chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: DATE OF ADMISSION:  01/13/2023 DATE OF DISCHARGE:  01/19/2023 COVID positive date: 1/13/2023 HOSPITAL COURSE The patient is an 84-year-old female with past medical history significant for CLL, atrial fibrillation, hypertension, hyperlipidemia, anxiety, and recent pleural effusion and pneumonia.  The patient was admitted in December for pneumonia and treated with Zithromax and Ceftin with treatment through 01/05/2023.  She was discharged to subacute rehab where she resided until readmission.  She started eating less and feeling weak the previous weekend and developed cough.  She also developed low-grade fever on Monday.  She tested positive for COVID on Monday, 01/08/2023.  She has been afebrile since that time.  She has no history of COVID and is fully vaccinated.  She was hypoxic per EMS, 85% on evaluation.  She was given 2 L per nasal cannula, improved, but was again hypoxic at 80% in the ER.  Chest x-ray showed only tiny pleural effusion, moderate interstitial edema, pneumonitis.  Recent left upper lobe pneumonia appeared resolved.  She was admitted for respiratory failure and hypoxia.    The patient was admitted and started on remdesivir and dexamethasone for her COVID-19.  Pulmonology was consulted and followed for her thoracostomy tube that was placed by Dr. in December.  They recommended holding drainage for a week and attempting draining on 01/17.  If no output, they could pull the drain.  Her drain was removed during hospitalization on 01/18/2023.  The patient received electrolyte replacement during hospitalization as needed.  Per Dr. plan was to hold ibrutinib for another 4 weeks and reconsider based on clinical course of the patient.  The patient had repeat echocardiogram on 01/14/2023 that showed ejection fraction of 71% with small pericardial effusion without evidence of tamponade.  As patient was stable, plans were made to discharge the patient to subacute rehab.  She was discharged to a different facility than she was at previously as she was unhappy with the care there.   CONDITION ON DISCHARGE Stable.
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 5.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine had a BUD of 1/18/2023 as it was delivered unfrozen and immediately placed in the refrigerator unit.
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 3.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine had a BUD of 1/18/2023 as it was delivered unfrozen and immediately placed in the refrigerator unit.
Age: 1.58
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine had a BUD of 1/18/2023 as it was delivered unfrozen and immediately placed in the refrigerator unit.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine had a BUD of 1/18/2023 as it was delivered unfrozen and immediately placed in the refrigerator unit
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Carotid artery aneurysm, Coagulopathy, Gait disturbance, Hysterectomy
Clinical narrative: Within in 1-1/2 months I had blood clot disorder, GAIT issue and stability, Hysterectomy, physical and mental concerns, uncontrolled carotid artery aneurysm and more with none being priors.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location).
Age: 17.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Diarrhoea
Clinical narrative: On 01/06/2023, I felt like I had something in the back of my throat and a terrible headache. My husband and I tested for COVID-19 and it was positive. I called my doctor's office and they later prescribed Paxlovid. My symptoms were vomiting, muscle pain, headache, dizziness, and lack of taste and smell which I still haven't recovered. After the fifth day, the vomiting and diarrhea stopped, but the fever, headache, dizziness, and chills were still there, along with fatigue and sore throat. I couldn't sleep well the whole time either. The symptoms got better gradually, but as of today, my nose is still running and I'm still experiencing dizziness. I tested myself two days ago and I was still positive.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: On 01/06/2023, I felt like I had something in the back of my throat and a terrible headache. My husband and I tested for COVID-19 and it was positive. I called my doctor's office and they later prescribed Paxlovid. My symptoms were vomiting, muscle pain, headache, dizziness, and lack of taste and smell which I still haven't recovered. After the fifth day, the vomiting and diarrhea stopped, but the fever, headache, dizziness, and chills were still there, along with fatigue and sore throat. I couldn't sleep well the whole time either. The symptoms got better gradually, but as of today, my nose is still running and I'm still experiencing dizziness. I tested myself two days ago and I was still positive.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sensation of foreign body, Sleep disorder
Clinical narrative: On 01/06/2023, I felt like I had something in the back of my throat and a terrible headache. My husband and I tested for COVID-19 and it was positive. I called my doctor's office and they later prescribed Paxlovid. My symptoms were vomiting, muscle pain, headache, dizziness, and lack of taste and smell which I still haven't recovered. After the fifth day, the vomiting and diarrhea stopped, but the fever, headache, dizziness, and chills were still there, along with fatigue and sore throat. I couldn't sleep well the whole time either. The symptoms got better gradually, but as of today, my nose is still running and I'm still experiencing dizziness. I tested myself two days ago and I was still positive.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Vomiting
Clinical narrative: On 01/06/2023, I felt like I had something in the back of my throat and a terrible headache. My husband and I tested for COVID-19 and it was positive. I called my doctor's office and they later prescribed Paxlovid. My symptoms were vomiting, muscle pain, headache, dizziness, and lack of taste and smell which I still haven't recovered. After the fifth day, the vomiting and diarrhea stopped, but the fever, headache, dizziness, and chills were still there, along with fatigue and sore throat. I couldn't sleep well the whole time either. The symptoms got better gradually, but as of today, my nose is still running and I'm still experiencing dizziness. I tested myself two days ago and I was still positive.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient given vaccine past BUD. Revaccination indicated per CDC.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aggression, Agitation, Anaemia, Asthenia, Azotaemia
Clinical narrative: 82-year-old gentleman enrolled in palliative care w/ PMH of parkinson's disease, alzheimer psychosis possibly related to PD, HoH, pancreatic tumor (s/p resection) and GERD who presented from home to the ER on 1/23 w/ a CC of weakness. The patient was unable to participate in the history collection process due to underlying dementia. His wife and family therefore provided  the history. The patient's wife noted that the day of admission he was talking to people who were not present and trying to push against walls. He has been increasingly agitated in recent times w/ adjustment to his risperidone which seemed to help at the time per family. He is currently enrolled in palliative care as per family he did not qualify for hospice. Patient's wife states that his wish was to be DNR/DNI.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, COVID-19, Chest X-ray normal, Haemoglobin decreased, Laboratory test abnormal
Clinical narrative: 82-year-old gentleman enrolled in palliative care w/ PMH of parkinson's disease, alzheimer psychosis possibly related to PD, HoH, pancreatic tumor (s/p resection) and GERD who presented from home to the ER on 1/23 w/ a CC of weakness. The patient was unable to participate in the history collection process due to underlying dementia. His wife and family therefore provided  the history. The patient's wife noted that the day of admission he was talking to people who were not present and trying to push against walls. He has been increasingly agitated in recent times w/ adjustment to his risperidone which seemed to help at the time per family. He is currently enrolled in palliative care as per family he did not qualify for hospice. Patient's wife states that his wish was to be DNR/DNI.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 82-year-old gentleman enrolled in palliative care w/ PMH of parkinson's disease, alzheimer psychosis possibly related to PD, HoH, pancreatic tumor (s/p resection) and GERD who presented from home to the ER on 1/23 w/ a CC of weakness. The patient was unable to participate in the history collection process due to underlying dementia. His wife and family therefore provided  the history. The patient's wife noted that the day of admission he was talking to people who were not present and trying to push against walls. He has been increasingly agitated in recent times w/ adjustment to his risperidone which seemed to help at the time per family. He is currently enrolled in palliative care as per family he did not qualify for hospice. Patient's wife states that his wish was to be DNR/DNI.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (ex. temp./location)-
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Antinuclear antibody, Antinuclear antibody positive, Antithrombin III, Blood fibrinogen normal
Clinical narrative: left Cranial Nerve VI palsy with diplopia which has not resolved/is permanent. a few months later, I also developed left Cranial Nerve III palsy with ptosis which has not resolved/is permanent. On 9/9/2022 I received a 4th Covid vaccine (Moderna bivalent) at Pharmacy.  The next day I had a severe outbreak of pityriasis rosea, and over the next few weeks the left cranial nerve III palsy worsened. Medical work up including MRI of brain, lab work, coagulation studies, consultation with ophthalmologist, neurologist and rheumatologist has been negative for other etiologies.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Coagulation factor IX level normal, Coagulation factor V level normal, Coagulation factor VIII level normal, Coagulation factor X level normal
Clinical narrative: left Cranial Nerve VI palsy with diplopia which has not resolved/is permanent. a few months later, I also developed left Cranial Nerve III palsy with ptosis which has not resolved/is permanent. On 9/9/2022 I received a 4th Covid vaccine (Moderna bivalent) at Pharmacy.  The next day I had a severe outbreak of pityriasis rosea, and over the next few weeks the left cranial nerve III palsy worsened. Medical work up including MRI of brain, lab work, coagulation studies, consultation with ophthalmologist, neurologist and rheumatologist has been negative for other etiologies.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation factor XII level normal, Cranial nerve paralysis, Differential white blood cell count normal, Diplopia, Eyelid ptosis
Clinical narrative: left Cranial Nerve VI palsy with diplopia which has not resolved/is permanent. a few months later, I also developed left Cranial Nerve III palsy with ptosis which has not resolved/is permanent. On 9/9/2022 I received a 4th Covid vaccine (Moderna bivalent) at Pharmacy.  The next day I had a severe outbreak of pityriasis rosea, and over the next few weeks the left cranial nerve III palsy worsened. Medical work up including MRI of brain, lab work, coagulation studies, consultation with ophthalmologist, neurologist and rheumatologist has been negative for other etiologies.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Full blood count normal, Glycosylated haemoglobin normal, IIIrd nerve paralysis, International normalised ratio normal
Clinical narrative: left Cranial Nerve VI palsy with diplopia which has not resolved/is permanent. a few months later, I also developed left Cranial Nerve III palsy with ptosis which has not resolved/is permanent. On 9/9/2022 I received a 4th Covid vaccine (Moderna bivalent) at Pharmacy.  The next day I had a severe outbreak of pityriasis rosea, and over the next few weeks the left cranial nerve III palsy worsened. Medical work up including MRI of brain, lab work, coagulation studies, consultation with ophthalmologist, neurologist and rheumatologist has been negative for other etiologies.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Metabolic function test, Pityriasis rosea, Protein C, Protein S normal
Clinical narrative: left Cranial Nerve VI palsy with diplopia which has not resolved/is permanent. a few months later, I also developed left Cranial Nerve III palsy with ptosis which has not resolved/is permanent. On 9/9/2022 I received a 4th Covid vaccine (Moderna bivalent) at Pharmacy.  The next day I had a severe outbreak of pityriasis rosea, and over the next few weeks the left cranial nerve III palsy worsened. Medical work up including MRI of brain, lab work, coagulation studies, consultation with ophthalmologist, neurologist and rheumatologist has been negative for other etiologies.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Prothrombin level normal, Prothrombin time normal, Red blood cell sedimentation rate normal, Scan with contrast normal, Troponin
Clinical narrative: left Cranial Nerve VI palsy with diplopia which has not resolved/is permanent. a few months later, I also developed left Cranial Nerve III palsy with ptosis which has not resolved/is permanent. On 9/9/2022 I received a 4th Covid vaccine (Moderna bivalent) at Pharmacy.  The next day I had a severe outbreak of pityriasis rosea, and over the next few weeks the left cranial nerve III palsy worsened. Medical work up including MRI of brain, lab work, coagulation studies, consultation with ophthalmologist, neurologist and rheumatologist has been negative for other etiologies.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: VIth nerve paralysis, Vitamin D, Von Willebrand's factor antigen test
Clinical narrative: left Cranial Nerve VI palsy with diplopia which has not resolved/is permanent. a few months later, I also developed left Cranial Nerve III palsy with ptosis which has not resolved/is permanent. On 9/9/2022 I received a 4th Covid vaccine (Moderna bivalent) at Pharmacy.  The next day I had a severe outbreak of pityriasis rosea, and over the next few weeks the left cranial nerve III palsy worsened. Medical work up including MRI of brain, lab work, coagulation studies, consultation with ophthalmologist, neurologist and rheumatologist has been negative for other etiologies.
Age: 9.0
Sex: F
Vaccine: HEPA, VARCEL
Symptoms: Pruritus, Rash
Clinical narrative: Mom reported PT having rash after shots last week, just a few bumps, no f/c, no appetite change. Playing with cousin, feels well, no n/v. mom putting gentian violet on lesions, asks for something for itch Provider verified both telemedicine and in clinic post varicella mild infection, reassurance (vax is live attenuated), enc booster as scheduled, continue gentian violet to avoid superinfection and add PO Benadryl 25mg q6h. school note to return on Monday, is past infective stage at this point b/c crusted over.
Age: 13.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 12.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 80.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 1.92
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Mild rash , Vital signs normal, remained for observation for 45 minutes after rash noted.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 12.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Poor quality product administered
Clinical narrative: Administration of Non-Viable Vaccine.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 15.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 21.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue, Pyrexia, Single component of a two-component product administered
Clinical narrative: vaccine given and was not correctly reconstituted.  administered grey top liquid portion of vaccine without mixing with dry powder component.  Patient notified of incomplete vaccine given and advised to return to the clinic for re-vaccination. Patient plans to call our office back to schedule an appointment.  The patient also received a COVID 19 booster and HPV vaccines on the same day.  She reports she did have a fever the day after the vaccines but this has resolved.
Age: 14.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal operation, Abortion spontaneous, Anticoagulant therapy, Cardiac operation, Coronary artery dissection
Clinical narrative: Well i had a coronary artery dissection. I had to have 4 surgeries on heart abdomen liver and lung. The outcomes where me having to be on extreme heart medication for the rest of my life and blood thinners for the rest of my life and I lost a twin baby due to all this as well and now the doctors say I cannot have kids for the rest of my life otherwise something could happen like this again
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cytogenetic analysis normal, Laboratory test, Liver operation, Lung operation, Thyroid function test normal
Clinical narrative: Well i had a coronary artery dissection. I had to have 4 surgeries on heart abdomen liver and lung. The outcomes where me having to be on extreme heart medication for the rest of my life and blood thinners for the rest of my life and I lost a twin baby due to all this as well and now the doctors say I cannot have kids for the rest of my life otherwise something could happen like this again
Age: 8.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect route of product administration, Product administered at inappropriate site
Clinical narrative: Shingrex vaccine given in a subcutaneous region on underside of left arm below armpit
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bronchitis, Fatigue, Feeling abnormal, Headache, Insomnia
Clinical narrative: I did not have an adverse reaction to the vaccine but since having the vaccine, I have had two respiratory illnesses. The first was on 11/09/2022. I contacted with my doctor via telehealth and received an antibiotic. I began getting sick again on 12/13/2022. I saw my doctor on 12/19/2022 and was diagnosed with bronchitis. Previously, I tested positive for COVID-19 on 08/16/2022. Also, my doctor diagnosed me with long COVID-19 on 10/17/2022. As of today, I continue with headaches, insomnia, brain fog and extreme fatigue. First COVID-19 vaccine I had a terrible headache for a day and extreme sore arm.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Respiratory disorder
Clinical narrative: I did not have an adverse reaction to the vaccine but since having the vaccine, I have had two respiratory illnesses. The first was on 11/09/2022. I contacted with my doctor via telehealth and received an antibiotic. I began getting sick again on 12/13/2022. I saw my doctor on 12/19/2022 and was diagnosed with bronchitis. Previously, I tested positive for COVID-19 on 08/16/2022. Also, my doctor diagnosed me with long COVID-19 on 10/17/2022. As of today, I continue with headaches, insomnia, brain fog and extreme fatigue. First COVID-19 vaccine I had a terrible headache for a day and extreme sore arm.
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Patient received vaccine past BUD. Revaccination indicated per CDC.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Facial paralysis, Hemiplegia, Monoplegia, Transient ischaemic attack
Clinical narrative: Had a TIA.  Partial paralysis on the left side. Partial paralysis to left arm, leg, left side of face and slurred speech.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray, Dyspnoea, Limbal swelling, SARS-CoV-2 test
Clinical narrative: progressive SOB and lower extremity swelling 4 days prior to admission.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  All Pfizer dose 1 3/1/21 unknown lot number  dose 2 3/31/21  EW0150 dose 3 11/12/21  FH8028
Age: 13.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Adverse event Bexsero given in place of  Menquadfi.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  all Pfizer dose 1 2/18/21  EL9267 dose 2 3/12/21  EN6199 dose 3 10/14/21 FF2590
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Gave the Moderna Bivalent instead of the Moderna Monovalent - no adverse reaction
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Eczema, Rash, Skin irritation
Clinical narrative: This skin irritation started on my upper chest and I thought it was psoriasis. I went to the dermatologist, and they took a skin sample and discover it as being eczema. I was giving prescription hydrocodone. This treatment plan is working so far the area on my chest has cleared up but not on some of the other areas but this still in my opinion is better than dealing with COVID-19 itself. Even after I discovered the rash was due to the vaccine, I have still gotten the booster and I plan on continuing getting vaccinated.
Age: 95.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Alanine aminotransferase increased, Anion gap, Anticoagulant therapy, Aspartate aminotransferase increased, Blood albumin normal
Clinical narrative: COVID+ 1/13/23.  Vaccination status - moderna x3 + Moderna BIVALENT Discharge Summary MD (Physician) ? ? Hospitalist  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 1/13/2023 Discharge Date: 1/17/2023     Active Hospital Problems   Diagnosis Date Noted POA ? Acute deep vein thrombosis (DVT) of femoral vein of right lower extremity (HCC) 01/15/2023 Yes ? Acute deep vein thrombosis (DVT) of left femoral vein (HCC) 01/14/2023 Yes ? Pneumonia due to COVID-19 virus 01/13/2023 Yes ? Elevated brain natriuretic peptide (BNP) level 01/13/2023 Yes ? Chronic kidney disease (CKD), stage IV (severe) (HCC) 01/10/2023 Yes ? Gastroesophageal reflux disease 01/10/2023 Yes ? Nonrheumatic aortic valve stenosis 02/06/2020 Yes ? Essential hypertension 12/09/2015 Yes ? Acquired hypothyroidism   DETAILS OF HOSPITAL STAY:  Clinical Narrative: Patient was managed for pneumonia and due to COVID-19 virus, she denies any shortness of breath today, she is presently on room air saturating 92%.  She was also started on empirical antibiotics with ceftriaxone and Zithromax for any superimposed bacterial pneumonia while continuing treatment for COVID including Decadron of which she has completed 5 days and IV remdesivir of which she has completed 4 days On discharge should be given a script for 5 more days of Decadron, She was also diagnosed with acute DVT of the right femoral vein, started on Eliquis 10 mg 2 times a day for total of 7 days after which she will continue with 5 mg 2 times a day Discuss risk was not benefit of anticoagulation with patient and the daughter today and they are willing to continue with Eliquis Evaluated by PT/OT and will be discharged back home with assist  Please see the following problem-list oriented Hospital Course below:  No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: Hospitalist
Age: 95.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine increased
Clinical narrative: COVID+ 1/13/23.  Vaccination status - moderna x3 + Moderna BIVALENT Discharge Summary MD (Physician) ? ? Hospitalist  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 1/13/2023 Discharge Date: 1/17/2023     Active Hospital Problems   Diagnosis Date Noted POA ? Acute deep vein thrombosis (DVT) of femoral vein of right lower extremity (HCC) 01/15/2023 Yes ? Acute deep vein thrombosis (DVT) of left femoral vein (HCC) 01/14/2023 Yes ? Pneumonia due to COVID-19 virus 01/13/2023 Yes ? Elevated brain natriuretic peptide (BNP) level 01/13/2023 Yes ? Chronic kidney disease (CKD), stage IV (severe) (HCC) 01/10/2023 Yes ? Gastroesophageal reflux disease 01/10/2023 Yes ? Nonrheumatic aortic valve stenosis 02/06/2020 Yes ? Essential hypertension 12/09/2015 Yes ? Acquired hypothyroidism   DETAILS OF HOSPITAL STAY:  Clinical Narrative: Patient was managed for pneumonia and due to COVID-19 virus, she denies any shortness of breath today, she is presently on room air saturating 92%.  She was also started on empirical antibiotics with ceftriaxone and Zithromax for any superimposed bacterial pneumonia while continuing treatment for COVID including Decadron of which she has completed 5 days and IV remdesivir of which she has completed 4 days On discharge should be given a script for 5 more days of Decadron, She was also diagnosed with acute DVT of the right femoral vein, started on Eliquis 10 mg 2 times a day for total of 7 days after which she will continue with 5 mg 2 times a day Discuss risk was not benefit of anticoagulation with patient and the daughter today and they are willing to continue with Eliquis Evaluated by PT/OT and will be discharged back home with assist  Please see the following problem-list oriented Hospital Course below:  No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: Hospitalist
Age: 95.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea increased, Brain natriuretic peptide increased
Clinical narrative: COVID+ 1/13/23.  Vaccination status - moderna x3 + Moderna BIVALENT Discharge Summary MD (Physician) ? ? Hospitalist  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 1/13/2023 Discharge Date: 1/17/2023     Active Hospital Problems   Diagnosis Date Noted POA ? Acute deep vein thrombosis (DVT) of femoral vein of right lower extremity (HCC) 01/15/2023 Yes ? Acute deep vein thrombosis (DVT) of left femoral vein (HCC) 01/14/2023 Yes ? Pneumonia due to COVID-19 virus 01/13/2023 Yes ? Elevated brain natriuretic peptide (BNP) level 01/13/2023 Yes ? Chronic kidney disease (CKD), stage IV (severe) (HCC) 01/10/2023 Yes ? Gastroesophageal reflux disease 01/10/2023 Yes ? Nonrheumatic aortic valve stenosis 02/06/2020 Yes ? Essential hypertension 12/09/2015 Yes ? Acquired hypothyroidism   DETAILS OF HOSPITAL STAY:  Clinical Narrative: Patient was managed for pneumonia and due to COVID-19 virus, she denies any shortness of breath today, she is presently on room air saturating 92%.  She was also started on empirical antibiotics with ceftriaxone and Zithromax for any superimposed bacterial pneumonia while continuing treatment for COVID including Decadron of which she has completed 5 days and IV remdesivir of which she has completed 4 days On discharge should be given a script for 5 more days of Decadron, She was also diagnosed with acute DVT of the right femoral vein, started on Eliquis 10 mg 2 times a day for total of 7 days after which she will continue with 5 mg 2 times a day Discuss risk was not benefit of anticoagulation with patient and the daughter today and they are willing to continue with Eliquis Evaluated by PT/OT and will be discharged back home with assist  Please see the following problem-list oriented Hospital Course below:  No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: Hospitalist
Age: 95.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: COVID-19, COVID-19 pneumonia, Chronic kidney disease, Condition aggravated, Deep vein thrombosis
Clinical narrative: COVID+ 1/13/23.  Vaccination status - moderna x3 + Moderna BIVALENT Discharge Summary MD (Physician) ? ? Hospitalist  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 1/13/2023 Discharge Date: 1/17/2023     Active Hospital Problems   Diagnosis Date Noted POA ? Acute deep vein thrombosis (DVT) of femoral vein of right lower extremity (HCC) 01/15/2023 Yes ? Acute deep vein thrombosis (DVT) of left femoral vein (HCC) 01/14/2023 Yes ? Pneumonia due to COVID-19 virus 01/13/2023 Yes ? Elevated brain natriuretic peptide (BNP) level 01/13/2023 Yes ? Chronic kidney disease (CKD), stage IV (severe) (HCC) 01/10/2023 Yes ? Gastroesophageal reflux disease 01/10/2023 Yes ? Nonrheumatic aortic valve stenosis 02/06/2020 Yes ? Essential hypertension 12/09/2015 Yes ? Acquired hypothyroidism   DETAILS OF HOSPITAL STAY:  Clinical Narrative: Patient was managed for pneumonia and due to COVID-19 virus, she denies any shortness of breath today, she is presently on room air saturating 92%.  She was also started on empirical antibiotics with ceftriaxone and Zithromax for any superimposed bacterial pneumonia while continuing treatment for COVID including Decadron of which she has completed 5 days and IV remdesivir of which she has completed 4 days On discharge should be given a script for 5 more days of Decadron, She was also diagnosed with acute DVT of the right femoral vein, started on Eliquis 10 mg 2 times a day for total of 7 days after which she will continue with 5 mg 2 times a day Discuss risk was not benefit of anticoagulation with patient and the daughter today and they are willing to continue with Eliquis Evaluated by PT/OT and will be discharged back home with assist  Please see the following problem-list oriented Hospital Course below:  No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: Hospitalist
Age: 95.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Gastrooesophageal reflux disease, Glomerular filtration rate decreased, Haematocrit normal, Haemoglobin normal, Mean cell volume normal
Clinical narrative: COVID+ 1/13/23.  Vaccination status - moderna x3 + Moderna BIVALENT Discharge Summary MD (Physician) ? ? Hospitalist  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 1/13/2023 Discharge Date: 1/17/2023     Active Hospital Problems   Diagnosis Date Noted POA ? Acute deep vein thrombosis (DVT) of femoral vein of right lower extremity (HCC) 01/15/2023 Yes ? Acute deep vein thrombosis (DVT) of left femoral vein (HCC) 01/14/2023 Yes ? Pneumonia due to COVID-19 virus 01/13/2023 Yes ? Elevated brain natriuretic peptide (BNP) level 01/13/2023 Yes ? Chronic kidney disease (CKD), stage IV (severe) (HCC) 01/10/2023 Yes ? Gastroesophageal reflux disease 01/10/2023 Yes ? Nonrheumatic aortic valve stenosis 02/06/2020 Yes ? Essential hypertension 12/09/2015 Yes ? Acquired hypothyroidism   DETAILS OF HOSPITAL STAY:  Clinical Narrative: Patient was managed for pneumonia and due to COVID-19 virus, she denies any shortness of breath today, she is presently on room air saturating 92%.  She was also started on empirical antibiotics with ceftriaxone and Zithromax for any superimposed bacterial pneumonia while continuing treatment for COVID including Decadron of which she has completed 5 days and IV remdesivir of which she has completed 4 days On discharge should be given a script for 5 more days of Decadron, She was also diagnosed with acute DVT of the right femoral vein, started on Eliquis 10 mg 2 times a day for total of 7 days after which she will continue with 5 mg 2 times a day Discuss risk was not benefit of anticoagulation with patient and the daughter today and they are willing to continue with Eliquis Evaluated by PT/OT and will be discharged back home with assist  Please see the following problem-list oriented Hospital Course below:  No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: Hospitalist
Age: 95.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Neutrophil count, Platelet count normal, Protein total normal, Red blood cell count decreased, SARS-CoV-2 test positive
Clinical narrative: COVID+ 1/13/23.  Vaccination status - moderna x3 + Moderna BIVALENT Discharge Summary MD (Physician) ? ? Hospitalist  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 1/13/2023 Discharge Date: 1/17/2023     Active Hospital Problems   Diagnosis Date Noted POA ? Acute deep vein thrombosis (DVT) of femoral vein of right lower extremity (HCC) 01/15/2023 Yes ? Acute deep vein thrombosis (DVT) of left femoral vein (HCC) 01/14/2023 Yes ? Pneumonia due to COVID-19 virus 01/13/2023 Yes ? Elevated brain natriuretic peptide (BNP) level 01/13/2023 Yes ? Chronic kidney disease (CKD), stage IV (severe) (HCC) 01/10/2023 Yes ? Gastroesophageal reflux disease 01/10/2023 Yes ? Nonrheumatic aortic valve stenosis 02/06/2020 Yes ? Essential hypertension 12/09/2015 Yes ? Acquired hypothyroidism   DETAILS OF HOSPITAL STAY:  Clinical Narrative: Patient was managed for pneumonia and due to COVID-19 virus, she denies any shortness of breath today, she is presently on room air saturating 92%.  She was also started on empirical antibiotics with ceftriaxone and Zithromax for any superimposed bacterial pneumonia while continuing treatment for COVID including Decadron of which she has completed 5 days and IV remdesivir of which she has completed 4 days On discharge should be given a script for 5 more days of Decadron, She was also diagnosed with acute DVT of the right femoral vein, started on Eliquis 10 mg 2 times a day for total of 7 days after which she will continue with 5 mg 2 times a day Discuss risk was not benefit of anticoagulation with patient and the daughter today and they are willing to continue with Eliquis Evaluated by PT/OT and will be discharged back home with assist  Please see the following problem-list oriented Hospital Course below:  No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: Hospitalist
Age: 95.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: White blood cell count increased
Clinical narrative: COVID+ 1/13/23.  Vaccination status - moderna x3 + Moderna BIVALENT Discharge Summary MD (Physician) ? ? Hospitalist  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 1/13/2023 Discharge Date: 1/17/2023     Active Hospital Problems   Diagnosis Date Noted POA ? Acute deep vein thrombosis (DVT) of femoral vein of right lower extremity (HCC) 01/15/2023 Yes ? Acute deep vein thrombosis (DVT) of left femoral vein (HCC) 01/14/2023 Yes ? Pneumonia due to COVID-19 virus 01/13/2023 Yes ? Elevated brain natriuretic peptide (BNP) level 01/13/2023 Yes ? Chronic kidney disease (CKD), stage IV (severe) (HCC) 01/10/2023 Yes ? Gastroesophageal reflux disease 01/10/2023 Yes ? Nonrheumatic aortic valve stenosis 02/06/2020 Yes ? Essential hypertension 12/09/2015 Yes ? Acquired hypothyroidism   DETAILS OF HOSPITAL STAY:  Clinical Narrative: Patient was managed for pneumonia and due to COVID-19 virus, she denies any shortness of breath today, she is presently on room air saturating 92%.  She was also started on empirical antibiotics with ceftriaxone and Zithromax for any superimposed bacterial pneumonia while continuing treatment for COVID including Decadron of which she has completed 5 days and IV remdesivir of which she has completed 4 days On discharge should be given a script for 5 more days of Decadron, She was also diagnosed with acute DVT of the right femoral vein, started on Eliquis 10 mg 2 times a day for total of 7 days after which she will continue with 5 mg 2 times a day Discuss risk was not benefit of anticoagulation with patient and the daughter today and they are willing to continue with Eliquis Evaluated by PT/OT and will be discharged back home with assist  Please see the following problem-list oriented Hospital Course below:  No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: Hospitalist
Age: 2.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Incorrect product formulation administered
Clinical narrative: PATIENT RECEIVED REGULAR COVID INSTEAD OF BIVALENT.  NO REACTIONS OR SYMPTOMS NOTED.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test, Bone densitometry, Computerised tomogram, Exercise tolerance decreased, Gait disturbance
Clinical narrative: On about 12PM 10/22/2022 I received the Moderna Bivalent shot at a pharmacy, I returned home and relaxed, upon awakening on 10/23/2022 I noticed pain instability and unable to walk I took ibuprofen and used supportive aids to walk or crutches, upon sleeping I was unable due to severe pains. On 10/24/2022 I went to the emergency room and medicine and painkillers was given to me and administered. On 10/26/2022 I was still dealing with pain and was trying to work out but pain was still there so I was referred to physical therapy. On 10/27/2022 the pain was still so bad I was referred to pain management which I did not go to.
Age: 61.0
Sex: M
Vaccine: COVID19-2
Symptoms: Gait inability, Pain, Sleep disorder, Walking aid user, X-ray
Clinical narrative: On about 12PM 10/22/2022 I received the Moderna Bivalent shot at a pharmacy, I returned home and relaxed, upon awakening on 10/23/2022 I noticed pain instability and unable to walk I took ibuprofen and used supportive aids to walk or crutches, upon sleeping I was unable due to severe pains. On 10/24/2022 I went to the emergency room and medicine and painkillers was given to me and administered. On 10/26/2022 I was still dealing with pain and was trying to work out but pain was still there so I was referred to physical therapy. On 10/27/2022 the pain was still so bad I was referred to pain management which I did not go to.
Age: 74.0
Sex: F
Vaccine: COVID19, HEP, HEPA, TDAP, TYP, YF
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: 01/12/2023  PATIENT CALLED HEALTH DEPARTMENT TO REPORT SHE DEVELOPED A RASH/HIVES ONE WEEK AFTER RECEIVING THE ABOVE MENTIONED VACCINES ON HER NECK, ARMES, TORSO AND AREA ABOVE HER KNEES.  PATIENT CALLED MD AND WAS GIVEN A PRESCRIPTION OF PREDISONE FOR SIX DAYS AND TOPICAL CREAM FOR ITCHING.  NO OTHER SYMPTOMS REPORTED.  PATIENT HAS F/U APPOINTMENT IN ONE WEEK TO RECEIVE SECOND DOSE OF HEPATITIS B AND COVID.  PT TOLD TO CALL MD TO GET A NOTE SAYING SHE CAN RECEIVE VACCINES BEFORE WE GIVE FOLLOW UP.  PT HAS MD APPOINTMENT ON 01/24/2023.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Computerised tomogram thorax abnormal, Death, Endotracheal intubation
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 10/27/21, LOT #FH8028; pt found unresponsive at home by family; when EMS arrived, pt's O2 saturation was in the 50s;O2 supplementation given; when arrived to hospital, in severe respiratory failure; found to be positive for COVID test; CT of chest showed bacterial pneumonia; started on ABX; eventually required intubation; hyperkalemic; worsening AKI; given dexamethasone; required hemodialysis; eventually extubated but later required intubation with tracheostomy performed; pt's condition deteriorated; family chose withdrawal of care; pt passed away in the hosppital
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Haemodialysis, Hyperkalaemia, Pneumonia bacterial, Respiratory failure
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 10/27/21, LOT #FH8028; pt found unresponsive at home by family; when EMS arrived, pt's O2 saturation was in the 50s;O2 supplementation given; when arrived to hospital, in severe respiratory failure; found to be positive for COVID test; CT of chest showed bacterial pneumonia; started on ABX; eventually required intubation; hyperkalemic; worsening AKI; given dexamethasone; required hemodialysis; eventually extubated but later required intubation with tracheostomy performed; pt's condition deteriorated; family chose withdrawal of care; pt passed away in the hosppital
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tracheostomy, Unresponsive to stimuli
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 10/27/21, LOT #FH8028; pt found unresponsive at home by family; when EMS arrived, pt's O2 saturation was in the 50s;O2 supplementation given; when arrived to hospital, in severe respiratory failure; found to be positive for COVID test; CT of chest showed bacterial pneumonia; started on ABX; eventually required intubation; hyperkalemic; worsening AKI; given dexamethasone; required hemodialysis; eventually extubated but later required intubation with tracheostomy performed; pt's condition deteriorated; family chose withdrawal of care; pt passed away in the hosppital
Age: 42.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Contusion, Dyspnoea, Dyspnoea exertional, Feeling hot, Middle insomnia
Clinical narrative: On 11/05/2022, at approximately noon, I noticed I had a few red spots on my arms and legs. As the day progressed, I was getting more and more spots. I took BENADRYL and went to bed. I woke up in the night and my body was on fire. I was covered in red spots everywhere except my face. They were burning and itchy and lasted about 3 weeks. I tried BENADRYL, hydrocortisone, lotion, and nothing helped. The pain was excruciating. No doctors would see me because of how I looked physically. Just before Christmas, the spots stopped burning but were still present and some still are today. Now they look like bruises. I also had a very hard time breathing. It was labored and more so laying down. Walking a short distance, I was winded. My children had the same labored breathing. It felt like a panic attack.
Age: 42.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Pain, Rash, Rash erythematous, Rash pruritic, Skin burning sensation
Clinical narrative: On 11/05/2022, at approximately noon, I noticed I had a few red spots on my arms and legs. As the day progressed, I was getting more and more spots. I took BENADRYL and went to bed. I woke up in the night and my body was on fire. I was covered in red spots everywhere except my face. They were burning and itchy and lasted about 3 weeks. I tried BENADRYL, hydrocortisone, lotion, and nothing helped. The pain was excruciating. No doctors would see me because of how I looked physically. Just before Christmas, the spots stopped burning but were still present and some still are today. Now they look like bruises. I also had a very hard time breathing. It was labored and more so laying down. Walking a short distance, I was winded. My children had the same labored breathing. It felt like a panic attack.
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Flushing, Headache, Malaise, Nausea
Clinical narrative: On 1/21/23 10:20 am, client received a Pfizer Bivalent in the right arm. At 11 am, a member came to the nurse table and stated the client is not feeling well. Client stated about 30 minutes after she received the vaccine while cleaning in kitchen felt the dizziness, nausea, headache, and flushed feeling all over the body. So, she sat and put her head down. Client does not know how long she was resting. Client stated she was starting to feel better when she was woken up and the dizziness, nausea, headache, and flushed feeling started all over again. Client also stated she did not have anything to eat for breakfast. Client was given snacks and drinks.  Vitals recorded: 11:05 am BP= 154/84 HR 84, 11:10 am BP=148/93 HR 80, 11:20 am BP=145/76 HR 75. Client has a history of anxiety and obesity but denies taking any medications. Client denies any allergies or other medical history. At 11:30 am, client continued to eat and drink and reported feeling better. At 11:40 am last vitals BP=140/72 HR 70.  At 11:45 am, client was walking around the hall with a mop. Client was advised to take it easy for the day and will be receiving a call from the nurse for a follow-up.