chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Gait disturbance, Haemorrhoids, Heart rate irregular, Pain in extremity
Clinical narrative: Within 24 hours after, I had significant pain and swelling in both of my legs. By later that evening by 8PM, I could barely walk. The swelling started to go down by the 25th. But the significant pain particularly if I was standing for a long time would hurt. I still have it. It went down over time. Within a month, because it was still significant, I went to see my doctor because I was concerned of a potential blood clot. Ultimately, I ended up having a scan done. I also had similar pain on my upper right arm. That took several weeks to start. We did a scan for blood clot in the veins on that arm, which were negative. The pain was consistent with what you may describe as having blood clots. It took several months to subside. My legs still have unusual pain even a year out. Which I did not have prior to the vaccine. There was also some irregular heartbeat. I have had 2 echocardiograms which have come back completely fine. The other thing that started post vaccine was pelvic pain that I sought treatment for. They found some cervical polyps that appeared to be benign and I am going to have surgically removed. They might have been there prior, but the pain started post vaccine. Within a couple of months of having the vaccine, I had reoccurring hemorrhoid situation. That lasted probably 2 months. There is still some undiagnosed unusual rectal pain.  I was told to start taking a low dose Aspirin every day.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pelvic pain, Peripheral swelling, Proctalgia, Scan
Clinical narrative: Within 24 hours after, I had significant pain and swelling in both of my legs. By later that evening by 8PM, I could barely walk. The swelling started to go down by the 25th. But the significant pain particularly if I was standing for a long time would hurt. I still have it. It went down over time. Within a month, because it was still significant, I went to see my doctor because I was concerned of a potential blood clot. Ultimately, I ended up having a scan done. I also had similar pain on my upper right arm. That took several weeks to start. We did a scan for blood clot in the veins on that arm, which were negative. The pain was consistent with what you may describe as having blood clots. It took several months to subside. My legs still have unusual pain even a year out. Which I did not have prior to the vaccine. There was also some irregular heartbeat. I have had 2 echocardiograms which have come back completely fine. The other thing that started post vaccine was pelvic pain that I sought treatment for. They found some cervical polyps that appeared to be benign and I am going to have surgically removed. They might have been there prior, but the pain started post vaccine. Within a couple of months of having the vaccine, I had reoccurring hemorrhoid situation. That lasted probably 2 months. There is still some undiagnosed unusual rectal pain.  I was told to start taking a low dose Aspirin every day.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adenovirus test positive, Aspartate aminotransferase increased, Bacterial infection, Blood culture positive
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 5/11/21. Presented to ED 1/31 with SOB, sxs began 1/23. Covid+, stable in ED on 4L NC. Workup revealed CO2 22, AST 64, Lactic 2.2, Procal 0.29, WBC 18.2. Also positive for adenovirus. Admitted for acute hypoxic resp failure 2/2 Covid PNA c/b severe sepsis. BC x2 sent + for Salmonella GNR Bacteremia on 1/31. Intubated on 2/3/22. Continued to decline. Tx'd with tylenol, decadron, Rocephin, Azithromycin. Transitioned to comfort care/DNAR and expired 2/17/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, COVID-19, COVID-19 pneumonia, Carbon dioxide decreased, Death
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 5/11/21. Presented to ED 1/31 with SOB, sxs began 1/23. Covid+, stable in ED on 4L NC. Workup revealed CO2 22, AST 64, Lactic 2.2, Procal 0.29, WBC 18.2. Also positive for adenovirus. Admitted for acute hypoxic resp failure 2/2 Covid PNA c/b severe sepsis. BC x2 sent + for Salmonella GNR Bacteremia on 1/31. Intubated on 2/3/22. Continued to decline. Tx'd with tylenol, decadron, Rocephin, Azithromycin. Transitioned to comfort care/DNAR and expired 2/17/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Malaise, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 5/11/21. Presented to ED 1/31 with SOB, sxs began 1/23. Covid+, stable in ED on 4L NC. Workup revealed CO2 22, AST 64, Lactic 2.2, Procal 0.29, WBC 18.2. Also positive for adenovirus. Admitted for acute hypoxic resp failure 2/2 Covid PNA c/b severe sepsis. BC x2 sent + for Salmonella GNR Bacteremia on 1/31. Intubated on 2/3/22. Continued to decline. Tx'd with tylenol, decadron, Rocephin, Azithromycin. Transitioned to comfort care/DNAR and expired 2/17/2022.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Salmonella bacteraemia, Sepsis, White blood cell count increased
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 5/11/21. Presented to ED 1/31 with SOB, sxs began 1/23. Covid+, stable in ED on 4L NC. Workup revealed CO2 22, AST 64, Lactic 2.2, Procal 0.29, WBC 18.2. Also positive for adenovirus. Admitted for acute hypoxic resp failure 2/2 Covid PNA c/b severe sepsis. BC x2 sent + for Salmonella GNR Bacteremia on 1/31. Intubated on 2/3/22. Continued to decline. Tx'd with tylenol, decadron, Rocephin, Azithromycin. Transitioned to comfort care/DNAR and expired 2/17/2022.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, COVID-19, Cough, Fatigue
Clinical narrative: The evening of the 17th I had a running nose, I had lower back pain and pain in my knee joints and a sore throat. I also got a headache. Sore throat became intense, I went to Urgent care center, I got tested for covid. I started coughing and was getting restless sleep. Urgent care gave me steroid for 10 days and an albuterol inhaler. I still had a horrible cough that was keeping me up, I did a follow up tele health and they give me a Zpack and come medicine cough. The cough continued to linger. I do notice my heart rate is elevated still and I'm easily fatigued.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Insomnia, Oropharyngeal pain, Poor quality sleep
Clinical narrative: The evening of the 17th I had a running nose, I had lower back pain and pain in my knee joints and a sore throat. I also got a headache. Sore throat became intense, I went to Urgent care center, I got tested for covid. I started coughing and was getting restless sleep. Urgent care gave me steroid for 10 days and an albuterol inhaler. I still had a horrible cough that was keeping me up, I did a follow up tele health and they give me a Zpack and come medicine cough. The cough continued to linger. I do notice my heart rate is elevated still and I'm easily fatigued.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: The evening of the 17th I had a running nose, I had lower back pain and pain in my knee joints and a sore throat. I also got a headache. Sore throat became intense, I went to Urgent care center, I got tested for covid. I started coughing and was getting restless sleep. Urgent care gave me steroid for 10 days and an albuterol inhaler. I still had a horrible cough that was keeping me up, I did a follow up tele health and they give me a Zpack and come medicine cough. The cough continued to linger. I do notice my heart rate is elevated still and I'm easily fatigued.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Acute kidney injury, Ascites, Blood creatinine increased, COVID-19
Clinical narrative: The patient is a ,93 y.o. female known to have a background history of coronary disease, CHF, chronic kidney disease, dementia,, hypertension, paroxysmal atrial fibrillation presented on 2/15/2022 with    Urinary retention-patient presented to the emergency room as she was unable to pass urine from yesterday and subsequently she developed abdominal discomfort mainly in suprapubic area. She was brought to the emergency room and then subsequently she was able to pass urine but not significantly and her creatinine got more worse than her baseline. Also tells me that she was not able to eat and drink properly from last couple of days. No active vomiting at present. Evaluation in the emergency room found to be positive for ascites, incidental pancreatic and renal cysts. Denies any fever or acute shortness of breath or body aches. Patient is vaccinated as per database. Tested positive for coronavirus infection while getting admitted. Denies sick contacts. Caretaker tells me that she did not get out of the home after her discharge previously from this facility and this is the first time she is getting out of her home. Will be admitted for further evaluation"   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.     * Acute cystitis without hematuria Description of the Problem/Progression: acute. ESBL Plan:  - cefepime -> merrem x7 days  (finished course) - ID following.     C diff colitis -Diarrhea worsened. Increased by mouth vancomycin dose per ID -Flagyl was added and symptoms improved.  -Continue to monitor symptoms, supportive care.   Placement. SNF will accept 10 days from initial +, tentatively the 25th. Social workers following   aki on ckd 3b. Ascites on imaging. Creat 1.8 today, stable  - nephrology following, continue IVF's   Covid-19. On baseline O2 - uses 2L intermittently at home. Same here.  - Cxr with possible mild infiltrate. Remdesivir x3 days completed. Pt high risk (age, cad, did not have booster) - supplements per COVID-19 order set.    Metabolic encephalopathy due to uti - treatment above - resolved symptoms.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Clostridium difficile colitis, Cystitis, Diarrhoea, Feeding disorder
Clinical narrative: The patient is a ,93 y.o. female known to have a background history of coronary disease, CHF, chronic kidney disease, dementia,, hypertension, paroxysmal atrial fibrillation presented on 2/15/2022 with    Urinary retention-patient presented to the emergency room as she was unable to pass urine from yesterday and subsequently she developed abdominal discomfort mainly in suprapubic area. She was brought to the emergency room and then subsequently she was able to pass urine but not significantly and her creatinine got more worse than her baseline. Also tells me that she was not able to eat and drink properly from last couple of days. No active vomiting at present. Evaluation in the emergency room found to be positive for ascites, incidental pancreatic and renal cysts. Denies any fever or acute shortness of breath or body aches. Patient is vaccinated as per database. Tested positive for coronavirus infection while getting admitted. Denies sick contacts. Caretaker tells me that she did not get out of the home after her discharge previously from this facility and this is the first time she is getting out of her home. Will be admitted for further evaluation"   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.     * Acute cystitis without hematuria Description of the Problem/Progression: acute. ESBL Plan:  - cefepime -> merrem x7 days  (finished course) - ID following.     C diff colitis -Diarrhea worsened. Increased by mouth vancomycin dose per ID -Flagyl was added and symptoms improved.  -Continue to monitor symptoms, supportive care.   Placement. SNF will accept 10 days from initial +, tentatively the 25th. Social workers following   aki on ckd 3b. Ascites on imaging. Creat 1.8 today, stable  - nephrology following, continue IVF's   Covid-19. On baseline O2 - uses 2L intermittently at home. Same here.  - Cxr with possible mild infiltrate. Remdesivir x3 days completed. Pt high risk (age, cad, did not have booster) - supplements per COVID-19 order set.    Metabolic encephalopathy due to uti - treatment above - resolved symptoms.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Fluid intake reduced, Hypophagia, Imaging procedure abnormal, Metabolic encephalopathy, Pancreatic cyst
Clinical narrative: The patient is a ,93 y.o. female known to have a background history of coronary disease, CHF, chronic kidney disease, dementia,, hypertension, paroxysmal atrial fibrillation presented on 2/15/2022 with    Urinary retention-patient presented to the emergency room as she was unable to pass urine from yesterday and subsequently she developed abdominal discomfort mainly in suprapubic area. She was brought to the emergency room and then subsequently she was able to pass urine but not significantly and her creatinine got more worse than her baseline. Also tells me that she was not able to eat and drink properly from last couple of days. No active vomiting at present. Evaluation in the emergency room found to be positive for ascites, incidental pancreatic and renal cysts. Denies any fever or acute shortness of breath or body aches. Patient is vaccinated as per database. Tested positive for coronavirus infection while getting admitted. Denies sick contacts. Caretaker tells me that she did not get out of the home after her discharge previously from this facility and this is the first time she is getting out of her home. Will be admitted for further evaluation"   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.     * Acute cystitis without hematuria Description of the Problem/Progression: acute. ESBL Plan:  - cefepime -> merrem x7 days  (finished course) - ID following.     C diff colitis -Diarrhea worsened. Increased by mouth vancomycin dose per ID -Flagyl was added and symptoms improved.  -Continue to monitor symptoms, supportive care.   Placement. SNF will accept 10 days from initial +, tentatively the 25th. Social workers following   aki on ckd 3b. Ascites on imaging. Creat 1.8 today, stable  - nephrology following, continue IVF's   Covid-19. On baseline O2 - uses 2L intermittently at home. Same here.  - Cxr with possible mild infiltrate. Remdesivir x3 days completed. Pt high risk (age, cad, did not have booster) - supplements per COVID-19 order set.    Metabolic encephalopathy due to uti - treatment above - resolved symptoms.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Pathogen resistance, Renal cyst, SARS-CoV-2 test positive, Urinary retention, Urinary tract infection
Clinical narrative: The patient is a ,93 y.o. female known to have a background history of coronary disease, CHF, chronic kidney disease, dementia,, hypertension, paroxysmal atrial fibrillation presented on 2/15/2022 with    Urinary retention-patient presented to the emergency room as she was unable to pass urine from yesterday and subsequently she developed abdominal discomfort mainly in suprapubic area. She was brought to the emergency room and then subsequently she was able to pass urine but not significantly and her creatinine got more worse than her baseline. Also tells me that she was not able to eat and drink properly from last couple of days. No active vomiting at present. Evaluation in the emergency room found to be positive for ascites, incidental pancreatic and renal cysts. Denies any fever or acute shortness of breath or body aches. Patient is vaccinated as per database. Tested positive for coronavirus infection while getting admitted. Denies sick contacts. Caretaker tells me that she did not get out of the home after her discharge previously from this facility and this is the first time she is getting out of her home. Will be admitted for further evaluation"   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.     * Acute cystitis without hematuria Description of the Problem/Progression: acute. ESBL Plan:  - cefepime -> merrem x7 days  (finished course) - ID following.     C diff colitis -Diarrhea worsened. Increased by mouth vancomycin dose per ID -Flagyl was added and symptoms improved.  -Continue to monitor symptoms, supportive care.   Placement. SNF will accept 10 days from initial +, tentatively the 25th. Social workers following   aki on ckd 3b. Ascites on imaging. Creat 1.8 today, stable  - nephrology following, continue IVF's   Covid-19. On baseline O2 - uses 2L intermittently at home. Same here.  - Cxr with possible mild infiltrate. Remdesivir x3 days completed. Pt high risk (age, cad, did not have booster) - supplements per COVID-19 order set.    Metabolic encephalopathy due to uti - treatment above - resolved symptoms.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: 10 Days post Moderna Covid-19 booster shot, patient presented with severe itching and hives on hands, forearms, palms, armpits, back, scalp, front of neck, and back of neck. No other lifestyle changes took place, only the addition of the 3rd dose of the vaccine. This vaccination has definite side effects and should not be required to be or simply administered knowing it will have adverse outcomes for patients. Symptoms were attempted to be managed by over the counter anti-allergy medication, but the symptoms still persist without relief.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock, Asthenia, Fatigue, Laboratory test, Leukocytosis
Clinical narrative: ED visit 4/19/21, reports she had a Covid vaccine last Tuesday (4/13) and reports that she went into anaphylactic shock and went to the Hospital be treated, she was then discharged on a course of steroids, she says steroids made her vision blurry, so she stopped them, some of her blurry vision is persisting and she now feels like she has cramping/spasms in her calf muscles bilaterally. She also complains of some generalized fatigue and weakness.  Labs showed leukocytosis, suspect it is secondary to the prednisone or the immune response/anaphylactic reaction. No need for additional treatment at this time. Recommended she follow-up with PCP as warranted. Discharged from ED.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Muscle spasms
Clinical narrative: ED visit 4/19/21, reports she had a Covid vaccine last Tuesday (4/13) and reports that she went into anaphylactic shock and went to the Hospital be treated, she was then discharged on a course of steroids, she says steroids made her vision blurry, so she stopped them, some of her blurry vision is persisting and she now feels like she has cramping/spasms in her calf muscles bilaterally. She also complains of some generalized fatigue and weakness.  Labs showed leukocytosis, suspect it is secondary to the prednisone or the immune response/anaphylactic reaction. No need for additional treatment at this time. Recommended she follow-up with PCP as warranted. Discharged from ED.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, SARS-CoV-2 test positive, Suicidal ideation, Thirst
Clinical narrative: Date of Admission  01/08/2022   Date of Discharge  01/13/2022   Reason for Hospitalization   Pt COV+ yesterday, presents w/ c/o vomiting and states that he will just "throw up" without even being nauseous; states that he's craving water.  Hospital Course       Patient is a 32yo man with PMHx of depression, hx suicide attempt, methamphetamine & marijuana abuse, who was admitted on 1/8 for management of COVID-19, methamphetamine intoxication, and suicidal ideation. He was cleared by psych from an SI standpoint. Medically remained asymptomatic. Was accepted to house after 5d of isolation per their guidelines, so patient discharged there.  Discharge Diagnoses      1. Suicidal ideation  COVID 19  - Symptomatic 1/5/2022; Positive 1/7/2022; will not be cleared from isolation until 1/15/2022 per infection control  - on room air  - Currently asymptomatic  Stimulant use disorder: H/o Meth amphetamine abuse  Suicidal ideations  MDD  Possible malingering  - Psych consulted    -- continue sertraline 50 daily    -- Cleared for discharge by psychiatry when medically stable. Recommending continue sertraline 50 mg daily however patient is refusing prescription stating he will not take it.       Orders:   sertraline, 75 mg = 3 Tablet(s), Oral, Daily, # 90 Tablet(s), Refill(s) 0, Pharmacy: HOSP, bedside delivery please. Dsch ~1000, 178, cm, 01/09/22 1:05:00, Height (cm), kg, 01/09/22 1:05:00, Weight (kg), 85.2  Discharge Patient  Other Diagnoses   Ongoing  Abdominal pain  ADHD  Depression  H/O psychoactive substance use disorder  Marijuana use  Methamphetamine abuse  Schizophrenia  Symptomatic cholelithiasis  Historical  No qualifying data    Consultants  Psychiatry       Medications  New, Changed, or Refilled Medications  sertraline (Zoloft 25 mg) 75 mg, 3 Tablet(s), Oral, Daily, 90 Tablet(s), 0 Refill(s)      Medications to be Continued  None    Discontinued Medications  escitalopram (Lexapro 10 10 mg, 1 Tablet(s), Oral, Daily, 30 Tablet(s), 0 Refill(s)       Physical Exam at Discharge  Vitals & Measurements  T: 36.4 °C  TMIN: 35.8 °C  TMAX: 36.5 °C  HR: 75  RR: 16  BP: 102/58  SpO2: 96%      Constitutional: Patient laying in bed in no acute distress. Alert & oriented x4. HEENT: Oral mucosa moist. Conjunctiva without injection. Pulm: Regular respiratory rate & effort. Breath sounds clear in all anterior lung fields. No rales, rhonchi, wheezing. CV: RRR. Normal S1/S2, no murmurs appreciated. No pedal edema. GI: Normoactive bowel sounds. Soft, non-tender, non-distended. MSK: moves all extremities Skin: Warm, dry, intact. Neuro: No focal deficits Psych: Cooperative. Appropriate mood & affect.  Time Spent   32 minutes spent. 50% or greater of time spent counseling and/or coordination of care.   Collaborating physician agreement: Dr.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Toxicity to various agents, Vomiting
Clinical narrative: Date of Admission  01/08/2022   Date of Discharge  01/13/2022   Reason for Hospitalization   Pt COV+ yesterday, presents w/ c/o vomiting and states that he will just "throw up" without even being nauseous; states that he's craving water.  Hospital Course       Patient is a 32yo man with PMHx of depression, hx suicide attempt, methamphetamine & marijuana abuse, who was admitted on 1/8 for management of COVID-19, methamphetamine intoxication, and suicidal ideation. He was cleared by psych from an SI standpoint. Medically remained asymptomatic. Was accepted to house after 5d of isolation per their guidelines, so patient discharged there.  Discharge Diagnoses      1. Suicidal ideation  COVID 19  - Symptomatic 1/5/2022; Positive 1/7/2022; will not be cleared from isolation until 1/15/2022 per infection control  - on room air  - Currently asymptomatic  Stimulant use disorder: H/o Meth amphetamine abuse  Suicidal ideations  MDD  Possible malingering  - Psych consulted    -- continue sertraline 50 daily    -- Cleared for discharge by psychiatry when medically stable. Recommending continue sertraline 50 mg daily however patient is refusing prescription stating he will not take it.       Orders:   sertraline, 75 mg = 3 Tablet(s), Oral, Daily, # 90 Tablet(s), Refill(s) 0, Pharmacy: HOSP, bedside delivery please. Dsch ~1000, 178, cm, 01/09/22 1:05:00, Height (cm), kg, 01/09/22 1:05:00, Weight (kg), 85.2  Discharge Patient  Other Diagnoses   Ongoing  Abdominal pain  ADHD  Depression  H/O psychoactive substance use disorder  Marijuana use  Methamphetamine abuse  Schizophrenia  Symptomatic cholelithiasis  Historical  No qualifying data    Consultants  Psychiatry       Medications  New, Changed, or Refilled Medications  sertraline (Zoloft 25 mg) 75 mg, 3 Tablet(s), Oral, Daily, 90 Tablet(s), 0 Refill(s)      Medications to be Continued  None    Discontinued Medications  escitalopram (Lexapro 10 10 mg, 1 Tablet(s), Oral, Daily, 30 Tablet(s), 0 Refill(s)       Physical Exam at Discharge  Vitals & Measurements  T: 36.4 °C  TMIN: 35.8 °C  TMAX: 36.5 °C  HR: 75  RR: 16  BP: 102/58  SpO2: 96%      Constitutional: Patient laying in bed in no acute distress. Alert & oriented x4. HEENT: Oral mucosa moist. Conjunctiva without injection. Pulm: Regular respiratory rate & effort. Breath sounds clear in all anterior lung fields. No rales, rhonchi, wheezing. CV: RRR. Normal S1/S2, no murmurs appreciated. No pedal edema. GI: Normoactive bowel sounds. Soft, non-tender, non-distended. MSK: moves all extremities Skin: Warm, dry, intact. Neuro: No focal deficits Psych: Cooperative. Appropriate mood & affect.  Time Spent   32 minutes spent. 50% or greater of time spent counseling and/or coordination of care.   Collaborating physician agreement: Dr.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given 0.5mL instead of 0.25mL of Moderna vaccine per CDC guidelines of 4th dose. Patient notified via phone by Public Health Nurse. Patient denies adverse affects at this time.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated patient admitted to inpatient facility and tested positive for covid
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Red itchy hives, often on arms, armpits, back, head, neck, and chest. Swollen, red, and itchy hands.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated patient admitted to inpatient setting, tested positive for COVID-19.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Impaired work ability, Malaise, Pain in extremity
Clinical narrative: I felt arm sore 5 hours after, and felt severe headache and general fatigue since Saturday AM, I called sick on Saturday, and I came to work Sunday for 4 hours then went home sick
Age: 30.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt had covid vaccine.  Pt admitted to the hospital with covid related diagnosis.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Insomnia, Pain
Clinical narrative: suffered with chills, headache and body aches, inability to sleep
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Communication disorder, Condition aggravated, Confusional state, Crying, Depression
Clinical narrative: Brain fog started around 1 week after vaccine, then continued with progressive worsening up through 3 weeks after. Patient was "zoning out", "staring at walls", struggling to concentrate, getting lost several times on routine drives, struggled to perform work duties and communicate, etc. Patient reported significant worsening of depression symptoms, whether direct or indirect (due to brain fog and not being "in control" of own mind): "crying multiple times a day for weeks" and increased suicidal ideation with plan.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Feeling abnormal, Impaired driving ability, Impaired work ability, Staring
Clinical narrative: Brain fog started around 1 week after vaccine, then continued with progressive worsening up through 3 weeks after. Patient was "zoning out", "staring at walls", struggling to concentrate, getting lost several times on routine drives, struggled to perform work duties and communicate, etc. Patient reported significant worsening of depression symptoms, whether direct or indirect (due to brain fog and not being "in control" of own mind): "crying multiple times a day for weeks" and increased suicidal ideation with plan.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Suicidal ideation
Clinical narrative: Brain fog started around 1 week after vaccine, then continued with progressive worsening up through 3 weeks after. Patient was "zoning out", "staring at walls", struggling to concentrate, getting lost several times on routine drives, struggled to perform work duties and communicate, etc. Patient reported significant worsening of depression symptoms, whether direct or indirect (due to brain fog and not being "in control" of own mind): "crying multiple times a day for weeks" and increased suicidal ideation with plan.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility with covid infection
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt had covid vaccine.  Pt admitted with covid related diagnosis.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with positive covid infection
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Antithrombin III, Beta-2 glycoprotein antibody negative, Cardiolipin antibody negative, Coagulation factor V level normal, HLA-B*27 assay
Clinical narrative: Hospitalized 12/2-12/4/21 for bilateral PE. Heme workup  negative for PNG, bet2 glycoprotein, Protein C, Protein S, Factor II, FVL, ACLA, LAC, ATIII, HLA-B-27. Concern for PE provoked from Booster COVID shot (< 3 months).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Protein C, Protein S, Prothrombin level normal
Clinical narrative: Hospitalized 12/2-12/4/21 for bilateral PE. Heme workup  negative for PNG, bet2 glycoprotein, Protein C, Protein S, Factor II, FVL, ACLA, LAC, ATIII, HLA-B-27. Concern for PE provoked from Booster COVID shot (< 3 months).
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash, Rash papular
Clinical narrative: Rash on chest and back starting 2 hours after 1st covid vaccine. Not itchy, no hives.  Seen in telehealth visit 11/9/21.  Per Dad: He took 25 mg Benadryl which did not affect him or the rash at all. He feels otherwise well. No other reaction to the vaccine. Dad says the rash is palpable (raised) but not dry or scaly feeling.  It came on all at once, did not start in one area and spread. No rash was present prior to the vaccine.   Exam: papular rash on chest and back, mildly erythematous. Diffuse patchy distribution. Photos in our chart were from 3 days ago when rash first appeared. On Zoom, rash appears slightly more dense and more red but same distribution and character of lesions.  11/15/2021: Called dad to follow up. He is doing fine but the rash is still kind of there. Has dried out on his chest, dry and bumpy to the touch. It looks about the same, same distribution on chest and back, not bothering him and he is not much interested in getting moisturizing cream on it.  11/27/2021: Had second dose of Covid vaccine; no reaction reported to us.  12/15/2021: Office visit for follow up of ADHD; no concerns raised regarding rash or vaccine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Dizziness, Fatigue, Musculoskeletal stiffness
Clinical narrative: Dizziness, fatigue, neck and back pain, pain shooting into legs, low grade fever, and chills. Neck pain and stiffness continued through the week.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Dizziness, fatigue, neck and back pain, pain shooting into legs, low grade fever, and chills. Neck pain and stiffness continued through the week.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac failure, Dyspnoea, Echocardiogram, SARS-CoV-2 test positive
Clinical narrative: Pt arrived at the hospital on 2/22 due to shortness of breath and was admitted for heart failure and known coronary artery disease.  On 2/24 the pt was tested for COVID due to requiring a TEE and the test was positive.
Age: 0.17
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse reaction. Patient was given and expired vaccine. Rotavirus expired 2/22/22 but was given to patient on 2/23/22
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Aortic stenosis, Blood creatinine increased, COVID-19 pneumonia, Cardiac stress test
Clinical narrative: This 58 year old woman was admitted with covid pneumonia nd respiratory failure.  She was treated with remdesivir and steroids.  At one point she did require bipap but she been weaned down to 2 liters oxygen (she has oxygen at home PTA) and is doing well.      She had renal failure.  Medications were adjusted.  She was seen by nephrology.  Her creatinine today is down to 2.2 which is what her baseline was in December.  She will need monitoring of this and will follow up with pcp and nephrology.   She did have emphysematous pyelonephritis.  Culture not diagnostic.  She has received IV antibiotics here and will complete antibiotics at home orally.     She did have nstemi.  She was seen by cardiology.  Echo showed LVEF 44% and moderate AS.  She did have a stress test also.  She will follow up with cardiology as outpatient.  Cath was postponed at this time due to renal concerns.     She did have significant metabolic encephalopathy but this seems to have cleared.   She does have diabetes and her dose of insulin has been reduced while here.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Culture, Echocardiogram abnormal, Ejection fraction decreased, Emphysematous pyelonephritis, Metabolic encephalopathy
Clinical narrative: This 58 year old woman was admitted with covid pneumonia nd respiratory failure.  She was treated with remdesivir and steroids.  At one point she did require bipap but she been weaned down to 2 liters oxygen (she has oxygen at home PTA) and is doing well.      She had renal failure.  Medications were adjusted.  She was seen by nephrology.  Her creatinine today is down to 2.2 which is what her baseline was in December.  She will need monitoring of this and will follow up with pcp and nephrology.   She did have emphysematous pyelonephritis.  Culture not diagnostic.  She has received IV antibiotics here and will complete antibiotics at home orally.     She did have nstemi.  She was seen by cardiology.  Echo showed LVEF 44% and moderate AS.  She did have a stress test also.  She will follow up with cardiology as outpatient.  Cath was postponed at this time due to renal concerns.     She did have significant metabolic encephalopathy but this seems to have cleared.   She does have diabetes and her dose of insulin has been reduced while here.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Renal failure, Respiratory failure
Clinical narrative: This 58 year old woman was admitted with covid pneumonia nd respiratory failure.  She was treated with remdesivir and steroids.  At one point she did require bipap but she been weaned down to 2 liters oxygen (she has oxygen at home PTA) and is doing well.      She had renal failure.  Medications were adjusted.  She was seen by nephrology.  Her creatinine today is down to 2.2 which is what her baseline was in December.  She will need monitoring of this and will follow up with pcp and nephrology.   She did have emphysematous pyelonephritis.  Culture not diagnostic.  She has received IV antibiotics here and will complete antibiotics at home orally.     She did have nstemi.  She was seen by cardiology.  Echo showed LVEF 44% and moderate AS.  She did have a stress test also.  She will follow up with cardiology as outpatient.  Cath was postponed at this time due to renal concerns.     She did have significant metabolic encephalopathy but this seems to have cleared.   She does have diabetes and her dose of insulin has been reduced while here.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac disorder, Cardiac monitoring, Cold sweat, Echocardiogram
Clinical narrative: I received my booster shot on 1/27/2022 around late Thursday night. On Saturday night, I had a sore throat, heart irritation, and cold sweats with no fever, however I did have a slight headache. My AFib was 130-150 which was very irregular, my heart beating was very high. On Monday I saw my oncologist who offered me to go the hospital, my husband took me to the ER. I was given 2 bags of Cardizem through my IV to slow down my heart rate. I was eventually admitted after my heart rate went back up following it slowing down for a minute. While I was there I was being monitored regularly and taken off of Cardizem. On Wednesday night my heart rate went back to normal and I was discharged on Thursday.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Headache, Heart rate increased, Oropharyngeal pain
Clinical narrative: I received my booster shot on 1/27/2022 around late Thursday night. On Saturday night, I had a sore throat, heart irritation, and cold sweats with no fever, however I did have a slight headache. My AFib was 130-150 which was very irregular, my heart beating was very high. On Monday I saw my oncologist who offered me to go the hospital, my husband took me to the ER. I was given 2 bags of Cardizem through my IV to slow down my heart rate. I was eventually admitted after my heart rate went back up following it slowing down for a minute. While I was there I was being monitored regularly and taken off of Cardizem. On Wednesday night my heart rate went back to normal and I was discharged on Thursday.
Age: 57.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility with covid infection
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Injection site pain, Muscle spasms, Pain
Clinical narrative: She got her vaccine, had no problem, until a couple of hours later.  That night she had some chills, body aches on the right side of her body that went from the injection site down to her lower leg that came and went.  About a day after the pain has continued and stayed there. The pain stays in her right hip and goes down to her legs that causes her pain when she's sitting or standing, like muscle spasms.   She has not called her doctor yet.  She has been taking Tylenol for the symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: She got her vaccine, had no problem, until a couple of hours later.  That night she had some chills, body aches on the right side of her body that went from the injection site down to her lower leg that came and went.  About a day after the pain has continued and stayed there. The pain stays in her right hip and goes down to her legs that causes her pain when she's sitting or standing, like muscle spasms.   She has not called her doctor yet.  She has been taking Tylenol for the symptoms.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient presented with COVID concern and was positive
Age: 1.5
Sex: F
Vaccine: MMRV
Symptoms: Rash, Rash pruritic, Sleep disorder, Varicella
Clinical narrative: Patients mother reported that child developed a rash all on her body including her face the day after her vaccine. It was very itchy and child wont sleep because of how itchy it is. Seen by pediatrician in office and diagnosed as having varicella. Was prescribed : Acyclovir Hydroxyzine Chlorhexidine Gluconate solution Diphenhydramine Child to be seen by pediatrician in one week
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Chest discomfort, Chills, Discomfort, Feeling abnormal
Clinical narrative: After I received the booster shot on L upper arm. I felt sore and felt like something going through my upper body. I felt slight tightness around my chest area, no SOB, but uncomfortably feeling.  Then I felt weird feeling going through my knee and legs. At the staying for 15 min, I left but the store, but the weird feeing continues. Two hours later, I felt the chills and muscle aches especially in the L arm. No temp. Later in the evening,  I felt nauseous, muscle tightness and  the chills. This morning,  after shower, I noticed a huge lump in my L armpit, about half the size of a tennis ball, very uncomfortable.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Myalgia, Nausea, Pain, Sensory disturbance
Clinical narrative: After I received the booster shot on L upper arm. I felt sore and felt like something going through my upper body. I felt slight tightness around my chest area, no SOB, but uncomfortably feeling.  Then I felt weird feeling going through my knee and legs. At the staying for 15 min, I left but the store, but the weird feeing continues. Two hours later, I felt the chills and muscle aches especially in the L arm. No temp. Later in the evening,  I felt nauseous, muscle tightness and  the chills. This morning,  after shower, I noticed a huge lump in my L armpit, about half the size of a tennis ball, very uncomfortable.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Client received a Moderna booster vaccine that was pre-drawn up for 4-5 days prior to vaccination. Unknown symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis coronary artery, Aspiration, Blood culture, Blood lactic acid normal, Blood test abnormal
Clinical narrative: Patient expired.  66 y.o. male with past medical history significant for type 2 diabetes, vascular dementia, AFib on Eliquis, CHF, depression, chronic anemia, recent DVT/PE, chronic hypoxic respiratory failure who presented to emergency department with altered mental status. Upon arrival to emergency department, patient was febrile but other vitals were stable.  Baseline blood work was obtained which was remarkable for leukocytosis of 16. Lactic acid was normal.  Suprapubic catheter was changed in UA was obtained.  UA positive for acute infection.  Viral PCR negative.  CXR was obtained showing worsening bilateral infiltrates consistent with pneumonia.  CT abdomen and pelvis was obtained showing mild sigmoid colon diverticulosis without diverticulitis.  Mild to moderate large volume of stool.  Ultrasound of lower extremities was obtained which was negative acute DVT.  Blood cultures were obtained and patient was started on cefepime, vancomycin and azithromycin.  He was also given a 2 L NS bolus.  Patient was then transferred to Hospital and admitted to General Medicine for further evaluation and management.   Patient was initially confused and this had resolved after the 1st 48 hours of stay.  Neurology consulted per family's request and they agreed that this confusion is secondary to acute toxic metabolic encephalopathy related to his COVID and hypoxia.   Patient continued on oxygen support.  Patient had been requiring high-flow nasal cannula support.  Infectious Disease consulted with MRSA screen positive.  Workups showed positive COVID and the rest were negative.  Antibiotics then discontinued.  IV steroids then initiated.  Pulmonary consulted and evaluated patient. Agreed on IV steroids.  Chest CT performed and showed extensive bilateral ground-glass opacities with probable developing fibrosis as a sequelae of his previous COVID-19 pneumonia.  Patient was saturating well with his high-flow nasal cannula oxygen support.  Patient noted to have aspiration episodes that SLP consulted, performed FEES which did show significant aspirations and recommended NPO.  Patient noted to have no capacity to make decision about risks of eating and benefits of feeding tube placement and decisions on advance care planning.  Neuropsych had been consulted for this and evaluated patient.  Patient deemed to have no medical decision making capacity on this. DPOA then activated.  Initiated goals of care discussion with medical DPOA who was receptive of palliative care involvement and hospice informational meeting.  Upon seeing patient on 02/14/2022, DPOA decided on to proceed with comfort care measures.  Comfort care measures then had been initiated.  Hospice service followed and patient deemed to meet criteria for hospice on 2/15/2021.  The patient passed away and was pronounced on 2/17/2022 at 1200pm.  Cause of death is COVID-19 pneumonia and secondary bacterial pneumonia + Sepsis.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchiectasis, COVID-19, COVID-19 pneumonia, Cardiomegaly, Cerebral small vessel ischaemic disease
Clinical narrative: Patient expired.  66 y.o. male with past medical history significant for type 2 diabetes, vascular dementia, AFib on Eliquis, CHF, depression, chronic anemia, recent DVT/PE, chronic hypoxic respiratory failure who presented to emergency department with altered mental status. Upon arrival to emergency department, patient was febrile but other vitals were stable.  Baseline blood work was obtained which was remarkable for leukocytosis of 16. Lactic acid was normal.  Suprapubic catheter was changed in UA was obtained.  UA positive for acute infection.  Viral PCR negative.  CXR was obtained showing worsening bilateral infiltrates consistent with pneumonia.  CT abdomen and pelvis was obtained showing mild sigmoid colon diverticulosis without diverticulitis.  Mild to moderate large volume of stool.  Ultrasound of lower extremities was obtained which was negative acute DVT.  Blood cultures were obtained and patient was started on cefepime, vancomycin and azithromycin.  He was also given a 2 L NS bolus.  Patient was then transferred to Hospital and admitted to General Medicine for further evaluation and management.   Patient was initially confused and this had resolved after the 1st 48 hours of stay.  Neurology consulted per family's request and they agreed that this confusion is secondary to acute toxic metabolic encephalopathy related to his COVID and hypoxia.   Patient continued on oxygen support.  Patient had been requiring high-flow nasal cannula support.  Infectious Disease consulted with MRSA screen positive.  Workups showed positive COVID and the rest were negative.  Antibiotics then discontinued.  IV steroids then initiated.  Pulmonary consulted and evaluated patient. Agreed on IV steroids.  Chest CT performed and showed extensive bilateral ground-glass opacities with probable developing fibrosis as a sequelae of his previous COVID-19 pneumonia.  Patient was saturating well with his high-flow nasal cannula oxygen support.  Patient noted to have aspiration episodes that SLP consulted, performed FEES which did show significant aspirations and recommended NPO.  Patient noted to have no capacity to make decision about risks of eating and benefits of feeding tube placement and decisions on advance care planning.  Neuropsych had been consulted for this and evaluated patient.  Patient deemed to have no medical decision making capacity on this. DPOA then activated.  Initiated goals of care discussion with medical DPOA who was receptive of palliative care involvement and hospice informational meeting.  Upon seeing patient on 02/14/2022, DPOA decided on to proceed with comfort care measures.  Comfort care measures then had been initiated.  Hospice service followed and patient deemed to meet criteria for hospice on 2/15/2021.  The patient passed away and was pronounced on 2/17/2022 at 1200pm.  Cause of death is COVID-19 pneumonia and secondary bacterial pneumonia + Sepsis.