chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Alanine aminotransferase increased, Ammonia increased, Angiogram cerebral normal, Anticoagulant therapy
Clinical narrative: Patient was admitted because of cough congestion and sore throat for 5 days.  He went to urgent care on November 26.  After discharge he had a COVID-19 test resulted positive.  In emergency department he was having a generalized body ache and very mild symptoms of a cough and shortness of breath.  Emergency room physician expressed that he could of possibly go home but his creatinine is slightly elevated he is dehydrated need some IV hydration so patient is admitted for close monitoring. He required high levels of oxygen but did not require mechanical ventilation and was progressing well on medical floor. 12/28 rapid response called for sudden mental status change. Code stroke activated, CT/CTA head negative for intracranial pathology. Pt was intubated for airway protection and transferred to the ICU.    12/29/2021.  Remains intubated VC/AC 14/450/8/60%. EEG performed, results pending.  SAT performed and patient following commands.  Ammonia check 107.  12/30/2021. EEG yesterday read severe diffuse nonspecific slowing of the background rhythm, indicative generalized subcortical and cortical neuronal dysfunction likely seen in significant encephalopathic state including cerebral hypoxia. Agitation off sedation, Precedex added. Trial lasix. Creat 1.2. Ammonia 82. Trail SAT/SBT today  12/31/2021.  Remains intubated VC/AC 14/450/8/45%, breathing above vent.  Trial on CPAP.  Fluctuating mentation, reported response early this morning but unresponsive even to noxious stimuli during rounds.  Oliguric renal failure. Creat 1.6.  Nephrology consulted.  Ammonia 101, lactulose increased.  1/1/2022. Pt successfully extubated. Requiring HFNC 60L/60%. Ammonia 110. Small bowel movement overnight, rifaximin added. AST/ALT 518/370, total bili 6.0 and Alk Phos 369. U/S Abdomen ordered. Creat 2.0. U/O remains inadequate 1/2/2022. Remains extubated but more encephalopathic. No bowel movements with soap sud enemas. Pt was started on heparin infusion for portal vein thrombosis and GI consulted. This morning INR 5.8 and heparin infusion discontinued. Ammonia 146. Hepatic panel worsening. Creat 2.6. Pt removed NG overnight.     Pt was made a DNR and they would like to proceed with CMO-AND tomorrow when all significant family members can be present.    1/3/2022: Family arrived at bedside and again expressed wishes to transition to comfort care measures in the setting of his critical illness with multi-organ failure. Comfort care measures initiated and he passed @1450.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased, Blood creatinine increased, Brain hypoxia
Clinical narrative: Patient was admitted because of cough congestion and sore throat for 5 days.  He went to urgent care on November 26.  After discharge he had a COVID-19 test resulted positive.  In emergency department he was having a generalized body ache and very mild symptoms of a cough and shortness of breath.  Emergency room physician expressed that he could of possibly go home but his creatinine is slightly elevated he is dehydrated need some IV hydration so patient is admitted for close monitoring. He required high levels of oxygen but did not require mechanical ventilation and was progressing well on medical floor. 12/28 rapid response called for sudden mental status change. Code stroke activated, CT/CTA head negative for intracranial pathology. Pt was intubated for airway protection and transferred to the ICU.    12/29/2021.  Remains intubated VC/AC 14/450/8/60%. EEG performed, results pending.  SAT performed and patient following commands.  Ammonia check 107.  12/30/2021. EEG yesterday read severe diffuse nonspecific slowing of the background rhythm, indicative generalized subcortical and cortical neuronal dysfunction likely seen in significant encephalopathic state including cerebral hypoxia. Agitation off sedation, Precedex added. Trial lasix. Creat 1.2. Ammonia 82. Trail SAT/SBT today  12/31/2021.  Remains intubated VC/AC 14/450/8/45%, breathing above vent.  Trial on CPAP.  Fluctuating mentation, reported response early this morning but unresponsive even to noxious stimuli during rounds.  Oliguric renal failure. Creat 1.6.  Nephrology consulted.  Ammonia 101, lactulose increased.  1/1/2022. Pt successfully extubated. Requiring HFNC 60L/60%. Ammonia 110. Small bowel movement overnight, rifaximin added. AST/ALT 518/370, total bili 6.0 and Alk Phos 369. U/S Abdomen ordered. Creat 2.0. U/O remains inadequate 1/2/2022. Remains extubated but more encephalopathic. No bowel movements with soap sud enemas. Pt was started on heparin infusion for portal vein thrombosis and GI consulted. This morning INR 5.8 and heparin infusion discontinued. Ammonia 146. Hepatic panel worsening. Creat 2.6. Pt removed NG overnight.     Pt was made a DNR and they would like to proceed with CMO-AND tomorrow when all significant family members can be present.    1/3/2022: Family arrived at bedside and again expressed wishes to transition to comfort care measures in the setting of his critical illness with multi-organ failure. Comfort care measures initiated and he passed @1450.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Constipation, Cough, Death, Dehydration
Clinical narrative: Patient was admitted because of cough congestion and sore throat for 5 days.  He went to urgent care on November 26.  After discharge he had a COVID-19 test resulted positive.  In emergency department he was having a generalized body ache and very mild symptoms of a cough and shortness of breath.  Emergency room physician expressed that he could of possibly go home but his creatinine is slightly elevated he is dehydrated need some IV hydration so patient is admitted for close monitoring. He required high levels of oxygen but did not require mechanical ventilation and was progressing well on medical floor. 12/28 rapid response called for sudden mental status change. Code stroke activated, CT/CTA head negative for intracranial pathology. Pt was intubated for airway protection and transferred to the ICU.    12/29/2021.  Remains intubated VC/AC 14/450/8/60%. EEG performed, results pending.  SAT performed and patient following commands.  Ammonia check 107.  12/30/2021. EEG yesterday read severe diffuse nonspecific slowing of the background rhythm, indicative generalized subcortical and cortical neuronal dysfunction likely seen in significant encephalopathic state including cerebral hypoxia. Agitation off sedation, Precedex added. Trial lasix. Creat 1.2. Ammonia 82. Trail SAT/SBT today  12/31/2021.  Remains intubated VC/AC 14/450/8/45%, breathing above vent.  Trial on CPAP.  Fluctuating mentation, reported response early this morning but unresponsive even to noxious stimuli during rounds.  Oliguric renal failure. Creat 1.6.  Nephrology consulted.  Ammonia 101, lactulose increased.  1/1/2022. Pt successfully extubated. Requiring HFNC 60L/60%. Ammonia 110. Small bowel movement overnight, rifaximin added. AST/ALT 518/370, total bili 6.0 and Alk Phos 369. U/S Abdomen ordered. Creat 2.0. U/O remains inadequate 1/2/2022. Remains extubated but more encephalopathic. No bowel movements with soap sud enemas. Pt was started on heparin infusion for portal vein thrombosis and GI consulted. This morning INR 5.8 and heparin infusion discontinued. Ammonia 146. Hepatic panel worsening. Creat 2.6. Pt removed NG overnight.     Pt was made a DNR and they would like to proceed with CMO-AND tomorrow when all significant family members can be present.    1/3/2022: Family arrived at bedside and again expressed wishes to transition to comfort care measures in the setting of his critical illness with multi-organ failure. Comfort care measures initiated and he passed @1450.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electroencephalogram abnormal, Endotracheal intubation, Enema administration, Extubation
Clinical narrative: Patient was admitted because of cough congestion and sore throat for 5 days.  He went to urgent care on November 26.  After discharge he had a COVID-19 test resulted positive.  In emergency department he was having a generalized body ache and very mild symptoms of a cough and shortness of breath.  Emergency room physician expressed that he could of possibly go home but his creatinine is slightly elevated he is dehydrated need some IV hydration so patient is admitted for close monitoring. He required high levels of oxygen but did not require mechanical ventilation and was progressing well on medical floor. 12/28 rapid response called for sudden mental status change. Code stroke activated, CT/CTA head negative for intracranial pathology. Pt was intubated for airway protection and transferred to the ICU.    12/29/2021.  Remains intubated VC/AC 14/450/8/60%. EEG performed, results pending.  SAT performed and patient following commands.  Ammonia check 107.  12/30/2021. EEG yesterday read severe diffuse nonspecific slowing of the background rhythm, indicative generalized subcortical and cortical neuronal dysfunction likely seen in significant encephalopathic state including cerebral hypoxia. Agitation off sedation, Precedex added. Trial lasix. Creat 1.2. Ammonia 82. Trail SAT/SBT today  12/31/2021.  Remains intubated VC/AC 14/450/8/45%, breathing above vent.  Trial on CPAP.  Fluctuating mentation, reported response early this morning but unresponsive even to noxious stimuli during rounds.  Oliguric renal failure. Creat 1.6.  Nephrology consulted.  Ammonia 101, lactulose increased.  1/1/2022. Pt successfully extubated. Requiring HFNC 60L/60%. Ammonia 110. Small bowel movement overnight, rifaximin added. AST/ALT 518/370, total bili 6.0 and Alk Phos 369. U/S Abdomen ordered. Creat 2.0. U/O remains inadequate 1/2/2022. Remains extubated but more encephalopathic. No bowel movements with soap sud enemas. Pt was started on heparin infusion for portal vein thrombosis and GI consulted. This morning INR 5.8 and heparin infusion discontinued. Ammonia 146. Hepatic panel worsening. Creat 2.6. Pt removed NG overnight.     Pt was made a DNR and they would like to proceed with CMO-AND tomorrow when all significant family members can be present.    1/3/2022: Family arrived at bedside and again expressed wishes to transition to comfort care measures in the setting of his critical illness with multi-organ failure. Comfort care measures initiated and he passed @1450.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal tube insertion, Hepatic function abnormal, Intensive care, Intentional medical device removal by patient, International normalised ratio increased
Clinical narrative: Patient was admitted because of cough congestion and sore throat for 5 days.  He went to urgent care on November 26.  After discharge he had a COVID-19 test resulted positive.  In emergency department he was having a generalized body ache and very mild symptoms of a cough and shortness of breath.  Emergency room physician expressed that he could of possibly go home but his creatinine is slightly elevated he is dehydrated need some IV hydration so patient is admitted for close monitoring. He required high levels of oxygen but did not require mechanical ventilation and was progressing well on medical floor. 12/28 rapid response called for sudden mental status change. Code stroke activated, CT/CTA head negative for intracranial pathology. Pt was intubated for airway protection and transferred to the ICU.    12/29/2021.  Remains intubated VC/AC 14/450/8/60%. EEG performed, results pending.  SAT performed and patient following commands.  Ammonia check 107.  12/30/2021. EEG yesterday read severe diffuse nonspecific slowing of the background rhythm, indicative generalized subcortical and cortical neuronal dysfunction likely seen in significant encephalopathic state including cerebral hypoxia. Agitation off sedation, Precedex added. Trial lasix. Creat 1.2. Ammonia 82. Trail SAT/SBT today  12/31/2021.  Remains intubated VC/AC 14/450/8/45%, breathing above vent.  Trial on CPAP.  Fluctuating mentation, reported response early this morning but unresponsive even to noxious stimuli during rounds.  Oliguric renal failure. Creat 1.6.  Nephrology consulted.  Ammonia 101, lactulose increased.  1/1/2022. Pt successfully extubated. Requiring HFNC 60L/60%. Ammonia 110. Small bowel movement overnight, rifaximin added. AST/ALT 518/370, total bili 6.0 and Alk Phos 369. U/S Abdomen ordered. Creat 2.0. U/O remains inadequate 1/2/2022. Remains extubated but more encephalopathic. No bowel movements with soap sud enemas. Pt was started on heparin infusion for portal vein thrombosis and GI consulted. This morning INR 5.8 and heparin infusion discontinued. Ammonia 146. Hepatic panel worsening. Creat 2.6. Pt removed NG overnight.     Pt was made a DNR and they would like to proceed with CMO-AND tomorrow when all significant family members can be present.    1/3/2022: Family arrived at bedside and again expressed wishes to transition to comfort care measures in the setting of his critical illness with multi-organ failure. Comfort care measures initiated and he passed @1450.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Mental status changes, Multiple organ dysfunction syndrome, Oropharyngeal pain, Pain
Clinical narrative: Patient was admitted because of cough congestion and sore throat for 5 days.  He went to urgent care on November 26.  After discharge he had a COVID-19 test resulted positive.  In emergency department he was having a generalized body ache and very mild symptoms of a cough and shortness of breath.  Emergency room physician expressed that he could of possibly go home but his creatinine is slightly elevated he is dehydrated need some IV hydration so patient is admitted for close monitoring. He required high levels of oxygen but did not require mechanical ventilation and was progressing well on medical floor. 12/28 rapid response called for sudden mental status change. Code stroke activated, CT/CTA head negative for intracranial pathology. Pt was intubated for airway protection and transferred to the ICU.    12/29/2021.  Remains intubated VC/AC 14/450/8/60%. EEG performed, results pending.  SAT performed and patient following commands.  Ammonia check 107.  12/30/2021. EEG yesterday read severe diffuse nonspecific slowing of the background rhythm, indicative generalized subcortical and cortical neuronal dysfunction likely seen in significant encephalopathic state including cerebral hypoxia. Agitation off sedation, Precedex added. Trial lasix. Creat 1.2. Ammonia 82. Trail SAT/SBT today  12/31/2021.  Remains intubated VC/AC 14/450/8/45%, breathing above vent.  Trial on CPAP.  Fluctuating mentation, reported response early this morning but unresponsive even to noxious stimuli during rounds.  Oliguric renal failure. Creat 1.6.  Nephrology consulted.  Ammonia 101, lactulose increased.  1/1/2022. Pt successfully extubated. Requiring HFNC 60L/60%. Ammonia 110. Small bowel movement overnight, rifaximin added. AST/ALT 518/370, total bili 6.0 and Alk Phos 369. U/S Abdomen ordered. Creat 2.0. U/O remains inadequate 1/2/2022. Remains extubated but more encephalopathic. No bowel movements with soap sud enemas. Pt was started on heparin infusion for portal vein thrombosis and GI consulted. This morning INR 5.8 and heparin infusion discontinued. Ammonia 146. Hepatic panel worsening. Creat 2.6. Pt removed NG overnight.     Pt was made a DNR and they would like to proceed with CMO-AND tomorrow when all significant family members can be present.    1/3/2022: Family arrived at bedside and again expressed wishes to transition to comfort care measures in the setting of his critical illness with multi-organ failure. Comfort care measures initiated and he passed @1450.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Portal vein thrombosis, Positive airway pressure therapy, Renal failure, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted because of cough congestion and sore throat for 5 days.  He went to urgent care on November 26.  After discharge he had a COVID-19 test resulted positive.  In emergency department he was having a generalized body ache and very mild symptoms of a cough and shortness of breath.  Emergency room physician expressed that he could of possibly go home but his creatinine is slightly elevated he is dehydrated need some IV hydration so patient is admitted for close monitoring. He required high levels of oxygen but did not require mechanical ventilation and was progressing well on medical floor. 12/28 rapid response called for sudden mental status change. Code stroke activated, CT/CTA head negative for intracranial pathology. Pt was intubated for airway protection and transferred to the ICU.    12/29/2021.  Remains intubated VC/AC 14/450/8/60%. EEG performed, results pending.  SAT performed and patient following commands.  Ammonia check 107.  12/30/2021. EEG yesterday read severe diffuse nonspecific slowing of the background rhythm, indicative generalized subcortical and cortical neuronal dysfunction likely seen in significant encephalopathic state including cerebral hypoxia. Agitation off sedation, Precedex added. Trial lasix. Creat 1.2. Ammonia 82. Trail SAT/SBT today  12/31/2021.  Remains intubated VC/AC 14/450/8/45%, breathing above vent.  Trial on CPAP.  Fluctuating mentation, reported response early this morning but unresponsive even to noxious stimuli during rounds.  Oliguric renal failure. Creat 1.6.  Nephrology consulted.  Ammonia 101, lactulose increased.  1/1/2022. Pt successfully extubated. Requiring HFNC 60L/60%. Ammonia 110. Small bowel movement overnight, rifaximin added. AST/ALT 518/370, total bili 6.0 and Alk Phos 369. U/S Abdomen ordered. Creat 2.0. U/O remains inadequate 1/2/2022. Remains extubated but more encephalopathic. No bowel movements with soap sud enemas. Pt was started on heparin infusion for portal vein thrombosis and GI consulted. This morning INR 5.8 and heparin infusion discontinued. Ammonia 146. Hepatic panel worsening. Creat 2.6. Pt removed NG overnight.     Pt was made a DNR and they would like to proceed with CMO-AND tomorrow when all significant family members can be present.    1/3/2022: Family arrived at bedside and again expressed wishes to transition to comfort care measures in the setting of his critical illness with multi-organ failure. Comfort care measures initiated and he passed @1450.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient was admitted because of cough congestion and sore throat for 5 days.  He went to urgent care on November 26.  After discharge he had a COVID-19 test resulted positive.  In emergency department he was having a generalized body ache and very mild symptoms of a cough and shortness of breath.  Emergency room physician expressed that he could of possibly go home but his creatinine is slightly elevated he is dehydrated need some IV hydration so patient is admitted for close monitoring. He required high levels of oxygen but did not require mechanical ventilation and was progressing well on medical floor. 12/28 rapid response called for sudden mental status change. Code stroke activated, CT/CTA head negative for intracranial pathology. Pt was intubated for airway protection and transferred to the ICU.    12/29/2021.  Remains intubated VC/AC 14/450/8/60%. EEG performed, results pending.  SAT performed and patient following commands.  Ammonia check 107.  12/30/2021. EEG yesterday read severe diffuse nonspecific slowing of the background rhythm, indicative generalized subcortical and cortical neuronal dysfunction likely seen in significant encephalopathic state including cerebral hypoxia. Agitation off sedation, Precedex added. Trial lasix. Creat 1.2. Ammonia 82. Trail SAT/SBT today  12/31/2021.  Remains intubated VC/AC 14/450/8/45%, breathing above vent.  Trial on CPAP.  Fluctuating mentation, reported response early this morning but unresponsive even to noxious stimuli during rounds.  Oliguric renal failure. Creat 1.6.  Nephrology consulted.  Ammonia 101, lactulose increased.  1/1/2022. Pt successfully extubated. Requiring HFNC 60L/60%. Ammonia 110. Small bowel movement overnight, rifaximin added. AST/ALT 518/370, total bili 6.0 and Alk Phos 369. U/S Abdomen ordered. Creat 2.0. U/O remains inadequate 1/2/2022. Remains extubated but more encephalopathic. No bowel movements with soap sud enemas. Pt was started on heparin infusion for portal vein thrombosis and GI consulted. This morning INR 5.8 and heparin infusion discontinued. Ammonia 146. Hepatic panel worsening. Creat 2.6. Pt removed NG overnight.     Pt was made a DNR and they would like to proceed with CMO-AND tomorrow when all significant family members can be present.    1/3/2022: Family arrived at bedside and again expressed wishes to transition to comfort care measures in the setting of his critical illness with multi-organ failure. Comfort care measures initiated and he passed @1450.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Alopecia
Clinical narrative: After the second shot within a week I noticed round patchy hair loss in my beard.  Never have had this before it was sudden  and the hair was gone.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal X-ray, Abdominal pain, Blood creatinine increased, C-reactive protein increased, COVID-19
Clinical narrative: Pt was admitted on 12/31/2021 because of complaints of cough and chest discomfort.  Patient reported being exposed to her granddaughter who tested positive for COVID-19.  Patient reported dry cough and discomfort over retrosternal area during cough.  Associated with fatigue and decreased appetite.  She tested positive for COVID-19.   Vitals stable, patient was not hypoxic in the ED.  Creatinine was 1.3.  Troponin was negative.  CRP was 2.14.  Chest x-ray was negative for any acute process.  Patient had Persantine stress test a year ago which was negative for any ischemia.  She was placed on cardiac monitor, admitted to Hospital for observation.  Patient started complaining of abdominal pain after that.  She stated that she takes enema for bowel movements. She was on bowel regimen.  Review of past records shows that patient had complained of abdominal pain and received CT scans which did not show any acute abnormalities.  Abdominal x-ray showed gas throughout GI tract.  Maalox was added.  Abdominal pain improved.  She was moving her bowels.  She did not have any respiratory symptoms and was on room air.  Patient was able to eat and reported improved pain. She was subsequently discharged
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Cardiac stress test, Chest X-ray normal, Chest discomfort, Cough
Clinical narrative: Pt was admitted on 12/31/2021 because of complaints of cough and chest discomfort.  Patient reported being exposed to her granddaughter who tested positive for COVID-19.  Patient reported dry cough and discomfort over retrosternal area during cough.  Associated with fatigue and decreased appetite.  She tested positive for COVID-19.   Vitals stable, patient was not hypoxic in the ED.  Creatinine was 1.3.  Troponin was negative.  CRP was 2.14.  Chest x-ray was negative for any acute process.  Patient had Persantine stress test a year ago which was negative for any ischemia.  She was placed on cardiac monitor, admitted to Hospital for observation.  Patient started complaining of abdominal pain after that.  She stated that she takes enema for bowel movements. She was on bowel regimen.  Review of past records shows that patient had complained of abdominal pain and received CT scans which did not show any acute abnormalities.  Abdominal x-ray showed gas throughout GI tract.  Maalox was added.  Abdominal pain improved.  She was moving her bowels.  She did not have any respiratory symptoms and was on room air.  Patient was able to eat and reported improved pain. She was subsequently discharged
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Exposure to SARS-CoV-2, Fatigue, Flatulence, SARS-CoV-2 test positive
Clinical narrative: Pt was admitted on 12/31/2021 because of complaints of cough and chest discomfort.  Patient reported being exposed to her granddaughter who tested positive for COVID-19.  Patient reported dry cough and discomfort over retrosternal area during cough.  Associated with fatigue and decreased appetite.  She tested positive for COVID-19.   Vitals stable, patient was not hypoxic in the ED.  Creatinine was 1.3.  Troponin was negative.  CRP was 2.14.  Chest x-ray was negative for any acute process.  Patient had Persantine stress test a year ago which was negative for any ischemia.  She was placed on cardiac monitor, admitted to Hospital for observation.  Patient started complaining of abdominal pain after that.  She stated that she takes enema for bowel movements. She was on bowel regimen.  Review of past records shows that patient had complained of abdominal pain and received CT scans which did not show any acute abnormalities.  Abdominal x-ray showed gas throughout GI tract.  Maalox was added.  Abdominal pain improved.  She was moving her bowels.  She did not have any respiratory symptoms and was on room air.  Patient was able to eat and reported improved pain. She was subsequently discharged
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: Pt was admitted on 12/31/2021 because of complaints of cough and chest discomfort.  Patient reported being exposed to her granddaughter who tested positive for COVID-19.  Patient reported dry cough and discomfort over retrosternal area during cough.  Associated with fatigue and decreased appetite.  She tested positive for COVID-19.   Vitals stable, patient was not hypoxic in the ED.  Creatinine was 1.3.  Troponin was negative.  CRP was 2.14.  Chest x-ray was negative for any acute process.  Patient had Persantine stress test a year ago which was negative for any ischemia.  She was placed on cardiac monitor, admitted to Hospital for observation.  Patient started complaining of abdominal pain after that.  She stated that she takes enema for bowel movements. She was on bowel regimen.  Review of past records shows that patient had complained of abdominal pain and received CT scans which did not show any acute abnormalities.  Abdominal x-ray showed gas throughout GI tract.  Maalox was added.  Abdominal pain improved.  She was moving her bowels.  She did not have any respiratory symptoms and was on room air.  Patient was able to eat and reported improved pain. She was subsequently discharged
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head normal, Confusional state, Gait inability, Headache
Clinical narrative: Patient was admitted on 3/04/22 because of increasing weakness of both upper and lower extremity that he was not able to ambulate.  He was recently discharged from the rehab facility.  He does have a chronic intermittent confusion because of hepatic encephalopathy and hyperammonemia.  He is also complaining of headache.  CT scan of the brain is negative on admission.  He has a no new focal weakness otherwise.  Patient was set for discharge the previous week but his COVID-19 test was positive so he required to finish isolation before he was accepted to nursing home.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic encephalopathy, Hyperammonaemia, Muscular weakness, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted on 3/04/22 because of increasing weakness of both upper and lower extremity that he was not able to ambulate.  He was recently discharged from the rehab facility.  He does have a chronic intermittent confusion because of hepatic encephalopathy and hyperammonemia.  He is also complaining of headache.  CT scan of the brain is negative on admission.  He has a no new focal weakness otherwise.  Patient was set for discharge the previous week but his COVID-19 test was positive so he required to finish isolation before he was accepted to nursing home.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: We noticed that at our vaccination on Thursday, July 7, 5 people were mistakenly vaccinated with a batch of Pfizer (FM7553) that expired on July 6, 2022.
Age: 49.0
Sex: M
Vaccine: VARZOS
Symptoms: Pruritus, Varicella
Clinical narrative: Was given 1st Shingrix shot on Wed, 7/6/22 @15:40 in right arm just below shoulder joint. Woke up on Saturday,  7/9/22 at 02:00 with great itchiness in creases behind both knees, but more behind right knee. Covered itchy area with Calahist. Itching continued throughout Saturday. Kept applying Calahist as needed and took two Benadryl's prior to going to bed. Sunday, 7/10/22, itchy "bite" spots began to blister and my wife being a nurse said they were Chicken Pox. This was confirmed by the PA she works with. Started antiviral, Daltrex, 1 g, 3x per day on Sunday, 7/10/22 @ 16:00.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Infection
Clinical narrative: Redness/ infection
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Chest X-ray normal, Chest discomfort, Cough
Clinical narrative: Tested positive for COVID-19 on June 25th, 2022. Sore throat, chest congestion, body aches.  Urgent care visit on July 7th due to no improvement/worsening symptoms.  Was diagnosed with Bronchitis and Sinus Infection. Was prescribed steroids and antibiotic.  As of today, 7/11, symptoms are improving but still battling extreme fatigue, tightness in chest and cough.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 on June 25th, 2022. Sore throat, chest congestion, body aches.  Urgent care visit on July 7th due to no improvement/worsening symptoms.  Was diagnosed with Bronchitis and Sinus Infection. Was prescribed steroids and antibiotic.  As of today, 7/11, symptoms are improving but still battling extreme fatigue, tightness in chest and cough.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: Tested positive for COVID-19 on June 25th, 2022. Sore throat, chest congestion, body aches.  Urgent care visit on July 7th due to no improvement/worsening symptoms.  Was diagnosed with Bronchitis and Sinus Infection. Was prescribed steroids and antibiotic.  As of today, 7/11, symptoms are improving but still battling extreme fatigue, tightness in chest and cough.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization of fully vaccinated covid positive pt
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient developed COVID after vaccinations given.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: I developed site redness that has grown and is now a hot red rash that extends 3 inches in width and 2.5 inches below the injection site.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cataract operation, Eye laser surgery, Intraocular lens implant, Retinal detachment, Retinal operation
Clinical narrative: Detached Retina  ( vision impairment)  seen Ophthalmologist   Dr / Dr  retina vitreous  surgery  1/13/2021 approx 3/2021 rem surgery laser surgery 07/2021 2/2022 cataract removal with  lens implant
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Detached Retina  ( vision impairment)  seen Ophthalmologist   Dr / Dr  retina vitreous  surgery  1/13/2021 approx 3/2021 rem surgery laser surgery 07/2021 2/2022 cataract removal with  lens implant
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Chills, Cough, Pyrexia
Clinical narrative: chills, fever, cough, chest pain
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: chills, fever, cough, chest pain
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Cerebral artery occlusion, Cerebral artery thrombosis, Hemiparesis, Thrombectomy
Clinical narrative: suffered an acute thrombosis of his left middle cerebral artery that required acute thrombectomy
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Migraine, Pyrexia, Somnolence
Clinical narrative: Extreme fatigue and brain fog beginning around 10:45am On and off high fevers reaching 105.5 beginning around 3pm Inability to stay awake beginning around 4pm Severe migraine beginning around 6pm.  Symptoms still ongoing, although there are longer periods of time between Symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: A LITTLE OVER AN HOUR FROM RECEIVING THE VACCINE I GOT A HEADACHE THAT HASN'T GONE AWAY AND ITS BEEN 6 DAYS NOW
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Depression, Fatigue, Malaise, Myalgia
Clinical narrative: She got her vaccine, she looked it up on database and it appears to be an autoimmune response to the vaccine.  She had fatigue, joint and muscle pain and overall malaise.  The worst of it is the joint and muscle pain, which is particularly bad when she gets up in the morning.  During the day it seems to alleviate, however, the fatigue does not go away.  Along with the fatigue is depression, which still continues today.  She did not go to her doctor as she did not know how serious it was until she did some research on it, and thought that her symptoms were due to over exercising, which she stopped for 5 days which did not alleviate the condition.    According to the research there is an 11% chance of getting an autoimmune reaction that can resolve or become permanent and feels that the people receiving the vaccine should  know that so that they can weigh the risks of the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: We noticed that at our vaccination on Thursday, July 7, 5 people were mistakenly vaccinated with a batch of Pfizer (FM7553) that expired on July 6, 2022.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I tested positive for COVID-19 on 6/2/22. I had a slight headache, sniffling, cough, and a slight sore throat. No loss of taste or smell, or fever. I was prescribed Paxlovid. The symptoms only lasted for a couple days. I got over it pretty easily.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 6/2/22. I had a slight headache, sniffling, cough, and a slight sore throat. No loss of taste or smell, or fever. I was prescribed Paxlovid. The symptoms only lasted for a couple days. I got over it pretty easily.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Ear pain, Facial pain, Fatigue
Clinical narrative: On the morning of July 2nd, I felt I was getting a sinus infection. My ears were also hurting and I had pain all along my face in the area of my upper jaw. I thought it was a sinus infection. The next morning I felt worse and I felt like an elephant was on my chest. I took an at home test on COVID-19 home test which was positive. I had developed a sore throat also. I called my doctor who prescribed 2 medicines for me because he believed that I had a secondary infection. He gave me a z-pack and methylprednisolone. After the first day, it helped to alleviate the pressure in the chest. I felt fatigue all last week and I was unable to talk. My throat was raw. I had a really hard time talking. I still feel very nasally and I have tiredness and fatigue. I am about 3/4 of the way recovered. I still feel like I have a head cold.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pain in jaw, SARS-CoV-2 test positive
Clinical narrative: On the morning of July 2nd, I felt I was getting a sinus infection. My ears were also hurting and I had pain all along my face in the area of my upper jaw. I thought it was a sinus infection. The next morning I felt worse and I felt like an elephant was on my chest. I took an at home test on COVID-19 home test which was positive. I had developed a sore throat also. I called my doctor who prescribed 2 medicines for me because he believed that I had a secondary infection. He gave me a z-pack and methylprednisolone. After the first day, it helped to alleviate the pressure in the chest. I felt fatigue all last week and I was unable to talk. My throat was raw. I had a really hard time talking. I still feel very nasally and I have tiredness and fatigue. I am about 3/4 of the way recovered. I still feel like I have a head cold.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis, Speech disorder, Throat irritation
Clinical narrative: On the morning of July 2nd, I felt I was getting a sinus infection. My ears were also hurting and I had pain all along my face in the area of my upper jaw. I thought it was a sinus infection. The next morning I felt worse and I felt like an elephant was on my chest. I took an at home test on COVID-19 home test which was positive. I had developed a sore throat also. I called my doctor who prescribed 2 medicines for me because he believed that I had a secondary infection. He gave me a z-pack and methylprednisolone. After the first day, it helped to alleviate the pressure in the chest. I felt fatigue all last week and I was unable to talk. My throat was raw. I had a really hard time talking. I still feel very nasally and I have tiredness and fatigue. I am about 3/4 of the way recovered. I still feel like I have a head cold.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Communication disorder, Computerised tomogram, Disturbance in attention, Gait disturbance
Clinical narrative: Communication changes since May 2021 (not as talkative - more quiet). Difficulty concentrating since May 2021. Headaches during summer of 2021. Went through periods of silently talking to himself starting in the Summer and Fall of 2021.  I think this has since resolved itself.  Walked with a "hitch" for about a week following Moderna vaccination in December of 2021. Memory loss since vaccination, especially short-term memory. Current condition is memory and concentration problems.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging, Soliloquy
Clinical narrative: Communication changes since May 2021 (not as talkative - more quiet). Difficulty concentrating since May 2021. Headaches during summer of 2021. Went through periods of silently talking to himself starting in the Summer and Fall of 2021.  I think this has since resolved itself.  Walked with a "hitch" for about a week following Moderna vaccination in December of 2021. Memory loss since vaccination, especially short-term memory. Current condition is memory and concentration problems.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive (antigen test) on July 2. Completed a course of Paxlovid, tested negative for four days consecutive, and then on July 11 I tested positive again (likely rebound from the paxlovid).
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fluid intake reduced, Headache, Hypersomnia, Somnolence
Clinical narrative: Mild headache, extreme sleepiness (slept from Saturday night thru Monday morning with brief times of being awake but not alert), no desire for food or drink,  temperature 100 Drank some ginger ale Awoke Monday morning feeling hungry and thirsty
Age: 21.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Patient given a pediatric dose of Hep B instead of an adult dose.  Administering nurse spoke with GSK Representative and patient was scheduled to receive the adult Hep B vaccine on 07/05/2022.  No adverse outcomes reported.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: We noticed that at our vaccination on Thursday, July 7, 5 people were mistakenly vaccinated with a batch of Pfizer (FM7553) that expired on July 6, 2022.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Dizziness, Gait disturbance
Clinical narrative: Pt has a history of A. fib and is on Coumadin, diastolic CHF and COPD, but not on supplemental oxygen. He was evaluated for weakness and dizziness for 3 to 4 days and with difficulty ambulating. He tested positive for COVID prior to admission and also has hyponatremia and acute kidney injury.
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyponatraemia, SARS-CoV-2 test positive
Clinical narrative: Pt has a history of A. fib and is on Coumadin, diastolic CHF and COPD, but not on supplemental oxygen. He was evaluated for weakness and dizziness for 3 to 4 days and with difficulty ambulating. He tested positive for COVID prior to admission and also has hyponatremia and acute kidney injury.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Death, Pain in extremity, Platelet count decreased
Clinical narrative: Leg pain and then death.  Reported severe pain in leg on same day of short.  Continued pain through June 13 reported to daughter, advised to seek medical attention.  Reported hip pain, bilateral to urgent care on June 20, 2022.  Patient died unattended death approximately June 20, body discovered July 4, 2022
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body tinea, Death, Interchange of vaccine products, Malaise, Osteoarthritis
Clinical narrative: Leg pain and then death.  Reported severe pain in leg on same day of short.  Continued pain through June 13 reported to daughter, advised to seek medical attention.  Reported hip pain, bilateral to urgent care on June 20, 2022.  Patient died unattended death approximately June 20, body discovered July 4, 2022
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pruritus, Rash, Sciatica
Clinical narrative: Leg pain and then death.  Reported severe pain in leg on same day of short.  Continued pain through June 13 reported to daughter, advised to seek medical attention.  Reported hip pain, bilateral to urgent care on June 20, 2022.  Patient died unattended death approximately June 20, body discovered July 4, 2022
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I was having a runny nose and congestion. It felt like the common cold. I took a COVID-19 Home Test on both Sunday and Monday and they were negative but that third day I did test positive. I reached out to my healthcare provider and they gave me Paxlovid to help with symptoms. The medication helped after about three or four days in. I am still quarantining and waiting to take another test to see if I am negative until I get to that week or ten day mark.
Age: 11.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received the Meningococcal B vaccine to early.   Patient not 16 years of age.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Burning sensation, Erythema, Induration, Pruritus, Rash
Clinical narrative: Severe burning, itching, rash on both quads.  From back of knee cap, 8 inches up thigh, exact spot on each leg.  Experience was immediate on set after a work out, wearing work out wear.  First 48 hours increase swelling and itching., hard and hot to touch. Treated with Cortozone 10 and Advil. After 72 hours swelling decrease to just  itching .  Day 4  most erethymia  is gone.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Skin warm, Swelling
Clinical narrative: Severe burning, itching, rash on both quads.  From back of knee cap, 8 inches up thigh, exact spot on each leg.  Experience was immediate on set after a work out, wearing work out wear.  First 48 hours increase swelling and itching., hard and hot to touch. Treated with Cortozone 10 and Advil. After 72 hours swelling decrease to just  itching .  Day 4  most erethymia  is gone.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Lethargy, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever 102.4 Body pain Arm pain Lethargic
Age: 1.0
Sex: M
Vaccine: UNK
Symptoms: Wrong product administered
Clinical narrative: Patient was in for his 12 month well exam with Dr. He was to be given MMR, Varicella, and HIB per Dr. CMA got a Proquad, Varicella, and HIB. She did not follow the correct process to pre document prior to giving vaccines and administered the incorrect vaccines. Because of this patient received two doses of the Varicella vaccine. Proquad was also given and has increased risk for fever and seizures in this age group.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Cough, Hypoxia
Clinical narrative: Pt has a history of asthma, chronic diastolic CHF, and obesity. Pt presented for evaluation of nonproductive cough, rhinorrhea and hypoxia. Pt was noted to be COVID positive and was admitted with acute hypoxic respiratory failure and COVID pneumonia.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Pt has a history of asthma, chronic diastolic CHF, and obesity. Pt presented for evaluation of nonproductive cough, rhinorrhea and hypoxia. Pt was noted to be COVID positive and was admitted with acute hypoxic respiratory failure and COVID pneumonia.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dehydration, Dyspnoea
Clinical narrative: Patient was admitted on 7-9-22 with dyspnea, weakness, dehydration and covid 19.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given the wrong dose of vaccine- was given the Pfizer vaccine for 5-11 years of age
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion, Sinus disorder
Clinical narrative: On June 17, 2022 I thought a sinus infection was starting. On June 19, 2022 I had more sinus congestion and a sore throat. By June 20, 2022 there was more congestion and sinus problems. On June 21, 2022 I went and saw a doctor and was given medication for my sinuses. It was Amoxicillin, Albuterol and Prednisone. I was also given COVID-19 test at the doctor's office and after two days the results came back positive. The next day after starting the Amoxicillin I started to feel better but still had congestion. That Friday I began to feel better and by Sunday I was 90% better. On Monday I was given another COVID-19 test and it was positive. I kept feeling incrementally better. On Friday July 1, 2022 I took another COVID- 19 test and it was negative. On July 7, 2022 I went back to the doctor and was feeling better but just a little congestion. I currently feel really good, pretty much back to normal.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough C OVID
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, COVID-19, Chest X-ray normal, Computerised tomogram normal, Dyspnoea
Clinical narrative: My breathing got bad and I felt overall sick, but I did not have a fever on 06/18/2022 and I ended up going to the hospital. They did not do a COVID-19 test at that time because I told them about a recent knee surgery and they were concerned about a blood clot. They did multiple tests to rule that out and sent me home. The next day I was still having symptoms so I took an at home COVID-19 test which was positive. I called my primary care physician's office and discussed my symptoms. We decided against using the antiviral medication due to abnormal readings from my blood test that indicated elevated levels in my kidneys. I continued testing positive for COVID-19 until 12 days after my original positive results. Ultimately, although my symptoms were gradually improving, I ended up isolating for 2 weeks.