chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMRV
Symptoms: Incorrect route of product administration
Clinical narrative: MMRV was administered IM instead of SQ.  No problems noted.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer bivalent was accidentally administered as the 1st dose in patients primary series. Patient was notified.
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given a Pfizer bivalent as his first dose instead of the monovalent.  No reaction of any kind of the patient
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Novavax as 2nd booster due to inability to receive mRNA COVID-19 vaccine due to prior allergic reaction
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Blister rupture, Burning sensation, Lethargy, Middle insomnia
Clinical narrative: Low fever, body pains, lethargic 1-3 days after the vaccine. 19 days later I developed a very painful blister that grew to not quite the size of a dime. It burned as if it were an actual burn. The pain/throbbing was enough to wake me from sleep.  The blister eventually burst and gradually went away. I kept the area clean and covered with a bandage the entire time using neosporin once the blister burst. The area still visibly shows where the blister was. I was instructed not to get the next dose of the vaccine which was due to be administered tomorrow. The doctor replied to my message this afternoon after having read my description and seen the photo of the blister I attached.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: Low fever, body pains, lethargic 1-3 days after the vaccine. 19 days later I developed a very painful blister that grew to not quite the size of a dime. It burned as if it were an actual burn. The pain/throbbing was enough to wake me from sleep.  The blister eventually burst and gradually went away. I kept the area clean and covered with a bandage the entire time using neosporin once the blister burst. The area still visibly shows where the blister was. I was instructed not to get the next dose of the vaccine which was due to be administered tomorrow. The doctor replied to my message this afternoon after having read my description and seen the photo of the blister I attached.
Age: 48.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache
Clinical narrative: I have had headache almost daily and just feel extremely fatigued.
Age: 55.0
Sex: F
Vaccine: HEP
Symptoms: Expired product administered, No adverse event
Clinical narrative: after administering the vaccine, we noticed it had expired 7 days prior to.  Called the manufacturer GSK and they did not have any studies in support of revaccinating the patient and instead, based on their inhouse analytical potency testing, the vaccine is within normal accepted immunogenecity if administered within 30 days of expiration date.  Patient has not reported any adverse events at this time.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Cough, Feeling abnormal, Influenza virus test negative
Clinical narrative: I had been on very high dose of ibuprofen for 2 months. I stopped the ibuprofen and the next day the joint pain started. I had my next vaccine on October 14, 2022, which was Dose 5. The next day I had very bad cold symptoms. I was stuffed up and I felt pretty bad. I had a cough and was sneezing. I took an at home COVID-19 test negative. It persisted into the following week, so I went to the urgent care center and was tested for COVID-19 and Flu test, and both were negative. I was told to treat with over-the-counter medication. They indicated that it was likely a bad cold but due to the timing and joint pain I wanted to ensure I did not have something worse. For about 3 weeks I continued to feel stuffed up, my nose was running, and the joint pain continued. It was worse after I had the 5th dose of the vaccine on October 14, 2022 (Pfizer-Left Arm-Lot#GH9700). I do feel like I have recovered from all symptoms except the joint pain. I saw an orthopedist last week who think it is related to my osteoarthritis.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Osteoarthritis, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I had been on very high dose of ibuprofen for 2 months. I stopped the ibuprofen and the next day the joint pain started. I had my next vaccine on October 14, 2022, which was Dose 5. The next day I had very bad cold symptoms. I was stuffed up and I felt pretty bad. I had a cough and was sneezing. I took an at home COVID-19 test negative. It persisted into the following week, so I went to the urgent care center and was tested for COVID-19 and Flu test, and both were negative. I was told to treat with over-the-counter medication. They indicated that it was likely a bad cold but due to the timing and joint pain I wanted to ensure I did not have something worse. For about 3 weeks I continued to feel stuffed up, my nose was running, and the joint pain continued. It was worse after I had the 5th dose of the vaccine on October 14, 2022 (Pfizer-Left Arm-Lot#GH9700). I do feel like I have recovered from all symptoms except the joint pain. I saw an orthopedist last week who think it is related to my osteoarthritis.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I had been on very high dose of ibuprofen for 2 months. I stopped the ibuprofen and the next day the joint pain started. I had my next vaccine on October 14, 2022, which was Dose 5. The next day I had very bad cold symptoms. I was stuffed up and I felt pretty bad. I had a cough and was sneezing. I took an at home COVID-19 test negative. It persisted into the following week, so I went to the urgent care center and was tested for COVID-19 and Flu test, and both were negative. I was told to treat with over-the-counter medication. They indicated that it was likely a bad cold but due to the timing and joint pain I wanted to ensure I did not have something worse. For about 3 weeks I continued to feel stuffed up, my nose was running, and the joint pain continued. It was worse after I had the 5th dose of the vaccine on October 14, 2022 (Pfizer-Left Arm-Lot#GH9700). I do feel like I have recovered from all symptoms except the joint pain. I saw an orthopedist last week who think it is related to my osteoarthritis.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram cerebral abnormal, Arteriogram carotid abnormal, Blood magnesium decreased, Blood potassium decreased
Clinical narrative: Patient is a 69 y.o. female with a history of HTN, HLD, DM2, colon cancer s/p resection 2020, recent admit 10/8-10/10/22 for transient neuro symptoms and UTI, who presented to HCF 10/27/2022 with blurry vision, high BP reading, cough, congestion, sore throat. She was found to be febrile and SARS-CoV-2 positive and BP 218/68.    1. Sepsis secondary to COVID-19: Sepsis present on admit with fever, tachypnea. Symptoms present 10/26/22. Tested positive on admit. CXR on admit with bilateral coarsened lower lung bronchial markings, basilar interstitial vascular congestion. Required oxygen on admit, no hypoxia at time of discharge even with ambulating. Continue dexamethasone x 10 days at discharge  2. Acute hypoxic respiratory insufficiency: Required 2L NC on admit due to COVID-19. Resolved 10/28/2022  3. Uncontrolled HTN: blood pressure 200/60s on admit, noted history of elevated blood pressure causing transient neurologic symptoms. Changed metoprolol to carvedilol and added lisinopril  (pt not taking enalapril) at discharge.  4. Chest pain: reproducible on palpation. Suspect MSK due to COVID / cough. Steroids as above. 5. Elevated BNP: Admit NT-Pro BNP 2740. CXR on admit noted vascular congestion. Consider echocardiogram outpatient  6. Hypokalemia: K 3.1 on admit, potassium 3.5 at time of discharge, replaced magnesium, added lisinopril   7. Hypomagnesemia: magnesium 1.2 10/28/2022, replaced IV 8. DM2: Controlled. A1c 6.8% 10/9/22.  9. Left ICA stenosis: 60% stenosis on recent CT angio head/neck. Continued ASA and statin. 10. Colon cancer: Patient reports resection in 2020 at HCF. Denies metastatic issues and did not require radiation or chemotherapy. Reports recent scans have been negative
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Brain natriuretic peptide increased, COVID-19, Carotid artery stenosis, Chest X-ray abnormal
Clinical narrative: Patient is a 69 y.o. female with a history of HTN, HLD, DM2, colon cancer s/p resection 2020, recent admit 10/8-10/10/22 for transient neuro symptoms and UTI, who presented to HCF 10/27/2022 with blurry vision, high BP reading, cough, congestion, sore throat. She was found to be febrile and SARS-CoV-2 positive and BP 218/68.    1. Sepsis secondary to COVID-19: Sepsis present on admit with fever, tachypnea. Symptoms present 10/26/22. Tested positive on admit. CXR on admit with bilateral coarsened lower lung bronchial markings, basilar interstitial vascular congestion. Required oxygen on admit, no hypoxia at time of discharge even with ambulating. Continue dexamethasone x 10 days at discharge  2. Acute hypoxic respiratory insufficiency: Required 2L NC on admit due to COVID-19. Resolved 10/28/2022  3. Uncontrolled HTN: blood pressure 200/60s on admit, noted history of elevated blood pressure causing transient neurologic symptoms. Changed metoprolol to carvedilol and added lisinopril  (pt not taking enalapril) at discharge.  4. Chest pain: reproducible on palpation. Suspect MSK due to COVID / cough. Steroids as above. 5. Elevated BNP: Admit NT-Pro BNP 2740. CXR on admit noted vascular congestion. Consider echocardiogram outpatient  6. Hypokalemia: K 3.1 on admit, potassium 3.5 at time of discharge, replaced magnesium, added lisinopril   7. Hypomagnesemia: magnesium 1.2 10/28/2022, replaced IV 8. DM2: Controlled. A1c 6.8% 10/9/22.  9. Left ICA stenosis: 60% stenosis on recent CT angio head/neck. Continued ASA and statin. 10. Colon cancer: Patient reports resection in 2020 at HCF. Denies metastatic issues and did not require radiation or chemotherapy. Reports recent scans have been negative
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Cough, Hypertension, Hypokalaemia
Clinical narrative: Patient is a 69 y.o. female with a history of HTN, HLD, DM2, colon cancer s/p resection 2020, recent admit 10/8-10/10/22 for transient neuro symptoms and UTI, who presented to HCF 10/27/2022 with blurry vision, high BP reading, cough, congestion, sore throat. She was found to be febrile and SARS-CoV-2 positive and BP 218/68.    1. Sepsis secondary to COVID-19: Sepsis present on admit with fever, tachypnea. Symptoms present 10/26/22. Tested positive on admit. CXR on admit with bilateral coarsened lower lung bronchial markings, basilar interstitial vascular congestion. Required oxygen on admit, no hypoxia at time of discharge even with ambulating. Continue dexamethasone x 10 days at discharge  2. Acute hypoxic respiratory insufficiency: Required 2L NC on admit due to COVID-19. Resolved 10/28/2022  3. Uncontrolled HTN: blood pressure 200/60s on admit, noted history of elevated blood pressure causing transient neurologic symptoms. Changed metoprolol to carvedilol and added lisinopril  (pt not taking enalapril) at discharge.  4. Chest pain: reproducible on palpation. Suspect MSK due to COVID / cough. Steroids as above. 5. Elevated BNP: Admit NT-Pro BNP 2740. CXR on admit noted vascular congestion. Consider echocardiogram outpatient  6. Hypokalemia: K 3.1 on admit, potassium 3.5 at time of discharge, replaced magnesium, added lisinopril   7. Hypomagnesemia: magnesium 1.2 10/28/2022, replaced IV 8. DM2: Controlled. A1c 6.8% 10/9/22.  9. Left ICA stenosis: 60% stenosis on recent CT angio head/neck. Continued ASA and statin. 10. Colon cancer: Patient reports resection in 2020 at HCF. Denies metastatic issues and did not require radiation or chemotherapy. Reports recent scans have been negative
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypomagnesaemia, Lung disorder, N-terminal prohormone brain natriuretic peptide increased, Neurological symptom, Oropharyngeal pain
Clinical narrative: Patient is a 69 y.o. female with a history of HTN, HLD, DM2, colon cancer s/p resection 2020, recent admit 10/8-10/10/22 for transient neuro symptoms and UTI, who presented to HCF 10/27/2022 with blurry vision, high BP reading, cough, congestion, sore throat. She was found to be febrile and SARS-CoV-2 positive and BP 218/68.    1. Sepsis secondary to COVID-19: Sepsis present on admit with fever, tachypnea. Symptoms present 10/26/22. Tested positive on admit. CXR on admit with bilateral coarsened lower lung bronchial markings, basilar interstitial vascular congestion. Required oxygen on admit, no hypoxia at time of discharge even with ambulating. Continue dexamethasone x 10 days at discharge  2. Acute hypoxic respiratory insufficiency: Required 2L NC on admit due to COVID-19. Resolved 10/28/2022  3. Uncontrolled HTN: blood pressure 200/60s on admit, noted history of elevated blood pressure causing transient neurologic symptoms. Changed metoprolol to carvedilol and added lisinopril  (pt not taking enalapril) at discharge.  4. Chest pain: reproducible on palpation. Suspect MSK due to COVID / cough. Steroids as above. 5. Elevated BNP: Admit NT-Pro BNP 2740. CXR on admit noted vascular congestion. Consider echocardiogram outpatient  6. Hypokalemia: K 3.1 on admit, potassium 3.5 at time of discharge, replaced magnesium, added lisinopril   7. Hypomagnesemia: magnesium 1.2 10/28/2022, replaced IV 8. DM2: Controlled. A1c 6.8% 10/9/22.  9. Left ICA stenosis: 60% stenosis on recent CT angio head/neck. Continued ASA and statin. 10. Colon cancer: Patient reports resection in 2020 at HCF. Denies metastatic issues and did not require radiation or chemotherapy. Reports recent scans have been negative
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary congestion, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Scan normal
Clinical narrative: Patient is a 69 y.o. female with a history of HTN, HLD, DM2, colon cancer s/p resection 2020, recent admit 10/8-10/10/22 for transient neuro symptoms and UTI, who presented to HCF 10/27/2022 with blurry vision, high BP reading, cough, congestion, sore throat. She was found to be febrile and SARS-CoV-2 positive and BP 218/68.    1. Sepsis secondary to COVID-19: Sepsis present on admit with fever, tachypnea. Symptoms present 10/26/22. Tested positive on admit. CXR on admit with bilateral coarsened lower lung bronchial markings, basilar interstitial vascular congestion. Required oxygen on admit, no hypoxia at time of discharge even with ambulating. Continue dexamethasone x 10 days at discharge  2. Acute hypoxic respiratory insufficiency: Required 2L NC on admit due to COVID-19. Resolved 10/28/2022  3. Uncontrolled HTN: blood pressure 200/60s on admit, noted history of elevated blood pressure causing transient neurologic symptoms. Changed metoprolol to carvedilol and added lisinopril  (pt not taking enalapril) at discharge.  4. Chest pain: reproducible on palpation. Suspect MSK due to COVID / cough. Steroids as above. 5. Elevated BNP: Admit NT-Pro BNP 2740. CXR on admit noted vascular congestion. Consider echocardiogram outpatient  6. Hypokalemia: K 3.1 on admit, potassium 3.5 at time of discharge, replaced magnesium, added lisinopril   7. Hypomagnesemia: magnesium 1.2 10/28/2022, replaced IV 8. DM2: Controlled. A1c 6.8% 10/9/22.  9. Left ICA stenosis: 60% stenosis on recent CT angio head/neck. Continued ASA and statin. 10. Colon cancer: Patient reports resection in 2020 at HCF. Denies metastatic issues and did not require radiation or chemotherapy. Reports recent scans have been negative
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Tachypnoea, Urinary tract infection, Vision blurred
Clinical narrative: Patient is a 69 y.o. female with a history of HTN, HLD, DM2, colon cancer s/p resection 2020, recent admit 10/8-10/10/22 for transient neuro symptoms and UTI, who presented to HCF 10/27/2022 with blurry vision, high BP reading, cough, congestion, sore throat. She was found to be febrile and SARS-CoV-2 positive and BP 218/68.    1. Sepsis secondary to COVID-19: Sepsis present on admit with fever, tachypnea. Symptoms present 10/26/22. Tested positive on admit. CXR on admit with bilateral coarsened lower lung bronchial markings, basilar interstitial vascular congestion. Required oxygen on admit, no hypoxia at time of discharge even with ambulating. Continue dexamethasone x 10 days at discharge  2. Acute hypoxic respiratory insufficiency: Required 2L NC on admit due to COVID-19. Resolved 10/28/2022  3. Uncontrolled HTN: blood pressure 200/60s on admit, noted history of elevated blood pressure causing transient neurologic symptoms. Changed metoprolol to carvedilol and added lisinopril  (pt not taking enalapril) at discharge.  4. Chest pain: reproducible on palpation. Suspect MSK due to COVID / cough. Steroids as above. 5. Elevated BNP: Admit NT-Pro BNP 2740. CXR on admit noted vascular congestion. Consider echocardiogram outpatient  6. Hypokalemia: K 3.1 on admit, potassium 3.5 at time of discharge, replaced magnesium, added lisinopril   7. Hypomagnesemia: magnesium 1.2 10/28/2022, replaced IV 8. DM2: Controlled. A1c 6.8% 10/9/22.  9. Left ICA stenosis: 60% stenosis on recent CT angio head/neck. Continued ASA and statin. 10. Colon cancer: Patient reports resection in 2020 at HCF. Denies metastatic issues and did not require radiation or chemotherapy. Reports recent scans have been negative
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood glucose increased, Diarrhoea, Fatigue, Nausea
Clinical narrative: Early morning the day after receiving the Moderna booster vaccine I awoke with severe vertigo,followed by diarrhea ,nausea and stomach spasm/vomiting.  ALL of these conditions continued for nearly THREE Days. I could not keep anything in my stomach,including any medications. This resulted in my blood glucose levels going high ( nearly 300. Usual daily average is 130 ).  I was week and exhausted,unable to get any rest. When able to sleep,I would be awakened by vertigo. These sane symptons occurred  with each of the two booster shots,but not with the original two Moderna shots.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Vertigo, Vomiting
Clinical narrative: Early morning the day after receiving the Moderna booster vaccine I awoke with severe vertigo,followed by diarrhea ,nausea and stomach spasm/vomiting.  ALL of these conditions continued for nearly THREE Days. I could not keep anything in my stomach,including any medications. This resulted in my blood glucose levels going high ( nearly 300. Usual daily average is 130 ).  I was week and exhausted,unable to get any rest. When able to sleep,I would be awakened by vertigo. These sane symptons occurred  with each of the two booster shots,but not with the original two Moderna shots.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angular cheilitis, Dysgeusia, Lip dry, Lip exfoliation, Lip swelling
Clinical narrative: Pt came to the pharmacy on 11/17/22 and stated that 4 days after she received her Pfizer Bi-Valent Booster shot on 10/7/22 she got a red spot on the corner of her mouth. She stated that since then she has a terrible taste in her mouth, her lips stay dry and peel unless she keeps them moisturized and her lips feel "burned." She also stated the inside of her mouth and lips are swollen.  Also, she explained it burns the inside of her mouth when she drinks soda/pop.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mouth swelling, Oral discomfort
Clinical narrative: Pt came to the pharmacy on 11/17/22 and stated that 4 days after she received her Pfizer Bi-Valent Booster shot on 10/7/22 she got a red spot on the corner of her mouth. She stated that since then she has a terrible taste in her mouth, her lips stay dry and peel unless she keeps them moisturized and her lips feel "burned." She also stated the inside of her mouth and lips are swollen.  Also, she explained it burns the inside of her mouth when she drinks soda/pop.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Febrile convulsion, Illness
Clinical narrative: Febrile Seizure from illness that started subsequent to the vaccine.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Acute respiratory failure, Adhesiolysis, Adhesion
Clinical narrative: Patient is a 80 y.o. female patient with history of arthritis, CA, diverticulosis, diverticulitis, HTN, hysterectomy and s/p exploratory laparotomy, lysis of adhesions, small bowel resection, functional end to end small bowel anastomosis 6/15/2021, who presented to General Hospital with abdominal pain.   Assessment and Plan   Recurrent Small Bowel Obstruction, resolved Secondary to adhesions Admission CT abdomen/pelvis with dilated small bowel loops 10/23 s/p operative adhesion-lysis Surgery has signed off Analgesia Toradol as needed History of multiple abdominal surgeries PT OT Tolerated diet Remove PICC line and discharge   Acute hypoxic respiratory failure, improved Severe COVID 19 Infection Respiratory status stable hypoxia resolved On room air for 24 hours now continue 40 mg Lasix daily Continue Decadron 6 mg for another 3 days Stop Zosyn; oral doxycycline 100 mg twice daily for 3 days Completed remdesivir Pain under control Incentive spirometry PT OT   Acute Kidney Injury, resolved Creatinine elevated to 1.7 on admission, baseline of about 0.8 Likely pre-renal in the setting of abdominal pain and SBO Now back to baseline No evidence of UTI; discontinued ceftriaxone Urine culture negative   Hypertension Continue home medications
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, Central venous catheterisation, Computerised tomogram abdomen abnormal, Condition aggravated
Clinical narrative: Patient is a 80 y.o. female patient with history of arthritis, CA, diverticulosis, diverticulitis, HTN, hysterectomy and s/p exploratory laparotomy, lysis of adhesions, small bowel resection, functional end to end small bowel anastomosis 6/15/2021, who presented to General Hospital with abdominal pain.   Assessment and Plan   Recurrent Small Bowel Obstruction, resolved Secondary to adhesions Admission CT abdomen/pelvis with dilated small bowel loops 10/23 s/p operative adhesion-lysis Surgery has signed off Analgesia Toradol as needed History of multiple abdominal surgeries PT OT Tolerated diet Remove PICC line and discharge   Acute hypoxic respiratory failure, improved Severe COVID 19 Infection Respiratory status stable hypoxia resolved On room air for 24 hours now continue 40 mg Lasix daily Continue Decadron 6 mg for another 3 days Stop Zosyn; oral doxycycline 100 mg twice daily for 3 days Completed remdesivir Pain under control Incentive spirometry PT OT   Acute Kidney Injury, resolved Creatinine elevated to 1.7 on admission, baseline of about 0.8 Likely pre-renal in the setting of abdominal pain and SBO Now back to baseline No evidence of UTI; discontinued ceftriaxone Urine culture negative   Hypertension Continue home medications
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine negative, Hypoxia, Intestinal dilatation, Small intestinal anastomosis, Small intestinal obstruction
Clinical narrative: Patient is a 80 y.o. female patient with history of arthritis, CA, diverticulosis, diverticulitis, HTN, hysterectomy and s/p exploratory laparotomy, lysis of adhesions, small bowel resection, functional end to end small bowel anastomosis 6/15/2021, who presented to General Hospital with abdominal pain.   Assessment and Plan   Recurrent Small Bowel Obstruction, resolved Secondary to adhesions Admission CT abdomen/pelvis with dilated small bowel loops 10/23 s/p operative adhesion-lysis Surgery has signed off Analgesia Toradol as needed History of multiple abdominal surgeries PT OT Tolerated diet Remove PICC line and discharge   Acute hypoxic respiratory failure, improved Severe COVID 19 Infection Respiratory status stable hypoxia resolved On room air for 24 hours now continue 40 mg Lasix daily Continue Decadron 6 mg for another 3 days Stop Zosyn; oral doxycycline 100 mg twice daily for 3 days Completed remdesivir Pain under control Incentive spirometry PT OT   Acute Kidney Injury, resolved Creatinine elevated to 1.7 on admission, baseline of about 0.8 Likely pre-renal in the setting of abdominal pain and SBO Now back to baseline No evidence of UTI; discontinued ceftriaxone Urine culture negative   Hypertension Continue home medications
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bone pain, Cough, Exercise tolerance decreased, Eye pain
Clinical narrative: I received my second Pfizer booster for COVID-19 on 4/15/2022. On 7/29/2022, I was at a rehabilitation session and felt too fatigued to do the exercises; I ended up going home early, because I couldn't even last for 3 minutes. They gave an antigen test, which yielded a negative result. Then on 7/30/22, at about midnight or so, I woke up with a fever, a cough, and a headache on the right side of my head and neck. By the time I woke up later in the morning, I was barely able to get out of bed and shuffle to the bathroom. I took another antigen test and got another negative result. I kept taking antigen tests over the weekend and getting negative results each time. It wasn't until 8/1/2022 or 8/2/2022 that I finally got a positive result. I ended up being sick for 3 weeks. I normally go to rehabilitation sessions 2 days a week, but I was unable to go to my sessions during those 3 weeks that I was sick. I had a fever that would break and then come back. For a whole week, I had a deep-bone body ache from head to toe, and I couldn't shake it. When I had the headache, my eyes also ached. I spent most of the time sleeping for 10-16 hours at a stretch, because I was so fatigued. I had a terrible cough. I treated my symptoms with OTC medicines like NYQUIL, DAYQUIL, ibuprofen, and TYLENOL. The medicines didn't help much with the deep-bone ache, but they did help break the fever. During my illness, I was under the guidance of an RN, who advised me regarding what actions to take. I'm normally very active and walk 5+ miles a day, but during my illness, I was barely able to shuffle around my apartment. My kids and their spouses brought food and drinks, but I spent most of the time sleeping. I did the bare minimum with regard to movements, eating, drinking, medicating, and toileting. My recovery was very slow. I didn't leave my apartment except to go to the patio to get some sunlight, and even that was exhausting. I didn't begin to really feel like I was recovering until the last week of August and the first week of September 2022. I'm doing much better now, but my energy and stamina levels aren't what they were prior to the illness. On good days, I can walk a mile and a half. I was able to gradually work my way back up to 15 minutes max on the exercise bike at the rehab facility. Even now, though, I don't feel like I have completely recovered, because I can overexert myself without realizing it, and I'll be down for about 2-3 days afterwards. This often seems to happen after the rehab sessions, because I do have to work during those sessions.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Headache, Hypophagia, Impaired healing
Clinical narrative: I received my second Pfizer booster for COVID-19 on 4/15/2022. On 7/29/2022, I was at a rehabilitation session and felt too fatigued to do the exercises; I ended up going home early, because I couldn't even last for 3 minutes. They gave an antigen test, which yielded a negative result. Then on 7/30/22, at about midnight or so, I woke up with a fever, a cough, and a headache on the right side of my head and neck. By the time I woke up later in the morning, I was barely able to get out of bed and shuffle to the bathroom. I took another antigen test and got another negative result. I kept taking antigen tests over the weekend and getting negative results each time. It wasn't until 8/1/2022 or 8/2/2022 that I finally got a positive result. I ended up being sick for 3 weeks. I normally go to rehabilitation sessions 2 days a week, but I was unable to go to my sessions during those 3 weeks that I was sick. I had a fever that would break and then come back. For a whole week, I had a deep-bone body ache from head to toe, and I couldn't shake it. When I had the headache, my eyes also ached. I spent most of the time sleeping for 10-16 hours at a stretch, because I was so fatigued. I had a terrible cough. I treated my symptoms with OTC medicines like NYQUIL, DAYQUIL, ibuprofen, and TYLENOL. The medicines didn't help much with the deep-bone ache, but they did help break the fever. During my illness, I was under the guidance of an RN, who advised me regarding what actions to take. I'm normally very active and walk 5+ miles a day, but during my illness, I was barely able to shuffle around my apartment. My kids and their spouses brought food and drinks, but I spent most of the time sleeping. I did the bare minimum with regard to movements, eating, drinking, medicating, and toileting. My recovery was very slow. I didn't leave my apartment except to go to the patio to get some sunlight, and even that was exhausting. I didn't begin to really feel like I was recovering until the last week of August and the first week of September 2022. I'm doing much better now, but my energy and stamina levels aren't what they were prior to the illness. On good days, I can walk a mile and a half. I was able to gradually work my way back up to 15 minutes max on the exercise bike at the rehab facility. Even now, though, I don't feel like I have completely recovered, because I can overexert myself without realizing it, and I'll be down for about 2-3 days afterwards. This often seems to happen after the rehab sessions, because I do have to work during those sessions.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Malaise, Middle insomnia, Mobility decreased, Neck pain
Clinical narrative: I received my second Pfizer booster for COVID-19 on 4/15/2022. On 7/29/2022, I was at a rehabilitation session and felt too fatigued to do the exercises; I ended up going home early, because I couldn't even last for 3 minutes. They gave an antigen test, which yielded a negative result. Then on 7/30/22, at about midnight or so, I woke up with a fever, a cough, and a headache on the right side of my head and neck. By the time I woke up later in the morning, I was barely able to get out of bed and shuffle to the bathroom. I took another antigen test and got another negative result. I kept taking antigen tests over the weekend and getting negative results each time. It wasn't until 8/1/2022 or 8/2/2022 that I finally got a positive result. I ended up being sick for 3 weeks. I normally go to rehabilitation sessions 2 days a week, but I was unable to go to my sessions during those 3 weeks that I was sick. I had a fever that would break and then come back. For a whole week, I had a deep-bone body ache from head to toe, and I couldn't shake it. When I had the headache, my eyes also ached. I spent most of the time sleeping for 10-16 hours at a stretch, because I was so fatigued. I had a terrible cough. I treated my symptoms with OTC medicines like NYQUIL, DAYQUIL, ibuprofen, and TYLENOL. The medicines didn't help much with the deep-bone ache, but they did help break the fever. During my illness, I was under the guidance of an RN, who advised me regarding what actions to take. I'm normally very active and walk 5+ miles a day, but during my illness, I was barely able to shuffle around my apartment. My kids and their spouses brought food and drinks, but I spent most of the time sleeping. I did the bare minimum with regard to movements, eating, drinking, medicating, and toileting. My recovery was very slow. I didn't leave my apartment except to go to the patio to get some sunlight, and even that was exhausting. I didn't begin to really feel like I was recovering until the last week of August and the first week of September 2022. I'm doing much better now, but my energy and stamina levels aren't what they were prior to the illness. On good days, I can walk a mile and a half. I was able to gradually work my way back up to 15 minutes max on the exercise bike at the rehab facility. Even now, though, I don't feel like I have completely recovered, because I can overexert myself without realizing it, and I'll be down for about 2-3 days afterwards. This often seems to happen after the rehab sessions, because I do have to work during those sessions.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Somnolence
Clinical narrative: I received my second Pfizer booster for COVID-19 on 4/15/2022. On 7/29/2022, I was at a rehabilitation session and felt too fatigued to do the exercises; I ended up going home early, because I couldn't even last for 3 minutes. They gave an antigen test, which yielded a negative result. Then on 7/30/22, at about midnight or so, I woke up with a fever, a cough, and a headache on the right side of my head and neck. By the time I woke up later in the morning, I was barely able to get out of bed and shuffle to the bathroom. I took another antigen test and got another negative result. I kept taking antigen tests over the weekend and getting negative results each time. It wasn't until 8/1/2022 or 8/2/2022 that I finally got a positive result. I ended up being sick for 3 weeks. I normally go to rehabilitation sessions 2 days a week, but I was unable to go to my sessions during those 3 weeks that I was sick. I had a fever that would break and then come back. For a whole week, I had a deep-bone body ache from head to toe, and I couldn't shake it. When I had the headache, my eyes also ached. I spent most of the time sleeping for 10-16 hours at a stretch, because I was so fatigued. I had a terrible cough. I treated my symptoms with OTC medicines like NYQUIL, DAYQUIL, ibuprofen, and TYLENOL. The medicines didn't help much with the deep-bone ache, but they did help break the fever. During my illness, I was under the guidance of an RN, who advised me regarding what actions to take. I'm normally very active and walk 5+ miles a day, but during my illness, I was barely able to shuffle around my apartment. My kids and their spouses brought food and drinks, but I spent most of the time sleeping. I did the bare minimum with regard to movements, eating, drinking, medicating, and toileting. My recovery was very slow. I didn't leave my apartment except to go to the patio to get some sunlight, and even that was exhausting. I didn't begin to really feel like I was recovering until the last week of August and the first week of September 2022. I'm doing much better now, but my energy and stamina levels aren't what they were prior to the illness. On good days, I can walk a mile and a half. I was able to gradually work my way back up to 15 minutes max on the exercise bike at the rehab facility. Even now, though, I don't feel like I have completely recovered, because I can overexert myself without realizing it, and I'll be down for about 2-3 days afterwards. This often seems to happen after the rehab sessions, because I do have to work during those sessions.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Chest discomfort, Headache, Hot flush, Hypertension
Clinical narrative: hot flashes, tightness on throat an chest. high blood pressure, severpain from wast down, lower back pain, headache
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Throat tightness
Clinical narrative: hot flashes, tightness on throat an chest. high blood pressure, severpain from wast down, lower back pain, headache
Age: 75.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient received a third dose of Shingrix (zoster subunit) inadvertently.  First dose administered 9/13/2018 & second dose administered 11/29/2018.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine had expired at the end of August 2022
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atypical pneumonia, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient is a 43 y.o. female patient, MD with history of CKD, currently on HD, recurrent pancreatitis, recent pancreatic pseudocyst, recent c diff colitis, chronic anemia, presented with shortness of breath.     Acute hypoxic respiratory failure Bilateral pleural effusions Possible volume overload Placed on BiPAP in the ED BNP 169,454 Chest x-ray with bilateral opacities concerning for edema however improved from previous CXR on 10/15 CT chest with small bilateral pleural effusions, multilobar airspace disease consistent with an acute inflammatory infectious process/atypical multilobar pneumonia Patient had full HD session with adequate fluid removal but still hypoxic BiPAP now weaned to room air Pulmonary consulted.  Appreciate input. Acute respiratory failure with hypoxia likely due to volume overload and COVID infection. Recommend to increase fluid removal with dialysis if tolerated. Continue Decadron and Mucinex. Okay to DC home from pulmonary standpoint.  Patient stable so will DC home.  Advised is to follow-up with her PCP. Patient is scheduled for outpatient HD tomorrow.   Covid-19 virus infection Viral pneumonia.   Date of onset of symptoms: 10/15 Symptoms present on admission: Shortness of breath.   Date of covid positive test: 10/18/22. Vaccination status: vaccinated Imaging: CT non-contrast chest, multifocal infiltrate.   Oxygen requirements on admission: BiPAP.   Current oxygen requirements: RA < BiPAP  Medical therapy: steroids  Dexamethasone started on 10/18.   Consultants following: ID. Anticipated special isolation end date: TBD.   No remdesivir due to renal failure. Pro-calcitonin elevated 0.6.  Discussed with ID.  Recommend Levaquin 750 mg every 48 hours x 7 days.   ESRD.  Currently on HD.   Nephrology consult for T-T-Sa HD.     Elevated troponin.   59 and 60.  Chronic.  Probably due to renal failure.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea, End stage renal disease, Haemodialysis
Clinical narrative: Patient is a 43 y.o. female patient, MD with history of CKD, currently on HD, recurrent pancreatitis, recent pancreatic pseudocyst, recent c diff colitis, chronic anemia, presented with shortness of breath.     Acute hypoxic respiratory failure Bilateral pleural effusions Possible volume overload Placed on BiPAP in the ED BNP 169,454 Chest x-ray with bilateral opacities concerning for edema however improved from previous CXR on 10/15 CT chest with small bilateral pleural effusions, multilobar airspace disease consistent with an acute inflammatory infectious process/atypical multilobar pneumonia Patient had full HD session with adequate fluid removal but still hypoxic BiPAP now weaned to room air Pulmonary consulted.  Appreciate input. Acute respiratory failure with hypoxia likely due to volume overload and COVID infection. Recommend to increase fluid removal with dialysis if tolerated. Continue Decadron and Mucinex. Okay to DC home from pulmonary standpoint.  Patient stable so will DC home.  Advised is to follow-up with her PCP. Patient is scheduled for outpatient HD tomorrow.   Covid-19 virus infection Viral pneumonia.   Date of onset of symptoms: 10/15 Symptoms present on admission: Shortness of breath.   Date of covid positive test: 10/18/22. Vaccination status: vaccinated Imaging: CT non-contrast chest, multifocal infiltrate.   Oxygen requirements on admission: BiPAP.   Current oxygen requirements: RA < BiPAP  Medical therapy: steroids  Dexamethasone started on 10/18.   Consultants following: ID. Anticipated special isolation end date: TBD.   No remdesivir due to renal failure. Pro-calcitonin elevated 0.6.  Discussed with ID.  Recommend Levaquin 750 mg every 48 hours x 7 days.   ESRD.  Currently on HD.   Nephrology consult for T-T-Sa HD.     Elevated troponin.   59 and 60.  Chronic.  Probably due to renal failure.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypervolaemia, Lung disorder, Lung infiltration, Lung opacity, Pleural effusion
Clinical narrative: Patient is a 43 y.o. female patient, MD with history of CKD, currently on HD, recurrent pancreatitis, recent pancreatic pseudocyst, recent c diff colitis, chronic anemia, presented with shortness of breath.     Acute hypoxic respiratory failure Bilateral pleural effusions Possible volume overload Placed on BiPAP in the ED BNP 169,454 Chest x-ray with bilateral opacities concerning for edema however improved from previous CXR on 10/15 CT chest with small bilateral pleural effusions, multilobar airspace disease consistent with an acute inflammatory infectious process/atypical multilobar pneumonia Patient had full HD session with adequate fluid removal but still hypoxic BiPAP now weaned to room air Pulmonary consulted.  Appreciate input. Acute respiratory failure with hypoxia likely due to volume overload and COVID infection. Recommend to increase fluid removal with dialysis if tolerated. Continue Decadron and Mucinex. Okay to DC home from pulmonary standpoint.  Patient stable so will DC home.  Advised is to follow-up with her PCP. Patient is scheduled for outpatient HD tomorrow.   Covid-19 virus infection Viral pneumonia.   Date of onset of symptoms: 10/15 Symptoms present on admission: Shortness of breath.   Date of covid positive test: 10/18/22. Vaccination status: vaccinated Imaging: CT non-contrast chest, multifocal infiltrate.   Oxygen requirements on admission: BiPAP.   Current oxygen requirements: RA < BiPAP  Medical therapy: steroids  Dexamethasone started on 10/18.   Consultants following: ID. Anticipated special isolation end date: TBD.   No remdesivir due to renal failure. Pro-calcitonin elevated 0.6.  Discussed with ID.  Recommend Levaquin 750 mg every 48 hours x 7 days.   ESRD.  Currently on HD.   Nephrology consult for T-T-Sa HD.     Elevated troponin.   59 and 60.  Chronic.  Probably due to renal failure.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia viral, Pneumonitis, Positive airway pressure therapy, Procalcitonin
Clinical narrative: Patient is a 43 y.o. female patient, MD with history of CKD, currently on HD, recurrent pancreatitis, recent pancreatic pseudocyst, recent c diff colitis, chronic anemia, presented with shortness of breath.     Acute hypoxic respiratory failure Bilateral pleural effusions Possible volume overload Placed on BiPAP in the ED BNP 169,454 Chest x-ray with bilateral opacities concerning for edema however improved from previous CXR on 10/15 CT chest with small bilateral pleural effusions, multilobar airspace disease consistent with an acute inflammatory infectious process/atypical multilobar pneumonia Patient had full HD session with adequate fluid removal but still hypoxic BiPAP now weaned to room air Pulmonary consulted.  Appreciate input. Acute respiratory failure with hypoxia likely due to volume overload and COVID infection. Recommend to increase fluid removal with dialysis if tolerated. Continue Decadron and Mucinex. Okay to DC home from pulmonary standpoint.  Patient stable so will DC home.  Advised is to follow-up with her PCP. Patient is scheduled for outpatient HD tomorrow.   Covid-19 virus infection Viral pneumonia.   Date of onset of symptoms: 10/15 Symptoms present on admission: Shortness of breath.   Date of covid positive test: 10/18/22. Vaccination status: vaccinated Imaging: CT non-contrast chest, multifocal infiltrate.   Oxygen requirements on admission: BiPAP.   Current oxygen requirements: RA < BiPAP  Medical therapy: steroids  Dexamethasone started on 10/18.   Consultants following: ID. Anticipated special isolation end date: TBD.   No remdesivir due to renal failure. Pro-calcitonin elevated 0.6.  Discussed with ID.  Recommend Levaquin 750 mg every 48 hours x 7 days.   ESRD.  Currently on HD.   Nephrology consult for T-T-Sa HD.     Elevated troponin.   59 and 60.  Chronic.  Probably due to renal failure.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Renal failure, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is a 43 y.o. female patient, MD with history of CKD, currently on HD, recurrent pancreatitis, recent pancreatic pseudocyst, recent c diff colitis, chronic anemia, presented with shortness of breath.     Acute hypoxic respiratory failure Bilateral pleural effusions Possible volume overload Placed on BiPAP in the ED BNP 169,454 Chest x-ray with bilateral opacities concerning for edema however improved from previous CXR on 10/15 CT chest with small bilateral pleural effusions, multilobar airspace disease consistent with an acute inflammatory infectious process/atypical multilobar pneumonia Patient had full HD session with adequate fluid removal but still hypoxic BiPAP now weaned to room air Pulmonary consulted.  Appreciate input. Acute respiratory failure with hypoxia likely due to volume overload and COVID infection. Recommend to increase fluid removal with dialysis if tolerated. Continue Decadron and Mucinex. Okay to DC home from pulmonary standpoint.  Patient stable so will DC home.  Advised is to follow-up with her PCP. Patient is scheduled for outpatient HD tomorrow.   Covid-19 virus infection Viral pneumonia.   Date of onset of symptoms: 10/15 Symptoms present on admission: Shortness of breath.   Date of covid positive test: 10/18/22. Vaccination status: vaccinated Imaging: CT non-contrast chest, multifocal infiltrate.   Oxygen requirements on admission: BiPAP.   Current oxygen requirements: RA < BiPAP  Medical therapy: steroids  Dexamethasone started on 10/18.   Consultants following: ID. Anticipated special isolation end date: TBD.   No remdesivir due to renal failure. Pro-calcitonin elevated 0.6.  Discussed with ID.  Recommend Levaquin 750 mg every 48 hours x 7 days.   ESRD.  Currently on HD.   Nephrology consult for T-T-Sa HD.     Elevated troponin.   59 and 60.  Chronic.  Probably due to renal failure.
Age: 2.0
Sex: M
Vaccine: FLU4, HEPA, TDAP
Symptoms: Wrong product administered
Clinical narrative: Pt inadvertently administered Boostrix instead of DTaP
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine had expired 8/31/2022
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram normal
Clinical narrative: I felt a feeling of discomfort across my chest, as if someone was tightening a band on my upper chest. Two episodes occurred, one on 11/10/2022 and the second occurrence on 11/15/2022. It was difficult to breathe in almost to the point of it being painful, but it was more uncomfortable than painful. Both times I had to breathe very slowly and shallowly before I could take a normal breath in. The doctor did an EKG and said that it was perfectly normal. She listened to my heart and lungs, and talked about my asthma. We wondered if it was in relation to the asthma acting up, but we are unsure if it's in relation to the vaccine. We talked about things and she urged me to come back if anything worsened or if it happened again.