chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Throat tightness, Vomiting
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Severe, Systemic: Tachycardia-Severe, Systemic: Unable to Sleep-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Vaccination site scab, Visual impairment
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Vaccine site looks like a recent scab. Patient claims there is no discharge and has not scratched the area. The scab has not healed in the past 6 months since the patient got the vaccine. It does not look infected. Patient was recommended to see a doctor since it has not healed after so many days.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Lymph node pain, Neck pain, Pain
Clinical narrative: All lymph nodes hurt in upper body. Mostly neck. Feels like pins and needles. Sometime starts in stomac and radiates into arms back into neck then sensation stops once it reaches head.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: All lymph nodes hurt in upper body. Mostly neck. Feels like pins and needles. Sometime starts in stomac and radiates into arms back into neck then sensation stops once it reaches head.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Hospitalization for COVID-19 symtpoms on dates 5/15/2022-5/20/2022. Treated with azithromycin IV, ceftriaxone IV, methylprednisolone, albuterol/ipratropium, Vitamin C 1000mg daily, Symbicort inhaler, Vitamin D3 25mcg daily, dexamethasone daily, zinc 50mg daily, remdesivir, and baricitinib.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Decreased appetite, Diabetes mellitus inadequate control, Diabetic ketoacidosis
Clinical narrative: Patient was admitted for DKA type 2 diabetes, not at goal. She had not eaten in 2 days in an effort to get her blood sugar under control, however remained elevated despite the use of and insulin pump. She was subsequently admitted for severe DKA. She was discharged 4 days later in stable condition.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Full blood count normal, Immediate post-injection reaction, Injection site pain, Red blood cell sedimentation rate normal
Clinical narrative: PER PT WHEN RECEIVING THE VACCINE- INSTANTLY HAD PAIN WHEN BEING INJECTED AND AFTERWARDS. DENIED ANY REDNESS OR WARMTH AT INJECTION SITE. PT CONTINUES TO HAVE PAIN PRESENT TO RIGHT DELTOID AREA.  PT WAS SEEN ON 4/27/2022 AND COMPLAINED OF PAIN AND THEN AGAIN ON 6/20/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: PER PT WHEN RECEIVING THE VACCINE- INSTANTLY HAD PAIN WHEN BEING INJECTED AND AFTERWARDS. DENIED ANY REDNESS OR WARMTH AT INJECTION SITE. PT CONTINUES TO HAVE PAIN PRESENT TO RIGHT DELTOID AREA.  PT WAS SEEN ON 4/27/2022 AND COMPLAINED OF PAIN AND THEN AGAIN ON 6/20/2022.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Intensive care, Pain in extremity, Pulmonary thrombosis
Clinical narrative: I developed blood clots and had severe pain in my leg. I went to ER on July 29th 2021 and was admitted to the ICU after a CT scan showed I had clots in my lungs. An ultrasound showed I had clots in my legs. I was given an IV of Hepporin overnight. I stayed in the hospital for three days total. I then developed clots again in June of 2022 and stayed in the hospital again for 4 days.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound scan abnormal
Clinical narrative: I developed blood clots and had severe pain in my leg. I went to ER on July 29th 2021 and was admitted to the ICU after a CT scan showed I had clots in my lungs. An ultrasound showed I had clots in my legs. I was given an IV of Hepporin overnight. I stayed in the hospital for three days total. I then developed clots again in June of 2022 and stayed in the hospital again for 4 days.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration date.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration date
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Rib fracture
Clinical narrative: Patient presented to the ED after a fall at home. She was found to have multiple rib fractures. She was admitted for further management and discharged home 1 day later in stable condition with home healthcare.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: pt. vaccinated at soup kitchen outreach. Vaccine provided based on records. pt. presented without vaccine card. most recent vaccine data was not updated in either. booster dose given too close to previous booster dose. recommended interval was not met. pt. was vaccinated 2 days apart.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Feeling hot, Headache, Pyrexia
Clinical narrative: She got her vaccine, was OK, had no symptoms and was fine, went to bed and woke up having chills and hot.  She then got a headache, her teeth are hurting, her back is aching.  The headache continues and so does her teeth.  She has not taken anything for the symptoms.  She was running fever last night, but did not measure it.  She was not able to get up to take her temperature.    She did not have any symptoms from the first two vaccines.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache
Clinical narrative: She got her vaccine, was OK, had no symptoms and was fine, went to bed and woke up having chills and hot.  She then got a headache, her teeth are hurting, her back is aching.  The headache continues and so does her teeth.  She has not taken anything for the symptoms.  She was running fever last night, but did not measure it.  She was not able to get up to take her temperature.    She did not have any symptoms from the first two vaccines.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose given after expiration date.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Dyspnoea, Pneumonia, Sepsis
Clinical narrative: Patient presented to the ED with complaints of shortness of breath for 2-3 days. She was found to have right lower lobe pneumonia, sepsis, and acute respiratory insufficiency. She was subsequently admitted for further management and discharged home 3 days later in improving condition.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Mental status changes
Clinical narrative: Patient arrived to the ED with complaints of altered mental status. She was found to have a CVA and was admitted for further management. She was discharged home 3 days later with home healthcare.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Hospitalization for COVID symptoms on dates 5/16/2022- 5/29/2022.  Treated with Duoneb inhaler, vitamin C 1000mg daily, vitamin D3 25mcg daily, dexamethasone 6mg IV daily, zinc sulfate 50mg daily, Spiriva inhaler daily, and Remdesivir daily.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Fall, Femur fracture, SARS-CoV-2 test positive
Clinical narrative: Patient presented with left femur fracture from fall. Patinet was tested for covid to be discharged to snf. tested + asymptomatic, discharged to snf.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past beyond use date.
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Amnesia, Arrhythmia, Computerised tomogram head, Dyspnoea
Clinical narrative: Patient experienced a life threatening condition Hospitalization Upset stomach Drowsiness Seizure activity Impaired speech and mobility Swelling tongue Abnormal heard rhythm Difficulty breathing Memory loss  The outcome results includes  long term rehabilitation, with occupation therapy and speech therapy.
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Electroencephalogram, Mobility decreased, Seizure like phenomena, Somnolence, Speech disorder
Clinical narrative: Patient experienced a life threatening condition Hospitalization Upset stomach Drowsiness Seizure activity Impaired speech and mobility Swelling tongue Abnormal heard rhythm Difficulty breathing Memory loss  The outcome results includes  long term rehabilitation, with occupation therapy and speech therapy.
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Swollen tongue, Toxicologic test
Clinical narrative: Patient experienced a life threatening condition Hospitalization Upset stomach Drowsiness Seizure activity Impaired speech and mobility Swelling tongue Abnormal heard rhythm Difficulty breathing Memory loss  The outcome results includes  long term rehabilitation, with occupation therapy and speech therapy.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past beyond use date.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER > 2 WEEKS.
Age: 18.0
Sex: F
Vaccine: COVID19, MENB
Symptoms: Anoxia, Dizziness, Immediate post-injection reaction, Paralysis, Presyncope
Clinical narrative: Pt was given bexero followed by a pfizer covid-19 booster in the right arm while sitting on the exam table. Her body went flaccid and she became unresponsive to verbal stimuli instantly following the covid booster. I was able to catch the pt and safely guide her to a supine position on the table. Pt postured and began having tonic clonic activity in her eyes, arms, and legs. I called for Dr. assistance. Dr. responded to the room and began an examination. I got the pt's legs elevated for proper blood flow. After several seconds, pt was able to start rousing. Blood pressure and pulse both within normal limits at this time. Pt was given juice and water. Pt stayed supine with legs elevated for approximately 20 minutes. Pt then was instructed to lower her legs. Pt remained this way for several minutes. I then increased the incline in small increments, giving her several minutes to adjust after each increase. Once at 90 degrees pt was instructed to let legs dangle from the table. At this point pt reported feeling back to normal. Dr.  examined pt once more and gave the ok to stand. Pt stood for several minutes and after reporting that she felt back to normal was deemed safe to leave clinic. Pt was monitored constantly by clinic staff, from the start of the episode until deemed safe to leave clinic by Dr. The concludes my report. Report given and by the time I arrived in the room patient was lying supine on table with knees bent with fluttering of eyelids noted but no tonic clonic activity or posturing. Within 5 seconds she opened her eyes and responded to her name and asked if she passed out. She then appropriately answered questions for the remainder of the time. I suspect she had a vasovagal episode with associated tonic-clonic activity due to brief anoxia given she did not have a post-ictal period and given she reported feeling lightheaded right before the event (but did not verbalize this at the time). Given the immediate nature of the syncope, will report to VAERS, but discussed with patient this appeared more consistent with vasovagal response and would be ok with her receiving future doses under close supervision.
Age: 18.0
Sex: F
Vaccine: COVID19, MENB
Symptoms: Tonic clonic movements, Unresponsive to stimuli
Clinical narrative: Pt was given bexero followed by a pfizer covid-19 booster in the right arm while sitting on the exam table. Her body went flaccid and she became unresponsive to verbal stimuli instantly following the covid booster. I was able to catch the pt and safely guide her to a supine position on the table. Pt postured and began having tonic clonic activity in her eyes, arms, and legs. I called for Dr. assistance. Dr. responded to the room and began an examination. I got the pt's legs elevated for proper blood flow. After several seconds, pt was able to start rousing. Blood pressure and pulse both within normal limits at this time. Pt was given juice and water. Pt stayed supine with legs elevated for approximately 20 minutes. Pt then was instructed to lower her legs. Pt remained this way for several minutes. I then increased the incline in small increments, giving her several minutes to adjust after each increase. Once at 90 degrees pt was instructed to let legs dangle from the table. At this point pt reported feeling back to normal. Dr.  examined pt once more and gave the ok to stand. Pt stood for several minutes and after reporting that she felt back to normal was deemed safe to leave clinic. Pt was monitored constantly by clinic staff, from the start of the episode until deemed safe to leave clinic by Dr. The concludes my report. Report given and by the time I arrived in the room patient was lying supine on table with knees bent with fluttering of eyelids noted but no tonic clonic activity or posturing. Within 5 seconds she opened her eyes and responded to her name and asked if she passed out. She then appropriately answered questions for the remainder of the time. I suspect she had a vasovagal episode with associated tonic-clonic activity due to brief anoxia given she did not have a post-ictal period and given she reported feeling lightheaded right before the event (but did not verbalize this at the time). Given the immediate nature of the syncope, will report to VAERS, but discussed with patient this appeared more consistent with vasovagal response and would be ok with her receiving future doses under close supervision.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Constipation, Dyspepsia, Gastrointestinal disorder, Lip swelling
Clinical narrative: He received the dose in the morning in the right arm and noted chills that evening. 3 days later, heartburn and constipation. He also noted swelling of the upper lip and around the right eye. He took Benadryl without immediate relief but the swelling resolved after 2 days. GI symptoms resolved after 5 days.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Periorbital swelling
Clinical narrative: He received the dose in the morning in the right arm and noted chills that evening. 3 days later, heartburn and constipation. He also noted swelling of the upper lip and around the right eye. He took Benadryl without immediate relief but the swelling resolved after 2 days. GI symptoms resolved after 5 days.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer > 2 weeks.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Back pain, Chills, Decreased appetite, Fatigue
Clinical narrative: Fever, headache, nausea, chills, fatigue, inability to speak quickly or clearly, loss of appetite, back pain, joint paint, injection site pain - 18 hours - no treatment
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site pain, Nausea, Pyrexia, Speech disorder
Clinical narrative: Fever, headache, nausea, chills, fatigue, inability to speak quickly or clearly, loss of appetite, back pain, joint paint, injection site pain - 18 hours - no treatment
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER > 2 WEEKS
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Mental status changes
Clinical narrative: Hospitalization for altered mental status, shortness of breath that led to COVID-19 diagnosis on dates 5/16/2022-6/10/2022.   Treated with Duoneb inhaler, vitamin C 1000mg daily, Vitamin D3 25mcg daily, dexmethasone 6mg IV daily, zinc sulfate 50mg PO daily.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, COVID-19, Fatigue, Oxygen saturation decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/17/2022 Discharge Date: Jun 18, 2022  PRESENTING PROBLEM: Generalized weakness [R53.1] COVID [U07.1]   HOSPITAL COURSE: 91 year old male with history of HTN and asthma who presented to ER on 6/17/22 with complaints of fatigue. He tested positive for COVID in the ER. Fortunately, he had a total of four COVID vaccinations. He states he had breakfast with friends on Monday and felt fine. By Wednesday, he started with fatigue. He denies fever or SOB. He has history of asthma with chronic cough, which has been unchanged. He denies vomiting or diarrhea. He was feeling weak at home, but denies fall. While in the ER, he did desaturate to 88% with ambulation. This improved with rest and he remained off oxygen. He was monitored overnight and remained stable. He is independent in the room and anxious to return home. His wife would like him started on Paxloivid at discharge. Patient was instructed to remain in isolation for 5 days and mask in community for 5 additional days.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/17/2022 Discharge Date: Jun 18, 2022  PRESENTING PROBLEM: Generalized weakness [R53.1] COVID [U07.1]   HOSPITAL COURSE: 91 year old male with history of HTN and asthma who presented to ER on 6/17/22 with complaints of fatigue. He tested positive for COVID in the ER. Fortunately, he had a total of four COVID vaccinations. He states he had breakfast with friends on Monday and felt fine. By Wednesday, he started with fatigue. He denies fever or SOB. He has history of asthma with chronic cough, which has been unchanged. He denies vomiting or diarrhea. He was feeling weak at home, but denies fall. While in the ER, he did desaturate to 88% with ambulation. This improved with rest and he remained off oxygen. He was monitored overnight and remained stable. He is independent in the room and anxious to return home. His wife would like him started on Paxloivid at discharge. Patient was instructed to remain in isolation for 5 days and mask in community for 5 additional days.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose given after expiration date
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Constipation, Dyspepsia, Gastrointestinal disorder, Lip swelling
Clinical narrative: He noted chills that evening and 1-2 days later onset of constipation and heartburn and swelling of the lip and eyelid. The swelling lasted 1-2 days and the GI symptoms lasted one week. He went to a local Health Clinic and was treated with prednisone and antibiotics as he had also symptoms of a sinus infection prior to receiving the vaccine.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Sinusitis, Swelling of eyelid
Clinical narrative: He noted chills that evening and 1-2 days later onset of constipation and heartburn and swelling of the lip and eyelid. The swelling lasted 1-2 days and the GI symptoms lasted one week. He went to a local Health Clinic and was treated with prednisone and antibiotics as he had also symptoms of a sinus infection prior to receiving the vaccine.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Headache, Mobility decreased
Clinical narrative: Starting 06/03/2022, I developed a bad headache, body aches and nasal drainage. I never ran a temperature but felt extremely wiped out. I barely got out of bed that weekend and on 06/05/2022 I took an at home test which was positive. That same day I went to the pharmacy to get a PCR test just to confirm and on Monday the results came back as positive. I called my doctor the next day (06/07/2022) and he prescribed Paxlovid, albuterol and a z-pack which I started that day. Thursday 06/09/2022 I was starting to feel a little better. I continued the medication and finished it as prescribed. By Sunday 06/12/2022 all of my symptoms but fatigue had resolved. I tested myself on 06/13/2022 at home and it was negative. The fatigue continued into the next week and progressively got better. I am back to normal as of today.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Starting 06/03/2022, I developed a bad headache, body aches and nasal drainage. I never ran a temperature but felt extremely wiped out. I barely got out of bed that weekend and on 06/05/2022 I took an at home test which was positive. That same day I went to the pharmacy to get a PCR test just to confirm and on Monday the results came back as positive. I called my doctor the next day (06/07/2022) and he prescribed Paxlovid, albuterol and a z-pack which I started that day. Thursday 06/09/2022 I was starting to feel a little better. I continued the medication and finished it as prescribed. By Sunday 06/12/2022 all of my symptoms but fatigue had resolved. I tested myself on 06/13/2022 at home and it was negative. The fatigue continued into the next week and progressively got better. I am back to normal as of today.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose Given after Expiration Date
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Fatigue, Urine output decreased
Clinical narrative: Hospitalization for fatigue and low urine output and then diagnosed with COVID-19  on dates 5/19/2022- 5/21/2022.  Treated with Vitamin C 1000mg PO daily, Vitamin D3 25mcg PO daily, zinc sulfate 50mg PO daily,
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Chronic kidney disease, Dizziness, Henoch-Schonlein purpura, Laboratory test
Clinical narrative: Severe purpura "rash," chills, nauseated, dizzy
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Purpura, Rash, Urine analysis
Clinical narrative: Severe purpura "rash," chills, nauseated, dizzy
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 6/17/2022 Discharge Date: Jun 18, 2022 PRESENTING PROBLEM: Acute hypoxic respiratory failure Acute respiratory disease due to COVID-19 virus   HOSPITAL COURSE: Patient is a 61-year-old woman with history of mild intermittent asthma who presented to the hospital with few days of more shortness of breath and cough.  She tested positive for COVID-19.  She had acute hypoxic respiratory failure and was admitted to the hospital for treatment.  She was started on Decadron and had scheduled albuterol nebulizers.  Her acute hypoxic respiratory failure resolved but she continued to have significant wheezing.  She overall felt better and wanted to be discharged.  She was discharged home with refills for her Spiriva and albuterol.  She was instructed to always use a spacer with her albuterol inhaler.  She was also prescribed 8 more days of Decadron.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Admission Date: 6/17/2022 Discharge Date: Jun 18, 2022 PRESENTING PROBLEM: Acute hypoxic respiratory failure Acute respiratory disease due to COVID-19 virus   HOSPITAL COURSE: Patient is a 61-year-old woman with history of mild intermittent asthma who presented to the hospital with few days of more shortness of breath and cough.  She tested positive for COVID-19.  She had acute hypoxic respiratory failure and was admitted to the hospital for treatment.  She was started on Decadron and had scheduled albuterol nebulizers.  Her acute hypoxic respiratory failure resolved but she continued to have significant wheezing.  She overall felt better and wanted to be discharged.  She was discharged home with refills for her Spiriva and albuterol.  She was instructed to always use a spacer with her albuterol inhaler.  She was also prescribed 8 more days of Decadron.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fear, Weight decreased, Weight increased
Clinical narrative: He got his vaccine, he started with weight loss.  He went to see the doctor due to this, and does not remember this.  He continued to loose weight and continued to see his doctor and they ran a lot of tests to determine why he is loosing weight.  He lost weight, would gain it back and then would loose again.  He weighed 140#, and is now down to 105#, and cannot find out a reason why.  He subsequently had the other two vaccines without any change in the condition.  It seemed that with each vaccine his weight would continue to decline.    Said to contact the doctor for information on dates and tests.    2nd vaccine on 3/19/21: Pfizer, lot #EN6205.  3rd vaccine on 12/30/21, LOT#FH8020.    He is scared, does to what to do and does not know if this is going to cost him his life.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient COVID positive prior to admission into the hospital. Vaccinated plus one booster
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Hospitalization for COVID-19 symptoms  on dates 5/25/2022- 5/28/2022. Treated with Vitamin C 1000mg PO daily, Vitamin D3 1 tab PO daily, budesonide 3mg PO daily.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Mom reports swelling over right thigh injection site began on Tuesday 6/21 and continued to grow in size, redness, painful to touch, and itching by Thursday 6/25/22.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Dehydration, Dysstasia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/17/2022 Discharge Date: Jun 19, 2022  PRESENTING PROBLEM: Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: 68 year old male who presented to ER on 6/16/22 with complaints of dehydration and generalized weakness. He had acute onset of overall weakness and difficulty walking. He had no complaints of vomiting or diarrhea. No complaints of cough, but he was noted to be tachypnic. He had CXR done a that time that was concerning for lingular infiltrate. He was discharged home with oral ATB. He returned to the ER on 6/17 after fall at home. He was unable to stand on his own and therefore sister brought him back to the hospital. At this time, he tested positive for COVID. His sister did not feel comfortable taking him home for fear of recurrent fall.   Patient was admitted observation for monitoring. He was continued on Rocephin and Zithromax for lingular pneumonia. He was also started on Decadron for COVID. He has history of sleep apnea and required 1L oxygen while sleeping. He had no oxygen requirements during the day. He worked with therapy who felt he was strong enough to discharge home. He admits that he does not always use his walker at home as he is afraid of scuffing up the walls. He was encouraged on walker use at all times for safety as he has chronic gait instability and frequent falls.   He will discharge to complete the course of ATB that was prescribed to him on 6/16 (ceftin and doxy). He is a candidate for Paxloivid as symptoms started < 5 days ago and therefore prescribed at discharge.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Gait disturbance, Lung infiltration, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/17/2022 Discharge Date: Jun 19, 2022  PRESENTING PROBLEM: Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: 68 year old male who presented to ER on 6/16/22 with complaints of dehydration and generalized weakness. He had acute onset of overall weakness and difficulty walking. He had no complaints of vomiting or diarrhea. No complaints of cough, but he was noted to be tachypnic. He had CXR done a that time that was concerning for lingular infiltrate. He was discharged home with oral ATB. He returned to the ER on 6/17 after fall at home. He was unable to stand on his own and therefore sister brought him back to the hospital. At this time, he tested positive for COVID. His sister did not feel comfortable taking him home for fear of recurrent fall.   Patient was admitted observation for monitoring. He was continued on Rocephin and Zithromax for lingular pneumonia. He was also started on Decadron for COVID. He has history of sleep apnea and required 1L oxygen while sleeping. He had no oxygen requirements during the day. He worked with therapy who felt he was strong enough to discharge home. He admits that he does not always use his walker at home as he is afraid of scuffing up the walls. He was encouraged on walker use at all times for safety as he has chronic gait instability and frequent falls.   He will discharge to complete the course of ATB that was prescribed to him on 6/16 (ceftin and doxy). He is a candidate for Paxloivid as symptoms started < 5 days ago and therefore prescribed at discharge.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/17/2022 Discharge Date: Jun 19, 2022  PRESENTING PROBLEM: Weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: 68 year old male who presented to ER on 6/16/22 with complaints of dehydration and generalized weakness. He had acute onset of overall weakness and difficulty walking. He had no complaints of vomiting or diarrhea. No complaints of cough, but he was noted to be tachypnic. He had CXR done a that time that was concerning for lingular infiltrate. He was discharged home with oral ATB. He returned to the ER on 6/17 after fall at home. He was unable to stand on his own and therefore sister brought him back to the hospital. At this time, he tested positive for COVID. His sister did not feel comfortable taking him home for fear of recurrent fall.   Patient was admitted observation for monitoring. He was continued on Rocephin and Zithromax for lingular pneumonia. He was also started on Decadron for COVID. He has history of sleep apnea and required 1L oxygen while sleeping. He had no oxygen requirements during the day. He worked with therapy who felt he was strong enough to discharge home. He admits that he does not always use his walker at home as he is afraid of scuffing up the walls. He was encouraged on walker use at all times for safety as he has chronic gait instability and frequent falls.   He will discharge to complete the course of ATB that was prescribed to him on 6/16 (ceftin and doxy). He is a candidate for Paxloivid as symptoms started < 5 days ago and therefore prescribed at discharge.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER > 2 WEEKS
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccination failure
Clinical narrative: Total vaccine failure.   Fully vaccinated and ended up with covid and It wasn?t a ?milder case?, either.    It seems antibody dependent enhancement is working well.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Injection site erythema, Injection site swelling, Injection site warmth, Metabolic function test
Clinical narrative: Swelling at site, raised and red day after vaccine. Next day, entire left upper arm to elbow swollen and red, warm.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given after expiration date.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood glucose increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/18/2022 Discharge Date: Jun 21, 2022  PRESENTING PROBLEM: Hypoxia   HOSPITAL COURSE: Patient is a 73-year-old woman with a history of grade 1 diastolic dysfunction, systolic heart failure with most recent ejection fraction of 28%, type 2 diabetes, CKD stage 3, stage III squamous cell carcinoma of the right upper lobe of the lung status post radiation , DVT and PE, seizure disorder, coronary artery disease, hypertension presented to emergency department due to shortness of breath and generalized weakness.  Was admitted to internal medicine service due to acute hypoxic respiratory failure she required 2-4 L of supplemental oxygen via nasal cannula at the time of arrival.  Film array was positive for COVID.  Her hypoxic respiratory failure most likely was secondary to COVID pneumonia.  Chest x-ray showed diffuse interstitial opacity more prominent in the right upper lobe mostly due to fluid overload.  Patient was started on Decadron.  Her symptoms significantly improved and she was able to be weaned off to room air.  She takes 20 mg of Lasix orally every other day at home which was changed to Lasix 20 every day due to fluid overload. overall patient improved significantly and was transferred to a SAR facility. patient's blood sugars were elevated but her last a1c was 7.2% and steroids would not be continued at discharge given her lack of hypoxemia so this degree of hyperglycemia was expected to resolve spontaneously. at the time of discharge patient was in good spirits with no objections to be sent out. she still had a cough and some shortness of breath on exertion. she was 89% with ambulation and was sent with oxygen and instructions for the facility to wean; she was not sent ou ton steroids but her lasix was increased and she was told to discuss this with her PCP as the need for the increased lasix was likely temporary. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Dyspnoea, Dyspnoea exertional, Glycosylated haemoglobin increased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/18/2022 Discharge Date: Jun 21, 2022  PRESENTING PROBLEM: Hypoxia   HOSPITAL COURSE: Patient is a 73-year-old woman with a history of grade 1 diastolic dysfunction, systolic heart failure with most recent ejection fraction of 28%, type 2 diabetes, CKD stage 3, stage III squamous cell carcinoma of the right upper lobe of the lung status post radiation , DVT and PE, seizure disorder, coronary artery disease, hypertension presented to emergency department due to shortness of breath and generalized weakness.  Was admitted to internal medicine service due to acute hypoxic respiratory failure she required 2-4 L of supplemental oxygen via nasal cannula at the time of arrival.  Film array was positive for COVID.  Her hypoxic respiratory failure most likely was secondary to COVID pneumonia.  Chest x-ray showed diffuse interstitial opacity more prominent in the right upper lobe mostly due to fluid overload.  Patient was started on Decadron.  Her symptoms significantly improved and she was able to be weaned off to room air.  She takes 20 mg of Lasix orally every other day at home which was changed to Lasix 20 every day due to fluid overload. overall patient improved significantly and was transferred to a SAR facility. patient's blood sugars were elevated but her last a1c was 7.2% and steroids would not be continued at discharge given her lack of hypoxemia so this degree of hyperglycemia was expected to resolve spontaneously. at the time of discharge patient was in good spirits with no objections to be sent out. she still had a cough and some shortness of breath on exertion. she was 89% with ambulation and was sent with oxygen and instructions for the facility to wean; she was not sent ou ton steroids but her lasix was increased and she was told to discuss this with her PCP as the need for the increased lasix was likely temporary. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypervolaemia, Hypoxia, Lung opacity, Respiratory failure
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/18/2022 Discharge Date: Jun 21, 2022  PRESENTING PROBLEM: Hypoxia   HOSPITAL COURSE: Patient is a 73-year-old woman with a history of grade 1 diastolic dysfunction, systolic heart failure with most recent ejection fraction of 28%, type 2 diabetes, CKD stage 3, stage III squamous cell carcinoma of the right upper lobe of the lung status post radiation , DVT and PE, seizure disorder, coronary artery disease, hypertension presented to emergency department due to shortness of breath and generalized weakness.  Was admitted to internal medicine service due to acute hypoxic respiratory failure she required 2-4 L of supplemental oxygen via nasal cannula at the time of arrival.  Film array was positive for COVID.  Her hypoxic respiratory failure most likely was secondary to COVID pneumonia.  Chest x-ray showed diffuse interstitial opacity more prominent in the right upper lobe mostly due to fluid overload.  Patient was started on Decadron.  Her symptoms significantly improved and she was able to be weaned off to room air.  She takes 20 mg of Lasix orally every other day at home which was changed to Lasix 20 every day due to fluid overload. overall patient improved significantly and was transferred to a SAR facility. patient's blood sugars were elevated but her last a1c was 7.2% and steroids would not be continued at discharge given her lack of hypoxemia so this degree of hyperglycemia was expected to resolve spontaneously. at the time of discharge patient was in good spirits with no objections to be sent out. she still had a cough and some shortness of breath on exertion. she was 89% with ambulation and was sent with oxygen and instructions for the facility to wean; she was not sent ou ton steroids but her lasix was increased and she was told to discuss this with her PCP as the need for the increased lasix was likely temporary. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/18/2022 Discharge Date: Jun 21, 2022  PRESENTING PROBLEM: Hypoxia   HOSPITAL COURSE: Patient is a 73-year-old woman with a history of grade 1 diastolic dysfunction, systolic heart failure with most recent ejection fraction of 28%, type 2 diabetes, CKD stage 3, stage III squamous cell carcinoma of the right upper lobe of the lung status post radiation , DVT and PE, seizure disorder, coronary artery disease, hypertension presented to emergency department due to shortness of breath and generalized weakness.  Was admitted to internal medicine service due to acute hypoxic respiratory failure she required 2-4 L of supplemental oxygen via nasal cannula at the time of arrival.  Film array was positive for COVID.  Her hypoxic respiratory failure most likely was secondary to COVID pneumonia.  Chest x-ray showed diffuse interstitial opacity more prominent in the right upper lobe mostly due to fluid overload.  Patient was started on Decadron.  Her symptoms significantly improved and she was able to be weaned off to room air.  She takes 20 mg of Lasix orally every other day at home which was changed to Lasix 20 every day due to fluid overload. overall patient improved significantly and was transferred to a SAR facility. patient's blood sugars were elevated but her last a1c was 7.2% and steroids would not be continued at discharge given her lack of hypoxemia so this degree of hyperglycemia was expected to resolve spontaneously. at the time of discharge patient was in good spirits with no objections to be sent out. she still had a cough and some shortness of breath on exertion. she was 89% with ambulation and was sent with oxygen and instructions for the facility to wean; she was not sent ou ton steroids but her lasix was increased and she was told to discuss this with her PCP as the need for the increased lasix was likely temporary. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 1.67
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORED IN FREEZER > 2 WEEKS
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered after expiration date.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Anorectal disorder, Bacterial test, Blood glucose normal, Blood urine present, Culture urine
Clinical narrative: Rash appeared on the patient's back 2 days after receiving the booster vaccine. Patient has a fever and puffy eyes as well as a sore arm. Patient came to the doctors office, urine had traces of blood, Glucose and Ketones. Urine was sent for culture. There was pararectal irritation, culture of the area was sent.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Glucose urine, Influenza A virus test negative, Influenza B virus test, Pain in extremity, Periorbital swelling
Clinical narrative: Rash appeared on the patient's back 2 days after receiving the booster vaccine. Patient has a fever and puffy eyes as well as a sore arm. Patient came to the doctors office, urine had traces of blood, Glucose and Ketones. Urine was sent for culture. There was pararectal irritation, culture of the area was sent.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Urine ketone body present
Clinical narrative: Rash appeared on the patient's back 2 days after receiving the booster vaccine. Patient has a fever and puffy eyes as well as a sore arm. Patient came to the doctors office, urine had traces of blood, Glucose and Ketones. Urine was sent for culture. There was pararectal irritation, culture of the area was sent.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Bronchiolitis obliterans syndrome, COVID-19, Condition aggravated, Decreased appetite
Clinical narrative: Discharge Provider:  DO Primary Care Provider: DO Admission Date: 6/20/2022 Discharge Date: 06/23/2022  PRESENTING PROBLEM: Bronchiolitis obliterans syndrome, grade 0P (HCC) [J42] COVID [U07.1] AKI (acute kidney injury) (HCC) [N17.9]   HOSPITAL COURSE:   This is a 78 y.o. who has a past medical history significant for IPF s/p Left single lung transplant in 2014, on Fluconazole for disseminated Cryptococcal infection, CAD, Aflutter s/p ablation, CKD, GERD , DM. He was admitted for observation today after a few days of poor appetite, nausea, and emesis in the last day. Hospital course was significant for positive COVID PCR test.  He is not hypoxic, does endorse mild dyspnea and baseline congestions. Admitted for AKI   6/21: Renal function improved. Needs to be assess by PT/OT. Feeling better.  6/22: Still with fatigue, nausea, headache, and now poor PO intake--- > worsening kidney function. Will need another day at least in hospital. PT/OT planned today   Plan Today - IVF on 6/20 with improvement in renal function, Since then not drinking water since it is not filtered and renal function worse. He is eager for discharge and will give more IV fluids, recheck and discahrge if improved. Plan for Labs 6/24 and possibly next week. - Due to frequent infections will reduce tacro goal to 4-6, continue pred 5mg - Nausea: prn zofran - Headache: prn tylenol  - Tacro repeat tomorrow in AM after discharge  - PT/OT ---- > Home health and PT
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Hypophagia, Infection
Clinical narrative: Discharge Provider:  DO Primary Care Provider: DO Admission Date: 6/20/2022 Discharge Date: 06/23/2022  PRESENTING PROBLEM: Bronchiolitis obliterans syndrome, grade 0P (HCC) [J42] COVID [U07.1] AKI (acute kidney injury) (HCC) [N17.9]   HOSPITAL COURSE:   This is a 78 y.o. who has a past medical history significant for IPF s/p Left single lung transplant in 2014, on Fluconazole for disseminated Cryptococcal infection, CAD, Aflutter s/p ablation, CKD, GERD , DM. He was admitted for observation today after a few days of poor appetite, nausea, and emesis in the last day. Hospital course was significant for positive COVID PCR test.  He is not hypoxic, does endorse mild dyspnea and baseline congestions. Admitted for AKI   6/21: Renal function improved. Needs to be assess by PT/OT. Feeling better.  6/22: Still with fatigue, nausea, headache, and now poor PO intake--- > worsening kidney function. Will need another day at least in hospital. PT/OT planned today   Plan Today - IVF on 6/20 with improvement in renal function, Since then not drinking water since it is not filtered and renal function worse. He is eager for discharge and will give more IV fluids, recheck and discahrge if improved. Plan for Labs 6/24 and possibly next week. - Due to frequent infections will reduce tacro goal to 4-6, continue pred 5mg - Nausea: prn zofran - Headache: prn tylenol  - Tacro repeat tomorrow in AM after discharge  - PT/OT ---- > Home health and PT
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Renal impairment, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Discharge Provider:  DO Primary Care Provider: DO Admission Date: 6/20/2022 Discharge Date: 06/23/2022  PRESENTING PROBLEM: Bronchiolitis obliterans syndrome, grade 0P (HCC) [J42] COVID [U07.1] AKI (acute kidney injury) (HCC) [N17.9]   HOSPITAL COURSE:   This is a 78 y.o. who has a past medical history significant for IPF s/p Left single lung transplant in 2014, on Fluconazole for disseminated Cryptococcal infection, CAD, Aflutter s/p ablation, CKD, GERD , DM. He was admitted for observation today after a few days of poor appetite, nausea, and emesis in the last day. Hospital course was significant for positive COVID PCR test.  He is not hypoxic, does endorse mild dyspnea and baseline congestions. Admitted for AKI   6/21: Renal function improved. Needs to be assess by PT/OT. Feeling better.  6/22: Still with fatigue, nausea, headache, and now poor PO intake--- > worsening kidney function. Will need another day at least in hospital. PT/OT planned today   Plan Today - IVF on 6/20 with improvement in renal function, Since then not drinking water since it is not filtered and renal function worse. He is eager for discharge and will give more IV fluids, recheck and discahrge if improved. Plan for Labs 6/24 and possibly next week. - Due to frequent infections will reduce tacro goal to 4-6, continue pred 5mg - Nausea: prn zofran - Headache: prn tylenol  - Tacro repeat tomorrow in AM after discharge  - PT/OT ---- > Home health and PT
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration date.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given after expiration date.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered past beyond use date