chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Magnetic resonance imaging abnormal, Mammogram normal, Paget's disease of nipple, Scan with contrast abnormal
Clinical narrative: Soon after dose 5 I was diagnosed with a severe urinary tract infection that showed microscopic blood. Then I began to have problems with my left breast with discharge. It was red and burned. I had a diagnostic mammogram that showed nothing. I then went to my dermatologist and was Paget Disease of the breast. I am scheduled for surgery.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Urinary tract infection
Clinical narrative: Soon after dose 5 I was diagnosed with a severe urinary tract infection that showed microscopic blood. Then I began to have problems with my left breast with discharge. It was red and burned. I had a diagnostic mammogram that showed nothing. I then went to my dermatologist and was Paget Disease of the breast. I am scheduled for surgery.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: We administered a COVID19 bivalent vaccine that was over the BUD. We pulled it from the fridge and first punctured it at 10:32am on 1/9/23. It should have been discarded on 1/9/23 at 10:32pm. We administered the vaccine at 1:50pm on 1/10/23. We have contacted Moderna on how to proceed.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Urticaria
Clinical narrative: Immunization administered at 1421 and patient left facility shortly after with grandfather and brother who accompanied her to appointment. Mom called at 1446 reporting that her child was experiencing hives on her face.  Nurse told mom to administer Benadryl and to monitor for trouble breathing or worsening hives and at that point to call EMS or go to the nearest emergency room.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Bivalent booster, his fourth COVID shot. The medical assistant incorrectly drew and injected him with the original vaccine series. Patient will be notified and re-vaccinated as recommended.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient requested the Bivalent booster, his third COVID shot. The medical assistant incorrectly drew and injected him with the original vaccine series. Patient will be notified and re-vaccinated as recommended.
Age: 50.0
Sex: M
Vaccine: COVID19-2, FLU4, PNC15
Symptoms: Expired product administered
Clinical narrative: dose drawn up on 12.27.22 @ 2:30pm but given on 12.28.22 @ 5:39pm, outside the 12 hr expiration and 24 hr pfizer stability data, will need to be repeated.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Heart rate increased
Clinical narrative: On 12/16/22 my heart rate elevated; ECG on smart watch informed me I had Afib; contacted doctor instructed me not to worry. Hospital contacted me about testing.
Age: 13.0
Sex: F
Vaccine: IPV, VARCEL
Symptoms: Aggression, Confusional state, Consciousness fluctuating, Disorientation, Loss of consciousness
Clinical narrative: Pt was sitting in lobby after receiving vaccinations. RN was notified via interpreter that the pt mother was requesting an alcohol wipe for pt to smell. RN went to pt in lobby with interpreter. Pt sat upright in chair having difficulty keeping eyes open. Pt appeared to lose consciousness and regain it several times. Pt was combative, pushing RN and parents away with attempts to have pt drink juice and sucker. Pt was confused, not oriented x3. Pt moved to exam room for more monitoring. Pt blood pressure checked every 5 minutes and was WNL. Pt drank more juice and ate a marshmallow treat and was able to answer RN questions appropriately. Pt became A&Ox4 after juice and snacks.  Pt reported that she felt a lot better and was able to walk around and answer questions with no difficulty.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Cough, Pain in extremity, Pulmonary function test normal
Clinical narrative: My arm was really bruised and painful. About a month later, I began to develop a chronic cough. My doctor sent me for pulmonary testing a year later to see if I had asthma, which came back negative.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Cough, Insomnia, Nausea
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster on 10/8/2022. On 12/6/2022, I became nauseous. The nausea lasted until shortly before 1/1/2023. Before then, I could only eat a little, and what little I ate tasted terrible. I developed a severe cough on the night of 12/11/2022. It was so bad that I wasn't able to sleep for 3 nights in a row. On 12/15/2022, I took a home antigen test and got a positive result. I called the doctor's office and was prescribed PAXLOVID, which I began taking that day. After that, things started to improve. After I completed the 5-day course of PAXLOVID, I still had a cough, but it wasn't as bad as before. I treated my cough with some cough drops and tea with honey, which helped. I still have the cough, but it has improved significantly; it's only been since this week that I have been able to talk on the phone without having a coughing fit. I have also regained a lot of my energy. I took another home antigen test on 12/20/2022 and got another positive result. My doctor told me that I could test positive for up to 90 days, so I have just stopped testing myself. I also make sure to wear a mask when I am around others now.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Taste disorder
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster on 10/8/2022. On 12/6/2022, I became nauseous. The nausea lasted until shortly before 1/1/2023. Before then, I could only eat a little, and what little I ate tasted terrible. I developed a severe cough on the night of 12/11/2022. It was so bad that I wasn't able to sleep for 3 nights in a row. On 12/15/2022, I took a home antigen test and got a positive result. I called the doctor's office and was prescribed PAXLOVID, which I began taking that day. After that, things started to improve. After I completed the 5-day course of PAXLOVID, I still had a cough, but it wasn't as bad as before. I treated my cough with some cough drops and tea with honey, which helped. I still have the cough, but it has improved significantly; it's only been since this week that I have been able to talk on the phone without having a coughing fit. I have also regained a lot of my energy. I took another home antigen test on 12/20/2022 and got another positive result. My doctor told me that I could test positive for up to 90 days, so I have just stopped testing myself. I also make sure to wear a mask when I am around others now.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antibody test abnormal, Autoimmune disorder, Coagulopathy, Positron emission tomogram abnormal, Pulmonary embolism
Clinical narrative: PULMONARY EMBOLISM occurred just two weeks after the second dose of Pfizer Comerity. There were no other acute health conditions in this period that would account for the event.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Dyspnoea, Dyspnoea exertional, Injection site erythema, Injection site swelling
Clinical narrative: ERYTHEMA AROUND INJECTION SITE AND AS DAYS WENT ON IT GOT MORE SWOLLEN AND MOVED DOWN THE ARM (DIDNT THIN OUT, ONLY GOT MORE SWOLLEN), INTERMITTENT SHORTNESS OF BREATH UPON ACTIVITY. STARTED ON 1/6 AND ARM GOT PROGRESSIVELY WORSE. PT EXPERIENCES SHORTNESS OF BREATH OCCASIONALLY THROUGHOUT THE DAY BUT DOESN'T STOP HER FROM NORMAL ACTIVITY
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal pain upper, Antinuclear antibody, Arthralgia, Blood test normal, Exercise tolerance decreased
Clinical narrative: I had a lot of pain in my shoulder. This happens in the morning around 8AM. I can't exercise because it would make my head hurt worse. I tried to take TYLENOL for the pain, and it wouldn't make a dent in the pain. I also tried to take a shower to get the pain go away that didn't work. The doctor said it was an onset rheumatoid. The doctor can see the swelling on my knees and wrist. The doctor could see how much pain I was in due to swelling. I also had a bad stomachache.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Full blood count, Headache, Joint swelling, Pain, Rheumatoid factor
Clinical narrative: I had a lot of pain in my shoulder. This happens in the morning around 8AM. I can't exercise because it would make my head hurt worse. I tried to take TYLENOL for the pain, and it wouldn't make a dent in the pain. I also tried to take a shower to get the pain go away that didn't work. The doctor said it was an onset rheumatoid. The doctor can see the swelling on my knees and wrist. The doctor could see how much pain I was in due to swelling. I also had a bad stomachache.
Age: 27.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Discomfort, Feeling hot, Loss of consciousness, Middle insomnia, Presyncope
Clinical narrative: Felt very hot and fainted shortly after waking in the night, lost consciousness for several minutes, and struggled to get back up without help for about 20 minutes after regaining consciousness.  Was able to stand again after resting, cooling, and consuming water. Voluntarily visited an urgent care facility for evaluation as no other walk-in clinic was open. Nearly fainted again while sitting in waiting area and needed to lie down. Vitals and other test results were normal. Diagnosed as vasovagal syncope potentially relating to stress and discomfort from more typical vaccine side effects and instructed to hydrate and rest. Left clinic and suffered no further events after 8-9am.
Age: 27.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Stress, Syncope
Clinical narrative: Felt very hot and fainted shortly after waking in the night, lost consciousness for several minutes, and struggled to get back up without help for about 20 minutes after regaining consciousness.  Was able to stand again after resting, cooling, and consuming water. Voluntarily visited an urgent care facility for evaluation as no other walk-in clinic was open. Nearly fainted again while sitting in waiting area and needed to lie down. Vitals and other test results were normal. Diagnosed as vasovagal syncope potentially relating to stress and discomfort from more typical vaccine side effects and instructed to hydrate and rest. Left clinic and suffered no further events after 8-9am.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Cyst, Joint swelling, Laboratory test normal, Oedema
Clinical narrative: Per patient, symptoms began approximately 7 days post vaccine administration. Initial symptoms were cysts on bilateral wrists. Pt went to urgent care and was diagnosed with cysts of unknown etiology. Patients symptoms progressed to involve additional joints of knees and ankles. Symptoms included swelling, pain and pitting edema on bilateral knees. Symptoms are transient between joints. Sometimes ankles or knees or wrists. Pt. went to see her primary care where they did lab work to rule out arthritis among other diagnoses. Lab work negative for arthritis, per pt. Pt was prescribed prednisone, Zyrtec, and several different vitamins and minerals. Symptoms are still ongoing.
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Exposure during pregnancy, No adverse event
Clinical narrative: Patient is 16 weeks pregnant and came in for COVID vaccine. Patient was administered Bivalent. Patient was monitored and had no adverse events noted.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test normal, Chest X-ray abnormal, Diarrhoea, Dizziness
Clinical narrative: On 12/10/2022, I was finishing up my day at work when I began to feel lightheaded. I went home and took a nap. When I woke up, I was experiencing flu like symptoms. I had fever, diarrhea, stomachache. I was treating with over-the-counter medication. After a few days, when the fever did not go away, I went to the medical center where they diagnosed me with pneumonia. They prescribed, antibiotics, guaifenesin, benzonatate. After around five days, I felt fine and am still doing well.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Pneumonia, Pyrexia
Clinical narrative: On 12/10/2022, I was finishing up my day at work when I began to feel lightheaded. I went home and took a nap. When I woke up, I was experiencing flu like symptoms. I had fever, diarrhea, stomachache. I was treating with over-the-counter medication. After a few days, when the fever did not go away, I went to the medical center where they diagnosed me with pneumonia. They prescribed, antibiotics, guaifenesin, benzonatate. After around five days, I felt fine and am still doing well.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dyspnoea
Clinical narrative: A week before I had trouble breathing at night, contacted doctor was prescribed cortisone and AUGMENTIN.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Malaise, Nasopharyngitis, Pain
Clinical narrative: I tested positive for COVID-19 on 12/28/2022. It started off with a head cold and a scratchy throat. I had body aches, malaise, and a slight cough. It felt more like a bad cold. I took no medicine. I talked to the doctor when I was several days into the symptoms so we decided to ride it out. It was basically taking lots of fluids. The doctor said if I got worse to go to the emergency room. I still have some slight symptoms that haven't gone away. The congestion is still lingering. I would say I'm not fully recovered at this time.
Age: 65.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I tested positive for COVID-19 on 12/28/2022. It started off with a head cold and a scratchy throat. I had body aches, malaise, and a slight cough. It felt more like a bad cold. I took no medicine. I talked to the doctor when I was several days into the symptoms so we decided to ride it out. It was basically taking lots of fluids. The doctor said if I got worse to go to the emergency room. I still have some slight symptoms that haven't gone away. The congestion is still lingering. I would say I'm not fully recovered at this time.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Lethargy, Pyrexia, Respiratory tract congestion
Clinical narrative: I had my vaccination on 10/10/2022. I started to have symptoms to include lethargy fever chills congestions sneezing on 12/03/2022. I tested COVID-19 positive on 12/04/2022. I was prescribed LAGEVRIO. I presently feel better on 01/10/2022.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sneezing
Clinical narrative: I had my vaccination on 10/10/2022. I started to have symptoms to include lethargy fever chills congestions sneezing on 12/03/2022. I tested COVID-19 positive on 12/04/2022. I was prescribed LAGEVRIO. I presently feel better on 01/10/2022.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring, Dizziness, Electrocardiogram abnormal, Feeling abnormal
Clinical narrative: I woke up and didn't feel good. I felt lightheaded and my smart watch read that my heartrate was at 170. My husband took me to hospital. They checked my blood pressure and EKG and saw I was in A-fib. It took multiple medication and they put me on an IV to monitor my heart rate and it went back to normal.
Age: 0.5
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Nurse collected all vaccines that were ordered by provider. Upon collecting vaccines nurse grabbed wrong covid vaccine that was not ordered. All vaccines were scanned except covid as nurse did not realize covid had not been scanned in. When administering vaccine missed scanning before giving. Patient received covid bivalent 6m-4y covid vaccine instead of monovalent 6m-4yr covid vaccine.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Fever and vomiting approximately 30 hours after receiving vaccine. Also with headache. Symptoms improving today 1/10/2023.
Age: 51.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: COVID-19 bivalent booster given instead of initial vaccine series.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: 12/25/2022 that evening I had a sore throat, stuffy nose and I had a fever the next day. I took a at home COVID-19 test and is positive. I contact my PCP on the telephone, He have me PAXLOVID the smaller dose because of my kidneys. I was having symptoms for about four days. I tested negative on 01/01/2023. I got rebound COVID-19 on 01/07/2023. Now I have a very stuffy nose and a fever yesterday 100.4. It was fever chills and a stuffy nose all day today as well.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Renal disorder, SARS-CoV-2 test positive
Clinical narrative: 12/25/2022 that evening I had a sore throat, stuffy nose and I had a fever the next day. I took a at home COVID-19 test and is positive. I contact my PCP on the telephone, He have me PAXLOVID the smaller dose because of my kidneys. I was having symptoms for about four days. I tested negative on 01/01/2023. I got rebound COVID-19 on 01/07/2023. Now I have a very stuffy nose and a fever yesterday 100.4. It was fever chills and a stuffy nose all day today as well.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: Cough, Dysphagia, Fatigue, Influenza virus test negative, Malaise
Clinical narrative: On December 18, 2022, I woke up with a sore throat. The following day it was so severe I was unable to swallow. I called the doctor, and they ran some tests. They ran several tests that all were negative. I was recommended some over-the-counter medications. I used a spray for my throat to numb it. I remained sick until January 1, 2023. Another symptom during this time was runny nose and fatigue. As of today, I still have a residual cough.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLUR4
Symptoms: Oropharyngeal pain, Respiratory syncytial virus test negative, Rhinorrhoea, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: On December 18, 2022, I woke up with a sore throat. The following day it was so severe I was unable to swallow. I called the doctor, and they ran some tests. They ran several tests that all were negative. I was recommended some over-the-counter medications. I used a spray for my throat to numb it. I remained sick until January 1, 2023. Another symptom during this time was runny nose and fatigue. As of today, I still have a residual cough.
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Headache, Mobility decreased
Clinical narrative: I woke up early in the morning 12 hours after getting the vaccine and I laid in bed unable to move my whole entire body. Every single joint in my body including my head was in so much pain.
Age: 64.0
Sex: M
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: Patient was given the pediatric dose.  Dr. stated he can have another pediatric dose to make a complete adult dose. In total, 2 pediatric doses were given
Age: 64.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Cough, Headache, Pain, Respiratory tract congestion
Clinical narrative: I had a headache, congestion and aches all over my body. I had a terrible cough and a very runny nose. I completed a home test on November 28, 2022, and it was positive. I called my doctor, and she reviewed the symptoms. She prescribed PAXLOVID. I started the prescription on the same day. I had 2 really bad days, but they started to improve after that. I got progressively better. It took about 9 days to completely subside. I still have a cough and a little runny nose. It's not severe just annoying.
Age: 64.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a headache, congestion and aches all over my body. I had a terrible cough and a very runny nose. I completed a home test on November 28, 2022, and it was positive. I called my doctor, and she reviewed the symptoms. She prescribed PAXLOVID. I started the prescription on the same day. I had 2 really bad days, but they started to improve after that. I got progressively better. It took about 9 days to completely subside. I still have a cough and a little runny nose. It's not severe just annoying.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Sleep terror, Vomiting
Clinical narrative: Patient developed fever approximately 10 hours after receiving vaccine. He then developed vomiting and night terrors as well as headaches. He also had night terrors with 3rd dose of COVID vaccine.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Dizziness, Fatigue, Headache
Clinical narrative: On 11/28/2022, I started to experience symptoms of fatigue. I took a nap and when I woke up I had a headache and started with a cough. The next day, my symptoms seemed a bit worse, so I performed a home test for Covid-19 and it came back positive. I reached out to my PCP on 11/29/2022 and he prescribed LAGEVRIO and prednisone for me to take. I feel that the medication helped with my symptoms. Overall, it felt like a bad cold. Everything went away, but the fatigue and a lingering cough. On 12/11/2022, I finished out of the shower and noticed that I was very lightheaded. I wasn't even able to make it from the bathroom to the bedroom. I notice that I am still having dizzy spells and I have a lingering cough that comes and goes. I have not gone to the doctor for the dizziness yet. On, 12/24/2022, my left leg, from the knee down, started to swell. I saw my doctor on 12/29/2022, and he sent me for a doppler scan. The swelling has gone away and we are not sure what happened. I also had an episode on 12/30/2022 where the right part of my upper lip started to swell. When I woke up the next day it had turned into a fever blister, which is something I have never had in my lifetime. It is still there today.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lip swelling, Oral herpes, Peripheral swelling, SARS-CoV-2 test positive, Ultrasound Doppler
Clinical narrative: On 11/28/2022, I started to experience symptoms of fatigue. I took a nap and when I woke up I had a headache and started with a cough. The next day, my symptoms seemed a bit worse, so I performed a home test for Covid-19 and it came back positive. I reached out to my PCP on 11/29/2022 and he prescribed LAGEVRIO and prednisone for me to take. I feel that the medication helped with my symptoms. Overall, it felt like a bad cold. Everything went away, but the fatigue and a lingering cough. On 12/11/2022, I finished out of the shower and noticed that I was very lightheaded. I wasn't even able to make it from the bathroom to the bedroom. I notice that I am still having dizzy spells and I have a lingering cough that comes and goes. I have not gone to the doctor for the dizziness yet. On, 12/24/2022, my left leg, from the knee down, started to swell. I saw my doctor on 12/29/2022, and he sent me for a doppler scan. The swelling has gone away and we are not sure what happened. I also had an episode on 12/30/2022 where the right part of my upper lip started to swell. When I woke up the next day it had turned into a fever blister, which is something I have never had in my lifetime. It is still there today.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Headache, Influenza
Clinical narrative: No reaction to the vaccine.  I started getting sick on Nove 21 with a sore throat; on the 22nd, I had a sinus headache and felt fatigued.  On the 23rd, I had a lot of sinus drainage and felt like a cold or sinus infection.  On the 24th, I woke up early with a sore throat that felt like a strep infection.  I hadn't had a sore throat of that intensity since a child.  I took a Covid test, and it was negative.  I felt mild flu symptoms, strep throat, and sinus infection all day.  I took another test that night-negative.  I took another test on the 25th around 11 AM.  It was positive.  My doctor's office was closed because of late Nov. holiday so I called the Urgent Clinic and was able to get a 5 PM appointment.  This is where I got an RX for Paxlovid.  Picked that up and took the night dose around 9 PM.  I woke up several hours after taking the medicine and felt 90% better.  I took the Paxlovid over the next 5 days as instructed.  I felt some fatigue, had a cough and had sinus drainage for the next 2 weeks.  My cough lasted the longest time about 4 weeks.  It usually only came on several times a day and before bed, occasionally waking me at night with a coughing fit.   I still, as of today, 1/10/2023, only have some days of feeling very fatigued, usually, if I have done a workout for over an hour.   I normally work out 5-6 days a week for a minimum of 2-3 hours, so this is new.  I have no other symptoms I had when, cough, sinus drainage, headaches, or sore throat.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, No adverse event, Oropharyngeal pain, Paranasal sinus hypersecretion, Pharyngitis streptococcal
Clinical narrative: No reaction to the vaccine.  I started getting sick on Nove 21 with a sore throat; on the 22nd, I had a sinus headache and felt fatigued.  On the 23rd, I had a lot of sinus drainage and felt like a cold or sinus infection.  On the 24th, I woke up early with a sore throat that felt like a strep infection.  I hadn't had a sore throat of that intensity since a child.  I took a Covid test, and it was negative.  I felt mild flu symptoms, strep throat, and sinus infection all day.  I took another test that night-negative.  I took another test on the 25th around 11 AM.  It was positive.  My doctor's office was closed because of late Nov. holiday so I called the Urgent Clinic and was able to get a 5 PM appointment.  This is where I got an RX for Paxlovid.  Picked that up and took the night dose around 9 PM.  I woke up several hours after taking the medicine and felt 90% better.  I took the Paxlovid over the next 5 days as instructed.  I felt some fatigue, had a cough and had sinus drainage for the next 2 weeks.  My cough lasted the longest time about 4 weeks.  It usually only came on several times a day and before bed, occasionally waking me at night with a coughing fit.   I still, as of today, 1/10/2023, only have some days of feeling very fatigued, usually, if I have done a workout for over an hour.   I normally work out 5-6 days a week for a minimum of 2-3 hours, so this is new.  I have no other symptoms I had when, cough, sinus drainage, headaches, or sore throat.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sinus headache, Sinusitis, Sleep disorder
Clinical narrative: No reaction to the vaccine.  I started getting sick on Nove 21 with a sore throat; on the 22nd, I had a sinus headache and felt fatigued.  On the 23rd, I had a lot of sinus drainage and felt like a cold or sinus infection.  On the 24th, I woke up early with a sore throat that felt like a strep infection.  I hadn't had a sore throat of that intensity since a child.  I took a Covid test, and it was negative.  I felt mild flu symptoms, strep throat, and sinus infection all day.  I took another test that night-negative.  I took another test on the 25th around 11 AM.  It was positive.  My doctor's office was closed because of late Nov. holiday so I called the Urgent Clinic and was able to get a 5 PM appointment.  This is where I got an RX for Paxlovid.  Picked that up and took the night dose around 9 PM.  I woke up several hours after taking the medicine and felt 90% better.  I took the Paxlovid over the next 5 days as instructed.  I felt some fatigue, had a cough and had sinus drainage for the next 2 weeks.  My cough lasted the longest time about 4 weeks.  It usually only came on several times a day and before bed, occasionally waking me at night with a coughing fit.   I still, as of today, 1/10/2023, only have some days of feeling very fatigued, usually, if I have done a workout for over an hour.   I normally work out 5-6 days a week for a minimum of 2-3 hours, so this is new.  I have no other symptoms I had when, cough, sinus drainage, headaches, or sore throat.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 10/10/2022. On 01/01/2023 started to experience symptoms to include a dry cough sore throat and runny nose. I tested COVID-19 positive 01/02/2023. I was prescribed PAXLOVID. I presently feel good on 01/10/2023. This is the second time I have had COVID-19. I was COVID-19 positive on 04/07/2022.
Age: 69.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Exposure to communicable disease, Fatigue, Feeling abnormal, Laboratory test abnormal, Rhinorrhoea
Clinical narrative: I was exposed on 12/26/2022, at a holiday party. I tested at home on 01/02/2022. on 12/31/2022, I felt off and tired. I went to bed early and on the 1st, I felt okay, I had sneezing and a little of a runny nose I tested at home, and it was negative. On the 2nd I decided to test, and it was positive. I contacted telehealth and was prescribed Paxlovid, the symptoms were fine by the 3rd. I felt fine and tested on 01/09/2023 it was negative.
Age: 69.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Sneezing
Clinical narrative: I was exposed on 12/26/2022, at a holiday party. I tested at home on 01/02/2022. on 12/31/2022, I felt off and tired. I went to bed early and on the 1st, I felt okay, I had sneezing and a little of a runny nose I tested at home, and it was negative. On the 2nd I decided to test, and it was positive. I contacted telehealth and was prescribed Paxlovid, the symptoms were fine by the 3rd. I felt fine and tested on 01/09/2023 it was negative.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Central venous catheterisation, Chest X-ray
Clinical narrative: Patient is a 86 y.o. female patient of a local MD with history of HTN, ESRD, chronic HFrEF who presented to Hospital with weakness. Acute hypoxic respiratory failure Covid-19 Virus Infection Date of onset of symptoms: 11/30/2022 Symptoms present on admission: nausea, vomiting, weakness Date of covid positive test: 12/6/2022 Vaccination status: vaccinated Imaging: CXR Oxygen requirements on admission: 2L Current oxygen requirements: 2 Medical therapy: Finished course of steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/17/2022   Wean oxygen as able. Out of isolation. She is status post remdesivir and steroids. Continue incentive spirometer.   Generalized Weakness with Fall PT/OT recommends 5 days a week therapy. Social services consulted for discharge planning     ESRD Continue HD per nephrology New tunneled cath placed 12/20   Chronic HFrEF Last TTE 12/11/2020: LV severely reduced with LVEF 24% Continue carvedilol Patient oliguric Management through hemodialysis   Intermittent difficulty swallowing Status post speech and swallow eval-placed on diet   Stable for discharge today to rehab
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Echocardiogram abnormal, Fall, Left ventricular dysfunction, Nausea
Clinical narrative: Patient is a 86 y.o. female patient of a local MD with history of HTN, ESRD, chronic HFrEF who presented to Hospital with weakness. Acute hypoxic respiratory failure Covid-19 Virus Infection Date of onset of symptoms: 11/30/2022 Symptoms present on admission: nausea, vomiting, weakness Date of covid positive test: 12/6/2022 Vaccination status: vaccinated Imaging: CXR Oxygen requirements on admission: 2L Current oxygen requirements: 2 Medical therapy: Finished course of steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/17/2022   Wean oxygen as able. Out of isolation. She is status post remdesivir and steroids. Continue incentive spirometer.   Generalized Weakness with Fall PT/OT recommends 5 days a week therapy. Social services consulted for discharge planning     ESRD Continue HD per nephrology New tunneled cath placed 12/20   Chronic HFrEF Last TTE 12/11/2020: LV severely reduced with LVEF 24% Continue carvedilol Patient oliguric Management through hemodialysis   Intermittent difficulty swallowing Status post speech and swallow eval-placed on diet   Stable for discharge today to rehab
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Swallow study, Vomiting
Clinical narrative: Patient is a 86 y.o. female patient of a local MD with history of HTN, ESRD, chronic HFrEF who presented to Hospital with weakness. Acute hypoxic respiratory failure Covid-19 Virus Infection Date of onset of symptoms: 11/30/2022 Symptoms present on admission: nausea, vomiting, weakness Date of covid positive test: 12/6/2022 Vaccination status: vaccinated Imaging: CXR Oxygen requirements on admission: 2L Current oxygen requirements: 2 Medical therapy: Finished course of steroids and remdesivir Consultants following: ID Anticipated special isolation end date: 12/17/2022   Wean oxygen as able. Out of isolation. She is status post remdesivir and steroids. Continue incentive spirometer.   Generalized Weakness with Fall PT/OT recommends 5 days a week therapy. Social services consulted for discharge planning     ESRD Continue HD per nephrology New tunneled cath placed 12/20   Chronic HFrEF Last TTE 12/11/2020: LV severely reduced with LVEF 24% Continue carvedilol Patient oliguric Management through hemodialysis   Intermittent difficulty swallowing Status post speech and swallow eval-placed on diet   Stable for discharge today to rehab
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Gastrointestinal disorder
Clinical narrative: At 5:00AM on December 23, 2022, I woke up with a burning sore throat. I tested positive for COVID-19 on the same day.  I had a tele visit with the doctor and was prescribed PAXLOVID. Symptoms were sore throat, headache, mild fever, some chills, dry cough, and diarrhea. I continue to have digestive issues and mild cough.
Age: 59.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: At 5:00AM on December 23, 2022, I woke up with a burning sore throat. I tested positive for COVID-19 on the same day.  I had a tele visit with the doctor and was prescribed PAXLOVID. Symptoms were sore throat, headache, mild fever, some chills, dry cough, and diarrhea. I continue to have digestive issues and mild cough.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Body temperature increased, COVID-19, Emotional disorder, Fatigue
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster on 10/5/2022. On 12/23/2022, I began feeling achy and a little bit sick in the late afternoon. I took my temperature, and it was 99.7. On the morning of 12/24/2022, I felt even achier and weaker. I took my temperature, which was 100.7. I decided to take a home antigen test, which yielded a positive result. I went to an urgent care clinic. The doctor there recommended against my taking PAXLOVID, because it would cause even more damage to my remaining kidney. Since I wasn't congested, the doctor said that I should go home, rest, take it easy, and take TYLENOL as needed. I felt tired, weak, and shaky. I also had a headache, but it wasn't as bad as the body aches. On about 12/26/2022, I began to feel better. My temperature returned to normal. I felt confined, so I decided to go out and walk around my neighborhood a bit. I was physically tired afterwards, but I felt emotionally better. I continued to test myself regularly, and each time I got a positive result. I took a test earlier today, and I still got a positive result. I asked my doctor for some advice, and she told me that since I was now symptom-free and 10 days had passed, I could come out of isolation, go mask less in public, and return to my normal activities.
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Malaise, Pain, SARS-CoV-2 test positive, Tremor
Clinical narrative: I received the Pfizer Bivalent COVID-19 booster on 10/5/2022. On 12/23/2022, I began feeling achy and a little bit sick in the late afternoon. I took my temperature, and it was 99.7. On the morning of 12/24/2022, I felt even achier and weaker. I took my temperature, which was 100.7. I decided to take a home antigen test, which yielded a positive result. I went to an urgent care clinic. The doctor there recommended against my taking PAXLOVID, because it would cause even more damage to my remaining kidney. Since I wasn't congested, the doctor said that I should go home, rest, take it easy, and take TYLENOL as needed. I felt tired, weak, and shaky. I also had a headache, but it wasn't as bad as the body aches. On about 12/26/2022, I began to feel better. My temperature returned to normal. I felt confined, so I decided to go out and walk around my neighborhood a bit. I was physically tired afterwards, but I felt emotionally better. I continued to test myself regularly, and each time I got a positive result. I took a test earlier today, and I still got a positive result. I asked my doctor for some advice, and she told me that since I was now symptom-free and 10 days had passed, I could come out of isolation, go mask less in public, and return to my normal activities.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: ADDITIONAL MODERNA BIVALENT DOSE GIVEN
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Aspiration, Atrial fibrillation, Blood creatinine increased
Clinical narrative: Discharge Diagnoses and Associated Hospital Course:   Patient is a 78 y.o. male with history of HTN, HLD, DM, prior SBOs managed conservatively (11/2019), L CVA with residual deficit (7/14/22) who presented to hospital as transfer on 12/12/2022 with concern for SBO 2/2 internal hernia & strangulated small bowel.    Admitted with these risk variables:Encephalopathy, Acute Kidney Injury, Chronic Kidney Disease, and Acidosis. Please see assessment and plan for further details.   CT A/P IV Contrast (12/12): SBO w/ incarceration & strangulation 2/2 internal mesenteric hernia in R abdomen & pelvis. Suspicious for small bowel ischemia.    SBO w/ concern for strangulated small bowel Lactic Acidosis, resolved  AKI on CKD, resolved  Hyperglycemia, resolved COVID Positive - s/p reduction of small bowel volvulus, LOA on 12/13/2022 - kept intubated post-op; extubated 12/13 to HHFNC; now on RA  - NGT removed 12/15 - Postoperatively, the patient had slow return of bowel function, his diet and activity were advanced cautiously.  He was maintained on DVT prophylaxis throughout his hospitalization.  Please refer to daily progress notes for detailed clinical progression.   COVID-19 infection tested positive 12/12/2022, unsure symptoms due to encephalopathy however noted hypoxia on presentation with bilateral infiltrates. Decadron started 12/13/22, stopped 12/19/22. Patient on RA as of 12/17/22.   Acute respiratory failure with hypoxia CXR with mild opacities in lung base, possibly sec to aspiration vs COVID 19. required O2 prior to surgery. Remained intubated postoperatively 12/13/22 extubated to HHFNC. Required 60L HHFNC with fiO2 50% 12/14/22. Resolved.   Acute Metabolic encephalopathy noted on admit. Unclear baseline, suspect sec to above. Management as noted. Remains intermittently confused as of 12/18/22   AKI on CKD stage 3  baseline Cr 1.5-2. On admission 4.39. S/p IVF. Resolved. Monitored.  PAF or PSVT EKG in ED showed afib with RVR rate 150's. No history of a fib, +history of SVT, rate back to 110's spontaneously. Repeat EKGs with sinus tachycardia. S/p scheduled IV metoprolol, transitioned to home metoprolol. Continue telemetry monitoring. Recommended outpatient follow-up with cardiology.   DM2 hold oral medications, SSI.    HTN  continue home amlodipine. Held home hydrochlorothiazide, lisinopril for soft BP. Restart as tolerated.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac telemetry, Chest X-ray abnormal, Chronic kidney disease, Computerised tomogram abdomen abnormal
Clinical narrative: Discharge Diagnoses and Associated Hospital Course:   Patient is a 78 y.o. male with history of HTN, HLD, DM, prior SBOs managed conservatively (11/2019), L CVA with residual deficit (7/14/22) who presented to hospital as transfer on 12/12/2022 with concern for SBO 2/2 internal hernia & strangulated small bowel.    Admitted with these risk variables:Encephalopathy, Acute Kidney Injury, Chronic Kidney Disease, and Acidosis. Please see assessment and plan for further details.   CT A/P IV Contrast (12/12): SBO w/ incarceration & strangulation 2/2 internal mesenteric hernia in R abdomen & pelvis. Suspicious for small bowel ischemia.    SBO w/ concern for strangulated small bowel Lactic Acidosis, resolved  AKI on CKD, resolved  Hyperglycemia, resolved COVID Positive - s/p reduction of small bowel volvulus, LOA on 12/13/2022 - kept intubated post-op; extubated 12/13 to HHFNC; now on RA  - NGT removed 12/15 - Postoperatively, the patient had slow return of bowel function, his diet and activity were advanced cautiously.  He was maintained on DVT prophylaxis throughout his hospitalization.  Please refer to daily progress notes for detailed clinical progression.   COVID-19 infection tested positive 12/12/2022, unsure symptoms due to encephalopathy however noted hypoxia on presentation with bilateral infiltrates. Decadron started 12/13/22, stopped 12/19/22. Patient on RA as of 12/17/22.   Acute respiratory failure with hypoxia CXR with mild opacities in lung base, possibly sec to aspiration vs COVID 19. required O2 prior to surgery. Remained intubated postoperatively 12/13/22 extubated to HHFNC. Required 60L HHFNC with fiO2 50% 12/14/22. Resolved.   Acute Metabolic encephalopathy noted on admit. Unclear baseline, suspect sec to above. Management as noted. Remains intermittently confused as of 12/18/22   AKI on CKD stage 3  baseline Cr 1.5-2. On admission 4.39. S/p IVF. Resolved. Monitored.  PAF or PSVT EKG in ED showed afib with RVR rate 150's. No history of a fib, +history of SVT, rate back to 110's spontaneously. Repeat EKGs with sinus tachycardia. S/p scheduled IV metoprolol, transitioned to home metoprolol. Continue telemetry monitoring. Recommended outpatient follow-up with cardiology.   DM2 hold oral medications, SSI.    HTN  continue home amlodipine. Held home hydrochlorothiazide, lisinopril for soft BP. Restart as tolerated.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Electrocardiogram abnormal, Encephalopathy, Endotracheal intubation, Extubation
Clinical narrative: Discharge Diagnoses and Associated Hospital Course:   Patient is a 78 y.o. male with history of HTN, HLD, DM, prior SBOs managed conservatively (11/2019), L CVA with residual deficit (7/14/22) who presented to hospital as transfer on 12/12/2022 with concern for SBO 2/2 internal hernia & strangulated small bowel.    Admitted with these risk variables:Encephalopathy, Acute Kidney Injury, Chronic Kidney Disease, and Acidosis. Please see assessment and plan for further details.   CT A/P IV Contrast (12/12): SBO w/ incarceration & strangulation 2/2 internal mesenteric hernia in R abdomen & pelvis. Suspicious for small bowel ischemia.    SBO w/ concern for strangulated small bowel Lactic Acidosis, resolved  AKI on CKD, resolved  Hyperglycemia, resolved COVID Positive - s/p reduction of small bowel volvulus, LOA on 12/13/2022 - kept intubated post-op; extubated 12/13 to HHFNC; now on RA  - NGT removed 12/15 - Postoperatively, the patient had slow return of bowel function, his diet and activity were advanced cautiously.  He was maintained on DVT prophylaxis throughout his hospitalization.  Please refer to daily progress notes for detailed clinical progression.   COVID-19 infection tested positive 12/12/2022, unsure symptoms due to encephalopathy however noted hypoxia on presentation with bilateral infiltrates. Decadron started 12/13/22, stopped 12/19/22. Patient on RA as of 12/17/22.   Acute respiratory failure with hypoxia CXR with mild opacities in lung base, possibly sec to aspiration vs COVID 19. required O2 prior to surgery. Remained intubated postoperatively 12/13/22 extubated to HHFNC. Required 60L HHFNC with fiO2 50% 12/14/22. Resolved.   Acute Metabolic encephalopathy noted on admit. Unclear baseline, suspect sec to above. Management as noted. Remains intermittently confused as of 12/18/22   AKI on CKD stage 3  baseline Cr 1.5-2. On admission 4.39. S/p IVF. Resolved. Monitored.  PAF or PSVT EKG in ED showed afib with RVR rate 150's. No history of a fib, +history of SVT, rate back to 110's spontaneously. Repeat EKGs with sinus tachycardia. S/p scheduled IV metoprolol, transitioned to home metoprolol. Continue telemetry monitoring. Recommended outpatient follow-up with cardiology.   DM2 hold oral medications, SSI.    HTN  continue home amlodipine. Held home hydrochlorothiazide, lisinopril for soft BP. Restart as tolerated.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal tube insertion, Gastrointestinal tube removal, Hernia, Hyperglycaemia, Hypoxia
Clinical narrative: Discharge Diagnoses and Associated Hospital Course:   Patient is a 78 y.o. male with history of HTN, HLD, DM, prior SBOs managed conservatively (11/2019), L CVA with residual deficit (7/14/22) who presented to hospital as transfer on 12/12/2022 with concern for SBO 2/2 internal hernia & strangulated small bowel.    Admitted with these risk variables:Encephalopathy, Acute Kidney Injury, Chronic Kidney Disease, and Acidosis. Please see assessment and plan for further details.   CT A/P IV Contrast (12/12): SBO w/ incarceration & strangulation 2/2 internal mesenteric hernia in R abdomen & pelvis. Suspicious for small bowel ischemia.    SBO w/ concern for strangulated small bowel Lactic Acidosis, resolved  AKI on CKD, resolved  Hyperglycemia, resolved COVID Positive - s/p reduction of small bowel volvulus, LOA on 12/13/2022 - kept intubated post-op; extubated 12/13 to HHFNC; now on RA  - NGT removed 12/15 - Postoperatively, the patient had slow return of bowel function, his diet and activity were advanced cautiously.  He was maintained on DVT prophylaxis throughout his hospitalization.  Please refer to daily progress notes for detailed clinical progression.   COVID-19 infection tested positive 12/12/2022, unsure symptoms due to encephalopathy however noted hypoxia on presentation with bilateral infiltrates. Decadron started 12/13/22, stopped 12/19/22. Patient on RA as of 12/17/22.   Acute respiratory failure with hypoxia CXR with mild opacities in lung base, possibly sec to aspiration vs COVID 19. required O2 prior to surgery. Remained intubated postoperatively 12/13/22 extubated to HHFNC. Required 60L HHFNC with fiO2 50% 12/14/22. Resolved.   Acute Metabolic encephalopathy noted on admit. Unclear baseline, suspect sec to above. Management as noted. Remains intermittently confused as of 12/18/22   AKI on CKD stage 3  baseline Cr 1.5-2. On admission 4.39. S/p IVF. Resolved. Monitored.  PAF or PSVT EKG in ED showed afib with RVR rate 150's. No history of a fib, +history of SVT, rate back to 110's spontaneously. Repeat EKGs with sinus tachycardia. S/p scheduled IV metoprolol, transitioned to home metoprolol. Continue telemetry monitoring. Recommended outpatient follow-up with cardiology.   DM2 hold oral medications, SSI.    HTN  continue home amlodipine. Held home hydrochlorothiazide, lisinopril for soft BP. Restart as tolerated.