chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary function test abnormal, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 3.4.22 - 3.12.22;  COVID-19 positive (3.4.22);  Fully vaccinated PLUS booster Admission Date: 3/4/2022 Details of Hospital Stay PRESENTING PROBLEM: Chronic respiratory failure with hypoxia and hypercapnia (HCC) HOSPITAL COURSE: History of Present Illness History obtained from patient, ED physician/records, and personally reviewed past medical records. The patient is a 66 y.o. female who presents today with worsening hypoxia.  Patient has a history of chronic respiratory failure on 2 L nasal cannula at baseline, chronic diastolic heart failure, obstructive sleep apnea, hypothyroid, anxiety/depression, morbid obesity.  She recently had a hospitalization for heart failure and hypoxia.  She currently has been at a facility for rehab.  She had been coughing and feeling sick for past 3-4 days.  The staff found that she was hypoxic down to 77% and was placed on 5 L nasal cannula.  When EMS arrived placed on non-rebreather and she was satting 98%.  She recently had an x-ray which showed concern for possible pneumonia in the right lower lung.  Patient denies any fevers/chills, abdominal pain, nausea/vomiting.  She had a headache earlier which has resolved.  Patient also states that she did have COVID a few months ago.  She is vaccinated. The patient was brought to the emergency department, she was able to be weaned down to 3-4 L nasal cannula.  Chest x-ray shows bilateral airspace disease.  Procalcitonin is unremarkable.  Patient was started on Decadron.  The patient is a 66 y.o. female who presented with worsening hypoxia.  Admitted for COVID-19 pneumonia and acute/chronic hypoxic respiratory failure. She is normally on 2L NC but was requiring 5L at her assisted living facility before she was sent to ED. She was started on dexamethasone and lovenox subQ for DVT prophylaxis. O2 was weaned back to 2L and discharged back assisted living facility.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Blood test abnormal, COVID-19, Dyspnoea, Heart rate increased
Clinical narrative: 03/11/2021 vaccination. Late summer, I experienced hot flashes and losing weight without doing anything. That continued, annual physical in November. My thyroid levels were off. More testing done in Dec 2021 which were 'off'. I had COVID 01/26/2022. With COVID, I broke out in hives. A day or 2 later, had a hard time, winded, and HR increased. Took steroids, antihistamines. My lips and throat swelled. I was in the hospital on March 4 and discharged March 6th; local Hospital. I came back on Sunday, notified on Graves disease. Going to see allergist in a couple of weeks. My HR still goes up easily. *Monitored yearly for thyroid due to my mom having thyroid issues. My annual blood work had been fine until now. *Been on steroids since being in hospital. I just finished this past Friday.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Laboratory test abnormal, Lip swelling, Pharyngeal swelling, Thyroid function test abnormal
Clinical narrative: 03/11/2021 vaccination. Late summer, I experienced hot flashes and losing weight without doing anything. That continued, annual physical in November. My thyroid levels were off. More testing done in Dec 2021 which were 'off'. I had COVID 01/26/2022. With COVID, I broke out in hives. A day or 2 later, had a hard time, winded, and HR increased. Took steroids, antihistamines. My lips and throat swelled. I was in the hospital on March 4 and discharged March 6th; local Hospital. I came back on Sunday, notified on Graves disease. Going to see allergist in a couple of weeks. My HR still goes up easily. *Monitored yearly for thyroid due to my mom having thyroid issues. My annual blood work had been fine until now. *Been on steroids since being in hospital. I just finished this past Friday.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Weight decreased
Clinical narrative: 03/11/2021 vaccination. Late summer, I experienced hot flashes and losing weight without doing anything. That continued, annual physical in November. My thyroid levels were off. More testing done in Dec 2021 which were 'off'. I had COVID 01/26/2022. With COVID, I broke out in hives. A day or 2 later, had a hard time, winded, and HR increased. Took steroids, antihistamines. My lips and throat swelled. I was in the hospital on March 4 and discharged March 6th; local Hospital. I came back on Sunday, notified on Graves disease. Going to see allergist in a couple of weeks. My HR still goes up easily. *Monitored yearly for thyroid due to my mom having thyroid issues. My annual blood work had been fine until now. *Been on steroids since being in hospital. I just finished this past Friday.
Age: 48.0
Sex: F
Vaccine: TD
Symptoms: Dizziness, Nausea, Vitreous floaters
Clinical narrative: I became dizzy, nauseated, and saw "floaters".
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: "COVID-19 resulting in inpatient hospitalization" of a vaccinated patient
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Guillain-Barre syndrome
Clinical narrative: Guillain-Barre developed about a month afterwards.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dysphagia, Dyspnoea, Eye movement disorder
Clinical narrative: Patient received Moderna vaccine dose 2 at 0826. At 0842 patient c/o chest tightness, then he reported difficulty breathing, and then throat tightness. He further complained that he was having problems swallowing, felt like he was going to pass out. Eyes rolled. Did not lose consciousness. I called 9-1-1...at 0846, RN administered 0.3 mL epinephrine IM left thigh. BP at 0850 was 162/96, respirations = 18. HR at 0853 was 106, EMS arrived and transported patient to Local Hospital.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient received Moderna vaccine dose 2 at 0826. At 0842 patient c/o chest tightness, then he reported difficulty breathing, and then throat tightness. He further complained that he was having problems swallowing, felt like he was going to pass out. Eyes rolled. Did not lose consciousness. I called 9-1-1...at 0846, RN administered 0.3 mL epinephrine IM left thigh. BP at 0850 was 162/96, respirations = 18. HR at 0853 was 106, EMS arrived and transported patient to Local Hospital.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization; covid positive fully vaccinated
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Herpes Zoster.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetic ketoacidosis
Clinical narrative: Diabetic ketoacidosis
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Inflammation
Clinical narrative: Facial numbness reported. Started approximately 3 hours post vaccination, improved over 3 days, but then worsened on day 5, and is again improving. The facial numbness was constant on day 5 (3/12/22), and is better today; it is intermittent. Patient feels well otherwise.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphoedema
Clinical narrative: Edema to lymph nodes in armpit of injection side
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Breakthrough Covid
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash maculo-papular
Clinical narrative: Erythematous maculopapular rash on bilateral hands and some in the areas of his popliteal fossa, some on his feet as well
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Respiratory failure
Clinical narrative: Respiratory failure R/T COVID-19.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 on  7/22/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Drug abuse, Hallucination
Clinical narrative: hallucinations, drug abuse
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Myalgia, Pain in extremity, Tenderness
Clinical narrative: Patient received booster Covid 19 vaccine 3/11 and on 3/12 experienced muscle aches and chills.  Starting 3/13 in morning, patient noticed arm pain and lymph node swelling on the left arm.  3/14 patient still complains of tenderness under the arm. Pt took over the counter motrin for discomfort
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Lymph node pain, Lymphadenopathy, Malaise, Pain
Clinical narrative: Severe lymphadenopathy which persisted for weeks. Primary symptoms: swollen glands, painful and tender glands, body ache, malaise, loss of appetite, blurred vision.  Right arm and right torso, right side of neck area were the most affected, and the pain was over my whole body.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Severe lymphadenopathy which persisted for weeks. Primary symptoms: swollen glands, painful and tender glands, body ache, malaise, loss of appetite, blurred vision.  Right arm and right torso, right side of neck area were the most affected, and the pain was over my whole body.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Chills, sore throat, muscle aches, joint aches, nausea, and headache from vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Chills, sore throat, muscle aches, joint aches, nausea, and headache from vaccine.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Influenza A virus test negative, Influenza B virus test, Leg amputation
Clinical narrative: This is a 87y.o. male  Patient has an extensive past medical history which includes BPH coronary artery disease status post catheterization congestive heart failure with preserved ejection fraction COPD diabetes mellitus hyperlipidemia which the patient recently had a below-the-knee amputation the patient was then sent to in-patient rehab which the patient was working with physical therapy occupational therapy the patient's chest x-ray that was obtained has some vague symptoms in which prompted a COVID swab in which the patient has been COVID positive and transferred back to general medical floor
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 87y.o. male  Patient has an extensive past medical history which includes BPH coronary artery disease status post catheterization congestive heart failure with preserved ejection fraction COPD diabetes mellitus hyperlipidemia which the patient recently had a below-the-knee amputation the patient was then sent to in-patient rehab which the patient was working with physical therapy occupational therapy the patient's chest x-ray that was obtained has some vague symptoms in which prompted a COVID swab in which the patient has been COVID positive and transferred back to general medical floor
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization with COVID-19; fully vaccinated.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 on 09/19/2021
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Depression, Fear
Clinical narrative: I started feeling depressed and anxious after my vaccination; it lasted a little over a week and I started getting frantic. I contacted my doctor and went in for an appointment. We assumed it was my general prescription so we changed my prescription Paxil to a different brand. However, after receiving my Moderna booster shot on 11/11/2021, I began having the same depression and anxiety effects again and we learned it wasn't my medication causing my mental woes, it was the vaccine. No changes were made to my prescription other than to see if it'll settle on its own, and eventually it did after a week.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Breakthrough Covid
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Carotid artery stenosis, Cerebrovascular accident, Ischaemic stroke
Clinical narrative: ischemic L MCA stroke, L carotid stenosis, COVID
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Herpes zoster
Clinical narrative: Diagnosed with Shingles on 3/9 along T6 dermatome
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 on 9/11/2021
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Bacterial test positive, Blood albumin decreased, Blood bicarbonate decreased, Blood creatinine increased, Blood glucose normal
Clinical narrative: AMS   Source of Information:  Available medical record, Daughter   History of Present Illness:  This is a 87y.o. male with a past medical history of hypertension and dementia on Aricept and Namenda who presented to ED via EMS for concern of AMS.  Patient is a poor historian and minimally responsive on presentation, history gathered from daughter.  She states that 2 days ago while on video call, the patient appeared to have slurred speech and then became "checked out" staring blankly which lasted about 2 minutes before he returned to his baseline (alert and oriented to himself and surroundings).  The group home he lives at reports that a similar event occurred earlier that day lasting about 90 seconds.  The following day, another event like this lasted approximately 1 hour.  His physician was called who recommended he go to the ED for evaluation.  Daughter states that the work-up was negative and his symptoms were attributed to any UTI.  Prior to this admission, individuals from the group home reported that patient had a clenched jaw and his SPO2 was 89% prompting them to give supplemental oxygen which was available and EMS was called.  Patient's daughter states that at his baseline patient is conversational with those around him and is aware of himself and surroundings.  She also reports that patient tested positive for Covid 3 weeks ago and has previously received the COVID vaccine, but not the booster.   In the ED: BP 152/80, HR 102, RR 18, SPO2 97%, T 97.6F.  Labs remarkable for lactic acid 7.5, sodium 132, bicarbonate 17, creatinine 1.89, glucose 176, albumin 2.9, Procalcitonin 0.28, WBC 17.9, Hgb 9.2.  COVID-19 detected on nasal swab.  Troponin 0 0.18,  1.15, 1.73.  D-dimer >10,000.  ECG shows sinus rhythm with HR 89, incomplete right bundle branch block, no acute ST segment changes or T wave inversions.  Chest x-ray shows patchy bilateral airspace disease concerning for atypical/viral pneumonia.  CT head shows no acute intracranial process with nonspecific white matter changes likely related to chronic microangiopathy.  Lower extremity Doppler shows no evidence of DVT.  Urinalysis shows >50 WBC, 3+ LE, 4+ bacteria, 11-20 RBC.  Patient is admitted to internal medicine with consult to neurology and cardiology for further management.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood sodium decreased, Bruxism, Bundle branch block right, COVID-19
Clinical narrative: AMS   Source of Information:  Available medical record, Daughter   History of Present Illness:  This is a 87y.o. male with a past medical history of hypertension and dementia on Aricept and Namenda who presented to ED via EMS for concern of AMS.  Patient is a poor historian and minimally responsive on presentation, history gathered from daughter.  She states that 2 days ago while on video call, the patient appeared to have slurred speech and then became "checked out" staring blankly which lasted about 2 minutes before he returned to his baseline (alert and oriented to himself and surroundings).  The group home he lives at reports that a similar event occurred earlier that day lasting about 90 seconds.  The following day, another event like this lasted approximately 1 hour.  His physician was called who recommended he go to the ED for evaluation.  Daughter states that the work-up was negative and his symptoms were attributed to any UTI.  Prior to this admission, individuals from the group home reported that patient had a clenched jaw and his SPO2 was 89% prompting them to give supplemental oxygen which was available and EMS was called.  Patient's daughter states that at his baseline patient is conversational with those around him and is aware of himself and surroundings.  She also reports that patient tested positive for Covid 3 weeks ago and has previously received the COVID vaccine, but not the booster.   In the ED: BP 152/80, HR 102, RR 18, SPO2 97%, T 97.6F.  Labs remarkable for lactic acid 7.5, sodium 132, bicarbonate 17, creatinine 1.89, glucose 176, albumin 2.9, Procalcitonin 0.28, WBC 17.9, Hgb 9.2.  COVID-19 detected on nasal swab.  Troponin 0 0.18,  1.15, 1.73.  D-dimer >10,000.  ECG shows sinus rhythm with HR 89, incomplete right bundle branch block, no acute ST segment changes or T wave inversions.  Chest x-ray shows patchy bilateral airspace disease concerning for atypical/viral pneumonia.  CT head shows no acute intracranial process with nonspecific white matter changes likely related to chronic microangiopathy.  Lower extremity Doppler shows no evidence of DVT.  Urinalysis shows >50 WBC, 3+ LE, 4+ bacteria, 11-20 RBC.  Patient is admitted to internal medicine with consult to neurology and cardiology for further management.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral microangiopathy, Chest X-ray abnormal, Computerised tomogram head abnormal, Dysarthria, Electrocardiogram abnormal
Clinical narrative: AMS   Source of Information:  Available medical record, Daughter   History of Present Illness:  This is a 87y.o. male with a past medical history of hypertension and dementia on Aricept and Namenda who presented to ED via EMS for concern of AMS.  Patient is a poor historian and minimally responsive on presentation, history gathered from daughter.  She states that 2 days ago while on video call, the patient appeared to have slurred speech and then became "checked out" staring blankly which lasted about 2 minutes before he returned to his baseline (alert and oriented to himself and surroundings).  The group home he lives at reports that a similar event occurred earlier that day lasting about 90 seconds.  The following day, another event like this lasted approximately 1 hour.  His physician was called who recommended he go to the ED for evaluation.  Daughter states that the work-up was negative and his symptoms were attributed to any UTI.  Prior to this admission, individuals from the group home reported that patient had a clenched jaw and his SPO2 was 89% prompting them to give supplemental oxygen which was available and EMS was called.  Patient's daughter states that at his baseline patient is conversational with those around him and is aware of himself and surroundings.  She also reports that patient tested positive for Covid 3 weeks ago and has previously received the COVID vaccine, but not the booster.   In the ED: BP 152/80, HR 102, RR 18, SPO2 97%, T 97.6F.  Labs remarkable for lactic acid 7.5, sodium 132, bicarbonate 17, creatinine 1.89, glucose 176, albumin 2.9, Procalcitonin 0.28, WBC 17.9, Hgb 9.2.  COVID-19 detected on nasal swab.  Troponin 0 0.18,  1.15, 1.73.  D-dimer >10,000.  ECG shows sinus rhythm with HR 89, incomplete right bundle branch block, no acute ST segment changes or T wave inversions.  Chest x-ray shows patchy bilateral airspace disease concerning for atypical/viral pneumonia.  CT head shows no acute intracranial process with nonspecific white matter changes likely related to chronic microangiopathy.  Lower extremity Doppler shows no evidence of DVT.  Urinalysis shows >50 WBC, 3+ LE, 4+ bacteria, 11-20 RBC.  Patient is admitted to internal medicine with consult to neurology and cardiology for further management.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Haemoglobin decreased, Hyporesponsive to stimuli, Influenza A virus test negative, Influenza B virus test
Clinical narrative: AMS   Source of Information:  Available medical record, Daughter   History of Present Illness:  This is a 87y.o. male with a past medical history of hypertension and dementia on Aricept and Namenda who presented to ED via EMS for concern of AMS.  Patient is a poor historian and minimally responsive on presentation, history gathered from daughter.  She states that 2 days ago while on video call, the patient appeared to have slurred speech and then became "checked out" staring blankly which lasted about 2 minutes before he returned to his baseline (alert and oriented to himself and surroundings).  The group home he lives at reports that a similar event occurred earlier that day lasting about 90 seconds.  The following day, another event like this lasted approximately 1 hour.  His physician was called who recommended he go to the ED for evaluation.  Daughter states that the work-up was negative and his symptoms were attributed to any UTI.  Prior to this admission, individuals from the group home reported that patient had a clenched jaw and his SPO2 was 89% prompting them to give supplemental oxygen which was available and EMS was called.  Patient's daughter states that at his baseline patient is conversational with those around him and is aware of himself and surroundings.  She also reports that patient tested positive for Covid 3 weeks ago and has previously received the COVID vaccine, but not the booster.   In the ED: BP 152/80, HR 102, RR 18, SPO2 97%, T 97.6F.  Labs remarkable for lactic acid 7.5, sodium 132, bicarbonate 17, creatinine 1.89, glucose 176, albumin 2.9, Procalcitonin 0.28, WBC 17.9, Hgb 9.2.  COVID-19 detected on nasal swab.  Troponin 0 0.18,  1.15, 1.73.  D-dimer >10,000.  ECG shows sinus rhythm with HR 89, incomplete right bundle branch block, no acute ST segment changes or T wave inversions.  Chest x-ray shows patchy bilateral airspace disease concerning for atypical/viral pneumonia.  CT head shows no acute intracranial process with nonspecific white matter changes likely related to chronic microangiopathy.  Lower extremity Doppler shows no evidence of DVT.  Urinalysis shows >50 WBC, 3+ LE, 4+ bacteria, 11-20 RBC.  Patient is admitted to internal medicine with consult to neurology and cardiology for further management.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, Mental status changes, Procalcitonin, Red blood cells urine positive, Respiratory syncytial virus test negative
Clinical narrative: AMS   Source of Information:  Available medical record, Daughter   History of Present Illness:  This is a 87y.o. male with a past medical history of hypertension and dementia on Aricept and Namenda who presented to ED via EMS for concern of AMS.  Patient is a poor historian and minimally responsive on presentation, history gathered from daughter.  She states that 2 days ago while on video call, the patient appeared to have slurred speech and then became "checked out" staring blankly which lasted about 2 minutes before he returned to his baseline (alert and oriented to himself and surroundings).  The group home he lives at reports that a similar event occurred earlier that day lasting about 90 seconds.  The following day, another event like this lasted approximately 1 hour.  His physician was called who recommended he go to the ED for evaluation.  Daughter states that the work-up was negative and his symptoms were attributed to any UTI.  Prior to this admission, individuals from the group home reported that patient had a clenched jaw and his SPO2 was 89% prompting them to give supplemental oxygen which was available and EMS was called.  Patient's daughter states that at his baseline patient is conversational with those around him and is aware of himself and surroundings.  She also reports that patient tested positive for Covid 3 weeks ago and has previously received the COVID vaccine, but not the booster.   In the ED: BP 152/80, HR 102, RR 18, SPO2 97%, T 97.6F.  Labs remarkable for lactic acid 7.5, sodium 132, bicarbonate 17, creatinine 1.89, glucose 176, albumin 2.9, Procalcitonin 0.28, WBC 17.9, Hgb 9.2.  COVID-19 detected on nasal swab.  Troponin 0 0.18,  1.15, 1.73.  D-dimer >10,000.  ECG shows sinus rhythm with HR 89, incomplete right bundle branch block, no acute ST segment changes or T wave inversions.  Chest x-ray shows patchy bilateral airspace disease concerning for atypical/viral pneumonia.  CT head shows no acute intracranial process with nonspecific white matter changes likely related to chronic microangiopathy.  Lower extremity Doppler shows no evidence of DVT.  Urinalysis shows >50 WBC, 3+ LE, 4+ bacteria, 11-20 RBC.  Patient is admitted to internal medicine with consult to neurology and cardiology for further management.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Staring, Troponin, Ultrasound Doppler normal, Urinary tract infection
Clinical narrative: AMS   Source of Information:  Available medical record, Daughter   History of Present Illness:  This is a 87y.o. male with a past medical history of hypertension and dementia on Aricept and Namenda who presented to ED via EMS for concern of AMS.  Patient is a poor historian and minimally responsive on presentation, history gathered from daughter.  She states that 2 days ago while on video call, the patient appeared to have slurred speech and then became "checked out" staring blankly which lasted about 2 minutes before he returned to his baseline (alert and oriented to himself and surroundings).  The group home he lives at reports that a similar event occurred earlier that day lasting about 90 seconds.  The following day, another event like this lasted approximately 1 hour.  His physician was called who recommended he go to the ED for evaluation.  Daughter states that the work-up was negative and his symptoms were attributed to any UTI.  Prior to this admission, individuals from the group home reported that patient had a clenched jaw and his SPO2 was 89% prompting them to give supplemental oxygen which was available and EMS was called.  Patient's daughter states that at his baseline patient is conversational with those around him and is aware of himself and surroundings.  She also reports that patient tested positive for Covid 3 weeks ago and has previously received the COVID vaccine, but not the booster.   In the ED: BP 152/80, HR 102, RR 18, SPO2 97%, T 97.6F.  Labs remarkable for lactic acid 7.5, sodium 132, bicarbonate 17, creatinine 1.89, glucose 176, albumin 2.9, Procalcitonin 0.28, WBC 17.9, Hgb 9.2.  COVID-19 detected on nasal swab.  Troponin 0 0.18,  1.15, 1.73.  D-dimer >10,000.  ECG shows sinus rhythm with HR 89, incomplete right bundle branch block, no acute ST segment changes or T wave inversions.  Chest x-ray shows patchy bilateral airspace disease concerning for atypical/viral pneumonia.  CT head shows no acute intracranial process with nonspecific white matter changes likely related to chronic microangiopathy.  Lower extremity Doppler shows no evidence of DVT.  Urinalysis shows >50 WBC, 3+ LE, 4+ bacteria, 11-20 RBC.  Patient is admitted to internal medicine with consult to neurology and cardiology for further management.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Urine leukocyte esterase positive, White blood cell count increased, White blood cells urine positive, White matter lesion
Clinical narrative: AMS   Source of Information:  Available medical record, Daughter   History of Present Illness:  This is a 87y.o. male with a past medical history of hypertension and dementia on Aricept and Namenda who presented to ED via EMS for concern of AMS.  Patient is a poor historian and minimally responsive on presentation, history gathered from daughter.  She states that 2 days ago while on video call, the patient appeared to have slurred speech and then became "checked out" staring blankly which lasted about 2 minutes before he returned to his baseline (alert and oriented to himself and surroundings).  The group home he lives at reports that a similar event occurred earlier that day lasting about 90 seconds.  The following day, another event like this lasted approximately 1 hour.  His physician was called who recommended he go to the ED for evaluation.  Daughter states that the work-up was negative and his symptoms were attributed to any UTI.  Prior to this admission, individuals from the group home reported that patient had a clenched jaw and his SPO2 was 89% prompting them to give supplemental oxygen which was available and EMS was called.  Patient's daughter states that at his baseline patient is conversational with those around him and is aware of himself and surroundings.  She also reports that patient tested positive for Covid 3 weeks ago and has previously received the COVID vaccine, but not the booster.   In the ED: BP 152/80, HR 102, RR 18, SPO2 97%, T 97.6F.  Labs remarkable for lactic acid 7.5, sodium 132, bicarbonate 17, creatinine 1.89, glucose 176, albumin 2.9, Procalcitonin 0.28, WBC 17.9, Hgb 9.2.  COVID-19 detected on nasal swab.  Troponin 0 0.18,  1.15, 1.73.  D-dimer >10,000.  ECG shows sinus rhythm with HR 89, incomplete right bundle branch block, no acute ST segment changes or T wave inversions.  Chest x-ray shows patchy bilateral airspace disease concerning for atypical/viral pneumonia.  CT head shows no acute intracranial process with nonspecific white matter changes likely related to chronic microangiopathy.  Lower extremity Doppler shows no evidence of DVT.  Urinalysis shows >50 WBC, 3+ LE, 4+ bacteria, 11-20 RBC.  Patient is admitted to internal medicine with consult to neurology and cardiology for further management.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: On 02/05 I had sniffles and I took a COVID test and it was negative. Sunday I felt fine. Monday morning 02/07 I purchased another COVID test at the pharmacy. My test came back positive. I had congestion and fatigue. I never had a fever or aches and pains. It didn't go into my lungs or chest. I did a telehealth visit, doctor said to just stay home and rest. I took over the counter medication.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On 02/05 I had sniffles and I took a COVID test and it was negative. Sunday I felt fine. Monday morning 02/07 I purchased another COVID test at the pharmacy. My test came back positive. I had congestion and fatigue. I never had a fever or aches and pains. It didn't go into my lungs or chest. I did a telehealth visit, doctor said to just stay home and rest. I took over the counter medication.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Chest pain, Oedema peripheral, Pain, Tenderness
Clinical narrative: Swollen, tender armpit and pain under the armpit that extends to chest area. Possible lymph node reaction.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 on 8/8/2021
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Death, SARS-CoV-2 test
Clinical narrative: Expired 3/12/2022, hospitalized 2/16-3/12.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization; covid fully vaccinated with booster
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid-19.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia of pregnancy, COVID-19, Constipation, Delivery, Epidural injection
Clinical narrative: Diagnosis ? Anemia affecting pregnancy in third trimester ? Status post vacuum-assisted vaginal delivery ? Hypothyroidism ? Blood type, Rh positive ? Rubella immune ? Abnormal glucose tolerance test (GTT)   Please see the prenatal record and admission history and physical for details.   Labor Analgesics: Epidural;Local     OB Complications:    Cervical Ripening Type: None  Cervical Ripening Comment:      Induction: None   Induction Indications:   Augmentation: Oxytocin    Delivery Date: (Privacy) Delivery Time: (Privacy) Gestational Age(weeks days/7): 39 1/7      Method of Delivery: Vaginal, Vacuum (Extractor)     Birth Weight: 3.58 kg (7 lb 14.3 oz)   Sex: male   Apgar Score (1 min): 9   Apgar Score (5 min): 9     Laceration  Episiotomy: Midline   Laceration Type: 2nd   Perineal Laceration:      Quantified Blood Loss (ml):    Est Blood Loss      For further details of the delivery see the delivery summary.    Her post partum course was complicated by:  None   Patient with uncomplicated post-partum recovery.  On the day of discharge pain was well controlled with oral pain meds, she was ambulating and voiding without difficulty, and was tolerating diet without nausea/vomiting. Patient reports constipation and a Rx for a stool softener was sent to her pharmacy. Patient was requesting discharge home.  Following complete examination and review of recovery course, patient was deemed stable for discharge. Patient will need 2hr GTT at her 6 week post partum visit.   Procedures performed: VA-VD w/ RML episiotomy    Discharge       All Hospital Problems (Other diagnoses): Active Hospital Problems   Diagnosis ? Principal Problem: Status post vacuum-assisted vaginal delivery [Z87.59] ? Hypothyroidism [E03.9] ? Blood type, Rh positive [Z67.90] ? Rubella immune [Z78.9] ? Abnormal glucose tolerance test (GTT) [R73.09] ? Anemia affecting pregnancy in third trimester [O99.013]   Resolved Hospital Problems No resolved problems to display.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Episiotomy, Exposure during pregnancy, Glucose tolerance test abnormal, Hypothyroidism, Influenza A virus test negative
Clinical narrative: Diagnosis ? Anemia affecting pregnancy in third trimester ? Status post vacuum-assisted vaginal delivery ? Hypothyroidism ? Blood type, Rh positive ? Rubella immune ? Abnormal glucose tolerance test (GTT)   Please see the prenatal record and admission history and physical for details.   Labor Analgesics: Epidural;Local     OB Complications:    Cervical Ripening Type: None  Cervical Ripening Comment:      Induction: None   Induction Indications:   Augmentation: Oxytocin    Delivery Date: (Privacy) Delivery Time: (Privacy) Gestational Age(weeks days/7): 39 1/7      Method of Delivery: Vaginal, Vacuum (Extractor)     Birth Weight: 3.58 kg (7 lb 14.3 oz)   Sex: male   Apgar Score (1 min): 9   Apgar Score (5 min): 9     Laceration  Episiotomy: Midline   Laceration Type: 2nd   Perineal Laceration:      Quantified Blood Loss (ml):    Est Blood Loss      For further details of the delivery see the delivery summary.    Her post partum course was complicated by:  None   Patient with uncomplicated post-partum recovery.  On the day of discharge pain was well controlled with oral pain meds, she was ambulating and voiding without difficulty, and was tolerating diet without nausea/vomiting. Patient reports constipation and a Rx for a stool softener was sent to her pharmacy. Patient was requesting discharge home.  Following complete examination and review of recovery course, patient was deemed stable for discharge. Patient will need 2hr GTT at her 6 week post partum visit.   Procedures performed: VA-VD w/ RML episiotomy    Discharge       All Hospital Problems (Other diagnoses): Active Hospital Problems   Diagnosis ? Principal Problem: Status post vacuum-assisted vaginal delivery [Z87.59] ? Hypothyroidism [E03.9] ? Blood type, Rh positive [Z67.90] ? Rubella immune [Z78.9] ? Abnormal glucose tolerance test (GTT) [R73.09] ? Anemia affecting pregnancy in third trimester [O99.013]   Resolved Hospital Problems No resolved problems to display.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Pain, Postpartum state, Respiratory syncytial virus test negative, Rhesus antigen positive
Clinical narrative: Diagnosis ? Anemia affecting pregnancy in third trimester ? Status post vacuum-assisted vaginal delivery ? Hypothyroidism ? Blood type, Rh positive ? Rubella immune ? Abnormal glucose tolerance test (GTT)   Please see the prenatal record and admission history and physical for details.   Labor Analgesics: Epidural;Local     OB Complications:    Cervical Ripening Type: None  Cervical Ripening Comment:      Induction: None   Induction Indications:   Augmentation: Oxytocin    Delivery Date: (Privacy) Delivery Time: (Privacy) Gestational Age(weeks days/7): 39 1/7      Method of Delivery: Vaginal, Vacuum (Extractor)     Birth Weight: 3.58 kg (7 lb 14.3 oz)   Sex: male   Apgar Score (1 min): 9   Apgar Score (5 min): 9     Laceration  Episiotomy: Midline   Laceration Type: 2nd   Perineal Laceration:      Quantified Blood Loss (ml):    Est Blood Loss      For further details of the delivery see the delivery summary.    Her post partum course was complicated by:  None   Patient with uncomplicated post-partum recovery.  On the day of discharge pain was well controlled with oral pain meds, she was ambulating and voiding without difficulty, and was tolerating diet without nausea/vomiting. Patient reports constipation and a Rx for a stool softener was sent to her pharmacy. Patient was requesting discharge home.  Following complete examination and review of recovery course, patient was deemed stable for discharge. Patient will need 2hr GTT at her 6 week post partum visit.   Procedures performed: VA-VD w/ RML episiotomy    Discharge       All Hospital Problems (Other diagnoses): Active Hospital Problems   Diagnosis ? Principal Problem: Status post vacuum-assisted vaginal delivery [Z87.59] ? Hypothyroidism [E03.9] ? Blood type, Rh positive [Z67.90] ? Rubella immune [Z78.9] ? Abnormal glucose tolerance test (GTT) [R73.09] ? Anemia affecting pregnancy in third trimester [O99.013]   Resolved Hospital Problems No resolved problems to display.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rubella antibody test, SARS-CoV-2 test positive, Vacuum extractor delivery
Clinical narrative: Diagnosis ? Anemia affecting pregnancy in third trimester ? Status post vacuum-assisted vaginal delivery ? Hypothyroidism ? Blood type, Rh positive ? Rubella immune ? Abnormal glucose tolerance test (GTT)   Please see the prenatal record and admission history and physical for details.   Labor Analgesics: Epidural;Local     OB Complications:    Cervical Ripening Type: None  Cervical Ripening Comment:      Induction: None   Induction Indications:   Augmentation: Oxytocin    Delivery Date: (Privacy) Delivery Time: (Privacy) Gestational Age(weeks days/7): 39 1/7      Method of Delivery: Vaginal, Vacuum (Extractor)     Birth Weight: 3.58 kg (7 lb 14.3 oz)   Sex: male   Apgar Score (1 min): 9   Apgar Score (5 min): 9     Laceration  Episiotomy: Midline   Laceration Type: 2nd   Perineal Laceration:      Quantified Blood Loss (ml):    Est Blood Loss      For further details of the delivery see the delivery summary.    Her post partum course was complicated by:  None   Patient with uncomplicated post-partum recovery.  On the day of discharge pain was well controlled with oral pain meds, she was ambulating and voiding without difficulty, and was tolerating diet without nausea/vomiting. Patient reports constipation and a Rx for a stool softener was sent to her pharmacy. Patient was requesting discharge home.  Following complete examination and review of recovery course, patient was deemed stable for discharge. Patient will need 2hr GTT at her 6 week post partum visit.   Procedures performed: VA-VD w/ RML episiotomy    Discharge       All Hospital Problems (Other diagnoses): Active Hospital Problems   Diagnosis ? Principal Problem: Status post vacuum-assisted vaginal delivery [Z87.59] ? Hypothyroidism [E03.9] ? Blood type, Rh positive [Z67.90] ? Rubella immune [Z78.9] ? Abnormal glucose tolerance test (GTT) [R73.09] ? Anemia affecting pregnancy in third trimester [O99.013]   Resolved Hospital Problems No resolved problems to display.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Respiratory failure
Clinical narrative: resp faiure R/T COVID, AKI
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Hip fracture, Hip surgery, Laboratory test normal, Pain
Clinical narrative: Closed right hip fracture - Pt was admitted following surgery.  Pt post-op course was uncomplicated.  Pt continued to progress with physical therapy.  Pt pain was controlled on oral medications.  Pt was on antibiotic prophylaxis for 24hrs post-operatively.  Pt was continued on lovenox for DVT prophylaxis throughout the  hospitalization. Labs  and vitals were stable at time of discharge.  ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 on 8/9/2021
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Tested positive for Covid-19 on 8/9/2021
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: asymptomatic
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: asymptomatic
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Mechanical ventilation
Clinical narrative: chronic vent, asymptomatic for COVID, long term NH resident
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Functional gastrointestinal disorder, Gastrointestinal decompression, Large intestinal obstruction, Sigmoidoscopy abnormal
Clinical narrative: Colon obstruction - GI did perform a flexible sigmoidoscopy which did not show any obvious stenosis but did show dilated colon.  Was felt to be likely functional problem.  Colon was decompressed. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 on 8/31/2021
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ankle brachial index, Cardiovascular autonomic function test, Cardiovascular disorder, Heart rate irregular, Metabolic function test
Clinical narrative: started experiencing heart palpatations, irregular heartbeat, lower leg pains at night, went to Pain Managemnt, they peformed Ankle rachial test, results detected decreasded blood flow to heart and small fiber neuropathy, severe micorcirculatory issues, severe CASP, , DEFINITE STEP 2 CARDIAC AUTONOMIC
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity, Palpitations, Small fibre neuropathy
Clinical narrative: started experiencing heart palpatations, irregular heartbeat, lower leg pains at night, went to Pain Managemnt, they peformed Ankle rachial test, results detected decreasded blood flow to heart and small fiber neuropathy, severe micorcirculatory issues, severe CASP, , DEFINITE STEP 2 CARDIAC AUTONOMIC
Age: 50.0
Sex: F
Vaccine: UNK
Symptoms: Dry eye, Headache
Clinical narrative: For 5 days, severe headache and very dry eyes.  Starting on day 6 post injection, headache was reduced, but still dull and lasted another week.  The dry eyes stemmed from the back of the eyes.  2 weeks later, I'm still feeling the effects of this.  2 weeks later - I still have a dull headache and slightly dry eyes from the back of the eye.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer was diluted with 0.8ml of diluent instead of 1.8ml.
Age: 5.0
Sex: F
Vaccine: FLU4, HEPA, IPV, MMRV
Symptoms: Extra dose administered, No adverse event
Clinical narrative: New patient came to clinic to establish care with Aunt.  No vaccine records presented when intake was done.  Later during the visit-mother arrived with vaccine and records.  CMA placed all records on RN desk. (RN was with another patient).  When RN saw vaccine records she entered all vaccines in chart.  Per vaccine records patient was to receive an MMR.   The RN did not see the records that reflected that the child had received 2  MMR's.   Pediatrician informed immediately upon realization of error.   Child returned to clinic 3/08/22.  Aunt stated child did not have any adverse effects and was feeling well.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 on 9/26/2021
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient given dose for pediatric patient 5 to 11.  Was 12 years old at time of dose.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Injection site pain, Muscle spasms, Rotator cuff syndrome, X-ray abnormal
Clinical narrative: At first just site soreness but then started leg cramp type pain after about ten days and it has not gone away
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Behaviour disorder, Decreased activity, Impulsive behaviour, Restlessness
Clinical narrative: Patient displaying behavioral problems starting 1 week after the vaccine administration.  pt. states "I  am stupid. I want to die". Acting Inactive, Impulsive, Restless. In the doctors office patient was repeatedly climbing the exam table and getting off.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea
Clinical narrative: Patient presents with ? Shortness of Breath     worsening today     HPI  There is a 66-year-old female with a history of COPD on 2.5 L chronically that presents to the emergency department for complaint of shortness of breath as well as epigastric pain.  Onset of symptoms within the past several weeks.  She notes that her epigastric pain was never "addressed".  Additionally, she notes that she frequently has COPD exacerbations.  She is on her baseline home O2 requirements.  Patient denies any fevers, chills, runny nose or chest pain.  Epigastric abdominal pain is described as stabbing in nature.  Reports normal eating and bowel pattern.   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for facial swelling and trouble swallowing.   Respiratory: Positive for shortness of breath. Negative for cough and wheezing.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for abdominal pain (epigastric). Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria and frequency.  Musculoskeletal: Negative for back pain and neck pain.  Skin: Negative for rash and wound.  Neurological: Negative for weakness, light-headedness and headaches.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious