chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The patient is a 72 y.o. male who presented with dyspnea on exertion.  Pt c/o severe breathlessness with minimal exertion that started 2-3 days ago.  He denies dyspnea at rest.  Denies CP.  No fevers or cough.  Has history of CAD.  Was found to be COVID positive.  No hypoxia and no infiltrates on CXR.  He is vaccinated.  "   Hospital Course:   The patient was admitted to the hospital and was evaluated and treated per below.      * Dyspnea on exertion o Dyspnea on exertion with concern about possible angina equivalent. He is Covid positive and fully vaccinated. No IV Remdesivir or steroids initiated on admission. Chest x-ray showed no focal consolidation. Patient reported feeling better following admission with progressive resolution of his shortness of breath. His serial cardiac enzymes remained negative ruling out acute coronary syndrome. Telemetry was uneventful. Echocardiogram was done showing normal ejection fraction. Myoview cardiac stress test was done showing normal study. With patient's symptoms gradually resolving and the absence of chest pain patient was discharged home to follow up on outpatient basis. o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.  o Foot wound. Followed outpatient. Currently on doxycycline. Continue course as prescribed.
Age: 47.0
Sex: F
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: During routine monthly inventory in the immunization clinic an expired PPSV23 (pneumovax 23 vaccine) box was discovered.  The box was missing 7 vials.  It is unsure when the vials were used.  They could have been used prior to the expiration date, but that could not be verified.  A report from 9 Jan 2022 to 4 Mar 2022 was pulled and there was 9 doses of PPSV23 given.  The lot numbers as recorded in the EMR matched a valid, unexpired box.  It is possible that expired doses were given, but it is also possible that no expired doses were given.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Jaundice
Clinical narrative: admitted on February 11th with worsening jaundice. I did notice that there is a new onset symptoms date for patient of 2/12.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered after 12 hours of first puncture on vial.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given covid vaccine on left arm no symptoms and no reactions given expired vaccine 1-2 days
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Febrile neutropenia, Urinary tract infection
Clinical narrative: presented as a direct transfer from ED for the management of neutropenic fever and was found to have a UTI and COVID-19 infection.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chemotherapy, Cough, Dizziness
Clinical narrative: presented as a direct transfer from ED for the management of neutropenic fever and was found to have a UTI and COVID-19 infection.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Nausea, Pain, Pyrexia
Clinical narrative: presented as a direct transfer from ED for the management of neutropenic fever and was found to have a UTI and COVID-19 infection.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Lung consolidation, Lung opacity
Clinical narrative: presented as a direct transfer from ED for the management of neutropenic fever and was found to have a UTI and COVID-19 infection.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: presented as a direct transfer from ED for the management of neutropenic fever and was found to have a UTI and COVID-19 infection.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Dyspnoea, Oxygen saturation decreased
Clinical narrative: day four of asymptomatic COVID infection presenting today with shortness of breath.  Here, her oxygen saturation is 91% on room air with desaturation upon movement.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Pain in extremity, Paraesthesia, Tremor
Clinical narrative: increased heart rate over 150 directly following injection. Shakiness/numbness in left hand.   Numbness/tingling and pain in left hand continues several months later
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Impaired work ability, Influenza virus test negative, Injection site swelling, Lymphadenopathy
Clinical narrative: The day after the vaccine, on 05/22/2021-I had  body aches, I could not move. I needed help to go to the bathroom.  I had severe sleepiness. I had swollen Lymph nodes, in my clavicle, neck, and the left arm. On Tuesday, 05/25/2021 I went to the Emergency Room because I could not walk. I received various prescriptions and an injection. My symptoms resolved after a week. I could not work for a week.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Somnolence
Clinical narrative: The day after the vaccine, on 05/22/2021-I had  body aches, I could not move. I needed help to go to the bathroom.  I had severe sleepiness. I had swollen Lymph nodes, in my clavicle, neck, and the left arm. On Tuesday, 05/25/2021 I went to the Emergency Room because I could not walk. I received various prescriptions and an injection. My symptoms resolved after a week. I could not work for a week.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Covid vaccine inadvertently given one day past use by date ( was in refridgerator for 73 days).  No ill effects.  Physician aware and notified parent.  Not redosing vaccine at present
Age: 14.0
Sex: F
Vaccine: HEP, MMR, MNQ, TDAP, UNK, VARCEL
Symptoms: Aphasia, Dyskinesia, Dyspnoea, Pallor, Tremor
Clinical narrative: Signed consent and center enrolment form obtained. VIS provided, student denies any allergies, and No past medical history.  At 11:00am IZs IPV, HBV, Tdap, MCV, MMR and Varicella administered, student stated that she is having difficulty of breathing.  Assessed student.  At 11:10 student c/o difficulty breathing, B/P 85/57, HR 83, RR 26, O2 Sat 96% alert, oriented to time, place, and person. Pupils equal, round, and reactive to light, Lungs clear bilaterally, Student continue complaining of SOB, lower lip pale, fingers bilaterally pale. Mild Diaphysis   11:23am Epinephrine, (Auto-injectors) 0.3 mg administered by NP. Student started shaking, difficulty to verbalize, facial expression were symmetrical, strong grips bilaterally, and strong bilateral extremities movements.      11:30am normal skin color BP 96/65 HR 80 O2 sat 100%, student stated her breathing is improved. Alert and oriented, School administers, student?s guardian notified, EMS call initiated, student?s guardian notified.  EMT arrived brief report given, student transferred to Hospital.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, COVID-19, Chest pain, Dyspnoea exertional, SARS-CoV-2 test positive
Clinical narrative: Patient noted to be COVID positive which also raises concern for pulmonary embolism as the etiology of her arrhythmia and exertional dyspnea/chest pain symptoms
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Aphasia, COVID-19, Condition aggravated, Cyanosis, Dyspnoea
Clinical narrative: with significant history per chart review of ESRD on hemodialysis, DM2, hypertension without heart failure, and COVID + 1/2022 in setting of Pfizer vaccinated x 3 who presents cyanotic, hypoxic, in severe respiratory distress, afebrile, tachycardic, hypertensive with limited history as patient is unable to speak, being found this morning by son short of breath when getting picked up for dialysis    Vaccine appears to be given at outside facility. Unknown type of Vaccine, or lot number
Age: 71.0
Sex: M
Vaccine: UNK
Symptoms: Hypertension, Hypoxia, Respiratory distress, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: with significant history per chart review of ESRD on hemodialysis, DM2, hypertension without heart failure, and COVID + 1/2022 in setting of Pfizer vaccinated x 3 who presents cyanotic, hypoxic, in severe respiratory distress, afebrile, tachycardic, hypertensive with limited history as patient is unable to speak, being found this morning by son short of breath when getting picked up for dialysis    Vaccine appears to be given at outside facility. Unknown type of Vaccine, or lot number
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMRV
Symptoms: Rash
Clinical narrative: Patient came in to clinic 3 days later with rash that developed 2 days after administration of vaccines. Rash on both thighs. No other symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bladder catheterisation, Blood urine present, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Arm turned black immediately, remained that way for 2 weeks. Started wheezing in throat, made complaint to nurses but no one listened with stethoscope. A couple weeks later she had blood clots in feces. Told doctor, he said not unusual. Started getting short of breath, taken to emergency room. Admitted. Swelling in legs and arms. X rays showed blood clots in lungs. Medical records available. After 2 weeks came home. Then readmitted for shortness of breath, needed catheter, started passing blood in urine. Sent to another hospital. Lungs filled with blood clots, also in limbs and breast. Too weak to get a scope in lungs.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematochezia, Immediate post-injection reaction, Peripheral swelling, Pulmonary thrombosis, Skin discolouration
Clinical narrative: Arm turned black immediately, remained that way for 2 weeks. Started wheezing in throat, made complaint to nurses but no one listened with stethoscope. A couple weeks later she had blood clots in feces. Told doctor, he said not unusual. Started getting short of breath, taken to emergency room. Admitted. Swelling in legs and arms. X rays showed blood clots in lungs. Medical records available. After 2 weeks came home. Then readmitted for shortness of breath, needed catheter, started passing blood in urine. Sent to another hospital. Lungs filled with blood clots, also in limbs and breast. Too weak to get a scope in lungs.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thrombosis, Wheezing
Clinical narrative: Arm turned black immediately, remained that way for 2 weeks. Started wheezing in throat, made complaint to nurses but no one listened with stethoscope. A couple weeks later she had blood clots in feces. Told doctor, he said not unusual. Started getting short of breath, taken to emergency room. Admitted. Swelling in legs and arms. X rays showed blood clots in lungs. Medical records available. After 2 weeks came home. Then readmitted for shortness of breath, needed catheter, started passing blood in urine. Sent to another hospital. Lungs filled with blood clots, also in limbs and breast. Too weak to get a scope in lungs.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Gastroenteritis Escherichia coli, Lethargy, Myxoedema coma
Clinical narrative: 75 year old female with history of HFpEF, CKD III, HTN, HLD, DM II, OSA, obesity, and papillary thyroid carcinoma s/p postsurgical (2007) hypothyroidism who presents with worsening generalized weakness and lethargy and was found to have myxedema coma in setting of known COVID infection. Recent admission  (records obtained today).  Treated for enteropathic E.coli with Cipro/Flagyl, planned total of 7 days from discharge on 1/21.  COVID positive on 1/18
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 75 year old female with history of HFpEF, CKD III, HTN, HLD, DM II, OSA, obesity, and papillary thyroid carcinoma s/p postsurgical (2007) hypothyroidism who presents with worsening generalized weakness and lethargy and was found to have myxedema coma in setting of known COVID infection. Recent admission  (records obtained today).  Treated for enteropathic E.coli with Cipro/Flagyl, planned total of 7 days from discharge on 1/21.  COVID positive on 1/18
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Ataxia, Blood glucose normal, Computerised tomogram head normal, Confusional state
Clinical narrative: Slurred speech and ataxia while at work, brought to ER where his symptoms had essentially resolved. He had a CT head and CTA head and neck which were all negative. He was not a TPA candidate. His co-workers reported him having waxing and waning dizziness, headaches, slurred speech and some confusion. Patient was admitted with DX of TIA to the med-surg unit.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Full blood count normal, Headache, Impaired work ability
Clinical narrative: Slurred speech and ataxia while at work, brought to ER where his symptoms had essentially resolved. He had a CT head and CTA head and neck which were all negative. He was not a TPA candidate. His co-workers reported him having waxing and waning dizziness, headaches, slurred speech and some confusion. Patient was admitted with DX of TIA to the med-surg unit.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Transient ischaemic attack, Urine analysis normal
Clinical narrative: Slurred speech and ataxia while at work, brought to ER where his symptoms had essentially resolved. He had a CT head and CTA head and neck which were all negative. He was not a TPA candidate. His co-workers reported him having waxing and waning dizziness, headaches, slurred speech and some confusion. Patient was admitted with DX of TIA to the med-surg unit.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Loss of consciousness, Oxygen saturation decreased, Refusal of treatment by patient
Clinical narrative: Shot was administered in hospital clinic.  Shot was given and patient was told to wait for 15 minutes prior to leaving clinic.  Within 10 minutes, there was severe dizziness and the patient lost consciousness.  When parent arrived, the patient had been placed in a chair, with no head or side supports.  Skin color was grey and eyes were rolled to back of head.   Paramedics arrived within 4-5 minutes and were prepared to take patient to hospital.  They had to administer emergency oxygen as pulse ratio was 30 and oxygen level was less than 85.   The staff of the clinic did little to assist and the monitor in the room did nothing at all to assist the patient.   After administering oxygen, the patient slowly recovered consciousness and refused treatment to be transported to the hospital approximately 15  minutes after regaining consciousness.   In the subsequent week, trouble with vision and dizziness occurred randomly for approximately one week.  Family doctor advised to see specialists about vision.  Vision has since  Hospital clinic was called for emergency report and patient was told they do not prepare the reports for non-hospital patients.  Emergency report was obtained from local paramedics that assisted during the emergency showing life saving treatment was required.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration, Visual impairment
Clinical narrative: Shot was administered in hospital clinic.  Shot was given and patient was told to wait for 15 minutes prior to leaving clinic.  Within 10 minutes, there was severe dizziness and the patient lost consciousness.  When parent arrived, the patient had been placed in a chair, with no head or side supports.  Skin color was grey and eyes were rolled to back of head.   Paramedics arrived within 4-5 minutes and were prepared to take patient to hospital.  They had to administer emergency oxygen as pulse ratio was 30 and oxygen level was less than 85.   The staff of the clinic did little to assist and the monitor in the room did nothing at all to assist the patient.   After administering oxygen, the patient slowly recovered consciousness and refused treatment to be transported to the hospital approximately 15  minutes after regaining consciousness.   In the subsequent week, trouble with vision and dizziness occurred randomly for approximately one week.  Family doctor advised to see specialists about vision.  Vision has since  Hospital clinic was called for emergency report and patient was told they do not prepare the reports for non-hospital patients.  Emergency report was obtained from local paramedics that assisted during the emergency showing life saving treatment was required.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, Chest X-ray abnormal, Chronic respiratory disease
Clinical narrative: Presented on 1/28 with worsening shortness of breath and malaise ongoing for 4 days. Septic by SIRS criteria. CXR evident for multifocal pneumonia and chronic lung disease. COVID +. Started on vancomycin, cefepime, dexamethasone and remdesivir.  Optimized respiratory status with flolan and diuresis.  2/1 stopped antibioitics and started baricitinib. Intubated on 2/8 with worsening acute hypoxic respiratory distress with increased work of breathing. Repeat CT showed right pumonary emboli and started on heparin drip.  Became more sptic reuquiring pressors and antibiotics restarted. Renal function worsening. During hospitalization code status was made intubate only. Condition continued to deteriorate and family decided to proceed with conmfort care only.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Endotracheal intubation, General physical health deterioration, Malaise
Clinical narrative: Presented on 1/28 with worsening shortness of breath and malaise ongoing for 4 days. Septic by SIRS criteria. CXR evident for multifocal pneumonia and chronic lung disease. COVID +. Started on vancomycin, cefepime, dexamethasone and remdesivir.  Optimized respiratory status with flolan and diuresis.  2/1 stopped antibioitics and started baricitinib. Intubated on 2/8 with worsening acute hypoxic respiratory distress with increased work of breathing. Repeat CT showed right pumonary emboli and started on heparin drip.  Became more sptic reuquiring pressors and antibiotics restarted. Renal function worsening. During hospitalization code status was made intubate only. Condition continued to deteriorate and family decided to proceed with conmfort care only.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Polyuria, Pulmonary embolism, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Presented on 1/28 with worsening shortness of breath and malaise ongoing for 4 days. Septic by SIRS criteria. CXR evident for multifocal pneumonia and chronic lung disease. COVID +. Started on vancomycin, cefepime, dexamethasone and remdesivir.  Optimized respiratory status with flolan and diuresis.  2/1 stopped antibioitics and started baricitinib. Intubated on 2/8 with worsening acute hypoxic respiratory distress with increased work of breathing. Repeat CT showed right pumonary emboli and started on heparin drip.  Became more sptic reuquiring pressors and antibiotics restarted. Renal function worsening. During hospitalization code status was made intubate only. Condition continued to deteriorate and family decided to proceed with conmfort care only.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Systemic inflammatory response syndrome
Clinical narrative: Presented on 1/28 with worsening shortness of breath and malaise ongoing for 4 days. Septic by SIRS criteria. CXR evident for multifocal pneumonia and chronic lung disease. COVID +. Started on vancomycin, cefepime, dexamethasone and remdesivir.  Optimized respiratory status with flolan and diuresis.  2/1 stopped antibioitics and started baricitinib. Intubated on 2/8 with worsening acute hypoxic respiratory distress with increased work of breathing. Repeat CT showed right pumonary emboli and started on heparin drip.  Became more sptic reuquiring pressors and antibiotics restarted. Renal function worsening. During hospitalization code status was made intubate only. Condition continued to deteriorate and family decided to proceed with conmfort care only.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Presented on 1/28 with worsening shortness of breath and malaise ongoing for 4 days. Septic by SIRS criteria. CXR evident for multifocal pneumonia and chronic lung disease. COVID +. Started on vancomycin, cefepime, dexamethasone and remdesivir.  Optimized respiratory status with flolan and diuresis.  2/1 stopped antibioitics and started baricitinib. Intubated on 2/8 with worsening acute hypoxic respiratory distress with increased work of breathing. Repeat CT showed right pumonary emboli and started on heparin drip.  Became more sptic reuquiring pressors and antibiotics restarted. Renal function worsening. During hospitalization code status was made intubate only. Condition continued to deteriorate and family decided to proceed with conmfort care only.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Death, Dizziness, Dyspnoea, Endotracheal intubation
Clinical narrative: Presented on 1/28 with worsening shortness of breath and malaise ongoing for 4 days. Septic by SIRS criteria. CXR evident for multifocal pneumonia and chronic lung disease. COVID +. Started on vancomycin, cefepime, dexamethasone and remdesivir.  Optimized respiratory status with flolan and diuresis.  2/1 stopped antibioitics and started baricitinib. Intubated on 2/8 with worsening acute hypoxic respiratory distress with increased work of breathing. Repeat CT showed right pumonary emboli and started on heparin drip.  Became more sptic reuquiring pressors and antibiotics restarted. Renal function worsening. During hospitalization code status was made intubate only. Condition continued to deteriorate and family decided to proceed with conmfort care only.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extubation, Fall, Headache, Intensive care, SARS-CoV-2 test positive
Clinical narrative: Presented on 1/28 with worsening shortness of breath and malaise ongoing for 4 days. Septic by SIRS criteria. CXR evident for multifocal pneumonia and chronic lung disease. COVID +. Started on vancomycin, cefepime, dexamethasone and remdesivir.  Optimized respiratory status with flolan and diuresis.  2/1 stopped antibioitics and started baricitinib. Intubated on 2/8 with worsening acute hypoxic respiratory distress with increased work of breathing. Repeat CT showed right pumonary emboli and started on heparin drip.  Became more sptic reuquiring pressors and antibiotics restarted. Renal function worsening. During hospitalization code status was made intubate only. Condition continued to deteriorate and family decided to proceed with conmfort care only.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Septic shock, Urinary tract infection
Clinical narrative: Presented on 1/28 with worsening shortness of breath and malaise ongoing for 4 days. Septic by SIRS criteria. CXR evident for multifocal pneumonia and chronic lung disease. COVID +. Started on vancomycin, cefepime, dexamethasone and remdesivir.  Optimized respiratory status with flolan and diuresis.  2/1 stopped antibioitics and started baricitinib. Intubated on 2/8 with worsening acute hypoxic respiratory distress with increased work of breathing. Repeat CT showed right pumonary emboli and started on heparin drip.  Became more sptic reuquiring pressors and antibiotics restarted. Renal function worsening. During hospitalization code status was made intubate only. Condition continued to deteriorate and family decided to proceed with conmfort care only.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Eye pain, Fall
Clinical narrative: Woke up about 12:30am with uncontrollable shaking a jerking.  Bed was drenched.  My husband covered me in blankets.  Fell asleep and woke up two hours later needing to use the bathroom.  Stood up and fell because of dizziness and waves of nausea .  After a few hours woke up with diahrea and stomach pain.  Felt wiped out and extreme tire for a couple days.  Started with eye pain and ended up with confirmed case of shingles in left eye.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Herpes zoster, Hyperhidrosis, Nausea, Tremor
Clinical narrative: Woke up about 12:30am with uncontrollable shaking a jerking.  Bed was drenched.  My husband covered me in blankets.  Fell asleep and woke up two hours later needing to use the bathroom.  Stood up and fell because of dizziness and waves of nausea .  After a few hours woke up with diahrea and stomach pain.  Felt wiped out and extreme tire for a couple days.  Started with eye pain and ended up with confirmed case of shingles in left eye.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Computerised tomogram thorax, Echocardiogram
Clinical narrative: Patient is a 68 y.o. male admitted with pna due to covid-19. Pt received 4 doses of remdesivir. Improved from nc to room air. Received steroids, nebs, abx, supplements. Seen by psych due to concern for SI, but cleared from this standpoint. Started on celexa. Ct PE and echo reviewed. Dc with close f/u
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 3rd vaccine; breakthrough case admission
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dizziness, Exposure to SARS-CoV-2, First trimester pregnancy, Maternal exposure before pregnancy
Clinical narrative: Hospitalized 1/28/22-1/30/22 for episode of syncope, nausea, dizziness  during first trimester of pregnancy . COVID exposure from son in past 2 weeks. Patient Tested positive for COVID 1/28/22. No respiratory symptoms-no COVID treatment indicated per MD.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Syncope
Clinical narrative: Hospitalized 1/28/22-1/30/22 for episode of syncope, nausea, dizziness  during first trimester of pregnancy . COVID exposure from son in past 2 weeks. Patient Tested positive for COVID 1/28/22. No respiratory symptoms-no COVID treatment indicated per MD.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine was administered to the patient after 13+ hours when the recommendation is to administer in a 12 hour period after vial puncture.  No adverse events reported at the time.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Heart rate increased, Insomnia, Loss of personal independence in daily activities
Clinical narrative: It started our with a very severe sore throat and extreme fatigue. Then I developed a cough and it lingered probably 2 weeks after medication. I had a virtual visit with my doctor on Wednesday and he prescribed medication, 4 days of Zypack. He said if by Monday I was not feeling well to call back.  Also, my resting heart rate was really elevated by that time. I also was having difficulty sleeping because of the coughing. By Monday I was feeling much better. Before I could not do my normal activities except for doing one thing a day. I tested twice for Covid, home tests, both were negative.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: It started our with a very severe sore throat and extreme fatigue. Then I developed a cough and it lingered probably 2 weeks after medication. I had a virtual visit with my doctor on Wednesday and he prescribed medication, 4 days of Zypack. He said if by Monday I was not feeling well to call back.  Also, my resting heart rate was really elevated by that time. I also was having difficulty sleeping because of the coughing. By Monday I was feeling much better. Before I could not do my normal activities except for doing one thing a day. I tested twice for Covid, home tests, both were negative.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Oropharyngeal pain, SARS-CoV-2 test negative, Streptococcus test
Clinical narrative: The next day after patient's 2nd dose he experienced the following symptoms: Headache and was treated with Tylenol and hot shower and recovered right away and last week from the week of January 7th - 11th he was experiencing sore throat, and another headache, it was consistent for 1 week and was tested negative for COVID-19. His doctor advised to gargle with salt water, Take Tylenol, and cough drops for the sore throat. As of today, he still has a little bit of headache, his throat is feeling better, and stomach is a bit upset and he took Tylenol before he went to school.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood follicle stimulating hormone increased, Blood luteinising hormone increased, Ultrasound pelvis abnormal, Uterine leiomyoma, Vaginal haemorrhage
Clinical narrative: I began to bleed vaginale on October 28, having been menopausal. I bled for 5 days. The bleeding was more then spotting, but not as heavy as my periods that I used to have.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Affective disorder, Amnesia, Aphasia, Balance disorder, Barium swallow abnormal
Clinical narrative: Over a 3 month period (10/13/22 until 1/30/33, patient experienced mood disturbances, loss of social/safety judgement ability, a sudden and significant increase in memory loss, slurred speech and difficulty swallowing, CVA-type " word loss",  complete loss of reading and writing ability, disorientation and confusion, hallucinations, balance & gait disturbance which caused severe increase in unsteadiness and falls,  myoclonus, and debilitating tremors.  On 1/17/22, he fell and was admitted to hospital with no injuries from fall, but developed aspiration pneumonia related to inability to swallow.  He died on 1/30/22.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram abdomen, Computerised tomogram head, Confusional state, Death
Clinical narrative: Over a 3 month period (10/13/22 until 1/30/33, patient experienced mood disturbances, loss of social/safety judgement ability, a sudden and significant increase in memory loss, slurred speech and difficulty swallowing, CVA-type " word loss",  complete loss of reading and writing ability, disorientation and confusion, hallucinations, balance & gait disturbance which caused severe increase in unsteadiness and falls,  myoclonus, and debilitating tremors.  On 1/17/22, he fell and was admitted to hospital with no injuries from fall, but developed aspiration pneumonia related to inability to swallow.  He died on 1/30/22.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dysarthria, Dysgraphia, Dysphagia, Electroencephalogram abnormal
Clinical narrative: Over a 3 month period (10/13/22 until 1/30/33, patient experienced mood disturbances, loss of social/safety judgement ability, a sudden and significant increase in memory loss, slurred speech and difficulty swallowing, CVA-type " word loss",  complete loss of reading and writing ability, disorientation and confusion, hallucinations, balance & gait disturbance which caused severe increase in unsteadiness and falls,  myoclonus, and debilitating tremors.  On 1/17/22, he fell and was admitted to hospital with no injuries from fall, but developed aspiration pneumonia related to inability to swallow.  He died on 1/30/22.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Gait disturbance, Hallucination, Judgement impaired, Laboratory test
Clinical narrative: Over a 3 month period (10/13/22 until 1/30/33, patient experienced mood disturbances, loss of social/safety judgement ability, a sudden and significant increase in memory loss, slurred speech and difficulty swallowing, CVA-type " word loss",  complete loss of reading and writing ability, disorientation and confusion, hallucinations, balance & gait disturbance which caused severe increase in unsteadiness and falls,  myoclonus, and debilitating tremors.  On 1/17/22, he fell and was admitted to hospital with no injuries from fall, but developed aspiration pneumonia related to inability to swallow.  He died on 1/30/22.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Myoclonus, Neurological symptom, Pneumonia aspiration, Reading disorder, Seizure
Clinical narrative: Over a 3 month period (10/13/22 until 1/30/33, patient experienced mood disturbances, loss of social/safety judgement ability, a sudden and significant increase in memory loss, slurred speech and difficulty swallowing, CVA-type " word loss",  complete loss of reading and writing ability, disorientation and confusion, hallucinations, balance & gait disturbance which caused severe increase in unsteadiness and falls,  myoclonus, and debilitating tremors.  On 1/17/22, he fell and was admitted to hospital with no injuries from fall, but developed aspiration pneumonia related to inability to swallow.  He died on 1/30/22.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Social problem, Spinal X-ray, Swallow study, Tremor
Clinical narrative: Over a 3 month period (10/13/22 until 1/30/33, patient experienced mood disturbances, loss of social/safety judgement ability, a sudden and significant increase in memory loss, slurred speech and difficulty swallowing, CVA-type " word loss",  complete loss of reading and writing ability, disorientation and confusion, hallucinations, balance & gait disturbance which caused severe increase in unsteadiness and falls,  myoclonus, and debilitating tremors.  On 1/17/22, he fell and was admitted to hospital with no injuries from fall, but developed aspiration pneumonia related to inability to swallow.  He died on 1/30/22.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Aggression, Agitation, COVID-19, Confusional state, SARS-CoV-2 test positive
Clinical narrative: History of Present Illness:  This is a 93y.o. female with medical history of hypothyroidism, dementia, H/o CVA, CKD Stage III. Patient was initially admitted to inpatient psychiatric unit on 12/22 after patient became aggressive and agitated at her current facility. During hospital stay patient tested positive for COVID 19 on 12/30. On 12/31 Patient was discharged from inpatient psych unit and transferred to general medical floor for further medical management. Patient is fully vaccinated with booster dose. During my exam at the bedside patient is pleasantly confused, wanting to continuously get up out of bed, reaching for my hands and trying to pull me towards her. Patient is able to state her name, but unable to tell me where she is or what year it is. Patient not requiring supplemental oxygen at this time.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2d vaccine; breakthrough case admission
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I had a scratchy throat that got progressively worse. I had some fatigue and felt a bit tired. I completed an at-home COVID-19 test on 02/07/2022 and the result came back positive. I called my physician's office the same day to let them know that I just tested positive for COVID-19 and they prescribed me an anti-viral medication.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Alpha 1 foetoprotein normal, Ammonia normal, Anticoagulant therapy, Ascites
Clinical narrative: History of Present Illness: Today patient is sent to ED as SNF staff found him to be unresponsive after norco given for pain. EMS was called. fsbs checked by EMS and 121. CT head neg here. Now patient is awake alert and oriented. He needs a translator which was used by me at the bedside for hx. Patient reports he could not communicate with anyone at his SNF. And there was confusion thus he came to ED. Missed HD. Feels some shortness of breath, a little more than usual. Placed on 02 in the ED. No fever, chills, rigors. Antibiotics are new as he is hpylori +. He feels weak, tired, some mental fog, nausea with poor appetite. No other complaints at this time.    #Acute PE on AC -> po eliquis. Patient taking BID. Last dose 0900 2/13. Start heparin gtt- no bolus. Hold eliquis. High high suspicion for malignancy as patient has acute PE already on anticoagulation.  Continue with oncology consult in the a.m.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, B-lymphocyte count, Blood gases normal, Blood glucose normal, Blood thyroid stimulating hormone increased
Clinical narrative: History of Present Illness: Today patient is sent to ED as SNF staff found him to be unresponsive after norco given for pain. EMS was called. fsbs checked by EMS and 121. CT head neg here. Now patient is awake alert and oriented. He needs a translator which was used by me at the bedside for hx. Patient reports he could not communicate with anyone at his SNF. And there was confusion thus he came to ED. Missed HD. Feels some shortness of breath, a little more than usual. Placed on 02 in the ED. No fever, chills, rigors. Antibiotics are new as he is hpylori +. He feels weak, tired, some mental fog, nausea with poor appetite. No other complaints at this time.    #Acute PE on AC -> po eliquis. Patient taking BID. Last dose 0900 2/13. Start heparin gtt- no bolus. Hold eliquis. High high suspicion for malignancy as patient has acute PE already on anticoagulation.  Continue with oncology consult in the a.m.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Carbohydrate antigen 19-9, Carcinoembryonic antigen normal, Catheter placement, Computerised tomogram abdomen abnormal, Computerised tomogram head normal
Clinical narrative: History of Present Illness: Today patient is sent to ED as SNF staff found him to be unresponsive after norco given for pain. EMS was called. fsbs checked by EMS and 121. CT head neg here. Now patient is awake alert and oriented. He needs a translator which was used by me at the bedside for hx. Patient reports he could not communicate with anyone at his SNF. And there was confusion thus he came to ED. Missed HD. Feels some shortness of breath, a little more than usual. Placed on 02 in the ED. No fever, chills, rigors. Antibiotics are new as he is hpylori +. He feels weak, tired, some mental fog, nausea with poor appetite. No other complaints at this time.    #Acute PE on AC -> po eliquis. Patient taking BID. Last dose 0900 2/13. Start heparin gtt- no bolus. Hold eliquis. High high suspicion for malignancy as patient has acute PE already on anticoagulation.  Continue with oncology consult in the a.m.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram liver, Cytology normal, Decreased appetite, Dyspnoea, End stage renal disease
Clinical narrative: History of Present Illness: Today patient is sent to ED as SNF staff found him to be unresponsive after norco given for pain. EMS was called. fsbs checked by EMS and 121. CT head neg here. Now patient is awake alert and oriented. He needs a translator which was used by me at the bedside for hx. Patient reports he could not communicate with anyone at his SNF. And there was confusion thus he came to ED. Missed HD. Feels some shortness of breath, a little more than usual. Placed on 02 in the ED. No fever, chills, rigors. Antibiotics are new as he is hpylori +. He feels weak, tired, some mental fog, nausea with poor appetite. No other complaints at this time.    #Acute PE on AC -> po eliquis. Patient taking BID. Last dose 0900 2/13. Start heparin gtt- no bolus. Hold eliquis. High high suspicion for malignancy as patient has acute PE already on anticoagulation.  Continue with oncology consult in the a.m.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, General physical health deterioration, Haemodialysis, Helicobacter test positive
Clinical narrative: History of Present Illness: Today patient is sent to ED as SNF staff found him to be unresponsive after norco given for pain. EMS was called. fsbs checked by EMS and 121. CT head neg here. Now patient is awake alert and oriented. He needs a translator which was used by me at the bedside for hx. Patient reports he could not communicate with anyone at his SNF. And there was confusion thus he came to ED. Missed HD. Feels some shortness of breath, a little more than usual. Placed on 02 in the ED. No fever, chills, rigors. Antibiotics are new as he is hpylori +. He feels weak, tired, some mental fog, nausea with poor appetite. No other complaints at this time.    #Acute PE on AC -> po eliquis. Patient taking BID. Last dose 0900 2/13. Start heparin gtt- no bolus. Hold eliquis. High high suspicion for malignancy as patient has acute PE already on anticoagulation.  Continue with oncology consult in the a.m.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hypervolaemia, Hypophagia, Lymphocyte count, Malignant pleural effusion, Mental impairment
Clinical narrative: History of Present Illness: Today patient is sent to ED as SNF staff found him to be unresponsive after norco given for pain. EMS was called. fsbs checked by EMS and 121. CT head neg here. Now patient is awake alert and oriented. He needs a translator which was used by me at the bedside for hx. Patient reports he could not communicate with anyone at his SNF. And there was confusion thus he came to ED. Missed HD. Feels some shortness of breath, a little more than usual. Placed on 02 in the ED. No fever, chills, rigors. Antibiotics are new as he is hpylori +. He feels weak, tired, some mental fog, nausea with poor appetite. No other complaints at this time.    #Acute PE on AC -> po eliquis. Patient taking BID. Last dose 0900 2/13. Start heparin gtt- no bolus. Hold eliquis. High high suspicion for malignancy as patient has acute PE already on anticoagulation.  Continue with oncology consult in the a.m.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metastases to peritoneum, Nausea, Paracentesis, Pleural effusion
Clinical narrative: History of Present Illness: Today patient is sent to ED as SNF staff found him to be unresponsive after norco given for pain. EMS was called. fsbs checked by EMS and 121. CT head neg here. Now patient is awake alert and oriented. He needs a translator which was used by me at the bedside for hx. Patient reports he could not communicate with anyone at his SNF. And there was confusion thus he came to ED. Missed HD. Feels some shortness of breath, a little more than usual. Placed on 02 in the ED. No fever, chills, rigors. Antibiotics are new as he is hpylori +. He feels weak, tired, some mental fog, nausea with poor appetite. No other complaints at this time.    #Acute PE on AC -> po eliquis. Patient taking BID. Last dose 0900 2/13. Start heparin gtt- no bolus. Hold eliquis. High high suspicion for malignancy as patient has acute PE already on anticoagulation.  Continue with oncology consult in the a.m.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: T-lymphocyte count normal, Thoracic cavity drainage, Unresponsive to stimuli, Weight decreased
Clinical narrative: History of Present Illness: Today patient is sent to ED as SNF staff found him to be unresponsive after norco given for pain. EMS was called. fsbs checked by EMS and 121. CT head neg here. Now patient is awake alert and oriented. He needs a translator which was used by me at the bedside for hx. Patient reports he could not communicate with anyone at his SNF. And there was confusion thus he came to ED. Missed HD. Feels some shortness of breath, a little more than usual. Placed on 02 in the ED. No fever, chills, rigors. Antibiotics are new as he is hpylori +. He feels weak, tired, some mental fog, nausea with poor appetite. No other complaints at this time.    #Acute PE on AC -> po eliquis. Patient taking BID. Last dose 0900 2/13. Start heparin gtt- no bolus. Hold eliquis. High high suspicion for malignancy as patient has acute PE already on anticoagulation.  Continue with oncology consult in the a.m.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE PREIS REPORT.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Fatigue, Headache, Migraine
Clinical narrative: I had no Covid symptoms, but I was getting a pre-op Covid test and it came back positive. Over the next several days I had mostly mild symptoms like sore throat and then fatigue, but then I had 24 hours of vomiting and diarrhea and that quit and then I had an ocular migraine with weird floating things in my vision for awhile. It eventually moved into a stuffy nose and I'm currently in the stuffy nose and headache portion of Covid. It's been more of a nuisance that anything, except the vomiting.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test, Vitreous floaters, Vomiting
Clinical narrative: I had no Covid symptoms, but I was getting a pre-op Covid test and it came back positive. Over the next several days I had mostly mild symptoms like sore throat and then fatigue, but then I had 24 hours of vomiting and diarrhea and that quit and then I had an ocular migraine with weird floating things in my vision for awhile. It eventually moved into a stuffy nose and I'm currently in the stuffy nose and headache portion of Covid. It's been more of a nuisance that anything, except the vomiting.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Hospitalization 01/28/22-01/31/22 for acute respiratory failure with hypoxia, COVID19. Treated with dexamethasone, zinc 50 mg daily, vitamin D3 50 mcg daily and vitamin C 1,000 mg daily.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Heart rate increased, Heart rate irregular
Clinical narrative: Frequent rapid heartbeat, frequent irregular heartbeat, fatigue lasting for 5 months now
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, body aches, headache, exhaustion. Started ~11 hours after the dose and lasted for a total of ~ 36 hours. Pain in location of previous shingles infection.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID hospitalization
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Evet occurred after third vaccine; breakthrough case admission
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient erroneously administered additional booster dose. Primary series received 4/2/2021, 4/23/2021 Booster received 1/3/2022 at pharmacy. Patient presented for nurse visit for HPV vaccination. LIP did not reconcile outside immunizations and thought patient due for COVID-19 booster. Patient agreed to get COVID-19 booster, then RN realized was a duplication when documented on CDC vaccine record card.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia
Clinical narrative: Hospitalization 1/29/2022-2/10/2022 for acute respiratory failure; COVID-19 pneumonia. Treated with baricitinib, Remdesivir, dexamethasone, zinc 50mg daily, vitamin D3 50mcg daily and vitamin C 1,000mg daily.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Chest pain, Dyspnoea, Laboratory test, Lymphadenopathy
Clinical narrative: Felt Winded with chest pain the day of the vaccine. H/O of PVCs but this was different more frequent. 4 days after the vaccine began feeling pain pinky finger and then it became excruciating with swelling and spread to the ring finger on the left hand. Was seen by PCP who sent Employee to the ER to be seen by a Hand Specialist MD. Admitted to the hospital for high dose steroids', and lymphadenopathy discovered and diagnosed. Parsonage Turner syndrome diagnosed secondary to the Covid-19 Vaccine. Discharged the next day to be followed outpatient, 2 weeks of steroids and nerve medication as of now. Unknown if the damage will be permanent.