chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Feeling cold, Gastrointestinal sounds abnormal, Headache, Illness
Clinical narrative: She got her vaccine, she had some pain, but did not feel too bad just tired and had done some yard work earlier in the week and hurt her hand, had gone to the doctor and had an X-ray of her hand.  She later went and got her vaccine.  She woke up at 3:00 AM and had dizziness and did not feel right, scary feeling (Out of body experience),  had pain  in her chest and across her shoulders, under her right arm (lymph note) that woke her up and that would not go away.   The lymph node swells up from time to time due to sickness.  She was feeling really agitated.  She got up and saw that her stomach was bothering her too, and made something to eat and took 2 Tylenol, and she tried to get back to sleep but she was not able to.  When she got up again she had real anxiety and depression, and felt like she did not want to be alive.  This is the feeling that she had years ago when she was put on steroids.  She felt that she could have killed herself at that point.  She could not think, and kept trying to get her mind on something other than how bad she felt.  Someone called her later and she talked to them and tried to tell them how she felt.  She was supposed to have a foot doctor APT at 10:00 AM and she was on the phone and forgot about the appointment and could not function mentally.  For most of the day she felt the depression state (what's going on with my body type thing).  She sings in a chorus in a nursing home, and felt that she should go to be around people which may help it to go away.  She went and not feeling well, down most of the day, but was putting on a face.  In the middle of the event about an hour, she felt a terrible agitated feeling all over her body, did not know what was going on.  She was trying to stand up and left and got in her car and went home.  She had terrible chills and was freezing, was wrapped up in blankets, also pains all over, pains in her head and her stomach was gnarling.  She felt like she needed to feed it, but that did not  help those symptoms.  She watches carefully what she eats, eats what helps her stomach.  She started eating things that were mild things.  She took some Tylenol and did eat something, and counted the hours between the Tylenol.    Each day she has felt better and today is the first time that she felt well enough to call and report it.  She is still feeling tired as she has not been able to sleep very well.    States that this is different from any other vaccine that she has had and wants it to be rechecked some more.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Limb injury, Lymph node pain, Lymphadenopathy, Mental impairment, Pain
Clinical narrative: She got her vaccine, she had some pain, but did not feel too bad just tired and had done some yard work earlier in the week and hurt her hand, had gone to the doctor and had an X-ray of her hand.  She later went and got her vaccine.  She woke up at 3:00 AM and had dizziness and did not feel right, scary feeling (Out of body experience),  had pain  in her chest and across her shoulders, under her right arm (lymph note) that woke her up and that would not go away.   The lymph node swells up from time to time due to sickness.  She was feeling really agitated.  She got up and saw that her stomach was bothering her too, and made something to eat and took 2 Tylenol, and she tried to get back to sleep but she was not able to.  When she got up again she had real anxiety and depression, and felt like she did not want to be alive.  This is the feeling that she had years ago when she was put on steroids.  She felt that she could have killed herself at that point.  She could not think, and kept trying to get her mind on something other than how bad she felt.  Someone called her later and she talked to them and tried to tell them how she felt.  She was supposed to have a foot doctor APT at 10:00 AM and she was on the phone and forgot about the appointment and could not function mentally.  For most of the day she felt the depression state (what's going on with my body type thing).  She sings in a chorus in a nursing home, and felt that she should go to be around people which may help it to go away.  She went and not feeling well, down most of the day, but was putting on a face.  In the middle of the event about an hour, she felt a terrible agitated feeling all over her body, did not know what was going on.  She was trying to stand up and left and got in her car and went home.  She had terrible chills and was freezing, was wrapped up in blankets, also pains all over, pains in her head and her stomach was gnarling.  She felt like she needed to feed it, but that did not  help those symptoms.  She watches carefully what she eats, eats what helps her stomach.  She started eating things that were mild things.  She took some Tylenol and did eat something, and counted the hours between the Tylenol.    Each day she has felt better and today is the first time that she felt well enough to call and report it.  She is still feeling tired as she has not been able to sleep very well.    States that this is different from any other vaccine that she has had and wants it to be rechecked some more.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Poor quality sleep, Sleep disorder, X-ray limb
Clinical narrative: She got her vaccine, she had some pain, but did not feel too bad just tired and had done some yard work earlier in the week and hurt her hand, had gone to the doctor and had an X-ray of her hand.  She later went and got her vaccine.  She woke up at 3:00 AM and had dizziness and did not feel right, scary feeling (Out of body experience),  had pain  in her chest and across her shoulders, under her right arm (lymph note) that woke her up and that would not go away.   The lymph node swells up from time to time due to sickness.  She was feeling really agitated.  She got up and saw that her stomach was bothering her too, and made something to eat and took 2 Tylenol, and she tried to get back to sleep but she was not able to.  When she got up again she had real anxiety and depression, and felt like she did not want to be alive.  This is the feeling that she had years ago when she was put on steroids.  She felt that she could have killed herself at that point.  She could not think, and kept trying to get her mind on something other than how bad she felt.  Someone called her later and she talked to them and tried to tell them how she felt.  She was supposed to have a foot doctor APT at 10:00 AM and she was on the phone and forgot about the appointment and could not function mentally.  For most of the day she felt the depression state (what's going on with my body type thing).  She sings in a chorus in a nursing home, and felt that she should go to be around people which may help it to go away.  She went and not feeling well, down most of the day, but was putting on a face.  In the middle of the event about an hour, she felt a terrible agitated feeling all over her body, did not know what was going on.  She was trying to stand up and left and got in her car and went home.  She had terrible chills and was freezing, was wrapped up in blankets, also pains all over, pains in her head and her stomach was gnarling.  She felt like she needed to feed it, but that did not  help those symptoms.  She watches carefully what she eats, eats what helps her stomach.  She started eating things that were mild things.  She took some Tylenol and did eat something, and counted the hours between the Tylenol.    Each day she has felt better and today is the first time that she felt well enough to call and report it.  She is still feeling tired as she has not been able to sleep very well.    States that this is different from any other vaccine that she has had and wants it to be rechecked some more.
Age: 58.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema
Clinical narrative: Erythema 6x10cm at injection site approximately 4 days after injection
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Rhinorrhoea
Clinical narrative: Mild intermittent runny nose and cough that started evening after vaccination.  Afebrile.  Appetite, activity and sleep were normal 24 hour post vaccination.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Herpes simplex, Malaise, Muscle spasms, Nausea
Clinical narrative: I started feeling sick to my stomach and felt like I had a fever. The next day I had cramps and diarrhea that bothered me. The following day I only had cramps. Then it all started to seem as though it was improving until I started having outbreaks, nausea, vomiting. Anytime I bent over I would get sick. Dr. prescribed sucralfate and antibiotics to try and calm my stomach. I was also prescribed doxycycline hyclate, mupirocin, sucralfate, fluconazole, doxycycline hyclate. I was diagnosed with HSV-2.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: I started feeling sick to my stomach and felt like I had a fever. The next day I had cramps and diarrhea that bothered me. The following day I only had cramps. Then it all started to seem as though it was improving until I started having outbreaks, nausea, vomiting. Anytime I bent over I would get sick. Dr. prescribed sucralfate and antibiotics to try and calm my stomach. I was also prescribed doxycycline hyclate, mupirocin, sucralfate, fluconazole, doxycycline hyclate. I was diagnosed with HSV-2.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Rhinorrhoea
Clinical narrative: Mild intermittent runny nose and cough started the evening of the vaccination.  24 hours post vaccination pt was with normal appetite, activity and sleep.  Afebrile.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 14.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient was to receive Pfizer Covid-19 12+ as his second dose.   Instead, he was given the Updated Bivalent Booster.  His mother stated he has had no adverse reactions, and she would keep an eye on him over the next few days.  If any occur, she will contact his physician and our facility to make us aware.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The vaccine was given o 09/02/2022 @0900am.  An email was sent on 09/02/2022 @ 1016am advising staff that the monovalent vaccine should not be given per CDC guidelines as of 09/01/2022.  Patient made aware and will come back in 2 months for the bivalent vaccine. Provider is also aware and agreeable with the update
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Malaise, Nausea, Pain
Clinical narrative: Body aches, low grade fever, chills, nausea, headache, malaise
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Body aches, low grade fever, chills, nausea, headache, malaise
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood culture positive, COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt presented to the ED on 7/16/22 w/abdominal pain. Had extensive work up and was COVID positive. Was discharged to home on Paxlovid. The following day 7/17/22 she received a call from the ED to return for 2/2 positive blood cultures for coag neg staph. She was admitted and during that time had a low grade fever and briefly required oxygen-2L per NC. She remained on Paxlovid and was given IV dexamethasone. Repeat blood cx were negative. No other tests remarkable and she was discharged to home on 7/20/22
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcal infection
Clinical narrative: Pt presented to the ED on 7/16/22 w/abdominal pain. Had extensive work up and was COVID positive. Was discharged to home on Paxlovid. The following day 7/17/22 she received a call from the ED to return for 2/2 positive blood cultures for coag neg staph. She was admitted and during that time had a low grade fever and briefly required oxygen-2L per NC. She remained on Paxlovid and was given IV dexamethasone. Repeat blood cx were negative. No other tests remarkable and she was discharged to home on 7/20/22
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received Pfizer Bivalent Booster rather than Pfizer Monovalent for second dose in Primary Series.  No adverse affects.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: Fatigue, shortness of breath, cough
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was vaccinated with regular pfizer vaccine and not the bivalent vaccine as intended. Regular pfizer no longer approved as a booster dose.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Blister, Blister rupture, Erythema, Pruritus, Skin warm
Clinical narrative: Swelling (size of softball), redness, itching, warm to touch. Blister developed; burst 9/22. Patient stated that she has received smallpox in the past and has experienced some of the same symptoms.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Swelling
Clinical narrative: Swelling (size of softball), redness, itching, warm to touch. Blister developed; burst 9/22. Patient stated that she has received smallpox in the past and has experienced some of the same symptoms.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received a booster shot of the Moderna Spikevax 12 years and older.  Which is no longer recommended as booster shot as of August 31, 2022.
Age: 16.0
Sex: F
Vaccine: MENB
Symptoms: Pain, Pain in extremity
Clinical narrative: Received Bexsero in rt arm 2 days prior to onset of symptoms. Awakened morning of 9/22/22 with pain in Rt arm/elbow, pain worsened when tried to straiten arm. Mom gave ibuprofen, pain improved, now hesitant to move arm. No redness at injection site.
Age: 36.0
Sex: M
Vaccine: UNK
Symptoms: Eye pain, Feeling cold, Headache, Hyperaesthesia, Musculoskeletal stiffness
Clinical narrative: Patient verbalized having experienced headache, neck stiffness, heightened sensitivity to touch (generalized, especially legs), eyes hurt, very cold and could not get warm.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Activated partial thromboplastin time, C-reactive protein, Chest X-ray, Chest pain, Computerised tomogram thorax
Clinical narrative: 1 day after COVID vaccination, began to have chest pain, palpitations, brain fog, and severe fatigue. Also had fever. Fever resolved within 48 hours after vaccine administration. However, other symptoms continued. Sought care at emergency room on 9/20 for chest pain, headache, dizziness, and altered mental status. Subsequently have followed up with cardiologist who discussed likely symptoms may represent mild pericarditis. Treating at home with ibuprofen and will follow up with additional studies if symptoms do not resolve in expected timeframe of 2 weeks.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Culture urine, Dizziness, Electrocardiogram, Fatigue, Feeling abnormal
Clinical narrative: 1 day after COVID vaccination, began to have chest pain, palpitations, brain fog, and severe fatigue. Also had fever. Fever resolved within 48 hours after vaccine administration. However, other symptoms continued. Sought care at emergency room on 9/20 for chest pain, headache, dizziness, and altered mental status. Subsequently have followed up with cardiologist who discussed likely symptoms may represent mild pericarditis. Treating at home with ibuprofen and will follow up with additional studies if symptoms do not resolve in expected timeframe of 2 weeks.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fibrin D dimer, Full blood count, Headache, International normalised ratio, Mental status changes
Clinical narrative: 1 day after COVID vaccination, began to have chest pain, palpitations, brain fog, and severe fatigue. Also had fever. Fever resolved within 48 hours after vaccine administration. However, other symptoms continued. Sought care at emergency room on 9/20 for chest pain, headache, dizziness, and altered mental status. Subsequently have followed up with cardiologist who discussed likely symptoms may represent mild pericarditis. Treating at home with ibuprofen and will follow up with additional studies if symptoms do not resolve in expected timeframe of 2 weeks.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Metabolic function test, Microscopy, Palpitations, Pericarditis, Pregnancy test urine
Clinical narrative: 1 day after COVID vaccination, began to have chest pain, palpitations, brain fog, and severe fatigue. Also had fever. Fever resolved within 48 hours after vaccine administration. However, other symptoms continued. Sought care at emergency room on 9/20 for chest pain, headache, dizziness, and altered mental status. Subsequently have followed up with cardiologist who discussed likely symptoms may represent mild pericarditis. Treating at home with ibuprofen and will follow up with additional studies if symptoms do not resolve in expected timeframe of 2 weeks.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Prothrombin time, Pyrexia, Red blood cell sedimentation rate, Troponin, Urine analysis
Clinical narrative: 1 day after COVID vaccination, began to have chest pain, palpitations, brain fog, and severe fatigue. Also had fever. Fever resolved within 48 hours after vaccine administration. However, other symptoms continued. Sought care at emergency room on 9/20 for chest pain, headache, dizziness, and altered mental status. Subsequently have followed up with cardiologist who discussed likely symptoms may represent mild pericarditis. Treating at home with ibuprofen and will follow up with additional studies if symptoms do not resolve in expected timeframe of 2 weeks.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Anticoagulant therapy, Asthenia, Bedridden
Clinical narrative: 97 w/history of atrial fibrillation on anticoagulation, dementia, coronary artery disease, chronic right-sided heart failure pulmonary hypertension, who presented to the emergency department with weakness in the setting of COVID infection.    Patient daughter and wife present at bedside, patient has baseline dementia, he is oriented to self at baseline, he is able to ambulate, also able to feed himself which is usually prepared by family, he is unable to hold conversation at baseline.  Since Monday, patient has a productive cough, progressive weakness, currently bedbound, also decreased oral intake.  Patient was tested positive for COVID today.    Patient transition to inpatient hospice on 8/31 Continue comfort measures Titrate comfort medications as needed Palliative care consult   Weakness and Fever likely 2/2 COVID infection In the setting of dehydration and viral infection Tylenol as needed for fever Ensure 3 times daily No change in management   Patient was seen by palliative care and transition to inpatient hospice Continue comfort measures Patient expired at 3:48 PM, 9/4/2022   Encephalopathy, likely related to hospital-acquired delirium. Advanced dementia Baseline mental status oriented to name, waxing waning mental status, trying to get out of bed Continue comfort measures   Hyponatremia,, resolved AKI, improved started on IV hydration Improved     Covid-19 Virus Infection Date of onset of symptoms: August 15 Symptoms present on admission: Cough, phlegm,weakness, fever Date of covid positive test: August 21 Vaccination status: vaccinated Imaging: Chest x-ray, personally reviewed Oxygen requirements on admission: Room air Current oxygen requirements: room air (was on 2L prior) Medical therapy: IV steroids and remdesevir Consultants following: ID consult Anticipated special isolation end date: 8/30/22  Elevated troponin Non-STEMI type II Remains chest pain free EKG -right bundle changes in V1 V2 similar to EKG from 2019 Trend troponin Continue home aspirin   Atrial fibrillation  continue Eliquis 2.5 mg twice daily   Hypertension Holding lisinopril given borderline BP
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Death, Dehydration, Delirium
Clinical narrative: 97 w/history of atrial fibrillation on anticoagulation, dementia, coronary artery disease, chronic right-sided heart failure pulmonary hypertension, who presented to the emergency department with weakness in the setting of COVID infection.    Patient daughter and wife present at bedside, patient has baseline dementia, he is oriented to self at baseline, he is able to ambulate, also able to feed himself which is usually prepared by family, he is unable to hold conversation at baseline.  Since Monday, patient has a productive cough, progressive weakness, currently bedbound, also decreased oral intake.  Patient was tested positive for COVID today.    Patient transition to inpatient hospice on 8/31 Continue comfort measures Titrate comfort medications as needed Palliative care consult   Weakness and Fever likely 2/2 COVID infection In the setting of dehydration and viral infection Tylenol as needed for fever Ensure 3 times daily No change in management   Patient was seen by palliative care and transition to inpatient hospice Continue comfort measures Patient expired at 3:48 PM, 9/4/2022   Encephalopathy, likely related to hospital-acquired delirium. Advanced dementia Baseline mental status oriented to name, waxing waning mental status, trying to get out of bed Continue comfort measures   Hyponatremia,, resolved AKI, improved started on IV hydration Improved     Covid-19 Virus Infection Date of onset of symptoms: August 15 Symptoms present on admission: Cough, phlegm,weakness, fever Date of covid positive test: August 21 Vaccination status: vaccinated Imaging: Chest x-ray, personally reviewed Oxygen requirements on admission: Room air Current oxygen requirements: room air (was on 2L prior) Medical therapy: IV steroids and remdesevir Consultants following: ID consult Anticipated special isolation end date: 8/30/22  Elevated troponin Non-STEMI type II Remains chest pain free EKG -right bundle changes in V1 V2 similar to EKG from 2019 Trend troponin Continue home aspirin   Atrial fibrillation  continue Eliquis 2.5 mg twice daily   Hypertension Holding lisinopril given borderline BP
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Encephalopathy, Hyponatraemia, Hypophagia, Mental status changes
Clinical narrative: 97 w/history of atrial fibrillation on anticoagulation, dementia, coronary artery disease, chronic right-sided heart failure pulmonary hypertension, who presented to the emergency department with weakness in the setting of COVID infection.    Patient daughter and wife present at bedside, patient has baseline dementia, he is oriented to self at baseline, he is able to ambulate, also able to feed himself which is usually prepared by family, he is unable to hold conversation at baseline.  Since Monday, patient has a productive cough, progressive weakness, currently bedbound, also decreased oral intake.  Patient was tested positive for COVID today.    Patient transition to inpatient hospice on 8/31 Continue comfort measures Titrate comfort medications as needed Palliative care consult   Weakness and Fever likely 2/2 COVID infection In the setting of dehydration and viral infection Tylenol as needed for fever Ensure 3 times daily No change in management   Patient was seen by palliative care and transition to inpatient hospice Continue comfort measures Patient expired at 3:48 PM, 9/4/2022   Encephalopathy, likely related to hospital-acquired delirium. Advanced dementia Baseline mental status oriented to name, waxing waning mental status, trying to get out of bed Continue comfort measures   Hyponatremia,, resolved AKI, improved started on IV hydration Improved     Covid-19 Virus Infection Date of onset of symptoms: August 15 Symptoms present on admission: Cough, phlegm,weakness, fever Date of covid positive test: August 21 Vaccination status: vaccinated Imaging: Chest x-ray, personally reviewed Oxygen requirements on admission: Room air Current oxygen requirements: room air (was on 2L prior) Medical therapy: IV steroids and remdesevir Consultants following: ID consult Anticipated special isolation end date: 8/30/22  Elevated troponin Non-STEMI type II Remains chest pain free EKG -right bundle changes in V1 V2 similar to EKG from 2019 Trend troponin Continue home aspirin   Atrial fibrillation  continue Eliquis 2.5 mg twice daily   Hypertension Holding lisinopril given borderline BP
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Troponin increased, Viral infection
Clinical narrative: 97 w/history of atrial fibrillation on anticoagulation, dementia, coronary artery disease, chronic right-sided heart failure pulmonary hypertension, who presented to the emergency department with weakness in the setting of COVID infection.    Patient daughter and wife present at bedside, patient has baseline dementia, he is oriented to self at baseline, he is able to ambulate, also able to feed himself which is usually prepared by family, he is unable to hold conversation at baseline.  Since Monday, patient has a productive cough, progressive weakness, currently bedbound, also decreased oral intake.  Patient was tested positive for COVID today.    Patient transition to inpatient hospice on 8/31 Continue comfort measures Titrate comfort medications as needed Palliative care consult   Weakness and Fever likely 2/2 COVID infection In the setting of dehydration and viral infection Tylenol as needed for fever Ensure 3 times daily No change in management   Patient was seen by palliative care and transition to inpatient hospice Continue comfort measures Patient expired at 3:48 PM, 9/4/2022   Encephalopathy, likely related to hospital-acquired delirium. Advanced dementia Baseline mental status oriented to name, waxing waning mental status, trying to get out of bed Continue comfort measures   Hyponatremia,, resolved AKI, improved started on IV hydration Improved     Covid-19 Virus Infection Date of onset of symptoms: August 15 Symptoms present on admission: Cough, phlegm,weakness, fever Date of covid positive test: August 21 Vaccination status: vaccinated Imaging: Chest x-ray, personally reviewed Oxygen requirements on admission: Room air Current oxygen requirements: room air (was on 2L prior) Medical therapy: IV steroids and remdesevir Consultants following: ID consult Anticipated special isolation end date: 8/30/22  Elevated troponin Non-STEMI type II Remains chest pain free EKG -right bundle changes in V1 V2 similar to EKG from 2019 Trend troponin Continue home aspirin   Atrial fibrillation  continue Eliquis 2.5 mg twice daily   Hypertension Holding lisinopril given borderline BP
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Back pain, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 9/3/22 ADMITTED, 9/6/22 DISCHARGED. Presentation to the ED: 2 week history of mid back pain and right upper quadrant abdominal pain. COVID-19 + date: 9/3/22. Treatment: Completed course of oral doxycycline.  Discharge to: HOME.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse effects were reported. Patient was in facility and was observed for 48 hrs after vaccine was administered.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse events reported. Patient was given a booster shot of the Moderna Spikevax 12 years and older. Which is no longer recommended as booster shot as of August 31, 2022.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Hemiparesis, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: ADMITTED 9/4/22, DISCHARGED 9/7/22. Presentation to the ED: LEFT SIDED WEAKNESS. COVID-19 + date: 9/4/22. Treatment: PATIENT WAS ASYMPTOMATIC FOR COVID-19, NO STEROIDS OR REMDESIVIR GIVEN. Discharge to: HOME W/ HEALTHCARE SERVICES.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse events reported. Patient was given a booster shot of the Moderna Spikevax 12 years and older. Which is no longer recommended as booster shot as of August 31, 2022.
Age: 53.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Hypoaesthesia
Clinical narrative: Patient start having numbness to the left side of her face on Tuesday after the shots and it has continued and it is now Friday. She has seen her PCP and is following up with them.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Exposure via skin contact, Syringe issue
Clinical narrative: Syringe failure, Vaccine went all over my arm.
Age: 27.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Rash
Clinical narrative: Patient presents after developing itching and rash after Bivalent Booster.  Reports she has had primary and 1 booster of Pfizer.  States approximately 1 hour after administration she developed red rash to bilateral forearms and itching "all over."  States itching feels "inside of her body."  Reports she also had redness and swelling at injection site but that has resolved.    Continues to have rash and itchy sensation
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse events reported. Patient was given a booster shot of the Moderna Spikevax 12 years and older. Which is no longer recommended as booster shot as of August 31, 2022.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: ADMITTED 9/5/22, DISCHARGED 9/9/22. Presentation to the ED: general weakness and shortness of breath.    COVID-19 + date: 9/5/22. Treatment: Remdesivir. Discharge to: HOME.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse events reported. Patient was given a booster shot of the Moderna Spikevax 12 years and older. Which is no longer recommended as booster shot as of August 31, 2022.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Alcoholism, Arteriosclerosis, Asthenia, COVID-19, Condition aggravated
Clinical narrative: Patient had a positive COVID test on 8/8/21; seen in the ED with weakness, fatigue, malaise; elevated troponins and hypokalemia; experienced SVT several times; cardiology consulted - ACS protocol (Acute coronary syndrome) and medication; O2 supplementation; ICU; DC'd from hospital on 8/13/21; Patient passed away in a park with COD being Complication of HTN and atherosclerotic cardiovascular disease; contributing conditions listed as COVID 19 and chronic alcoholism
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Disease complication, Fatigue, Hypertension, Hypokalaemia
Clinical narrative: Patient had a positive COVID test on 8/8/21; seen in the ED with weakness, fatigue, malaise; elevated troponins and hypokalemia; experienced SVT several times; cardiology consulted - ACS protocol (Acute coronary syndrome) and medication; O2 supplementation; ICU; DC'd from hospital on 8/13/21; Patient passed away in a park with COD being Complication of HTN and atherosclerotic cardiovascular disease; contributing conditions listed as COVID 19 and chronic alcoholism
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Malaise, SARS-CoV-2 test positive, Supraventricular tachycardia, Troponin increased
Clinical narrative: Patient had a positive COVID test on 8/8/21; seen in the ED with weakness, fatigue, malaise; elevated troponins and hypokalemia; experienced SVT several times; cardiology consulted - ACS protocol (Acute coronary syndrome) and medication; O2 supplementation; ICU; DC'd from hospital on 8/13/21; Patient passed away in a park with COD being Complication of HTN and atherosclerotic cardiovascular disease; contributing conditions listed as COVID 19 and chronic alcoholism
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Hypoaesthesia, Throat tightness, Visual impairment
Clinical narrative: 5 minutes after vaccine given patient started having facial numbeness, throat tightness, headache, foggy vision. Vital signs remained stable and patient in no acute or respirator distress. Monitored patient for 30 minutes and symptoms resolved except still slight foggy vision. patient stated she felt better and able to see well.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chemotherapy, Condition aggravated, Neutropenia
Clinical narrative: Hospitalization: ADMITTED 9/5/22 DISCHARGED 9/9/22.  Presentation to the ED: on chemotherapy presenting with general fever and weakness. Given the febrile neutropenia patient was started on antibiotics and admitted for antibiotic deescalation and trending of clinical course consultation with Oncology.  COVID-19 + date: 9/5/22. Treatment: BROAD SPECTRUM ANTIBIOTICS. Discharge to: HOME.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: ADMITTED 9/5/22 DISCHARGED 9/9/22.  Presentation to the ED: on chemotherapy presenting with general fever and weakness. Given the febrile neutropenia patient was started on antibiotics and admitted for antibiotic deescalation and trending of clinical course consultation with Oncology.  COVID-19 + date: 9/5/22. Treatment: BROAD SPECTRUM ANTIBIOTICS. Discharge to: HOME.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, C-reactive protein increased, COVID-19, Exposure to SARS-CoV-2
Clinical narrative: 6/2/2022 I woke up and was on a cruise ship abroad and just didn't feel right. Felt like mild cold symptoms and I was tested myself with a COVID-19 home kit on the ship and it came back negative.  Later in the day I tested on ship and tested negative for COVID-19 and my wife had also tested and she was positive for COIVD-19 and they came to the room and tested me again and I was positive for COVID-19. I lost my taste and smell for about 6 days and missed a week of my cruise. On the second week I flew home from vacation and when I returned I had stiff neck and sought medical treatment and my C reactive proteins elevated and then I developed front line scalp irritation and after a week those went away.  I was prescribed Tizanidine which I can't take anymore due to hallucinations.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Musculoskeletal stiffness, Nasopharyngitis, SARS-CoV-2 test positive, Skin irritation
Clinical narrative: 6/2/2022 I woke up and was on a cruise ship abroad and just didn't feel right. Felt like mild cold symptoms and I was tested myself with a COVID-19 home kit on the ship and it came back negative.  Later in the day I tested on ship and tested negative for COVID-19 and my wife had also tested and she was positive for COIVD-19 and they came to the room and tested me again and I was positive for COVID-19. I lost my taste and smell for about 6 days and missed a week of my cruise. On the second week I flew home from vacation and when I returned I had stiff neck and sought medical treatment and my C reactive proteins elevated and then I developed front line scalp irritation and after a week those went away.  I was prescribed Tizanidine which I can't take anymore due to hallucinations.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 24.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: The patient has not experienced any adverse effects as of 9/22/22.  Pfizer Bivalent COVID-19 vaccine was inadvertently administered  for a second dose in a 2-dose series by the administering nurse.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered, Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Pt reported and presented with large red bubble at injection site.  Area was from Left Deltoid to an inch or two above the left elbow.  Area was warm and red and bruising was present
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given a dose of the Original series instead of the Bivalent Booster
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Palpitations, Pyrexia
Clinical narrative: Hospitalization: ADMITTED 9/6/22 DISCHARGED 9/10/22. Presentation to the ED: Congestion, fever, cough, shortness of breath, palpitations. COVID-19 + date: 9/6/22. Treatment: Remdesivir & Dexamethasone.  Discharge to: HOME.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: ADMITTED 9/6/22 DISCHARGED 9/10/22. Presentation to the ED: Congestion, fever, cough, shortness of breath, palpitations. COVID-19 + date: 9/6/22. Treatment: Remdesivir & Dexamethasone.  Discharge to: HOME.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Cardio-respiratory arrest, Death, Diarrhoea
Clinical narrative: 1/12/22 pt to ED with SOB, diarrhea; found to be positive for COVID; 1/16/22 pt suffered a cardiac arrest, coded, post code he was stable without vasopressors; on ventilator; the following day, pt suffered another cardiac arrest, coded with ROSC achieved; the next day pt passed away in the hospital
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Mechanical ventilation, SARS-CoV-2 test positive
Clinical narrative: 1/12/22 pt to ED with SOB, diarrhea; found to be positive for COVID; 1/16/22 pt suffered a cardiac arrest, coded, post code he was stable without vasopressors; on ventilator; the following day, pt suffered another cardiac arrest, coded with ROSC achieved; the next day pt passed away in the hospital
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: gave Pfizer bivalent when supposed to give 2nd dose of primary series
Age: 12.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Mother called today to say that school nurse noted that childs arm near injection site was swollen and red (golf ball sized). The mother said that the nurse also told her that the child had been scratching the area and the mother stated she wasn't sure if it wasn't a mosquito bite. I advised mother to take the child to the pediatrician to have it checked out.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Headache, Injection site pain, Mobility decreased, Pyrexia
Clinical narrative: That same day of the vaccine my arm burned when they put it on me and then became normal, at night I had a little fever and could not move my arm. On the 7th day, I got a burning feeling in the head, I called my daughter, and I took  liquid ADVIL of 200 mg, and the burning was removed and then days after since then I continue with that burning permanently in the head. I suffer from migraine and burning is different from pain.
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: RESIDENT WAS VACCINATED WITH FIRST DOSE OF MODERNA ON 6/23/22 AND WAS SCHEDULED TO RECEIVE HIS SECOND DOSE OF MODERNA AT THE CLINIC HELD AT LOCAL FACILITY ON 9/22/22 BY LOCAL PHARMACY. AT THE CLINIC, HE RECEIVED A PFIZER BIVALENT DOSE IN ERROR. THERE WAS NO ADVERSE REACTION NOTED. MEDICAL DIRECTOR WAS NOTIFIED AND RESIDENT WAS MONITORED ACCORDING TO FACILITY PROTOCOL.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dermatomyositis, Herpes zoster
Clinical narrative: 2 weeks later developed Shingles, c7/t1 dermatomes
Age: 4.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Headache, Incorrect dose administered, Pyrexia, Rash
Clinical narrative: Headache, Rash, and low grade fever . Pharmacy called me on 9/21 to let me know that they accidentally administered the Pfizer Adult booster instead of the 3 dose of the toddler vaccine.
Age: 4.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Headache, Irritability postvaccinal, Nasal congestion, Overdose, Product administered to patient of inappropriate age
Clinical narrative: Headache, Rash, and low grade fever . Pharmacy called me on 9/21 to let me know that they accidentally administered the Pfizer Adult booster instead of the 3 dose of the toddler vaccine.
Age: 4.0
Sex: F
Vaccine: UNK, COVID19
Symptoms: Pyrexia, Vaccination site rash
Clinical narrative: Headache, Rash, and low grade fever . Pharmacy called me on 9/21 to let me know that they accidentally administered the Pfizer Adult booster instead of the 3 dose of the toddler vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: The patient was given Pfizer monovalent vaccine for ages 5years to 11 years instead of Pfizer monovalent vaccine for ages 12 years and older.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Blood creatine phosphokinase increased, Blood creatinine increased, Chronic kidney disease, Computerised tomogram spine
Clinical narrative: Patient was admitted for fall and pain in her left lower extremity after a fall. No syncope. No loss of consciousness. The patient came in by ambulance and looks like she has multiple falls recently. Creatinine was 1.4 in the ER. Total CPK was 189. CT cervical spine had no acute abnormality. The patient was admitted to the hospital for further evaluation. She received IV fluid. Her troponin was slightly elevated at 468, but was trending down likely secondary to chronic kidney disease stage II. COVID POSITIVE ACCIDENTALLY ON ROOM AIR ASYMPTOMATIC. She received Monoclonal antibody treatment, she was discharged once stable.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fall, Pain in extremity, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient was admitted for fall and pain in her left lower extremity after a fall. No syncope. No loss of consciousness. The patient came in by ambulance and looks like she has multiple falls recently. Creatinine was 1.4 in the ER. Total CPK was 189. CT cervical spine had no acute abnormality. The patient was admitted to the hospital for further evaluation. She received IV fluid. Her troponin was slightly elevated at 468, but was trending down likely secondary to chronic kidney disease stage II. COVID POSITIVE ACCIDENTALLY ON ROOM AIR ASYMPTOMATIC. She received Monoclonal antibody treatment, she was discharged once stable.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Diarrhoea
Clinical narrative: Afib  in da 2 post vax, diarrhea
Age: 56.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: None stated.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Anticoagulant therapy, COVID-19
Clinical narrative: 1/27/22 pt to hospital with increasing SOB; found to be positive for COVID; acute respiratory failure; treated with steroids; had a non-ST elevation MI and PE; treated with anticoagulants; condition worsened with an increased need for O2; AKI; elevated WBC count; given ABX; required intubation; became hypotensive; WBC count was over 50,000; severe drop in Hemoglobin; given vasopressors; transitioned to comfort care and passed away in the hospital
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Endotracheal intubation, General physical health deterioration, Haemoglobin decreased
Clinical narrative: 1/27/22 pt to hospital with increasing SOB; found to be positive for COVID; acute respiratory failure; treated with steroids; had a non-ST elevation MI and PE; treated with anticoagulants; condition worsened with an increased need for O2; AKI; elevated WBC count; given ABX; required intubation; became hypotensive; WBC count was over 50,000; severe drop in Hemoglobin; given vasopressors; transitioned to comfort care and passed away in the hospital
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: 1/27/22 pt to hospital with increasing SOB; found to be positive for COVID; acute respiratory failure; treated with steroids; had a non-ST elevation MI and PE; treated with anticoagulants; condition worsened with an increased need for O2; AKI; elevated WBC count; given ABX; required intubation; became hypotensive; WBC count was over 50,000; severe drop in Hemoglobin; given vasopressors; transitioned to comfort care and passed away in the hospital
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Injection site pain, Ocular hyperaemia
Clinical narrative: Mild headache the day after vaccination, soreness at injection site, 2 days post vaccine blood from vein in right eye (no pain noted)
Age: 44.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PATIENT HAD RECEIVED INTIAL DOSE OF JYNNEOS SUBCUTANEOUSLY  IN LEFT UPPER ARM ON 8/12/2022. PATIENT RETURNED ON 8/30/2022 AND RECEIVED DOSE  -( 19 DAYS AFTER THE FIRST DOSE - OUTSIDE OF GRACE PERIOD, GIVEN TOO EARLY,)
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Hospitalization: 8/30/2022- ADMITTED, 9/6/2022- DISCHARGED. Presentation to the ED: congestion and a nonproductive cough and fever. She had a temperature of a 103° F on admission and was saturating at 93% on room air. COVID-19 + date: 8/30/22. Treatment: steroids, Remdesivir and increased O2 supply. Discharge to: SNF, (Skilled Nursing Facility).
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Lethargy
Clinical narrative: Lethargic, very tired
Age: 61.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Raised, Red, Itchy area 1 day after intradermal injection site of monkeypox vaccine. Also, notices redness outside of injection site; but - close proximity. Today is day 3 post vaccination. Instruction to monitor - see medical provider for symptoms that do not resolve or worsen within the next 3 -7 days. Appt already scheduled for annual examination on 10/5/2022.