chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Fibrin D dimer increased, Hyponatraemia, Hypotension, Hypoxia
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/10/21 (EN6203) Pfizer Dose 2 4/2/21 (ER8734) COVID Positive 12/1/21  12/1/21:  Patient is 90-year-old female past medical history significant for essential hypertension, hyperlipidemia, obesity, chronic cough  Patient presented with generalized weakness and cough of 2 days duration.  Patient progressively started to feel much worse with worsening of cough; has been vaccinated for COVID but has contact with family members having coli 19 infection.  Patient rapid test for COVID at with compass was negative.  In the emergency room patient was febrile tachypneic and tachycardic and was requiring oxygen supplementation 7 LPM than 15 liter/minute; had to be transition to BiPAP after which saturation improved.  Lab was significant for hyponatremia of 132; anion gap of 17 with elevated glucose of 121; creatinine was elevated 1.02.  And proBNP was also elevated 6622 with elevated troponin of 1.05.  Cell count showed thrombocytopenia of 118 with lymphopenia; D-dimer was also elevated 1.31.  Portable chest x-ray shows scattered bilateral area of airspace disease likely representing multilobar pneumonia or viral pneumonitis  CT angio of the chest was unremarkable for pulmonary embolism; however showed scattered bilateral area of airspace disease likely representing viral pneumonitis or multilobar pneumonia  12/22/21: 90-year-old woman who presented emergency department with generalized weakness, fever and malaise following exposure to a COVID best if individual.  COVID post 19 PCR was noted to be positive, she was hypoxic requiring initiation of supplemental oxygen.  She was admitted to the hospitalist service where progressive increasing oxygen requirements was noted despite treatment with IV remdesivir, Actemra, steroids, empiric antibiotic therapy.  She was transferred to the intensive care unit where she was managed with high-flow oxygen and BiPAP, also required brief period of pressor support on account of hypotension.  Subsequent improvement noted in oxygen requirements and she did not require intubation, she was then transferred to the floor she has gradually been weaned down from high-flow oxygen down to 5 liters/minutes of supplemental oxygen via nasal cannula at the time of discharge.  She is in fair medical condition and has been discharged to skilled nursing facility for continued rehabilitation.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Laboratory test abnormal, Lung disorder, Lymphopenia, Malaise
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/10/21 (EN6203) Pfizer Dose 2 4/2/21 (ER8734) COVID Positive 12/1/21  12/1/21:  Patient is 90-year-old female past medical history significant for essential hypertension, hyperlipidemia, obesity, chronic cough  Patient presented with generalized weakness and cough of 2 days duration.  Patient progressively started to feel much worse with worsening of cough; has been vaccinated for COVID but has contact with family members having coli 19 infection.  Patient rapid test for COVID at with compass was negative.  In the emergency room patient was febrile tachypneic and tachycardic and was requiring oxygen supplementation 7 LPM than 15 liter/minute; had to be transition to BiPAP after which saturation improved.  Lab was significant for hyponatremia of 132; anion gap of 17 with elevated glucose of 121; creatinine was elevated 1.02.  And proBNP was also elevated 6622 with elevated troponin of 1.05.  Cell count showed thrombocytopenia of 118 with lymphopenia; D-dimer was also elevated 1.31.  Portable chest x-ray shows scattered bilateral area of airspace disease likely representing multilobar pneumonia or viral pneumonitis  CT angio of the chest was unremarkable for pulmonary embolism; however showed scattered bilateral area of airspace disease likely representing viral pneumonitis or multilobar pneumonia  12/22/21: 90-year-old woman who presented emergency department with generalized weakness, fever and malaise following exposure to a COVID best if individual.  COVID post 19 PCR was noted to be positive, she was hypoxic requiring initiation of supplemental oxygen.  She was admitted to the hospitalist service where progressive increasing oxygen requirements was noted despite treatment with IV remdesivir, Actemra, steroids, empiric antibiotic therapy.  She was transferred to the intensive care unit where she was managed with high-flow oxygen and BiPAP, also required brief period of pressor support on account of hypotension.  Subsequent improvement noted in oxygen requirements and she did not require intubation, she was then transferred to the floor she has gradually been weaned down from high-flow oxygen down to 5 liters/minutes of supplemental oxygen via nasal cannula at the time of discharge.  She is in fair medical condition and has been discharged to skilled nursing facility for continued rehabilitation.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Pneumonia, Pneumonia viral, Positive airway pressure therapy, Prohormone brain natriuretic peptide increased
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/10/21 (EN6203) Pfizer Dose 2 4/2/21 (ER8734) COVID Positive 12/1/21  12/1/21:  Patient is 90-year-old female past medical history significant for essential hypertension, hyperlipidemia, obesity, chronic cough  Patient presented with generalized weakness and cough of 2 days duration.  Patient progressively started to feel much worse with worsening of cough; has been vaccinated for COVID but has contact with family members having coli 19 infection.  Patient rapid test for COVID at with compass was negative.  In the emergency room patient was febrile tachypneic and tachycardic and was requiring oxygen supplementation 7 LPM than 15 liter/minute; had to be transition to BiPAP after which saturation improved.  Lab was significant for hyponatremia of 132; anion gap of 17 with elevated glucose of 121; creatinine was elevated 1.02.  And proBNP was also elevated 6622 with elevated troponin of 1.05.  Cell count showed thrombocytopenia of 118 with lymphopenia; D-dimer was also elevated 1.31.  Portable chest x-ray shows scattered bilateral area of airspace disease likely representing multilobar pneumonia or viral pneumonitis  CT angio of the chest was unremarkable for pulmonary embolism; however showed scattered bilateral area of airspace disease likely representing viral pneumonitis or multilobar pneumonia  12/22/21: 90-year-old woman who presented emergency department with generalized weakness, fever and malaise following exposure to a COVID best if individual.  COVID post 19 PCR was noted to be positive, she was hypoxic requiring initiation of supplemental oxygen.  She was admitted to the hospitalist service where progressive increasing oxygen requirements was noted despite treatment with IV remdesivir, Actemra, steroids, empiric antibiotic therapy.  She was transferred to the intensive care unit where she was managed with high-flow oxygen and BiPAP, also required brief period of pressor support on account of hypotension.  Subsequent improvement noted in oxygen requirements and she did not require intubation, she was then transferred to the floor she has gradually been weaned down from high-flow oxygen down to 5 liters/minutes of supplemental oxygen via nasal cannula at the time of discharge.  She is in fair medical condition and has been discharged to skilled nursing facility for continued rehabilitation.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Tachycardia, Tachypnoea, Thrombocytopenia
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/10/21 (EN6203) Pfizer Dose 2 4/2/21 (ER8734) COVID Positive 12/1/21  12/1/21:  Patient is 90-year-old female past medical history significant for essential hypertension, hyperlipidemia, obesity, chronic cough  Patient presented with generalized weakness and cough of 2 days duration.  Patient progressively started to feel much worse with worsening of cough; has been vaccinated for COVID but has contact with family members having coli 19 infection.  Patient rapid test for COVID at with compass was negative.  In the emergency room patient was febrile tachypneic and tachycardic and was requiring oxygen supplementation 7 LPM than 15 liter/minute; had to be transition to BiPAP after which saturation improved.  Lab was significant for hyponatremia of 132; anion gap of 17 with elevated glucose of 121; creatinine was elevated 1.02.  And proBNP was also elevated 6622 with elevated troponin of 1.05.  Cell count showed thrombocytopenia of 118 with lymphopenia; D-dimer was also elevated 1.31.  Portable chest x-ray shows scattered bilateral area of airspace disease likely representing multilobar pneumonia or viral pneumonitis  CT angio of the chest was unremarkable for pulmonary embolism; however showed scattered bilateral area of airspace disease likely representing viral pneumonitis or multilobar pneumonia  12/22/21: 90-year-old woman who presented emergency department with generalized weakness, fever and malaise following exposure to a COVID best if individual.  COVID post 19 PCR was noted to be positive, she was hypoxic requiring initiation of supplemental oxygen.  She was admitted to the hospitalist service where progressive increasing oxygen requirements was noted despite treatment with IV remdesivir, Actemra, steroids, empiric antibiotic therapy.  She was transferred to the intensive care unit where she was managed with high-flow oxygen and BiPAP, also required brief period of pressor support on account of hypotension.  Subsequent improvement noted in oxygen requirements and she did not require intubation, she was then transferred to the floor she has gradually been weaned down from high-flow oxygen down to 5 liters/minutes of supplemental oxygen via nasal cannula at the time of discharge.  She is in fair medical condition and has been discharged to skilled nursing facility for continued rehabilitation.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin increased, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/10/21 (EN6203) Pfizer Dose 2 4/2/21 (ER8734) COVID Positive 12/1/21  12/1/21:  Patient is 90-year-old female past medical history significant for essential hypertension, hyperlipidemia, obesity, chronic cough  Patient presented with generalized weakness and cough of 2 days duration.  Patient progressively started to feel much worse with worsening of cough; has been vaccinated for COVID but has contact with family members having coli 19 infection.  Patient rapid test for COVID at with compass was negative.  In the emergency room patient was febrile tachypneic and tachycardic and was requiring oxygen supplementation 7 LPM than 15 liter/minute; had to be transition to BiPAP after which saturation improved.  Lab was significant for hyponatremia of 132; anion gap of 17 with elevated glucose of 121; creatinine was elevated 1.02.  And proBNP was also elevated 6622 with elevated troponin of 1.05.  Cell count showed thrombocytopenia of 118 with lymphopenia; D-dimer was also elevated 1.31.  Portable chest x-ray shows scattered bilateral area of airspace disease likely representing multilobar pneumonia or viral pneumonitis  CT angio of the chest was unremarkable for pulmonary embolism; however showed scattered bilateral area of airspace disease likely representing viral pneumonitis or multilobar pneumonia  12/22/21: 90-year-old woman who presented emergency department with generalized weakness, fever and malaise following exposure to a COVID best if individual.  COVID post 19 PCR was noted to be positive, she was hypoxic requiring initiation of supplemental oxygen.  She was admitted to the hospitalist service where progressive increasing oxygen requirements was noted despite treatment with IV remdesivir, Actemra, steroids, empiric antibiotic therapy.  She was transferred to the intensive care unit where she was managed with high-flow oxygen and BiPAP, also required brief period of pressor support on account of hypotension.  Subsequent improvement noted in oxygen requirements and she did not require intubation, she was then transferred to the floor she has gradually been weaned down from high-flow oxygen down to 5 liters/minutes of supplemental oxygen via nasal cannula at the time of discharge.  She is in fair medical condition and has been discharged to skilled nursing facility for continued rehabilitation.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3rd vaccine  1st Dose 2/5/21 - EL3248 Pfizer 2nd Dose 2/26/2021 - EN6200 Pfizer 3rd Dose 10/6/2021 - FC3181 Pfizer
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: On the clinic day, the vaccine was transported out from the pharmacy to the facility without a digital data logger. The packing used for transport was refrigerated packaging tote to maintain a temperature of 36 F - 46 F.  However, that is not approved by State for COVID-19 vaccine transportation. The total time (from when vaccine left the pharmacy to the clinic completion) was less than 6 hours. There were no adverse events.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Headache, Pain
Clinical narrative: Approximately 5 months after my 2nd dose vaccination I contracted COVID-19 and had the following symptoms: Runny nose, Slight Fever, Fatigue, Headache, Body Aches, Loss of Smell and Taste. I took Vitamin C and Ibuprofen for treatment and it did help to improve my overall symptoms. I called my doctor for consultation and was not really prescribed with specific medications and just advised me to isolate for 14 days until I test positive.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Approximately 5 months after my 2nd dose vaccination I contracted COVID-19 and had the following symptoms: Runny nose, Slight Fever, Fatigue, Headache, Body Aches, Loss of Smell and Taste. I took Vitamin C and Ibuprofen for treatment and it did help to improve my overall symptoms. I called my doctor for consultation and was not really prescribed with specific medications and just advised me to isolate for 14 days until I test positive.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, COVID-19, Chills, Cholangiocarcinoma
Clinical narrative: When I received the vaccine I immediately felt a rushing feeling pass over my body. The headache kicked in a couple hours later. I took some Motrin. The headache never went away or subsided for a month. After 3 months of an ongoing headache I made an appointment with a doctor. I was having symptoms of heart burn after getting the vaccine. I was also having bad leg cramps at nights. The doctor told me to take some magnesium supplements. The leg cramps and headaches went on for a couple more months, but they eventually did go away. I declined getting the booster. On January 2, 2022 I went to the ER for abdominal pain and fever. The doctor told me that I have 3 different types of cancer. I have cholangiocarcinoma, liver cancer, and lung cancer. I was prescribed medications and pain killers, but I don't take them. I only took the nausea medication because I had extreme fatigue and nausea. I am also very tired all the time. I don't have the leg cramps or headache anymore, but I do still have the fatigue. I also caught Covid in March 2022. I had a high fever, and then I had chills while being outside in the sun. Then I started getting diarrhea and stomach cramping. I just felt weird. I thought I had an infection so I went to see a doctor, and they said I had Covid. The next day I got the Covid headache. I dint have a cough or anything. In April 2022 I caught Covid again with a fever and diarrhea, but I had a negative at home Covid test. I had milder symptoms. When I got a PCR Covid test did that one was positive.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Diarrhoea, Dyspepsia, Fatigue, Feeling abnormal
Clinical narrative: When I received the vaccine I immediately felt a rushing feeling pass over my body. The headache kicked in a couple hours later. I took some Motrin. The headache never went away or subsided for a month. After 3 months of an ongoing headache I made an appointment with a doctor. I was having symptoms of heart burn after getting the vaccine. I was also having bad leg cramps at nights. The doctor told me to take some magnesium supplements. The leg cramps and headaches went on for a couple more months, but they eventually did go away. I declined getting the booster. On January 2, 2022 I went to the ER for abdominal pain and fever. The doctor told me that I have 3 different types of cancer. I have cholangiocarcinoma, liver cancer, and lung cancer. I was prescribed medications and pain killers, but I don't take them. I only took the nausea medication because I had extreme fatigue and nausea. I am also very tired all the time. I don't have the leg cramps or headache anymore, but I do still have the fatigue. I also caught Covid in March 2022. I had a high fever, and then I had chills while being outside in the sun. Then I started getting diarrhea and stomach cramping. I just felt weird. I thought I had an infection so I went to see a doctor, and they said I had Covid. The next day I got the Covid headache. I dint have a cough or anything. In April 2022 I caught Covid again with a fever and diarrhea, but I had a negative at home Covid test. I had milder symptoms. When I got a PCR Covid test did that one was positive.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hepatic cancer, Immediate post-injection reaction, Lung neoplasm malignant, Muscle spasms
Clinical narrative: When I received the vaccine I immediately felt a rushing feeling pass over my body. The headache kicked in a couple hours later. I took some Motrin. The headache never went away or subsided for a month. After 3 months of an ongoing headache I made an appointment with a doctor. I was having symptoms of heart burn after getting the vaccine. I was also having bad leg cramps at nights. The doctor told me to take some magnesium supplements. The leg cramps and headaches went on for a couple more months, but they eventually did go away. I declined getting the booster. On January 2, 2022 I went to the ER for abdominal pain and fever. The doctor told me that I have 3 different types of cancer. I have cholangiocarcinoma, liver cancer, and lung cancer. I was prescribed medications and pain killers, but I don't take them. I only took the nausea medication because I had extreme fatigue and nausea. I am also very tired all the time. I don't have the leg cramps or headache anymore, but I do still have the fatigue. I also caught Covid in March 2022. I had a high fever, and then I had chills while being outside in the sun. Then I started getting diarrhea and stomach cramping. I just felt weird. I thought I had an infection so I went to see a doctor, and they said I had Covid. The next day I got the Covid headache. I dint have a cough or anything. In April 2022 I caught Covid again with a fever and diarrhea, but I had a negative at home Covid test. I had milder symptoms. When I got a PCR Covid test did that one was positive.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Neoplasm malignant, Pyrexia, SARS-CoV-2 test positive, Sensory disturbance, Ultrasound abdomen abnormal
Clinical narrative: When I received the vaccine I immediately felt a rushing feeling pass over my body. The headache kicked in a couple hours later. I took some Motrin. The headache never went away or subsided for a month. After 3 months of an ongoing headache I made an appointment with a doctor. I was having symptoms of heart burn after getting the vaccine. I was also having bad leg cramps at nights. The doctor told me to take some magnesium supplements. The leg cramps and headaches went on for a couple more months, but they eventually did go away. I declined getting the booster. On January 2, 2022 I went to the ER for abdominal pain and fever. The doctor told me that I have 3 different types of cancer. I have cholangiocarcinoma, liver cancer, and lung cancer. I was prescribed medications and pain killers, but I don't take them. I only took the nausea medication because I had extreme fatigue and nausea. I am also very tired all the time. I don't have the leg cramps or headache anymore, but I do still have the fatigue. I also caught Covid in March 2022. I had a high fever, and then I had chills while being outside in the sun. Then I started getting diarrhea and stomach cramping. I just felt weird. I thought I had an infection so I went to see a doctor, and they said I had Covid. The next day I got the Covid headache. I dint have a cough or anything. In April 2022 I caught Covid again with a fever and diarrhea, but I had a negative at home Covid test. I had milder symptoms. When I got a PCR Covid test did that one was positive.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Asthenia, Blood lactic acid, COVID-19, Chest X-ray abnormal
Clinical narrative: COVID Vaccine Breakthrough Case  J&J Dose 5/10/21 (lot NA) COVID Positive 12/3/2021  12/3/21: Patient is a 68-year-old male with history of peripheral neuropathy, COPD, chronic pain, present to the emergency department with a complaint of worsening shortness of breath since Tuesday.  Prior to Tuesday patient has been in his usual state of health.  Denies any fever or chills, since Tuesday he has been having some shortness of breath, reported cough, patient has been getting weaker, no fever or chills, symptoms keep getting worse hence his wife brought him to the emergency department.  He received COVID-19 vaccine Johnson Johnson in April, received flu shot, smokes half pack per day, history of COPD in uses inhaler as needed but no oxygen or. No obstructive sleep apnea.  Close contact with COVID-19 patient at home.  Patient was very tachypneic in distress, could not provide much history however his wife was present at bedside and was able to help.  He is full code.   In ED, Anion gap 20, lactic acid 3.7, proBNP 4883, troponin 0.05, fever, tachycardia, severe hypoxia requiring BiPAP.  Chest x-ray showed right upper lobe pneumonia. Patient was given 1 dose of Solu-Medrol, Rocephin and DuoNeb nebulizer treatment.  12/23/21: Patient is very comatose and noncommunicative, and respiratory distress. His wife is on bedside.  His condition has not been changing since yesterday. Patient deceased later that day.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Coma, Communication disorder, Cough, Death, Dyspnoea
Clinical narrative: COVID Vaccine Breakthrough Case  J&J Dose 5/10/21 (lot NA) COVID Positive 12/3/2021  12/3/21: Patient is a 68-year-old male with history of peripheral neuropathy, COPD, chronic pain, present to the emergency department with a complaint of worsening shortness of breath since Tuesday.  Prior to Tuesday patient has been in his usual state of health.  Denies any fever or chills, since Tuesday he has been having some shortness of breath, reported cough, patient has been getting weaker, no fever or chills, symptoms keep getting worse hence his wife brought him to the emergency department.  He received COVID-19 vaccine Johnson Johnson in April, received flu shot, smokes half pack per day, history of COPD in uses inhaler as needed but no oxygen or. No obstructive sleep apnea.  Close contact with COVID-19 patient at home.  Patient was very tachypneic in distress, could not provide much history however his wife was present at bedside and was able to help.  He is full code.   In ED, Anion gap 20, lactic acid 3.7, proBNP 4883, troponin 0.05, fever, tachycardia, severe hypoxia requiring BiPAP.  Chest x-ray showed right upper lobe pneumonia. Patient was given 1 dose of Solu-Medrol, Rocephin and DuoNeb nebulizer treatment.  12/23/21: Patient is very comatose and noncommunicative, and respiratory distress. His wife is on bedside.  His condition has not been changing since yesterday. Patient deceased later that day.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Hypoxia, Pneumonia, Positive airway pressure therapy, Prohormone brain natriuretic peptide increased
Clinical narrative: COVID Vaccine Breakthrough Case  J&J Dose 5/10/21 (lot NA) COVID Positive 12/3/2021  12/3/21: Patient is a 68-year-old male with history of peripheral neuropathy, COPD, chronic pain, present to the emergency department with a complaint of worsening shortness of breath since Tuesday.  Prior to Tuesday patient has been in his usual state of health.  Denies any fever or chills, since Tuesday he has been having some shortness of breath, reported cough, patient has been getting weaker, no fever or chills, symptoms keep getting worse hence his wife brought him to the emergency department.  He received COVID-19 vaccine Johnson Johnson in April, received flu shot, smokes half pack per day, history of COPD in uses inhaler as needed but no oxygen or. No obstructive sleep apnea.  Close contact with COVID-19 patient at home.  Patient was very tachypneic in distress, could not provide much history however his wife was present at bedside and was able to help.  He is full code.   In ED, Anion gap 20, lactic acid 3.7, proBNP 4883, troponin 0.05, fever, tachycardia, severe hypoxia requiring BiPAP.  Chest x-ray showed right upper lobe pneumonia. Patient was given 1 dose of Solu-Medrol, Rocephin and DuoNeb nebulizer treatment.  12/23/21: Patient is very comatose and noncommunicative, and respiratory distress. His wife is on bedside.  His condition has not been changing since yesterday. Patient deceased later that day.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory distress, SARS-CoV-2 test positive, Tachycardia, Tachypnoea
Clinical narrative: COVID Vaccine Breakthrough Case  J&J Dose 5/10/21 (lot NA) COVID Positive 12/3/2021  12/3/21: Patient is a 68-year-old male with history of peripheral neuropathy, COPD, chronic pain, present to the emergency department with a complaint of worsening shortness of breath since Tuesday.  Prior to Tuesday patient has been in his usual state of health.  Denies any fever or chills, since Tuesday he has been having some shortness of breath, reported cough, patient has been getting weaker, no fever or chills, symptoms keep getting worse hence his wife brought him to the emergency department.  He received COVID-19 vaccine Johnson Johnson in April, received flu shot, smokes half pack per day, history of COPD in uses inhaler as needed but no oxygen or. No obstructive sleep apnea.  Close contact with COVID-19 patient at home.  Patient was very tachypneic in distress, could not provide much history however his wife was present at bedside and was able to help.  He is full code.   In ED, Anion gap 20, lactic acid 3.7, proBNP 4883, troponin 0.05, fever, tachycardia, severe hypoxia requiring BiPAP.  Chest x-ray showed right upper lobe pneumonia. Patient was given 1 dose of Solu-Medrol, Rocephin and DuoNeb nebulizer treatment.  12/23/21: Patient is very comatose and noncommunicative, and respiratory distress. His wife is on bedside.  His condition has not been changing since yesterday. Patient deceased later that day.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  J&J Dose 5/10/21 (lot NA) COVID Positive 12/3/2021  12/3/21: Patient is a 68-year-old male with history of peripheral neuropathy, COPD, chronic pain, present to the emergency department with a complaint of worsening shortness of breath since Tuesday.  Prior to Tuesday patient has been in his usual state of health.  Denies any fever or chills, since Tuesday he has been having some shortness of breath, reported cough, patient has been getting weaker, no fever or chills, symptoms keep getting worse hence his wife brought him to the emergency department.  He received COVID-19 vaccine Johnson Johnson in April, received flu shot, smokes half pack per day, history of COPD in uses inhaler as needed but no oxygen or. No obstructive sleep apnea.  Close contact with COVID-19 patient at home.  Patient was very tachypneic in distress, could not provide much history however his wife was present at bedside and was able to help.  He is full code.   In ED, Anion gap 20, lactic acid 3.7, proBNP 4883, troponin 0.05, fever, tachycardia, severe hypoxia requiring BiPAP.  Chest x-ray showed right upper lobe pneumonia. Patient was given 1 dose of Solu-Medrol, Rocephin and DuoNeb nebulizer treatment.  12/23/21: Patient is very comatose and noncommunicative, and respiratory distress. His wife is on bedside.  His condition has not been changing since yesterday. Patient deceased later that day.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: On the clinic day, the vaccine was transported out from the pharmacy to the facility without a digital data logger. The packing used for transport was refrigerated packaging tote to maintain a temperature of 36 F - 46 F.  However, that is not approved by State for COVID-19 vaccine transportation. The total time (from when vaccine left the pharmacy to the clinic completion) was less than 6 hours. There were no adverse events.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Condition aggravated, Fatigue
Clinical narrative: First 3 days (sat-mon) felt like I had a cold then about the Tuesday it was a little worse. From Wed to 2 weeks later, I was in bed and not really conscious for most the time. I had severe fatigue to the point I had to crawl to the bathroom. I wasn't eating and felt like shit and was sleeping most of the time. I remember sleeping for a lot of it and not remembers much else. I was hot and cold most the time and was sweating. My roommate had it at the same time. I may have taken Tylenol and drank water. My sense of taste and smell that was lost during covid and it's come back but things don't smell like it should...and sometimes smells like the opposite. Or sometimes I lose the sense again. Like lavender sometimes smells like rotting flesh. Before Covid I wasn't having a lot of fibromyalgia flare ups, since I had been taking my meds. Maybe every 2 months. But now after Covid I have pain everyday nonstop and I'm walking with the pain, even with the medication I've been taking. Adding Tylenol will dull the pain but it's still there.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Feeling of body temperature change, Fibromyalgia, Gait disturbance, Hyperhidrosis
Clinical narrative: First 3 days (sat-mon) felt like I had a cold then about the Tuesday it was a little worse. From Wed to 2 weeks later, I was in bed and not really conscious for most the time. I had severe fatigue to the point I had to crawl to the bathroom. I wasn't eating and felt like shit and was sleeping most of the time. I remember sleeping for a lot of it and not remembers much else. I was hot and cold most the time and was sweating. My roommate had it at the same time. I may have taken Tylenol and drank water. My sense of taste and smell that was lost during covid and it's come back but things don't smell like it should...and sometimes smells like the opposite. Or sometimes I lose the sense again. Like lavender sometimes smells like rotting flesh. Before Covid I wasn't having a lot of fibromyalgia flare ups, since I had been taking my meds. Maybe every 2 months. But now after Covid I have pain everyday nonstop and I'm walking with the pain, even with the medication I've been taking. Adding Tylenol will dull the pain but it's still there.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Hypophagia, Memory impairment, Mobility decreased, Nasopharyngitis
Clinical narrative: First 3 days (sat-mon) felt like I had a cold then about the Tuesday it was a little worse. From Wed to 2 weeks later, I was in bed and not really conscious for most the time. I had severe fatigue to the point I had to crawl to the bathroom. I wasn't eating and felt like shit and was sleeping most of the time. I remember sleeping for a lot of it and not remembers much else. I was hot and cold most the time and was sweating. My roommate had it at the same time. I may have taken Tylenol and drank water. My sense of taste and smell that was lost during covid and it's come back but things don't smell like it should...and sometimes smells like the opposite. Or sometimes I lose the sense again. Like lavender sometimes smells like rotting flesh. Before Covid I wasn't having a lot of fibromyalgia flare ups, since I had been taking my meds. Maybe every 2 months. But now after Covid I have pain everyday nonstop and I'm walking with the pain, even with the medication I've been taking. Adding Tylenol will dull the pain but it's still there.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Parosmia
Clinical narrative: First 3 days (sat-mon) felt like I had a cold then about the Tuesday it was a little worse. From Wed to 2 weeks later, I was in bed and not really conscious for most the time. I had severe fatigue to the point I had to crawl to the bathroom. I wasn't eating and felt like shit and was sleeping most of the time. I remember sleeping for a lot of it and not remembers much else. I was hot and cold most the time and was sweating. My roommate had it at the same time. I may have taken Tylenol and drank water. My sense of taste and smell that was lost during covid and it's come back but things don't smell like it should...and sometimes smells like the opposite. Or sometimes I lose the sense again. Like lavender sometimes smells like rotting flesh. Before Covid I wasn't having a lot of fibromyalgia flare ups, since I had been taking my meds. Maybe every 2 months. But now after Covid I have pain everyday nonstop and I'm walking with the pain, even with the medication I've been taking. Adding Tylenol will dull the pain but it's still there.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine phosphokinase normal, Blood creatinine increased, Bundle branch block right, COVID-19
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/24/21 (ER8732) COVID Positive 12/8/21  12/8/21: 86-year-old male with CKD stage 3, COPD, hypertension, hyperlipidemia and BPH presented with left hip pain after fall.  Patient is very hard of hearing, part of history obtained from patient's daughter at bedside. Patient lives at home alone and apparently woke up at 6:00 a.m. on the day of hospitalization and was in the kitchen when he passed out landing on his left side, patient denied hitting his head or neck pain.  Patient was not able to get up and apparently was down for about half an hour  before he crawled to the phone and called daughter.  Daughter reports patient usually is independent at home, does not have any functional limitation in terms of chest pain or shortness of breath with activity.  Recently involved in a car accident with no injury and had not been driving.  In the emergency room patient is a febrile and hemodynamically stable.  Creatinine 1.7 which is close to his baseline, CK 74 and WBC normal with hemoglobin of 13.2.  Chest x-ray showed emphysema.  Hip x-ray is showing left intertrochanteric fracture.  He EKG showed left and right bundle branch block with sinus pauses.  Orthopedics consulted and evaluating patient.  12/27/21: I spoke to the patient's daughter who is the patient's POA.  After discussing his clinical condition, she decided for the patient to be made comfort care and transferred to the Hospice of if bed was available.  Case manager  was contacted and arrangements were made for the patient to be transferred to the hospice on 12/27/2021. discharged to Hospice
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Electrocardiogram abnormal, Emphysema, Fall, Femur fracture
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/24/21 (ER8732) COVID Positive 12/8/21  12/8/21: 86-year-old male with CKD stage 3, COPD, hypertension, hyperlipidemia and BPH presented with left hip pain after fall.  Patient is very hard of hearing, part of history obtained from patient's daughter at bedside. Patient lives at home alone and apparently woke up at 6:00 a.m. on the day of hospitalization and was in the kitchen when he passed out landing on his left side, patient denied hitting his head or neck pain.  Patient was not able to get up and apparently was down for about half an hour  before he crawled to the phone and called daughter.  Daughter reports patient usually is independent at home, does not have any functional limitation in terms of chest pain or shortness of breath with activity.  Recently involved in a car accident with no injury and had not been driving.  In the emergency room patient is a febrile and hemodynamically stable.  Creatinine 1.7 which is close to his baseline, CK 74 and WBC normal with hemoglobin of 13.2.  Chest x-ray showed emphysema.  Hip x-ray is showing left intertrochanteric fracture.  He EKG showed left and right bundle branch block with sinus pauses.  Orthopedics consulted and evaluating patient.  12/27/21: I spoke to the patient's daughter who is the patient's POA.  After discussing his clinical condition, she decided for the patient to be made comfort care and transferred to the Hospice of if bed was available.  Case manager  was contacted and arrangements were made for the patient to be transferred to the hospice on 12/27/2021. discharged to Hospice
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypoacusis, Loss of consciousness, Mobility decreased, Road traffic accident
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/24/21 (ER8732) COVID Positive 12/8/21  12/8/21: 86-year-old male with CKD stage 3, COPD, hypertension, hyperlipidemia and BPH presented with left hip pain after fall.  Patient is very hard of hearing, part of history obtained from patient's daughter at bedside. Patient lives at home alone and apparently woke up at 6:00 a.m. on the day of hospitalization and was in the kitchen when he passed out landing on his left side, patient denied hitting his head or neck pain.  Patient was not able to get up and apparently was down for about half an hour  before he crawled to the phone and called daughter.  Daughter reports patient usually is independent at home, does not have any functional limitation in terms of chest pain or shortness of breath with activity.  Recently involved in a car accident with no injury and had not been driving.  In the emergency room patient is a febrile and hemodynamically stable.  Creatinine 1.7 which is close to his baseline, CK 74 and WBC normal with hemoglobin of 13.2.  Chest x-ray showed emphysema.  Hip x-ray is showing left intertrochanteric fracture.  He EKG showed left and right bundle branch block with sinus pauses.  Orthopedics consulted and evaluating patient.  12/27/21: I spoke to the patient's daughter who is the patient's POA.  After discussing his clinical condition, she decided for the patient to be made comfort care and transferred to the Hospice of if bed was available.  Case manager  was contacted and arrangements were made for the patient to be transferred to the hospice on 12/27/2021. discharged to Hospice
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus arrest, Vaccine breakthrough infection, White blood cell count normal, X-ray of pelvis and hip abnormal
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/24/21 (ER8732) COVID Positive 12/8/21  12/8/21: 86-year-old male with CKD stage 3, COPD, hypertension, hyperlipidemia and BPH presented with left hip pain after fall.  Patient is very hard of hearing, part of history obtained from patient's daughter at bedside. Patient lives at home alone and apparently woke up at 6:00 a.m. on the day of hospitalization and was in the kitchen when he passed out landing on his left side, patient denied hitting his head or neck pain.  Patient was not able to get up and apparently was down for about half an hour  before he crawled to the phone and called daughter.  Daughter reports patient usually is independent at home, does not have any functional limitation in terms of chest pain or shortness of breath with activity.  Recently involved in a car accident with no injury and had not been driving.  In the emergency room patient is a febrile and hemodynamically stable.  Creatinine 1.7 which is close to his baseline, CK 74 and WBC normal with hemoglobin of 13.2.  Chest x-ray showed emphysema.  Hip x-ray is showing left intertrochanteric fracture.  He EKG showed left and right bundle branch block with sinus pauses.  Orthopedics consulted and evaluating patient.  12/27/21: I spoke to the patient's daughter who is the patient's POA.  After discussing his clinical condition, she decided for the patient to be made comfort care and transferred to the Hospice of if bed was available.  Case manager  was contacted and arrangements were made for the patient to be transferred to the hospice on 12/27/2021. discharged to Hospice
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccines where not stored at correct temperature they had been stored in freezer instead of refrigerator
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Headache
Clinical narrative: I woke up with a scratchy sore throat, a slight cough and headache. Towards the evening time I started to have the chills, low grade fever of 100, unable to take a deep breath, body aches, and nasal congestion. My cough, and headache got worse that night. The next day I took an at home Covid-19 test on 5/19/22 that came back positive. I had a telephone appointment with my Doctor on that same day, and was prescribed Paxlovid. I currently still have the same symptoms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I woke up with a scratchy sore throat, a slight cough and headache. Towards the evening time I started to have the chills, low grade fever of 100, unable to take a deep breath, body aches, and nasal congestion. My cough, and headache got worse that night. The next day I took an at home Covid-19 test on 5/19/22 that came back positive. I had a telephone appointment with my Doctor on that same day, and was prescribed Paxlovid. I currently still have the same symptoms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I woke up with a scratchy sore throat, a slight cough and headache. Towards the evening time I started to have the chills, low grade fever of 100, unable to take a deep breath, body aches, and nasal congestion. My cough, and headache got worse that night. The next day I took an at home Covid-19 test on 5/19/22 that came back positive. I had a telephone appointment with my Doctor on that same day, and was prescribed Paxlovid. I currently still have the same symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: On the clinic day, the vaccine was transported out from the pharmacy to the facility without a digital data logger. The packing used for transport refrigerated packaging tote to maintain a temperature of 36 F - 46 F.  However, that is not approved by State for COVID-19 vaccine transportation. The total time (from when vaccine left the pharmacy to the clinic completion) was less than 6 hours. There were no adverse events.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulation drug level above therapeutic, Blood alkaline phosphatase increased, Blood creatinine increased, Blood culture
Clinical narrative: COVId Vaccine Breakthrough Case  Moderna Dose 1 3/9/21 (036A21A) Moderna Dose 2 4/5/21 (016B21A) Moderna Dose 3 12/8/21 (939909) COVID Positive 12/15/21  12/15/21: -Patient is a 95 yo male from Nursing home with medical history of atrial fibrillation on anticoagulation , CKD stage 3, DMT2 with peripheral neuropathy , GERD, HTN, HLD, hypothyroidism , Dementia  -He was brought to the ER primarily because of bradycardia which is now resolved  -He also had cough and SOB and tested positive for COVID  -Patient is a poor historian because of underlying dementia  -His vitals on arrival no fever, HR 60s, RR 20s, BP 157/66 maintaining oxygen saturating on room air  -Lab remarkable for AKI Cr 1.28, elevated proBNP 7K, ALP 122, trop elevation 0.05 x 2, VBG ( PH 7.32, pCO2 55, pO2 35) , CBC unremarkable, urinalysis unremarkable, INR 2.0 influenza negative . EKG showed ventricular paced rhythm. Blood culture sent.  -CXR showed increased streaky opacity in right lung base could represent atelectasis versus infiltrate.  -Patient received Duoneb Tx , IV Ceftriaxone and Azithromycin IV lasix 40mg in the ER  -During encounter was impulsive, appears to be sundowning  12/20/21:  95-year-old male resident of a nursing home with dementia, atrial fibrillation anticoagulated on warfarin, permanent pacemaker, type 2 diabetes mellitus, hypertension presented with cough, shortness of breath and bradycardia.  Patient admitted for COVID-19 with superimposed bacterial pneumonia, sinus bradycardia which has resolved on arrival to the hospital.  Patient treated with antibiotics, IV dexamethasone and breathing treatments.  Due to his bradycardia remdesivir was not given.  Patient was briefly on oxygen subsequently weaned off to room air , shortness of breath and cough has improved.  Had an episode of a fall during the hospitalization with no sequelae, head CT was unremarkable for acute abnormalities.  Patient has supratherapeutic INR with no evidence of bleeding, was given vitamin K 2.5 mg p.o. x1 and warfarin was held on discharge.  INR will be checked in 2 days of discharge to be followed by patient's primary care provider.  PTOT evaluated patient and recommended returning to assisted living with VNA.  On discharge patient was a febrile and hemodynamically stable.  Patient the will be on Medrol Dosepak.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: Blood gases, Blood pH normal, Bradycardia, COVID-19, Chest X-ray abnormal
Clinical narrative: COVId Vaccine Breakthrough Case  Moderna Dose 1 3/9/21 (036A21A) Moderna Dose 2 4/5/21 (016B21A) Moderna Dose 3 12/8/21 (939909) COVID Positive 12/15/21  12/15/21: -Patient is a 95 yo male from Nursing home with medical history of atrial fibrillation on anticoagulation , CKD stage 3, DMT2 with peripheral neuropathy , GERD, HTN, HLD, hypothyroidism , Dementia  -He was brought to the ER primarily because of bradycardia which is now resolved  -He also had cough and SOB and tested positive for COVID  -Patient is a poor historian because of underlying dementia  -His vitals on arrival no fever, HR 60s, RR 20s, BP 157/66 maintaining oxygen saturating on room air  -Lab remarkable for AKI Cr 1.28, elevated proBNP 7K, ALP 122, trop elevation 0.05 x 2, VBG ( PH 7.32, pCO2 55, pO2 35) , CBC unremarkable, urinalysis unremarkable, INR 2.0 influenza negative . EKG showed ventricular paced rhythm. Blood culture sent.  -CXR showed increased streaky opacity in right lung base could represent atelectasis versus infiltrate.  -Patient received Duoneb Tx , IV Ceftriaxone and Azithromycin IV lasix 40mg in the ER  -During encounter was impulsive, appears to be sundowning  12/20/21:  95-year-old male resident of a nursing home with dementia, atrial fibrillation anticoagulated on warfarin, permanent pacemaker, type 2 diabetes mellitus, hypertension presented with cough, shortness of breath and bradycardia.  Patient admitted for COVID-19 with superimposed bacterial pneumonia, sinus bradycardia which has resolved on arrival to the hospital.  Patient treated with antibiotics, IV dexamethasone and breathing treatments.  Due to his bradycardia remdesivir was not given.  Patient was briefly on oxygen subsequently weaned off to room air , shortness of breath and cough has improved.  Had an episode of a fall during the hospitalization with no sequelae, head CT was unremarkable for acute abnormalities.  Patient has supratherapeutic INR with no evidence of bleeding, was given vitamin K 2.5 mg p.o. x1 and warfarin was held on discharge.  INR will be checked in 2 days of discharge to be followed by patient's primary care provider.  PTOT evaluated patient and recommended returning to assisted living with VNA.  On discharge patient was a febrile and hemodynamically stable.  Patient the will be on Medrol Dosepak.