chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine booster dose was given in error to a 16 year old male. There are no adverse events to report related to this immunization.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Hospitalized weakness, fatigue, cough. treated with remdesivir no O2 needed.
Age: 22.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Pain in extremity, Rash, Rash erythematous
Clinical narrative: Red facial rash, chills, left arm soreness
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: none
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Feeling cold, Headache, Laryngitis, Pain
Clinical narrative: On 5/31, I just had pain in my arm. On Wednesday, I was still experiencing arm pain but also was having some body aches. My temperature was 99. something but I was feeling cold, so I stayed home to rest under a blanket all day. Thursday, I was having a headache and body aches, but nothing too severe. On Saturday morning 06/04, I started to experiencing laryngitis and began to lose my voice.  I spoke with a friend who also has experienced this after a vaccine, so I wasn't too concerned until I noticed some mucus build up. So I intended to see a doctor on 06/05, but I woke up that morning on 06/05 and my symptoms had begun to improve and this morning on 06/06 the mucus had broken up so I decided to not go to see a doctor.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Secretion discharge
Clinical narrative: On 5/31, I just had pain in my arm. On Wednesday, I was still experiencing arm pain but also was having some body aches. My temperature was 99. something but I was feeling cold, so I stayed home to rest under a blanket all day. Thursday, I was having a headache and body aches, but nothing too severe. On Saturday morning 06/04, I started to experiencing laryngitis and began to lose my voice.  I spoke with a friend who also has experienced this after a vaccine, so I wasn't too concerned until I noticed some mucus build up. So I intended to see a doctor on 06/05, but I woke up that morning on 06/05 and my symptoms had begun to improve and this morning on 06/06 the mucus had broken up so I decided to not go to see a doctor.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Headache
Clinical narrative: chronic headaches use pain relievers such as Tylenol and Advil
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Malaise, Nasal congestion
Clinical narrative: I did not have an adverse reaction to the vaccine but I contracted Covid 19 and tested positive on June 1, 2022. I began having symptoms on May 28 with a scratchy throat. About five days afterwards, I just wasn't feeling well. I had nasal congestion, fatigue and frequent dry cough. I took Tylenol or Aleve but it really didn't help. I had a Telehealth visit with my doctor and she prescribed an anti viral medication. By June 4th, I was feeling better but still have fatigue.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Throat irritation
Clinical narrative: I did not have an adverse reaction to the vaccine but I contracted Covid 19 and tested positive on June 1, 2022. I began having symptoms on May 28 with a scratchy throat. About five days afterwards, I just wasn't feeling well. I had nasal congestion, fatigue and frequent dry cough. I took Tylenol or Aleve but it really didn't help. I had a Telehealth visit with my doctor and she prescribed an anti viral medication. By June 4th, I was feeling better but still have fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case of Covid - positive test result 05/27/2022. Sx onset 05/25/2022, It started with a scratchy throat. The next day 05/26/2022, I still had a scratchy throat and a mild headache, I tested negative that day. On Friday 05/27/2022, I had a low-grade fever like 99, along with scratchy throat, headache, runny nose, sinus congestion and sneezing more. I took a home test that showed positive test result. I called telehealth and spoke to an APRN and was prescribed Paxlovid. I was able to start the Paxlovid 05/27/2022 so my sx slowly got better. I was taking Tylenol to control the fever and by 05/28/2022 it broke, and the congestion kept getting better. I feel as though I have recovered.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Sneezing, Throat irritation, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of Covid - positive test result 05/27/2022. Sx onset 05/25/2022, It started with a scratchy throat. The next day 05/26/2022, I still had a scratchy throat and a mild headache, I tested negative that day. On Friday 05/27/2022, I had a low-grade fever like 99, along with scratchy throat, headache, runny nose, sinus congestion and sneezing more. I took a home test that showed positive test result. I called telehealth and spoke to an APRN and was prescribed Paxlovid. I was able to start the Paxlovid 05/27/2022 so my sx slowly got better. I was taking Tylenol to control the fever and by 05/28/2022 it broke, and the congestion kept getting better. I feel as though I have recovered.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID +
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine expired / in refrigerator past 10 week window
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Loss of personal independence in daily activities, Nausea, Sleep disorder
Clinical narrative: He started with stomach pain two weeks after getting the vaccine. He had nausea, vomiting and diarrhea for about 2-3 times a week. It caused him to missed a lot of school because of this.  Sometimes he can't sleep because of his stomach be hurting and he be in a lot of pain a lot of the time. It hurts me to see my son hurting. Before the vaccine my son was a healthy child. The doctor prescribe him some Banophen 25mg x2 every 6 hours.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: He started with stomach pain two weeks after getting the vaccine. He had nausea, vomiting and diarrhea for about 2-3 times a week. It caused him to missed a lot of school because of this.  Sometimes he can't sleep because of his stomach be hurting and he be in a lot of pain a lot of the time. It hurts me to see my son hurting. Before the vaccine my son was a healthy child. The doctor prescribe him some Banophen 25mg x2 every 6 hours.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Yes
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Confusional state, Cough, Pain in extremity
Clinical narrative: Hospitalized with  confusion, cough, extremity pain. Pneumonia related to COVID 19 treated with remdesivir, dexamethasone and O2.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalized with  confusion, cough, extremity pain. Pneumonia related to COVID 19 treated with remdesivir, dexamethasone and O2.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive pt that was fully vaccinated
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Culture urine positive, Escherichia test positive, Haemoglobin decreased, Iron deficiency
Clinical narrative: Discharge Provider: Primary Care Provider: NP Admission Date: 5/30/2022 Discharge Date: Jun 2, 2022  PRESENTING PROBLEM: Altered mental status, unspecified altered mental status type [R41.82] AMS (altered mental status) [R41.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is 81 year old female with past medical history significant for chronic hypercalcemia/hyperparathyroidism, chronic anemia/thrombocytosis/leukocytosis, history of PE/Eliquis, hypertension and chronic obstructive pulmonary disease presents to the hospital on 05/30 due to altered mental status.  Was found to have fever at the time of admit.  Mental status was felt to be back to baseline even at the time of admission.  Patient was noted to have a borderline abnormal urinalysis and was not started on antibiotics.  She was incidentally tested positive for COVID-19.  Admitted for observation. Fever was felt to be related to heat exposure as patient was sitting in son at the facility and had refused to come in and it was a very hot day.  However fever could have been related to urinary tract infection or COVID.  She was afebrile for the course of hospital stay. Urinalysis was abnormal but without symptoms it was felt to be asymptomatic pyuria however with presenting complaints of altered mental status, fever and subsequent positive urine cultures showing E coli> 100,000CFU, patient was started on Rocephin with plan for 3 day course of antibiotics. COVID-19 infection was felt to be asymptomatic and incidental. Patient did have history of hypercalcemia, has followed up with endocrinology and subsequently with general surgery, was offered parathyroidectomy but she did not want to pursue surgery anymore. Patient was noted to have downtrending hemoglobin and was also noted to have severe iron deficiency.  She received test does IV iron dextran in preparation for the whole dose however she developed anaphylaxis on 06/01 but did not need CPR.  She was immediately given epinephrine, Benadryl and Solu-Medrol.  She quickly recovered.  Next day she was back to her baseline. She was discharged back to her facility on 06/02.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Pyrexia, Pyuria, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Discharge Provider: Primary Care Provider: NP Admission Date: 5/30/2022 Discharge Date: Jun 2, 2022  PRESENTING PROBLEM: Altered mental status, unspecified altered mental status type [R41.82] AMS (altered mental status) [R41.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is 81 year old female with past medical history significant for chronic hypercalcemia/hyperparathyroidism, chronic anemia/thrombocytosis/leukocytosis, history of PE/Eliquis, hypertension and chronic obstructive pulmonary disease presents to the hospital on 05/30 due to altered mental status.  Was found to have fever at the time of admit.  Mental status was felt to be back to baseline even at the time of admission.  Patient was noted to have a borderline abnormal urinalysis and was not started on antibiotics.  She was incidentally tested positive for COVID-19.  Admitted for observation. Fever was felt to be related to heat exposure as patient was sitting in son at the facility and had refused to come in and it was a very hot day.  However fever could have been related to urinary tract infection or COVID.  She was afebrile for the course of hospital stay. Urinalysis was abnormal but without symptoms it was felt to be asymptomatic pyuria however with presenting complaints of altered mental status, fever and subsequent positive urine cultures showing E coli> 100,000CFU, patient was started on Rocephin with plan for 3 day course of antibiotics. COVID-19 infection was felt to be asymptomatic and incidental. Patient did have history of hypercalcemia, has followed up with endocrinology and subsequently with general surgery, was offered parathyroidectomy but she did not want to pursue surgery anymore. Patient was noted to have downtrending hemoglobin and was also noted to have severe iron deficiency.  She received test does IV iron dextran in preparation for the whole dose however she developed anaphylaxis on 06/01 but did not need CPR.  She was immediately given epinephrine, Benadryl and Solu-Medrol.  She quickly recovered.  Next day she was back to her baseline. She was discharged back to her facility on 06/02.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: Discharge Provider: Primary Care Provider: NP Admission Date: 5/30/2022 Discharge Date: Jun 2, 2022  PRESENTING PROBLEM: Altered mental status, unspecified altered mental status type [R41.82] AMS (altered mental status) [R41.82] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is 81 year old female with past medical history significant for chronic hypercalcemia/hyperparathyroidism, chronic anemia/thrombocytosis/leukocytosis, history of PE/Eliquis, hypertension and chronic obstructive pulmonary disease presents to the hospital on 05/30 due to altered mental status.  Was found to have fever at the time of admit.  Mental status was felt to be back to baseline even at the time of admission.  Patient was noted to have a borderline abnormal urinalysis and was not started on antibiotics.  She was incidentally tested positive for COVID-19.  Admitted for observation. Fever was felt to be related to heat exposure as patient was sitting in son at the facility and had refused to come in and it was a very hot day.  However fever could have been related to urinary tract infection or COVID.  She was afebrile for the course of hospital stay. Urinalysis was abnormal but without symptoms it was felt to be asymptomatic pyuria however with presenting complaints of altered mental status, fever and subsequent positive urine cultures showing E coli> 100,000CFU, patient was started on Rocephin with plan for 3 day course of antibiotics. COVID-19 infection was felt to be asymptomatic and incidental. Patient did have history of hypercalcemia, has followed up with endocrinology and subsequently with general surgery, was offered parathyroidectomy but she did not want to pursue surgery anymore. Patient was noted to have downtrending hemoglobin and was also noted to have severe iron deficiency.  She received test does IV iron dextran in preparation for the whole dose however she developed anaphylaxis on 06/01 but did not need CPR.  She was immediately given epinephrine, Benadryl and Solu-Medrol.  She quickly recovered.  Next day she was back to her baseline. She was discharged back to her facility on 06/02.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer (grey cap) was stored in freezer for 22 days and given to patient- they rec;d a replacement dose on 6/3/22
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Blister, Condition aggravated, Eczema
Clinical narrative: Patient received first COVID Vac on 03/28/2022 and experienced mild eczema flareup shortly after. Received second COVID vaccine on 05/11/2022 and started having symptoms on 05/18/2022 to include headaches, stomach pain, joint pain, fevers, fluid filled bumps on lip that spread to face/arm/hands/inside mouth, weight loss of 4 lbs (significant for a child his age). Bumps resembled herpes. Case reports show that Herpes simplex flare is an uncommon skin reaction to the COVID vaccine. Unfortunately, it appears the  healthcare providers don't seem to want to link it to the vaccine. Although the patient has a history of severe eczema, he has never had an eczema flare-up that resembles herpes. After two visits to ERS, he was finally swabbed and diagnosed with HSV1. He was placed on acyclovir (which he is still taking), keflex oral antibiotics and mupiricin topical antibiotics for infection, tylenol and motrin for fevers that lasted 5 days, and other skin creams. He has scars and is suffering emotionally from embarrassment of how his mouth looks. He is still recoving.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Emotional distress, Headache, Herpes simplex test positive, Herpes virus infection, Pyrexia
Clinical narrative: Patient received first COVID Vac on 03/28/2022 and experienced mild eczema flareup shortly after. Received second COVID vaccine on 05/11/2022 and started having symptoms on 05/18/2022 to include headaches, stomach pain, joint pain, fevers, fluid filled bumps on lip that spread to face/arm/hands/inside mouth, weight loss of 4 lbs (significant for a child his age). Bumps resembled herpes. Case reports show that Herpes simplex flare is an uncommon skin reaction to the COVID vaccine. Unfortunately, it appears the  healthcare providers don't seem to want to link it to the vaccine. Although the patient has a history of severe eczema, he has never had an eczema flare-up that resembles herpes. After two visits to ERS, he was finally swabbed and diagnosed with HSV1. He was placed on acyclovir (which he is still taking), keflex oral antibiotics and mupiricin topical antibiotics for infection, tylenol and motrin for fevers that lasted 5 days, and other skin creams. He has scars and is suffering emotionally from embarrassment of how his mouth looks. He is still recoving.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Scar, Weight decreased
Clinical narrative: Patient received first COVID Vac on 03/28/2022 and experienced mild eczema flareup shortly after. Received second COVID vaccine on 05/11/2022 and started having symptoms on 05/18/2022 to include headaches, stomach pain, joint pain, fevers, fluid filled bumps on lip that spread to face/arm/hands/inside mouth, weight loss of 4 lbs (significant for a child his age). Bumps resembled herpes. Case reports show that Herpes simplex flare is an uncommon skin reaction to the COVID vaccine. Unfortunately, it appears the  healthcare providers don't seem to want to link it to the vaccine. Although the patient has a history of severe eczema, he has never had an eczema flare-up that resembles herpes. After two visits to ERS, he was finally swabbed and diagnosed with HSV1. He was placed on acyclovir (which he is still taking), keflex oral antibiotics and mupiricin topical antibiotics for infection, tylenol and motrin for fevers that lasted 5 days, and other skin creams. He has scars and is suffering emotionally from embarrassment of how his mouth looks. He is still recoving.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Fever of 102.6- tylenol wouldn't help but ibuprofen did finally.  Fatigue,  muscle soreness,  headache,  chills, sweating, loss of appetite
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: Fever of 102.6- tylenol wouldn't help but ibuprofen did finally.  Fatigue,  muscle soreness,  headache,  chills, sweating, loss of appetite
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 06/03/2022  I had a runny nose and coughing. On 6/4/2022 I tested positive for COVID.  I emailed my PCP on 6/3/2022 that my husband was positive and that if I became positive, what should I do.  He said to call the PA who was on call over the week-end. She prescribed Paxlovid which I started on June 4. I have weird taste from it, but otherwise I am doing fine now, but have been pretty sick.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: 06/03/2022  I had a runny nose and coughing. On 6/4/2022 I tested positive for COVID.  I emailed my PCP on 6/3/2022 that my husband was positive and that if I became positive, what should I do.  He said to call the PA who was on call over the week-end. She prescribed Paxlovid which I started on June 4. I have weird taste from it, but otherwise I am doing fine now, but have been pretty sick.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Atelectasis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Discharge Provider:MD Primary Care Provider at Discharge: MD Admission Date: 5/31/2022 Discharge Date: 6/2/2022   PRESENTING PROBLEM: Hypoxia Ureteral calculus, left AKI (acute kidney injury) Acute kidney injury COVID-19   HOSPITAL COURSE:    Patient is a 62-year-old female admitted to hospital on 5/31/2022 with significant left-sided nephrolithiasis, acute renal failure COVID 19 viral pneumonia.  Patient had a CT of the abdomen pelvis done that showed a 7 mm calculus in the distal left ureter.  It CT was repeated on 06/02/2022 due to the patient's increased reports of pain.  The patient's case was discussed with Urology 2 times did not feel that she needed transferred for any intervention.  On repeat CT they do review the left kidney stone as 8.5 mm however the stone has migrated distally to the left ureterovesical junction with decrease in the hydronephrosis.  The patient's renal function has improved but is not back at her baseline.  Would recommend repeat BMP in 1 week to ensure continued improvement.  The patient's pain has been controlled on oral pain medication, she has Percocet prescribed at home, she was instructed he uses as needed for pain.  The patient was also given a 30 day prescription for Flomax in the setting of a kidney stone.  On 06/01/2022 the patient did pass a stone however this was likely from the right side as it was smaller.  On 06/01/2020 the patient had a eventful day where she was lightheaded in the a.m. and found to be orthostatic.  She was continued on IV fluids later in the day she develops chest pain that was reproducible to palpation but also hurt with deep inspiration.  A troponin was done at this time and was not elevated an EKG was also completed at this time and did not show any ST elevation or T-wave inversion.  In regards the patient's COVID-19 viral pneumonia.  She did develop hypoxia on 05/31 requiring 2 L nasal cannula.  A chest x-ray was done which showed subtle early atelectasis verses right lung base pneumonia.  The patient was quickly weaned off oxygen but she was started on Decadron during the hospital stay and received a total of 2 doses.  Given she was quickly weaned off oxygen will continue Decadron upon discharge.   Continue outpatient follow-up for chronic lower back pain, GERD, tobacco abuse, essential hypertension and diabetes.  Recommend post hospitalization follow-up with PCP in 1 week
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram abdomen abnormal, Dizziness, Electrocardiogram normal, Hydronephrosis
Clinical narrative: Discharge Provider:MD Primary Care Provider at Discharge: MD Admission Date: 5/31/2022 Discharge Date: 6/2/2022   PRESENTING PROBLEM: Hypoxia Ureteral calculus, left AKI (acute kidney injury) Acute kidney injury COVID-19   HOSPITAL COURSE:    Patient is a 62-year-old female admitted to hospital on 5/31/2022 with significant left-sided nephrolithiasis, acute renal failure COVID 19 viral pneumonia.  Patient had a CT of the abdomen pelvis done that showed a 7 mm calculus in the distal left ureter.  It CT was repeated on 06/02/2022 due to the patient's increased reports of pain.  The patient's case was discussed with Urology 2 times did not feel that she needed transferred for any intervention.  On repeat CT they do review the left kidney stone as 8.5 mm however the stone has migrated distally to the left ureterovesical junction with decrease in the hydronephrosis.  The patient's renal function has improved but is not back at her baseline.  Would recommend repeat BMP in 1 week to ensure continued improvement.  The patient's pain has been controlled on oral pain medication, she has Percocet prescribed at home, she was instructed he uses as needed for pain.  The patient was also given a 30 day prescription for Flomax in the setting of a kidney stone.  On 06/01/2022 the patient did pass a stone however this was likely from the right side as it was smaller.  On 06/01/2020 the patient had a eventful day where she was lightheaded in the a.m. and found to be orthostatic.  She was continued on IV fluids later in the day she develops chest pain that was reproducible to palpation but also hurt with deep inspiration.  A troponin was done at this time and was not elevated an EKG was also completed at this time and did not show any ST elevation or T-wave inversion.  In regards the patient's COVID-19 viral pneumonia.  She did develop hypoxia on 05/31 requiring 2 L nasal cannula.  A chest x-ray was done which showed subtle early atelectasis verses right lung base pneumonia.  The patient was quickly weaned off oxygen but she was started on Decadron during the hospital stay and received a total of 2 doses.  Given she was quickly weaned off oxygen will continue Decadron upon discharge.   Continue outpatient follow-up for chronic lower back pain, GERD, tobacco abuse, essential hypertension and diabetes.  Recommend post hospitalization follow-up with PCP in 1 week
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Nephrolithiasis, Pain, Painful respiration, Renal impairment
Clinical narrative: Discharge Provider:MD Primary Care Provider at Discharge: MD Admission Date: 5/31/2022 Discharge Date: 6/2/2022   PRESENTING PROBLEM: Hypoxia Ureteral calculus, left AKI (acute kidney injury) Acute kidney injury COVID-19   HOSPITAL COURSE:    Patient is a 62-year-old female admitted to hospital on 5/31/2022 with significant left-sided nephrolithiasis, acute renal failure COVID 19 viral pneumonia.  Patient had a CT of the abdomen pelvis done that showed a 7 mm calculus in the distal left ureter.  It CT was repeated on 06/02/2022 due to the patient's increased reports of pain.  The patient's case was discussed with Urology 2 times did not feel that she needed transferred for any intervention.  On repeat CT they do review the left kidney stone as 8.5 mm however the stone has migrated distally to the left ureterovesical junction with decrease in the hydronephrosis.  The patient's renal function has improved but is not back at her baseline.  Would recommend repeat BMP in 1 week to ensure continued improvement.  The patient's pain has been controlled on oral pain medication, she has Percocet prescribed at home, she was instructed he uses as needed for pain.  The patient was also given a 30 day prescription for Flomax in the setting of a kidney stone.  On 06/01/2022 the patient did pass a stone however this was likely from the right side as it was smaller.  On 06/01/2020 the patient had a eventful day where she was lightheaded in the a.m. and found to be orthostatic.  She was continued on IV fluids later in the day she develops chest pain that was reproducible to palpation but also hurt with deep inspiration.  A troponin was done at this time and was not elevated an EKG was also completed at this time and did not show any ST elevation or T-wave inversion.  In regards the patient's COVID-19 viral pneumonia.  She did develop hypoxia on 05/31 requiring 2 L nasal cannula.  A chest x-ray was done which showed subtle early atelectasis verses right lung base pneumonia.  The patient was quickly weaned off oxygen but she was started on Decadron during the hospital stay and received a total of 2 doses.  Given she was quickly weaned off oxygen will continue Decadron upon discharge.   Continue outpatient follow-up for chronic lower back pain, GERD, tobacco abuse, essential hypertension and diabetes.  Recommend post hospitalization follow-up with PCP in 1 week
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Ureterolithiasis
Clinical narrative: Discharge Provider:MD Primary Care Provider at Discharge: MD Admission Date: 5/31/2022 Discharge Date: 6/2/2022   PRESENTING PROBLEM: Hypoxia Ureteral calculus, left AKI (acute kidney injury) Acute kidney injury COVID-19   HOSPITAL COURSE:    Patient is a 62-year-old female admitted to hospital on 5/31/2022 with significant left-sided nephrolithiasis, acute renal failure COVID 19 viral pneumonia.  Patient had a CT of the abdomen pelvis done that showed a 7 mm calculus in the distal left ureter.  It CT was repeated on 06/02/2022 due to the patient's increased reports of pain.  The patient's case was discussed with Urology 2 times did not feel that she needed transferred for any intervention.  On repeat CT they do review the left kidney stone as 8.5 mm however the stone has migrated distally to the left ureterovesical junction with decrease in the hydronephrosis.  The patient's renal function has improved but is not back at her baseline.  Would recommend repeat BMP in 1 week to ensure continued improvement.  The patient's pain has been controlled on oral pain medication, she has Percocet prescribed at home, she was instructed he uses as needed for pain.  The patient was also given a 30 day prescription for Flomax in the setting of a kidney stone.  On 06/01/2022 the patient did pass a stone however this was likely from the right side as it was smaller.  On 06/01/2020 the patient had a eventful day where she was lightheaded in the a.m. and found to be orthostatic.  She was continued on IV fluids later in the day she develops chest pain that was reproducible to palpation but also hurt with deep inspiration.  A troponin was done at this time and was not elevated an EKG was also completed at this time and did not show any ST elevation or T-wave inversion.  In regards the patient's COVID-19 viral pneumonia.  She did develop hypoxia on 05/31 requiring 2 L nasal cannula.  A chest x-ray was done which showed subtle early atelectasis verses right lung base pneumonia.  The patient was quickly weaned off oxygen but she was started on Decadron during the hospital stay and received a total of 2 doses.  Given she was quickly weaned off oxygen will continue Decadron upon discharge.   Continue outpatient follow-up for chronic lower back pain, GERD, tobacco abuse, essential hypertension and diabetes.  Recommend post hospitalization follow-up with PCP in 1 week
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Anxiety, Chills, Hypoaesthesia, Limb discomfort, Pain in extremity
Clinical narrative: Starting 5 minutes after administration, patient started to feel numbness in both of her hands. She started to feel really anxious with some palpations. She notes that it when away until later that even evening.  Felt as if her limbs were loose that night. She started to feel a subjective fever with some associated chills.  Reports that the symptoms went away that night and she did not experience any other symptoms besides right arm soreness.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Palpitations, Pyrexia
Clinical narrative: Starting 5 minutes after administration, patient started to feel numbness in both of her hands. She started to feel really anxious with some palpations. She notes that it when away until later that even evening.  Felt as if her limbs were loose that night. She started to feel a subjective fever with some associated chills.  Reports that the symptoms went away that night and she did not experience any other symptoms besides right arm soreness.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Yes
Age: 75.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for COVID.  Pt was vaccinated against COVID
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Haematemesis
Clinical narrative: Resident was vomiting blood and ended up with death in facility.
Age: 1.0
Sex: M
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: Expired vaccine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Rash, Urticaria
Clinical narrative: Rash and hives started 2 weeks after vaccination.  Diphenydramine 50mg was administrated on the initiated night followed by 50mg x 2 doses next mooring but it was not help at all. ER visit next day and prednisone 40mg  was given once at ER and discharged with a prescription prednisone 40mg once daily for four days.  Rash and hives were ongoing but controlled by Cetirizine
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Diarrhoea, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: day of soreness at injection site.  day 2 all touch to skin "hurt".  day 3 no skin "hurt", diarrhea, small round red splotch below injection site, hot to touch & swollen but not painful. day 4 same small spot.  day 5 red spot getting larger, Benadryl taken, but no hurt or itch, just hot to touch.  day 6 red spot larger but not as bright in color, Benadryl taken.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash macular, Tenderness
Clinical narrative: day of soreness at injection site.  day 2 all touch to skin "hurt".  day 3 no skin "hurt", diarrhea, small round red splotch below injection site, hot to touch & swollen but not painful. day 4 same small spot.  day 5 red spot getting larger, Benadryl taken, but no hurt or itch, just hot to touch.  day 6 red spot larger but not as bright in color, Benadryl taken.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest pain, Cough, Fatigue
Clinical narrative: Hospitalized with vomiting, fever, chest pain, fatigue, coughing x 1 week, dx COVID pneumonia.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lower respiratory tract infection, Pyrexia, Vomiting
Clinical narrative: Hospitalized with vomiting, fever, chest pain, fatigue, coughing x 1 week, dx COVID pneumonia.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PT rec'd pfizer (grey cap) after it was stored in freezer for 22 days- rec'd re-vaccination on 6/2/22
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Moderna was given to a patient who was not of age to receive the Moderna vaccine.  Due to the patient's age, she should have received the Pfizer vaccine.  There were no adverse reactions at the time the patient was given the vaccine or during the monitoring of the patient after she received the vaccine.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID+
Age: 31.0
Sex: F
Vaccine: HPV9
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The second dose of the Gardasil series was given 3 weeks after the first dose.  Merck Co was contacted, due to early timing of the second dose, notified no harm would come to the patient.  Merck provided timing for additional dose to be 5 months from the initial dose to complete the series.  Pt notified and verbalized understanding.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Large red circle over 2 inches and itching. Redness was approximately 4 inch in diameter.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Cough
Clinical narrative: The doctor said it was an acute COPD flare up. I was having a hard time coughing and breathing. The symptoms are still ongoing and started about the 1st of may.  I went to the doctor, they did a chest xray and gave me prednisone, nebulizer. I still have lingering cough that was worse before covid and still don't have my sense of taste, I can't taste anything that's spicy everything else has come back except that one.   I had COVID Nov 29, 2020
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pulmonary fibrosis
Clinical narrative: The doctor said it was an acute COPD flare up. I was having a hard time coughing and breathing. The symptoms are still ongoing and started about the 1st of may.  I went to the doctor, they did a chest xray and gave me prednisone, nebulizer. I still have lingering cough that was worse before covid and still don't have my sense of taste, I can't taste anything that's spicy everything else has come back except that one.   I had COVID Nov 29, 2020
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Product preparation error
Clinical narrative: Patient experienced numbness in left arm after administration. Symptoms resolved within the 15 minute monitoring period after administration. Patient received 0.2ml of undiluted Pfizer Pediatric vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal distension, Jaundice, Laboratory test abnormal
Clinical narrative: Patient was admitted to the hospital with abdominal distension and jaundice.  Tested positive while in the ED.  Patient subsequently transferred to alternate hospital for potential mass in the abdomen.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID +
Age: 20.0
Sex: M
Vaccine: MENB
Symptoms: Injection site swelling
Clinical narrative: SMALL HARD BUMP AT SITE
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient rec'd pfizer (grey cap) after it was stored in freezer for 22 days- rec'd replacement dose on 6/3/22
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Yes
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Computerised tomogram thorax normal, Dyspnoea, Fatigue
Clinical narrative: 12/06/2021 I was very fatigued, had been in bed for 3 days. I had trouble getting a deep breath, very shallow breathing.  I saw my PCP and said I was okay. I was called back and told my oxygen level was low, dropping into the 80's. I was admitted to the hospital on 01/10/2022 - 01/14/2022. In the ER, I had x-rays, and said he had pneumonia. I was told I had COVID without having a test. I had bloodwork and a CT on my chest. The bloodwork was normal and said he did not have flu or pneumonia. The CT had not changed. I was discharged with antibiotic, oxygen, and prednisone. I went to see his PCP when I got home who told me to stop the prednisone and prescribed 3 Quetiapine Fumarate because I had not slept. I slept 12 hours and felt much better afterwards.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hypopnoea, Oxygen saturation decreased, X-ray normal
Clinical narrative: 12/06/2021 I was very fatigued, had been in bed for 3 days. I had trouble getting a deep breath, very shallow breathing.  I saw my PCP and said I was okay. I was called back and told my oxygen level was low, dropping into the 80's. I was admitted to the hospital on 01/10/2022 - 01/14/2022. In the ER, I had x-rays, and said he had pneumonia. I was told I had COVID without having a test. I had bloodwork and a CT on my chest. The bloodwork was normal and said he did not have flu or pneumonia. The CT had not changed. I was discharged with antibiotic, oxygen, and prednisone. I went to see his PCP when I got home who told me to stop the prednisone and prescribed 3 Quetiapine Fumarate because I had not slept. I slept 12 hours and felt much better afterwards.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna given to patient under the age of 18.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dry throat, Ear congestion, Middle ear effusion, Oropharyngeal pain
Clinical narrative: I received my vaccine on 04/21/2022. On the morning of 05/23/2022 I woke with a dry sore throat, right ear blocked felt like fluid was in my ear. I didn't test positive for Covid until 05/27/2022 at 10pm. I called the doctor the next morning and was prescribed paxlovid. I took the paxlovid for the next five days. symptoms subsided within the 5 days of taking the medication.  Tested negative for Covid on 05/31/2022.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I received my vaccine on 04/21/2022. On the morning of 05/23/2022 I woke with a dry sore throat, right ear blocked felt like fluid was in my ear. I didn't test positive for Covid until 05/27/2022 at 10pm. I called the doctor the next morning and was prescribed paxlovid. I took the paxlovid for the next five days. symptoms subsided within the 5 days of taking the medication.  Tested negative for Covid on 05/31/2022.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Product preparation issue
Clinical narrative: Patient is experiencing fatigue and soreness at injection site. Patient was given 0.2ml of undiluted Pfizer pediatric vaccine. Patient was instructed to treat symptoms, pain reliever and rest as appropriate.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna given to a patient under the age of 18
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Wheezing
Clinical narrative: Patient is an 83 year old male with a history of HTN, Type II Diabetes Mellitus, hypercholesterolemia, asthma, and a right common carotid artery stent placement who presents to the ED with a chief complaint of shortness of breath that began yesterday. Patient reports that since yesterday he has been experiencing shortness of breath accompanied by wheezing, coughing, and fatigue. He further reports that he has a history of asthma which he controls with Flonase, but he denies any at home use of oxygen or ever following up with a pulmonologist. However, out of concern for his aforementioned respiratory symptoms, the patient decided to present to the ED today for an evaluation. Patient otherwise denies any tobacco use and has no further concerns or complaints at this time.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Bronchial secretion retention, COVID-19, Cough, Fatigue
Clinical narrative: Hospitalized Cough, sore throat, fatigue, fever positive covid test at home. Hypoxic to the low 80s in the ED.  Treated with Remdesivir, and dexamethasone
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized Cough, sore throat, fatigue, fever positive covid test at home. Hypoxic to the low 80s in the ED.  Treated with Remdesivir, and dexamethasone
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna vaccine given to a patient under the age of 18.  No other issues with the patient.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Yes
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product storage error
Clinical narrative: rec'd grey cap pfizer after being in freezer for 22 days- pt rec'd replacement dose on 6/3/22
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Arthralgia, Asthenia, Blood test normal, Constipation
Clinical narrative: She got her vaccine on Monday, she was OK after that.  By Tuesday she could not get out of bed, was sick.  Has sick on and off, weak, fatigue, no appetite, her joints hurt.  She started itching where she had surgery where she had her breast surgery due to cancer which was 10 years ago.  This area has never bothered her until now.  Also having fever and headache which subsided after taking Tylenol.  Her appetite continues to be bad, she has no taste, and she is weak which is more than anything else.    She saw her doctor and went to the UC where she had the vaccine, and they informed her it was a AE of the booster vaccine.  This has been a while now, today makes 7 weeks and she is still having the weakness and loss of appetite as well.   She can barely drink a little tea, is very constipated and can barely get out of the bed today.    She has had the constipation after each vaccine, and goes back to normal and with each additional vaccine her constipation has worsened.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Malaise, Mobility decreased
Clinical narrative: She got her vaccine on Monday, she was OK after that.  By Tuesday she could not get out of bed, was sick.  Has sick on and off, weak, fatigue, no appetite, her joints hurt.  She started itching where she had surgery where she had her breast surgery due to cancer which was 10 years ago.  This area has never bothered her until now.  Also having fever and headache which subsided after taking Tylenol.  Her appetite continues to be bad, she has no taste, and she is weak which is more than anything else.    She saw her doctor and went to the UC where she had the vaccine, and they informed her it was a AE of the booster vaccine.  This has been a while now, today makes 7 weeks and she is still having the weakness and loss of appetite as well.   She can barely drink a little tea, is very constipated and can barely get out of the bed today.    She has had the constipation after each vaccine, and goes back to normal and with each additional vaccine her constipation has worsened.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia
Clinical narrative: She got her vaccine on Monday, she was OK after that.  By Tuesday she could not get out of bed, was sick.  Has sick on and off, weak, fatigue, no appetite, her joints hurt.  She started itching where she had surgery where she had her breast surgery due to cancer which was 10 years ago.  This area has never bothered her until now.  Also having fever and headache which subsided after taking Tylenol.  Her appetite continues to be bad, she has no taste, and she is weak which is more than anything else.    She saw her doctor and went to the UC where she had the vaccine, and they informed her it was a AE of the booster vaccine.  This has been a while now, today makes 7 weeks and she is still having the weakness and loss of appetite as well.   She can barely drink a little tea, is very constipated and can barely get out of the bed today.    She has had the constipation after each vaccine, and goes back to normal and with each additional vaccine her constipation has worsened.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Blood pressure increased, Brain natriuretic peptide increased, Cardiac failure, Cardiac failure congestive
Clinical narrative: Patient had external administration for vaccine.  From chart review, patient saw PCP last month on 5/10 complaining of progressively worsening dyspnea on exertion as well as abdominal and lower extremity swelling. Outpatient workup was suspicious of CHF so she was started on lasix and TTE. Since starting diuretic, she has lossed a significant amount of weight and has felt better. She went for TTE on 5/22 which was recently read by Cardiologist with new findings of HFrEF of 27%.  After review of TTE today, patient was contacted by Dr. to go to ED for urgent evaluation.   BNP elevated. CXR pending. BP elevated.   TTE (5/22)  Summary  Delay in reporting as the study was not assigned for reporting. Reviewed  today prior to scheduled consult  Severely reduced left ventricular systolic function with an ejection fraction of 27 % using biplane method.  Global left ventricular hypokinesis  Grade II diastolic dysfunction with elevated LA pressures.  Dilatation of cardiac chambers suggests dilated cardiomyopathy.  The estimated RVSP is 43 mmHg.  Moderate tricuspid regurgitation.  A trivial pericardial effusion is present.