chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Hypoaesthesia, Injection site pain, Magnetic resonance imaging, Muscle spasms
Clinical narrative: I received my first dose on 12/10 around 3:30 pm, by 4 pm, I started to feel flush and had my oxygen level tested onsite (which was normal).  By 7 pm that night, I began to have pain in my left deltoid (injection site) and tingling/numbness in my left arm down to my fingertips. By 10 pm, I experienced a slight fever, headache, and chills.  Over the next 3 days, I continue to have those symptoms. By day 7, I started experiencing muscle twitches throughout my body. They started out sporadic and infrequent, but by day 14, the twitches became constant and accompanied by cramps. I mainly had spasms in my legs, but they have been in my arms, back, glutes, groin, abdomen, scalp, face, chest, and eyelids. By day 17, the cramps in my legs became painful and my legs would tingle, and feel numb if sitting or standing.  I also experience a few heart palpitations. I went to the ER on 12/29/21 (day 19) and was later diagnosed with Muscle cramps, Parasthesias, vaccine reaction.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Pain in extremity, Palpitations, Paraesthesia, Pyrexia
Clinical narrative: I received my first dose on 12/10 around 3:30 pm, by 4 pm, I started to feel flush and had my oxygen level tested onsite (which was normal).  By 7 pm that night, I began to have pain in my left deltoid (injection site) and tingling/numbness in my left arm down to my fingertips. By 10 pm, I experienced a slight fever, headache, and chills.  Over the next 3 days, I continue to have those symptoms. By day 7, I started experiencing muscle twitches throughout my body. They started out sporadic and infrequent, but by day 14, the twitches became constant and accompanied by cramps. I mainly had spasms in my legs, but they have been in my arms, back, glutes, groin, abdomen, scalp, face, chest, and eyelids. By day 17, the cramps in my legs became painful and my legs would tingle, and feel numb if sitting or standing.  I also experience a few heart palpitations. I went to the ER on 12/29/21 (day 19) and was later diagnosed with Muscle cramps, Parasthesias, vaccine reaction.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Intermittent racing heart for the next 24 hours.  Contacted family doctor (who was on vacation), doctor's office suggested contacting health dept, who advised rest, fluids and Tylenol.  Resolved in ~ 24 hours
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after being fully vaccinated. Have received all 3 doses.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide normal, Electrocardiogram ST segment elevation, Pericarditis, Troponin I increased
Clinical narrative: Pericarditis
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy muscle abnormal, Blood test, Magnetic resonance imaging, Muscle disorder, Muscular weakness
Clinical narrative: 3 years prior to receiving the Pfizer Covid 19 vaccine (March 2018), I had a heart attack and was prescribed Atorvastatin for cholesterol.  I took this for 3 years with no issues.  Within days of receiving the vaccine, I experienced weakness in my right tricep while exercising (I am/was a natural bodybuilder at 60 years of age).  The strength in my right tricep was not balanced with that in my left tricep as I used the tricep cable pull down machine at the gym.  Thereafter, I experienced various other weakness events that I attributed to not eating enough carbohydrates that day.   On 06/20/21, I observed that I had a dramatic loss of muscle in my chest that I had lost very quickly.
Age: 1.33
Sex: F
Vaccine: DTAP, FLU4, HEPA, MMRV, VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: We administered the Varicella vaccine separately not realizing the MMR vaccine was combined with Varicella therefore administering 2 doses of Varicella on same date of service. Patient had no reaction, mother was advised of error and monitored for the next 2 days.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Pyrexia
Clinical narrative: I had a fever, cough, running nose, and fatigue. I also had a headache. These symptoms lasted for 3 day but the fatigue lasted for about a week. I went to the doctor about this. They did a Covid-19 test, positive results.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a fever, cough, running nose, and fatigue. I also had a headache. These symptoms lasted for 3 day but the fatigue lasted for about a week. I went to the doctor about this. They did a Covid-19 test, positive results.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Eye pain, Ophthalmic herpes zoster, Vision blurred
Clinical narrative: A few days after taking the vaccine her eyesight became blurry, red, cloudy and painful. Went to the eye doctor and was diagnosed with having Shingles of the eyes. Was given meds for her eyes.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash and hives daily,  sometimea covering 20% of body,  chest, back, underarms,  groun, legs, hands, arms and feet.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram, Ultrasound scan
Clinical narrative: Swelling of lymph node under left armpit.  Still swollen as of 1/2022
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Death, Hypotension, Resuscitation
Clinical narrative: Pt died in hospital on 12/24/21. Pt developed hypotension requiring pressors.  Patient coded twice with successful resuscitation. Family changed code status to DNR and patient expired a short time later.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Biopsy, Brain natriuretic peptide decreased
Clinical narrative: Hospitalized 12/28/2021; COVID-19 positive 12/28/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 12/28/2021 Discharge Date: 12/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  Acute kidney injury (AKI) with acute tubular necrosis (ATN) (HCC)  COVID-19    HOSPITAL COURSE: Patient is a 75 y.o. male with a past medical history of congestive heart failure, chronic obstructive pulmonary disease, type 2 diabetes, hypertension, tobacco use, coronary disease and obstructive sleep apnea who presented to ER with  shortness of breath.  Patient was seen earlier today in the emergency department and sent home on home oxygen, he did return this evening feeling that his condition was worsening.  Patient states his symptoms started 12/27 and has since worsened feeling short of breath, coughing, weakness and lightheadedness.  Patient is producing a white productive cough. Pt feels when he lays down he cannot breathe and needs to be propped up in bed.  Patient does admit that his ex-wife, whom he lives with is currently COVID positive.  Patient has been previously vaccinated but has not had his booster.  Patient is baseline on 2 L by nasal cannula, which she has since started couple weeks ago, but patient does admit to not wearing at all times. Patient was admitted to the hospital and started on IV steroids, lasix, remdesnivir, and azithromycin.  After 48 hours, patient's oxygen was weaned down to 2 L (baseline) and patient felt significantly improved.  Patient to be discharged home in stable, improved conditon.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram thorax normal, Condition aggravated, Cough, Dizziness
Clinical narrative: Hospitalized 12/28/2021; COVID-19 positive 12/28/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 12/28/2021 Discharge Date: 12/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  Acute kidney injury (AKI) with acute tubular necrosis (ATN) (HCC)  COVID-19    HOSPITAL COURSE: Patient is a 75 y.o. male with a past medical history of congestive heart failure, chronic obstructive pulmonary disease, type 2 diabetes, hypertension, tobacco use, coronary disease and obstructive sleep apnea who presented to ER with  shortness of breath.  Patient was seen earlier today in the emergency department and sent home on home oxygen, he did return this evening feeling that his condition was worsening.  Patient states his symptoms started 12/27 and has since worsened feeling short of breath, coughing, weakness and lightheadedness.  Patient is producing a white productive cough. Pt feels when he lays down he cannot breathe and needs to be propped up in bed.  Patient does admit that his ex-wife, whom he lives with is currently COVID positive.  Patient has been previously vaccinated but has not had his booster.  Patient is baseline on 2 L by nasal cannula, which she has since started couple weeks ago, but patient does admit to not wearing at all times. Patient was admitted to the hospital and started on IV steroids, lasix, remdesnivir, and azithromycin.  After 48 hours, patient's oxygen was weaned down to 2 L (baseline) and patient felt significantly improved.  Patient to be discharged home in stable, improved conditon.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Echocardiogram normal, General physical health deterioration, Hypoxia, Oedema peripheral
Clinical narrative: Hospitalized 12/28/2021; COVID-19 positive 12/28/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 12/28/2021 Discharge Date: 12/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  Acute kidney injury (AKI) with acute tubular necrosis (ATN) (HCC)  COVID-19    HOSPITAL COURSE: Patient is a 75 y.o. male with a past medical history of congestive heart failure, chronic obstructive pulmonary disease, type 2 diabetes, hypertension, tobacco use, coronary disease and obstructive sleep apnea who presented to ER with  shortness of breath.  Patient was seen earlier today in the emergency department and sent home on home oxygen, he did return this evening feeling that his condition was worsening.  Patient states his symptoms started 12/27 and has since worsened feeling short of breath, coughing, weakness and lightheadedness.  Patient is producing a white productive cough. Pt feels when he lays down he cannot breathe and needs to be propped up in bed.  Patient does admit that his ex-wife, whom he lives with is currently COVID positive.  Patient has been previously vaccinated but has not had his booster.  Patient is baseline on 2 L by nasal cannula, which she has since started couple weeks ago, but patient does admit to not wearing at all times. Patient was admitted to the hospital and started on IV steroids, lasix, remdesnivir, and azithromycin.  After 48 hours, patient's oxygen was weaned down to 2 L (baseline) and patient felt significantly improved.  Patient to be discharged home in stable, improved conditon.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pulmonary hilum mass, Renal tubular necrosis, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Hospitalized 12/28/2021; COVID-19 positive 12/28/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 12/28/2021 Discharge Date: 12/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  Acute kidney injury (AKI) with acute tubular necrosis (ATN) (HCC)  COVID-19    HOSPITAL COURSE: Patient is a 75 y.o. male with a past medical history of congestive heart failure, chronic obstructive pulmonary disease, type 2 diabetes, hypertension, tobacco use, coronary disease and obstructive sleep apnea who presented to ER with  shortness of breath.  Patient was seen earlier today in the emergency department and sent home on home oxygen, he did return this evening feeling that his condition was worsening.  Patient states his symptoms started 12/27 and has since worsened feeling short of breath, coughing, weakness and lightheadedness.  Patient is producing a white productive cough. Pt feels when he lays down he cannot breathe and needs to be propped up in bed.  Patient does admit that his ex-wife, whom he lives with is currently COVID positive.  Patient has been previously vaccinated but has not had his booster.  Patient is baseline on 2 L by nasal cannula, which she has since started couple weeks ago, but patient does admit to not wearing at all times. Patient was admitted to the hospital and started on IV steroids, lasix, remdesnivir, and azithromycin.  After 48 hours, patient's oxygen was weaned down to 2 L (baseline) and patient felt significantly improved.  Patient to be discharged home in stable, improved conditon.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan
Clinical narrative: Hospitalized 12/28/2021; COVID-19 positive 12/28/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 12/28/2021 Discharge Date: 12/30/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia  Acute kidney injury (AKI) with acute tubular necrosis (ATN) (HCC)  COVID-19    HOSPITAL COURSE: Patient is a 75 y.o. male with a past medical history of congestive heart failure, chronic obstructive pulmonary disease, type 2 diabetes, hypertension, tobacco use, coronary disease and obstructive sleep apnea who presented to ER with  shortness of breath.  Patient was seen earlier today in the emergency department and sent home on home oxygen, he did return this evening feeling that his condition was worsening.  Patient states his symptoms started 12/27 and has since worsened feeling short of breath, coughing, weakness and lightheadedness.  Patient is producing a white productive cough. Pt feels when he lays down he cannot breathe and needs to be propped up in bed.  Patient does admit that his ex-wife, whom he lives with is currently COVID positive.  Patient has been previously vaccinated but has not had his booster.  Patient is baseline on 2 L by nasal cannula, which she has since started couple weeks ago, but patient does admit to not wearing at all times. Patient was admitted to the hospital and started on IV steroids, lasix, remdesnivir, and azithromycin.  After 48 hours, patient's oxygen was weaned down to 2 L (baseline) and patient felt significantly improved.  Patient to be discharged home in stable, improved conditon.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide normal, Chest X-ray normal, Chest discomfort, Chest pain, Electrocardiogram PR segment depression
Clinical narrative: The patient presented to outpatient clinic earlier today with complaints of what sounds like pleuritic-type chest pain.  Described it as a pressure like an elephant was sitting on his chest.  Worse with lying flat.  He did get his second COVID vaccine on Friday and Saturday.  He began to have symptoms of fever, body aches, and chest pain.  High sensitive troponin is elevated.  Point of care troponin is 4.  EKG shows subtle inferolateral ST elevations.  There is also PR depression noted.  He will be taken to the cath lab urgently for evaluation to rule out ST elevation myocardial infarction, but likely all vaccine associated myopericarditis. Hospitalized 1 day and discharged home with Ibuprofen x 1 week and colchicine x 3 months.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment elevation, Myocarditis, Pain, Pleuritic pain, Pyrexia
Clinical narrative: The patient presented to outpatient clinic earlier today with complaints of what sounds like pleuritic-type chest pain.  Described it as a pressure like an elephant was sitting on his chest.  Worse with lying flat.  He did get his second COVID vaccine on Friday and Saturday.  He began to have symptoms of fever, body aches, and chest pain.  High sensitive troponin is elevated.  Point of care troponin is 4.  EKG shows subtle inferolateral ST elevations.  There is also PR depression noted.  He will be taken to the cath lab urgently for evaluation to rule out ST elevation myocardial infarction, but likely all vaccine associated myopericarditis. Hospitalized 1 day and discharged home with Ibuprofen x 1 week and colchicine x 3 months.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased, Troponin increased
Clinical narrative: The patient presented to outpatient clinic earlier today with complaints of what sounds like pleuritic-type chest pain.  Described it as a pressure like an elephant was sitting on his chest.  Worse with lying flat.  He did get his second COVID vaccine on Friday and Saturday.  He began to have symptoms of fever, body aches, and chest pain.  High sensitive troponin is elevated.  Point of care troponin is 4.  EKG shows subtle inferolateral ST elevations.  There is also PR depression noted.  He will be taken to the cath lab urgently for evaluation to rule out ST elevation myocardial infarction, but likely all vaccine associated myopericarditis. Hospitalized 1 day and discharged home with Ibuprofen x 1 week and colchicine x 3 months.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: PResented on 12/13 with shortness of breath and flu like symprtoms. Patient stated had tested + for Covid a couples days ago. Started on remdesevir and dexamethasone. Started O2 on 12/19 due to increasing oxygen requirements. Transferred to Critical care and intubated due to acute hypoxic respiratory failure secondary to Covid-19 on 12/22.  Sputum culture showed MSSA and given ancef therapy. Started disursis due to fluid overload but was then held due to poor kidney function.  12/28 acutely decompensated after coughing episode. Began to be tachycardic, hypotensive and hypoxic. Required mutiple vasopressors and maximum ventilator settings. Family decided on comfort care and expires 12/28.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Hypervolaemia, Hypotension, Hypoxia, Influenza like illness
Clinical narrative: PResented on 12/13 with shortness of breath and flu like symprtoms. Patient stated had tested + for Covid a couples days ago. Started on remdesevir and dexamethasone. Started O2 on 12/19 due to increasing oxygen requirements. Transferred to Critical care and intubated due to acute hypoxic respiratory failure secondary to Covid-19 on 12/22.  Sputum culture showed MSSA and given ancef therapy. Started disursis due to fluid overload but was then held due to poor kidney function.  12/28 acutely decompensated after coughing episode. Began to be tachycardic, hypotensive and hypoxic. Required mutiple vasopressors and maximum ventilator settings. Family decided on comfort care and expires 12/28.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Mechanical ventilation, Renal impairment, SARS-CoV-2 test positive, Sputum culture positive
Clinical narrative: PResented on 12/13 with shortness of breath and flu like symprtoms. Patient stated had tested + for Covid a couples days ago. Started on remdesevir and dexamethasone. Started O2 on 12/19 due to increasing oxygen requirements. Transferred to Critical care and intubated due to acute hypoxic respiratory failure secondary to Covid-19 on 12/22.  Sputum culture showed MSSA and given ancef therapy. Started disursis due to fluid overload but was then held due to poor kidney function.  12/28 acutely decompensated after coughing episode. Began to be tachycardic, hypotensive and hypoxic. Required mutiple vasopressors and maximum ventilator settings. Family decided on comfort care and expires 12/28.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcal infection, Tachycardia
Clinical narrative: PResented on 12/13 with shortness of breath and flu like symprtoms. Patient stated had tested + for Covid a couples days ago. Started on remdesevir and dexamethasone. Started O2 on 12/19 due to increasing oxygen requirements. Transferred to Critical care and intubated due to acute hypoxic respiratory failure secondary to Covid-19 on 12/22.  Sputum culture showed MSSA and given ancef therapy. Started disursis due to fluid overload but was then held due to poor kidney function.  12/28 acutely decompensated after coughing episode. Began to be tachycardic, hypotensive and hypoxic. Required mutiple vasopressors and maximum ventilator settings. Family decided on comfort care and expires 12/28.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: 71 Y/O male, BMI 35, PMHx of Bipolar 1 disorder, Gout, Erectile dysfunction, HTN admitted for SOB due to Covid on 11/12/21. Pt was diagnosed with Covid on 11/6/21 and received Regeneron on 11/8/21. Pt received remdesivir, Olumiant, and supportive care. Pt was intubated and also developed AKI. Pt passed on 12/2/21.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Dyspnoea, Encephalopathy, Imaging procedure abnormal
Clinical narrative: 51 Y/O female, BMI 32.6, PMHx of Asthma, Cirrhosis, DM, hepatic encephalopathy, HTN, NASH, AFib, portal HTN, admitted for SOB due to Covid and encephalopathy on 11/13/21. Pt had concern for bacterial component due to imaging results from Integris hospital indicating possible atypical pneumonia at the time (in October). Pt was treated with supportive measures and vancomycin, cefepime, and Mycamine. Pt discharged home with home health on 11/15/21.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: 74 Y/O female, BMI 47.5, PMHx of AFib, HTN, melanoma, thyroid disorder, and heart palpitations, admitted for weakness, cough, and SOB due to Covid on 11/22/21. Pt was diagnosed with Covid19 on 11/12/21. Chest x-ray from 11/22/21 indicates multifocal pneumonia. Covid treated with supportive care. Pt discharged to home with home health on 11/24/21.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia
Clinical narrative: 74 Y/O female, BMI 47.5, PMHx of AFib, HTN, melanoma, thyroid disorder, and heart palpitations, admitted for weakness, cough, and SOB due to Covid on 11/22/21. Pt was diagnosed with Covid19 on 11/12/21. Chest x-ray from 11/22/21 indicates multifocal pneumonia. Covid treated with supportive care. Pt discharged to home with home health on 11/24/21.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Dyspnoea, Pneumonia
Clinical narrative: 76 y/o female, BMI 42, PMHx of hyperlipidemia, HTN, DVT, and obstructive sleep apnea, admitted for SOB due to Covid19 on 12/5/21. Chest x-ray taken on 12/6/21 showed diffuse bilateral multifocal pneumonia. Covid was treated with supportive measures. Pt was discharged on with home health on 12/8/21.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: COVID INFECTION 1 YEAR AFTER VACCINE SERIES COMPLETED    HIGH FLOW NC OXYGEN WITH 100%
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hypoxia, Pneumonia aspiration, Urinary retention
Clinical narrative: 84 y/o male, PMHx of CKD stage 3, CAD, DM, HTN, Stroke, kidney stone, admitted for weakness, borderline hypoxia, and urinary retention on 12/7/21. Urinary retention treated with Flomax. Pt developed likely aspiration pneumonitis during hospital stay which was treated with IV abx. Pt was discharged to a skilled nursing facility on 12/16/21.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Acute respiratory distress syndrome, Anaemia, Arthralgia, Asthenia, Fatigue
Clinical narrative: hypotension, transaminitis, thrombocytopenia, anemia ,pericaditis, hypoxia,  Acute respiratory distress syndrome,renal failure, hepatitis, acute high fever, weakness and fatigue ,myositis and arthralgis
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Hepatitis, Hypotension, Hypoxia, Myositis, Pericarditis
Clinical narrative: hypotension, transaminitis, thrombocytopenia, anemia ,pericaditis, hypoxia,  Acute respiratory distress syndrome,renal failure, hepatitis, acute high fever, weakness and fatigue ,myositis and arthralgis
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Renal failure, Thrombocytopenia, Transaminases increased
Clinical narrative: hypotension, transaminitis, thrombocytopenia, anemia ,pericaditis, hypoxia,  Acute respiratory distress syndrome,renal failure, hepatitis, acute high fever, weakness and fatigue ,myositis and arthralgis
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain lower, Appendicectomy, Appendicitis, Appendicitis perforated
Clinical narrative: Acute appendicitis with perforation and localized peritonitis, without abscess or gangrene  Indication for Admission: Patient is a 41 year old healthy male who presents with abdominal pain. Pain first started 2 weeks ago in the RLQ. Pain worse with laying on abdomen at night. No alleviating factors. Denies nausea, vomiting anorexia, and  fevers. No similar episodes previously. Having regular BMs. Patient denies vomiting, obstipation, constipation, urinary symptoms. Patient stated that he would prefer not to have surgery at this time and instead have antibiotics for a possible elective appendectomy at a later date.  In the ED, patient HDS w/ HR 97, BP 118/71, T 36.9C. Labs significant for WBC 14.9, Hgb 12.3, Cr 1.2. CT demonstrated 1.9cm appendix with perforated tip and fat stranding consistent with phlegmon but no abscess. No appendicolith.. See Epic Charting (Consult/H&P note by Surgery resident for further details).  Hospital Course:  Admitted to surgery for perforated appendicitis, remained NPO/IVF, treated with zosyn. Patient's symptoms gradually improved, diet was advanced, leukocytosis decreased. Antibiotic was transitioned to Augmentin x 10 days. By the time of discharge, the patient was tolerating a regular diet, pain was controlled with po medications, and activity was at baseline. The patient was deemed stable for discharge. Patient meets discharge criteria per approved protocol.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Cellulitis, Computerised tomogram abdomen abnormal, Haemoglobin normal, Leukocytosis
Clinical narrative: Acute appendicitis with perforation and localized peritonitis, without abscess or gangrene  Indication for Admission: Patient is a 41 year old healthy male who presents with abdominal pain. Pain first started 2 weeks ago in the RLQ. Pain worse with laying on abdomen at night. No alleviating factors. Denies nausea, vomiting anorexia, and  fevers. No similar episodes previously. Having regular BMs. Patient denies vomiting, obstipation, constipation, urinary symptoms. Patient stated that he would prefer not to have surgery at this time and instead have antibiotics for a possible elective appendectomy at a later date.  In the ED, patient HDS w/ HR 97, BP 118/71, T 36.9C. Labs significant for WBC 14.9, Hgb 12.3, Cr 1.2. CT demonstrated 1.9cm appendix with perforated tip and fat stranding consistent with phlegmon but no abscess. No appendicolith.. See Epic Charting (Consult/H&P note by Surgery resident for further details).  Hospital Course:  Admitted to surgery for perforated appendicitis, remained NPO/IVF, treated with zosyn. Patient's symptoms gradually improved, diet was advanced, leukocytosis decreased. Antibiotic was transitioned to Augmentin x 10 days. By the time of discharge, the patient was tolerating a regular diet, pain was controlled with po medications, and activity was at baseline. The patient was deemed stable for discharge. Patient meets discharge criteria per approved protocol.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Acute appendicitis with perforation and localized peritonitis, without abscess or gangrene  Indication for Admission: Patient is a 41 year old healthy male who presents with abdominal pain. Pain first started 2 weeks ago in the RLQ. Pain worse with laying on abdomen at night. No alleviating factors. Denies nausea, vomiting anorexia, and  fevers. No similar episodes previously. Having regular BMs. Patient denies vomiting, obstipation, constipation, urinary symptoms. Patient stated that he would prefer not to have surgery at this time and instead have antibiotics for a possible elective appendectomy at a later date.  In the ED, patient HDS w/ HR 97, BP 118/71, T 36.9C. Labs significant for WBC 14.9, Hgb 12.3, Cr 1.2. CT demonstrated 1.9cm appendix with perforated tip and fat stranding consistent with phlegmon but no abscess. No appendicolith.. See Epic Charting (Consult/H&P note by Surgery resident for further details).  Hospital Course:  Admitted to surgery for perforated appendicitis, remained NPO/IVF, treated with zosyn. Patient's symptoms gradually improved, diet was advanced, leukocytosis decreased. Antibiotic was transitioned to Augmentin x 10 days. By the time of discharge, the patient was tolerating a regular diet, pain was controlled with po medications, and activity was at baseline. The patient was deemed stable for discharge. Patient meets discharge criteria per approved protocol.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swelling
Clinical narrative: After two weeks from receiving the booster, I experienced severe full body rash, particularly on the arms, chest, lower back, and neck. Ended up going to walk-in clinic and being prescribed prednisone to address the swelling and rash.  I cannot describe the symptoms to anything other than the booster because I have had no change in diet, no change in soaps or laundry products, etc. There were no environmental or lifestyle changes whatsoever, so the only difference would be the booster itself.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to observation level of care on 12-29-21 with increased weakness and leg pain. Patient has a medical history that is significant for  Rheumatoid arthritis. It is noted that the patient tested positive for covid on 12-29-21 upon admission.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Electroencephalogram, Generalised tonic-clonic seizure, Magnetic resonance imaging, Positron emission tomogram
Clinical narrative: After the first vaccine administered on 3/24/2021 I had a grand mal  on 4/5/2021. I was hospitalized for three days to make sure nothing else transpired.  It was ruled post-vaccination breakthrough seizure.  The only other times I had a seizure is when I had autoimmune encephalitis on 4/2020 but they stopped after the encephalitis went away. I even had repeat MRI, Pet scan to make sure brain looked good and no atrophy of temporal lobes and inflammation left from this condition. Everything came out good on the follow-up scans that were done.  I then had the second vaccine and 23 hrs later had a grand mal seizure and was hospitalized for seven days. This was ruled post-vaccination breakthrough seizure. I haven't had anymore seizures since my vaccines.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: After the first vaccine administered on 3/24/2021 I had a grand mal  on 4/5/2021. I was hospitalized for three days to make sure nothing else transpired.  It was ruled post-vaccination breakthrough seizure.  The only other times I had a seizure is when I had autoimmune encephalitis on 4/2020 but they stopped after the encephalitis went away. I even had repeat MRI, Pet scan to make sure brain looked good and no atrophy of temporal lobes and inflammation left from this condition. Everything came out good on the follow-up scans that were done.  I then had the second vaccine and 23 hrs later had a grand mal seizure and was hospitalized for seven days. This was ruled post-vaccination breakthrough seizure. I haven't had anymore seizures since my vaccines.
Age: 0.83
Sex: F
Vaccine: UNK, UNK
Symptoms: Hypokinesia
Clinical narrative: 4 days after vaccination she showed regression in movement when she could no longer sit up independently.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: I experienced a very large 2-3 inch wide red knot around the injection site about ten days after the vaccine. It was raised, puffy, red and itchy. It was more stingy than painful. I was told to go in to see the Doctor/nurse at the workplace clinic who wanted to look at it. They gave me a steroid injection and instructed me to get the second dose in the opposite arm. After about 3 days, the redness/swelling went away.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Brain stem haemorrhage, Cerebrovascular accident, Death, Respiratory failure, Unresponsive to stimuli
Clinical narrative: Pt died in hospital on 12/29/21. Pt admitted due to respiratory failure/acute stroke with pontine hemorrhage. Pt remained unresponsive throughout stay. Family transitioned patient to comfort care and she expired.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Syncope
Clinical narrative: Extremely weak, fainted about 5 minutes after both doses of vaccination.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Pain, Pain in extremity, Somnolence
Clinical narrative: Severe body pain especially in the left arm & tiredness/no appetite & sleepy.  Started about 24 hours after the COVID booster & lasted 60 hours. Took ADVIL for the pain.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity
Clinical narrative: Pt. states that after receiving the 1st dose of Moderna 02/24/2021, started experiencing symptoms 03/15/2021 of extreme pain in the right leg. Urgent Care visit 03/15/2021 with Recommendation Emergency Room visit, diagnosed with a DBT in the right leg.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain
Clinical narrative: Sore right arm at injection site approximately 6 hours after injection and lasted for a couple days, and a mild headache for a day.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Vaginal bleeding.  Hysterectomy in 1999
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after all three doses. Antibody infusion received.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Mechanical urticaria, Peripheral swelling, Pruritus, Urticaria
Clinical narrative: Hives/itch on whole body, swelling in hands, feet, lips.  Began ~10 days after injection.  Treatment was two 6-day courses of Prednisone, zyrtec, allegra, benadryl.  Hives mostly resolved at 8 weeks, continued dermatographia.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Depressed mood, Electric shock sensation, Fatigue, Feeling abnormal
Clinical narrative: Vaccine received at 2:45 pm on Tuesday 28Dec.  Approx 30 hours post dose, on the Wednesday evening, I began to experience "brain zaps" (difficult to describe - a frizzing sensation inside my head around my brain) accompanied by loud tinnitus (I have it normally but is usually an even tone - during the post dose period it was more like a bee buzz).  These worsened over Thursday, began to improve on Friday, and largely resolved by late Saturday evening 1Jan.  They were accompanied by fatigue and restless legs.  On Friday, I began to experience increased levels of sighing and significantly depressed mood.  These symptoms closely resemble what happens when I miss more than one dose of effexor, but I had taken every dose as prescribed over the prior month.  I also had changed nothing about my diet, behaviour or other events that might affect absorption of the medication.  I also experienced stabbing pains in my left arm and leg - maybe a half dozen, in different spots.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Restless legs syndrome, Tinnitus
Clinical narrative: Vaccine received at 2:45 pm on Tuesday 28Dec.  Approx 30 hours post dose, on the Wednesday evening, I began to experience "brain zaps" (difficult to describe - a frizzing sensation inside my head around my brain) accompanied by loud tinnitus (I have it normally but is usually an even tone - during the post dose period it was more like a bee buzz).  These worsened over Thursday, began to improve on Friday, and largely resolved by late Saturday evening 1Jan.  They were accompanied by fatigue and restless legs.  On Friday, I began to experience increased levels of sighing and significantly depressed mood.  These symptoms closely resemble what happens when I miss more than one dose of effexor, but I had taken every dose as prescribed over the prior month.  I also had changed nothing about my diet, behaviour or other events that might affect absorption of the medication.  I also experienced stabbing pains in my left arm and leg - maybe a half dozen, in different spots.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Asthenia, Blood bicarbonate normal, Blood calcium increased, Blood chloride increased
Clinical narrative: Patient seen in ED and transferred for inpatient admission where she was hospitalized for 3 days. ED notes:  Although patient alleges she can walk at home this seems very unlikely.  She was unable to even sit up on her own here.  Nurse had to help her get into the bed.  They had to help her even take her shirt off.  She seems very run down.  Complete blood count is normal.  Occult blood is negative.  COVID-19 is detected.  Temp here is 37.7.  Pulse ox 96%.  She is too weak to get an ambulatory sat on.  She has had 2 COVID vaccines.  CMP is relatively normal.  In talking her further she has been sick since December 18th.  She knows this because she saw her OB gyn doctor on the 17th and she was not sick that day and felt sick the next day.  This is day 8 of illness.  I will give her Decadron.  TSH normal.  BMP is normal.  I did contact Dr. for admission however just before she called back the troponin came back at 21. They will require 2nd troponin.  If the delta is less than 7 anticipate admission to Hospital.  Patient signed out to Dr.  Urinalysis and chest x-ray still pending.  Inpatient notes:  Patient is an 88 year female admitted for deconditioning s/p COVID 19. The patient is fully vaccinated. The patient presented to the ER for generalized fatigue and weakness which started on 12/17/2021. In the ED, CXR showed nonspecific patchy b/l airspace disease as seen with COVID. COVID testing was positive. The patient was not requiring oxygen. She was noted to be deconditioned and given inadequate home resources, was admitted for further evaluation and possible placement. PT/OT evaluated and recommended SAR. Patient refused and family felt it was ok for patient to return home with help from family. HHC was attempted to be arranged and no one would accept the patient. The patient was recommended to follow up with her PCP. She is high risk for readmission. She was discharged home in stable condition.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood magnesium increased, Blood phosphorus normal, Blood potassium normal
Clinical narrative: Patient seen in ED and transferred for inpatient admission where she was hospitalized for 3 days. ED notes:  Although patient alleges she can walk at home this seems very unlikely.  She was unable to even sit up on her own here.  Nurse had to help her get into the bed.  They had to help her even take her shirt off.  She seems very run down.  Complete blood count is normal.  Occult blood is negative.  COVID-19 is detected.  Temp here is 37.7.  Pulse ox 96%.  She is too weak to get an ambulatory sat on.  She has had 2 COVID vaccines.  CMP is relatively normal.  In talking her further she has been sick since December 18th.  She knows this because she saw her OB gyn doctor on the 17th and she was not sick that day and felt sick the next day.  This is day 8 of illness.  I will give her Decadron.  TSH normal.  BMP is normal.  I did contact Dr. for admission however just before she called back the troponin came back at 21. They will require 2nd troponin.  If the delta is less than 7 anticipate admission to Hospital.  Patient signed out to Dr.  Urinalysis and chest x-ray still pending.  Inpatient notes:  Patient is an 88 year female admitted for deconditioning s/p COVID 19. The patient is fully vaccinated. The patient presented to the ER for generalized fatigue and weakness which started on 12/17/2021. In the ED, CXR showed nonspecific patchy b/l airspace disease as seen with COVID. COVID testing was positive. The patient was not requiring oxygen. She was noted to be deconditioned and given inadequate home resources, was admitted for further evaluation and possible placement. PT/OT evaluated and recommended SAR. Patient refused and family felt it was ok for patient to return home with help from family. HHC was attempted to be arranged and no one would accept the patient. The patient was recommended to follow up with her PCP. She is high risk for readmission. She was discharged home in stable condition.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood thyroid stimulating hormone normal, Blood urea normal, C-reactive protein increased, COVID-19
Clinical narrative: Patient seen in ED and transferred for inpatient admission where she was hospitalized for 3 days. ED notes:  Although patient alleges she can walk at home this seems very unlikely.  She was unable to even sit up on her own here.  Nurse had to help her get into the bed.  They had to help her even take her shirt off.  She seems very run down.  Complete blood count is normal.  Occult blood is negative.  COVID-19 is detected.  Temp here is 37.7.  Pulse ox 96%.  She is too weak to get an ambulatory sat on.  She has had 2 COVID vaccines.  CMP is relatively normal.  In talking her further she has been sick since December 18th.  She knows this because she saw her OB gyn doctor on the 17th and she was not sick that day and felt sick the next day.  This is day 8 of illness.  I will give her Decadron.  TSH normal.  BMP is normal.  I did contact Dr. for admission however just before she called back the troponin came back at 21. They will require 2nd troponin.  If the delta is less than 7 anticipate admission to Hospital.  Patient signed out to Dr.  Urinalysis and chest x-ray still pending.  Inpatient notes:  Patient is an 88 year female admitted for deconditioning s/p COVID 19. The patient is fully vaccinated. The patient presented to the ER for generalized fatigue and weakness which started on 12/17/2021. In the ED, CXR showed nonspecific patchy b/l airspace disease as seen with COVID. COVID testing was positive. The patient was not requiring oxygen. She was noted to be deconditioned and given inadequate home resources, was admitted for further evaluation and possible placement. PT/OT evaluated and recommended SAR. Patient refused and family felt it was ok for patient to return home with help from family. HHC was attempted to be arranged and no one would accept the patient. The patient was recommended to follow up with her PCP. She is high risk for readmission. She was discharged home in stable condition.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Fatigue, Fibrin D dimer increased, Full blood count normal, Gait disturbance
Clinical narrative: Patient seen in ED and transferred for inpatient admission where she was hospitalized for 3 days. ED notes:  Although patient alleges she can walk at home this seems very unlikely.  She was unable to even sit up on her own here.  Nurse had to help her get into the bed.  They had to help her even take her shirt off.  She seems very run down.  Complete blood count is normal.  Occult blood is negative.  COVID-19 is detected.  Temp here is 37.7.  Pulse ox 96%.  She is too weak to get an ambulatory sat on.  She has had 2 COVID vaccines.  CMP is relatively normal.  In talking her further she has been sick since December 18th.  She knows this because she saw her OB gyn doctor on the 17th and she was not sick that day and felt sick the next day.  This is day 8 of illness.  I will give her Decadron.  TSH normal.  BMP is normal.  I did contact Dr. for admission however just before she called back the troponin came back at 21. They will require 2nd troponin.  If the delta is less than 7 anticipate admission to Hospital.  Patient signed out to Dr.  Urinalysis and chest x-ray still pending.  Inpatient notes:  Patient is an 88 year female admitted for deconditioning s/p COVID 19. The patient is fully vaccinated. The patient presented to the ER for generalized fatigue and weakness which started on 12/17/2021. In the ED, CXR showed nonspecific patchy b/l airspace disease as seen with COVID. COVID testing was positive. The patient was not requiring oxygen. She was noted to be deconditioned and given inadequate home resources, was admitted for further evaluation and possible placement. PT/OT evaluated and recommended SAR. Patient refused and family felt it was ok for patient to return home with help from family. HHC was attempted to be arranged and no one would accept the patient. The patient was recommended to follow up with her PCP. She is high risk for readmission. She was discharged home in stable condition.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: General physical condition abnormal, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Illness
Clinical narrative: Patient seen in ED and transferred for inpatient admission where she was hospitalized for 3 days. ED notes:  Although patient alleges she can walk at home this seems very unlikely.  She was unable to even sit up on her own here.  Nurse had to help her get into the bed.  They had to help her even take her shirt off.  She seems very run down.  Complete blood count is normal.  Occult blood is negative.  COVID-19 is detected.  Temp here is 37.7.  Pulse ox 96%.  She is too weak to get an ambulatory sat on.  She has had 2 COVID vaccines.  CMP is relatively normal.  In talking her further she has been sick since December 18th.  She knows this because she saw her OB gyn doctor on the 17th and she was not sick that day and felt sick the next day.  This is day 8 of illness.  I will give her Decadron.  TSH normal.  BMP is normal.  I did contact Dr. for admission however just before she called back the troponin came back at 21. They will require 2nd troponin.  If the delta is less than 7 anticipate admission to Hospital.  Patient signed out to Dr.  Urinalysis and chest x-ray still pending.  Inpatient notes:  Patient is an 88 year female admitted for deconditioning s/p COVID 19. The patient is fully vaccinated. The patient presented to the ER for generalized fatigue and weakness which started on 12/17/2021. In the ED, CXR showed nonspecific patchy b/l airspace disease as seen with COVID. COVID testing was positive. The patient was not requiring oxygen. She was noted to be deconditioned and given inadequate home resources, was admitted for further evaluation and possible placement. PT/OT evaluated and recommended SAR. Patient refused and family felt it was ok for patient to return home with help from family. HHC was attempted to be arranged and no one would accept the patient. The patient was recommended to follow up with her PCP. She is high risk for readmission. She was discharged home in stable condition.