chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Organ failure, Pulseless electrical activity, SARS-CoV-2 test positive
Clinical narrative: Pt came into to hospital for dizzines and diagnosed with BPPV, pt went into PEA cardiac arrest pt intubated and ROSC achieved. Post code developed organ failure and need dialysis and tested positive for coivd. Pt continued to decline regardless of treatment for covid and organ failure. Family decided to withdrawl care. Pt expired on 7/17/2022
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo positional
Clinical narrative: Pt came into to hospital for dizzines and diagnosed with BPPV, pt went into PEA cardiac arrest pt intubated and ROSC achieved. Post code developed organ failure and need dialysis and tested positive for coivd. Pt continued to decline regardless of treatment for covid and organ failure. Family decided to withdrawl care. Pt expired on 7/17/2022
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Refusal of treatment by patient, Tremor
Clinical narrative: Within 30 minutes of observation, c/o fatigue and shaking. Vitals: 15:40: 154/89, 107, 21, 100%. 15:45: 147/71, 91, 19, 100%. 911 called at 15:37. EMS arrived. Patient evaluated, but refused further treatment. Patient stable and released from the vaccination site.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Death, Dyspnoea, Pneumonia
Clinical narrative: pt brought to ED via EMS with fever, dyspnea, SOB, weakness; O2 saturation 78% when on 2 L via; positive for COVID; pneumonia; steroids; ABX; BiPAP; pt expired in the hospital
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: pt brought to ED via EMS with fever, dyspnea, SOB, weakness; O2 saturation 78% when on 2 L via; positive for COVID; pneumonia; steroids; ABX; BiPAP; pt expired in the hospital
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: abdominal pain, nausea, vomiting
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy prostate abnormal, Condition aggravated, Laboratory test abnormal, Prostate cancer, Radiotherapy
Clinical narrative: I had prostate cancer at the time of the Moderna shots, and had been on an active monitoring regime showing my cancer was stable at an acceptable level. My last doctor visit had been 01/05/2021, three months before the first shot. My next doctor appointment was 04/06/2021, five days after my second shot. At that time, my indicators had shot up. I was scheduled for a biopsy on 05/28/2022, which showed it was time to attack the cancer. Due to the scheduling difficulties, I wasn't scheduled for treatment until 10/28/2021, at which time I began radiation treatment. After getting the biopsy results, my reaction was simply one of disappointment. I had no reason to suspect the shots. Now, looking back -- given all the subsequent research showing that the so-called vaccine can create problems with cancers, I am convinced that the vaccine in fact caused my prostate cancer to suddenly require treatment.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Hypoaesthesia, Impaired driving ability
Clinical narrative: I got the shot walking to the waiting area and as soon as I sat down my hands started to tingle and felt nub. The knobbiness was very strange, so I raised my hand left arm. I nearby EMT notices me raising my hand and asked was I okay. I figured I should move it around to help with the circulation and the feeling started spread from the injection sight through my hand and to my torso. The EMT told me to keep checking in and thin it went through my torso, and I stood up and I felt lightheaded. This lasted for 45 minutes, and I was still in the waiting area this entire time. At 45 min  It wasn?t so bad, so I told the volunteers I was tired and wanted to go home. Nobody wanted me to drive because of the side effects. A 15 mins later  I was still very tired but not as weak as I was before. I told them I would text as soon as I made it home which 5 miles away from the site.  Upon making it home all the normal side effects set in. The very next day  I was exhausted tired but couldn?t sleep so I sat around and rested and hydrated. Fever sat in and for the next few days I just took it easy. I had fever and body aches, but I couldn?t sleep but I was so tired. I didn?t take any medication for the fever because It was a low grade fever. I did reach out to doctor about switching manufactures for the booster and he said there wasn?t enough research to support or not to. They also told me some staff had did that and didn?t see too many reactions.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Pain, Paraesthesia, Pyrexia, Sleep disorder
Clinical narrative: I got the shot walking to the waiting area and as soon as I sat down my hands started to tingle and felt nub. The knobbiness was very strange, so I raised my hand left arm. I nearby EMT notices me raising my hand and asked was I okay. I figured I should move it around to help with the circulation and the feeling started spread from the injection sight through my hand and to my torso. The EMT told me to keep checking in and thin it went through my torso, and I stood up and I felt lightheaded. This lasted for 45 minutes, and I was still in the waiting area this entire time. At 45 min  It wasn?t so bad, so I told the volunteers I was tired and wanted to go home. Nobody wanted me to drive because of the side effects. A 15 mins later  I was still very tired but not as weak as I was before. I told them I would text as soon as I made it home which 5 miles away from the site.  Upon making it home all the normal side effects set in. The very next day  I was exhausted tired but couldn?t sleep so I sat around and rested and hydrated. Fever sat in and for the next few days I just took it easy. I had fever and body aches, but I couldn?t sleep but I was so tired. I didn?t take any medication for the fever because It was a low grade fever. I did reach out to doctor about switching manufactures for the booster and he said there wasn?t enough research to support or not to. They also told me some staff had did that and didn?t see too many reactions.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Lung infiltration, Respiratory failure
Clinical narrative: Presented with respiratory failure r/t covid. CXR showed pneumonic infiltrated. treated with iv remdesivir. Pt discharged home on room air.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral, Blood pressure increased, Blood test, Computerised tomogram, Magnetic resonance imaging
Clinical narrative: Sudden increase in blood pressure. TIA.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack, Urine analysis
Clinical narrative: Sudden increase in blood pressure. TIA.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE EXPIRED 04/01/2022
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Nasal congestion, Oropharyngeal pain, Pyrexia
Clinical narrative: I had a fever and sore throat. I had slight cough and stuffy running nose. I also had chills at night. I took some medicine between.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: I had a fever and sore throat. I had slight cough and stuffy running nose. I also had chills at night. I took some medicine between.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Head discomfort, Headache, Pyrexia
Clinical narrative: Symptoms: scracthy throat, headache, fever, stuffy head, lack of energy Time course: 2 days from symptoms until fever broke and symptoms began to go away Treatment: Dr. prescribed 5 days of Paxlovid and treatment completed Note: Symptoms were already diminishing greatly by time I was able to meet with Dr. and began Paxlovid treatment
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Symptoms: scracthy throat, headache, fever, stuffy head, lack of energy Time course: 2 days from symptoms until fever broke and symptoms began to go away Treatment: Dr. prescribed 5 days of Paxlovid and treatment completed Note: Symptoms were already diminishing greatly by time I was able to meet with Dr. and began Paxlovid treatment
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient hospitalized for COVID while vaccinated.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Influenza virus test positive
Clinical narrative: Tested positive for the flu
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Blood chloride decreased, Blood glucose normal, Blood sodium decreased
Clinical narrative: BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider at Discharge: No primary care provider on file. None Admission Date: 7/12/2022 Discharge Date: 7/14/2022  PRESENTING PROBLEM: Hyponatremia [E87.1]   HOSPITAL COURSE: Pt is a 67 year old male with a history of hypertension, schizoaffective disorder, who was discharged 2 days prior to coming into ER, who presented with abdominal pain that has persisted for 12 hours. On 06/26 he was admitted complaining of abdominal and rectal pain. Workup at that time did not show any acute abnormalities, but he required psych eval and was ultimately discharged to facility for a couple of weeks. Since discharge patient stated he was experiencing some chills, nausea, weakness, no appetite for 1 day. Patient denied trauma, diarrhea, constipation, blood in stool or urine, fevers, chills, vomiting.  Vital signs were stable. His sodium level was 115 (corrected for glucose), chloride 79, glucose 165, and he was covid positive. Other lab work was unremarkable. CT abdomen showed no evidence of acute pathology. Patient stated that facility was aware of low sodium levels before he left and recommended he follow up with his PCP for further management.  The patient was was transferred from facility and admitted in hospital with hyponatremia for further treatment and management.   The patient's sodium increased above 130 with cessation of Effexor, Geodon, and hydrochlorothiazide. As his sodium improved his abdominal pain improved. The patient reported that he has a psychiatry appointment on Wednesday 7/20. He felt he would be fine off of his medications until follow up with his usual psychiatrist for medication changes.  He was discharged home in stable condition with plan to stop hydrochlorothiazide, hold Geodon and Effexor, and follow a 2,000 ml fluid restriction until follow up with Psychiatry on 7/20.  He was sent a prescription for losartan to replace Hyzaar, and recommended to follow up with PCP for further monitoring of sodium.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Computerised tomogram abdomen normal, Condition aggravated, Decreased appetite
Clinical narrative: BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider at Discharge: No primary care provider on file. None Admission Date: 7/12/2022 Discharge Date: 7/14/2022  PRESENTING PROBLEM: Hyponatremia [E87.1]   HOSPITAL COURSE: Pt is a 67 year old male with a history of hypertension, schizoaffective disorder, who was discharged 2 days prior to coming into ER, who presented with abdominal pain that has persisted for 12 hours. On 06/26 he was admitted complaining of abdominal and rectal pain. Workup at that time did not show any acute abnormalities, but he required psych eval and was ultimately discharged to facility for a couple of weeks. Since discharge patient stated he was experiencing some chills, nausea, weakness, no appetite for 1 day. Patient denied trauma, diarrhea, constipation, blood in stool or urine, fevers, chills, vomiting.  Vital signs were stable. His sodium level was 115 (corrected for glucose), chloride 79, glucose 165, and he was covid positive. Other lab work was unremarkable. CT abdomen showed no evidence of acute pathology. Patient stated that facility was aware of low sodium levels before he left and recommended he follow up with his PCP for further management.  The patient was was transferred from facility and admitted in hospital with hyponatremia for further treatment and management.   The patient's sodium increased above 130 with cessation of Effexor, Geodon, and hydrochlorothiazide. As his sodium improved his abdominal pain improved. The patient reported that he has a psychiatry appointment on Wednesday 7/20. He felt he would be fine off of his medications until follow up with his usual psychiatrist for medication changes.  He was discharged home in stable condition with plan to stop hydrochlorothiazide, hold Geodon and Effexor, and follow a 2,000 ml fluid restriction until follow up with Psychiatry on 7/20.  He was sent a prescription for losartan to replace Hyzaar, and recommended to follow up with PCP for further monitoring of sodium.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fluid intake restriction, Hyponatraemia, Laboratory test normal, Nausea, Proctalgia
Clinical narrative: BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider at Discharge: No primary care provider on file. None Admission Date: 7/12/2022 Discharge Date: 7/14/2022  PRESENTING PROBLEM: Hyponatremia [E87.1]   HOSPITAL COURSE: Pt is a 67 year old male with a history of hypertension, schizoaffective disorder, who was discharged 2 days prior to coming into ER, who presented with abdominal pain that has persisted for 12 hours. On 06/26 he was admitted complaining of abdominal and rectal pain. Workup at that time did not show any acute abnormalities, but he required psych eval and was ultimately discharged to facility for a couple of weeks. Since discharge patient stated he was experiencing some chills, nausea, weakness, no appetite for 1 day. Patient denied trauma, diarrhea, constipation, blood in stool or urine, fevers, chills, vomiting.  Vital signs were stable. His sodium level was 115 (corrected for glucose), chloride 79, glucose 165, and he was covid positive. Other lab work was unremarkable. CT abdomen showed no evidence of acute pathology. Patient stated that facility was aware of low sodium levels before he left and recommended he follow up with his PCP for further management.  The patient was was transferred from facility and admitted in hospital with hyponatremia for further treatment and management.   The patient's sodium increased above 130 with cessation of Effexor, Geodon, and hydrochlorothiazide. As his sodium improved his abdominal pain improved. The patient reported that he has a psychiatry appointment on Wednesday 7/20. He felt he would be fine off of his medications until follow up with his usual psychiatrist for medication changes.  He was discharged home in stable condition with plan to stop hydrochlorothiazide, hold Geodon and Effexor, and follow a 2,000 ml fluid restriction until follow up with Psychiatry on 7/20.  He was sent a prescription for losartan to replace Hyzaar, and recommended to follow up with PCP for further monitoring of sodium.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider at Discharge: No primary care provider on file. None Admission Date: 7/12/2022 Discharge Date: 7/14/2022  PRESENTING PROBLEM: Hyponatremia [E87.1]   HOSPITAL COURSE: Pt is a 67 year old male with a history of hypertension, schizoaffective disorder, who was discharged 2 days prior to coming into ER, who presented with abdominal pain that has persisted for 12 hours. On 06/26 he was admitted complaining of abdominal and rectal pain. Workup at that time did not show any acute abnormalities, but he required psych eval and was ultimately discharged to facility for a couple of weeks. Since discharge patient stated he was experiencing some chills, nausea, weakness, no appetite for 1 day. Patient denied trauma, diarrhea, constipation, blood in stool or urine, fevers, chills, vomiting.  Vital signs were stable. His sodium level was 115 (corrected for glucose), chloride 79, glucose 165, and he was covid positive. Other lab work was unremarkable. CT abdomen showed no evidence of acute pathology. Patient stated that facility was aware of low sodium levels before he left and recommended he follow up with his PCP for further management.  The patient was was transferred from facility and admitted in hospital with hyponatremia for further treatment and management.   The patient's sodium increased above 130 with cessation of Effexor, Geodon, and hydrochlorothiazide. As his sodium improved his abdominal pain improved. The patient reported that he has a psychiatry appointment on Wednesday 7/20. He felt he would be fine off of his medications until follow up with his usual psychiatrist for medication changes.  He was discharged home in stable condition with plan to stop hydrochlorothiazide, hold Geodon and Effexor, and follow a 2,000 ml fluid restriction until follow up with Psychiatry on 7/20.  He was sent a prescription for losartan to replace Hyzaar, and recommended to follow up with PCP for further monitoring of sodium.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: I had  sore throat, cough, chills. I used the at home COVID-19 test that came back positive. After it came back positive, I called my doctor and he prescribed Paxlovid. In a day or two I was still tired but the chills did go away, the cough went away and my sore throat subsided. I do feel much better now.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had  sore throat, cough, chills. I used the at home COVID-19 test that came back positive. After it came back positive, I called my doctor and he prescribed Paxlovid. In a day or two I was still tired but the chills did go away, the cough went away and my sore throat subsided. I do feel much better now.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Hyperhidrosis
Clinical narrative: 04/18/2022 vaccination. 06/18/2022 I woke up in the morning, I had chills, fever a lot of sweating, body aches and exhaustion. I took COVID-19 test, positive. I didn't feel better for 3 days. Lots of exhaustion, body aches. I started to develop a cough. 06/21/2022 I started PAXLOVID. Within a few hours, I was feeling so much better. I still had some body aches and fever but a lot less intense. Some sinus issues still; 3/10 on a scale.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: 04/18/2022 vaccination. 06/18/2022 I woke up in the morning, I had chills, fever a lot of sweating, body aches and exhaustion. I took COVID-19 test, positive. I didn't feel better for 3 days. Lots of exhaustion, body aches. I started to develop a cough. 06/21/2022 I started PAXLOVID. Within a few hours, I was feeling so much better. I still had some body aches and fever but a lot less intense. Some sinus issues still; 3/10 on a scale.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Urticaria
Clinical narrative: Patient returned to vaccination site 7/3/2022 for the sibling's booster. Patient received 1st dose of PD Moderna 6/28/2022. Hives and urticaria all over the body started on 7/1/2022 (as verbalized from the mother). No outside treatment happened. No medications given by the parents. Advised to check with PCP, and provided education to the parents that no mRNA vaccine can be given in the future due to allergic reaction.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Pt presented to hospital complaining of nausea, vomiting and cough, tested positive for covid. Pt treated with remdesivir and azithromycin, and dexamethasone. pt discharged home.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cardiac failure acute, Chest X-ray abnormal
Clinical narrative: Admission Date: 7/6/2022 Discharge Date: 7/10/2022  PRESENTING PROBLEM: Respiratory failure with hypoxia (HCC) [J96.91]   PER ADMISSION H&P:  is a 53 y.o. male with history of congestive heart failure, last EF 35%, insulin dependent type 2 diabetes mellitus, history of bioprosthetic aortic valve, on Coumadin, was vaccinated for COVID presented to  Emergency department for worsening shortness of breath for past 2 weeks, denies any productive cough, does complain of leg swelling or denies any chest pain, dizziness or lightheadedness.  patient tachycardic, febrile and hypoxic when presented to the emergency department, placed on 2 L nasal cannula.  Significant labs showed positive COVID-19 PCR, lactic acidosis, chronic thrombocytopenia, mild hypokalemia.  Chest x-ray showed pulmonary vascular congestion with concern of patchy infiltrate within the lingula, he received 2 L normal saline bolus along with Rocephin, azithromycin and dexamethasone in the emergency department.  For further evaluation and management transferred to  Hospital, admitted     HOSPITAL COURSE: The patient was treated for acute hypoxic respiratory failure, due to acute on chronic systolic heart failure, COVID-19 pneumonia, as well as likely superimposed bacterial pneumonia.  Received dexamethasone 6 mg orally from 07/06 through 7/9.  Notable steroid induced hyperglycemia so insulin dosing slightly increased but home dose resumed at discharge.  He completed 5 day course of ceftriaxone and doxycycline IV for community-acquired pneumonia, no antibiotics prescribed at discharge.  Patient was diuresed with IV Lasix, and transition back to home oral dose of Lasix at discharge.  Unfortunately, echocardiogram revealed worsening EF 16%, severe left ventricle global hypokinesis but with well-seated bioprosthetic aortic valve.  Cardiology was consulted and unfortunately not able to see him on 07/09, although he had weaned to room air and was otherwise ready for discharge.  He remained inpatient and Cardiology evaluated him on 07/10.  They felt he could benefit from increased IV Lasix but patient requested to return home.  They felt it was reasonable for him to return home with close follow-up.  He was recommended to continue current metoprolol dose, Jardiance, decreased dose of Aldactone, and started Entresto.  Patient's blood pressure remained stable with added Entresto and he discharged home in stable condition.  Cardiology did not feel he needed a LifeVest prior to discharge, but will discuss further workup and possible ICD placement.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Hyperglycaemia
Clinical narrative: Admission Date: 7/6/2022 Discharge Date: 7/10/2022  PRESENTING PROBLEM: Respiratory failure with hypoxia (HCC) [J96.91]   PER ADMISSION H&P:  is a 53 y.o. male with history of congestive heart failure, last EF 35%, insulin dependent type 2 diabetes mellitus, history of bioprosthetic aortic valve, on Coumadin, was vaccinated for COVID presented to  Emergency department for worsening shortness of breath for past 2 weeks, denies any productive cough, does complain of leg swelling or denies any chest pain, dizziness or lightheadedness.  patient tachycardic, febrile and hypoxic when presented to the emergency department, placed on 2 L nasal cannula.  Significant labs showed positive COVID-19 PCR, lactic acidosis, chronic thrombocytopenia, mild hypokalemia.  Chest x-ray showed pulmonary vascular congestion with concern of patchy infiltrate within the lingula, he received 2 L normal saline bolus along with Rocephin, azithromycin and dexamethasone in the emergency department.  For further evaluation and management transferred to  Hospital, admitted     HOSPITAL COURSE: The patient was treated for acute hypoxic respiratory failure, due to acute on chronic systolic heart failure, COVID-19 pneumonia, as well as likely superimposed bacterial pneumonia.  Received dexamethasone 6 mg orally from 07/06 through 7/9.  Notable steroid induced hyperglycemia so insulin dosing slightly increased but home dose resumed at discharge.  He completed 5 day course of ceftriaxone and doxycycline IV for community-acquired pneumonia, no antibiotics prescribed at discharge.  Patient was diuresed with IV Lasix, and transition back to home oral dose of Lasix at discharge.  Unfortunately, echocardiogram revealed worsening EF 16%, severe left ventricle global hypokinesis but with well-seated bioprosthetic aortic valve.  Cardiology was consulted and unfortunately not able to see him on 07/09, although he had weaned to room air and was otherwise ready for discharge.  He remained inpatient and Cardiology evaluated him on 07/10.  They felt he could benefit from increased IV Lasix but patient requested to return home.  They felt it was reasonable for him to return home with close follow-up.  He was recommended to continue current metoprolol dose, Jardiance, decreased dose of Aldactone, and started Entresto.  Patient's blood pressure remained stable with added Entresto and he discharged home in stable condition.  Cardiology did not feel he needed a LifeVest prior to discharge, but will discuss further workup and possible ICD placement.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hypokalaemia, Hypoxia, Lactic acidosis, Left ventricular failure, Peripheral swelling
Clinical narrative: Admission Date: 7/6/2022 Discharge Date: 7/10/2022  PRESENTING PROBLEM: Respiratory failure with hypoxia (HCC) [J96.91]   PER ADMISSION H&P:  is a 53 y.o. male with history of congestive heart failure, last EF 35%, insulin dependent type 2 diabetes mellitus, history of bioprosthetic aortic valve, on Coumadin, was vaccinated for COVID presented to  Emergency department for worsening shortness of breath for past 2 weeks, denies any productive cough, does complain of leg swelling or denies any chest pain, dizziness or lightheadedness.  patient tachycardic, febrile and hypoxic when presented to the emergency department, placed on 2 L nasal cannula.  Significant labs showed positive COVID-19 PCR, lactic acidosis, chronic thrombocytopenia, mild hypokalemia.  Chest x-ray showed pulmonary vascular congestion with concern of patchy infiltrate within the lingula, he received 2 L normal saline bolus along with Rocephin, azithromycin and dexamethasone in the emergency department.  For further evaluation and management transferred to  Hospital, admitted     HOSPITAL COURSE: The patient was treated for acute hypoxic respiratory failure, due to acute on chronic systolic heart failure, COVID-19 pneumonia, as well as likely superimposed bacterial pneumonia.  Received dexamethasone 6 mg orally from 07/06 through 7/9.  Notable steroid induced hyperglycemia so insulin dosing slightly increased but home dose resumed at discharge.  He completed 5 day course of ceftriaxone and doxycycline IV for community-acquired pneumonia, no antibiotics prescribed at discharge.  Patient was diuresed with IV Lasix, and transition back to home oral dose of Lasix at discharge.  Unfortunately, echocardiogram revealed worsening EF 16%, severe left ventricle global hypokinesis but with well-seated bioprosthetic aortic valve.  Cardiology was consulted and unfortunately not able to see him on 07/09, although he had weaned to room air and was otherwise ready for discharge.  He remained inpatient and Cardiology evaluated him on 07/10.  They felt he could benefit from increased IV Lasix but patient requested to return home.  They felt it was reasonable for him to return home with close follow-up.  He was recommended to continue current metoprolol dose, Jardiance, decreased dose of Aldactone, and started Entresto.  Patient's blood pressure remained stable with added Entresto and he discharged home in stable condition.  Cardiology did not feel he needed a LifeVest prior to discharge, but will discuss further workup and possible ICD placement.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia bacterial, Polyuria, Pulmonary congestion, Pyrexia
Clinical narrative: Admission Date: 7/6/2022 Discharge Date: 7/10/2022  PRESENTING PROBLEM: Respiratory failure with hypoxia (HCC) [J96.91]   PER ADMISSION H&P:  is a 53 y.o. male with history of congestive heart failure, last EF 35%, insulin dependent type 2 diabetes mellitus, history of bioprosthetic aortic valve, on Coumadin, was vaccinated for COVID presented to  Emergency department for worsening shortness of breath for past 2 weeks, denies any productive cough, does complain of leg swelling or denies any chest pain, dizziness or lightheadedness.  patient tachycardic, febrile and hypoxic when presented to the emergency department, placed on 2 L nasal cannula.  Significant labs showed positive COVID-19 PCR, lactic acidosis, chronic thrombocytopenia, mild hypokalemia.  Chest x-ray showed pulmonary vascular congestion with concern of patchy infiltrate within the lingula, he received 2 L normal saline bolus along with Rocephin, azithromycin and dexamethasone in the emergency department.  For further evaluation and management transferred to  Hospital, admitted     HOSPITAL COURSE: The patient was treated for acute hypoxic respiratory failure, due to acute on chronic systolic heart failure, COVID-19 pneumonia, as well as likely superimposed bacterial pneumonia.  Received dexamethasone 6 mg orally from 07/06 through 7/9.  Notable steroid induced hyperglycemia so insulin dosing slightly increased but home dose resumed at discharge.  He completed 5 day course of ceftriaxone and doxycycline IV for community-acquired pneumonia, no antibiotics prescribed at discharge.  Patient was diuresed with IV Lasix, and transition back to home oral dose of Lasix at discharge.  Unfortunately, echocardiogram revealed worsening EF 16%, severe left ventricle global hypokinesis but with well-seated bioprosthetic aortic valve.  Cardiology was consulted and unfortunately not able to see him on 07/09, although he had weaned to room air and was otherwise ready for discharge.  He remained inpatient and Cardiology evaluated him on 07/10.  They felt he could benefit from increased IV Lasix but patient requested to return home.  They felt it was reasonable for him to return home with close follow-up.  He was recommended to continue current metoprolol dose, Jardiance, decreased dose of Aldactone, and started Entresto.  Patient's blood pressure remained stable with added Entresto and he discharged home in stable condition.  Cardiology did not feel he needed a LifeVest prior to discharge, but will discuss further workup and possible ICD placement.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Superinfection, Tachycardia, Thrombocytopenia, Ventricular hypokinesia
Clinical narrative: Admission Date: 7/6/2022 Discharge Date: 7/10/2022  PRESENTING PROBLEM: Respiratory failure with hypoxia (HCC) [J96.91]   PER ADMISSION H&P:  is a 53 y.o. male with history of congestive heart failure, last EF 35%, insulin dependent type 2 diabetes mellitus, history of bioprosthetic aortic valve, on Coumadin, was vaccinated for COVID presented to  Emergency department for worsening shortness of breath for past 2 weeks, denies any productive cough, does complain of leg swelling or denies any chest pain, dizziness or lightheadedness.  patient tachycardic, febrile and hypoxic when presented to the emergency department, placed on 2 L nasal cannula.  Significant labs showed positive COVID-19 PCR, lactic acidosis, chronic thrombocytopenia, mild hypokalemia.  Chest x-ray showed pulmonary vascular congestion with concern of patchy infiltrate within the lingula, he received 2 L normal saline bolus along with Rocephin, azithromycin and dexamethasone in the emergency department.  For further evaluation and management transferred to  Hospital, admitted     HOSPITAL COURSE: The patient was treated for acute hypoxic respiratory failure, due to acute on chronic systolic heart failure, COVID-19 pneumonia, as well as likely superimposed bacterial pneumonia.  Received dexamethasone 6 mg orally from 07/06 through 7/9.  Notable steroid induced hyperglycemia so insulin dosing slightly increased but home dose resumed at discharge.  He completed 5 day course of ceftriaxone and doxycycline IV for community-acquired pneumonia, no antibiotics prescribed at discharge.  Patient was diuresed with IV Lasix, and transition back to home oral dose of Lasix at discharge.  Unfortunately, echocardiogram revealed worsening EF 16%, severe left ventricle global hypokinesis but with well-seated bioprosthetic aortic valve.  Cardiology was consulted and unfortunately not able to see him on 07/09, although he had weaned to room air and was otherwise ready for discharge.  He remained inpatient and Cardiology evaluated him on 07/10.  They felt he could benefit from increased IV Lasix but patient requested to return home.  They felt it was reasonable for him to return home with close follow-up.  He was recommended to continue current metoprolol dose, Jardiance, decreased dose of Aldactone, and started Entresto.  Patient's blood pressure remained stable with added Entresto and he discharged home in stable condition.  Cardiology did not feel he needed a LifeVest prior to discharge, but will discuss further workup and possible ICD placement.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nasal congestion, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I got the vaccine in April and in May I was having a slight fever and tiredness and that continued into June. I felt stuffiness in the nasal passages and I thought it was my allergies and Flonase wasn't giving any relief. In June, I was going through the same so I made an appointment to see my PCP and when I visited them they told me I had a sinus infection and that's when I was prescribed the zpak. I finished the zpak and in July I was feeling symptoms still so I went to the ENT and he just decided for me to continue taking the Zyrtec and symptoms are still with me. I did a COVID-19 test, they checked my ears and nostrils. I also had a headache that started after 4th dose and it's not everyday but I am concerned about it because it's not just happened in heat of summer because it happened in the cooler months and comes on at night and lasts through the first part of the day and into the afternoon and then they subside.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: I got the vaccine in April and in May I was having a slight fever and tiredness and that continued into June. I felt stuffiness in the nasal passages and I thought it was my allergies and Flonase wasn't giving any relief. In June, I was going through the same so I made an appointment to see my PCP and when I visited them they told me I had a sinus infection and that's when I was prescribed the zpak. I finished the zpak and in July I was feeling symptoms still so I went to the ENT and he just decided for me to continue taking the Zyrtec and symptoms are still with me. I did a COVID-19 test, they checked my ears and nostrils. I also had a headache that started after 4th dose and it's not everyday but I am concerned about it because it's not just happened in heat of summer because it happened in the cooler months and comes on at night and lasts through the first part of the day and into the afternoon and then they subside.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE EXPIRED 04/01/2022
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: 48 hours after injection, pronounced rash developed on both forearms.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE EXPIRED 04/01/2022
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient admitted with COVID while vaccinated.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Blood pressure decreased, COVID-19, Cardiac arrest, Death
Clinical narrative: pt presented to hospital after mechanical fall with fracture, and tested positive for covid. Pt presented with dehydreation, and AKI. Pt went to OR for ORIF. Pt went into cardiac arrest after surgery, rosc was achieved and was mad a DNR. Despite medical treatment She then went into vtach and had a sudden drop in blood pressur and lost her pulse. Pt expired 07/16/2022
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dehydration, Fall, Fracture, Open reduction of fracture, Pulse absent
Clinical narrative: pt presented to hospital after mechanical fall with fracture, and tested positive for covid. Pt presented with dehydreation, and AKI. Pt went to OR for ORIF. Pt went into cardiac arrest after surgery, rosc was achieved and was mad a DNR. Despite medical treatment She then went into vtach and had a sudden drop in blood pressur and lost her pulse. Pt expired 07/16/2022
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Ventricular tachycardia
Clinical narrative: pt presented to hospital after mechanical fall with fracture, and tested positive for covid. Pt presented with dehydreation, and AKI. Pt went to OR for ORIF. Pt went into cardiac arrest after surgery, rosc was achieved and was mad a DNR. Despite medical treatment She then went into vtach and had a sudden drop in blood pressur and lost her pulse. Pt expired 07/16/2022
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: He received his COVID-19 vaccine on 07/14/2022.  He didn't show any signs of discomfort. The first signs of anything wrong was on 07/17/2022 he had a high fever.  He responded well to Tylenol and Ibuprofen to break his fever.  We had a telehealth visit with his doctor, they recommended that he should be seen at an urgent care center. He tested positive for COVID-19 on 07/18/2022.  They recommended to keep comfortable by taking Tylenol, Ibuprofen and stay hydrated.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: I'm not sure if this is the right form for me to report getting Covid. I've had both vaccines and two booster shots. My covid symptoms started on the morning of 6/18/22. I tested positive with an antigen test.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dysphagia, Headache
Clinical narrative: Breakthrough case of COVID-19; It started on Monday June 27th with feeling hard to swallow, my throat but it was getting hard to swallow, by that evening I felt like I had full blown flu symptoms, I had chills, and aches and pains, and headache, and skin sensitivity to the touch. But no fever that I could tell of. I was on vacation so I could not take my temp. Those symptoms lasted through the night and until the next day until I went to the urgent care and got a positive COVID 19 test. My husband had been coughing two days prior and he also tested positive as well which is why I went to. I received PAXLOVID, and I started that Tuesday the 28th and the next 4 days after that. I felt after two days I felt much better. As of last Monday July 11 I was still testing positive for COVID-19.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza, Pain, SARS-CoV-2 test positive, Sensitive skin, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19; It started on Monday June 27th with feeling hard to swallow, my throat but it was getting hard to swallow, by that evening I felt like I had full blown flu symptoms, I had chills, and aches and pains, and headache, and skin sensitivity to the touch. But no fever that I could tell of. I was on vacation so I could not take my temp. Those symptoms lasted through the night and until the next day until I went to the urgent care and got a positive COVID 19 test. My husband had been coughing two days prior and he also tested positive as well which is why I went to. I received PAXLOVID, and I started that Tuesday the 28th and the next 4 days after that. I felt after two days I felt much better. As of last Monday July 11 I was still testing positive for COVID-19.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hypoaesthesia, Nervousness, Pruritus
Clinical narrative: Pt reported itchiness to R forarn, no rash noted.  L-foot numbness, no respiratiory symptoms.  Pt nervous and anxious that resolved when pt tood and shook out leg.  Pt taken to med bay w/ mother. Vitals: (chair) @1613 131/75, 123, 20, 100% -- > semi-fowlers@1616 119/77, 119, 21, 100% Pt given 12.5mg Liquid benadryl @1608.  Attempted to give pt 25mg benadryl due to pt weight of 123lbs but mother refused and requested 1/2 dose as given.  Itchiness and numbness resolved.  Pt stable and released from the vaccination site @1621 Pt educated (w/ mother) to rest @home.  Pt left facility accompanied by  mother and gait was noted to be steady.  Pt ambulated independently.  NAD noted.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Rash
Clinical narrative: Same day of dose 1 after leaving the drive-thru I went to help my friend do her yard work. I was raking and was perspiring a bit and eventually I felt a rash on my neck and thought it was a reaction from the perspiration and heat on my clothing. I went to an urgent care and they couldn't tell me what it was, so I went to dermatology and they looked at it different ways but couldn't determine what it was and I let it go and I don't remember how long it took to go away.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram thorax abnormal, Cough, Haemoptysis, Lymphadenopathy
Clinical narrative: I was diagnosed with nodules in my lungs around 2017.  Approximately around May 1,2022 I noticed I was coughing more with a more productive cough. I also coughed up some blood for a few days.  I saw a new PCP and told her my history and she ordered a CT of my lungs.  This showed I had a mass in my lungs. I had a PET scan which showed that one of the metabolic activities had grown and metabolic activity in my lymph nodes in the center of my chest, the others were clear.  She referred me to the cancer center.  They are trying to set me up for a biopsy.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic disorder, Positron emission tomogram abnormal, Productive cough, Pulmonary mass
Clinical narrative: I was diagnosed with nodules in my lungs around 2017.  Approximately around May 1,2022 I noticed I was coughing more with a more productive cough. I also coughed up some blood for a few days.  I saw a new PCP and told her my history and she ordered a CT of my lungs.  This showed I had a mass in my lungs. I had a PET scan which showed that one of the metabolic activities had grown and metabolic activity in my lymph nodes in the center of my chest, the others were clear.  She referred me to the cancer center.  They are trying to set me up for a biopsy.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, C-reactive protein increased, COVID-19
Clinical narrative: Admission Date: 7/5/2022 Discharge Date: Jul 7, 2022  1. COVID-19  2. Hypoxia  3. AKI (acute kidney injury) (HCC)  HOSPITAL COURSE 63-year-old gentleman presented with weakness and dehydration.  Had been experiencing several days of fatigue and poor appetite.  Diarrhea one week ago.  No fevers.  Continued his Lasix and Hyzaar while he was ill.  Patient had had a COVID test that was positive on 07/05.  In the ER, creatinine elevated to 1.96 (baseline 1.0-1.2).  D-dimer was normal.  CRP elevated at 15.0.  He was admitted for IV fluids.  Steroids and remdesivir not necessary.  He never required more oxygen than his baseline 2 L. The following day the patient felt much better.  He felt like he was much stronger and back to his baseline (baseline is the use of a wheelchair).  He was eating and drinking well.  He would like to go home.  Creatinine is improved but not back to baseline.  It is 1.42 today.  I have every reason to believe this will continue to improve back to his baseline.  I have told him not to take his Hyzaar or Lasix for the next three days.  He can resume them on Monday 7/11.  I have also sent on order for a BMP to be drawn on 07/11 with results to his cardiologist.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Decreased appetite, Dehydration, Diarrhoea, Fatigue
Clinical narrative: Admission Date: 7/5/2022 Discharge Date: Jul 7, 2022  1. COVID-19  2. Hypoxia  3. AKI (acute kidney injury) (HCC)  HOSPITAL COURSE 63-year-old gentleman presented with weakness and dehydration.  Had been experiencing several days of fatigue and poor appetite.  Diarrhea one week ago.  No fevers.  Continued his Lasix and Hyzaar while he was ill.  Patient had had a COVID test that was positive on 07/05.  In the ER, creatinine elevated to 1.96 (baseline 1.0-1.2).  D-dimer was normal.  CRP elevated at 15.0.  He was admitted for IV fluids.  Steroids and remdesivir not necessary.  He never required more oxygen than his baseline 2 L. The following day the patient felt much better.  He felt like he was much stronger and back to his baseline (baseline is the use of a wheelchair).  He was eating and drinking well.  He would like to go home.  Creatinine is improved but not back to baseline.  It is 1.42 today.  I have every reason to believe this will continue to improve back to his baseline.  I have told him not to take his Hyzaar or Lasix for the next three days.  He can resume them on Monday 7/11.  I have also sent on order for a BMP to be drawn on 07/11 with results to his cardiologist.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer normal, Hypoxia, Malaise, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 7/5/2022 Discharge Date: Jul 7, 2022  1. COVID-19  2. Hypoxia  3. AKI (acute kidney injury) (HCC)  HOSPITAL COURSE 63-year-old gentleman presented with weakness and dehydration.  Had been experiencing several days of fatigue and poor appetite.  Diarrhea one week ago.  No fevers.  Continued his Lasix and Hyzaar while he was ill.  Patient had had a COVID test that was positive on 07/05.  In the ER, creatinine elevated to 1.96 (baseline 1.0-1.2).  D-dimer was normal.  CRP elevated at 15.0.  He was admitted for IV fluids.  Steroids and remdesivir not necessary.  He never required more oxygen than his baseline 2 L. The following day the patient felt much better.  He felt like he was much stronger and back to his baseline (baseline is the use of a wheelchair).  He was eating and drinking well.  He would like to go home.  Creatinine is improved but not back to baseline.  It is 1.42 today.  I have every reason to believe this will continue to improve back to his baseline.  I have told him not to take his Hyzaar or Lasix for the next three days.  He can resume them on Monday 7/11.  I have also sent on order for a BMP to be drawn on 07/11 with results to his cardiologist.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, COVID-19, Chest X-ray normal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Admission Date: 7/5/2022 Discharge Date: Jul 7, 2022  1. COVID-19  2. Hypoxia  3. AKI (acute kidney injury) (HCC)  HOSPITAL COURSE 63-year-old gentleman presented with weakness and dehydration.  Had been experiencing several days of fatigue and poor appetite.  Diarrhea one week ago.  No fevers.  Continued his Lasix and Hyzaar while he was ill.  Patient had had a COVID test that was positive on 07/05.  In the ER, creatinine elevated to 1.96 (baseline 1.0-1.2).  D-dimer was normal.  CRP elevated at 15.0.  He was admitted for IV fluids.  Steroids and remdesivir not necessary.  He never required more oxygen than his baseline 2 L. The following day the patient felt much better.  He felt like he was much stronger and back to his baseline (baseline is the use of a wheelchair).  He was eating and drinking well.  He would like to go home.  Creatinine is improved but not back to baseline.  It is 1.42 today.  I have every reason to believe this will continue to improve back to his baseline.  I have told him not to take his Hyzaar or Lasix for the next three days.  He can resume them on Monday 7/11.  I have also sent on order for a BMP to be drawn on 07/11 with results to his cardiologist.