chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Endotracheal intubation, Gastrostomy, Haemoglobin normal, Haemorrhage
Clinical narrative: Patient received moderna vaccine on 3/10/21, 4/9/21, and 11/12/21. Found to be COVID19 positive on 1/20/22. transferred for worsening respiratory failure secondary to COVID-19 pneumonia.  Patient is vaccinated, he did test positive on 01/20/2022, symptom onset was 01/17/2022 and was hospitalized on once 01/26/2022.  He also did develop Aki on CKD stage IIIA.  Was being treated with remdesivir baricitinib, Decadron.  He did have a V/Q scan which did reveal low probability of PE.  After transfer patient was placed on BiPAP, continued to have worsening respiratory failure and eventually required intubation on 02/02/2022.  Eventually was pegged and trached on 2 15 2022.  Ultrasound of lower extremities did reveal a right lower extremity DVT therefore was started on therapeutic anticoagulation after which she did develop bleeding with acute blood loss anemia likely secondary to retroperitoneal hemorrhage.  Anticoagulation was withheld the resumed after which he did develop anemia again.  He required multiple PRBC transfusions.  He eventually had IVC filter placed on 02/14/2022.  Patient did have superimposed bacterial pneumonia and was treated with broad-spectrum antibiotic therapy, restarted having fevers on 02/10/2022.  Repeat cultures did reveal growth of yeast in sputum.  He did develop she shock likely a combination secondary to sepsis as well as hemorrhage from the retroperitoneal bleed and required pressors transiently.  Did complete course of vancomycin, Zosyn and micafungin.  Nephrology was consulted for the Aki on CKD stage IIIA which improved and was likely secondary to medications, shock.  Hemoglobins have remained stable, blood pressure is low normal and has required intermittent boluses of normal saline.  He was weaned of sedation and is able to follow commands and does not have any focal neurological deficits.  Will be transferred in stable condition to LTAC in hopes of weaning off ventilator.  At time of discharge patient's ventilator requirements were FiO2 of 35% and PEEP of 8. His anti-platelet therapy was discontinued which include aspirin and Plavix, patient may be resumed on prophylactic Lovenox for DVT while monitoring hemoglobins.  His antihypertensives were also discontinued due to borderline low blood pressures. Discharged on 2/25/22
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Laboratory test, Lung consolidation, Mechanical ventilation, Pneumonia bacterial
Clinical narrative: Patient received moderna vaccine on 3/10/21, 4/9/21, and 11/12/21. Found to be COVID19 positive on 1/20/22. transferred for worsening respiratory failure secondary to COVID-19 pneumonia.  Patient is vaccinated, he did test positive on 01/20/2022, symptom onset was 01/17/2022 and was hospitalized on once 01/26/2022.  He also did develop Aki on CKD stage IIIA.  Was being treated with remdesivir baricitinib, Decadron.  He did have a V/Q scan which did reveal low probability of PE.  After transfer patient was placed on BiPAP, continued to have worsening respiratory failure and eventually required intubation on 02/02/2022.  Eventually was pegged and trached on 2 15 2022.  Ultrasound of lower extremities did reveal a right lower extremity DVT therefore was started on therapeutic anticoagulation after which she did develop bleeding with acute blood loss anemia likely secondary to retroperitoneal hemorrhage.  Anticoagulation was withheld the resumed after which he did develop anemia again.  He required multiple PRBC transfusions.  He eventually had IVC filter placed on 02/14/2022.  Patient did have superimposed bacterial pneumonia and was treated with broad-spectrum antibiotic therapy, restarted having fevers on 02/10/2022.  Repeat cultures did reveal growth of yeast in sputum.  He did develop she shock likely a combination secondary to sepsis as well as hemorrhage from the retroperitoneal bleed and required pressors transiently.  Did complete course of vancomycin, Zosyn and micafungin.  Nephrology was consulted for the Aki on CKD stage IIIA which improved and was likely secondary to medications, shock.  Hemoglobins have remained stable, blood pressure is low normal and has required intermittent boluses of normal saline.  He was weaned of sedation and is able to follow commands and does not have any focal neurological deficits.  Will be transferred in stable condition to LTAC in hopes of weaning off ventilator.  At time of discharge patient's ventilator requirements were FiO2 of 35% and PEEP of 8. His anti-platelet therapy was discontinued which include aspirin and Plavix, patient may be resumed on prophylactic Lovenox for DVT while monitoring hemoglobins.  His antihypertensives were also discontinued due to borderline low blood pressures. Discharged on 2/25/22
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pulmonary oedema, Pyrexia, Red blood cell transfusion, Respiratory failure
Clinical narrative: Patient received moderna vaccine on 3/10/21, 4/9/21, and 11/12/21. Found to be COVID19 positive on 1/20/22. transferred for worsening respiratory failure secondary to COVID-19 pneumonia.  Patient is vaccinated, he did test positive on 01/20/2022, symptom onset was 01/17/2022 and was hospitalized on once 01/26/2022.  He also did develop Aki on CKD stage IIIA.  Was being treated with remdesivir baricitinib, Decadron.  He did have a V/Q scan which did reveal low probability of PE.  After transfer patient was placed on BiPAP, continued to have worsening respiratory failure and eventually required intubation on 02/02/2022.  Eventually was pegged and trached on 2 15 2022.  Ultrasound of lower extremities did reveal a right lower extremity DVT therefore was started on therapeutic anticoagulation after which she did develop bleeding with acute blood loss anemia likely secondary to retroperitoneal hemorrhage.  Anticoagulation was withheld the resumed after which he did develop anemia again.  He required multiple PRBC transfusions.  He eventually had IVC filter placed on 02/14/2022.  Patient did have superimposed bacterial pneumonia and was treated with broad-spectrum antibiotic therapy, restarted having fevers on 02/10/2022.  Repeat cultures did reveal growth of yeast in sputum.  He did develop she shock likely a combination secondary to sepsis as well as hemorrhage from the retroperitoneal bleed and required pressors transiently.  Did complete course of vancomycin, Zosyn and micafungin.  Nephrology was consulted for the Aki on CKD stage IIIA which improved and was likely secondary to medications, shock.  Hemoglobins have remained stable, blood pressure is low normal and has required intermittent boluses of normal saline.  He was weaned of sedation and is able to follow commands and does not have any focal neurological deficits.  Will be transferred in stable condition to LTAC in hopes of weaning off ventilator.  At time of discharge patient's ventilator requirements were FiO2 of 35% and PEEP of 8. His anti-platelet therapy was discontinued which include aspirin and Plavix, patient may be resumed on prophylactic Lovenox for DVT while monitoring hemoglobins.  His antihypertensives were also discontinued due to borderline low blood pressures. Discharged on 2/25/22
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Retroperitoneal haemorrhage, SARS-CoV-2 test positive, Sepsis, Shock, Superinfection
Clinical narrative: Patient received moderna vaccine on 3/10/21, 4/9/21, and 11/12/21. Found to be COVID19 positive on 1/20/22. transferred for worsening respiratory failure secondary to COVID-19 pneumonia.  Patient is vaccinated, he did test positive on 01/20/2022, symptom onset was 01/17/2022 and was hospitalized on once 01/26/2022.  He also did develop Aki on CKD stage IIIA.  Was being treated with remdesivir baricitinib, Decadron.  He did have a V/Q scan which did reveal low probability of PE.  After transfer patient was placed on BiPAP, continued to have worsening respiratory failure and eventually required intubation on 02/02/2022.  Eventually was pegged and trached on 2 15 2022.  Ultrasound of lower extremities did reveal a right lower extremity DVT therefore was started on therapeutic anticoagulation after which she did develop bleeding with acute blood loss anemia likely secondary to retroperitoneal hemorrhage.  Anticoagulation was withheld the resumed after which he did develop anemia again.  He required multiple PRBC transfusions.  He eventually had IVC filter placed on 02/14/2022.  Patient did have superimposed bacterial pneumonia and was treated with broad-spectrum antibiotic therapy, restarted having fevers on 02/10/2022.  Repeat cultures did reveal growth of yeast in sputum.  He did develop she shock likely a combination secondary to sepsis as well as hemorrhage from the retroperitoneal bleed and required pressors transiently.  Did complete course of vancomycin, Zosyn and micafungin.  Nephrology was consulted for the Aki on CKD stage IIIA which improved and was likely secondary to medications, shock.  Hemoglobins have remained stable, blood pressure is low normal and has required intermittent boluses of normal saline.  He was weaned of sedation and is able to follow commands and does not have any focal neurological deficits.  Will be transferred in stable condition to LTAC in hopes of weaning off ventilator.  At time of discharge patient's ventilator requirements were FiO2 of 35% and PEEP of 8. His anti-platelet therapy was discontinued which include aspirin and Plavix, patient may be resumed on prophylactic Lovenox for DVT while monitoring hemoglobins.  His antihypertensives were also discontinued due to borderline low blood pressures. Discharged on 2/25/22
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal, Vena cava filter insertion, Ventilation/perfusion scan abnormal
Clinical narrative: Patient received moderna vaccine on 3/10/21, 4/9/21, and 11/12/21. Found to be COVID19 positive on 1/20/22. transferred for worsening respiratory failure secondary to COVID-19 pneumonia.  Patient is vaccinated, he did test positive on 01/20/2022, symptom onset was 01/17/2022 and was hospitalized on once 01/26/2022.  He also did develop Aki on CKD stage IIIA.  Was being treated with remdesivir baricitinib, Decadron.  He did have a V/Q scan which did reveal low probability of PE.  After transfer patient was placed on BiPAP, continued to have worsening respiratory failure and eventually required intubation on 02/02/2022.  Eventually was pegged and trached on 2 15 2022.  Ultrasound of lower extremities did reveal a right lower extremity DVT therefore was started on therapeutic anticoagulation after which she did develop bleeding with acute blood loss anemia likely secondary to retroperitoneal hemorrhage.  Anticoagulation was withheld the resumed after which he did develop anemia again.  He required multiple PRBC transfusions.  He eventually had IVC filter placed on 02/14/2022.  Patient did have superimposed bacterial pneumonia and was treated with broad-spectrum antibiotic therapy, restarted having fevers on 02/10/2022.  Repeat cultures did reveal growth of yeast in sputum.  He did develop she shock likely a combination secondary to sepsis as well as hemorrhage from the retroperitoneal bleed and required pressors transiently.  Did complete course of vancomycin, Zosyn and micafungin.  Nephrology was consulted for the Aki on CKD stage IIIA which improved and was likely secondary to medications, shock.  Hemoglobins have remained stable, blood pressure is low normal and has required intermittent boluses of normal saline.  He was weaned of sedation and is able to follow commands and does not have any focal neurological deficits.  Will be transferred in stable condition to LTAC in hopes of weaning off ventilator.  At time of discharge patient's ventilator requirements were FiO2 of 35% and PEEP of 8. His anti-platelet therapy was discontinued which include aspirin and Plavix, patient may be resumed on prophylactic Lovenox for DVT while monitoring hemoglobins.  His antihypertensives were also discontinued due to borderline low blood pressures. Discharged on 2/25/22
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Adverse effects not known at this time.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, VARCEL
Symptoms: Expired product administered
Clinical narrative: Patient might have accidentally received Kinrix Lot H9Y52, expiration 1/31/22. There is currently no way to verify. Contacted manufacturer, GSK, who stated "results from in-house analytical potency testing have shown that Kinrix remains  within the approved specifications for up to 30 days following the expiration date of the  vaccine if stored under appropriate temperature and storage conditions." Based on this, the patient would not need to be re-vaccinated even if they did receive the expired vaccine, as it was administered within 30 days of vaccine expiration. No further action taken.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio decreased, Angiogram pulmonary normal, Anion gap, Arthralgia
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aspartate aminotransferase normal, Asthenia, Band neutrophil count, Band neutrophil percentage, Basophil count normal
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood chloride normal, Blood creatinine increased, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood urea increased, Blood urea nitrogen/creatinine ratio decreased, Brain natriuretic peptide increased, Bronchitis, COVID-19
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide normal, Cardiomegaly, Chest X-ray abnormal, Chronic kidney disease, Chronic obstructive pulmonary disease
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Coronary artery disease, Cough, Dialysis, Diarrhoea
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Differential white blood cell count abnormal, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, End stage renal disease
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eosinophil count normal, Eosinophil percentage, Essential hypertension, Exposure to SARS-CoV-2, Fall
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Full blood count abnormal, Globulins increased, Glomerular filtration rate decreased, Haematocrit decreased
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Head injury, Hyperlipidaemia, Influenza virus test, Insulin-requiring type 2 diabetes mellitus
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte morphology, Lymphocyte percentage decreased, Macrocytosis, Mean cell haemoglobin concentration decreased
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume normal, Metabolic function test abnormal, Monocyte count
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Monocyte percentage, Nausea, Neck pain, Neutrophil count, Neutrophil percentage increased
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Protein total normal, Red blood cell abnormality, Red blood cell count decreased, Red blood cell nucleated morphology
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red cell distribution width normal, Respiratory syncytial virus test, SARS-CoV-2 test positive, Troponin increased, Type 2 diabetes mellitus
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Viral test, Vomiting, White blood cell count normal
Clinical narrative: 3/11/22 58 yr/o  female with a history of CHF, CAD, hypertension, diabetes, end-stage renal disease on hemodialysis, COPD presenting to the ED for shortness of breath with cough, fatigue, generalized weakness, nausea, one episode of vomiting 2 days ago, and diarrhea over the past 3 to 4 days.  States symptoms began after known COVID-19 exposure, states her niece recently tested positive and she was exposed.  Has been vaccinated against COVID-19.  Wears 2 L nasal cannula oxygen at home at baseline.  Current smoker.  Denies chest pain, hemoptysis, leg swelling, syncope, fever, abdominal pain.  States she did slip and fall 2 days ago with head injury, denies LOC.  States she has had some mild to posterior neck States she has had some mild to posterior neck and soreness to her right hip but has good range of motion has been ambulatory without assistance.  Denies other injuries.  Denies anticoagulation use. Denies headache, syncope, paresthesias. Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat and neck pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for chest tightness.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal pain.  Genitourinary: Negative.   Musculoskeletal: Negative for myalgias.  Skin: Negative for rash.  Neurological: Positive for weakness. Negative for syncope and headaches.  Psychiatric/Behavioral: Negative for agitation and behavioral problems.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Approximately 5cm x 4cm area of erythema with warmth and induration on the left shoulder following TDAP vaccine  G3P2 vaccinated at 28 weeks as part of routine prenatal care. EDD is 5/26/22. At time of report, patient is still pregnant.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature).
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Fall, Influenza A virus test negative, Influenza B virus test, Mania
Clinical narrative: Chief Complaint Patient presents with ? Psychiatric Problem     Per EMS comes from assisted living since son has stated he was on the phone with her and she sounded different and has manic episodes.  ? Fall     per patient has fallen 5 times in the past 10 days. last fall was last night around 10pm. denies thinners and denies LOC.     Patient is a 68 year old female who presents to the ED for a manic episode.  Per patient's son, she has called him multiple times and has had flight of ideas similar to previous episodes.  She was seen and evaluated in geropsych previously.  She states that she has fallen 5 times in the past 10 days and the falls have been mechanical.  She denies hitting her head.  No difficulty with ambulation.  No other complaints.            Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for ear discharge, ear pain and hearing loss.   Eyes: Negative for photophobia.  Respiratory: Negative for cough, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Negative for abdominal pain, constipation, diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria and urgency.  Musculoskeletal: Negative for back pain, myalgias and neck pain.  Skin: Negative for rash.  Neurological: Negative for dizziness, seizures and headaches.  Psychiatric/Behavioral: The patient is hyperactive.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Psychiatric symptom, Psychomotor hyperactivity, Respiratory syncytial virus test negative, SARS-CoV-2 test
Clinical narrative: Chief Complaint Patient presents with ? Psychiatric Problem     Per EMS comes from assisted living since son has stated he was on the phone with her and she sounded different and has manic episodes.  ? Fall     per patient has fallen 5 times in the past 10 days. last fall was last night around 10pm. denies thinners and denies LOC.     Patient is a 68 year old female who presents to the ED for a manic episode.  Per patient's son, she has called him multiple times and has had flight of ideas similar to previous episodes.  She was seen and evaluated in geropsych previously.  She states that she has fallen 5 times in the past 10 days and the falls have been mechanical.  She denies hitting her head.  No difficulty with ambulation.  No other complaints.            Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for ear discharge, ear pain and hearing loss.   Eyes: Negative for photophobia.  Respiratory: Negative for cough, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Negative for abdominal pain, constipation, diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria and urgency.  Musculoskeletal: Negative for back pain, myalgias and neck pain.  Skin: Negative for rash.  Neurological: Negative for dizziness, seizures and headaches.  Psychiatric/Behavioral: The patient is hyperactive.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The COVID  vaccine (expiration of 2/28/22) was given after it's beyond use date of 1/15/2022. Outcomes of giving the vaccine after the BUD unknown.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Neuralgia, Rash
Clinical narrative: This was my third vaccine/booster. It resulted in a metallic taste in my mouth, nerve pain on my face and torso and splitting headaches, off and on, for about 10 days.  2nd vaccine (Pfizer): Rash on my torso, headaches. Asked to remain for observation for 30 min. 1st vaccine (Pfizer): Hives on neck within about 45 mins. Splitting headaches, itchy rash for about 10 days.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Headache, Nausea
Clinical narrative: Head Ache, shivering, joint pain, & nausea.  2:00 AM. Two hours after going to sleep.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine was administered before it had been reconstituted.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Lymphadenopathy
Clinical narrative: ipsiolateral subclavicular lymphadenopathy
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basedow's disease, Blood thyroid stimulating hormone, Hyperthyroidism, Ultrasound scan abnormal
Clinical narrative: Graves Disease - Hyper-thyroid