chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: On July 28, 2022, after my booster I experienced body aches, diarrhea, stomach cramps and fever.  Throughout the night it progressed.  Fever broke Monday.  The next week I thought I would be fine, but the diarrhea was still present.  I went out with some friends during the week and needed to go to have a bowel movement, but I did not make it to the bathroom in time.  I have taken over the counter medications to help stop the diarrhea, but it has not resolved.  I began using two types of homeopathic remedy and that has not helped.  I can eat but only bland foods with small meals.  I have a doctor?s appointment on September 16, 2022.
Age: 41.0
Sex: F
Vaccine: HPV9
Symptoms: Injection site rash, Rash, Somnolence
Clinical narrative: She received vaccinations-HPV first dose and influenza. She came back into the office shortly after stating she has a rash around the site where she received the HPV vaccine-right arm. Also a rash on her right upper part of her thumb. Vitals were checked and normal. PCP evaluated her. She is going to receive Benadryl 0.3 ML via dorsogluteal. Safety alert was put in. She was informed to wait about 15 minutes after receiving the Benadryl injection but she decided to leave as her ride was waiting on her. Followed up with patient to see how she was doing. She is doing good. Just sleepy.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Bradycardia, COVID-19, Cognitive disorder
Clinical narrative: Patient with 2 COVID vaccines who admitted to hospital with positive COVID test and complications r/t COVID.  Provider d/c note:  " Patient with Late onset Alzheimer's disease with behavioral disturbance was noted to have an altered mental status, a Delirium.  When evaluated she had evidence of Acute respiratory failure with hypoxia.  The respiratory failure may be due to a  COVID-19 virus infection. Computed tomography angiogram of the chest reported: 1.  No central pulmonary embolism. There are a few tiny eccentric filling defects within segmental branches of the left lower lobe and lingula which are consistent with nonocclusive pulmonary emboli which may be acute or chronic. 2.  Dense consolidation of the right lower lobe and mild consolidation within the left lower lobe may represent pneumonia and/or atelectasis. 3.  Poorly defined groundglass and solid nodular densities throughout the right lung may be due to pneumonia or pneumonitis. Follow-up CT in 3 months recommended to demonstrate resolution. 4.  Trace bilateral pleural effusions. As the pulmonary consolidations seem more significant than other findings and procalcitonin was elevated so she was started on treatment for possible bacterial pneumonia with CEFTRIAXONE and AZITHROMYCIN.  The pulmonary emboli are questionable, small, likely of little clinical significance so she was not be anticoagulated.   Updated chest film with vascular congestion. Had some rales on exam. Was positive two liters since admit. Started FUROSEMIDE, Potassium, follow basic metabolic panel. She was then able to be weaned off supplemental oxygen.   She completed her course of antibiotics in the hospital.   Pancytopenia, part of which includes a chronic Normocytic anemia, likely due to COIVID, continue to monitor. White blood cell count now normal and platelets improving.   Bradycardia sinus bradycardia down as low as the thirties when asleep.  Maintains blood pressure. Dementia limits assessment for symptoms. No current medications contributing. Continue to monitor.   Patient's mental status appears to have returned to baseline with fairly profound cognitive impairment. Continued DIVALPROEX, DONEPEZIL, LORAZEPAM, MEMANTINE, RISPERIDONE.   Depression SERTRALINE  Issues Requiring Follow Up: none. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Delirium, Lung consolidation, Lung opacity, Mental status changes, Normocytic anaemia
Clinical narrative: Patient with 2 COVID vaccines who admitted to hospital with positive COVID test and complications r/t COVID.  Provider d/c note:  " Patient with Late onset Alzheimer's disease with behavioral disturbance was noted to have an altered mental status, a Delirium.  When evaluated she had evidence of Acute respiratory failure with hypoxia.  The respiratory failure may be due to a  COVID-19 virus infection. Computed tomography angiogram of the chest reported: 1.  No central pulmonary embolism. There are a few tiny eccentric filling defects within segmental branches of the left lower lobe and lingula which are consistent with nonocclusive pulmonary emboli which may be acute or chronic. 2.  Dense consolidation of the right lower lobe and mild consolidation within the left lower lobe may represent pneumonia and/or atelectasis. 3.  Poorly defined groundglass and solid nodular densities throughout the right lung may be due to pneumonia or pneumonitis. Follow-up CT in 3 months recommended to demonstrate resolution. 4.  Trace bilateral pleural effusions. As the pulmonary consolidations seem more significant than other findings and procalcitonin was elevated so she was started on treatment for possible bacterial pneumonia with CEFTRIAXONE and AZITHROMYCIN.  The pulmonary emboli are questionable, small, likely of little clinical significance so she was not be anticoagulated.   Updated chest film with vascular congestion. Had some rales on exam. Was positive two liters since admit. Started FUROSEMIDE, Potassium, follow basic metabolic panel. She was then able to be weaned off supplemental oxygen.   She completed her course of antibiotics in the hospital.   Pancytopenia, part of which includes a chronic Normocytic anemia, likely due to COIVID, continue to monitor. White blood cell count now normal and platelets improving.   Bradycardia sinus bradycardia down as low as the thirties when asleep.  Maintains blood pressure. Dementia limits assessment for symptoms. No current medications contributing. Continue to monitor.   Patient's mental status appears to have returned to baseline with fairly profound cognitive impairment. Continued DIVALPROEX, DONEPEZIL, LORAZEPAM, MEMANTINE, RISPERIDONE.   Depression SERTRALINE  Issues Requiring Follow Up: none. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pancytopenia, Platelet count, Pleural effusion, Procalcitonin increased, Pulmonary congestion
Clinical narrative: Patient with 2 COVID vaccines who admitted to hospital with positive COVID test and complications r/t COVID.  Provider d/c note:  " Patient with Late onset Alzheimer's disease with behavioral disturbance was noted to have an altered mental status, a Delirium.  When evaluated she had evidence of Acute respiratory failure with hypoxia.  The respiratory failure may be due to a  COVID-19 virus infection. Computed tomography angiogram of the chest reported: 1.  No central pulmonary embolism. There are a few tiny eccentric filling defects within segmental branches of the left lower lobe and lingula which are consistent with nonocclusive pulmonary emboli which may be acute or chronic. 2.  Dense consolidation of the right lower lobe and mild consolidation within the left lower lobe may represent pneumonia and/or atelectasis. 3.  Poorly defined groundglass and solid nodular densities throughout the right lung may be due to pneumonia or pneumonitis. Follow-up CT in 3 months recommended to demonstrate resolution. 4.  Trace bilateral pleural effusions. As the pulmonary consolidations seem more significant than other findings and procalcitonin was elevated so she was started on treatment for possible bacterial pneumonia with CEFTRIAXONE and AZITHROMYCIN.  The pulmonary emboli are questionable, small, likely of little clinical significance so she was not be anticoagulated.   Updated chest film with vascular congestion. Had some rales on exam. Was positive two liters since admit. Started FUROSEMIDE, Potassium, follow basic metabolic panel. She was then able to be weaned off supplemental oxygen.   She completed her course of antibiotics in the hospital.   Pancytopenia, part of which includes a chronic Normocytic anemia, likely due to COIVID, continue to monitor. White blood cell count now normal and platelets improving.   Bradycardia sinus bradycardia down as low as the thirties when asleep.  Maintains blood pressure. Dementia limits assessment for symptoms. No current medications contributing. Continue to monitor.   Patient's mental status appears to have returned to baseline with fairly profound cognitive impairment. Continued DIVALPROEX, DONEPEZIL, LORAZEPAM, MEMANTINE, RISPERIDONE.   Depression SERTRALINE  Issues Requiring Follow Up: none. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Pulmonary mass, Rales, SARS-CoV-2 test positive, Sinus bradycardia
Clinical narrative: Patient with 2 COVID vaccines who admitted to hospital with positive COVID test and complications r/t COVID.  Provider d/c note:  " Patient with Late onset Alzheimer's disease with behavioral disturbance was noted to have an altered mental status, a Delirium.  When evaluated she had evidence of Acute respiratory failure with hypoxia.  The respiratory failure may be due to a  COVID-19 virus infection. Computed tomography angiogram of the chest reported: 1.  No central pulmonary embolism. There are a few tiny eccentric filling defects within segmental branches of the left lower lobe and lingula which are consistent with nonocclusive pulmonary emboli which may be acute or chronic. 2.  Dense consolidation of the right lower lobe and mild consolidation within the left lower lobe may represent pneumonia and/or atelectasis. 3.  Poorly defined groundglass and solid nodular densities throughout the right lung may be due to pneumonia or pneumonitis. Follow-up CT in 3 months recommended to demonstrate resolution. 4.  Trace bilateral pleural effusions. As the pulmonary consolidations seem more significant than other findings and procalcitonin was elevated so she was started on treatment for possible bacterial pneumonia with CEFTRIAXONE and AZITHROMYCIN.  The pulmonary emboli are questionable, small, likely of little clinical significance so she was not be anticoagulated.   Updated chest film with vascular congestion. Had some rales on exam. Was positive two liters since admit. Started FUROSEMIDE, Potassium, follow basic metabolic panel. She was then able to be weaned off supplemental oxygen.   She completed her course of antibiotics in the hospital.   Pancytopenia, part of which includes a chronic Normocytic anemia, likely due to COIVID, continue to monitor. White blood cell count now normal and platelets improving.   Bradycardia sinus bradycardia down as low as the thirties when asleep.  Maintains blood pressure. Dementia limits assessment for symptoms. No current medications contributing. Continue to monitor.   Patient's mental status appears to have returned to baseline with fairly profound cognitive impairment. Continued DIVALPROEX, DONEPEZIL, LORAZEPAM, MEMANTINE, RISPERIDONE.   Depression SERTRALINE  Issues Requiring Follow Up: none. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count
Clinical narrative: Patient with 2 COVID vaccines who admitted to hospital with positive COVID test and complications r/t COVID.  Provider d/c note:  " Patient with Late onset Alzheimer's disease with behavioral disturbance was noted to have an altered mental status, a Delirium.  When evaluated she had evidence of Acute respiratory failure with hypoxia.  The respiratory failure may be due to a  COVID-19 virus infection. Computed tomography angiogram of the chest reported: 1.  No central pulmonary embolism. There are a few tiny eccentric filling defects within segmental branches of the left lower lobe and lingula which are consistent with nonocclusive pulmonary emboli which may be acute or chronic. 2.  Dense consolidation of the right lower lobe and mild consolidation within the left lower lobe may represent pneumonia and/or atelectasis. 3.  Poorly defined groundglass and solid nodular densities throughout the right lung may be due to pneumonia or pneumonitis. Follow-up CT in 3 months recommended to demonstrate resolution. 4.  Trace bilateral pleural effusions. As the pulmonary consolidations seem more significant than other findings and procalcitonin was elevated so she was started on treatment for possible bacterial pneumonia with CEFTRIAXONE and AZITHROMYCIN.  The pulmonary emboli are questionable, small, likely of little clinical significance so she was not be anticoagulated.   Updated chest film with vascular congestion. Had some rales on exam. Was positive two liters since admit. Started FUROSEMIDE, Potassium, follow basic metabolic panel. She was then able to be weaned off supplemental oxygen.   She completed her course of antibiotics in the hospital.   Pancytopenia, part of which includes a chronic Normocytic anemia, likely due to COIVID, continue to monitor. White blood cell count now normal and platelets improving.   Bradycardia sinus bradycardia down as low as the thirties when asleep.  Maintains blood pressure. Dementia limits assessment for symptoms. No current medications contributing. Continue to monitor.   Patient's mental status appears to have returned to baseline with fairly profound cognitive impairment. Continued DIVALPROEX, DONEPEZIL, LORAZEPAM, MEMANTINE, RISPERIDONE.   Depression SERTRALINE  Issues Requiring Follow Up: none. "
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Hypoxia
Clinical narrative: HYPOXIA, FEVER, HEADACHE, BODY ACHE, COUGH, SOB
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: HYPOXIA, FEVER, HEADACHE, BODY ACHE, COUGH, SOB
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration
Clinical narrative: Given by subcutaneous route instead of intramuscular
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Gastrointestinal disorder, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted with COVID detected test for GI issues. Not hypoxic during hospital admission. Did not receive any COVID treatments.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: CHEST PAINT, COUGH, SOB, COVID EXACERBATION
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asthenia, C-reactive protein decreased, COVID-19, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Patient up to date on COVID vaccinations who admitted with hypoxia and COVID.  Provider d/c note:  "84 YO female with h/o obesity, CKD3b, ANCA vasculitis, DVT/PE on Xarelto, hypertension, GERD, anxiety/depression, resident of Assisted Living Facility presenting for generalized weakness, acute hypoxia in setting of recent COVID diagnosis.  Patient with initial symptoms on 8/21 and tested positive for COVID at facility on 08/22 and was brought in for worsening shortness of breath to the ER where she was found to be hypoxic down to 88% when trying to sit her up although otherwise was saturating well on room air at rest.  Patient x-ray showing mild interstitial opacities bilaterally.  Inflammatory studies relatively unremarkable with CRP only 0.8 and D-dimer 190.  Patient started on remdesivir and dexamethasone although by 8/24 patient was able to be taken off of oxygen and even with activity able to ambulate around the room without desaturating below 94%.  Patient also eating much better and PT and OT recommended the patient can be discharge back to her assisted living facility.  Daughter was able to provide transportation back to facility this evening.  On discharge sent patient home with 8 more days of dexamethasone 6 mg daily to complete 10 day course.  Otherwise no changes to her home medications."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Fibrin D dimer, Hypophagia, Hypoxia, Inflammatory marker test, Lung opacity
Clinical narrative: Patient up to date on COVID vaccinations who admitted with hypoxia and COVID.  Provider d/c note:  "84 YO female with h/o obesity, CKD3b, ANCA vasculitis, DVT/PE on Xarelto, hypertension, GERD, anxiety/depression, resident of Assisted Living Facility presenting for generalized weakness, acute hypoxia in setting of recent COVID diagnosis.  Patient with initial symptoms on 8/21 and tested positive for COVID at facility on 08/22 and was brought in for worsening shortness of breath to the ER where she was found to be hypoxic down to 88% when trying to sit her up although otherwise was saturating well on room air at rest.  Patient x-ray showing mild interstitial opacities bilaterally.  Inflammatory studies relatively unremarkable with CRP only 0.8 and D-dimer 190.  Patient started on remdesivir and dexamethasone although by 8/24 patient was able to be taken off of oxygen and even with activity able to ambulate around the room without desaturating below 94%.  Patient also eating much better and PT and OT recommended the patient can be discharge back to her assisted living facility.  Daughter was able to provide transportation back to facility this evening.  On discharge sent patient home with 8 more days of dexamethasone 6 mg daily to complete 10 day course.  Otherwise no changes to her home medications."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient up to date on COVID vaccinations who admitted with hypoxia and COVID.  Provider d/c note:  "84 YO female with h/o obesity, CKD3b, ANCA vasculitis, DVT/PE on Xarelto, hypertension, GERD, anxiety/depression, resident of Assisted Living Facility presenting for generalized weakness, acute hypoxia in setting of recent COVID diagnosis.  Patient with initial symptoms on 8/21 and tested positive for COVID at facility on 08/22 and was brought in for worsening shortness of breath to the ER where she was found to be hypoxic down to 88% when trying to sit her up although otherwise was saturating well on room air at rest.  Patient x-ray showing mild interstitial opacities bilaterally.  Inflammatory studies relatively unremarkable with CRP only 0.8 and D-dimer 190.  Patient started on remdesivir and dexamethasone although by 8/24 patient was able to be taken off of oxygen and even with activity able to ambulate around the room without desaturating below 94%.  Patient also eating much better and PT and OT recommended the patient can be discharge back to her assisted living facility.  Daughter was able to provide transportation back to facility this evening.  On discharge sent patient home with 8 more days of dexamethasone 6 mg daily to complete 10 day course.  Otherwise no changes to her home medications."
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: COUGH, FEVER, WEAKNESS
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccinations who admitted with COVID detected test. Provider d/c note: "90 YO female w/ history of CKD III, hypertension, Diabetes mellitus 2, Alzheimer's dementia, COPD presented with worsening dyspnea. She was noted to be hypoxic on arrival. She was admitted for management of acute hypoxic respiratory failure with concern for COPD exacerbation. During her stay, she was retested for Covid (2 days post admission) as there was a history of recent attendance to a Youth fair. She tested positive for COVID on 08/22. She was also started on steroids. She received supplemental oxygenation that later slowly weaned to 1L on exertion only. She was evaluated by PHYSICAL THERAPY who recommended either going home with therapy or nursing facility. Patient's insurance did not approve nursing facility placement due to her level of mobility close to her baseline. After much discussion with her son (sole caretaker), she was discharged home in stable condition. Home Oxygen was prescribed and home care were ordered".
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Product preparation error
Clinical narrative: Incorrect needle length was used to administer IM vaccine. (5/8 inch was used instead of 1 inch). Patient has no adverse effects
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Angiogram pulmonary abnormal, Atelectasis, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient with 3 COVID vaccines who admitted for acute kidney injury and also tested detected for COVID with hypoxia. Provider note: "COVID: -patient has a cough but no other symptoms at this time -supportive care -respiratory isolation -no need for COVID directed therapies at this time   8/23 patient is becoming hypoxic, started on Decadron, CTA pulmonary artery-no evidence of pulmonary    embolism, atelectasis of the right middle lobe   8/24 evaluated by speech therapy no significant risk of aspiration Added incentive spirometer, Elevated BNP, checked echocardiogram, normal LVEF. Patient's oxygenation improved, and is being discharged on room air".
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Echocardiogram normal, Ejection fraction normal, Hypoxia, Incentive spirometry
Clinical narrative: Patient with 3 COVID vaccines who admitted for acute kidney injury and also tested detected for COVID with hypoxia. Provider note: "COVID: -patient has a cough but no other symptoms at this time -supportive care -respiratory isolation -no need for COVID directed therapies at this time   8/23 patient is becoming hypoxic, started on Decadron, CTA pulmonary artery-no evidence of pulmonary    embolism, atelectasis of the right middle lobe   8/24 evaluated by speech therapy no significant risk of aspiration Added incentive spirometer, Elevated BNP, checked echocardiogram, normal LVEF. Patient's oxygenation improved, and is being discharged on room air".
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted for acute kidney injury and also tested detected for COVID with hypoxia. Provider note: "COVID: -patient has a cough but no other symptoms at this time -supportive care -respiratory isolation -no need for COVID directed therapies at this time   8/23 patient is becoming hypoxic, started on Decadron, CTA pulmonary artery-no evidence of pulmonary    embolism, atelectasis of the right middle lobe   8/24 evaluated by speech therapy no significant risk of aspiration Added incentive spirometer, Elevated BNP, checked echocardiogram, normal LVEF. Patient's oxygenation improved, and is being discharged on room air".
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given monovalent Pfizer grey 12+ vaccine as a booster dose (shot #3). Patient should have received bivalent dose, Patient is not immunocompromised.
Age: 67.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Fatigue, Gait disturbance, Vertigo
Clinical narrative: On 9/8/2022 pt received both Fluzone HD and the Pfizer bivalent vaccines at around 1:30pm and reported no side effects. On 9/9/22 he states that at 6:30am he woke up and started having some vertigo. He also said that he was feeling fatigued and was trying to take some steps and tried not to fall forward. Pt took ondansetron and has been feeling better. Has been resting in his chair since time of call at 10:00am.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Corynebacterium test positive, Culture urine positive
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with positive COVID test.  Provider d/c note:  "86-year-old male with past medical history of hypothyroid, dementia, and neurogenic bladder s/p suprapubic catheter.  Patient was admitted 08/24 for sepsis secondary to urinary tract infection after presenting with symptoms of weakness.  He was also found to be COVID-19 positive, but with no hypoxia or chest x-ray findings of COVID-19 pneumonia.  He was started on IV Rocephin initially, but urine cultures grew MRSA, Enterococcus, and Corynebacerium, and so his antibiotics were switched to vancomycin.  His suprapubic catheter was exchanged 8/30.  He is stable for discharge home with home health and oral antibiotics."
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Enterococcus test positive, SARS-CoV-2 test positive, Sepsis, Staphylococcus test positive, Urinary tract infection
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with positive COVID test.  Provider d/c note:  "86-year-old male with past medical history of hypothyroid, dementia, and neurogenic bladder s/p suprapubic catheter.  Patient was admitted 08/24 for sepsis secondary to urinary tract infection after presenting with symptoms of weakness.  He was also found to be COVID-19 positive, but with no hypoxia or chest x-ray findings of COVID-19 pneumonia.  He was started on IV Rocephin initially, but urine cultures grew MRSA, Enterococcus, and Corynebacerium, and so his antibiotics were switched to vancomycin.  His suprapubic catheter was exchanged 8/30.  He is stable for discharge home with home health and oral antibiotics."
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Injection site pain, Injection site swelling, Peripheral swelling
Clinical narrative: Swelling and pain at site of injection. Swelling was 3inx3in on left upper arm
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Bronchoalveolar lavage abnormal, Bronchoscopy abnormal, COVID-19, Computerised tomogram thorax abnormal, Death
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with positive COVID test (initially ""not detected"" then test on 08/21/22 resulted ""detected". "Provider d/c note: "73 year old male with a history of hypothyroidism, paroxysmal AFib, Granulomatosis with Polyangiitis, and hyperlipidemia who presented to the hospital on 8/4/22 at the direction of his rheumatologist for evaluation of abnormal labwork and increasing shortness of breath. Upon admission to the hospital, an extensive workup for his worsening respiratory status began. Initially thought to a pulmonary emboli, a pulmonary CT scan was ordered. No PE was identified, though it did reveal worsening ground glass opacities bilaterally suggestive of a possible infectious process. He was started on broad spectrum antibiotics and bronchoscopy was performed. While his initial COVID test was negative, the Bronchoscopy came back positive for COVID, Pseudomonas aeruginosa and Klebsiella pneumonia. His respiratory status continued to worsen despite being on appropriate antibiotic coverage and receiving high dose steroid, eventually requiring NIPPV and extensive stay  prior to transfer to floors. Respiratory status showing minimal/slow improvement, palliative care was consulted for a goals of care discussion. Around that time, patient decided that he no longer wanted to proceed with treatment in the face of a prolonged/difficulty recovery and LTAC placement. He wanted to be made comfortable. Comfort measures were put in place and supplemental oxygen was slowly weaned off. He passed away on 9/2/22 at 12:49 AM".
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Intensive care, Intermittent positive pressure breathing, Klebsiella test positive, Laboratory test abnormal
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with positive COVID test (initially ""not detected"" then test on 08/21/22 resulted ""detected". "Provider d/c note: "73 year old male with a history of hypothyroidism, paroxysmal AFib, Granulomatosis with Polyangiitis, and hyperlipidemia who presented to the hospital on 8/4/22 at the direction of his rheumatologist for evaluation of abnormal labwork and increasing shortness of breath. Upon admission to the hospital, an extensive workup for his worsening respiratory status began. Initially thought to a pulmonary emboli, a pulmonary CT scan was ordered. No PE was identified, though it did reveal worsening ground glass opacities bilaterally suggestive of a possible infectious process. He was started on broad spectrum antibiotics and bronchoscopy was performed. While his initial COVID test was negative, the Bronchoscopy came back positive for COVID, Pseudomonas aeruginosa and Klebsiella pneumonia. His respiratory status continued to worsen despite being on appropriate antibiotic coverage and receiving high dose steroid, eventually requiring NIPPV and extensive stay  prior to transfer to floors. Respiratory status showing minimal/slow improvement, palliative care was consulted for a goals of care discussion. Around that time, patient decided that he no longer wanted to proceed with treatment in the face of a prolonged/difficulty recovery and LTAC placement. He wanted to be made comfortable. Comfort measures were put in place and supplemental oxygen was slowly weaned off. He passed away on 9/2/22 at 12:49 AM".
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Lung opacity, Mechanical ventilation, Pseudomonas test positive, Refusal of treatment by patient, Respiratory disorder
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with positive COVID test (initially ""not detected"" then test on 08/21/22 resulted ""detected". "Provider d/c note: "73 year old male with a history of hypothyroidism, paroxysmal AFib, Granulomatosis with Polyangiitis, and hyperlipidemia who presented to the hospital on 8/4/22 at the direction of his rheumatologist for evaluation of abnormal labwork and increasing shortness of breath. Upon admission to the hospital, an extensive workup for his worsening respiratory status began. Initially thought to a pulmonary emboli, a pulmonary CT scan was ordered. No PE was identified, though it did reveal worsening ground glass opacities bilaterally suggestive of a possible infectious process. He was started on broad spectrum antibiotics and bronchoscopy was performed. While his initial COVID test was negative, the Bronchoscopy came back positive for COVID, Pseudomonas aeruginosa and Klebsiella pneumonia. His respiratory status continued to worsen despite being on appropriate antibiotic coverage and receiving high dose steroid, eventually requiring NIPPV and extensive stay  prior to transfer to floors. Respiratory status showing minimal/slow improvement, palliative care was consulted for a goals of care discussion. Around that time, patient decided that he no longer wanted to proceed with treatment in the face of a prolonged/difficulty recovery and LTAC placement. He wanted to be made comfortable. Comfort measures were put in place and supplemental oxygen was slowly weaned off. He passed away on 9/2/22 at 12:49 AM".
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient up to date on COVID vaccines who admitted to hospital with positive COVID test (initially ""not detected"" then test on 08/21/22 resulted ""detected". "Provider d/c note: "73 year old male with a history of hypothyroidism, paroxysmal AFib, Granulomatosis with Polyangiitis, and hyperlipidemia who presented to the hospital on 8/4/22 at the direction of his rheumatologist for evaluation of abnormal labwork and increasing shortness of breath. Upon admission to the hospital, an extensive workup for his worsening respiratory status began. Initially thought to a pulmonary emboli, a pulmonary CT scan was ordered. No PE was identified, though it did reveal worsening ground glass opacities bilaterally suggestive of a possible infectious process. He was started on broad spectrum antibiotics and bronchoscopy was performed. While his initial COVID test was negative, the Bronchoscopy came back positive for COVID, Pseudomonas aeruginosa and Klebsiella pneumonia. His respiratory status continued to worsen despite being on appropriate antibiotic coverage and receiving high dose steroid, eventually requiring NIPPV and extensive stay  prior to transfer to floors. Respiratory status showing minimal/slow improvement, palliative care was consulted for a goals of care discussion. Around that time, patient decided that he no longer wanted to proceed with treatment in the face of a prolonged/difficulty recovery and LTAC placement. He wanted to be made comfortable. Comfort measures were put in place and supplemental oxygen was slowly weaned off. He passed away on 9/2/22 at 12:49 AM".
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: FEVER, COUGH, SOB
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: Patient stated that the vaccine was given intramuscular instead of subcutaneous
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dyspnoea
Clinical narrative: SOB, abdominal pain
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Condition aggravated, Hypervolaemia
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with positive COVID test.  Patient hypoxic during stay, also having CHF exacerbation and in fluid overload.  Provider note:  "COVID-19 Vaccinated x 2 with 1 booster with Moderna. Symptom onset the day of admission.  Actually suspect this is related more to heart failure than COVID Chest x-ray shows fluid, no definitive evidence of superimposed bacterial pneumonia -steroids not indicated as he has no increased oxygen requirements"
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with positive COVID test.  Patient hypoxic during stay, also having CHF exacerbation and in fluid overload.  Provider note:  "COVID-19 Vaccinated x 2 with 1 booster with Moderna. Symptom onset the day of admission.  Actually suspect this is related more to heart failure than COVID Chest x-ray shows fluid, no definitive evidence of superimposed bacterial pneumonia -steroids not indicated as he has no increased oxygen requirements"
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Cough, Dyspnoea, Pyrexia
Clinical narrative: Hospitalization: 8/26/22 ADMITTED; 8/30/22 DISCHARGED. Presentation to the ED: fever, shortness of breath, COPD, cough for the past couple days, 89% ON ROOM AIR. COVID-19 + date: 8/26/22. Treatment: remdesivir; dexamethasone. Discharge to: HOME.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 8/26/22 ADMITTED; 8/30/22 DISCHARGED. Presentation to the ED: fever, shortness of breath, COPD, cough for the past couple days, 89% ON ROOM AIR. COVID-19 + date: 8/26/22. Treatment: remdesivir; dexamethasone. Discharge to: HOME.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient was given Pfizer COVID vaccine for age 12 years and older instead of for age 5 years to 11 years.  was given 0.2 ml
Age: 0.75
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Kinrix was administered to a 9 month old. This combination vaccine is only indicated for children between the ages of 4-6 years of age.   Mother notified  of the error. Child reports no adverse symptoms. Denies fever, chills, nausea/vomiting.   Health department notified.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Dizziness, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: On 8/11/2022 I woke up with like a super sore throat like the worst case of postnasal drip, splitting headache, and having a harder time breathing and I knew my friend had just tested positive and I went to the urgent care clinic to test and I was positive and was hoping to get the antiviral. They gave me a chest x-ray and those were negative for pneumonia and they gave me a Flu test and that was negative. So they prescribed prednisone and increased my albuterol inhaler and TESSALON PERLES for the cough. I felt like death on Thursday and Friday and missed work and notified them I was not able. By the 13th my head was not pounding but everything felt like I was foggy and cloudy headed. I was dizzy on Saturday and Sunday and by Monday I was feeling better with just some stuffy nose and Tuesday and Wednesday was feeling fine. By the 18th I was fine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Impaired work ability, Influenza virus test negative, Nasal congestion
Clinical narrative: On 8/11/2022 I woke up with like a super sore throat like the worst case of postnasal drip, splitting headache, and having a harder time breathing and I knew my friend had just tested positive and I went to the urgent care clinic to test and I was positive and was hoping to get the antiviral. They gave me a chest x-ray and those were negative for pneumonia and they gave me a Flu test and that was negative. So they prescribed prednisone and increased my albuterol inhaler and TESSALON PERLES for the cough. I felt like death on Thursday and Friday and missed work and notified them I was not able. By the 13th my head was not pounding but everything felt like I was foggy and cloudy headed. I was dizzy on Saturday and Sunday and by Monday I was feeling better with just some stuffy nose and Tuesday and Wednesday was feeling fine. By the 18th I was fine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: On 8/11/2022 I woke up with like a super sore throat like the worst case of postnasal drip, splitting headache, and having a harder time breathing and I knew my friend had just tested positive and I went to the urgent care clinic to test and I was positive and was hoping to get the antiviral. They gave me a chest x-ray and those were negative for pneumonia and they gave me a Flu test and that was negative. So they prescribed prednisone and increased my albuterol inhaler and TESSALON PERLES for the cough. I felt like death on Thursday and Friday and missed work and notified them I was not able. By the 13th my head was not pounding but everything felt like I was foggy and cloudy headed. I was dizzy on Saturday and Sunday and by Monday I was feeling better with just some stuffy nose and Tuesday and Wednesday was feeling fine. By the 18th I was fine.
Age: 60.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given the 2021-2022 Influenza Vaccine instead of the 2022-2023 Influenza Vaccine.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Palpitations
Clinical narrative: high bloodpressure, heart palpaltations
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chest pain, Fall, Rib fracture
Clinical narrative: Patient with 1 J+J vaccine who admitted after a fall with a  positive COVID test.  Provider d/c note:  "Patient was admitted post-fall with chest pain. She was found to be covid positive on admission.  XR chest showed fracture of rt 6th-8th ribs.  Trauma workup otherwise negative. She was evaluated by PT/OT who recommended rehab on discharge.She was discharged in stable condition to nursing facility."
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with 1 J+J vaccine who admitted after a fall with a  positive COVID test.  Provider d/c note:  "Patient was admitted post-fall with chest pain. She was found to be covid positive on admission.  XR chest showed fracture of rt 6th-8th ribs.  Trauma workup otherwise negative. She was evaluated by PT/OT who recommended rehab on discharge.She was discharged in stable condition to nursing facility."
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Admitted to hospital
Age: 1.5
Sex: F
Vaccine: DTAP
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered past its expiration date.  Vaccine Expired on 8/22/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hyperhidrosis
Clinical narrative: diaphoresis, chest tightness
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 via PCR test 09/02/2022. I contacted my allergist and he prescribed PAXLOVID.
Age: 65.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Arthralgia, Chills, Decreased appetite, Ear pain, Erythema
Clinical narrative: After patient left office arm were the vaccines were given started to turn red with irritation. Next day patient experienced headaches, chills, ear aches, joint pain, and loss of appetite. Rash grew to cover most of the upper arm with swelling.
Age: 65.0
Sex: F
Vaccine: FLU4, PPV
Symptoms: Headache, Peripheral swelling, Rash, Skin irritation
Clinical narrative: After patient left office arm were the vaccines were given started to turn red with irritation. Next day patient experienced headaches, chills, ear aches, joint pain, and loss of appetite. Rash grew to cover most of the upper arm with swelling.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Dialysis, Eye movement disorder, Pulse absent, Resuscitation, Unresponsive to stimuli
Clinical narrative: Started dialysis at 5:30 AM.  flu vaccine at 7:26 AM.    patient's eye rolled up into head, unresponsive to verbal stimuli and sternal rub.    no pulse or chest movement.   CPR started.  Pulse regained.  EMS transferred patient to ED (unsure which ED).
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Appetite disorder, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: appetite change, fatigue, cough, diarrhea, headaches
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital
Age: 0.67
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Diffuse rash the day after vaccination not responsive to diphenhydramine that lasted less than 1 week.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Inflammation, Lethargy, Pain, Pyrexia
Clinical narrative: Left Chest wall was red, inflamed and swollen; resting heart rate was 140 beats/minute; high fever up to 102 degree Fahrenheit; severe body aches; lethargic.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Left Chest wall was red, inflamed and swollen; resting heart rate was 140 beats/minute; high fever up to 102 degree Fahrenheit; severe body aches; lethargic.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue
Clinical narrative: fatigue, weakness
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Hypertension, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: admitted 8/29/22; discharged 9/4/22. Presentation to the ED: Chest pain, SOB, and HTN. COVID-19 + date: 8/29/22. Treatment: no steroids or COVID prophalyxis was given. Discharge to: home.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Upper-airway cough syndrome
Clinical narrative: Postnasal drip, cough, and diarrhea.
Age: 34.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site pruritus, Vaccination site rash
Clinical narrative: As per patient's accounts vaccination area started itching and developed a rash  and turned red, no other symptom, reported, patient iced it and apply alcohol. Pt reported some relieve felt for about an hour and the the itching returned, Pt is using  alcohol wipes and icing but continues having the recurrent itchiness.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received COVID Pfizer vaccine series on 7/6/22, 8/2/22 and 9/6/22. The third does was given to  early,  before 8 weeks after the second dose. Family notified. No adverse reaction noted by family.
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Ache, pain, fever and headache (about 12 hours).
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea
Clinical narrative: diarrhea
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital.
Age: 0.92
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received COVID Pfizer vaccine series on 7/6/22, 8/2/22 and 9/6/22. The third does was given to  early,  before 8 weeks after the second dose. Family notified. No adverse reaction noted by family.
Age: 100.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, Blood potassium decreased, Blood sodium decreased, COVID-19
Clinical narrative: Hospitalization: Admitted 8/25/22, discharged 9/4/22.  Presentation to the ED: generalized weakness, nausea, vomiting and diarrhea, initial encounter afebrile and hemodynamically stable, examination notable for dehydration, basic labs showing severe hyponatremia 115, hypokalemia 3.1, AKI, hypomagnesemia and urinalysis suggestive of UTI. COVID-19 + date: 8/19/22 Treatment: Paxlovid.  Discharge to: Hospice.
Age: 100.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dehydration, Diarrhoea, Hypokalaemia, Hypomagnesaemia, Hyponatraemia
Clinical narrative: Hospitalization: Admitted 8/25/22, discharged 9/4/22.  Presentation to the ED: generalized weakness, nausea, vomiting and diarrhea, initial encounter afebrile and hemodynamically stable, examination notable for dehydration, basic labs showing severe hyponatremia 115, hypokalemia 3.1, AKI, hypomagnesemia and urinalysis suggestive of UTI. COVID-19 + date: 8/19/22 Treatment: Paxlovid.  Discharge to: Hospice.
Age: 100.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Urinary tract infection, Urine analysis abnormal, Vomiting
Clinical narrative: Hospitalization: Admitted 8/25/22, discharged 9/4/22.  Presentation to the ED: generalized weakness, nausea, vomiting and diarrhea, initial encounter afebrile and hemodynamically stable, examination notable for dehydration, basic labs showing severe hyponatremia 115, hypokalemia 3.1, AKI, hypomagnesemia and urinalysis suggestive of UTI. COVID-19 + date: 8/19/22 Treatment: Paxlovid.  Discharge to: Hospice.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Oropharyngeal pain, Pyrexia
Clinical narrative: Fever, sore throat, and weakness.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive, Walking distance test
Clinical narrative: Patient up to date of COVID vaccines who admitted with COVID detected test and complications from COVID.  Provider d/c note:  "54-year-old female with past medical history significant for Mayer Rokitansky syndrome with solitary kidney and restrictive lung disease on 2 L of oxygen at night at home.  She presented to the emergency department on 09/01/2022 with a chief complaint of shortness of breath and cough.  She was diagnosed with COVID on arrival and did require nasal cannula.  She was started on steroids and remdesivir.  The patient continued to improve over the course of her stay and was on room air at time of discharge.  Oxygen walk test was performed before discharge and she maintained at 98%.  She completed her course of remdesivir and will be discharged home with the remainder of her Decadron.  Patient was doing well, wanted to go home, had no further questions and was given strict return precautions to which she verbalized understanding."
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Myalgia, Paranasal sinus discomfort, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: congestion, rhinorrhea, sinus pressure, cough, myalgias