chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: U
Vaccine: FLUR4
Symptoms: No adverse event, Product storage error
Clinical narrative: total time out of range is 2 days with a minimum of 9.2c and maximum of 28.3c, 30 minutes with a minimum of 12.3c and maximum of 15.6c, 1 hour with a minimum of negative 1.8c and maximum of 1.8c with no reported adverse event; Initial information received on 29-Apr-2022 regarding an unsolicited valid non-serious case received via other health professional.  This case involves a 64 years old and unknown gender patient who was administered vaccine with reported total time out of range is 2 days with a minimum of 9.2c and maximum of 28.3c, 30 minutes with a minimum of 12.3c and maximum of 15.6c, 1 hour with a minimum of negative 1.8c and maximum of 1.8c with no reported adverse event while receiving vaccine influenza quadrivalent recombinant vaccine (Flublok QIV).  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received a dose of suspect influenza quadrivalent recombinant vaccine with lot QFAA2125 and expiry date: 30-Jun-2022 (dose, route and administration site: unknown) for prophylactic vaccination.  On 17-Oct-2021, It was reported that temperature excursion of Flublok QIV vaccine occurred with total time out of range is 2 days with a minimum of 9.2c and maximum of 28.3c, on 19-Oct-2021,  temperature excursion occurred with 30 minutes with a minimum of 12.3c and maximum of 15.6c, 1 hour with a minimum of negative 1.8c and maximum of 1.8c with no reported adverse event (product temperature excursion issue).  Action taken: not applicable.  At time of reporting, the outcome was Unknown for the event total time out of range is 2 days with a minimum of 9.2c and maximum of 28.3c, 30 minutes with a minimum of 12.3c and maximum of 15.6c, 1 hour with a minimum of negative 1.8c and maximum of 1.8c with no reported adverse event.
Sex: U
Vaccine: TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: a 19 month old child received a dose of ADACEL with no reported adverse event; Initial information received on 03-May-2022 regarding an unsolicited valid  non-serious case received from a other health professional.  This case involves a 19 months old child received a dose of adacel with no reported adverse event, while receiving vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.   On an unknown date, the patient received a  unknown dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE, with an unknown strength, formulation and dose ( lot : U6964AA ; expiry date: not reported)  in unknown administration site for immunization.  On an unknown date the patient developed a non-serious a 19 month old child received a dose of adacel with no reported adverse event (product administered to patient of inappropriate age) (latency: same day ) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE.  Action taken : not applicable.  It was not reported if the patient received a corrective treatment for the event (a 19 month old child received a dose of ADACEL with no reported adverse event).  At time of reporting, the outcome was Unknown for the event a 19 month old child received a dose of adacel with no reported adverse event.   This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Age: 56.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Off label use, Product administered to patient of inappropriate age
Clinical narrative: Fluzone Highdose Quadrivalent indicated for 56 years old is lower than indication 65 years old and higher with no reported adverse event; Initial information received on 03-May-2022 regarding an unsolicited valid non-serious case received from a other health professional.  This case involves a 56-year-old male patient who experienced fluzone highdose quadrivalent indicated for 56 years old is lower than indication 65 years old and higher with no reported adverse event while receiving vaccine influenza quadrival a-b high dose hv vaccine [Fluzone High-Dose Quadrivalent].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  Concomitant medications included Diphtheria Vaccine Toxoid, Hepatitis B Vaccine Rhbsag (Yeast), Pertussis Vaccine Acellular 3-Component, Polio Vaccine Inact 3v (Vero), Tetanus Vaccine Toxoid (Pediarix); Pneumococcal Vaccine Conj 7v (Crm197) (Prevnar); and Rotavirus Vaccine (Rotavirus Vaccine). for prophylactic vaccination.  On 22-Mar-2022, the patient received a dose of suspect influenza quadrival a-b high dose hv vaccine ( form, strength, dose, frequency, route, lot number, expiry date, indication unknown).   On an unknown date the patient developed a non-serious  event fluzone highdose quadrivalent indicated for 56 years old is lower than indication 65 years old and higher with no reported adverse event (off label use) (unknown latency) following the administration of influenza quadrival a-b high dose hv vaccine.  No lab data reported.  Action taken: Not applicable.  It was not reported if the patient received a corrective treatment.  Outcome: Unknown.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: I had dizziness for 5 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Hip fracture, Malignant melanoma stage IV, Metastatic malignant melanoma, Pulmonary mass, Thrombosis
Clinical narrative: Systemic: Metastatic Stage 4 Melanoma, Broken hip, Significant blood clot in right leg, UTI, Multiple bilateral pulmonary nodules-Severe
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Systemic: Metastatic Stage 4 Melanoma, Broken hip, Significant blood clot in right leg, UTI, Multiple bilateral pulmonary nodules-Severe
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: shortly after pt received her pfizer booster she fainted, she regained consciousness within 20-30 seconds and the police and EMS were called onsite, they evaluated pt and escorted her out, after patient regained consciousness she did mention that she had fainted in the past after receiving a vaccination in her teens
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Hypersensitivity, Mouth swelling, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Additional Details: Pt is aware of allergic reaction (swelling of eyes), he informed me that he's done this before. I've given pt two benadryls right after the shot and monitored pt for 30 minutes to make sure nothing happened to him. No allergic reaction happened after giving benadryl
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Nausea
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Systemic: Nausea-Severe
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: had a sore injection site arm after receiving their primary series of the Moderna COVID-19 vaccine.; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (had a sore injection site arm after receiving their primary series of the Moderna COVID-19 vaccine.) in a female patient of an unknown age who received mRNA-1273 (Spikevax) for COVID-19 vaccination.     No Medical History information was reported.   On an unknown date, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Spikevax) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE PAIN (had a sore injection site arm after receiving their primary series of the Moderna COVID-19 vaccine.). At the time of the report, VACCINATION SITE PAIN (had a sore injection site arm after receiving their primary series of the Moderna COVID-19 vaccine.) outcome was unknown.            No concomitant medications were provided by the reporter. It was reported that  the patient and her husband had a sore injection site arm after receiving their primary series of the Moderna Covid-19 vaccine. No treatment information was provided by the reporter.   This case was linked to MOD-2022-559051.   Reporter did not allow further contact   Most recent FOLLOW-UP information incorporated above includes: On 04-May-2022: Follow-up received and included no new information.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Colitis, Computerised tomogram abdomen abnormal, Condition aggravated, Ovarian vein thrombosis
Clinical narrative: Colitis and antibiotics. Ovarian vein Thrombosis, blood thinner.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus in left ear
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: I started experiencing symptoms around 9 pm.  Headache, nausea, dizziness,  fatigue, generalized body pain, soreness/redness, and swelling at the injection site, moderate to severe pain lasted 3-4 days. Today is the 4th day,  the headache,  fatigue, and generalized body pain are subsiding, but the blurry vision from my second shot returned yesterday 05/05/2022.  I called a friend of mine who is a doctor and he instructed me to take Tylenol or Advil, then if symptoms worsen to call my doctor or go to the emergency room.   Treatment Tylenol 500mg  ( 2 cap) every 4-6hours cold compressor for injection site  Consumed lots of water and getorade Rest
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Nausea, Pain, Vision blurred
Clinical narrative: I started experiencing symptoms around 9 pm.  Headache, nausea, dizziness,  fatigue, generalized body pain, soreness/redness, and swelling at the injection site, moderate to severe pain lasted 3-4 days. Today is the 4th day,  the headache,  fatigue, and generalized body pain are subsiding, but the blurry vision from my second shot returned yesterday 05/05/2022.  I called a friend of mine who is a doctor and he instructed me to take Tylenol or Advil, then if symptoms worsen to call my doctor or go to the emergency room.   Treatment Tylenol 500mg  ( 2 cap) every 4-6hours cold compressor for injection site  Consumed lots of water and getorade Rest
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: Lightheaded, dizzy, extreme vomiting
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills
Clinical narrative: Chills, achy joints, and high temperature.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Biopsy uterus normal, Full blood count abnormal, Postmenopausal haemorrhage, Uterine haemorrhage
Clinical narrative: After 2 years in menapsuse, started uncontrollable and unstoppable uterine bleeding which, at time of this notice, is essentially nonstop in varying severity for most of five months.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, COVID-19, Cough, Exposure to SARS-CoV-2, Eye pain
Clinical narrative: 04/29/2022 I had been to a funeral on 4/26/2022. I wore a mask. After that I went to a reception and did not wear a mask. I tested negative before service on 4/26/2022. On 4/29/2022, I did not feel bad, but tested and was negative. I believe it was my sister who lives in assisted living that passed on the COVID-19. 0n 4/30/2022 I had a scratchy throat, low grade temperature for one day, headache where my eyes ached. nasal congestion and a dry cough on the 4th and 5th. I repeated the COVID-19 test, and it was positive on 4/30/2022. I called my doctor and ask for Paxlovid. I took that and started my BID dose. I just completed it on 5/4/2022. I took Aleve for the sore throat. The sore throat lasted for 4 days.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: 04/29/2022 I had been to a funeral on 4/26/2022. I wore a mask. After that I went to a reception and did not wear a mask. I tested negative before service on 4/26/2022. On 4/29/2022, I did not feel bad, but tested and was negative. I believe it was my sister who lives in assisted living that passed on the COVID-19. 0n 4/30/2022 I had a scratchy throat, low grade temperature for one day, headache where my eyes ached. nasal congestion and a dry cough on the 4th and 5th. I repeated the COVID-19 test, and it was positive on 4/30/2022. I called my doctor and ask for Paxlovid. I took that and started my BID dose. I just completed it on 5/4/2022. I took Aleve for the sore throat. The sore throat lasted for 4 days.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: 04/29/2022 I had been to a funeral on 4/26/2022. I wore a mask. After that I went to a reception and did not wear a mask. I tested negative before service on 4/26/2022. On 4/29/2022, I did not feel bad, but tested and was negative. I believe it was my sister who lives in assisted living that passed on the COVID-19. 0n 4/30/2022 I had a scratchy throat, low grade temperature for one day, headache where my eyes ached. nasal congestion and a dry cough on the 4th and 5th. I repeated the COVID-19 test, and it was positive on 4/30/2022. I called my doctor and ask for Paxlovid. I took that and started my BID dose. I just completed it on 5/4/2022. I took Aleve for the sore throat. The sore throat lasted for 4 days.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Thrombosis
Clinical narrative: Blood clot in left lower leg, Pulimonary Embolism
Age: 70.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Back pain, Dyspnoea
Clinical narrative: PAtient stated she is having back pains and was having trouble breathing for a couple of days Pt received Azithromycin 250mg pak for Dr  and is pending several tests
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Fistula, Peripheral swelling, Swelling, Ultrasound Doppler abnormal
Clinical narrative: My Uncle did not have the COVID vaccination.  He was hospitalized for his fistula (infection) and then went into a nursing home for rehab.  Within a week there - he got COVID (mid-January).  He recovered.  From there, he was told he could not go home and needed an Assisted Living.  In order to get placed, he was required to be vaccinated.  In order to get him in somewhere quickly, we were told we should get him the J&J - one shot.  That was done March 16 and he then went into his new facility.  My Uncle started to get noticeable swelling in his right leg in April.  Physical therapy asked that we get him a lift chair that had a reclining feature.  We did that, and it was delivered April 23.  By that time, his leg looked swollen from his hip all the way down.   We waited to see if swelling would go down with reclining.  Wednesday, April 27th we got a call that the facility was sending him to the ER by ambulance.  He was hospitalized through May 4th...and now moved to a rehab facility to recover.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Condition aggravated, Laboratory test, Thrombosis with thrombocytopenia syndrome
Clinical narrative: Anemia, TTS
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Pain, Pyrexia
Clinical narrative: Body aches and fever up to 102 degrees. Patient reports she noted tender lymph nodes under both axilla and in the breasts - right side worse than left. It is still present
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Magnetic resonance imaging head abnormal, Malaise
Clinical narrative: I started feeling sick January 6 or 7. I had a little bit of nausea and extreme fatigue. I had the worst headache and I developed a cough that continued to get worse. I took 2 rapid tests that were negative. I went to an urgent care on January 10 get a PCR. The headaches and coughing got a lot worse. The cough kept me up all night for a solid month. For two and a half months I have had a debilitating headache to which I had to go seek medical care for. I tried migraine medications that did not work. I tried Benadryl at night for sleep along with ibuprofen and Tylenol through out the day. I tried meditating and exercise to help and nothing helped. A month ago I stopped taking the Tylenol and Motrin during the day and the headache started to go away.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: I started feeling sick January 6 or 7. I had a little bit of nausea and extreme fatigue. I had the worst headache and I developed a cough that continued to get worse. I took 2 rapid tests that were negative. I went to an urgent care on January 10 get a PCR. The headaches and coughing got a lot worse. The cough kept me up all night for a solid month. For two and a half months I have had a debilitating headache to which I had to go seek medical care for. I tried migraine medications that did not work. I tried Benadryl at night for sleep along with ibuprofen and Tylenol through out the day. I tried meditating and exercise to help and nothing helped. A month ago I stopped taking the Tylenol and Motrin during the day and the headache started to go away.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest scan, Deep vein thrombosis, Dyspnoea, Limb discomfort, Peripheral swelling
Clinical narrative: Discomfort in right leg for several weeks.  This eventually resulted in a swollen right calf and an eventual ER visit.  It was determined that I had a DVT in my right leg on 10/24/2021.  I then went to see my PCM and discussed a shortness of breath I'd been having for several weeks.  She sent me for a chest scan where it was revealed that I had several PE's in both lungs.   At that time I was sent to see Dr. and he continues to treat me for blood clots.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Discomfort in right leg for several weeks.  This eventually resulted in a swollen right calf and an eventual ER visit.  It was determined that I had a DVT in my right leg on 10/24/2021.  I then went to see my PCM and discussed a shortness of breath I'd been having for several weeks.  She sent me for a chest scan where it was revealed that I had several PE's in both lungs.   At that time I was sent to see Dr. and he continues to treat me for blood clots.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Laryngitis, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I had a sore throat and it progressed into a cold. Congestion, laryngitis. Because I'm in my first year of post kidney transplant they wanted to see me for any illness that's why I called the doctor.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test negative
Clinical narrative: I had a sore throat and it progressed into a cold. Congestion, laryngitis. Because I'm in my first year of post kidney transplant they wanted to see me for any illness that's why I called the doctor.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Sensation of foreign body
Clinical narrative: During his observation period, the patient complained of a "lump in his throat". I gave him 50 mg of Diphenhydramine and we observed him for 20 more minutes. The nurse on site will contact him 3 more times during the day to check on him. He says he feels fine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Pyrexia
Clinical narrative: 102.7 fever; weakness
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient was brought in by father requesting first dose of Covid vaccine; dose was administered. After dose, sibling reported that patient had received a dose the previous day. After dose was administered and medication was reconciled, it was noted that patient had in fact received 2 previous doses, with the most recent dose on 4/29/22.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Arthritis, COVID-19, Condition aggravated
Clinical narrative: Starting around 09/16/2021, I developed a fever x 3 days, body aches, abdominal pain, nausea, coughing and "the works". The joint pain was very intense. The arthritis in my knee flared up after this event. I received the monoclonal antibodies possibly on 09/20/2021 and then ended up being put on the Z-PAK and prednisone. I had missed work when I was sick.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Impaired work ability, Nausea, Pain, Pyrexia
Clinical narrative: Starting around 09/16/2021, I developed a fever x 3 days, body aches, abdominal pain, nausea, coughing and "the works". The joint pain was very intense. The arthritis in my knee flared up after this event. I received the monoclonal antibodies possibly on 09/20/2021 and then ended up being put on the Z-PAK and prednisone. I had missed work when I was sick.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Starting around 09/16/2021, I developed a fever x 3 days, body aches, abdominal pain, nausea, coughing and "the works". The joint pain was very intense. The arthritis in my knee flared up after this event. I received the monoclonal antibodies possibly on 09/20/2021 and then ended up being put on the Z-PAK and prednisone. I had missed work when I was sick.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol withdrawal syndrome, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient with J+J COVID vaccination who admitted to hospital with positive COVID test.  Provider discharge note below:  "Hospital Course: Obese diabetic smoker and alcohol abuser sent from alcohol rehab for hypoxemia and dyspnea; ER evaluation documented COVID PCR positive despite vaccination and booster.  ER evaluation confirmed hypoxia and imaging noted RUL lobar infiltrate suggestive of bacterial pneumonia rather than COVID pneumonia.  Patient admitted and treated for COPD exacerbation and CAP as well as possible COVID pneumonitis; patient had difficult to control blood sugars on Decadron.  Rapidly improved, weaning to room air and tolerating diet and activity.  Given his vaccinated status and his steroid induced hyperglycemia, he was not continued on his Decadron at discharge.  Patient given oral antibiotic and increased nebs and counseled on the importance of smoking cessation and alcohol abstinence to prevent further life threatening consequences of these.  He was monitored for alcohol withdrawal and treated occasionally with Ativan under the CIWA protocol.  He was reminded as to the need to wear his CPAP nightly and advised to pursue weight loss also.  He was discharged on an increased dose of metformin, but it is expected that he will probably not gain enough glycemia control on this and will need to cross over to Lantus and prandial insulin.  He was informed of the likely outcome."
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus inadequate control, Dyspnoea, Hyperglycaemia, Hypoxia, Lung infiltration
Clinical narrative: Patient with J+J COVID vaccination who admitted to hospital with positive COVID test.  Provider discharge note below:  "Hospital Course: Obese diabetic smoker and alcohol abuser sent from alcohol rehab for hypoxemia and dyspnea; ER evaluation documented COVID PCR positive despite vaccination and booster.  ER evaluation confirmed hypoxia and imaging noted RUL lobar infiltrate suggestive of bacterial pneumonia rather than COVID pneumonia.  Patient admitted and treated for COPD exacerbation and CAP as well as possible COVID pneumonitis; patient had difficult to control blood sugars on Decadron.  Rapidly improved, weaning to room air and tolerating diet and activity.  Given his vaccinated status and his steroid induced hyperglycemia, he was not continued on his Decadron at discharge.  Patient given oral antibiotic and increased nebs and counseled on the importance of smoking cessation and alcohol abstinence to prevent further life threatening consequences of these.  He was monitored for alcohol withdrawal and treated occasionally with Ativan under the CIWA protocol.  He was reminded as to the need to wear his CPAP nightly and advised to pursue weight loss also.  He was discharged on an increased dose of metformin, but it is expected that he will probably not gain enough glycemia control on this and will need to cross over to Lantus and prandial insulin.  He was informed of the likely outcome."
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia bacterial, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient with J+J COVID vaccination who admitted to hospital with positive COVID test.  Provider discharge note below:  "Hospital Course: Obese diabetic smoker and alcohol abuser sent from alcohol rehab for hypoxemia and dyspnea; ER evaluation documented COVID PCR positive despite vaccination and booster.  ER evaluation confirmed hypoxia and imaging noted RUL lobar infiltrate suggestive of bacterial pneumonia rather than COVID pneumonia.  Patient admitted and treated for COPD exacerbation and CAP as well as possible COVID pneumonitis; patient had difficult to control blood sugars on Decadron.  Rapidly improved, weaning to room air and tolerating diet and activity.  Given his vaccinated status and his steroid induced hyperglycemia, he was not continued on his Decadron at discharge.  Patient given oral antibiotic and increased nebs and counseled on the importance of smoking cessation and alcohol abstinence to prevent further life threatening consequences of these.  He was monitored for alcohol withdrawal and treated occasionally with Ativan under the CIWA protocol.  He was reminded as to the need to wear his CPAP nightly and advised to pursue weight loss also.  He was discharged on an increased dose of metformin, but it is expected that he will probably not gain enough glycemia control on this and will need to cross over to Lantus and prandial insulin.  He was informed of the likely outcome."
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Chromaturia, Decreased appetite, Feeling cold
Clinical narrative: She got her vaccine and had no reaction, did not feel shot going in.  She went home, worked for 4 hours and then rested the rest of the day.  She was waiting for the 6:00 news and felt a chill and then got colder, colder and colder and turned her heat on being 80 something outside.  She had a headache, went to bed at 8:30, felt worse the next morning, still had the chills, body hurting, bad headache, no appetite and noticed that her urine was very dark.  She drank fluids most of the day, did not eat much and felt cold, achy and headachy all day, no energy.  Felt better the next day and about the same, felt a little better yesterday.  She went to the grocery store and came home.  She ate a little last night, not much, and went to bed.  Got up today and she is still has no energy, no appetite, urine is still a little dark, little headache and arm is still real sore.  Is concerned as it has been there for 5 days.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity
Clinical narrative: She got her vaccine and had no reaction, did not feel shot going in.  She went home, worked for 4 hours and then rested the rest of the day.  She was waiting for the 6:00 news and felt a chill and then got colder, colder and colder and turned her heat on being 80 something outside.  She had a headache, went to bed at 8:30, felt worse the next morning, still had the chills, body hurting, bad headache, no appetite and noticed that her urine was very dark.  She drank fluids most of the day, did not eat much and felt cold, achy and headachy all day, no energy.  Felt better the next day and about the same, felt a little better yesterday.  She went to the grocery store and came home.  She ate a little last night, not much, and went to bed.  Got up today and she is still has no energy, no appetite, urine is still a little dark, little headache and arm is still real sore.  Is concerned as it has been there for 5 days.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of personal independence in daily activities, Nausea, Pain, Pyrexia
Clinical narrative: Client called and reported about 11 pm the night of the vaccine waking up with severe nausea and little vomiting (described vomiting more as spitting up). Client had experienced severe nausea for about 3-4 days, but without vomiting (described if she could vomit thinking it would have helped). Client also experienced; body aches, low grade fevers the first two days, and headache. Client called doctor and was prescribed Ondansetron (Zofran). Client reports that is helping with the nausea. Client reported on day seven finally able to resume normal daily activities. Client reported daughter in law came over to feed dogs and assist with daily activities during this time.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Vomiting
Clinical narrative: Client called and reported about 11 pm the night of the vaccine waking up with severe nausea and little vomiting (described vomiting more as spitting up). Client had experienced severe nausea for about 3-4 days, but without vomiting (described if she could vomit thinking it would have helped). Client also experienced; body aches, low grade fevers the first two days, and headache. Client called doctor and was prescribed Ondansetron (Zofran). Client reports that is helping with the nausea. Client reported on day seven finally able to resume normal daily activities. Client reported daughter in law came over to feed dogs and assist with daily activities during this time.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Swelling, Tenderness
Clinical narrative: Swelling size of baseball on deltoid, redness, itching, tender to the touch.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Herpes zoster, Joint swelling, Rash
Clinical narrative: My left knee began to feel swollen. The next day, I noticed the upper right back became achy. That continued and I developed a rash on the 22nd of April. The rash was on my upper back and progressed to my sides and upper abdomen. I was seen at urgent care and said she was diagnosed with Shingles.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Chest discomfort, Condition aggravated
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted with positive COVID test.  Patient reports symptoms (N/V/D and sore throat) started about a week prior to admission and had resolved by admission.  Provider d/c note below:  "60 YO male that presented to the Hospital ED with c/o SOB, palpitations, and chest discomfort. Chronic health conditions include PAF, ESRD on HD, right nephrectomy, cardiac arrest after cocaine use, HTN, HLD, MCA CVA, seizure, anemia, and GERD. Patient reports that he had N/V/D and sore throat started about one week ago. Then dialysis canceled his appointment because they had water problems this week. Then, they had him do two days in a row to catch up. While in day two he began having SOB, palpitations, and chest discomfort. Normally he takes Lopressor after dialysis and had not taken it the day of dialysis and ED admit. He reports compliance with his Eliquis and metoprolol normally.    Was in RVR, but responded to Cardizem gtt in ED however converted back into RVR after returning from HD on 1/28/22.  Briefly initiated cardizem gtt and patient has remained in NSR since.  -Takes Eliquis and metoprolol, continue.   Chronic medical conditions:    ESRD-Patient as a transplant candidate with Dr.  is a higher risk candidate for kidney transplant due to limited functional status and multiple comorbidities. Last visit was 1/12/22.  Home medication includes torsemide and Fosrenal. Continue. Nephrology consulted for dialysis that will be due Friday. He does MWF normally.    COVID tested + 1/26 but reports s/s may have started a week ago. denies current s/s. Tylenol available. "
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dialysis, Diarrhoea, Dyspnoea, Haemodialysis, Nausea
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted with positive COVID test.  Patient reports symptoms (N/V/D and sore throat) started about a week prior to admission and had resolved by admission.  Provider d/c note below:  "60 YO male that presented to the Hospital ED with c/o SOB, palpitations, and chest discomfort. Chronic health conditions include PAF, ESRD on HD, right nephrectomy, cardiac arrest after cocaine use, HTN, HLD, MCA CVA, seizure, anemia, and GERD. Patient reports that he had N/V/D and sore throat started about one week ago. Then dialysis canceled his appointment because they had water problems this week. Then, they had him do two days in a row to catch up. While in day two he began having SOB, palpitations, and chest discomfort. Normally he takes Lopressor after dialysis and had not taken it the day of dialysis and ED admit. He reports compliance with his Eliquis and metoprolol normally.    Was in RVR, but responded to Cardizem gtt in ED however converted back into RVR after returning from HD on 1/28/22.  Briefly initiated cardizem gtt and patient has remained in NSR since.  -Takes Eliquis and metoprolol, continue.   Chronic medical conditions:    ESRD-Patient as a transplant candidate with Dr.  is a higher risk candidate for kidney transplant due to limited functional status and multiple comorbidities. Last visit was 1/12/22.  Home medication includes torsemide and Fosrenal. Continue. Nephrology consulted for dialysis that will be due Friday. He does MWF normally.    COVID tested + 1/26 but reports s/s may have started a week ago. denies current s/s. Tylenol available. "
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Palpitations, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient with 2 Moderna COVID vaccinations who admitted with positive COVID test.  Patient reports symptoms (N/V/D and sore throat) started about a week prior to admission and had resolved by admission.  Provider d/c note below:  "60 YO male that presented to the Hospital ED with c/o SOB, palpitations, and chest discomfort. Chronic health conditions include PAF, ESRD on HD, right nephrectomy, cardiac arrest after cocaine use, HTN, HLD, MCA CVA, seizure, anemia, and GERD. Patient reports that he had N/V/D and sore throat started about one week ago. Then dialysis canceled his appointment because they had water problems this week. Then, they had him do two days in a row to catch up. While in day two he began having SOB, palpitations, and chest discomfort. Normally he takes Lopressor after dialysis and had not taken it the day of dialysis and ED admit. He reports compliance with his Eliquis and metoprolol normally.    Was in RVR, but responded to Cardizem gtt in ED however converted back into RVR after returning from HD on 1/28/22.  Briefly initiated cardizem gtt and patient has remained in NSR since.  -Takes Eliquis and metoprolol, continue.   Chronic medical conditions:    ESRD-Patient as a transplant candidate with Dr.  is a higher risk candidate for kidney transplant due to limited functional status and multiple comorbidities. Last visit was 1/12/22.  Home medication includes torsemide and Fosrenal. Continue. Nephrology consulted for dialysis that will be due Friday. He does MWF normally.    COVID tested + 1/26 but reports s/s may have started a week ago. denies current s/s. Tylenol available. "
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Diarrhoea, Fatigue
Clinical narrative: COVID-19 symptoms started on 04/27/2022, tested positive on 04/30/2022. Symptoms were stuffiness, but not runny nose, sore throat, severe headache, and a little heaviness in chest. It was the sore throat that tipped me off to get tested. I've been fatigued but that's about it. Symptoms lasted for 6 days. I'm still fatigued but they put me on Paxlovid and I've had side effects. I also had a dry persistent cough for several days and diarrhea.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started on 04/27/2022, tested positive on 04/30/2022. Symptoms were stuffiness, but not runny nose, sore throat, severe headache, and a little heaviness in chest. It was the sore throat that tipped me off to get tested. I've been fatigued but that's about it. Symptoms lasted for 6 days. I'm still fatigued but they put me on Paxlovid and I've had side effects. I also had a dry persistent cough for several days and diarrhea.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injected limb mobility decreased, Pain, Pyrexia
Clinical narrative: Fever, Chills, unable to lift left arm due to pain
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Monoclonal gammopathy, Plasma cell myeloma
Clinical narrative: I had stable MGUS for for at least 1.5 years.   A few months before 3 shot (first booster) had stable monoclonal gammopathy.  Within 8 weeks of booster, significant increase in gammopathy and then new diagnosis of Multiple Myeloma.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fall, Feeling abnormal, Injection site pain, Mobility decreased
Clinical narrative: She got her vaccine, as soon as the medication went in she felt pain in her arm.  Her has remained sore and painful since the injection.  Then about 9:00 PM she began having chills, body aches and fever.  Then probably about 1:00 AM she began having a lot of severe cramping and spasming to her legs.  When it was time for her to wake up in the morning, it was difficult for her to do so, felt groggy like she was sedated, and felt that way until 3:00 PM on Thursday.  She stayed in bed almost the entire day.  She had really spasms in her leg at one point that she fell down in her bathroom.  This morning she woke up, is at work, arm is sore, hot and warm to the touch and feels weird in her head.  She feels cloudy like she's drunk.  She took two Advil yesterday for her symptoms.  She sent her doctor a message on the health portal and is waiting to hear back from them.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscle spasms, Pain, Pain in extremity, Pyrexia, Skin warm
Clinical narrative: She got her vaccine, as soon as the medication went in she felt pain in her arm.  Her has remained sore and painful since the injection.  Then about 9:00 PM she began having chills, body aches and fever.  Then probably about 1:00 AM she began having a lot of severe cramping and spasming to her legs.  When it was time for her to wake up in the morning, it was difficult for her to do so, felt groggy like she was sedated, and felt that way until 3:00 PM on Thursday.  She stayed in bed almost the entire day.  She had really spasms in her leg at one point that she fell down in her bathroom.  This morning she woke up, is at work, arm is sore, hot and warm to the touch and feels weird in her head.  She feels cloudy like she's drunk.  She took two Advil yesterday for her symptoms.  She sent her doctor a message on the health portal and is waiting to hear back from them.
Age: 53.0
Sex: F
Vaccine: VARZOS
Symptoms: Somnolence
Clinical narrative: She got her vaccine, as soon as the medication went in she felt pain in her arm.  Her has remained sore and painful since the injection.  Then about 9:00 PM she began having chills, body aches and fever.  Then probably about 1:00 AM she began having a lot of severe cramping and spasming to her legs.  When it was time for her to wake up in the morning, it was difficult for her to do so, felt groggy like she was sedated, and felt that way until 3:00 PM on Thursday.  She stayed in bed almost the entire day.  She had really spasms in her leg at one point that she fell down in her bathroom.  This morning she woke up, is at work, arm is sore, hot and warm to the touch and feels weird in her head.  She feels cloudy like she's drunk.  She took two Advil yesterday for her symptoms.  She sent her doctor a message on the health portal and is waiting to hear back from them.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Feeling jittery, Headache, Hypersensitivity
Clinical narrative: Fatigue - couldn't make it to bedroom to lay down x1 day, shaky/jittery, headache, cold, swelling and itching at injection site x2 days, red circular 3" diameter ring  circling injection site  remained on 3rd day.  Pt feels the adverse effects other than injection site reaction are decreasing daily and by tomorrow hoping to feel better.  Reaction is suggesting allergy; patient may switch to Pfizer if she ever gets another COV booster.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Nasopharyngitis, Tremor
Clinical narrative: Fatigue - couldn't make it to bedroom to lay down x1 day, shaky/jittery, headache, cold, swelling and itching at injection site x2 days, red circular 3" diameter ring  circling injection site  remained on 3rd day.  Pt feels the adverse effects other than injection site reaction are decreasing daily and by tomorrow hoping to feel better.  Reaction is suggesting allergy; patient may switch to Pfizer if she ever gets another COV booster.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Aspiration, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient with single J+J vaccine who admitted with positive COVID test.  Provider discharge note below:  "This is a 56 YO male with h/o many spine surgeries c/b MRSA chronic infection on doxycycline, acute pancreatitis, chronic pain, HTN, HLD, DM2, OSA, presenting to the ED for evaluation of altered mental status.    History provided largely by wife. Symptoms started 5-6 days ago with decreased PO intake, generalized malaise. 3-4 days ago developed increasing confusion, difficulty  Walking due to instability. Typically uses a cane, but had to start using a walker and holding onto furniture to ambulate. Frequent jerking/twitching that is new. Wife states he is confused, frequently losing track of a conversation and not being able to finish sentences. Fevers 101-102 for the past few days. Notes some increase in his chronic right sided neck pain. No abd pain, no other back pain, headache. Note is also made that he thinks he was recently switched from lasix to torsemide for LEE which is now much better.    In the ER, he is afebrile. Hypoxic on room air, requiring 2L NC. Labs significant for positive COVID, leukopenia, AKI on CKD, lipase 200. MRI spine appears similar to improving from prior. CT abd/pelvis notes peri-pancreatic fluid collection, infiltrates in bilateral lungs c/w COVID. Fluid collection was discussed with IR who did not feel it was amenable to drainage at this time. Admitted for further workup.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Patient was admitted to medicine.  His oxygen requirements initially decreased and then increased.  He was treated with remdesivir and steroids for COVID pneumonia.  Oxygen was weaned slowly.   Due to abdominal pain, he had a CT scan c/w pancreatitis and possible pseudocyst/fluid collection.  He had an IR guided aspiration and drain placement.  He was treated with zosyn x 5 days.  His diet was advanced and he was discharged home.   He had brief episodes of confusion attributed to opioids, which were reduced"
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Computerised tomogram abdomen abnormal, Condition aggravated, Confusional state, Disturbance in attention
Clinical narrative: Patient with single J+J vaccine who admitted with positive COVID test.  Provider discharge note below:  "This is a 56 YO male with h/o many spine surgeries c/b MRSA chronic infection on doxycycline, acute pancreatitis, chronic pain, HTN, HLD, DM2, OSA, presenting to the ED for evaluation of altered mental status.    History provided largely by wife. Symptoms started 5-6 days ago with decreased PO intake, generalized malaise. 3-4 days ago developed increasing confusion, difficulty  Walking due to instability. Typically uses a cane, but had to start using a walker and holding onto furniture to ambulate. Frequent jerking/twitching that is new. Wife states he is confused, frequently losing track of a conversation and not being able to finish sentences. Fevers 101-102 for the past few days. Notes some increase in his chronic right sided neck pain. No abd pain, no other back pain, headache. Note is also made that he thinks he was recently switched from lasix to torsemide for LEE which is now much better.    In the ER, he is afebrile. Hypoxic on room air, requiring 2L NC. Labs significant for positive COVID, leukopenia, AKI on CKD, lipase 200. MRI spine appears similar to improving from prior. CT abd/pelvis notes peri-pancreatic fluid collection, infiltrates in bilateral lungs c/w COVID. Fluid collection was discussed with IR who did not feel it was amenable to drainage at this time. Admitted for further workup.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Patient was admitted to medicine.  His oxygen requirements initially decreased and then increased.  He was treated with remdesivir and steroids for COVID pneumonia.  Oxygen was weaned slowly.   Due to abdominal pain, he had a CT scan c/w pancreatitis and possible pseudocyst/fluid collection.  He had an IR guided aspiration and drain placement.  He was treated with zosyn x 5 days.  His diet was advanced and he was discharged home.   He had brief episodes of confusion attributed to opioids, which were reduced"