chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: 81 y.o. male admitted 1/10/2022 with PMHx significant for HTN, HLD, diastolic heart failure, CKD III (baseline 1.2-1.3), CVA, seizure disorder, BPH, alzheimer's dementia who presented from SNF with increasing hypoxia and COVID positive. The history was obtained from the patient's wife via telephone as patient not able to provide much information with his underlying dementia. She notes he was moved to long term care Monday and tested positive on Tuesday 1/4/22. She is not sure why he was tested, other than for intake into the new facility. On Tuesday he was moved to a different facility. She notes that he apparently developed worsening hypoxia. Nursing home information sheets note he was hypoxic into the 80's on 4L of oxygen.  He is s/p Moderna vaccine x2. Wife states she was trying to get him boosted but he has not received it yet.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Chills, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 04/19/2021.  53 y/o PMH Asthma, COPD, Metastatic Breast Cancer/Left mastectomy, OSA, Diastolic HF, CAD, Pulm emboli presents to ED with 1 day history of c/o SOB, dry cough, sore throat, fevers, chills and generalized body aches.  CXR negative.  CT chest with multifocal patchy groundglass infiltrates RLL.  Pt requiring O2 at 2L NC sats 94%.  Treated with IV Steroids/IV ABX and Remdesivir.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Lung infiltration, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 04/19/2021.  53 y/o PMH Asthma, COPD, Metastatic Breast Cancer/Left mastectomy, OSA, Diastolic HF, CAD, Pulm emboli presents to ED with 1 day history of c/o SOB, dry cough, sore throat, fevers, chills and generalized body aches.  CXR negative.  CT chest with multifocal patchy groundglass infiltrates RLL.  Pt requiring O2 at 2L NC sats 94%.  Treated with IV Steroids/IV ABX and Remdesivir.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 04/19/2021.  53 y/o PMH Asthma, COPD, Metastatic Breast Cancer/Left mastectomy, OSA, Diastolic HF, CAD, Pulm emboli presents to ED with 1 day history of c/o SOB, dry cough, sore throat, fevers, chills and generalized body aches.  CXR negative.  CT chest with multifocal patchy groundglass infiltrates RLL.  Pt requiring O2 at 2L NC sats 94%.  Treated with IV Steroids/IV ABX and Remdesivir.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient received a third dose of the Pfizer vaccine at a  clinic.  First dose was 12/12/2021, second dose 1/8/2022, and third dose was received on 1/13/2022.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Wife states that patient was "fine after the vaccine.  Had PT that week and did well".  "He was tired and went to sleep".
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Pain, Pyrexia
Clinical narrative: HEADACHE FEVER BODY ACHE WITHIN 24 HOURS WAS FATIGUED OUT OF SORTS
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Erythema, Mechanical urticaria, Pruritus, Swelling
Clinical narrative: Developed dermatographia/chronic spontaneous urticaria approximately 2 weeks after receiving Moderna booster shot. Experienced normal reaction to booster shot in the immediate two days after injection (similar to previous doses), returned to feeing normal, then symptoms began roughly 2 weeks after date of receiving booster. Overall symptom: Rapidly (every 20-30 minutes) shifting areas of extreme itchiness all over my body, which responded to any itching or scratching with intense swelling and redness within 2 minutes. No pattern of movement, head itches, then in 20 minutes legs are itching, etc. Swelling and redness persists for 15-30 minutes. I began taking Zyrtec 10mg per day after Benadryl was ineffective. Skin still becomes bright red whenever scratched or abraded, but it no longer swells and raises as before starting Zyrtec. Overall itchiness is ~90-95% more manageable with current dose of Zyrtec. Being untreated was overwhelmingly difficult to ignore.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event, only reporting that he receive Moderna booster under age 18. Patient did not expireince any event.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, COVID-19, Chest pain, Cough, Dyspnoea
Clinical narrative: 67 y.o. female admitted on 1/12/2022 with a past medical history significant for hypertension, HLD, CAD, status post CABG, COPD, DM2, and Bipolar disorder. She presents today with complaints of progressively worsening SOB going on for the past week. Dyspnea worse with exertion. There is associated non productive cough, sore throat, myalgias, and subjective fever. Onset of symptoms approximately one week ago. She took some tylenol today without much relief. Patient reports she has had to take care of multiple COVID-19 positive family members over the past few weeks.  Reports that her cousin passed away due to complications of COVID-19 on Monday.  Patient states she is vaccinated X2, but has not had a booster (which is due in March).  Of note, patient with history of tobacco abuse.  No longer smoking.  She also complains of chest pain in the substernal area that radiates into her neck and arms at times.  Chest pain at times is associated with shortness of breath.  Currently denies any syncope or lower extremity pain/swelling.  And reports decrease since that time taste, but not smell. No headache or focal weakness/parathesias.  Patient reports that she tested positive for COVID-19 on Monday.  Patient reports that due to not feeling well she has not been taking any of her medications including her basal or bolus insulin.  Upon arrival to the ED patient was noted to have a blood glucose of 577.  She was positive for COVID-19.  She was hypoxic with a pulse ox of 85% on room air.  Due to the above findings decision was made to admit patient to hospitalist service for further evaluation management.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Exposure to SARS-CoV-2, Hypogeusia, Hypoxia, Malaise
Clinical narrative: 67 y.o. female admitted on 1/12/2022 with a past medical history significant for hypertension, HLD, CAD, status post CABG, COPD, DM2, and Bipolar disorder. She presents today with complaints of progressively worsening SOB going on for the past week. Dyspnea worse with exertion. There is associated non productive cough, sore throat, myalgias, and subjective fever. Onset of symptoms approximately one week ago. She took some tylenol today without much relief. Patient reports she has had to take care of multiple COVID-19 positive family members over the past few weeks.  Reports that her cousin passed away due to complications of COVID-19 on Monday.  Patient states she is vaccinated X2, but has not had a booster (which is due in March).  Of note, patient with history of tobacco abuse.  No longer smoking.  She also complains of chest pain in the substernal area that radiates into her neck and arms at times.  Chest pain at times is associated with shortness of breath.  Currently denies any syncope or lower extremity pain/swelling.  And reports decrease since that time taste, but not smell. No headache or focal weakness/parathesias.  Patient reports that she tested positive for COVID-19 on Monday.  Patient reports that due to not feeling well she has not been taking any of her medications including her basal or bolus insulin.  Upon arrival to the ED patient was noted to have a blood glucose of 577.  She was positive for COVID-19.  She was hypoxic with a pulse ox of 85% on room air.  Due to the above findings decision was made to admit patient to hospitalist service for further evaluation management.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Neck pain, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: 67 y.o. female admitted on 1/12/2022 with a past medical history significant for hypertension, HLD, CAD, status post CABG, COPD, DM2, and Bipolar disorder. She presents today with complaints of progressively worsening SOB going on for the past week. Dyspnea worse with exertion. There is associated non productive cough, sore throat, myalgias, and subjective fever. Onset of symptoms approximately one week ago. She took some tylenol today without much relief. Patient reports she has had to take care of multiple COVID-19 positive family members over the past few weeks.  Reports that her cousin passed away due to complications of COVID-19 on Monday.  Patient states she is vaccinated X2, but has not had a booster (which is due in March).  Of note, patient with history of tobacco abuse.  No longer smoking.  She also complains of chest pain in the substernal area that radiates into her neck and arms at times.  Chest pain at times is associated with shortness of breath.  Currently denies any syncope or lower extremity pain/swelling.  And reports decrease since that time taste, but not smell. No headache or focal weakness/parathesias.  Patient reports that she tested positive for COVID-19 on Monday.  Patient reports that due to not feeling well she has not been taking any of her medications including her basal or bolus insulin.  Upon arrival to the ED patient was noted to have a blood glucose of 577.  She was positive for COVID-19.  She was hypoxic with a pulse ox of 85% on room air.  Due to the above findings decision was made to admit patient to hospitalist service for further evaluation management.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 67 y.o. female admitted on 1/12/2022 with a past medical history significant for hypertension, HLD, CAD, status post CABG, COPD, DM2, and Bipolar disorder. She presents today with complaints of progressively worsening SOB going on for the past week. Dyspnea worse with exertion. There is associated non productive cough, sore throat, myalgias, and subjective fever. Onset of symptoms approximately one week ago. She took some tylenol today without much relief. Patient reports she has had to take care of multiple COVID-19 positive family members over the past few weeks.  Reports that her cousin passed away due to complications of COVID-19 on Monday.  Patient states she is vaccinated X2, but has not had a booster (which is due in March).  Of note, patient with history of tobacco abuse.  No longer smoking.  She also complains of chest pain in the substernal area that radiates into her neck and arms at times.  Chest pain at times is associated with shortness of breath.  Currently denies any syncope or lower extremity pain/swelling.  And reports decrease since that time taste, but not smell. No headache or focal weakness/parathesias.  Patient reports that she tested positive for COVID-19 on Monday.  Patient reports that due to not feeling well she has not been taking any of her medications including her basal or bolus insulin.  Upon arrival to the ED patient was noted to have a blood glucose of 577.  She was positive for COVID-19.  She was hypoxic with a pulse ox of 85% on room air.  Due to the above findings decision was made to admit patient to hospitalist service for further evaluation management.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID 19
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/10/21 documented to have positive covid. PT received Moderna 03/16/21 Lot 006B21A for dose 1. Dose 2 was Moderna given on 04/13/21 Lot 036B21A.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Left sided BELL'S PALSEY aprrox 2 weeks after injection
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: I am losing large amounts of hair.  Not thinning, LOSING larger areas of hair.  The skin is very smooth, not one bit of hair left.  The spots are increasing.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Cough, Decreased appetite, Pain
Clinical narrative: Patient is fully vaccinated. COVID + on 11/24/2021 .  ED visit 11/25/2021. Patient with body aches, cough, subjective fevers. Also decreased appetite.  Normal oxygen saturation on room air, normal respiratory effort. Stable for discharge home. She was given a referral for monoclonal antibody therapy. Strict return precautions for any new or worsening symptoms.She states her husband and son were also recently diagnosed with COVID. She reports using her prescribed albuterol and Tylenol at home with temporary improvement of her symptoms. Patient does state she has a history of asthma and CHF. CXR: no acute process. Medications given: decaron and tylenol. Instructed to return to ED with any new or worsening symptoms. Patient will follow up with PCP. Patient in stable condition with stable vitals for discharge and outpatient follow up.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. COVID + on 11/24/2021 .  ED visit 11/25/2021. Patient with body aches, cough, subjective fevers. Also decreased appetite.  Normal oxygen saturation on room air, normal respiratory effort. Stable for discharge home. She was given a referral for monoclonal antibody therapy. Strict return precautions for any new or worsening symptoms.She states her husband and son were also recently diagnosed with COVID. She reports using her prescribed albuterol and Tylenol at home with temporary improvement of her symptoms. Patient does state she has a history of asthma and CHF. CXR: no acute process. Medications given: decaron and tylenol. Instructed to return to ED with any new or worsening symptoms. Patient will follow up with PCP. Patient in stable condition with stable vitals for discharge and outpatient follow up.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Covid19 breakthrough.  Vaccinated on 12/26/2021.  58 y/o PMH HTN presents to ED with Covid19 symptoms that started 6 days ago when tested + for Covid.  Pt c/o worsening cough, SOB and low O2 sats recorded at home.  Denies fever, chills, N/V, HA or dizziness.  CXR- multifocal PNA.  T-102.5 , requires O2 at 2L NC-94%.  Started on IV ABX/IV steroids and Remdesivir.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oxygen saturation decreased, Pneumonia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  Vaccinated on 12/26/2021.  58 y/o PMH HTN presents to ED with Covid19 symptoms that started 6 days ago when tested + for Covid.  Pt c/o worsening cough, SOB and low O2 sats recorded at home.  Denies fever, chills, N/V, HA or dizziness.  CXR- multifocal PNA.  T-102.5 , requires O2 at 2L NC-94%.  Started on IV ABX/IV steroids and Remdesivir.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, Malaise, Pyrexia
Clinical narrative: 66 y.o. female admitted 1/11/2022 with HO HTN, HLP, hypothyroidism, bipolar disorder, anxiety, GI bleed, and diabetes who presented to the ED 1/11/22 with fever and shortness of breath. Patient has tested positive for COVID 1/10/22. Patient had worsening hypoxia and ill feeling today and was sent to the ED> Upon arrival here she was febrile, hypoxic and admitted for further treatment.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 66 y.o. female admitted 1/11/2022 with HO HTN, HLP, hypothyroidism, bipolar disorder, anxiety, GI bleed, and diabetes who presented to the ED 1/11/22 with fever and shortness of breath. Patient has tested positive for COVID 1/10/22. Patient had worsening hypoxia and ill feeling today and was sent to the ED> Upon arrival here she was febrile, hypoxic and admitted for further treatment.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administration error, Wrong product administered
Clinical narrative: Client arrived requesting Moderna booster and was given Pfizer in error.  Attempts to reach client have been unsuccessful.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Injury associated with device
Clinical narrative: I stuck myself with needle after giving a vaccine to patient.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Laboratory test, Troponin increased
Clinical narrative: "The patient had possible myocarditis in March - a few weeks after having the Covid vaccine. He had chest pain and elevated troponin, with a negative cath. Symptoms resolved with medications.   Can he receive the covid booster? "
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Aortic valve calcification, Aortic valve incompetence, Aortic valve sclerosis, Asthenia, Atelectasis
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Atrial fibrillation, Bladder dilatation, Blood culture, Cardiomegaly, Cerebellar infarction
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Condition aggravated, Demyelination
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Diplopia, Echocardiogram abnormal, Ejection fraction normal, Encephalomalacia, Fall
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Fatigue, Feeling abnormal, Gliosis, Hepatic steatosis, Left atrial dilatation
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Left ventricular hypertrophy, Liver function test increased, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Mitral valve calcification
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Mitral valve incompetence, Mitral valve stenosis, Mucosal hypertrophy, Muscular weakness, Oedema
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Osteoarthritis, Pelvic fluid collection, Pleural effusion, Procalcitonin, Pyelonephritis
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Pyrexia, Renal abscess, Renal ischaemia, Scan with contrast abnormal, Spinal osteoarthritis
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Tachycardia, Tricuspid valve incompetence, Upper-airway cough syndrome, Urine analysis normal, Walking aid user
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 68.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: White blood cell count increased, White matter lesion
Clinical narrative: Patient is a 68 y.o. female who presents today for chief complaint of weakness with history of multiple sclerosis, sleep apnea, hyperlipidemia, chronic memory loss, hypothyroidism, depression.  She presented to Spectrum Health Big Rapids Emergency Room on January 8, 2022 by EMS for weakness.     Patient reports she slid out of bed onto the floor and her husband was unable to assist her in getting back up off of the floor. They contacted EMS who transported to the emergency room for further evaluation.  Patient reports prior to emergency room visit she was at her previous baseline health although maybe a little weaker and fatigued than normal.  She does feel a little foggy with memory since yesterday.  She was diagnosed with multiple sclerosis in 1993. She does not report recent history of flares from multiple sclerosis or recent hospitalization or steroid use.   She does state that she has noticed some left-sided weakness specifically in her left leg.  She has double vision which she attributes to history of MS without new vision or speech changes.   At baseline she ambulates with a walker at home.  She reports no known sick contacts.  No known recent illness.  She endorses some mild postnasal drip but otherwise no symptoms of illness.  She does self report a history of hepatitis B which she states has been present for years and she has never had difficulties with this diagnosis and is not currently taking any medications. Denies cough, chest pain, heart palpitations, dyspnea, abdominal pain, nausea, vomiting, diarrhea, hematuria, urinary frequency, dysuria, wounds. She denies history of hypertension, stroke, congestive heart failure, cardiac history, DVT, pulmonary embolism, blood clotting or bleeding disorders, kidney disease, diabetes.   In the ED patient was febrile and tachycardia. Labs Signiant for WBC 19, procal 0.15, mildly elevated LFTs. CXR obtained concerning for possible LLL mass. CT thorax obtained showing no evidence of mass but possible pyelonephritis. UA negative for infection. Urine culture ordered. Blood cultures drawn. Patient flipped into afib RVR and required IV and PO Cardizem. She also received 1 L IVF, Tylenol, and Rocephin IV.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoacusis, Injection site swelling, Pain
Clinical narrative: Soreness in 75% of right side of body.  Reduced hearing in right ear.  Swelling at injection site.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: A 13 year old patient was administered a dose of Moderna .25cc. There was no adverse reaction and no negative symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/10/21 documented to have positive covid. PT received Janssen 3/23/21 Lot 1808978 for dose 1.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chills, Dyspnoea, Impaired work ability, Malaise
Clinical narrative: I became Ill that night with the standard temp, chills, body aches, and shortness of breath that I expected would come along.  Over the next few days the symptoms eased and went away except the shortness of breath.  By early August, I had developed a respiratory Illness and had to go get a chest xray and Covid tested. I also ended up having a PFT done once my resp illness was over because the SOB never subsided.  I now have inhalers to add to my medications.  This was not life before.  I also misses several days of work from infusion date to mid August because of being so Ill.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pulmonary function test, Respiratory disorder, SARS-CoV-2 test, Streptococcus test
Clinical narrative: I became Ill that night with the standard temp, chills, body aches, and shortness of breath that I expected would come along.  Over the next few days the symptoms eased and went away except the shortness of breath.  By early August, I had developed a respiratory Illness and had to go get a chest xray and Covid tested. I also ended up having a PFT done once my resp illness was over because the SOB never subsided.  I now have inhalers to add to my medications.  This was not life before.  I also misses several days of work from infusion date to mid August because of being so Ill.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Immediate post-injection reaction
Clinical narrative: Patient had an adverse reaction to 3rd dose of the Pfizer vaccine. Per chart: Immediately after receiving vaccination, she noted heavy breathing. She needed to lie down and elevate her feet. She proceeded to get out of chair and lie herself on the ground in effort to elevate feet. She declined to go to ER for evaluation. She admitted to vasal vagal response every time she gets injections or blood drawn.
Age: 58.0
Sex: U
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Bone pain, Fatigue, Headache, Hyperacusis, Myalgia
Clinical narrative: Heart burn Bones ache Muscle ache Headache Fatigue
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: None, only reporting because he is under 18. Patient did not have any adverse event.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Blood creatinine increased, COVID-19, Dyspnoea, Fatigue
Clinical narrative: 74 y.o. female admitted 1/11/2022 with PMH significant for COPD on 2 L home O2 continuously, diastolic CHF, chronic cor pulmonale, OSA, HTN, and dyslipidemia who presents to ED with complaint of shortness of breath.  Patient notes she started feeling more tired and short of breath 2 or 3 weeks ago, similar to how she felt when she was diagnosed with CHF in 2002 with dyspnea on exertion and orthopnea.  Yesterday, patient became increasingly short of breath and her daughter called her PCP to have her seen today.  On the way to her appointment patient became extremely short of breath and her daughter brought her to the ED.  Patient denies any known exposure to COVID-19 or other illness, cough, change in taste or smell, fever or chills, or N/V/D.  Of note, she states she got her COVID booster yesterday, 1/10/2022, at pharmacy.   In the ED, patient was placed on a nonrebreather at 10 L.  No documentation of O2 sat on admission.  CT angio was negative for PE, but did show mid and lower lung opacifications of bronchopneumonia superimposed upon interstitial pulmonary edema, trace left pleural effusion.  Patient's COVID test came back positive.  Of note, patient's creatinine is elevated at 1.24 beyond baseline of 0.95.  She also has a low H&H, 9.6/31.8.  During physical exam, patient desatted into the low 70s after talking and had to be placed back on nonrebreather after being on 5 L NC.  She will be admitted to hospital medicine for further evaluation and treatment.