hold on transfusion. Hemoglobin appears to be at patient's baseline. Creatinine elevated above baseline, potassium mildly elevated, I do not appreciate evidence of pneumonia on chest x-ray. No leukocytosis. Will hold on antibiotics at this time. Lipase is elevated, IV fluids were given. Covid testing is positive. In the setting of his age, comorbidities, inability to eat or drink, I do anticipate admission at this time. He was given steroids in department. He is not hypoxic and has been maintaining oxygen saturation on room air. He is agreeable to admission at this time. Hospitalist consulted. Patient to be admitted. Discharged to home with home health
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dementia, Depression, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Covid + complicated by dementia/depression, Pfizer 2/19/21 and 3/12/21-2 separate admits 10/13-received remdesivir in ED, d/c home and 10/19/21-observation only, d/c home
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asymptomatic COVID-19, Cerebral atrophy, Cerebrovascular disorder, Chest X-ray abnormal
Clinical narrative: Admitted from facility 77-year-old history of pulmonary embolism on  chronic anticoagulation with Eliquis. Had a fall today unclear whether mechanical  versus syncope patient does not remember event in the ER work-up negative with  a CAT scan of the head complained of hip pain found to have a left hip fracture.  Hospital service called for inpatient admission for further management of syncope  and left hip fracture. Pain is relatively well controlled this point no fevers no  chills no diarrhea she is resting in bed comfortably at this point no nausea  vomiting. Ortho disagrees with original xray read, feel it's more consistent with a  greater trochanter fracture which is nonoperative and recommend NWB to that LE  for probably 2 weeks and reassess with repeat x-rays for possible progression of  weight bearing. Brain MRI shows No acute intracranial findings. Mild to  moderate chronic microvascular changes. Diffuse cerebral volume loss most  pronounced in the medial superior frontal lobes. Paranasal sinus mucosal  thickening, as above. Echo shows EF 55-600 0, RV pressure overload, mod TR,  severe Pulm HTN, DD 1. Patients oxygen requirement went up to 8 L,COVID  tested and is positive. Patient started on remdesivir and dexamethasone. Of note  the patient tested positive for COVID-19 3 weeks ago and reports being  quarantined for 14 days in the nursing home, was asymptomatic and no change in  her normal 3 L oxygen she wears normally at home. Given her change in oxygen  requirement will continue treatment. Chest x-ray shows Diffuse, bilateral,  peripheral interstitial lung disease, most likely idiopathic pulmonary fibrosis. No  interval change dating back to 8/10/2021. No pleural effusions. Normal heart size.  Osteoporosis again noted. Patient normally wears 3 L oxygen for it history of  interstitial lung disease now requiring 8 L discharge to SNF
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Condition aggravated, Ejection fraction normal, Fall, Femur fracture
Clinical narrative: Admitted from facility 77-year-old history of pulmonary embolism on  chronic anticoagulation with Eliquis. Had a fall today unclear whether mechanical  versus syncope patient does not remember event in the ER work-up negative with  a CAT scan of the head complained of hip pain found to have a left hip fracture.  Hospital service called for inpatient admission for further management of syncope  and left hip fracture. Pain is relatively well controlled this point no fevers no  chills no diarrhea she is resting in bed comfortably at this point no nausea  vomiting. Ortho disagrees with original xray read, feel it's more consistent with a  greater trochanter fracture which is nonoperative and recommend NWB to that LE  for probably 2 weeks and reassess with repeat x-rays for possible progression of  weight bearing. Brain MRI shows No acute intracranial findings. Mild to  moderate chronic microvascular changes. Diffuse cerebral volume loss most  pronounced in the medial superior frontal lobes. Paranasal sinus mucosal  thickening, as above. Echo shows EF 55-600 0, RV pressure overload, mod TR,  severe Pulm HTN, DD 1. Patients oxygen requirement went up to 8 L,COVID  tested and is positive. Patient started on remdesivir and dexamethasone. Of note  the patient tested positive for COVID-19 3 weeks ago and reports being  quarantined for 14 days in the nursing home, was asymptomatic and no change in  her normal 3 L oxygen she wears normally at home. Given her change in oxygen  requirement will continue treatment. Chest x-ray shows Diffuse, bilateral,  peripheral interstitial lung disease, most likely idiopathic pulmonary fibrosis. No  interval change dating back to 8/10/2021. No pleural effusions. Normal heart size.  Osteoporosis again noted. Patient normally wears 3 L oxygen for it history of  interstitial lung disease now requiring 8 L discharge to SNF
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hip fracture, Idiopathic pulmonary fibrosis, Interstitial lung disease, Laboratory test normal, Magnetic resonance imaging head abnormal
Clinical narrative: Admitted from facility 77-year-old history of pulmonary embolism on  chronic anticoagulation with Eliquis. Had a fall today unclear whether mechanical  versus syncope patient does not remember event in the ER work-up negative with  a CAT scan of the head complained of hip pain found to have a left hip fracture.  Hospital service called for inpatient admission for further management of syncope  and left hip fracture. Pain is relatively well controlled this point no fevers no  chills no diarrhea she is resting in bed comfortably at this point no nausea  vomiting. Ortho disagrees with original xray read, feel it's more consistent with a  greater trochanter fracture which is nonoperative and recommend NWB to that LE  for probably 2 weeks and reassess with repeat x-rays for possible progression of  weight bearing. Brain MRI shows No acute intracranial findings. Mild to  moderate chronic microvascular changes. Diffuse cerebral volume loss most  pronounced in the medial superior frontal lobes. Paranasal sinus mucosal  thickening, as above. Echo shows EF 55-600 0, RV pressure overload, mod TR,  severe Pulm HTN, DD 1. Patients oxygen requirement went up to 8 L,COVID  tested and is positive. Patient started on remdesivir and dexamethasone. Of note  the patient tested positive for COVID-19 3 weeks ago and reports being  quarantined for 14 days in the nursing home, was asymptomatic and no change in  her normal 3 L oxygen she wears normally at home. Given her change in oxygen  requirement will continue treatment. Chest x-ray shows Diffuse, bilateral,  peripheral interstitial lung disease, most likely idiopathic pulmonary fibrosis. No  interval change dating back to 8/10/2021. No pleural effusions. Normal heart size.  Osteoporosis again noted. Patient normally wears 3 L oxygen for it history of  interstitial lung disease now requiring 8 L discharge to SNF
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mucosal hypertrophy, Osteoporosis, Pulmonary hypertension, Right ventricular failure, SARS-CoV-2 test positive
Clinical narrative: Admitted from facility 77-year-old history of pulmonary embolism on  chronic anticoagulation with Eliquis. Had a fall today unclear whether mechanical  versus syncope patient does not remember event in the ER work-up negative with  a CAT scan of the head complained of hip pain found to have a left hip fracture.  Hospital service called for inpatient admission for further management of syncope  and left hip fracture. Pain is relatively well controlled this point no fevers no  chills no diarrhea she is resting in bed comfortably at this point no nausea  vomiting. Ortho disagrees with original xray read, feel it's more consistent with a  greater trochanter fracture which is nonoperative and recommend NWB to that LE  for probably 2 weeks and reassess with repeat x-rays for possible progression of  weight bearing. Brain MRI shows No acute intracranial findings. Mild to  moderate chronic microvascular changes. Diffuse cerebral volume loss most  pronounced in the medial superior frontal lobes. Paranasal sinus mucosal  thickening, as above. Echo shows EF 55-600 0, RV pressure overload, mod TR,  severe Pulm HTN, DD 1. Patients oxygen requirement went up to 8 L,COVID  tested and is positive. Patient started on remdesivir and dexamethasone. Of note  the patient tested positive for COVID-19 3 weeks ago and reports being  quarantined for 14 days in the nursing home, was asymptomatic and no change in  her normal 3 L oxygen she wears normally at home. Given her change in oxygen  requirement will continue treatment. Chest x-ray shows Diffuse, bilateral,  peripheral interstitial lung disease, most likely idiopathic pulmonary fibrosis. No  interval change dating back to 8/10/2021. No pleural effusions. Normal heart size.  Osteoporosis again noted. Patient normally wears 3 L oxygen for it history of  interstitial lung disease now requiring 8 L discharge to SNF
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Tricuspid valve incompetence, X-ray abnormal
Clinical narrative: Admitted from facility 77-year-old history of pulmonary embolism on  chronic anticoagulation with Eliquis. Had a fall today unclear whether mechanical  versus syncope patient does not remember event in the ER work-up negative with  a CAT scan of the head complained of hip pain found to have a left hip fracture.  Hospital service called for inpatient admission for further management of syncope  and left hip fracture. Pain is relatively well controlled this point no fevers no  chills no diarrhea she is resting in bed comfortably at this point no nausea  vomiting. Ortho disagrees with original xray read, feel it's more consistent with a  greater trochanter fracture which is nonoperative and recommend NWB to that LE  for probably 2 weeks and reassess with repeat x-rays for possible progression of  weight bearing. Brain MRI shows No acute intracranial findings. Mild to  moderate chronic microvascular changes. Diffuse cerebral volume loss most  pronounced in the medial superior frontal lobes. Paranasal sinus mucosal  thickening, as above. Echo shows EF 55-600 0, RV pressure overload, mod TR,  severe Pulm HTN, DD 1. Patients oxygen requirement went up to 8 L,COVID  tested and is positive. Patient started on remdesivir and dexamethasone. Of note  the patient tested positive for COVID-19 3 weeks ago and reports being  quarantined for 14 days in the nursing home, was asymptomatic and no change in  her normal 3 L oxygen she wears normally at home. Given her change in oxygen  requirement will continue treatment. Chest x-ray shows Diffuse, bilateral,  peripheral interstitial lung disease, most likely idiopathic pulmonary fibrosis. No  interval change dating back to 8/10/2021. No pleural effusions. Normal heart size.  Osteoporosis again noted. Patient normally wears 3 L oxygen for it history of  interstitial lung disease now requiring 8 L discharge to SNF
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fall
Clinical narrative: Narrative:  Received Pfizer MRNA vaccine 1/12/21 and on 1/16/21 patient fell x2 at restaurant and again in his kitchen and was hospitalized after falls. Son reports symptoms of weakness after patient received initial COVID vaccination.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: Narrative:  Young 39 year old patient had acute myocardial infarction 3 days after 2nd dose of Moderna COVID-19 vaccine. Patient has underlying atherosclerosis due to diabetes. Plaque rupture possibly due to immunogenicity.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Rash pruritic
Clinical narrative: Narrative:  Patient is a 73 year old male who received the Shingrix vaccine on  11/18/2020 and developed an itchy rash 2 days after that has not gone away. He  was prescribed a medrol dose pack, hydroxyzine prn and triamcinolone cream prn  and the rash cleared up. He was instructed to not receive the second dose of the  Shingrix vaccine.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dizziness, Oxygen saturation decreased
Clinical narrative: Narrative: Covid +, J&J vaccine 3/13/21, mild cough, low oxygen sats, dizzy, weak
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative: Covid +, J&J vaccine 3/13/21, mild cough, low oxygen sats, dizzy, weak
Age: 48.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Narrative:  Patient came to ED for supervised vaccine after developing itching within 12 minutes after first dose which was administered at local pharmacy on 9/14/21. Patient received Pfizer dose #2 10/18/2021 and developed itching but no rash or evidence of anaphylaxis. She was given PRN Vistaril and it was noted she had an epi-pen at home.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Covid +, pneumonia, SOB, Received Moderna 3/1/21 and 3/30/21. remdesivir, Decadron. discharged to home
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Covid +, Moderna #2, SOB, CHF, 92 years old, home with hospice
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness neurosensory
Clinical narrative: Narrative:  acute sensorineural hearing loss one day after Covid 3 vaccine He has been evaluated by ENT and treated with steroids, course finished tomorrow. pt requesting Audiology referral
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  72yo male patient residing at REHAB with the following problem list: M13.0 Polyarthritis (SCT 416956002) K21.9 Gastroesophageal reflux disease without esophagitis (SCT 266435005) K59.04 Chronic constipation (SCT 236069009) K63.5 Polyp of colon (SCT 68496003) E929.0 Late Effects of Motor Vehicle Accident (ICD-9-CM E929.0) I65.21 Right carotid artery stenosis (SCT 285201000119100) V71.89 Observation for other specified suspected Condition (ICD-9-CM V71.89) R06.00 Dyspnea (SCT 267036007) 786.7 Abnormal chest sounds (ICD-9-CM 786.7) N18.6 Dependence on hemodialysis due to end stage renal disease (SCT 428982002) 443.1 Thromboangiitis Obliterans (ICD-9-CM 443.1) V56.0 Hemodialysis (ICD-9-CM V56.0) 780.6 Fever (ICD-9-CM 780.6) N18.6 End stage renal disease (SCT 46177005) V42.0 Kidney Transplantation (ICD-9-CM V42.0) I10. Benign essential hypertension (SCT 1201005) Z72.0 Tobacco user (SCT 110483000 ALso per mD note:ESRD : On dialysis Monday Wednesday and Friday and seemed to be stable. - Pericardial effusion: Not new we will go for pericardial window sometime soon. - Hypertension: Not new. - Hypothyroidism. - Status post pacemaker in place. -Anemia: Continue - Status post pacemaker placement. - GERD." "Pt died at rehab facility with no info given in cause of death. Pt had received covid vaccines on 1/26/21 & 2/23/21. Likely pt's death is not related to covid vaccines given pt's advanced age, comorbidies, and long length of time between death & date of vaccine administrations.
Age: 88.0
Sex: M
Vaccine: FLUA4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Narrative:  Patient presented to drive up COVID vaccine clinic. He was asked if he wanted a COVID vaccine and a flu shot. Patient said yes and cards were placed on his windshield to indicate he needed both influenza and COVID vaccine booster. Patient arrived to immunization lane with FLU placcard on his windshield after being asked which vaccines he would get. This RN informed patient that I would be giving him a flu shot, to which he agreed. I then asked if he wanted a high dose flu shot, to which he agreed. After administering flu shot to patient he stated that he already had flu shot and did not realize he was getting one. Nursing manager and NP notified. No S/Sx of reaction after vaccination, 15 minute wait period. The exact date and influenza vaccine previously given are unknown as it was not done at our clinic or documented in the patient's medical record. Not aware of any adverse effect at this time. Patient also received COVID Pfizer booster on 11/20/2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia, Oropharyngeal pain
Clinical narrative: Headache, Myalgia, SORE THROAT AND SORE AROUND INJECTION SITE Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever CHILLS Narrative:
Age: 0.67
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Lymphadenopathy, Rash
Clinical narrative: Narrative: Rash on 5/7/21 began to develop erythema at injection site. Since on 5/9/21 the redness has shifted to the r medial arm at bicep area of 7 cm long x 4.5 cm wide. Rom of rue shoulder elbow wrist fingers intact, some lymph node swelling in r axilla, no fever no streaking at injection site.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Myalgia, Nausea
Clinical narrative: Headache, Myalgia, Fever, Diarrhea, NauseaVomiting, chills Narrative:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headache, Myalgia, Fever, Diarrhea, NauseaVomiting, chills Narrative:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Feeding tube user, Impaired self-care
Clinical narrative: Narrative:  Patient is a 61 y male. Died on 7/11/2021. The patient received COVID vaccines on 3/23/2021 and 4/20/2021. Patient was currently on a feeding tube and was heavily cared for by his spouse. Vaccines not likely related to the cause of death.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, COVID-19, Dyspnoea, Nausea
Clinical narrative: Narrative:  COVID infection after completion of COVID vaccine series: 01/22/2021 COVID vaccine dose #1 02/12/2021 COVID vaccine dose #2 07/10/2021 Pt presented to ED c/o nausea and vomiting, abdominal pain, SOB, and productive cough. Pt stated neighbor having similar sx. Administered IV dexamethasone and Zofran. 07/10/2021 COVID positive per nasopharyngeal swab. PaO2 was 66. Pt admitted to Medicine inpatient service. Remdesivir therapy approved and initiated since pt was a candidate. 07/11/2021 MD attending reported pt fairing well. Remdesivir and dexamethasone therapy continued. Pt received 2L NC O2. 07/12/2021 MD attending reported pt improved symptomatically but remains on supplemental O2. Pt reported having wrist pain similar to RA flares in the past. (Biologic therapy had to be d/c due to remdesivir.) 07/13/2021 MD attending reported pt improved symptomatically and wrist pain resolved. Continuation of remdesivir and dexamethasone therapy.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Narrative:  COVID infection after completion of COVID vaccine series: 01/22/2021 COVID vaccine dose #1 02/12/2021 COVID vaccine dose #2 07/10/2021 Pt presented to ED c/o nausea and vomiting, abdominal pain, SOB, and productive cough. Pt stated neighbor having similar sx. Administered IV dexamethasone and Zofran. 07/10/2021 COVID positive per nasopharyngeal swab. PaO2 was 66. Pt admitted to Medicine inpatient service. Remdesivir therapy approved and initiated since pt was a candidate. 07/11/2021 MD attending reported pt fairing well. Remdesivir and dexamethasone therapy continued. Pt received 2L NC O2. 07/12/2021 MD attending reported pt improved symptomatically but remains on supplemental O2. Pt reported having wrist pain similar to RA flares in the past. (Biologic therapy had to be d/c due to remdesivir.) 07/13/2021 MD attending reported pt improved symptomatically and wrist pain resolved. Continuation of remdesivir and dexamethasone therapy.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea exertional, Fatigue, Myalgia
Clinical narrative: Narrative: COVID infection after completion of COVID vaccine series: 01/18/2021 COVID vaccine dose#1 02/09/2021 COVID vaccine dose #2 07/11/2021 Pt presented to ED c/o cough, fever, and myalgia, since 07/10/2021. 07/11/2021 COVID positive per nasopharyngeal swab 07/11/2021 Pt discharged since could manage self-care at home. Prescribed  budesonide and prednisone. 07/12/2021 Pt reported continuing to experience cough, fever, myalgia. Onset of fatigue. 07/13/2021 Pt reported continuing to experience cough, fatigue. Onset of SOB upon exertion. 07/14/2021 Pt reported improvement in symptoms.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Narrative: COVID infection after completion of COVID vaccine series: 01/18/2021 COVID vaccine dose#1 02/09/2021 COVID vaccine dose #2 07/11/2021 Pt presented to ED c/o cough, fever, and myalgia, since 07/10/2021. 07/11/2021 COVID positive per nasopharyngeal swab 07/11/2021 Pt discharged since could manage self-care at home. Prescribed  budesonide and prednisone. 07/12/2021 Pt reported continuing to experience cough, fever, myalgia. Onset of fatigue. 07/13/2021 Pt reported continuing to experience cough, fatigue. Onset of SOB upon exertion. 07/14/2021 Pt reported improvement in symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Skin burning sensation
Clinical narrative: burning and itchiness on scalp for 2 days. Narrative:
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient is a 88y M. Died on 06/26/2021. Received COVID vaccines on 1/19/2021 and 3/26/2021. Death likely not related to vaccinations. No other information provided.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Narrative: The patient already received Moderna vaccine on 2/11/21 and 3/9/21 which was documented in the medical record. He dropped into the COVID vaccine clinic and got Janssen vaccine 7/12/21, and the error was discovered after the dose was administered. No adverse event was observed.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  Patient is a 74 y/o male. Died on 07/07/2021. Received COVID vaccines on 3/26/2021 and 04/22/2021. Likely not related to COVID vaccinations.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death, General physical health deterioration, Mechanical ventilation, Pneumonia, Septic shock
Clinical narrative: Narrative:  Pt 71y male died on 07/11/2021. MD death note indicated death was caused by septic shock secondary to pneumonia. According to intern notes 24hr events following 07/11/2021 include pt worsened overnight, requiring norepi and vasopressin, placed back on ventilator, unable to tolerate CT, and family decided to withdraw care. Vaccines likely not related to cause of death.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Headache, Arthralgia, FATIGUE, CHILLS, INJECTION SITE PAIN/SWELLING Narrative:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Headache, Arthralgia, FATIGUE, CHILLS, INJECTION SITE PAIN/SWELLING Narrative:
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: arm swelling and pain Narrative:
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vitiligo
Clinical narrative: SkinRash worse/spreading vitiligo Narrative:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Injection site swelling
Clinical narrative: Narrative: Headache, Arthralgia, fatigue, injection site pain/swelling.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid result Narrative: positive covid result
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Exposure to SARS-CoV-2, Myalgia, Rhinorrhoea
Clinical narrative: COVID infection after completion of COVID vaccine series:  12/31/2020 COVID vaccine dose #1 01/25/2021 COVID vaccine dose #2 07/11/2021 Pt reported 2 days of rhinorrhea, chills, and myalgia along with close  contact exposure with COVID positive cases (relation unknown) 07/11/2021  COVID positive per nasopharyngeal swab
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID infection after completion of COVID vaccine series:  12/31/2020 COVID vaccine dose #1 01/25/2021 COVID vaccine dose #2 07/11/2021 Pt reported 2 days of rhinorrhea, chills, and myalgia along with close  contact exposure with COVID positive cases (relation unknown) 07/11/2021  COVID positive per nasopharyngeal swab
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Vomiting
Clinical narrative: Narrative:  Patient is a 40 yoF who reported body aches, headache, chills, nausea vomiting. taking tylenol after receiving pfizer vaccine the day prior at 3pm. Pt was discharged on zofran for nausea/vomiting and encouraged to increase hydration.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Arthralgia, COVID-19, Cough, Decreased appetite
Clinical narrative: Narrative COVID infection after completion of COVID vaccine series: 02/09/2021 COVID vaccine dose #1 03/02/2021 COVID vaccine dose #2 07/04/2021 Pt reported onset of decrease appetite and nausea, right-sided myalgia, and burning with urination. 07/10/2021 Pt presented to ED c/o decreased appetite, right-sided myalgia, burning with urination, and smelling cigarette smoke. Minimal non-productive cough present. Stated that has not needed to increase O2 use at home (hx of COPD). CTA showed LUL consolidation. 07/10/2021 Pt admitted to inpatient service. Decadron and Zithromax administered. 07/12/2021 MD attending reported pt no longer smelling cigarette smoke. Pt continued coughing and having right-sided myalgia. Continuation of Decadron therapy. Stated that remdesivir therapy would be initiated if pt's O2 needs increased above baseline (2L at home). 07/13/2021 MD attending reported pt experienced SOB and labored breathing above baseline (put on 3L O2). Remdesivir initiated. Continuation of Decadron therapy. Pt experienced "acute on chronic right shoulder pain" that has worsened. Ketorolac ordered. 07/13/2021 Azithromycin d/c (pt received 4 days of tx) 07/14/2021 Continuation of remdesivir therapy