chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pancytopenia, Pneumonitis, Procalcitonin normal, SARS-CoV-2 test positive, Stomatitis
Clinical narrative: DATE OF ADMISSION:  07/21/2022 DATE OF DISCHARGE:  07/27/2022   HOSPITAL COURSE The patient is a very pleasant 71-year-old male with past medical history as listed above including esophageal adenocarcinoma on trial drug who presented to Hospital with vague complaints of feeling progressively weak with excessive cough, difficulty eating secondary to mouth sores.  Initial laboratory studies and imaging can be found per review.  The patient was pancytopenic.  The patient was placed in severe respiratory isolation given recent diagnosis of COVID and COVID positive test on presentation.  Chest x-ray showed right basilar atelectasis versus pneumonitis.  He was empirically treated with cefepime.  Procalcitonin and lactic acid were within normal limits.  He was stable on room air.  He did complete remdesivir while hospitalized.  The patient had complaints of hallucinations prior to admission, and a CT head on 07/21 showed deep white matter left occipital mass or metastasis.  He underwent MRI of the brain on July 22 showing rim enhancing nodule with vasogenic edema concerning for metastatic disease.  He was placed on IV Decadron.  Neurosurgery was consulted.  No surgical intervention recommended.  Radiation Oncology was recommended, who evaluated the patient and is planning simulation and RT as an outpatient.  For his mucositis, he was treated with Collin solution, BMX, lidocaine, and nystatin.  Palliative Care was consulted to assist with pain control.  For his right hand wound, Wound was consulted who recommended moisturizing the area.  In terms of his esophageal adenocarcinoma, given new brain metastasis, he is now off trial, but does have other therapy options that will be considered in the future when the patient's nutrition and functional status improve.  Physical, Occupational, and Nutritional Therapy were consulted, who recommended home at discharge with outpatient PT, OT.  Care Management was consulted to facilitate discharge planning.  He was felt medically stable for discharge on 07/27/2022.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Vasogenic cerebral oedema
Clinical narrative: DATE OF ADMISSION:  07/21/2022 DATE OF DISCHARGE:  07/27/2022   HOSPITAL COURSE The patient is a very pleasant 71-year-old male with past medical history as listed above including esophageal adenocarcinoma on trial drug who presented to Hospital with vague complaints of feeling progressively weak with excessive cough, difficulty eating secondary to mouth sores.  Initial laboratory studies and imaging can be found per review.  The patient was pancytopenic.  The patient was placed in severe respiratory isolation given recent diagnosis of COVID and COVID positive test on presentation.  Chest x-ray showed right basilar atelectasis versus pneumonitis.  He was empirically treated with cefepime.  Procalcitonin and lactic acid were within normal limits.  He was stable on room air.  He did complete remdesivir while hospitalized.  The patient had complaints of hallucinations prior to admission, and a CT head on 07/21 showed deep white matter left occipital mass or metastasis.  He underwent MRI of the brain on July 22 showing rim enhancing nodule with vasogenic edema concerning for metastatic disease.  He was placed on IV Decadron.  Neurosurgery was consulted.  No surgical intervention recommended.  Radiation Oncology was recommended, who evaluated the patient and is planning simulation and RT as an outpatient.  For his mucositis, he was treated with Collin solution, BMX, lidocaine, and nystatin.  Palliative Care was consulted to assist with pain control.  For his right hand wound, Wound was consulted who recommended moisturizing the area.  In terms of his esophageal adenocarcinoma, given new brain metastasis, he is now off trial, but does have other therapy options that will be considered in the future when the patient's nutrition and functional status improve.  Physical, Occupational, and Nutritional Therapy were consulted, who recommended home at discharge with outpatient PT, OT.  Care Management was consulted to facilitate discharge planning.  He was felt medically stable for discharge on 07/27/2022.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I contracted Covid on July 30, 2022 (a bit over 3 months after receiving my 4th Moderna inoculation)
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Headache
Clinical narrative: I tested positive on July 22th. I got PAXLOVID and took 5 day pack. I was fatigued and had a cough. I had a sore throat. I tested negative on July 27th but then started feeling worse and tested positive again on Saturday. Again tested positive and had sore throat, headache and cough. As of today my throat is a little sore and my cough is better. I got a second pack of PAXLOVID. I am on second day of PAXLOVID.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I tested positive on July 22th. I got PAXLOVID and took 5 day pack. I was fatigued and had a cough. I had a sore throat. I tested negative on July 27th but then started feeling worse and tested positive again on Saturday. Again tested positive and had sore throat, headache and cough. As of today my throat is a little sore and my cough is better. I got a second pack of PAXLOVID. I am on second day of PAXLOVID.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Respiratory disorder
Clinical narrative: Patient was admitted to inpatient level of care on 7-30. Patient had been admitted to hospital on 7-27 following hospital admission on 7/20 for treatment of  pneumonia due to Covid-19 virus. Patient had increased weakness and respiratory issues at home. Return to hospital for higher level care pursued.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye infection, Eye irritation, Eye pain, Lacrimation increased
Clinical narrative: Starting around 05:00PM the evening of receiving the vaccine, I started having chills and as the evening progressed I started feeling achy. This would continue all day Thursday and my fever broke overnight Thursday into Friday. Saturday morning, 07/30/2022, it felt like someone had stabbed my right eye. As the day progressed, the eye felt a little better but I became more light sensitive and my eye became watery. All day Sunday this would continue. On Monday, I had an appointment already scheduled with my primary care doctor and, when I went, I told her about the symptoms in my right eye and I had the same symptoms after my 1st booster (3rd dose) and I had Neomycin so I used it the last time. However, this time, my doctor said both eyes were infected and I needed to use Erythromycin. I just picked up the medicine today and I am prescribed to use it daily at bedtime for 10 days. At night, if I wake up in the middle of the night, my eyes burn, they tear up and I am unable to turn on lights due to the severe light sensitivity I have.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Photophobia, Pyrexia
Clinical narrative: Starting around 05:00PM the evening of receiving the vaccine, I started having chills and as the evening progressed I started feeling achy. This would continue all day Thursday and my fever broke overnight Thursday into Friday. Saturday morning, 07/30/2022, it felt like someone had stabbed my right eye. As the day progressed, the eye felt a little better but I became more light sensitive and my eye became watery. All day Sunday this would continue. On Monday, I had an appointment already scheduled with my primary care doctor and, when I went, I told her about the symptoms in my right eye and I had the same symptoms after my 1st booster (3rd dose) and I had Neomycin so I used it the last time. However, this time, my doctor said both eyes were infected and I needed to use Erythromycin. I just picked up the medicine today and I am prescribed to use it daily at bedtime for 10 days. At night, if I wake up in the middle of the night, my eyes burn, they tear up and I am unable to turn on lights due to the severe light sensitivity I have.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Interchange of vaccine products, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and one booster.   COVID breakthrough infection
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Arthralgia, Discomfort, Erythema, Fatigue
Clinical narrative: First night I awoke with shaking chills, woke up the following morning with extreme pain in my left arm and all of the lymph nodes under arm were severely swollen, red, and very painful; had terrible achy joints, fatigue all day. The second night after the shot I awoke drenched in sweat but wasn't hot; awoke the following day with severe aches, lethargy, and lymph nodes still terribly swollen.  The aching joints moved into my left hip where I had a replacement 7 months ago and the pain was horrible. It then moved into my lower back, consuming all of my lower body. I could hardly walk and it hurt to breath. I took OTC meds for pain and applied pain gel to my joints. I subsequently went to my hip surgeon who gave me a pain and anti-inflammatory injection in my hip to relieve the inflammation and discomfort, and has put me on an 8 day regiment of prednisone to address the extreme inflammation.  I then followed up and saw my primary care physician today for a check of my symptoms and to get on my medical records.  I now have a follow up appt. with a back orthopedic doctor to check my back for any damages.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Gait disturbance, Hyperhidrosis, Inflammation, Lethargy
Clinical narrative: First night I awoke with shaking chills, woke up the following morning with extreme pain in my left arm and all of the lymph nodes under arm were severely swollen, red, and very painful; had terrible achy joints, fatigue all day. The second night after the shot I awoke drenched in sweat but wasn't hot; awoke the following day with severe aches, lethargy, and lymph nodes still terribly swollen.  The aching joints moved into my left hip where I had a replacement 7 months ago and the pain was horrible. It then moved into my lower back, consuming all of my lower body. I could hardly walk and it hurt to breath. I took OTC meds for pain and applied pain gel to my joints. I subsequently went to my hip surgeon who gave me a pain and anti-inflammatory injection in my hip to relieve the inflammation and discomfort, and has put me on an 8 day regiment of prednisone to address the extreme inflammation.  I then followed up and saw my primary care physician today for a check of my symptoms and to get on my medical records.  I now have a follow up appt. with a back orthopedic doctor to check my back for any damages.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pain, Pain in extremity, Painful respiration
Clinical narrative: First night I awoke with shaking chills, woke up the following morning with extreme pain in my left arm and all of the lymph nodes under arm were severely swollen, red, and very painful; had terrible achy joints, fatigue all day. The second night after the shot I awoke drenched in sweat but wasn't hot; awoke the following day with severe aches, lethargy, and lymph nodes still terribly swollen.  The aching joints moved into my left hip where I had a replacement 7 months ago and the pain was horrible. It then moved into my lower back, consuming all of my lower body. I could hardly walk and it hurt to breath. I took OTC meds for pain and applied pain gel to my joints. I subsequently went to my hip surgeon who gave me a pain and anti-inflammatory injection in my hip to relieve the inflammation and discomfort, and has put me on an 8 day regiment of prednisone to address the extreme inflammation.  I then followed up and saw my primary care physician today for a check of my symptoms and to get on my medical records.  I now have a follow up appt. with a back orthopedic doctor to check my back for any damages.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: First night I awoke with shaking chills, woke up the following morning with extreme pain in my left arm and all of the lymph nodes under arm were severely swollen, red, and very painful; had terrible achy joints, fatigue all day. The second night after the shot I awoke drenched in sweat but wasn't hot; awoke the following day with severe aches, lethargy, and lymph nodes still terribly swollen.  The aching joints moved into my left hip where I had a replacement 7 months ago and the pain was horrible. It then moved into my lower back, consuming all of my lower body. I could hardly walk and it hurt to breath. I took OTC meds for pain and applied pain gel to my joints. I subsequently went to my hip surgeon who gave me a pain and anti-inflammatory injection in my hip to relieve the inflammation and discomfort, and has put me on an 8 day regiment of prednisone to address the extreme inflammation.  I then followed up and saw my primary care physician today for a check of my symptoms and to get on my medical records.  I now have a follow up appt. with a back orthopedic doctor to check my back for any damages.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Gait disturbance, Hypoaesthesia, Impaired work ability
Clinical narrative: This was my 2nd booster shot. Approximately 24 hours after, I started experiencing numbness in my hands and difficulty walking. It got to a point I could no longer work. I work on a computer. That night (~1 am) I couldn't get out of bed without help, my legs and arms unresponsive. To be fair, I do have difficulty with walking and numbness in my hands due to MS but this was completely debilitating. I normally walk without the need for any assistive aid. This extreme effect lasted approximately 12 hours but a more moderate form lingered long after. It is now 6 days later and I'm just starting to feel back to "normal."
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Motor dysfunction, Multiple sclerosis
Clinical narrative: This was my 2nd booster shot. Approximately 24 hours after, I started experiencing numbness in my hands and difficulty walking. It got to a point I could no longer work. I work on a computer. That night (~1 am) I couldn't get out of bed without help, my legs and arms unresponsive. To be fair, I do have difficulty with walking and numbness in my hands due to MS but this was completely debilitating. I normally walk without the need for any assistive aid. This extreme effect lasted approximately 12 hours but a more moderate form lingered long after. It is now 6 days later and I'm just starting to feel back to "normal."
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Pyrexia
Clinical narrative: Breakthrough case of COVID-19, I had a minor headache, a fever of about 100.5, I was tired and a lot of coughing and bringing up mucus. I took PAXLOVID on the 8th for 5 days, and on Tuesday the 12th, my at home test was negative.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Secretion discharge, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19, I had a minor headache, a fever of about 100.5, I was tired and a lot of coughing and bringing up mucus. I took PAXLOVID on the 8th for 5 days, and on Tuesday the 12th, my at home test was negative.
Age: 17.0
Sex: F
Vaccine: COVID19, HEP, IPV, MMR
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: NO Known Adverse Effects have to this time been reported.  Patient is 17 years old and a Refugee. She was part of the diaspora in August, 2021. Initially, she was settled and she was given Janssen vaccine at 16 years of age on 09.26.2021. I gave the Moderna booster dose of 0.25 ml given to adults to her, recommended at age 18 and older. I was notified by the Covid vaccine administration department today of the error and told to submit a VAERS report 11 weeks later from the date of administration. She has been seen by her primary care staff where Dr. is on staff, on 06.16.2022 and 06.22.2022 without any adverse effects.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, COVID-19, Hypertension, SARS-CoV-2 test positive
Clinical narrative: Pt presented with epigastric pain, and uncontrolled hypertension and tested positive for covid asymptomatic, pt discharged home.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Ear discomfort, Headache
Clinical narrative: On 6-13-2022, I began having head congestion, a cough and a sensation of fluid in right ear. These symptoms continued thru the next day. On 6-15, I started having a headache, body aches, feeling of fever (did not check) and chills. I took a home COVID19 test with positive results. I called my doctor the same day and he ordered PAXLOVID and to take OTC medications for symptoms. I began taking MUCINEX, at times ROBITUSSIN and TYLENOL. I started taking the PAXLOVID on 6-16. I am feeling better now. I am reporting a breakthrough case of COVID19.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Upper respiratory tract congestion, Vaccine breakthrough infection
Clinical narrative: On 6-13-2022, I began having head congestion, a cough and a sensation of fluid in right ear. These symptoms continued thru the next day. On 6-15, I started having a headache, body aches, feeling of fever (did not check) and chills. I took a home COVID19 test with positive results. I called my doctor the same day and he ordered PAXLOVID and to take OTC medications for symptoms. I began taking MUCINEX, at times ROBITUSSIN and TYLENOL. I started taking the PAXLOVID on 6-16. I am feeling better now. I am reporting a breakthrough case of COVID19.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Vial was not Diluted Prior to giving dose. Patient has not reported additional effects.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: client recieved covid vaccine 2 days prior to july 27th when she saw my fellow NP for a rash that started locally and then was spreading.  the NP @ that time put her on prednisone and the client is following up today with worsening of the rash and no improvement with prednisone.  looks just like a drug eruption.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Eye haemorrhage, Nail bed bleeding
Clinical narrative: Not sure if related, but has never happened to me before - burst blood vessel in eye, and also under toenail day or two after fourth shot.  Thought it couldn't hurt to report it.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, COVID-19, Chest X-ray normal, Cough
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD   Admission Date: 7/21/2022 Discharge Date: 7/23/2022  HOSPITAL COURSE: Patient is a 74 y.o. female with history of spinal stenosis, epilepsy, and hypertension who presented with worsening cough, fatigue and poor oral intake. In the ED, she was noted to be hypoxic to 88% requiring 2L nasal cannula. Labs significant for for an acute kidney injury with creatinine 1.41. CXR showed no acute cardiopulmonary disease. She was positive for COVID-19 on PCR. She was started on IVFs and decadron. She was admitted for further evaluation and management.    On admission, patient continued on decadron with Remdesivir. AKI resolved and IVF discontinued. She remained stable off oxygen. She did have urinary frequency and urinalysis concerning for infection, Rocephin started pending urine culture. She was seen by PT/OT and cleared to return home. Son with concerns about hygiene at home, home care set up for patient. She was discharged on two additional days of ciprofloxacin to complete a total of 3 days. They were instructed to follow up with PCP in the near future for urine culture results. She was discharged home in stable condition.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Fatigue, Hypophagia, Hypoxia, Laboratory test
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD   Admission Date: 7/21/2022 Discharge Date: 7/23/2022  HOSPITAL COURSE: Patient is a 74 y.o. female with history of spinal stenosis, epilepsy, and hypertension who presented with worsening cough, fatigue and poor oral intake. In the ED, she was noted to be hypoxic to 88% requiring 2L nasal cannula. Labs significant for for an acute kidney injury with creatinine 1.41. CXR showed no acute cardiopulmonary disease. She was positive for COVID-19 on PCR. She was started on IVFs and decadron. She was admitted for further evaluation and management.    On admission, patient continued on decadron with Remdesivir. AKI resolved and IVF discontinued. She remained stable off oxygen. She did have urinary frequency and urinalysis concerning for infection, Rocephin started pending urine culture. She was seen by PT/OT and cleared to return home. Son with concerns about hygiene at home, home care set up for patient. She was discharged on two additional days of ciprofloxacin to complete a total of 3 days. They were instructed to follow up with PCP in the near future for urine culture results. She was discharged home in stable condition.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD   Admission Date: 7/21/2022 Discharge Date: 7/23/2022  HOSPITAL COURSE: Patient is a 74 y.o. female with history of spinal stenosis, epilepsy, and hypertension who presented with worsening cough, fatigue and poor oral intake. In the ED, she was noted to be hypoxic to 88% requiring 2L nasal cannula. Labs significant for for an acute kidney injury with creatinine 1.41. CXR showed no acute cardiopulmonary disease. She was positive for COVID-19 on PCR. She was started on IVFs and decadron. She was admitted for further evaluation and management.    On admission, patient continued on decadron with Remdesivir. AKI resolved and IVF discontinued. She remained stable off oxygen. She did have urinary frequency and urinalysis concerning for infection, Rocephin started pending urine culture. She was seen by PT/OT and cleared to return home. Son with concerns about hygiene at home, home care set up for patient. She was discharged on two additional days of ciprofloxacin to complete a total of 3 days. They were instructed to follow up with PCP in the near future for urine culture results. She was discharged home in stable condition.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, COVID-19, Chills, Dyspnoea, Fatigue
Clinical narrative: COVID-19 I tested positive on July 8, 2022 I  experienced sore throat, chills, cough, shortness of breath, could not  walk or talk. I was taken to the hospital by ambulance for treatment, I was given Remdesivir for my symptoms. I was also on a bipap for my breathing. Still feel a little tired sometimes and also has brain fog.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait inability, Oropharyngeal pain, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: COVID-19 I tested positive on July 8, 2022 I  experienced sore throat, chills, cough, shortness of breath, could not  walk or talk. I was taken to the hospital by ambulance for treatment, I was given Remdesivir for my symptoms. I was also on a bipap for my breathing. Still feel a little tired sometimes and also has brain fog.
Age: 1.42
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, patient given fever reducing medicine. The fever broke about an a few hours given medication.
Age: 16.0
Sex: F
Vaccine: HEP
Symptoms: Extra dose administered
Clinical narrative: Healthcare facility offered Hep B vaccine as required by law. Pt. had received 3 dose series upon birth as per norm. Pt. requested another series WITH parental consent. I accidentally gave the adult dose of 1ml instead of the 0.5ml. Engerix-B insert states that a booster dose of 1ml can be given to people over the age of 11. I talked with pt. the day after injection and she denies any adverse reaction signs or symptoms.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Experienced upper respiratory congestion, cough, and fatigue so took a PCR home test and it was positive. Went to the urgent care and tested positive for COVID-19 as well. Dr. persuaded me not to take PAXLOVID. On 08/01/2022 tested negative for COVID-19.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Upper respiratory tract congestion
Clinical narrative: Experienced upper respiratory congestion, cough, and fatigue so took a PCR home test and it was positive. Went to the urgent care and tested positive for COVID-19 as well. Dr. persuaded me not to take PAXLOVID. On 08/01/2022 tested negative for COVID-19.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chest pain, Death, Dyspnoea
Clinical narrative: PFIZER COVID # 3 VACCINE GIVEN 8/19/21, LOT #EW0172; 1/23/22 pt brought to ED via EMS with increasing SOB; states took at home COVID test 2 days prior to coming to ED and it was positive; has been checking O2 saturations at home and they've been between 88-92%; productive cough, mild chest pain; poor oral intake; positive test for COVID; O2 supplementation; CXR showed multifocal pneumonia; given Decadron, Remdesivir, Baricitinib; respiratory status worsened requiring intubation; vasopressor requirements increased; progressively worsening shock; pt lost pulse; CPR x 3 rounds; pt pronounced dead in the hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, Hypophagia, Pneumonia, Productive cough, Pulse absent
Clinical narrative: PFIZER COVID # 3 VACCINE GIVEN 8/19/21, LOT #EW0172; 1/23/22 pt brought to ED via EMS with increasing SOB; states took at home COVID test 2 days prior to coming to ED and it was positive; has been checking O2 saturations at home and they've been between 88-92%; productive cough, mild chest pain; poor oral intake; positive test for COVID; O2 supplementation; CXR showed multifocal pneumonia; given Decadron, Remdesivir, Baricitinib; respiratory status worsened requiring intubation; vasopressor requirements increased; progressively worsening shock; pt lost pulse; CPR x 3 rounds; pt pronounced dead in the hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory disorder, Resuscitation, SARS-CoV-2 test positive, Shock
Clinical narrative: PFIZER COVID # 3 VACCINE GIVEN 8/19/21, LOT #EW0172; 1/23/22 pt brought to ED via EMS with increasing SOB; states took at home COVID test 2 days prior to coming to ED and it was positive; has been checking O2 saturations at home and they've been between 88-92%; productive cough, mild chest pain; poor oral intake; positive test for COVID; O2 supplementation; CXR showed multifocal pneumonia; given Decadron, Remdesivir, Baricitinib; respiratory status worsened requiring intubation; vasopressor requirements increased; progressively worsening shock; pt lost pulse; CPR x 3 rounds; pt pronounced dead in the hospital
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Cough, Dyspnoea
Clinical narrative: I had shortness of breath, very tired, I had been exposed to someone who had COVID-19. I decided to use my home COVID-19 test that came back positive. Once it came back positive I went to the hospital and they did a chest x-ray that came back clear. They did prescribe me a cough suppressant, MUCINEX, albuterol and PAXLOVID. I started to the medications immediately. I am still feeling tired, I have chest pains when I cough and shortness of breath when I walk around.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Exposure to SARS-CoV-2, Fatigue, SARS-CoV-2 test positive
Clinical narrative: I had shortness of breath, very tired, I had been exposed to someone who had COVID-19. I decided to use my home COVID-19 test that came back positive. Once it came back positive I went to the hospital and they did a chest x-ray that came back clear. They did prescribe me a cough suppressant, MUCINEX, albuterol and PAXLOVID. I started to the medications immediately. I am still feeling tired, I have chest pains when I cough and shortness of breath when I walk around.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Chest tube insertion, Klebsiella test positive, Lung abscess
Clinical narrative: Admitted for management of pulmonary abscess, klebsiella present in sputum and abscess. IV antibiotics given. Chest tube inserted for abscess. Discharged home when stable.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial infection, Blood culture negative, Blood lactic acid normal, COVID-19, Catheter removal
Clinical narrative: Admission Date: 7/25/2022 Discharge Date: 8/1/2022  PRESENTING PROBLEM: Septic shock Sepsis    HOSPITAL COURSE: DATE OF ADMISSION: 07/25/2022     BRIEF HISTORY OF PRESENTING ILLNESS: 75-year-old male with a past medical history significant for end-stage renal disease on Monday Wednesday Friday dialysis as well as history of diabetes and coronary artery disease with known aortic stenosis who presented due to hypotension fever noted after dialysis.   In the emergency department the patient was hypotensive despite fluid.  He was found have a normal white blood cell count and lactic acid level.  Chest x-ray showed no acute infiltrate.  COVID-19 testing was found to be positive although he has tested positive for COVID-19 in the past.  He was empirically started on piperacillin/tazobactam and was started on vasopressors as well and moved to the intensive care unit.   Patient had quick resolution in regards to his hypotension and was able to wean off of vasopressors and move out of the intensive care unit.  Etiology behind his infection was uncertain but it was suspected that it was related to his dialysis catheter.  IR was consulted to remove his tunneled dialysis catheter and although the patient had been on Zosyn and vancomycin, after blood cultures show no growth and with the thought that MRSA would have grown or at least been isolated by now, vancomycin was discontinued on 07/28/2022 and dialysis catheter was removed on the same day.   Patient's dialysis catheter tip was cultured and this came back growing Gram-negative rods.  He was continued on Zosyn and ID was consulted.  Id recommended repeating blood culture morning 07/30/2022 and also recommended 7 days of antibiotic therapy based on sensitivities with route to be determined.    His cultures came Klebsiella arginine ease.  This was pansensitive.  Infectious Disease is okay with giving an oral antibiotic today and tomorrow and then following up with blood cultures on 08/08, which they will order.  Patient is feeling very well.  He has no fevers or chills.  Ultrasound was done of his right upper extremity rule out septic thrombus which was negative.  Patient was getting ready to get discharged today on oral antibiotics however it would appear that his dialysis bed tomorrow at 06:00 at Fresenius has been given up and he is scheduled for a.m. here.  If this cannot be arranged to have him have dialysis as an outpatient tomorrow unfortunately he will have to stay overnight, get dialysis and then discharged immediately after that.   He can go back on his torsemide, hydralazine and home dose of insulin.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Catheter site infection, Chest X-ray normal, Condition aggravated, Culture positive, Dialysis
Clinical narrative: Admission Date: 7/25/2022 Discharge Date: 8/1/2022  PRESENTING PROBLEM: Septic shock Sepsis    HOSPITAL COURSE: DATE OF ADMISSION: 07/25/2022     BRIEF HISTORY OF PRESENTING ILLNESS: 75-year-old male with a past medical history significant for end-stage renal disease on Monday Wednesday Friday dialysis as well as history of diabetes and coronary artery disease with known aortic stenosis who presented due to hypotension fever noted after dialysis.   In the emergency department the patient was hypotensive despite fluid.  He was found have a normal white blood cell count and lactic acid level.  Chest x-ray showed no acute infiltrate.  COVID-19 testing was found to be positive although he has tested positive for COVID-19 in the past.  He was empirically started on piperacillin/tazobactam and was started on vasopressors as well and moved to the intensive care unit.   Patient had quick resolution in regards to his hypotension and was able to wean off of vasopressors and move out of the intensive care unit.  Etiology behind his infection was uncertain but it was suspected that it was related to his dialysis catheter.  IR was consulted to remove his tunneled dialysis catheter and although the patient had been on Zosyn and vancomycin, after blood cultures show no growth and with the thought that MRSA would have grown or at least been isolated by now, vancomycin was discontinued on 07/28/2022 and dialysis catheter was removed on the same day.   Patient's dialysis catheter tip was cultured and this came back growing Gram-negative rods.  He was continued on Zosyn and ID was consulted.  Id recommended repeating blood culture morning 07/30/2022 and also recommended 7 days of antibiotic therapy based on sensitivities with route to be determined.    His cultures came Klebsiella arginine ease.  This was pansensitive.  Infectious Disease is okay with giving an oral antibiotic today and tomorrow and then following up with blood cultures on 08/08, which they will order.  Patient is feeling very well.  He has no fevers or chills.  Ultrasound was done of his right upper extremity rule out septic thrombus which was negative.  Patient was getting ready to get discharged today on oral antibiotics however it would appear that his dialysis bed tomorrow at 06:00 at Fresenius has been given up and he is scheduled for a.m. here.  If this cannot be arranged to have him have dialysis as an outpatient tomorrow unfortunately he will have to stay overnight, get dialysis and then discharged immediately after that.   He can go back on his torsemide, hydralazine and home dose of insulin.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Klebsiella test positive, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 7/25/2022 Discharge Date: 8/1/2022  PRESENTING PROBLEM: Septic shock Sepsis    HOSPITAL COURSE: DATE OF ADMISSION: 07/25/2022     BRIEF HISTORY OF PRESENTING ILLNESS: 75-year-old male with a past medical history significant for end-stage renal disease on Monday Wednesday Friday dialysis as well as history of diabetes and coronary artery disease with known aortic stenosis who presented due to hypotension fever noted after dialysis.   In the emergency department the patient was hypotensive despite fluid.  He was found have a normal white blood cell count and lactic acid level.  Chest x-ray showed no acute infiltrate.  COVID-19 testing was found to be positive although he has tested positive for COVID-19 in the past.  He was empirically started on piperacillin/tazobactam and was started on vasopressors as well and moved to the intensive care unit.   Patient had quick resolution in regards to his hypotension and was able to wean off of vasopressors and move out of the intensive care unit.  Etiology behind his infection was uncertain but it was suspected that it was related to his dialysis catheter.  IR was consulted to remove his tunneled dialysis catheter and although the patient had been on Zosyn and vancomycin, after blood cultures show no growth and with the thought that MRSA would have grown or at least been isolated by now, vancomycin was discontinued on 07/28/2022 and dialysis catheter was removed on the same day.   Patient's dialysis catheter tip was cultured and this came back growing Gram-negative rods.  He was continued on Zosyn and ID was consulted.  Id recommended repeating blood culture morning 07/30/2022 and also recommended 7 days of antibiotic therapy based on sensitivities with route to be determined.    His cultures came Klebsiella arginine ease.  This was pansensitive.  Infectious Disease is okay with giving an oral antibiotic today and tomorrow and then following up with blood cultures on 08/08, which they will order.  Patient is feeling very well.  He has no fevers or chills.  Ultrasound was done of his right upper extremity rule out septic thrombus which was negative.  Patient was getting ready to get discharged today on oral antibiotics however it would appear that his dialysis bed tomorrow at 06:00 at Fresenius has been given up and he is scheduled for a.m. here.  If this cannot be arranged to have him have dialysis as an outpatient tomorrow unfortunately he will have to stay overnight, get dialysis and then discharged immediately after that.   He can go back on his torsemide, hydralazine and home dose of insulin.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Septic shock, Ultrasound Doppler normal, White blood cell count normal
Clinical narrative: Admission Date: 7/25/2022 Discharge Date: 8/1/2022  PRESENTING PROBLEM: Septic shock Sepsis    HOSPITAL COURSE: DATE OF ADMISSION: 07/25/2022     BRIEF HISTORY OF PRESENTING ILLNESS: 75-year-old male with a past medical history significant for end-stage renal disease on Monday Wednesday Friday dialysis as well as history of diabetes and coronary artery disease with known aortic stenosis who presented due to hypotension fever noted after dialysis.   In the emergency department the patient was hypotensive despite fluid.  He was found have a normal white blood cell count and lactic acid level.  Chest x-ray showed no acute infiltrate.  COVID-19 testing was found to be positive although he has tested positive for COVID-19 in the past.  He was empirically started on piperacillin/tazobactam and was started on vasopressors as well and moved to the intensive care unit.   Patient had quick resolution in regards to his hypotension and was able to wean off of vasopressors and move out of the intensive care unit.  Etiology behind his infection was uncertain but it was suspected that it was related to his dialysis catheter.  IR was consulted to remove his tunneled dialysis catheter and although the patient had been on Zosyn and vancomycin, after blood cultures show no growth and with the thought that MRSA would have grown or at least been isolated by now, vancomycin was discontinued on 07/28/2022 and dialysis catheter was removed on the same day.   Patient's dialysis catheter tip was cultured and this came back growing Gram-negative rods.  He was continued on Zosyn and ID was consulted.  Id recommended repeating blood culture morning 07/30/2022 and also recommended 7 days of antibiotic therapy based on sensitivities with route to be determined.    His cultures came Klebsiella arginine ease.  This was pansensitive.  Infectious Disease is okay with giving an oral antibiotic today and tomorrow and then following up with blood cultures on 08/08, which they will order.  Patient is feeling very well.  He has no fevers or chills.  Ultrasound was done of his right upper extremity rule out septic thrombus which was negative.  Patient was getting ready to get discharged today on oral antibiotics however it would appear that his dialysis bed tomorrow at 06:00 at Fresenius has been given up and he is scheduled for a.m. here.  If this cannot be arranged to have him have dialysis as an outpatient tomorrow unfortunately he will have to stay overnight, get dialysis and then discharged immediately after that.   He can go back on his torsemide, hydralazine and home dose of insulin.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vial of Covid Was not diluted Prior to Administration. Mother reports no adverse reaction
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted twice.   COVID breakthrough infection.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: About 6 weeks after vaccine I was diagnosed with a breakthrough case of COVID-19. Symptoms were extreme fatigue, headache, and mild chills. No fever, sore throat, or cough. Doctor prescribed PAXLOVID.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The 15 year old patient received a booster of Moderna Covid-19 vaccine although it has not been approved for patients under the age of 18.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Vial of Covid was not Diluted. Mother states no Adverse reaction or Symptoms
Age: 73.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Angiogram cerebral, Anticoagulant therapy, Arteriogram carotid, Ataxia, Atrial fibrillation
Clinical narrative: This is a 74-year-old gentleman that presents with concerns regarding left-sided facial numbness, right-sided numbness/paresthesias to his tongue as well as an episode of ataxia and vertiginous symptoms yesterday.  This is in the context of the recent diagnosis of COVID-19.   The patient does have a background history significant for severe chronic fatigue that has been present over the last 6 months and had fairly thorough investigations.  He did have an episode of ITP approximately 6 months ago which he states has resolved but the symptoms of chronic fatigue have not improved.   The patient denies any other significant neurological symptoms on examination.  His cranial nerve exam is otherwise unremarkable apart from paresthesia and numbness to the left side of his face and tongue.  His visual fields are all intact and he is no longer ataxic and able to walk steadily.   The patient is compliant with his anticoagulant.  In addition he has been recently started on digoxin with vital   Because of the patient's concerning symptoms a workup for possible CVA particularly posterior CVA was considered and a CT head as well as CT angiogram head and neck were performed to exclude any intracranial hemorrhage or large vessel occlusion.   I did discuss with stroke neuro Dr., she suggested based on the patient's symptoms that he should be admitted for an MRI brain with and without contrast to exclude CVA as above imaging does not exclude posterior CVA particularly well. Because of the patient's other nonspecific symptoms and thorough workup including EKG showing atrial fibrillation controlled rate as well as routine labs showed normal kidney function negative urine as well as a normal digoxin level.  I do not find any alternate cause for the patient's symptoms.   The patient was agreeable for admission and discussed with the hospitalist here who will admit to facilitate MRI and continued observation.
Age: 73.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, Cardioactive drug level, Computerised tomogram head, Condition aggravated, Electrocardiogram abnormal
Clinical narrative: This is a 74-year-old gentleman that presents with concerns regarding left-sided facial numbness, right-sided numbness/paresthesias to his tongue as well as an episode of ataxia and vertiginous symptoms yesterday.  This is in the context of the recent diagnosis of COVID-19.   The patient does have a background history significant for severe chronic fatigue that has been present over the last 6 months and had fairly thorough investigations.  He did have an episode of ITP approximately 6 months ago which he states has resolved but the symptoms of chronic fatigue have not improved.   The patient denies any other significant neurological symptoms on examination.  His cranial nerve exam is otherwise unremarkable apart from paresthesia and numbness to the left side of his face and tongue.  His visual fields are all intact and he is no longer ataxic and able to walk steadily.   The patient is compliant with his anticoagulant.  In addition he has been recently started on digoxin with vital   Because of the patient's concerning symptoms a workup for possible CVA particularly posterior CVA was considered and a CT head as well as CT angiogram head and neck were performed to exclude any intracranial hemorrhage or large vessel occlusion.   I did discuss with stroke neuro Dr., she suggested based on the patient's symptoms that he should be admitted for an MRI brain with and without contrast to exclude CVA as above imaging does not exclude posterior CVA particularly well. Because of the patient's other nonspecific symptoms and thorough workup including EKG showing atrial fibrillation controlled rate as well as routine labs showed normal kidney function negative urine as well as a normal digoxin level.  I do not find any alternate cause for the patient's symptoms.   The patient was agreeable for admission and discussed with the hospitalist here who will admit to facilitate MRI and continued observation.
Age: 73.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Fatigue, Hypoaesthesia, Hypoaesthesia oral, Immune thrombocytopenia, Laboratory test
Clinical narrative: This is a 74-year-old gentleman that presents with concerns regarding left-sided facial numbness, right-sided numbness/paresthesias to his tongue as well as an episode of ataxia and vertiginous symptoms yesterday.  This is in the context of the recent diagnosis of COVID-19.   The patient does have a background history significant for severe chronic fatigue that has been present over the last 6 months and had fairly thorough investigations.  He did have an episode of ITP approximately 6 months ago which he states has resolved but the symptoms of chronic fatigue have not improved.   The patient denies any other significant neurological symptoms on examination.  His cranial nerve exam is otherwise unremarkable apart from paresthesia and numbness to the left side of his face and tongue.  His visual fields are all intact and he is no longer ataxic and able to walk steadily.   The patient is compliant with his anticoagulant.  In addition he has been recently started on digoxin with vital   Because of the patient's concerning symptoms a workup for possible CVA particularly posterior CVA was considered and a CT head as well as CT angiogram head and neck were performed to exclude any intracranial hemorrhage or large vessel occlusion.   I did discuss with stroke neuro Dr., she suggested based on the patient's symptoms that he should be admitted for an MRI brain with and without contrast to exclude CVA as above imaging does not exclude posterior CVA particularly well. Because of the patient's other nonspecific symptoms and thorough workup including EKG showing atrial fibrillation controlled rate as well as routine labs showed normal kidney function negative urine as well as a normal digoxin level.  I do not find any alternate cause for the patient's symptoms.   The patient was agreeable for admission and discussed with the hospitalist here who will admit to facilitate MRI and continued observation.