chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray, Chronic obstructive pulmonary disease, Cough
Clinical narrative: The patient developed quick onset of generalized weakness and nonproductive cough.  She was admitted to the critical care unit from the Emergency Department and was positive for COVID-19, right upper lobe pneumonia, septic shock, and COPD exacerbation.  She received her most recent chemotherapy treatment for lymphoma about one week prior to admission.  She received treatment for pneumonia with vancomycin and meropenem, remdesivir, dexamethasone, albuterol, and pressor support with norepinphrine. As of May 19th, she has improved significantly, but still remains in the critical care unit.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Intensive care, Pneumonia, SARS-CoV-2 test positive, Septic shock
Clinical narrative: The patient developed quick onset of generalized weakness and nonproductive cough.  She was admitted to the critical care unit from the Emergency Department and was positive for COVID-19, right upper lobe pneumonia, septic shock, and COPD exacerbation.  She received her most recent chemotherapy treatment for lymphoma about one week prior to admission.  She received treatment for pneumonia with vancomycin and meropenem, remdesivir, dexamethasone, albuterol, and pressor support with norepinphrine. As of May 19th, she has improved significantly, but still remains in the critical care unit.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Additional Details: 911 called pt never lost consciousness recovered in store after emt vistit to store
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient received vaccination and waited the allotted 15 minutes for observation. At the end of her time period, she stood up and walked toward the bathroom and vomited. The patient stated she had someone else present to drive her home. She was instructed to contact physician if necessary but stated she felt much better at the time of leaving.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypotension, Pallor, Syncope
Clinical narrative: Syncope, hypotension, pale, sweaty,.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Brief near syncopal episode, approximately 2-3 minutes after administration
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received 1 dose of Pfizer on 3/25/21 at Pharmacy. Patient received 1 dose of Janssen on 5/12/21. Patient is currently incarcerated in jail. On 5/12/21, patient denied receiving any covid-19 vaccine on  consent form and verbally denied receiving covid-19 vaccine Pfizer in March. Around 1600 on 5/12/21, LPN Jail nurse interviewed patient; patient reported only receiving 1 dose of covid-19 vaccine. Writer received fax of consent form record from Pharmacy to verify vaccine, matching demographic information.  No adverse effects noted by writer. Patient being monitored by LPN.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Migraine
Clinical narrative: Fatigue - the worse was the day after. I was so fatigued, I felt like I was drugged and couldn't get out of bed until 3 or 4 hours. At other times, I was tired, too, but not sure if it was vaccine related. About 2 weeks,  after I did have a migraine for a day (I do usually get one once every couple of months) - I did not think it was from the vaccine. I stayed in bed all day. I was out of migraine medication so I had to go to doctor to get the migraine medication - for that so that was the only thing I did do that day. I think I've used the medication once.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Injection site erythema, Injection site pain, Migraine, Nodule
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Period was unusually heavy and had lot of clots. Not normal for her-Severe, Additional Details: Pt had to get a Toradol shot for a migraine in the left arm 6-7 days after the shot in the left arm that was vaccinated. She ended up getting a red , ropey looking line starting from the injection site up her arm that also had knodules going up that line as well. So she thinks that the heavy period with a lot of clots was caused by the injection and that the phlebitis of the left arm was possibly from the shot as well because she has had other IVs in her arms before that did not cause reaction
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Phlebitis, Rash, Thrombosis
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Period was unusually heavy and had lot of clots. Not normal for her-Severe, Additional Details: Pt had to get a Toradol shot for a migraine in the left arm 6-7 days after the shot in the left arm that was vaccinated. She ended up getting a red , ropey looking line starting from the injection site up her arm that also had knodules going up that line as well. So she thinks that the heavy period with a lot of clots was caused by the injection and that the phlebitis of the left arm was possibly from the shot as well because she has had other IVs in her arms before that did not cause reaction
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt experienced hives 3 days after vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Injection site rash, Rash, Urticaria
Clinical narrative: developed hives on left leg and developed a different type of rash that actually looked like bruises on both the left and right arm, rash on leg went away in a couple days, rash on arms was there longer probably about 1-2 weeks and rash at injection site was still there at 21 days post shot.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza A virus test negative, Influenza B virus test positive, SARS-CoV-2 test positive
Clinical narrative: UNKNOWN
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Neck pain, Taste disorder
Clinical narrative: Neck Pain Nausea Funny taste Dizzy Almost Blacked out
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Lymph node pain
Clinical narrative: 5/14/21 12 a.m.  Severe headache, left arm pain 5/14 6 a.m.  Headache, left arm pain, fever of 100.2, chills, sweats, fatigue.  Slept most of the day.  Fever stayed between 98.9 and 99.6  5/15 6 a.m. Headache, left arm pain, chills, fatigue, low grade fever continues.  Lymph nodes in left armpit are greatly swollen and tender.  5/15 2 p.m. All symptoms subsided except for continued low grade fever, sore arm and swollen lymph nodes. 5/16 6 a.m. Temperature returned to normal.  Lymph nodes still swollen and tender.  Arm still sore 5/17  Lymph nodes returned to normal.   Arm slightly sore
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain in extremity, Pyrexia, Somnolence
Clinical narrative: 5/14/21 12 a.m.  Severe headache, left arm pain 5/14 6 a.m.  Headache, left arm pain, fever of 100.2, chills, sweats, fatigue.  Slept most of the day.  Fever stayed between 98.9 and 99.6  5/15 6 a.m. Headache, left arm pain, chills, fatigue, low grade fever continues.  Lymph nodes in left armpit are greatly swollen and tender.  5/15 2 p.m. All symptoms subsided except for continued low grade fever, sore arm and swollen lymph nodes. 5/16 6 a.m. Temperature returned to normal.  Lymph nodes still swollen and tender.  Arm still sore 5/17  Lymph nodes returned to normal.   Arm slightly sore
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: VACCINE WAS ADMINISTERED 8 HOURS AFTER THE VIAL WAS PUNCTURED.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Chest Tightness / Heaviness / Pain-Severe
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Miosis
Clinical narrative: The day after my Covid vaccine May 15, 2021, the pupil in my right eye was constricted compare to my left pupil which was fully dilated in direct light. The day after that, May 16, 2021, my pupil was back to normal.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema
Clinical narrative: Redness, went to md, md diagnosed cellulitis, prescribed prednisone, amoxicillin, and zofran
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: vasovagal episode, monitored VS, rested on exam table, drank water, friend drove home
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Product administered to patient of inappropriate age
Clinical narrative: administration error only, no side effects Moderna was inadvertently given by Nurse instead of Pfizer and the child is only 14 years of age   she was educated about the vaccine that was given, provided materials, kept for monitoring for 30 minutes. provided with public health nurse contact info. no adverse reaction observed, reported, or noted aside from minor redness at injection site after 30 minutes. child was released home with grandmother who is her legal guardian. Contacted department of health who advised us to complete this vaers report but to go ahead and have them come back for her second dose of moderna after 28 days
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Headache, Malaise, Mobility decreased
Clinical narrative: She got her vaccine, her arm was swollen, couldn't move it.  Woke up the next morning with cold chills, achy body, fever to 101, headache.  She had all the symptoms other than the diarrhea with it. She took some Ibuprofen and then she put a cold washrag on her head.  It went away again and then went to town and came back and felt sick again, and came back and checked her temperature and her fever was still running high at 101 again.  This went on throughout that day and finally broke and went away.  By the following evening all of the symptoms went away.  The arm continued to be swollen and sore, so sore that she could not touch it to take off the band-aide so left it on until the 3rd day.  After the 3rd day she was feeling better.  She is now back to her previous health .   She has an APT with her PCP this Friday, first appointment, and she will mention that she had side effects to the vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Tenderness
Clinical narrative: She got her vaccine, her arm was swollen, couldn't move it.  Woke up the next morning with cold chills, achy body, fever to 101, headache.  She had all the symptoms other than the diarrhea with it. She took some Ibuprofen and then she put a cold washrag on her head.  It went away again and then went to town and came back and felt sick again, and came back and checked her temperature and her fever was still running high at 101 again.  This went on throughout that day and finally broke and went away.  By the following evening all of the symptoms went away.  The arm continued to be swollen and sore, so sore that she could not touch it to take off the band-aide so left it on until the 3rd day.  After the 3rd day she was feeling better.  She is now back to her previous health .   She has an APT with her PCP this Friday, first appointment, and she will mention that she had side effects to the vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: I have had tinnitus--ringing in both ears since about 4 days after I had my second vaccine.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Nausea, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: PATIENT WAS DIAGNOSED WITH CELLULITIS
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient scheduled second dose. The store is listed only for Pfizer vaccine. Patient presented with appointment for second dose. Upon verifying the date of 1st dose, we gave Pfizer second dose. Patient needs Moderna second dose, but was given Pfizer second dose. No reaction/adverse reaction happened at the time of the incident. Patient was given CDC guidance regarding getting two different covid-19 vaccine. Patient was told that per CDC recommendation, patient is considered fully vaccinated and no further Covid-19 vaccine is required.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient died 4/28/2021
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Third dose was inadvertently given. Nursing facility reported needing to start the series unaware of his doses he had already received. Failure by us to check vaccination records prior to giving the injection. Have instructed our team to look up each patient prior to giving doses.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, COVID-19 pneumonia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Vaccinated for COVID-19 with Pfizer on 3/11/2021 and 4/16/2021, tested positive for Covid-19 by PCR on 5/12/2021. Entered emergency department with complaints of knee pain on 5/14/2021 (knee aspiration done 5/12/2021). Also noted to have Covid-19 pneumonia and hypoxemic respiratory failure and was admitted to hospital.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Acute respiratory failure, Adenovirus test, Alanine aminotransferase increased, Angiogram pulmonary abnormal
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriosclerosis, Aspartate aminotransferase normal, Ataxia, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood potassium normal, Blood sodium normal
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Bordetella test negative, COVID-19 pneumonia, Carbon dioxide normal, Chest X-ray abnormal
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chlamydia test negative, Computerised tomogram thorax abnormal, Cough, Deep vein thrombosis, Differential white blood cell count normal
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus test negative, Eosinophil percentage decreased, Fibrin D dimer increased, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Hiatus hernia, Human rhinovirus test, Influenza A virus test negative, Influenza virus test negative, International normalised ratio decreased
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Lung consolidation, Lung opacity, Lymphocyte percentage decreased, Monocyte percentage decreased, Mycoplasma test negative
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Platelet count normal, Pleural effusion, Protein total decreased, Respiratory syncytial virus test negative
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test negative, Scan with contrast abnormal, Sepsis, Troponin I increased
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal, Ultrasound scan abnormal, Vascular compression
Clinical narrative: COUGH 3/15/2021 - 3/19/2021 (4 days)    Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary           INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .       Admission diagnosis:     Primary Admission Diagnosis    Hospital Problems            * (Principal) Pneumonia due to COVID-19 virus Yes       Hyperlipidemia Yes       HYPERLIPIDEMIA NEC/NOS;           Hypertension Yes       Obstructive sleep apnea Yes       Sick sinus syndrome (CMS/HCC) Yes       S/p atrial pacing          History of placement of stent in LAD coronary artery Not Applicable       Acute deep vein thrombosis (DVT) of popliteal vein of left lower extremity (CMS/HCC) Yes       Hypoxia Yes               Disposition: discharge to home with home health care CODE STATUS (LOI): Full Code   Consulted Services: none Operative Procedures Performed   _ Active Issues Requiring Follow-up COVID19 pneumonia with acute respiratory insufficiency-Home O2 evaluation completed and the patient requires 1 L of oxygen with rest and 3 L with exertion.  He will be discharged with 5 more days of Decadron to complete a 10-day course.  He received convalescent plasma while hospitalized.  He completed a 5-day course of remdesivir.  He already received his first Covid vaccine.  His second Covid vaccine was rescheduled for April 9 at 1245 at the Hospital.   Acute DVT of the left popliteal vein-started on Eliquis.  Patient will complete 7 days of 10 mg p.o. twice daily then start on 5 mg p.o. twice daily   Coronary artery disease-aspirin was decreased to 81 mg since he was started on Eliquis   Iron deficiency anemia-started on iron replacement.  Recommend further work-up as indicated as an outpatient.  The patient does report he had a colonoscopy 2 years ago which was normal.  He has had intentional weight loss over the past year of 35 pounds so this could be from his dietary changes but discussed outpatient monitoring through his family doctor.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hyperhidrosis, Magnetic resonance imaging, Syncope
Clinical narrative: After patient received the vaccine, went to sit on a chair for observation, he fainted and fall on the floor.  He reported to fill dizzy and sweaty. Applied cold pack in the neck area on the back. The ambulance was called and patient was taken to the hospital for further treatment.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: pt had fever the night after taking the vax.  The next day she when she woke up her entire right side of the body was sore and had diarhea.  She had fatigue and developed a rash on her left arm.  Three days later she still has a rash, sore arm, slight fever and diarhea.  Pt will be going to urgent care today for treatment.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: pt had fever the night after taking the vax.  The next day she when she woke up her entire right side of the body was sore and had diarhea.  She had fatigue and developed a rash on her left arm.  Three days later she still has a rash, sore arm, slight fever and diarhea.  Pt will be going to urgent care today for treatment.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on arm around vaccine area about a week after the vaccination
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: The patient began to feel dizzy and nauseous, she was sitting up and her husband gave her cold water. The nurse present evaluated her pulse which was at 80. A chair was placed in front of her to raise her legs. She began to feel better little by little. she stayed in observation for 30 minutes. The patient indicated that she had not had breakfast. She was called after several hours and indicates that she has been feeling well during the day.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna given to client under age 18.  No adverse events noted at date deviation was recognized (5/19/2021)
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: During  mass vaccine patient received 2nd dose early.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Colitis, Gastrointestinal disorder, Hyperhidrosis, Impaired gastric emptying
Clinical narrative: After my vaccine I experienced sweats, fever body aches and had stomach pain for three days.  I had arm pain for about three weeks as well. On Monday afternoon, I still had stomach pains, fever and leg cramps. I went to see my doctor and he performed exams on me and was told I had swelling of my intestine. My digestive tract has been profusely slow since receiving the J&J vaccine. They also ran some tests to check if I had any blood clots.  I still experiencing full digestive tract issues and slowness.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Muscle spasms, Pain, Pain in extremity, Pyrexia
Clinical narrative: After my vaccine I experienced sweats, fever body aches and had stomach pain for three days.  I had arm pain for about three weeks as well. On Monday afternoon, I still had stomach pains, fever and leg cramps. I went to see my doctor and he performed exams on me and was told I had swelling of my intestine. My digestive tract has been profusely slow since receiving the J&J vaccine. They also ran some tests to check if I had any blood clots.  I still experiencing full digestive tract issues and slowness.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Vasovagal response after receiving Pfizer vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Suspected COVID-19 virus infection  Contact with and (suspected) exposure to covid-19  Clinical Support 3/16/2021 COVID-19 virus infection Dx Progress Notes  (Registered Nurse) ? ? Encounter Date: 3/16/2021 ? ? Signed    Patient is here for MAB Infusion Consent for infusion prior to this visit reviewed and verified. O2 sats > or = 90% Signs of potential reaction reviewed with patient. Tolerated IV start and MAB infusion without complication. Pt has access to pulse oximeter and thermometer for home monitoring Provided fact sheet for patients, parents and caregivers- for pt to review. Discharge instructions reviewed. Patient denies any questions    Instructions
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Death, Respiratory acidosis
Clinical narrative: Family considers patients demise 5/8/2021 a result of vaccination with COVID-19 series given 2/3/2021 and 3/3/2021. He died from respiratory acidosis yet never had breathing problems prior tom vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Reconstituted with sterile water instead of normal saline
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna given to 17 year old
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Hypoaesthesia, Paraesthesia oral
Clinical narrative: After shot got dizzy had sortness of breath tightness in chest throat tight and numbness and tingling in lower lip..at onset of symptoms took benedryl and after about one hour symptoms started to alleviate
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: After shot got dizzy had sortness of breath tightness in chest throat tight and numbness and tingling in lower lip..at onset of symptoms took benedryl and after about one hour symptoms started to alleviate
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Eye swelling, Lip swelling, Pharyngeal swelling, Respiratory tract congestion
Clinical narrative: Time to onset: 6 hours. Patient developed full body hives, severe congestion, lip, tongue, throat, and eye swelling. Wheezing. Difficulty swallowing. Treated with Claritin 20 mg po, Benadryl 25 mg po, albuterol inhaler 2 puffs, prednisone 50 mg po, and Asmanex 2 puffs. Within 1 hour hives and lip swelling began to resolve. 1 hr after taking prednisone, tongue and eye swelling resolving.  As of 740 am on 5/19/21, hives resolved. Only continuing sx was mild throat swelling sensation.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue, Urticaria, Wheezing
Clinical narrative: Time to onset: 6 hours. Patient developed full body hives, severe congestion, lip, tongue, throat, and eye swelling. Wheezing. Difficulty swallowing. Treated with Claritin 20 mg po, Benadryl 25 mg po, albuterol inhaler 2 puffs, prednisone 50 mg po, and Asmanex 2 puffs. Within 1 hour hives and lip swelling began to resolve. 1 hr after taking prednisone, tongue and eye swelling resolving.  As of 740 am on 5/19/21, hives resolved. Only continuing sx was mild throat swelling sensation.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Pateint was given vaccine on 5/18/2021, soon after her injection, she passed out in the lobby.  Code Blue was called.  After medical team arrived, her HR= 48; BP= 89/56; O2= 100% on 3L and she responded to verbal commands.  Hx of needle phobia.   Not sure whether her Syncope was secondary to Vasovagal vs. J&J Vaccine vs. Seizures, therefore, we called EMS to take her for further evaluation.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: The night I received the second dose, probably after 11pm, I had body aches, chills, headache, probably a fever. In the morning, still feeling poorly, I took ibuprofen, which helped ease the symptoms. When that wore off, around 11 am on 05/18/2021 the body aches and chills returned. I checked my temperature, and it was 102.3. Later that evening, I'm not sure what time, my arm started itching at the injection site. The fever and body aches continued overnight. On 05/19/2021 I woke up with the fever gone but body still achey, plus sensitive skin. The injection site is still itchy, is slightly swollen, and has a large red patch around it.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, Sensitive skin
Clinical narrative: The night I received the second dose, probably after 11pm, I had body aches, chills, headache, probably a fever. In the morning, still feeling poorly, I took ibuprofen, which helped ease the symptoms. When that wore off, around 11 am on 05/18/2021 the body aches and chills returned. I checked my temperature, and it was 102.3. Later that evening, I'm not sure what time, my arm started itching at the injection site. The fever and body aches continued overnight. On 05/19/2021 I woke up with the fever gone but body still achey, plus sensitive skin. The injection site is still itchy, is slightly swollen, and has a large red patch around it.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Pain
Clinical narrative: Mild sore and pain at vaccinated area starting around 2:30pm, and I was vaccinated at 12:05pm. Symptoms continued till the night of the second day. Mild fatigue on second day and I went to sleep two times during the day. Mild soreness throughout whole body, especially my back waist, on the second day. It felt like a did crazy snow digging the day before without any warm-up.   All symptoms were gone the third day when I woke up.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: The patient experienced vasovagal syncope a few minutes following vaccine administration.  Patient became alert seconds after fainting and made a full recovery.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles outbreak