chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Bacteraemia, Blood creatine phosphokinase increased, Blood creatinine abnormal, Blood culture positive
Clinical narrative: History of present illness:  Patient was admitted after she fell, she was found on the floor by her family, she was on the floor for over 12 hr, she denied hitting her head, she denied any syncopal episodes, she was tachycardic with heart rate as high as 177, Cardiology was consulted, labs were suggestive of acute kidney injury and Nephrology was consulted, INR was elevated and sodium level was low.   Hospital Course:  Patient was seen by Nephrology for acute kidney injury, advised fluid resuscitation since this was felt to be secondary to dehydration, she was given IV fluids, however, BUN and creatinine failed to improve, CPK was markedly elevated on admission and was slowly trending down, she was seen by Cardiology and advised intravenous diltiazem in addition to Toprol-XL, echocardiogram was done and showed ejection fraction 60%, moderately dilated left atrium, it was felt that DC cardioversion may be considered once she was more stable.  Test for corona virus disease 19 came back positive, patient reported that she had received 2 doses of vaccine for corona virus disease 19, she denied shortness of breath, she was treated with vitamin-C, zinc, vitamin-D.  She was noted to have diarrhea, stool negative for C diff, positive for leukocytes, stool was also positive for occult blood, seen by Gastroenterology, advised to transfuse as needed and colonoscopy as well as possible EGD as outpatient.  There was concern regarding diverticulitis on imaging, she was treated with ceftriaxone and metronidazole.  Gram-positive bacteremia was noted, 1/2 blood cultures, initially given vancomycin, subsequently vancomycin stopped since microbiology showed coagulase negative staph and patient was already having renal problems.  She was nauseous in the evening on February 11th, electrolyte abnormalities were being corrected, she had emesis and subsequently developed respiratory failure, she went into asystole and was not breathing, CPR was initiated and carried on for approximately 20 min, she was pulseless for about 20 min, she was intubated and moved to the intensive care unit in the evening on February 11th with a consult to Critical Care.  After discussion with multiple family members by Critical Care, decision was made to focus care on comfort only, ventilator placed on standby, patient was noted without vital signs early morning on February 12
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea abnormal, C-reactive protein increased, COVID-19, Cardiac arrest
Clinical narrative: History of present illness:  Patient was admitted after she fell, she was found on the floor by her family, she was on the floor for over 12 hr, she denied hitting her head, she denied any syncopal episodes, she was tachycardic with heart rate as high as 177, Cardiology was consulted, labs were suggestive of acute kidney injury and Nephrology was consulted, INR was elevated and sodium level was low.   Hospital Course:  Patient was seen by Nephrology for acute kidney injury, advised fluid resuscitation since this was felt to be secondary to dehydration, she was given IV fluids, however, BUN and creatinine failed to improve, CPK was markedly elevated on admission and was slowly trending down, she was seen by Cardiology and advised intravenous diltiazem in addition to Toprol-XL, echocardiogram was done and showed ejection fraction 60%, moderately dilated left atrium, it was felt that DC cardioversion may be considered once she was more stable.  Test for corona virus disease 19 came back positive, patient reported that she had received 2 doses of vaccine for corona virus disease 19, she denied shortness of breath, she was treated with vitamin-C, zinc, vitamin-D.  She was noted to have diarrhea, stool negative for C diff, positive for leukocytes, stool was also positive for occult blood, seen by Gastroenterology, advised to transfuse as needed and colonoscopy as well as possible EGD as outpatient.  There was concern regarding diverticulitis on imaging, she was treated with ceftriaxone and metronidazole.  Gram-positive bacteremia was noted, 1/2 blood cultures, initially given vancomycin, subsequently vancomycin stopped since microbiology showed coagulase negative staph and patient was already having renal problems.  She was nauseous in the evening on February 11th, electrolyte abnormalities were being corrected, she had emesis and subsequently developed respiratory failure, she went into asystole and was not breathing, CPR was initiated and carried on for approximately 20 min, she was pulseless for about 20 min, she was intubated and moved to the intensive care unit in the evening on February 11th with a consult to Critical Care.  After discussion with multiple family members by Critical Care, decision was made to focus care on comfort only, ventilator placed on standby, patient was noted without vital signs early morning on February 12
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Clostridium test negative, Death, Dehydration, Diarrhoea, Echocardiogram abnormal
Clinical narrative: History of present illness:  Patient was admitted after she fell, she was found on the floor by her family, she was on the floor for over 12 hr, she denied hitting her head, she denied any syncopal episodes, she was tachycardic with heart rate as high as 177, Cardiology was consulted, labs were suggestive of acute kidney injury and Nephrology was consulted, INR was elevated and sodium level was low.   Hospital Course:  Patient was seen by Nephrology for acute kidney injury, advised fluid resuscitation since this was felt to be secondary to dehydration, she was given IV fluids, however, BUN and creatinine failed to improve, CPK was markedly elevated on admission and was slowly trending down, she was seen by Cardiology and advised intravenous diltiazem in addition to Toprol-XL, echocardiogram was done and showed ejection fraction 60%, moderately dilated left atrium, it was felt that DC cardioversion may be considered once she was more stable.  Test for corona virus disease 19 came back positive, patient reported that she had received 2 doses of vaccine for corona virus disease 19, she denied shortness of breath, she was treated with vitamin-C, zinc, vitamin-D.  She was noted to have diarrhea, stool negative for C diff, positive for leukocytes, stool was also positive for occult blood, seen by Gastroenterology, advised to transfuse as needed and colonoscopy as well as possible EGD as outpatient.  There was concern regarding diverticulitis on imaging, she was treated with ceftriaxone and metronidazole.  Gram-positive bacteremia was noted, 1/2 blood cultures, initially given vancomycin, subsequently vancomycin stopped since microbiology showed coagulase negative staph and patient was already having renal problems.  She was nauseous in the evening on February 11th, electrolyte abnormalities were being corrected, she had emesis and subsequently developed respiratory failure, she went into asystole and was not breathing, CPR was initiated and carried on for approximately 20 min, she was pulseless for about 20 min, she was intubated and moved to the intensive care unit in the evening on February 11th with a consult to Critical Care.  After discussion with multiple family members by Critical Care, decision was made to focus care on comfort only, ventilator placed on standby, patient was noted without vital signs early morning on February 12
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction normal, Electrolyte imbalance, Endotracheal intubation, Fall, Heart rate increased
Clinical narrative: History of present illness:  Patient was admitted after she fell, she was found on the floor by her family, she was on the floor for over 12 hr, she denied hitting her head, she denied any syncopal episodes, she was tachycardic with heart rate as high as 177, Cardiology was consulted, labs were suggestive of acute kidney injury and Nephrology was consulted, INR was elevated and sodium level was low.   Hospital Course:  Patient was seen by Nephrology for acute kidney injury, advised fluid resuscitation since this was felt to be secondary to dehydration, she was given IV fluids, however, BUN and creatinine failed to improve, CPK was markedly elevated on admission and was slowly trending down, she was seen by Cardiology and advised intravenous diltiazem in addition to Toprol-XL, echocardiogram was done and showed ejection fraction 60%, moderately dilated left atrium, it was felt that DC cardioversion may be considered once she was more stable.  Test for corona virus disease 19 came back positive, patient reported that she had received 2 doses of vaccine for corona virus disease 19, she denied shortness of breath, she was treated with vitamin-C, zinc, vitamin-D.  She was noted to have diarrhea, stool negative for C diff, positive for leukocytes, stool was also positive for occult blood, seen by Gastroenterology, advised to transfuse as needed and colonoscopy as well as possible EGD as outpatient.  There was concern regarding diverticulitis on imaging, she was treated with ceftriaxone and metronidazole.  Gram-positive bacteremia was noted, 1/2 blood cultures, initially given vancomycin, subsequently vancomycin stopped since microbiology showed coagulase negative staph and patient was already having renal problems.  She was nauseous in the evening on February 11th, electrolyte abnormalities were being corrected, she had emesis and subsequently developed respiratory failure, she went into asystole and was not breathing, CPR was initiated and carried on for approximately 20 min, she was pulseless for about 20 min, she was intubated and moved to the intensive care unit in the evening on February 11th with a consult to Critical Care.  After discussion with multiple family members by Critical Care, decision was made to focus care on comfort only, ventilator placed on standby, patient was noted without vital signs early morning on February 12
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, International normalised ratio increased, Left atrial dilatation, Mobility decreased, Nausea
Clinical narrative: History of present illness:  Patient was admitted after she fell, she was found on the floor by her family, she was on the floor for over 12 hr, she denied hitting her head, she denied any syncopal episodes, she was tachycardic with heart rate as high as 177, Cardiology was consulted, labs were suggestive of acute kidney injury and Nephrology was consulted, INR was elevated and sodium level was low.   Hospital Course:  Patient was seen by Nephrology for acute kidney injury, advised fluid resuscitation since this was felt to be secondary to dehydration, she was given IV fluids, however, BUN and creatinine failed to improve, CPK was markedly elevated on admission and was slowly trending down, she was seen by Cardiology and advised intravenous diltiazem in addition to Toprol-XL, echocardiogram was done and showed ejection fraction 60%, moderately dilated left atrium, it was felt that DC cardioversion may be considered once she was more stable.  Test for corona virus disease 19 came back positive, patient reported that she had received 2 doses of vaccine for corona virus disease 19, she denied shortness of breath, she was treated with vitamin-C, zinc, vitamin-D.  She was noted to have diarrhea, stool negative for C diff, positive for leukocytes, stool was also positive for occult blood, seen by Gastroenterology, advised to transfuse as needed and colonoscopy as well as possible EGD as outpatient.  There was concern regarding diverticulitis on imaging, she was treated with ceftriaxone and metronidazole.  Gram-positive bacteremia was noted, 1/2 blood cultures, initially given vancomycin, subsequently vancomycin stopped since microbiology showed coagulase negative staph and patient was already having renal problems.  She was nauseous in the evening on February 11th, electrolyte abnormalities were being corrected, she had emesis and subsequently developed respiratory failure, she went into asystole and was not breathing, CPR was initiated and carried on for approximately 20 min, she was pulseless for about 20 min, she was intubated and moved to the intensive care unit in the evening on February 11th with a consult to Critical Care.  After discussion with multiple family members by Critical Care, decision was made to focus care on comfort only, ventilator placed on standby, patient was noted without vital signs early morning on February 12
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Occult blood positive, Pulse absent, Renal disorder, Respiratory arrest, Respiratory failure
Clinical narrative: History of present illness:  Patient was admitted after she fell, she was found on the floor by her family, she was on the floor for over 12 hr, she denied hitting her head, she denied any syncopal episodes, she was tachycardic with heart rate as high as 177, Cardiology was consulted, labs were suggestive of acute kidney injury and Nephrology was consulted, INR was elevated and sodium level was low.   Hospital Course:  Patient was seen by Nephrology for acute kidney injury, advised fluid resuscitation since this was felt to be secondary to dehydration, she was given IV fluids, however, BUN and creatinine failed to improve, CPK was markedly elevated on admission and was slowly trending down, she was seen by Cardiology and advised intravenous diltiazem in addition to Toprol-XL, echocardiogram was done and showed ejection fraction 60%, moderately dilated left atrium, it was felt that DC cardioversion may be considered once she was more stable.  Test for corona virus disease 19 came back positive, patient reported that she had received 2 doses of vaccine for corona virus disease 19, she denied shortness of breath, she was treated with vitamin-C, zinc, vitamin-D.  She was noted to have diarrhea, stool negative for C diff, positive for leukocytes, stool was also positive for occult blood, seen by Gastroenterology, advised to transfuse as needed and colonoscopy as well as possible EGD as outpatient.  There was concern regarding diverticulitis on imaging, she was treated with ceftriaxone and metronidazole.  Gram-positive bacteremia was noted, 1/2 blood cultures, initially given vancomycin, subsequently vancomycin stopped since microbiology showed coagulase negative staph and patient was already having renal problems.  She was nauseous in the evening on February 11th, electrolyte abnormalities were being corrected, she had emesis and subsequently developed respiratory failure, she went into asystole and was not breathing, CPR was initiated and carried on for approximately 20 min, she was pulseless for about 20 min, she was intubated and moved to the intensive care unit in the evening on February 11th with a consult to Critical Care.  After discussion with multiple family members by Critical Care, decision was made to focus care on comfort only, ventilator placed on standby, patient was noted without vital signs early morning on February 12
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Staphylococcal infection, Stool analysis, Tachycardia
Clinical narrative: History of present illness:  Patient was admitted after she fell, she was found on the floor by her family, she was on the floor for over 12 hr, she denied hitting her head, she denied any syncopal episodes, she was tachycardic with heart rate as high as 177, Cardiology was consulted, labs were suggestive of acute kidney injury and Nephrology was consulted, INR was elevated and sodium level was low.   Hospital Course:  Patient was seen by Nephrology for acute kidney injury, advised fluid resuscitation since this was felt to be secondary to dehydration, she was given IV fluids, however, BUN and creatinine failed to improve, CPK was markedly elevated on admission and was slowly trending down, she was seen by Cardiology and advised intravenous diltiazem in addition to Toprol-XL, echocardiogram was done and showed ejection fraction 60%, moderately dilated left atrium, it was felt that DC cardioversion may be considered once she was more stable.  Test for corona virus disease 19 came back positive, patient reported that she had received 2 doses of vaccine for corona virus disease 19, she denied shortness of breath, she was treated with vitamin-C, zinc, vitamin-D.  She was noted to have diarrhea, stool negative for C diff, positive for leukocytes, stool was also positive for occult blood, seen by Gastroenterology, advised to transfuse as needed and colonoscopy as well as possible EGD as outpatient.  There was concern regarding diverticulitis on imaging, she was treated with ceftriaxone and metronidazole.  Gram-positive bacteremia was noted, 1/2 blood cultures, initially given vancomycin, subsequently vancomycin stopped since microbiology showed coagulase negative staph and patient was already having renal problems.  She was nauseous in the evening on February 11th, electrolyte abnormalities were being corrected, she had emesis and subsequently developed respiratory failure, she went into asystole and was not breathing, CPR was initiated and carried on for approximately 20 min, she was pulseless for about 20 min, she was intubated and moved to the intensive care unit in the evening on February 11th with a consult to Critical Care.  After discussion with multiple family members by Critical Care, decision was made to focus care on comfort only, ventilator placed on standby, patient was noted without vital signs early morning on February 12
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased, White blood cells stool positive
Clinical narrative: History of present illness:  Patient was admitted after she fell, she was found on the floor by her family, she was on the floor for over 12 hr, she denied hitting her head, she denied any syncopal episodes, she was tachycardic with heart rate as high as 177, Cardiology was consulted, labs were suggestive of acute kidney injury and Nephrology was consulted, INR was elevated and sodium level was low.   Hospital Course:  Patient was seen by Nephrology for acute kidney injury, advised fluid resuscitation since this was felt to be secondary to dehydration, she was given IV fluids, however, BUN and creatinine failed to improve, CPK was markedly elevated on admission and was slowly trending down, she was seen by Cardiology and advised intravenous diltiazem in addition to Toprol-XL, echocardiogram was done and showed ejection fraction 60%, moderately dilated left atrium, it was felt that DC cardioversion may be considered once she was more stable.  Test for corona virus disease 19 came back positive, patient reported that she had received 2 doses of vaccine for corona virus disease 19, she denied shortness of breath, she was treated with vitamin-C, zinc, vitamin-D.  She was noted to have diarrhea, stool negative for C diff, positive for leukocytes, stool was also positive for occult blood, seen by Gastroenterology, advised to transfuse as needed and colonoscopy as well as possible EGD as outpatient.  There was concern regarding diverticulitis on imaging, she was treated with ceftriaxone and metronidazole.  Gram-positive bacteremia was noted, 1/2 blood cultures, initially given vancomycin, subsequently vancomycin stopped since microbiology showed coagulase negative staph and patient was already having renal problems.  She was nauseous in the evening on February 11th, electrolyte abnormalities were being corrected, she had emesis and subsequently developed respiratory failure, she went into asystole and was not breathing, CPR was initiated and carried on for approximately 20 min, she was pulseless for about 20 min, she was intubated and moved to the intensive care unit in the evening on February 11th with a consult to Critical Care.  After discussion with multiple family members by Critical Care, decision was made to focus care on comfort only, ventilator placed on standby, patient was noted without vital signs early morning on February 12
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a booster dose of Moderna vaccine 0n 07/15/2022. The last extended expiration date was noted to be 07/13/2022. Patient has not reported any adverse events since vaccine was administered.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Hypoaesthesia
Clinical narrative: Patient's mother stated that her left arm "started to go numb while she was at work, about 7 pm and continues to go numb."
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Malaise, Pain, Pyrexia
Clinical narrative: She tested positive for COVID-19 on 7/21/22. She had a headache on 7/19/22 and again on 7/20/22. Then, on 7/21/22, she developed a fever, and still had a headache, and body aches, and just felt unwell in general. Then, on 7/23/22, she was back to normal. I called the doctor and they recommended TYLENOL, PEDIALYTE, and fish.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: She tested positive for COVID-19 on 7/21/22. She had a headache on 7/19/22 and again on 7/20/22. Then, on 7/21/22, she developed a fever, and still had a headache, and body aches, and just felt unwell in general. Then, on 7/23/22, she was back to normal. I called the doctor and they recommended TYLENOL, PEDIALYTE, and fish.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Central nervous system lesion, Death
Clinical narrative: 12/3/21 pt admitted to hospital after having a positive COVID test on 11/30/21 at SNF; sx of generalized weakness; acute septic encephalopathy; COVID test in the hospital was positive as well; AKI; steroids; no O2 needed; ATN due to COVID; MRI of the brain showed new lesion in right parietal region; recommended ABX and no steroids; pt status changed to DNR, comfort measures; pt passed away in the hospital
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Renal tubular necrosis, SARS-CoV-2 test positive, Septic encephalopathy
Clinical narrative: 12/3/21 pt admitted to hospital after having a positive COVID test on 11/30/21 at SNF; sx of generalized weakness; acute septic encephalopathy; COVID test in the hospital was positive as well; AKI; steroids; no O2 needed; ATN due to COVID; MRI of the brain showed new lesion in right parietal region; recommended ABX and no steroids; pt status changed to DNR, comfort measures; pt passed away in the hospital
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, Fatigue, Headache, Nasal congestion
Clinical narrative: Break through case of Covid 19 with 101 fever, terrible headache, fatigue and nasal congestion. Fever and headache lasted one day, second day fatigue, have been improving daily since then. Contacted doctors office on day of testing Positive July 24 and was prescribed Paxlovid which I started at 10Am on July 24. My last dose will be Thursday at 10PM.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Break through case of Covid 19 with 101 fever, terrible headache, fatigue and nasal congestion. Fever and headache lasted one day, second day fatigue, have been improving daily since then. Contacted doctors office on day of testing Positive July 24 and was prescribed Paxlovid which I started at 10Am on July 24. My last dose will be Thursday at 10PM.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: none The local Health Department asked us to file a report as this injection was given 12 days after the 30 day refrigerator time was up. This office was not aware that a refrigerated Moderna vial has to be used within thirty days,. The expiration date on the form was 7-11-22.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood uric acid, Condition aggravated, Gout
Clinical narrative: I had gout that flared up in May and was very painful. I went to see my doctor and she prescribed colchicine to help alleviate the pain and clear the gout. She also prescribed potassium citrate for me to start taking as a preventative. The gout has cleared up and I am feeling much better.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound Doppler abnormal
Clinical narrative: I had no issues around the injection site. I started having leg pain in 07/10/2022. I went to my doctor and was referred to a hospital where I had a ultrasound and diagnosed deep vein thrombosis. They admitted me to the emergency room for four hours.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a booster dose of Moderna vaccine 0n 07/15/2022. The last extended expiration date was noted to be 07/13/2022. Patient has not reported any adverse events since vaccine was administered.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bell's palsy, Gout
Clinical narrative: 1. Crippling Gout flare 5/22 2. Bells Palsy.  6/11/22
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Rash
Clinical narrative: Patient noted pain and then rash on 7/23 0700. Patient reports rash is near right clavicle, has spread to under right breast area and onto arm.
Age: 38.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, minor swelling and induration, itchiness surrounding injection site lasting 4 days (so far).
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza like illness, Pyrexia
Clinical narrative: I had flu like symptoms. I had a headache, chills, and a fever. I stayed in bed for about 24 hours, and my symptoms lasted for about 24 hours. Then I started feeling better.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Autoimmune disorder, COVID-19, Chills, Condition aggravated
Clinical narrative: I took two CLARITIN due to an auto immune disease flare up. On July 24th about noon I noticed I had post nasal drip. I ignored it because I thought it was due to taking too much CLARITIN. I woke up later that night my drainage from nose had increased and I had body aches. I tested positive that night for COVID-19. The next day I had fever, chills, body aches and crying with emotions. I had a severe headache. I started PAXLOVID. Highest temperature was 101.9. Tuesday my fever decreased and as of today it is gone. I am really short of breath. I have started on steroids for that. I still have the post nasal drip and a bad headache. I do have more energy and not as much short of breath.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Dyspnoea, Emotional disorder, Headache, Pain
Clinical narrative: I took two CLARITIN due to an auto immune disease flare up. On July 24th about noon I noticed I had post nasal drip. I ignored it because I thought it was due to taking too much CLARITIN. I woke up later that night my drainage from nose had increased and I had body aches. I tested positive that night for COVID-19. The next day I had fever, chills, body aches and crying with emotions. I had a severe headache. I started PAXLOVID. Highest temperature was 101.9. Tuesday my fever decreased and as of today it is gone. I am really short of breath. I have started on steroids for that. I still have the post nasal drip and a bad headache. I do have more energy and not as much short of breath.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: I took two CLARITIN due to an auto immune disease flare up. On July 24th about noon I noticed I had post nasal drip. I ignored it because I thought it was due to taking too much CLARITIN. I woke up later that night my drainage from nose had increased and I had body aches. I tested positive that night for COVID-19. The next day I had fever, chills, body aches and crying with emotions. I had a severe headache. I started PAXLOVID. Highest temperature was 101.9. Tuesday my fever decreased and as of today it is gone. I am really short of breath. I have started on steroids for that. I still have the post nasal drip and a bad headache. I do have more energy and not as much short of breath.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: None. The local Health Department requested a report as this vaccine dose was given 19 days after the recommended 30 day refrigerator limit for the Moderna vaccine. The expiration day was listed on the form for the date of 7-11-2022. The patient had no untoward effects. Moderna will be contacted to ascertain efficacy.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Death, Fall
Clinical narrative: pt brought to hospital ED after a fall at home; son reports generalized weakness and increased falling over last week; found to have a positive COVID test; COVID PNA; given dexamethasone; developed fever and worsening respiratory failure; O2 supplement; transitioned to comfort care and pt expired in the hospital
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt brought to hospital ED after a fall at home; son reports generalized weakness and increased falling over last week; found to have a positive COVID test; COVID PNA; given dexamethasone; developed fever and worsening respiratory failure; O2 supplement; transitioned to comfort care and pt expired in the hospital
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Haemoptysis, Impaired work ability
Clinical narrative: Patient was hospitalized for symptomatic COVID-19 on 06/24/2022. Patient received Janssen vaccine.   Pt admitted to the ED and states that he was in his usual state until about 3am this morning. He was at work when he coughed up what he describes as a copious amount of blood. Prior to this episode, he had not noted any coughing. He said this coughing spell was severe. He noted that he felt a pop in his chest with pain that lasted for approx 3s and then developed an "itching" sensation in his chest and an urge to cough where he expelled frank blood. He states that this lasted for almost half an hour. He estimates he coughed up approx 1 pint of blood.   Workup revealed that he is positive for COVID-19 infection.  He had some pulmonary distress with shortness of breath but he did not have significant hypoxia.  He was seen by Pulmonary and he did not require emergent intubation or bronchoscopy.  He had prompt improvement in his hemoptysis.  At the time of discharge, he continues to have cough productive of sputum but his sputum is white/yellow and not red.  He denies chest pain.  He denies worsening shortness of breath.  This morning, his O2 saturation was 94% on room air.  He is trying to quit smoking and estimates he smokes less than 10 cigarettes per day.  He also is working with his primary care provider for optimization of diabetes and hypertension.  He has a past medical history significant for coronary artery disease status post PCI.  He understands that he has COVID-19 infection and he should follow isolation/quarantine protocols and he should not return to work until his workplace protocol has been satisfied.  He generally feels well and he is interested in discharge.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Productive cough, Pruritus, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized for symptomatic COVID-19 on 06/24/2022. Patient received Janssen vaccine.   Pt admitted to the ED and states that he was in his usual state until about 3am this morning. He was at work when he coughed up what he describes as a copious amount of blood. Prior to this episode, he had not noted any coughing. He said this coughing spell was severe. He noted that he felt a pop in his chest with pain that lasted for approx 3s and then developed an "itching" sensation in his chest and an urge to cough where he expelled frank blood. He states that this lasted for almost half an hour. He estimates he coughed up approx 1 pint of blood.   Workup revealed that he is positive for COVID-19 infection.  He had some pulmonary distress with shortness of breath but he did not have significant hypoxia.  He was seen by Pulmonary and he did not require emergent intubation or bronchoscopy.  He had prompt improvement in his hemoptysis.  At the time of discharge, he continues to have cough productive of sputum but his sputum is white/yellow and not red.  He denies chest pain.  He denies worsening shortness of breath.  This morning, his O2 saturation was 94% on room air.  He is trying to quit smoking and estimates he smokes less than 10 cigarettes per day.  He also is working with his primary care provider for optimization of diabetes and hypertension.  He has a past medical history significant for coronary artery disease status post PCI.  He understands that he has COVID-19 infection and he should follow isolation/quarantine protocols and he should not return to work until his workplace protocol has been satisfied.  He generally feels well and he is interested in discharge.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: Patient was hospitalized for symptomatic COVID-19 on 06/24/2022. Patient received Janssen vaccine.   Pt admitted to the ED and states that he was in his usual state until about 3am this morning. He was at work when he coughed up what he describes as a copious amount of blood. Prior to this episode, he had not noted any coughing. He said this coughing spell was severe. He noted that he felt a pop in his chest with pain that lasted for approx 3s and then developed an "itching" sensation in his chest and an urge to cough where he expelled frank blood. He states that this lasted for almost half an hour. He estimates he coughed up approx 1 pint of blood.   Workup revealed that he is positive for COVID-19 infection.  He had some pulmonary distress with shortness of breath but he did not have significant hypoxia.  He was seen by Pulmonary and he did not require emergent intubation or bronchoscopy.  He had prompt improvement in his hemoptysis.  At the time of discharge, he continues to have cough productive of sputum but his sputum is white/yellow and not red.  He denies chest pain.  He denies worsening shortness of breath.  This morning, his O2 saturation was 94% on room air.  He is trying to quit smoking and estimates he smokes less than 10 cigarettes per day.  He also is working with his primary care provider for optimization of diabetes and hypertension.  He has a past medical history significant for coronary artery disease status post PCI.  He understands that he has COVID-19 infection and he should follow isolation/quarantine protocols and he should not return to work until his workplace protocol has been satisfied.  He generally feels well and he is interested in discharge.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test, Dehydration, Dizziness, Fatigue
Clinical narrative: After a few hours at first I was lightheaded. The next day I was feeling hot and then cold and still with the headache. My stomach was feeling messed up and I felt drained. When I went to the hospital they said I was dehydrated and I had a fever.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Feeling hot, Headache, Pyrexia
Clinical narrative: After a few hours at first I was lightheaded. The next day I was feeling hot and then cold and still with the headache. My stomach was feeling messed up and I felt drained. When I went to the hospital they said I was dehydrated and I had a fever.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional distress, Heat exhaustion, Hyperhidrosis, Temperature intolerance
Clinical narrative: Environmental heat intolerance, excessive perspiration.  I am now unable to be out in any type of heat without having symptoms of heat exhaustion, even after a short time.  Now whenever I work out (5 days a week) I sweat excessively and soak my clothing and a hand towel.  This has never happened to me before and is not getting any better as time passes.  This is very distressing to me and embarrassing.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: THE PATIENT EXPERIENCED HIVES 4-5 HOURS AFTER HAVING THE SHOT. THE HIVES LASTED FOR 4 DAYS. THE PATIENT WAS TREATED WITH BENADRYL.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a booster dose of Moderna vaccine 0n 07/15/2022. The last extended expiration date was noted to be 07/13/2022. Patient has not reported any adverse events since vaccine was administered.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atelectasis, Blood creatine phosphokinase increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Pt was admitted for fall, elevated troponin, ck total possible due to demand ischemia, rhabdomyolysis, acute on chronic respiratory failure possible due to covid 19 infection treated with respiratory protocol, decadron abx, anti tussive. Pulmonology recommend continue current medications. Currently on 2 lpm oxygen, uses oxygen at home as needed. Rhabdomyolysis improving, ck total trending down; Cardiology recommend elevated troponin possible demand ischemia, continue cardiac medications. Therapy recommend post acute rehab which pt declined.  Acute on chronic hypoxic respiratory failure resolved, covid 19 infection, pneumonia improved, finished abx course. Rhabdomyolysis improved. Pt was discharged home stable condition, script for decadron given upon discharge.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Granuloma, Lung hyperinflation, Myocardial ischaemia, Pneumonia
Clinical narrative: Pt was admitted for fall, elevated troponin, ck total possible due to demand ischemia, rhabdomyolysis, acute on chronic respiratory failure possible due to covid 19 infection treated with respiratory protocol, decadron abx, anti tussive. Pulmonology recommend continue current medications. Currently on 2 lpm oxygen, uses oxygen at home as needed. Rhabdomyolysis improving, ck total trending down; Cardiology recommend elevated troponin possible demand ischemia, continue cardiac medications. Therapy recommend post acute rehab which pt declined.  Acute on chronic hypoxic respiratory failure resolved, covid 19 infection, pneumonia improved, finished abx course. Rhabdomyolysis improved. Pt was discharged home stable condition, script for decadron given upon discharge.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary fibrosis, Rhabdomyolysis, Troponin increased
Clinical narrative: Pt was admitted for fall, elevated troponin, ck total possible due to demand ischemia, rhabdomyolysis, acute on chronic respiratory failure possible due to covid 19 infection treated with respiratory protocol, decadron abx, anti tussive. Pulmonology recommend continue current medications. Currently on 2 lpm oxygen, uses oxygen at home as needed. Rhabdomyolysis improving, ck total trending down; Cardiology recommend elevated troponin possible demand ischemia, continue cardiac medications. Therapy recommend post acute rehab which pt declined.  Acute on chronic hypoxic respiratory failure resolved, covid 19 infection, pneumonia improved, finished abx course. Rhabdomyolysis improved. Pt was discharged home stable condition, script for decadron given upon discharge.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Break through Covid 19 case on July 21, 2022, symptoms were sneezing, runny nose, cough, mild fatigue. Had a video appointment with  my doctor 8am July 22nd and was prescribed Paxlovid. Took first dose at 5PM on July 22 and 2nd at 1AM on July 23, have continued twice a day, last dose 9PM July 26. Symptoms have improved.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing, Vaccine breakthrough infection
Clinical narrative: Break through Covid 19 case on July 21, 2022, symptoms were sneezing, runny nose, cough, mild fatigue. Had a video appointment with  my doctor 8am July 22nd and was prescribed Paxlovid. Took first dose at 5PM on July 22 and 2nd at 1AM on July 23, have continued twice a day, last dose 9PM July 26. Symptoms have improved.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Dyspnoea, Dyspnoea exertional
Clinical narrative: 1/27/22 pt comes from ED; admitted to Medical Center with c/o feeling ill on 1/26/22 - fatigue, cough, congestion, SOB, dyspnea with exertion; O2 saturation 80% on RA; O2 supplementation; positive COVID test; BiPAP; given Decadron, ABX; transferred to ICU; DNR; status changed to DNR comfort care only; pt expired in the hospital
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Intensive care, Malaise, Positive airway pressure therapy, Respiratory tract congestion
Clinical narrative: 1/27/22 pt comes from ED; admitted to Medical Center with c/o feeling ill on 1/26/22 - fatigue, cough, congestion, SOB, dyspnea with exertion; O2 saturation 80% on RA; O2 supplementation; positive COVID test; BiPAP; given Decadron, ABX; transferred to ICU; DNR; status changed to DNR comfort care only; pt expired in the hospital
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 1/27/22 pt comes from ED; admitted to Medical Center with c/o feeling ill on 1/26/22 - fatigue, cough, congestion, SOB, dyspnea with exertion; O2 saturation 80% on RA; O2 supplementation; positive COVID test; BiPAP; given Decadron, ABX; transferred to ICU; DNR; status changed to DNR comfort care only; pt expired in the hospital
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: RED BLOTCHES ON ARM, LEGS, AND FEET.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: Loss of nearly all smell (95% loss) about a month after receiving the J&J COVID vaccine.  Smell has not returned.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid breakthrough case
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Malaise, Pyrexia
Clinical narrative: I contracted COVID-19 on 06/11/2022 with symptoms of congestion, fatigue, fever of 99.5, and cough. I was prescribed Paxlovid on 06/11/2022. I was ill for 2 days before my symptoms began to improve. I had lingering fatigue for 5 to 10 days after completing Paxlovid. I had 24 hours of symptom rebound 3 days after completing Paxlovid, but I am fully recovered with no lingering symptoms.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Rebound effect, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/11/2022 with symptoms of congestion, fatigue, fever of 99.5, and cough. I was prescribed Paxlovid on 06/11/2022. I was ill for 2 days before my symptoms began to improve. I had lingering fatigue for 5 to 10 days after completing Paxlovid. I had 24 hours of symptom rebound 3 days after completing Paxlovid, but I am fully recovered with no lingering symptoms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal
Clinical narrative: I received my second Moderna booster for COVID-19 on 4/26/2022. On either the evening of 7/21/2022 or the morning of 7/22/2022, I developed a cough and some upper respiratory congestion. My husband had recently tested positive for COVID-19, so I just started masking and then took a home test on the evening of 7/23/2022. The result was positive. I just treated my symptoms with OTC medicines like Delsym, Mucinex, and Sudafed. I then called my PCP on 7/25/2022 to notify her. She prescribed me some benzonatate pills to treat my cough. Since I've been ill, I've dealt with significant fatigue, brain fog, cough, and congestion. I've been regularly checking my blood oxygen levels, and they have never dipped below 97%. At the time of this writing, my symptoms are improving. I'm now not as tired as I was from 7/24/2022-7/26/2022, plus my brain fog has diminished. However, I still have cough and congestion. Having said that, though, I would say that the OTC medicines and the benzonatate have worked well. I haven't had difficulty breathing, and I have been able to sleep well at night.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I received my second Moderna booster for COVID-19 on 4/26/2022. On either the evening of 7/21/2022 or the morning of 7/22/2022, I developed a cough and some upper respiratory congestion. My husband had recently tested positive for COVID-19, so I just started masking and then took a home test on the evening of 7/23/2022. The result was positive. I just treated my symptoms with OTC medicines like Delsym, Mucinex, and Sudafed. I then called my PCP on 7/25/2022 to notify her. She prescribed me some benzonatate pills to treat my cough. Since I've been ill, I've dealt with significant fatigue, brain fog, cough, and congestion. I've been regularly checking my blood oxygen levels, and they have never dipped below 97%. At the time of this writing, my symptoms are improving. I'm now not as tired as I was from 7/24/2022-7/26/2022, plus my brain fog has diminished. However, I still have cough and congestion. Having said that, though, I would say that the OTC medicines and the benzonatate have worked well. I haven't had difficulty breathing, and I have been able to sleep well at night.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered on 6/30 was 4 day past best by used date. The patient was called requesting a call back to inform them of the issue but no call back was ever returned so unsure if patient had any issues or concerns.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alcohol withdrawal syndrome, Aspergillus test negative, Blood culture positive, Blood glucose increased
Clinical narrative: Pt presented to the ED on 12/1 with CC of shortness of breath. His O2 saturation per his wife was 51%, was brought to the hospital.  Per pt he had been short of breath for the past 12 hours prior to presentation.  In ED pt was found to be positive for COVID-19.  CXR showed bilateral infiltrates.  His white blood cell was elevated at 22.63, Lactic acid was 6.5,   His blood glucose was elevated at 477, sodium low at 129, elevated procalcitonin of 0.75, and CRP elevated at 12.5.  The patient was admitted to moderate care with high-flow nasal cannula.  He was started on remdesivir and decadron.  Per wife at home his oxygen levels would be low in 80s when he wakes up and after up for a bit will come up with supplemental oxygen otherwise first hour or so runs in 80s.   For Patient's acute on chronic hypoxemic respiratory failure is likely secondary to covid inflammation.  Patient wears 4-6 L of oxygen at home.  Patient received steroids and remdesivir in addition to azithromycin and vancomycin for 3 days.  He was on a steroid taper however on 01/03/2022 patient's respiratory status worsened requiring BiPAP.  His Decadron needed to be resumed at 6 mg on 01/04/2022.  Sepsis workup was reinitiated and although previously Blood cx diptherioids and micrococcus 1/2 positive on 12/1. Repeat cx NG on 12/11.   he received cefepime for 16d. Blood culture again positive for staph 2/2 on 01/04/2022.  Repeat cultures are negative.  Repeat Fungitell and Aspergillus negative.  Patient was restarted on vancomycin per infectious disease.  On 01/07/2022 patient was able to be weaned down to nasal cannula.  Patient has COPD and needs his Trilogy set up at home.  It was recalled.  Pulmonary recommends decreasing his steroid by 1 mg every 3 days.  Patient's hospitalization complicated by alcohol withdrawal requiring phenobarb taper.  Patient also noted to have dysphagia.  He is currently on dysphagia mechanically altered diet per speech recommendation.   On the day of discharge patient denied any significant shortness of breath while on nasal cannula, chest pain, nausea, vomiting, shortness of breath.  He was tolerating his oral intake.