chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test positive, Viral sepsis
Clinical narrative: Provider summary "Patient presented with dyspnea found to be in hypoxic respiratory failure from covid pneumonia, viral sepsis. Placed on NC O2, started on decadron and remdesivir. O2 need stable during hospital stay. Strep pneumo urine antigen + so treated with rocephin -- > amoxicillin for total 5 days. Prior to 5 days of remdesivir given family wanted to take patient home. He qualified for home O2.   The patient was discharged in stable condition with improvement of symptoms and appropriate follow up planned."
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Condition aggravated, Epilepsy, Herpangina, Otitis media acute, Rhinovirus infection
Clinical narrative: Mom left message with our answering service says she could not wake the child up.  She took him to ER and then took  him to Hospital in another city.   Was told it could have been triggered by the flu shot.   His Diagnoses from that visit. was.  Herpangina-Primary.  Breakthrough seizure, Unspecified epilepsy with intractable epilepsy, right acute otitis media, rhinovirus,   Was given amoxicillin, clonazePAM, levetiracetam, NaCL IV, NaCL posiflush
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Seizure, Somnolence
Clinical narrative: Mom left message with our answering service says she could not wake the child up.  She took him to ER and then took  him to Hospital in another city.   Was told it could have been triggered by the flu shot.   His Diagnoses from that visit. was.  Herpangina-Primary.  Breakthrough seizure, Unspecified epilepsy with intractable epilepsy, right acute otitis media, rhinovirus,   Was given amoxicillin, clonazePAM, levetiracetam, NaCL IV, NaCL posiflush
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored in freezer too long resulting in a temperature excursion.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arteriosclerosis coronary artery, Computerised tomogram thorax abnormal, Cough, Death, Decreased appetite
Clinical narrative: 1/1 To ED by EMS for shortness of breath. Patient reports feeling more short of breath for the last 4-5 days. Per family, he did have recent Covid exposure. Occasional cough. Reports decreased appetite. EMS was called, oxygen saturation 66% on room air, placed on oxygen and brought to the emergency department. 1/2 CT thorax: Extensive bilateral pulmonary opacities, right greater than left, suspicious for multifocal pneumonia superimposed upon chronic changes. Advanced coronary artery atherosclerotic calcifications. Included portions of the upper abdomen demonstrate cirrhosis. On decadron. 1/3 Place has poor prognosis, DNR Comfort and Palliative Care  1/4 Pt expired
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Hepatic cirrhosis, Lung opacity, Pneumonia
Clinical narrative: 1/1 To ED by EMS for shortness of breath. Patient reports feeling more short of breath for the last 4-5 days. Per family, he did have recent Covid exposure. Occasional cough. Reports decreased appetite. EMS was called, oxygen saturation 66% on room air, placed on oxygen and brought to the emergency department. 1/2 CT thorax: Extensive bilateral pulmonary opacities, right greater than left, suspicious for multifocal pneumonia superimposed upon chronic changes. Advanced coronary artery atherosclerotic calcifications. Included portions of the upper abdomen demonstrate cirrhosis. On decadron. 1/3 Place has poor prognosis, DNR Comfort and Palliative Care  1/4 Pt expired
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Superinfection
Clinical narrative: 1/1 To ED by EMS for shortness of breath. Patient reports feeling more short of breath for the last 4-5 days. Per family, he did have recent Covid exposure. Occasional cough. Reports decreased appetite. EMS was called, oxygen saturation 66% on room air, placed on oxygen and brought to the emergency department. 1/2 CT thorax: Extensive bilateral pulmonary opacities, right greater than left, suspicious for multifocal pneumonia superimposed upon chronic changes. Advanced coronary artery atherosclerotic calcifications. Included portions of the upper abdomen demonstrate cirrhosis. On decadron. 1/3 Place has poor prognosis, DNR Comfort and Palliative Care  1/4 Pt expired
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Pelvic venous thrombosis, Thrombectomy, Venous angioplasty
Clinical narrative: Acute deep vein thrombosis (DVT) of proximal vein of left lower extremity, He was admitted, placed on a heparin drip.  IR consulted and performed thrombectomy of left iliocaval thrombus, along with venoplasty and stent placement in bilateral common iliac and external iliac veins. He was discharged home in stable condition. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Venous stent insertion
Clinical narrative: Acute deep vein thrombosis (DVT) of proximal vein of left lower extremity, He was admitted, placed on a heparin drip.  IR consulted and performed thrombectomy of left iliocaval thrombus, along with venoplasty and stent placement in bilateral common iliac and external iliac veins. He was discharged home in stable condition. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, COVID-19, Cerebrovascular accident, Fatigue, Feeling abnormal
Clinical narrative: I got covid a second time then I started having strokes followed by myocardiatus.  I have inflammation throughout my entire body and very exhausted with brain fog.. My quality of life has greatly diminished I also have  Plantar fasciitis From the Inflammation. I'm Unable to walk. I have nerve pain throughout my entire body.  My hair is falling out. My vision has been affected.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Inflammation, Laboratory test, Myocarditis, Neuralgia
Clinical narrative: I got covid a second time then I started having strokes followed by myocardiatus.  I have inflammation throughout my entire body and very exhausted with brain fog.. My quality of life has greatly diminished I also have  Plantar fasciitis From the Inflammation. I'm Unable to walk. I have nerve pain throughout my entire body.  My hair is falling out. My vision has been affected.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Plantar fasciitis, Quality of life decreased, Visual impairment
Clinical narrative: I got covid a second time then I started having strokes followed by myocardiatus.  I have inflammation throughout my entire body and very exhausted with brain fog.. My quality of life has greatly diminished I also have  Plantar fasciitis From the Inflammation. I'm Unable to walk. I have nerve pain throughout my entire body.  My hair is falling out. My vision has been affected.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Ascites, Asthenia, Blood calcium increased
Clinical narrative: 12/29 To ED with lightheadedness and dizziness. Started yesterday. She has not passed out. She told the nurse she's been having black stools. She reports cough and shortness of breath. She states she had mechanical fall week ago and still has some pain in her tailbone. 12/30 COVID + Test. Decadron started. Dx with Acute hypoxic respiratory failure secondary to COVID.  1/3 Progressed well, discharged home.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood magnesium decreased, Blood parathyroid hormone normal, COVID-19, Calcium ionised increased
Clinical narrative: 12/29 To ED with lightheadedness and dizziness. Started yesterday. She has not passed out. She told the nurse she's been having black stools. She reports cough and shortness of breath. She states she had mechanical fall week ago and still has some pain in her tailbone. 12/30 COVID + Test. Decadron started. Dx with Acute hypoxic respiratory failure secondary to COVID.  1/3 Progressed well, discharged home.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbohydrate antigen 27.29, Carcinoembryonic antigen normal, Cholelithiasis, Coccydynia, Computerised tomogram abdomen abnormal
Clinical narrative: 12/29 To ED with lightheadedness and dizziness. Started yesterday. She has not passed out. She told the nurse she's been having black stools. She reports cough and shortness of breath. She states she had mechanical fall week ago and still has some pain in her tailbone. 12/30 COVID + Test. Decadron started. Dx with Acute hypoxic respiratory failure secondary to COVID.  1/3 Progressed well, discharged home.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Cough, Dizziness, Dyspnoea
Clinical narrative: 12/29 To ED with lightheadedness and dizziness. Started yesterday. She has not passed out. She told the nurse she's been having black stools. She reports cough and shortness of breath. She states she had mechanical fall week ago and still has some pain in her tailbone. 12/30 COVID + Test. Decadron started. Dx with Acute hypoxic respiratory failure secondary to COVID.  1/3 Progressed well, discharged home.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrophoresis protein normal, Faeces discoloured, Fall, Haemoglobin, Hilar lymphadenopathy
Clinical narrative: 12/29 To ED with lightheadedness and dizziness. Started yesterday. She has not passed out. She told the nurse she's been having black stools. She reports cough and shortness of breath. She states she had mechanical fall week ago and still has some pain in her tailbone. 12/30 COVID + Test. Decadron started. Dx with Acute hypoxic respiratory failure secondary to COVID.  1/3 Progressed well, discharged home.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Iron deficiency anaemia, Light chain analysis increased, Lymphadenopathy mediastinal, Nodule, Pain in extremity
Clinical narrative: 12/29 To ED with lightheadedness and dizziness. Started yesterday. She has not passed out. She told the nurse she's been having black stools. She reports cough and shortness of breath. She states she had mechanical fall week ago and still has some pain in her tailbone. 12/30 COVID + Test. Decadron started. Dx with Acute hypoxic respiratory failure secondary to COVID.  1/3 Progressed well, discharged home.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Renal impairment, SARS-CoV-2 test positive, Sarcoidosis
Clinical narrative: 12/29 To ED with lightheadedness and dizziness. Started yesterday. She has not passed out. She told the nurse she's been having black stools. She reports cough and shortness of breath. She states she had mechanical fall week ago and still has some pain in her tailbone. 12/30 COVID + Test. Decadron started. Dx with Acute hypoxic respiratory failure secondary to COVID.  1/3 Progressed well, discharged home.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Tremor
Clinical narrative: Fatigue began around 1600. I woke up with severe nausea at 2300 that was accompanied by chills and uncontrollable shaking.  This lasted through the night until approximately 0500.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram head normal, Fall, Lung infiltration
Clinical narrative: Patient was brought to the ED for a fall. Work up including CT of head imaging. Normal imaging. He was found to have left basilar infiltrate. He was COVID PNA positive. Decadron started. ID consult. Patient is fully immunized for COVID. Mild symptoms. Decadron stopped. Patient improved clinically. He was discharged back to the group home with instructions to follow up.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient was brought to the ED for a fall. Work up including CT of head imaging. Normal imaging. He was found to have left basilar infiltrate. He was COVID PNA positive. Decadron started. ID consult. Patient is fully immunized for COVID. Mild symptoms. Decadron stopped. Patient improved clinically. He was discharged back to the group home with instructions to follow up.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, Respiratory failure
Clinical narrative: Patient had 2 doses of Moderna COVID vaccine on 5/4/21 and 3/31/21.  Patient admitted to the hospital for COVID resp failure on 2/17/22
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Basedow's disease, Blood thyroid stimulating hormone decreased, Chills, Discomfort
Clinical narrative: The week after my first injection I started feeling shaky like you would feel if your sugar was dropping. I would eat something and it would seem to get a little better and then come back again. It waxed and waned. After my second injection 1/27/21, in addition to the shakiness I started having significant trouble sleeping, had increased anxiety and restlessness, extreme exercise intolerance, easily fatigued and short of breath, and tachycardia. These symptoms gradually worsened over the course of the next two months. I experienced chills for no reason and general sick feeling. I had pain and pressure on both sides of my neck and up into my ears and face. I made a doctors appointment and had a two week wait. I ended up in the ER three times in one week in the middle of April while I was waiting for my doctors appointment date, and was found to have a TSH of less than 0.02.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Ear discomfort, Exercise tolerance decreased, Fatigue, Goitre
Clinical narrative: The week after my first injection I started feeling shaky like you would feel if your sugar was dropping. I would eat something and it would seem to get a little better and then come back again. It waxed and waned. After my second injection 1/27/21, in addition to the shakiness I started having significant trouble sleeping, had increased anxiety and restlessness, extreme exercise intolerance, easily fatigued and short of breath, and tachycardia. These symptoms gradually worsened over the course of the next two months. I experienced chills for no reason and general sick feeling. I had pain and pressure on both sides of my neck and up into my ears and face. I made a doctors appointment and had a two week wait. I ended up in the ER three times in one week in the middle of April while I was waiting for my doctors appointment date, and was found to have a TSH of less than 0.02.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Iodine uptake increased, Malaise, Neck pain, Nervousness
Clinical narrative: The week after my first injection I started feeling shaky like you would feel if your sugar was dropping. I would eat something and it would seem to get a little better and then come back again. It waxed and waned. After my second injection 1/27/21, in addition to the shakiness I started having significant trouble sleeping, had increased anxiety and restlessness, extreme exercise intolerance, easily fatigued and short of breath, and tachycardia. These symptoms gradually worsened over the course of the next two months. I experienced chills for no reason and general sick feeling. I had pain and pressure on both sides of my neck and up into my ears and face. I made a doctors appointment and had a two week wait. I ended up in the ER three times in one week in the middle of April while I was waiting for my doctors appointment date, and was found to have a TSH of less than 0.02.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Restlessness, Tachycardia, Thyroid gland scan abnormal, Ultrasound thyroid abnormal
Clinical narrative: The week after my first injection I started feeling shaky like you would feel if your sugar was dropping. I would eat something and it would seem to get a little better and then come back again. It waxed and waned. After my second injection 1/27/21, in addition to the shakiness I started having significant trouble sleeping, had increased anxiety and restlessness, extreme exercise intolerance, easily fatigued and short of breath, and tachycardia. These symptoms gradually worsened over the course of the next two months. I experienced chills for no reason and general sick feeling. I had pain and pressure on both sides of my neck and up into my ears and face. I made a doctors appointment and had a two week wait. I ended up in the ER three times in one week in the middle of April while I was waiting for my doctors appointment date, and was found to have a TSH of less than 0.02.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea
Clinical narrative: To ED for shortness of breath and hypoxia. Per report, the wife recently passed away, patient has been living with daughter, seems to be having failure to thrive. Daughter noticed patient seemed to be having difficulty breathing, and called for help. Oxygen saturation was 60% on RA. CXR showed multifocal bilateral interstitial airspace opacities are concerning for viral/atypical pneumonia such as COVID-19. CTA PE protocol showed no evidence of pulmonary embolism, emphysema with Covid pneumonia. Influenza/RSV negative. Covid+. Pulmonology, ID, cardiology consulted. Antibiotics, Decadron and Remdesivir completed. Discharged to facility.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Emphysema, Failure to thrive, Hypoxia, Influenza virus test negative, Lung opacity
Clinical narrative: To ED for shortness of breath and hypoxia. Per report, the wife recently passed away, patient has been living with daughter, seems to be having failure to thrive. Daughter noticed patient seemed to be having difficulty breathing, and called for help. Oxygen saturation was 60% on RA. CXR showed multifocal bilateral interstitial airspace opacities are concerning for viral/atypical pneumonia such as COVID-19. CTA PE protocol showed no evidence of pulmonary embolism, emphysema with Covid pneumonia. Influenza/RSV negative. Covid+. Pulmonology, ID, cardiology consulted. Antibiotics, Decadron and Remdesivir completed. Discharged to facility.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: To ED for shortness of breath and hypoxia. Per report, the wife recently passed away, patient has been living with daughter, seems to be having failure to thrive. Daughter noticed patient seemed to be having difficulty breathing, and called for help. Oxygen saturation was 60% on RA. CXR showed multifocal bilateral interstitial airspace opacities are concerning for viral/atypical pneumonia such as COVID-19. CTA PE protocol showed no evidence of pulmonary embolism, emphysema with Covid pneumonia. Influenza/RSV negative. Covid+. Pulmonology, ID, cardiology consulted. Antibiotics, Decadron and Remdesivir completed. Discharged to facility.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Dermatitis, Erythema, Pruritus
Clinical narrative: Itchiness/redness over entire body, inflamed areas of skin.
Age: 91.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bacteriuria, Bladder catheterisation, Blood pressure increased, COVID-19
Clinical narrative: Admitted for debility s/p fall. Imaging studies negative. COVID+ but did not require O2. Pt. Found to have elevated BP, bacteriuria, hematuria with urinary retention. Tx w/ Lisinopril 40mg, Ceftriaxone and Bethanechol. Foley placed from 1/1-1/3 but was unable to spontaneously void after foley removal. Pt. Sent home with an indwelling catheter in stable condition w/ 24hr home health care and to follow up with urology.
Age: 91.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Catheter placement, Catheter removal, Dysuria, Fall, Haematuria
Clinical narrative: Admitted for debility s/p fall. Imaging studies negative. COVID+ but did not require O2. Pt. Found to have elevated BP, bacteriuria, hematuria with urinary retention. Tx w/ Lisinopril 40mg, Ceftriaxone and Bethanechol. Foley placed from 1/1-1/3 but was unable to spontaneously void after foley removal. Pt. Sent home with an indwelling catheter in stable condition w/ 24hr home health care and to follow up with urology.
Age: 91.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Imaging procedure, SARS-CoV-2 test positive, Urinary retention
Clinical narrative: Admitted for debility s/p fall. Imaging studies negative. COVID+ but did not require O2. Pt. Found to have elevated BP, bacteriuria, hematuria with urinary retention. Tx w/ Lisinopril 40mg, Ceftriaxone and Bethanechol. Foley placed from 1/1-1/3 but was unable to spontaneously void after foley removal. Pt. Sent home with an indwelling catheter in stable condition w/ 24hr home health care and to follow up with urology.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac telemetry normal, Carotid artery stenosis, Computerised tomogram head normal, Condition aggravated
Clinical narrative: To ED rom group home on due to altered mental status, lower extremity weakness and syncopal episode. Carotid Doppler could not fully done because the patient was not cooperative however 1 measurement did not show significant stenosis. Head CT scan was negative for any intracranial process. 2D echo was positive for severe concentric wall Thickness.  Telemetry was monitored by cardiology no significant events. Cardiac medication was optimized per cardiology -Due to questionable history of seizures patient initially was not started on any seizure medication however patient did have 1 episode of seizure ultimately patient was started on Keppra per neurology no other acute intervention was indicated... Patient found to have COVID-19 infection, however patient remain ed on good oxygen saturation on room air so no antimicrobial was indicated per ID. Patient was ultimately discharged in medical stable condition for subacute rehab.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Hypertrophic cardiomyopathy, Mental status changes, Muscular weakness, Seizure
Clinical narrative: To ED rom group home on due to altered mental status, lower extremity weakness and syncopal episode. Carotid Doppler could not fully done because the patient was not cooperative however 1 measurement did not show significant stenosis. Head CT scan was negative for any intracranial process. 2D echo was positive for severe concentric wall Thickness.  Telemetry was monitored by cardiology no significant events. Cardiac medication was optimized per cardiology -Due to questionable history of seizures patient initially was not started on any seizure medication however patient did have 1 episode of seizure ultimately patient was started on Keppra per neurology no other acute intervention was indicated... Patient found to have COVID-19 infection, however patient remain ed on good oxygen saturation on room air so no antimicrobial was indicated per ID. Patient was ultimately discharged in medical stable condition for subacute rehab.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Ultrasound Doppler
Clinical narrative: To ED rom group home on due to altered mental status, lower extremity weakness and syncopal episode. Carotid Doppler could not fully done because the patient was not cooperative however 1 measurement did not show significant stenosis. Head CT scan was negative for any intracranial process. 2D echo was positive for severe concentric wall Thickness.  Telemetry was monitored by cardiology no significant events. Cardiac medication was optimized per cardiology -Due to questionable history of seizures patient initially was not started on any seizure medication however patient did have 1 episode of seizure ultimately patient was started on Keppra per neurology no other acute intervention was indicated... Patient found to have COVID-19 infection, however patient remain ed on good oxygen saturation on room air so no antimicrobial was indicated per ID. Patient was ultimately discharged in medical stable condition for subacute rehab.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Elevated resting heart rate. Metoprolol 5mg/day for 5 months
Age: 80.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Arterial graft, Peripheral artery bypass, Peripheral ischaemia, Vascular stent occlusion
Clinical narrative: Acute class IIb right lower extremity ischemia secondary to occluded right superficial to popliteal artery stents s/p right common femoral to above-knee popliteal artery bypass with PTFE. deemed appropriate for discharge after 3 days. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient initially presented to the ER with worsening shortness of breath, cough for the past 1 week. Patient has a history of COPD using oxygen nasal cannula at night never been on any CPAP or did not have any sleep study. Patient was tested positive for COVID-19 infection, patient started on Decadron, was seen and evaluated by ID and pulmonary, initially he was requiring high oxygen, gradually patient became better, oxygen requirements went down to 4 L.  Patient was cleared and was discharged after home O2 evaluation. Patient was discharged in medical stable condition.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray normal, Confusional state, Dialysis
Clinical narrative: Pt to hospital for AMS and lethargy. He was at dialysis , and he became confused and only answering his name. cxr showed Stable appearance of the chest, without definite acute cardiopulmonary process.  Corona swab is found to be Positive. Patient was admitted to OBS. Diag with CPVID pneumonia, tolerating very well; RA O2, no anti-COVID rx needed.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Pt to hospital for AMS and lethargy. He was at dialysis , and he became confused and only answering his name. cxr showed Stable appearance of the chest, without definite acute cardiopulmonary process.  Corona swab is found to be Positive. Patient was admitted to OBS. Diag with CPVID pneumonia, tolerating very well; RA O2, no anti-COVID rx needed.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Anticoagulant therapy, COVID-19, Chest pain, Cholecystitis
Clinical narrative: Providers summary "84 year old female with a history anemia, asthma, chronic combined systolic and diastolic heart failure, CKD stage III, CAD, hyperlipidemia, hypertension, atrial fibrillation on Warfarin, PE, and MI s/p PCI who presented to Facility with acute onset substernal / epigastric pain. She was found to have cholelithiasis with possible early acute cholecystitis on initial imaging. She was placed on IV zosyn. GS consulted. Her INR was 3.2. She was given Vitamin K x1 in anticipation of surgical intervention. No active bleeding was noted.   However, she was also found to be COVID +, she is vaccinated and she did not have any respiratory issues during her admission.    General surgery evaluated and determined she likely has RUQ pain from cholelithiasis in setting of chronic cholecystitis. No overt evidence of acute cholecystitis was noted. She was placed on IV heparin then transitioned to home Warfarin. She is to bridge with Lovenox daily for the next 7 days. She is to follow with her PCP and coumadin clinic, GS prefers she holds her coumadin 4-5 days prior to surgery. This should be arranged as an outpatient.    Abdominal pain improved, she tolerated a general diet. She did have a few episodes of loose stool but this resolved, appeared to be antibiotic associated. "
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Imaging procedure abnormal, International normalised ratio increased, SARS-CoV-2 test positive
Clinical narrative: Providers summary "84 year old female with a history anemia, asthma, chronic combined systolic and diastolic heart failure, CKD stage III, CAD, hyperlipidemia, hypertension, atrial fibrillation on Warfarin, PE, and MI s/p PCI who presented to Facility with acute onset substernal / epigastric pain. She was found to have cholelithiasis with possible early acute cholecystitis on initial imaging. She was placed on IV zosyn. GS consulted. Her INR was 3.2. She was given Vitamin K x1 in anticipation of surgical intervention. No active bleeding was noted.   However, she was also found to be COVID +, she is vaccinated and she did not have any respiratory issues during her admission.    General surgery evaluated and determined she likely has RUQ pain from cholelithiasis in setting of chronic cholecystitis. No overt evidence of acute cholecystitis was noted. She was placed on IV heparin then transitioned to home Warfarin. She is to bridge with Lovenox daily for the next 7 days. She is to follow with her PCP and coumadin clinic, GS prefers she holds her coumadin 4-5 days prior to surgery. This should be arranged as an outpatient.    Abdominal pain improved, she tolerated a general diet. She did have a few episodes of loose stool but this resolved, appeared to be antibiotic associated. "
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, C-reactive protein normal, Red blood cell sedimentation rate increased, Urticaria
Clinical narrative: Patient developed persistent Urticarial reaction after 3d dose of Moderna vaccine
Age: 78.0
Sex: F
Vaccine: UNK
Symptoms: Poor quality product administered
Clinical narrative: vaccine given was unstable
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Diverticulitis
Clinical narrative: Patient admitted with LLQ pain and diverticulitis.  She was started on IV Flagyl and ciprofloxacin. Discharged to home after 5 days. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Dyspnoea, Hypoxia, Malaise
Clinical narrative: Pt to ED with SOB and AMS. COVID-19 test result on 01/04/2022, date of onset of symptoms approximately same time. Possible left lower lobe pneumonia.  Hypoxia.  The patient is on supplemental oxygen by nasal cannula. UTI. White count is 11.7.  She is saturating 95% to 97% on 2 L. remdesivir for COVID-19 infection and ertapenem for UTI. Pt prognosis poor. Hospice consult 1/5.  Code status is switched to DNR comfort. Pt expired 1/7.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, SARS-CoV-2 test, Urinary tract infection, White blood cell count increased
Clinical narrative: Pt to ED with SOB and AMS. COVID-19 test result on 01/04/2022, date of onset of symptoms approximately same time. Possible left lower lobe pneumonia.  Hypoxia.  The patient is on supplemental oxygen by nasal cannula. UTI. White count is 11.7.  She is saturating 95% to 97% on 2 L. remdesivir for COVID-19 infection and ertapenem for UTI. Pt prognosis poor. Hospice consult 1/5.  Code status is switched to DNR comfort. Pt expired 1/7.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Headache, Hypertension
Clinical narrative: Got booster Phizer around 2:30 PM and Wednesday 2/16/22. Woke up at 1 am with headache and reports blood pressure was 200/130. He did not go in for care. Had chills and rigors. The next morning blood pressure was down to 165/115 and patient called and advised to come in for care.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram head abnormal, Condition aggravated, SARS-CoV-2 test positive, Seizure
Clinical narrative: Pt to hospital for seizures.  The patient underwent a CT scan of the head and he was found to have small volume subarachnoid hemorrhage to the left anterior frontal lobe.  He was seen by Neurology and Neurosurgery.  He was continued on seizure medications. Anticoagulation was withheld due to the subarachnoid hemorrhage.  Overall, he was doing better and was cleared for discharge from a Neurosurgery and Neurology standpoint, but he ended up testing positive for COVID-19.  He was then transferred to an isolation room and was placed in isolation.  He was not having any respiratory issues. DIscharged 1/14/22
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Subarachnoid haemorrhage
Clinical narrative: Pt to hospital for seizures.  The patient underwent a CT scan of the head and he was found to have small volume subarachnoid hemorrhage to the left anterior frontal lobe.  He was seen by Neurology and Neurosurgery.  He was continued on seizure medications. Anticoagulation was withheld due to the subarachnoid hemorrhage.  Overall, he was doing better and was cleared for discharge from a Neurosurgery and Neurology standpoint, but he ended up testing positive for COVID-19.  He was then transferred to an isolation room and was placed in isolation.  He was not having any respiratory issues. DIscharged 1/14/22
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Delirium, Intensive care, Septic shock, Syncope
Clinical narrative: To ED for syncopal episode.  Patient was found in  home  was laying on the floor for several hours.  Amitted with septic shock to the ICU.  When she was stable she was transferred to the floor.  She also had the covid infection, without complication. upon discharge patient does not want to go to the rehabilitation.   wanted to go home, also has the episode of delirium in the hospital.  was seen by the psychiatrist.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia
Clinical narrative: Anemia, unspecified type. Patient received 3 doses of IV iron therapy and discharged home on PO iron. ED visit to hospital admission within 6 weeks of receiving the COVD vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED IMPROPERLY
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aggression, Blood creatinine increased, Blood culture, Blood gases, Blood pH decreased
Clinical narrative: Pt to ED for respiratory distress and cough. Oxygen saturation on room air was less than 50%, improving to 81% on 12 L of non-rebreather and 100% on 15 L non-rebreather.  In severe respiratory distress with rhonchi and had some peripheral edema.  Labs showed a creatinine of 1.25.  WBC count of 19.0, hemoglobin 9.1.  ABG showed a pH of 7.28, PO2 264.  BNP level was 406.  Chest x-ray showed pleural and parenchymal opacity in the right lung base suggesting a combination of a small pleural effusion and right lower lobe infiltrate.  A 12-lead EKG was reviewed showing sinus tachycardia with diffuse ST-segment depressions.  Admitted for management of pneumonia COVID + 1/6/21.  Found to have troponin elevation. Discharged.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pt to ED for respiratory distress and cough. Oxygen saturation on room air was less than 50%, improving to 81% on 12 L of non-rebreather and 100% on 15 L non-rebreather.  In severe respiratory distress with rhonchi and had some peripheral edema.  Labs showed a creatinine of 1.25.  WBC count of 19.0, hemoglobin 9.1.  ABG showed a pH of 7.28, PO2 264.  BNP level was 406.  Chest x-ray showed pleural and parenchymal opacity in the right lung base suggesting a combination of a small pleural effusion and right lower lobe infiltrate.  A 12-lead EKG was reviewed showing sinus tachycardia with diffuse ST-segment depressions.  Admitted for management of pneumonia COVID + 1/6/21.  Found to have troponin elevation. Discharged.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Electrocardiogram ST segment depression, Electrocardiogram abnormal
Clinical narrative: Pt to ED for respiratory distress and cough. Oxygen saturation on room air was less than 50%, improving to 81% on 12 L of non-rebreather and 100% on 15 L non-rebreather.  In severe respiratory distress with rhonchi and had some peripheral edema.  Labs showed a creatinine of 1.25.  WBC count of 19.0, hemoglobin 9.1.  ABG showed a pH of 7.28, PO2 264.  BNP level was 406.  Chest x-ray showed pleural and parenchymal opacity in the right lung base suggesting a combination of a small pleural effusion and right lower lobe infiltrate.  A 12-lead EKG was reviewed showing sinus tachycardia with diffuse ST-segment depressions.  Admitted for management of pneumonia COVID + 1/6/21.  Found to have troponin elevation. Discharged.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Fatigue, Haemoglobin decreased, Imaging procedure, Impaired healing
Clinical narrative: Pt to ED for respiratory distress and cough. Oxygen saturation on room air was less than 50%, improving to 81% on 12 L of non-rebreather and 100% on 15 L non-rebreather.  In severe respiratory distress with rhonchi and had some peripheral edema.  Labs showed a creatinine of 1.25.  WBC count of 19.0, hemoglobin 9.1.  ABG showed a pH of 7.28, PO2 264.  BNP level was 406.  Chest x-ray showed pleural and parenchymal opacity in the right lung base suggesting a combination of a small pleural effusion and right lower lobe infiltrate.  A 12-lead EKG was reviewed showing sinus tachycardia with diffuse ST-segment depressions.  Admitted for management of pneumonia COVID + 1/6/21.  Found to have troponin elevation. Discharged.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Lung infiltration, Lung opacity, Oedema peripheral, PO2 increased, Pleural effusion
Clinical narrative: Pt to ED for respiratory distress and cough. Oxygen saturation on room air was less than 50%, improving to 81% on 12 L of non-rebreather and 100% on 15 L non-rebreather.  In severe respiratory distress with rhonchi and had some peripheral edema.  Labs showed a creatinine of 1.25.  WBC count of 19.0, hemoglobin 9.1.  ABG showed a pH of 7.28, PO2 264.  BNP level was 406.  Chest x-ray showed pleural and parenchymal opacity in the right lung base suggesting a combination of a small pleural effusion and right lower lobe infiltrate.  A 12-lead EKG was reviewed showing sinus tachycardia with diffuse ST-segment depressions.  Admitted for management of pneumonia COVID + 1/6/21.  Found to have troponin elevation. Discharged.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Red blood cell sedimentation rate, Respiratory distress, Rhonchi, SARS-CoV-2 test positive, Sinus tachycardia
Clinical narrative: Pt to ED for respiratory distress and cough. Oxygen saturation on room air was less than 50%, improving to 81% on 12 L of non-rebreather and 100% on 15 L non-rebreather.  In severe respiratory distress with rhonchi and had some peripheral edema.  Labs showed a creatinine of 1.25.  WBC count of 19.0, hemoglobin 9.1.  ABG showed a pH of 7.28, PO2 264.  BNP level was 406.  Chest x-ray showed pleural and parenchymal opacity in the right lung base suggesting a combination of a small pleural effusion and right lower lobe infiltrate.  A 12-lead EKG was reviewed showing sinus tachycardia with diffuse ST-segment depressions.  Admitted for management of pneumonia COVID + 1/6/21.  Found to have troponin elevation. Discharged.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Skin ulcer, Troponin increased, Vascular dementia, White blood cell count increased
Clinical narrative: Pt to ED for respiratory distress and cough. Oxygen saturation on room air was less than 50%, improving to 81% on 12 L of non-rebreather and 100% on 15 L non-rebreather.  In severe respiratory distress with rhonchi and had some peripheral edema.  Labs showed a creatinine of 1.25.  WBC count of 19.0, hemoglobin 9.1.  ABG showed a pH of 7.28, PO2 264.  BNP level was 406.  Chest x-ray showed pleural and parenchymal opacity in the right lung base suggesting a combination of a small pleural effusion and right lower lobe infiltrate.  A 12-lead EKG was reviewed showing sinus tachycardia with diffuse ST-segment depressions.  Admitted for management of pneumonia COVID + 1/6/21.  Found to have troponin elevation. Discharged.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Muscle spasms
Clinical narrative: My period came the day after the shot, and was extremely heavy and painful. Since getting vaccinated I have had wildly varying cycle lengths, averaging a 35 day cycle as opposed to my original 30. I have had the worst periods of my life since getting the vaccine- excruciating cramping and pelvic pain that sends me to the fetal position for a day. If I am out and about, sharp pains can send me to a squatting position for fear of fainting.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pelvic pain
Clinical narrative: My period came the day after the shot, and was extremely heavy and painful. Since getting vaccinated I have had wildly varying cycle lengths, averaging a 35 day cycle as opposed to my original 30. I have had the worst periods of my life since getting the vaccine- excruciating cramping and pelvic pain that sends me to the fetal position for a day. If I am out and about, sharp pains can send me to a squatting position for fear of fainting.
Age: 38.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ER complaining of difficulty breathing. Patient was ill approximately 1 week ago and received Abx and steroids. She improved but then few days ago she started to have SOB again. Was given steroids but they did not help. She has not been on inhaled steroid but is on spiriva. At home patient utilize multiple albuterol treatments without any effect.  Patient was started on IV steroids and subsequently started on p.o. DEXA.  also received doxy.  Patient received remdesivir for total 2 days. She did not qualify for home oxygen. Patient remained hemodynamically stable throughout hospital stay and was discharged in stable condition.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Syncope
Clinical narrative: After given her 1st COVID vaccine patient started sweating, c/o dizziness and lightheadedness then passed out.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, COVID-19, Chest X-ray normal, Condition aggravated
Clinical narrative: Patient to ED for worsening dementia and fatigue and weakness, spouse states that patient has not been eating like supposed to for the last week, spouse did test positive for Covid-19. Patient at this time denies any new symptoms, denies any chest pain, spouse did admit that he has been coughing for the last few days and congested. This is a patient with very significant history for COPD/Alzheimer, who presented to the emergency department due to complaint of fatigue; the patient is alert/oriented x2; the family has tested positive for COVID-19 in addition to him today; he is on room air. Denies any shortness of breath or chest pain. Wife is concerned about her ability to take care of him at home. 1/18: Requiring 2 L NC; likely due to Atelectasis, 1/19: Repeat CXR pending; high risk aspiration. Changed to DNR advanced c/w  amlodipine 10 mg/hydralazine with holding parameters for SBP less than 110. Continue insulin sliding scale/hypoglycemia precaution. 01/20: VSS, BP better, No signs of infection, CXR- no acute process, Stable for DC to SNF denies CP, SOB, HA, dizziness.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dementia, Exposure to SARS-CoV-2, Fatigue, Hypophagia
Clinical narrative: Patient to ED for worsening dementia and fatigue and weakness, spouse states that patient has not been eating like supposed to for the last week, spouse did test positive for Covid-19. Patient at this time denies any new symptoms, denies any chest pain, spouse did admit that he has been coughing for the last few days and congested. This is a patient with very significant history for COPD/Alzheimer, who presented to the emergency department due to complaint of fatigue; the patient is alert/oriented x2; the family has tested positive for COVID-19 in addition to him today; he is on room air. Denies any shortness of breath or chest pain. Wife is concerned about her ability to take care of him at home. 1/18: Requiring 2 L NC; likely due to Atelectasis, 1/19: Repeat CXR pending; high risk aspiration. Changed to DNR advanced c/w  amlodipine 10 mg/hydralazine with holding parameters for SBP less than 110. Continue insulin sliding scale/hypoglycemia precaution. 01/20: VSS, BP better, No signs of infection, CXR- no acute process, Stable for DC to SNF denies CP, SOB, HA, dizziness.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient to ED for worsening dementia and fatigue and weakness, spouse states that patient has not been eating like supposed to for the last week, spouse did test positive for Covid-19. Patient at this time denies any new symptoms, denies any chest pain, spouse did admit that he has been coughing for the last few days and congested. This is a patient with very significant history for COPD/Alzheimer, who presented to the emergency department due to complaint of fatigue; the patient is alert/oriented x2; the family has tested positive for COVID-19 in addition to him today; he is on room air. Denies any shortness of breath or chest pain. Wife is concerned about her ability to take care of him at home. 1/18: Requiring 2 L NC; likely due to Atelectasis, 1/19: Repeat CXR pending; high risk aspiration. Changed to DNR advanced c/w  amlodipine 10 mg/hydralazine with holding parameters for SBP less than 110. Continue insulin sliding scale/hypoglycemia precaution. 01/20: VSS, BP better, No signs of infection, CXR- no acute process, Stable for DC to SNF denies CP, SOB, HA, dizziness.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 74.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Acute kidney injury, Anticoagulant therapy, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Pt to ED with reports of fatigue, weakness, and fall. Found to be positive for COVID with hx acute kidney injury. TREATED COVID INFECTION and pneumonia (decadron and remdesivir) AND  supportive treatment and PT, OT consult.  DVT and GI prophylaxis.  PPI and heparin subcutaneous due to the acute kidney injury. Discharged to a HCF via ambulance, IV discontinued in Right AC, new mefilex on left elbow for skin tear.
Age: 74.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Fall, Fatigue, SARS-CoV-2 test positive, Skin laceration
Clinical narrative: Pt to ED with reports of fatigue, weakness, and fall. Found to be positive for COVID with hx acute kidney injury. TREATED COVID INFECTION and pneumonia (decadron and remdesivir) AND  supportive treatment and PT, OT consult.  DVT and GI prophylaxis.  PPI and heparin subcutaneous due to the acute kidney injury. Discharged to a HCF via ambulance, IV discontinued in Right AC, new mefilex on left elbow for skin tear.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly