chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Flushing, Hyperhidrosis, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, Unresponsive to stimuli, Visual impairment
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Tinnitus-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: Pt passed out approximately 2 minutes post-vaccination. EMS came to evaluate/ Pt declined transport. Stated mom would pick him up. Symptoms improved in approximately 15-20 minutes.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Loss of consciousness
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: Pt passed out approximately 2 minutes post-vaccination. EMS came to evaluate/ Pt declined transport. Stated mom would pick him up. Symptoms improved in approximately 15-20 minutes.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood blister, Injection site bruising, Injection site erythema, Injection site pain, Injection site reaction
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Blood blister at site of vaccination.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Blood blister at site of vaccination.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Error: Wrong Route (SC, IM, etc.)-
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Additional Details: redness/itching to right deltoid post Pfizer BioNTech COVID 10 vaccine, pt denied PO Benadryl, pt alert/oriented, no change in mental status, only local reaction noted. Pt stated she wanted to drive home and would take benadryl at home if she felt the need.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypotension, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Atelectasis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospitalized 01/26/2022; COVID-19 positive 01/21/2022 (per d/c summary, no documentation found); fully vaccinated  Discharge Provider:  DO  Primary Care Provider : PA-C    Admission Date: 1/26/2022 Discharge Date: 02/01/2022  Hospital Course: Patient is a 73 y.o. female with PMHx of COPD 3L-dep baseline, hypothyroidism, depression with anxiety, chronic pain with neuropathy, history of left breast cancer who presented to ER with complaints of worsening shortness of breath with with other COVID sx going on for the previous 7-8 days. On January 21st she was tested positive for COVID-19.  Patient was vaccinated x2 last dose April of 2021. In the ED, she was hypoxic on her baseline 3 L and increased on her home O2. Chest x-ray shows mild atelectasis and developing infiltrate in the right base. She was started on Decadron and given fluids. Patient was admitted for acute on chronic hypoxic respiratory failure due to Pneumonia due to COVID-19 virus. In the hospital, patient was continued on steroids and started on lasix. UA was also found to be positive and patient was treated with macrobid then switched to rocephin for 5 days. She was weaned back to 3-4L NC was discharged home with services and to complete 3 more days of steroid for a total course of 10 days of decadron
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypoxia, Lung infiltration, Malaise, Respiratory failure
Clinical narrative: Hospitalized 01/26/2022; COVID-19 positive 01/21/2022 (per d/c summary, no documentation found); fully vaccinated  Discharge Provider:  DO  Primary Care Provider : PA-C    Admission Date: 1/26/2022 Discharge Date: 02/01/2022  Hospital Course: Patient is a 73 y.o. female with PMHx of COPD 3L-dep baseline, hypothyroidism, depression with anxiety, chronic pain with neuropathy, history of left breast cancer who presented to ER with complaints of worsening shortness of breath with with other COVID sx going on for the previous 7-8 days. On January 21st she was tested positive for COVID-19.  Patient was vaccinated x2 last dose April of 2021. In the ED, she was hypoxic on her baseline 3 L and increased on her home O2. Chest x-ray shows mild atelectasis and developing infiltrate in the right base. She was started on Decadron and given fluids. Patient was admitted for acute on chronic hypoxic respiratory failure due to Pneumonia due to COVID-19 virus. In the hospital, patient was continued on steroids and started on lasix. UA was also found to be positive and patient was treated with macrobid then switched to rocephin for 5 days. She was weaned back to 3-4L NC was discharged home with services and to complete 3 more days of steroid for a total course of 10 days of decadron
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: Hospitalized 01/26/2022; COVID-19 positive 01/21/2022 (per d/c summary, no documentation found); fully vaccinated  Discharge Provider:  DO  Primary Care Provider : PA-C    Admission Date: 1/26/2022 Discharge Date: 02/01/2022  Hospital Course: Patient is a 73 y.o. female with PMHx of COPD 3L-dep baseline, hypothyroidism, depression with anxiety, chronic pain with neuropathy, history of left breast cancer who presented to ER with complaints of worsening shortness of breath with with other COVID sx going on for the previous 7-8 days. On January 21st she was tested positive for COVID-19.  Patient was vaccinated x2 last dose April of 2021. In the ED, she was hypoxic on her baseline 3 L and increased on her home O2. Chest x-ray shows mild atelectasis and developing infiltrate in the right base. She was started on Decadron and given fluids. Patient was admitted for acute on chronic hypoxic respiratory failure due to Pneumonia due to COVID-19 virus. In the hospital, patient was continued on steroids and started on lasix. UA was also found to be positive and patient was treated with macrobid then switched to rocephin for 5 days. She was weaned back to 3-4L NC was discharged home with services and to complete 3 more days of steroid for a total course of 10 days of decadron
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Paraesthesia, Tremor
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Interchange of vaccine products, Vertigo
Clinical narrative: Bouts of dizziness since booster.  Had severe bout of vertigo one month after Johnson & Johnson vaccine. Vertigo lasted 9 months.  Got Pfizer booster and dizziness came back a few days after?
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaemia, Arthralgia, Aspiration joint, Asymptomatic COVID-19, Blood culture negative
Clinical narrative: Hospitalized 01/27/2022; COVID-19 positive 1/4/2022 (no documentation just stated in d/c summary) documented COVID-19 positive 01/27/2022; fully vaccinated plus booster  Admission Date: 1/27/2022 Discharge Date:  02/01/2022 Admitting Physician:  PRIVACY Attending Physician: PRIVACY Discharge Clinician:  PRIVACY Primary Care Provider at Discharge: PRIVACY  Hospital Course:   Patient is a 73 y.o. male with past medical history significant for CHF, A. fib, s/p redo AVR due to Strep. Group B endocarditis 12/3/21, anemia, CAD, HTN who presented to ED with complaints of R knee pain and swelling.       Patient had recent prolonged admission 11/26-12/30 for chest pain, hypotension and renal failure requiring CRRT. He was on vent and pressors but was eventually weaned off both. Developed Strep. Group B endocarditis for which he completed course of Rocephin through 1/14. Was discharged to MFB for rehab. While at hospital he had a positive COVID test on 1/4 though was asymptomatic. Was d/c back home about a week ago.    About 3 days PTA he started having R knee pain and swelling. The pain in his right knee became more severe to the point where he could not ambulate secondary to the pain.  He notes that he was also unable to bend his knee secondary to the pain. He was also having R foot pain. He does have chronic distal phalanx thromboembolism of bilateral toes. Denies any drainage or foul smell from wounds. Notes that his wife changes his dressings and puts iodine on his wounds daily.    Upon arrival to the ED, patient had low grade fever but vitals were otherwise stable. Baseline blood work was obtained showing WBC 14.7, elevated ESR/CRP, minor hyponatremia of 131, stable chronic anemia. INR 1.9. Covid test persistently positive. Blood cultures were obtained. US RLE negative for DVT. XR R knee showing subtle new irregularity about lateral aspect of lateral tibial plateau w/ enlarged joint effusion. Ortho performed bedside arthrocentesis in ED. They did not feel it was consistent with septic arthritis at this time. Cultures negative, no crystals in fluid, blood uric acid low. Patient treated with Vanc for 3 days (MRSA screen negative) and Zosyn for 5 days. CRP improved from 169.1 to 68.8. Echocardiogram from 1/26 did now show any valvular vegetations. Evaluated by PT/OT who initially recommended acute rehab. PMR recommended home with home therapy. He is established with services already and this was verified
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood sodium decreased, Blood test abnormal, Blood uric acid decreased, Bone disorder, C-reactive protein increased
Clinical narrative: Hospitalized 01/27/2022; COVID-19 positive 1/4/2022 (no documentation just stated in d/c summary) documented COVID-19 positive 01/27/2022; fully vaccinated plus booster  Admission Date: 1/27/2022 Discharge Date:  02/01/2022 Admitting Physician:  PRIVACY Attending Physician: PRIVACY Discharge Clinician:  PRIVACY Primary Care Provider at Discharge: PRIVACY  Hospital Course:   Patient is a 73 y.o. male with past medical history significant for CHF, A. fib, s/p redo AVR due to Strep. Group B endocarditis 12/3/21, anemia, CAD, HTN who presented to ED with complaints of R knee pain and swelling.       Patient had recent prolonged admission 11/26-12/30 for chest pain, hypotension and renal failure requiring CRRT. He was on vent and pressors but was eventually weaned off both. Developed Strep. Group B endocarditis for which he completed course of Rocephin through 1/14. Was discharged to MFB for rehab. While at hospital he had a positive COVID test on 1/4 though was asymptomatic. Was d/c back home about a week ago.    About 3 days PTA he started having R knee pain and swelling. The pain in his right knee became more severe to the point where he could not ambulate secondary to the pain.  He notes that he was also unable to bend his knee secondary to the pain. He was also having R foot pain. He does have chronic distal phalanx thromboembolism of bilateral toes. Denies any drainage or foul smell from wounds. Notes that his wife changes his dressings and puts iodine on his wounds daily.    Upon arrival to the ED, patient had low grade fever but vitals were otherwise stable. Baseline blood work was obtained showing WBC 14.7, elevated ESR/CRP, minor hyponatremia of 131, stable chronic anemia. INR 1.9. Covid test persistently positive. Blood cultures were obtained. US RLE negative for DVT. XR R knee showing subtle new irregularity about lateral aspect of lateral tibial plateau w/ enlarged joint effusion. Ortho performed bedside arthrocentesis in ED. They did not feel it was consistent with septic arthritis at this time. Cultures negative, no crystals in fluid, blood uric acid low. Patient treated with Vanc for 3 days (MRSA screen negative) and Zosyn for 5 days. CRP improved from 169.1 to 68.8. Echocardiogram from 1/26 did now show any valvular vegetations. Evaluated by PT/OT who initially recommended acute rehab. PMR recommended home with home therapy. He is established with services already and this was verified
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Condition aggravated, Echocardiogram normal, Embolism, Gait inability
Clinical narrative: Hospitalized 01/27/2022; COVID-19 positive 1/4/2022 (no documentation just stated in d/c summary) documented COVID-19 positive 01/27/2022; fully vaccinated plus booster  Admission Date: 1/27/2022 Discharge Date:  02/01/2022 Admitting Physician:  PRIVACY Attending Physician: PRIVACY Discharge Clinician:  PRIVACY Primary Care Provider at Discharge: PRIVACY  Hospital Course:   Patient is a 73 y.o. male with past medical history significant for CHF, A. fib, s/p redo AVR due to Strep. Group B endocarditis 12/3/21, anemia, CAD, HTN who presented to ED with complaints of R knee pain and swelling.       Patient had recent prolonged admission 11/26-12/30 for chest pain, hypotension and renal failure requiring CRRT. He was on vent and pressors but was eventually weaned off both. Developed Strep. Group B endocarditis for which he completed course of Rocephin through 1/14. Was discharged to MFB for rehab. While at hospital he had a positive COVID test on 1/4 though was asymptomatic. Was d/c back home about a week ago.    About 3 days PTA he started having R knee pain and swelling. The pain in his right knee became more severe to the point where he could not ambulate secondary to the pain.  He notes that he was also unable to bend his knee secondary to the pain. He was also having R foot pain. He does have chronic distal phalanx thromboembolism of bilateral toes. Denies any drainage or foul smell from wounds. Notes that his wife changes his dressings and puts iodine on his wounds daily.    Upon arrival to the ED, patient had low grade fever but vitals were otherwise stable. Baseline blood work was obtained showing WBC 14.7, elevated ESR/CRP, minor hyponatremia of 131, stable chronic anemia. INR 1.9. Covid test persistently positive. Blood cultures were obtained. US RLE negative for DVT. XR R knee showing subtle new irregularity about lateral aspect of lateral tibial plateau w/ enlarged joint effusion. Ortho performed bedside arthrocentesis in ED. They did not feel it was consistent with septic arthritis at this time. Cultures negative, no crystals in fluid, blood uric acid low. Patient treated with Vanc for 3 days (MRSA screen negative) and Zosyn for 5 days. CRP improved from 169.1 to 68.8. Echocardiogram from 1/26 did now show any valvular vegetations. Evaluated by PT/OT who initially recommended acute rehab. PMR recommended home with home therapy. He is established with services already and this was verified
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemofiltration, Hyponatraemia, Hypotension, International normalised ratio increased, Joint effusion
Clinical narrative: Hospitalized 01/27/2022; COVID-19 positive 1/4/2022 (no documentation just stated in d/c summary) documented COVID-19 positive 01/27/2022; fully vaccinated plus booster  Admission Date: 1/27/2022 Discharge Date:  02/01/2022 Admitting Physician:  PRIVACY Attending Physician: PRIVACY Discharge Clinician:  PRIVACY Primary Care Provider at Discharge: PRIVACY  Hospital Course:   Patient is a 73 y.o. male with past medical history significant for CHF, A. fib, s/p redo AVR due to Strep. Group B endocarditis 12/3/21, anemia, CAD, HTN who presented to ED with complaints of R knee pain and swelling.       Patient had recent prolonged admission 11/26-12/30 for chest pain, hypotension and renal failure requiring CRRT. He was on vent and pressors but was eventually weaned off both. Developed Strep. Group B endocarditis for which he completed course of Rocephin through 1/14. Was discharged to MFB for rehab. While at hospital he had a positive COVID test on 1/4 though was asymptomatic. Was d/c back home about a week ago.    About 3 days PTA he started having R knee pain and swelling. The pain in his right knee became more severe to the point where he could not ambulate secondary to the pain.  He notes that he was also unable to bend his knee secondary to the pain. He was also having R foot pain. He does have chronic distal phalanx thromboembolism of bilateral toes. Denies any drainage or foul smell from wounds. Notes that his wife changes his dressings and puts iodine on his wounds daily.    Upon arrival to the ED, patient had low grade fever but vitals were otherwise stable. Baseline blood work was obtained showing WBC 14.7, elevated ESR/CRP, minor hyponatremia of 131, stable chronic anemia. INR 1.9. Covid test persistently positive. Blood cultures were obtained. US RLE negative for DVT. XR R knee showing subtle new irregularity about lateral aspect of lateral tibial plateau w/ enlarged joint effusion. Ortho performed bedside arthrocentesis in ED. They did not feel it was consistent with septic arthritis at this time. Cultures negative, no crystals in fluid, blood uric acid low. Patient treated with Vanc for 3 days (MRSA screen negative) and Zosyn for 5 days. CRP improved from 169.1 to 68.8. Echocardiogram from 1/26 did now show any valvular vegetations. Evaluated by PT/OT who initially recommended acute rehab. PMR recommended home with home therapy. He is established with services already and this was verified
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Joint swelling, Mechanical ventilation, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Hospitalized 01/27/2022; COVID-19 positive 1/4/2022 (no documentation just stated in d/c summary) documented COVID-19 positive 01/27/2022; fully vaccinated plus booster  Admission Date: 1/27/2022 Discharge Date:  02/01/2022 Admitting Physician:  PRIVACY Attending Physician: PRIVACY Discharge Clinician:  PRIVACY Primary Care Provider at Discharge: PRIVACY  Hospital Course:   Patient is a 73 y.o. male with past medical history significant for CHF, A. fib, s/p redo AVR due to Strep. Group B endocarditis 12/3/21, anemia, CAD, HTN who presented to ED with complaints of R knee pain and swelling.       Patient had recent prolonged admission 11/26-12/30 for chest pain, hypotension and renal failure requiring CRRT. He was on vent and pressors but was eventually weaned off both. Developed Strep. Group B endocarditis for which he completed course of Rocephin through 1/14. Was discharged to MFB for rehab. While at hospital he had a positive COVID test on 1/4 though was asymptomatic. Was d/c back home about a week ago.    About 3 days PTA he started having R knee pain and swelling. The pain in his right knee became more severe to the point where he could not ambulate secondary to the pain.  He notes that he was also unable to bend his knee secondary to the pain. He was also having R foot pain. He does have chronic distal phalanx thromboembolism of bilateral toes. Denies any drainage or foul smell from wounds. Notes that his wife changes his dressings and puts iodine on his wounds daily.    Upon arrival to the ED, patient had low grade fever but vitals were otherwise stable. Baseline blood work was obtained showing WBC 14.7, elevated ESR/CRP, minor hyponatremia of 131, stable chronic anemia. INR 1.9. Covid test persistently positive. Blood cultures were obtained. US RLE negative for DVT. XR R knee showing subtle new irregularity about lateral aspect of lateral tibial plateau w/ enlarged joint effusion. Ortho performed bedside arthrocentesis in ED. They did not feel it was consistent with septic arthritis at this time. Cultures negative, no crystals in fluid, blood uric acid low. Patient treated with Vanc for 3 days (MRSA screen negative) and Zosyn for 5 days. CRP improved from 169.1 to 68.8. Echocardiogram from 1/26 did now show any valvular vegetations. Evaluated by PT/OT who initially recommended acute rehab. PMR recommended home with home therapy. He is established with services already and this was verified
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Renal failure, SARS-CoV-2 test positive, Staphylococcus test negative
Clinical narrative: Hospitalized 01/27/2022; COVID-19 positive 1/4/2022 (no documentation just stated in d/c summary) documented COVID-19 positive 01/27/2022; fully vaccinated plus booster  Admission Date: 1/27/2022 Discharge Date:  02/01/2022 Admitting Physician:  PRIVACY Attending Physician: PRIVACY Discharge Clinician:  PRIVACY Primary Care Provider at Discharge: PRIVACY  Hospital Course:   Patient is a 73 y.o. male with past medical history significant for CHF, A. fib, s/p redo AVR due to Strep. Group B endocarditis 12/3/21, anemia, CAD, HTN who presented to ED with complaints of R knee pain and swelling.       Patient had recent prolonged admission 11/26-12/30 for chest pain, hypotension and renal failure requiring CRRT. He was on vent and pressors but was eventually weaned off both. Developed Strep. Group B endocarditis for which he completed course of Rocephin through 1/14. Was discharged to MFB for rehab. While at hospital he had a positive COVID test on 1/4 though was asymptomatic. Was d/c back home about a week ago.    About 3 days PTA he started having R knee pain and swelling. The pain in his right knee became more severe to the point where he could not ambulate secondary to the pain.  He notes that he was also unable to bend his knee secondary to the pain. He was also having R foot pain. He does have chronic distal phalanx thromboembolism of bilateral toes. Denies any drainage or foul smell from wounds. Notes that his wife changes his dressings and puts iodine on his wounds daily.    Upon arrival to the ED, patient had low grade fever but vitals were otherwise stable. Baseline blood work was obtained showing WBC 14.7, elevated ESR/CRP, minor hyponatremia of 131, stable chronic anemia. INR 1.9. Covid test persistently positive. Blood cultures were obtained. US RLE negative for DVT. XR R knee showing subtle new irregularity about lateral aspect of lateral tibial plateau w/ enlarged joint effusion. Ortho performed bedside arthrocentesis in ED. They did not feel it was consistent with septic arthritis at this time. Cultures negative, no crystals in fluid, blood uric acid low. Patient treated with Vanc for 3 days (MRSA screen negative) and Zosyn for 5 days. CRP improved from 169.1 to 68.8. Echocardiogram from 1/26 did now show any valvular vegetations. Evaluated by PT/OT who initially recommended acute rehab. PMR recommended home with home therapy. He is established with services already and this was verified
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Streptococcal endocarditis, Ultrasound Doppler normal, White blood cell count increased, Wound, Wound treatment
Clinical narrative: Hospitalized 01/27/2022; COVID-19 positive 1/4/2022 (no documentation just stated in d/c summary) documented COVID-19 positive 01/27/2022; fully vaccinated plus booster  Admission Date: 1/27/2022 Discharge Date:  02/01/2022 Admitting Physician:  PRIVACY Attending Physician: PRIVACY Discharge Clinician:  PRIVACY Primary Care Provider at Discharge: PRIVACY  Hospital Course:   Patient is a 73 y.o. male with past medical history significant for CHF, A. fib, s/p redo AVR due to Strep. Group B endocarditis 12/3/21, anemia, CAD, HTN who presented to ED with complaints of R knee pain and swelling.       Patient had recent prolonged admission 11/26-12/30 for chest pain, hypotension and renal failure requiring CRRT. He was on vent and pressors but was eventually weaned off both. Developed Strep. Group B endocarditis for which he completed course of Rocephin through 1/14. Was discharged to MFB for rehab. While at hospital he had a positive COVID test on 1/4 though was asymptomatic. Was d/c back home about a week ago.    About 3 days PTA he started having R knee pain and swelling. The pain in his right knee became more severe to the point where he could not ambulate secondary to the pain.  He notes that he was also unable to bend his knee secondary to the pain. He was also having R foot pain. He does have chronic distal phalanx thromboembolism of bilateral toes. Denies any drainage or foul smell from wounds. Notes that his wife changes his dressings and puts iodine on his wounds daily.    Upon arrival to the ED, patient had low grade fever but vitals were otherwise stable. Baseline blood work was obtained showing WBC 14.7, elevated ESR/CRP, minor hyponatremia of 131, stable chronic anemia. INR 1.9. Covid test persistently positive. Blood cultures were obtained. US RLE negative for DVT. XR R knee showing subtle new irregularity about lateral aspect of lateral tibial plateau w/ enlarged joint effusion. Ortho performed bedside arthrocentesis in ED. They did not feel it was consistent with septic arthritis at this time. Cultures negative, no crystals in fluid, blood uric acid low. Patient treated with Vanc for 3 days (MRSA screen negative) and Zosyn for 5 days. CRP improved from 169.1 to 68.8. Echocardiogram from 1/26 did now show any valvular vegetations. Evaluated by PT/OT who initially recommended acute rehab. PMR recommended home with home therapy. He is established with services already and this was verified
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: Hospitalized 01/27/2022; COVID-19 positive 1/4/2022 (no documentation just stated in d/c summary) documented COVID-19 positive 01/27/2022; fully vaccinated plus booster  Admission Date: 1/27/2022 Discharge Date:  02/01/2022 Admitting Physician:  PRIVACY Attending Physician: PRIVACY Discharge Clinician:  PRIVACY Primary Care Provider at Discharge: PRIVACY  Hospital Course:   Patient is a 73 y.o. male with past medical history significant for CHF, A. fib, s/p redo AVR due to Strep. Group B endocarditis 12/3/21, anemia, CAD, HTN who presented to ED with complaints of R knee pain and swelling.       Patient had recent prolonged admission 11/26-12/30 for chest pain, hypotension and renal failure requiring CRRT. He was on vent and pressors but was eventually weaned off both. Developed Strep. Group B endocarditis for which he completed course of Rocephin through 1/14. Was discharged to MFB for rehab. While at hospital he had a positive COVID test on 1/4 though was asymptomatic. Was d/c back home about a week ago.    About 3 days PTA he started having R knee pain and swelling. The pain in his right knee became more severe to the point where he could not ambulate secondary to the pain.  He notes that he was also unable to bend his knee secondary to the pain. He was also having R foot pain. He does have chronic distal phalanx thromboembolism of bilateral toes. Denies any drainage or foul smell from wounds. Notes that his wife changes his dressings and puts iodine on his wounds daily.    Upon arrival to the ED, patient had low grade fever but vitals were otherwise stable. Baseline blood work was obtained showing WBC 14.7, elevated ESR/CRP, minor hyponatremia of 131, stable chronic anemia. INR 1.9. Covid test persistently positive. Blood cultures were obtained. US RLE negative for DVT. XR R knee showing subtle new irregularity about lateral aspect of lateral tibial plateau w/ enlarged joint effusion. Ortho performed bedside arthrocentesis in ED. They did not feel it was consistent with septic arthritis at this time. Cultures negative, no crystals in fluid, blood uric acid low. Patient treated with Vanc for 3 days (MRSA screen negative) and Zosyn for 5 days. CRP improved from 169.1 to 68.8. Echocardiogram from 1/26 did now show any valvular vegetations. Evaluated by PT/OT who initially recommended acute rehab. PMR recommended home with home therapy. He is established with services already and this was verified
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: On January 19th I broke out into hives all over my body. I still have them today in February. I?ve never been allergic to anything.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Blood pressue spiked. The systolic was in the 170 range. The diastolic was in the 110 range. This was obtained a doctor's office. Over the new few weeks it came down almost to previous levels. It got down to about 130/90. My cardiologist has since adjusted my blood pressure medication to bring it down even further.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient administered booster dose of COVID-19 vaccine from vial opened 5 days prior. No adverse effects noted/reported.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Computerised tomogram thorax normal, Cough, Dyspnoea
Clinical narrative: Patient is fully vaccinated.  COVID + 1/10/2022 at hospitalization. The patient states that he has had symptoms for the past few days with worsening shortness of breath.  He states that they tested his oxygen level with a pulse ox and was reported to be 89%. The patient denies any chest pain.  No nausea, vomiting, diarrhea.  Though, he does have some shortness of breath and cough. Elevated D dimer.  CT negative for PE. CXR: There is no radiographic evidence of acute cardiopulmonary disease within the limits of this single view obtained. Medications steriods, albuterol, asprin. Discharged home.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID + 1/10/2022 at hospitalization. The patient states that he has had symptoms for the past few days with worsening shortness of breath.  He states that they tested his oxygen level with a pulse ox and was reported to be 89%. The patient denies any chest pain.  No nausea, vomiting, diarrhea.  Though, he does have some shortness of breath and cough. Elevated D dimer.  CT negative for PE. CXR: There is no radiographic evidence of acute cardiopulmonary disease within the limits of this single view obtained. Medications steriods, albuterol, asprin. Discharged home.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Diarrhoea, Dyspnoea, Fatigue, Headache
Clinical narrative: 3/117/2021 woke up w/acute all over muscle/body aches and pains fever, chills, shortness of breath, chest tightness, headache, somewhat nausea acute cramps, diarrhea. Home treatment Tylenol (500mg) took eye lubrication drop and prednisolone called Dr. 3/17/2021 saw Dr's assist, he took temp, BP, and gave me IV fluids. 3/18/2021 we to another clinic and got back adjustment and PT + OT was done by therapists. Told me if I didn't improve within (2-3 hrs) go to Emergency Hosp. Both treatment s worked so didn't go to hospital.  3/22/2021 SUN 0 woke up not feeling well - took TYLENOL, Eye Meds, coffee, went to church and lunch> then approx 1:-1:20 body symptoms returned - not as acute lived on pain meds. 3/29/2021 Back at clinic for PT and OT. Same treatment as above and again 3/29/2021 - Fatigue and TYLENOL all day Note afternoon (2 hrs) nap - > evening hrs soreness only-
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Muscle spasms, Myalgia, Nausea, Pain
Clinical narrative: 3/117/2021 woke up w/acute all over muscle/body aches and pains fever, chills, shortness of breath, chest tightness, headache, somewhat nausea acute cramps, diarrhea. Home treatment Tylenol (500mg) took eye lubrication drop and prednisolone called Dr. 3/17/2021 saw Dr's assist, he took temp, BP, and gave me IV fluids. 3/18/2021 we to another clinic and got back adjustment and PT + OT was done by therapists. Told me if I didn't improve within (2-3 hrs) go to Emergency Hosp. Both treatment s worked so didn't go to hospital.  3/22/2021 SUN 0 woke up not feeling well - took TYLENOL, Eye Meds, coffee, went to church and lunch> then approx 1:-1:20 body symptoms returned - not as acute lived on pain meds. 3/29/2021 Back at clinic for PT and OT. Same treatment as above and again 3/29/2021 - Fatigue and TYLENOL all day Note afternoon (2 hrs) nap - > evening hrs soreness only-
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 3/117/2021 woke up w/acute all over muscle/body aches and pains fever, chills, shortness of breath, chest tightness, headache, somewhat nausea acute cramps, diarrhea. Home treatment Tylenol (500mg) took eye lubrication drop and prednisolone called Dr. 3/17/2021 saw Dr's assist, he took temp, BP, and gave me IV fluids. 3/18/2021 we to another clinic and got back adjustment and PT + OT was done by therapists. Told me if I didn't improve within (2-3 hrs) go to Emergency Hosp. Both treatment s worked so didn't go to hospital.  3/22/2021 SUN 0 woke up not feeling well - took TYLENOL, Eye Meds, coffee, went to church and lunch> then approx 1:-1:20 body symptoms returned - not as acute lived on pain meds. 3/29/2021 Back at clinic for PT and OT. Same treatment as above and again 3/29/2021 - Fatigue and TYLENOL all day Note afternoon (2 hrs) nap - > evening hrs soreness only-
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Fall, Lumbar vertebral fracture, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to the hospital for fall and closed compression fracture of L3 lumbar vertebra. Patient was found to have an asymptomatic COVID infection.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient administered booster dose of COVID-19 vaccine from vial opened 5 days prior. No adverse effects noted/reported.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest pain, Computerised tomogram normal, Cough
Clinical narrative: Patient is fully vaccinated. 58-year-old male who presents emergency center for evaluation of chest pain shortness of breath, and myalgias.  Patient states that he has a history of deep venous thrombosis and Manera embolism.  Patient states that he has been having congestion, cough, shortness of breath has been going for the past 3 days.  Patient states that he went to his primary care provider today and was tested for COVID.  Patient states that his COVID test was positive. BP 154/72  | Pulse 62  | Temp 98.3 °F (36.8 °C) (Oral)  | Resp 18  | Ht 188 cm (6' 2")  | Wt 101 kg (222 lb)  | SpO2 97%  | BMI 28.50 kg/m² CXR: No evidence of an acute process.No CT evidence of acute pulmonary emboli. Patient stable and discharged.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Myalgia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated. 58-year-old male who presents emergency center for evaluation of chest pain shortness of breath, and myalgias.  Patient states that he has a history of deep venous thrombosis and Manera embolism.  Patient states that he has been having congestion, cough, shortness of breath has been going for the past 3 days.  Patient states that he went to his primary care provider today and was tested for COVID.  Patient states that his COVID test was positive. BP 154/72  | Pulse 62  | Temp 98.3 °F (36.8 °C) (Oral)  | Resp 18  | Ht 188 cm (6' 2")  | Wt 101 kg (222 lb)  | SpO2 97%  | BMI 28.50 kg/m² CXR: No evidence of an acute process.No CT evidence of acute pulmonary emboli. Patient stable and discharged.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, Chest X-ray normal, Computerised tomogram head normal, Confusional state
Clinical narrative: Patient is fully vaccinated.  COVID + on admission to hospital. 86-year-old male patient, who presented with a history of CKD, CAD, diabetes mellitus 2, hypertension, hyperlipidemia, secondary to altered mental status.  The patient is alert and oriented to time and place, though he is confused as to why he is in the hospital and is not able to provide history this current condition.  The patient apparently has been progressively fatigued and altered over the past couple of weeks and has a home care nurse and lives at home with his wife. Metabolic/Toxic encephalopathy CT head: IMPRESSION: No acute intracranial process. COVID + CXR: There is no radiographic evidence of acute cardiopulmonary disease.  No indication for steriods, remdesivir, or oxygen.  Elevated troponins. Cr 3.51. elevated D dimer.  Discharged home after a long hospitalization.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Mental status changes, Metabolic encephalopathy, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID + on admission to hospital. 86-year-old male patient, who presented with a history of CKD, CAD, diabetes mellitus 2, hypertension, hyperlipidemia, secondary to altered mental status.  The patient is alert and oriented to time and place, though he is confused as to why he is in the hospital and is not able to provide history this current condition.  The patient apparently has been progressively fatigued and altered over the past couple of weeks and has a home care nurse and lives at home with his wife. Metabolic/Toxic encephalopathy CT head: IMPRESSION: No acute intracranial process. COVID + CXR: There is no radiographic evidence of acute cardiopulmonary disease.  No indication for steriods, remdesivir, or oxygen.  Elevated troponins. Cr 3.51. elevated D dimer.  Discharged home after a long hospitalization.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Toxic encephalopathy, Troponin increased
Clinical narrative: Patient is fully vaccinated.  COVID + on admission to hospital. 86-year-old male patient, who presented with a history of CKD, CAD, diabetes mellitus 2, hypertension, hyperlipidemia, secondary to altered mental status.  The patient is alert and oriented to time and place, though he is confused as to why he is in the hospital and is not able to provide history this current condition.  The patient apparently has been progressively fatigued and altered over the past couple of weeks and has a home care nurse and lives at home with his wife. Metabolic/Toxic encephalopathy CT head: IMPRESSION: No acute intracranial process. COVID + CXR: There is no radiographic evidence of acute cardiopulmonary disease.  No indication for steriods, remdesivir, or oxygen.  Elevated troponins. Cr 3.51. elevated D dimer.  Discharged home after a long hospitalization.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Migraine, Transient ischaemic attack
Clinical narrative: TIA (mini-stroke) resulting in brief memory issues and migraine-like headache
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus after first, worse after 2nd
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Headache, Lymph node pain, Lymphadenopathy
Clinical narrative: I received my vaccine on 1/24 in my left shoulder. After about 3 hours, my neck (on the right side) and the back of my head were hurting. After a few days of mild symptoms (fever, chills, headache and not hungry), I was fine. However the pain in my neck only got worse. As of today 2/3, my lymph node is swollen so bad, and I am in so much pain with this swelling.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pyrexia
Clinical narrative: I received my vaccine on 1/24 in my left shoulder. After about 3 hours, my neck (on the right side) and the back of my head were hurting. After a few days of mild symptoms (fever, chills, headache and not hungry), I was fine. However the pain in my neck only got worse. As of today 2/3, my lymph node is swollen so bad, and I am in so much pain with this swelling.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: Breakthrough bleeding, spotting, and cramping has occured since two days after receiving first covid vaccine shot.  I am currently on day 36 and up until this point I have had no like issues with my choice of birth control.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Contracted COVID-19. Died.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Biliary colic, Biopsy liver abnormal, Chest pain, Decreased appetite
Clinical narrative: I had a reaction 4-5 mins after vaccine. I experienced blurred vision, headache and felt light headed. I stayed 1/2 hour after and then went home thought symptoms would go away. Then two days later had heart palpitations, high anxiety. I told my spouse need to go to the hospital. My symptoms continued having stabbing chest pains, high anxiety (described as shaking), aching pain. I have followed up with Cardiologist, Phycologist. I'm having liver and gallbladder pain, depression nothing ever have no symptoms before. My left breast under my armpit seen my Urologist had couple mammograms. Due to loss of appetite for 3-4 months lost 55 pounds and missed work for 3-4 months. This has been hard for me to do my daily functions had to get short term disability.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Dizziness, Headache, Hepatic pain, Hepatitis
Clinical narrative: I had a reaction 4-5 mins after vaccine. I experienced blurred vision, headache and felt light headed. I stayed 1/2 hour after and then went home thought symptoms would go away. Then two days later had heart palpitations, high anxiety. I told my spouse need to go to the hospital. My symptoms continued having stabbing chest pains, high anxiety (described as shaking), aching pain. I have followed up with Cardiologist, Phycologist. I'm having liver and gallbladder pain, depression nothing ever have no symptoms before. My left breast under my armpit seen my Urologist had couple mammograms. Due to loss of appetite for 3-4 months lost 55 pounds and missed work for 3-4 months. This has been hard for me to do my daily functions had to get short term disability.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Laboratory test, Loss of personal independence in daily activities, Mammogram, Pain
Clinical narrative: I had a reaction 4-5 mins after vaccine. I experienced blurred vision, headache and felt light headed. I stayed 1/2 hour after and then went home thought symptoms would go away. Then two days later had heart palpitations, high anxiety. I told my spouse need to go to the hospital. My symptoms continued having stabbing chest pains, high anxiety (described as shaking), aching pain. I have followed up with Cardiologist, Phycologist. I'm having liver and gallbladder pain, depression nothing ever have no symptoms before. My left breast under my armpit seen my Urologist had couple mammograms. Due to loss of appetite for 3-4 months lost 55 pounds and missed work for 3-4 months. This has been hard for me to do my daily functions had to get short term disability.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Serum amyloid A protein increased, Tremor, Vision blurred, Weight decreased
Clinical narrative: I had a reaction 4-5 mins after vaccine. I experienced blurred vision, headache and felt light headed. I stayed 1/2 hour after and then went home thought symptoms would go away. Then two days later had heart palpitations, high anxiety. I told my spouse need to go to the hospital. My symptoms continued having stabbing chest pains, high anxiety (described as shaking), aching pain. I have followed up with Cardiologist, Phycologist. I'm having liver and gallbladder pain, depression nothing ever have no symptoms before. My left breast under my armpit seen my Urologist had couple mammograms. Due to loss of appetite for 3-4 months lost 55 pounds and missed work for 3-4 months. This has been hard for me to do my daily functions had to get short term disability.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Dehydration, Hyperkalaemia, Hyponatraemia
Clinical narrative: CLINICAL IMPRESSION 1. COVID-19 virus infection  2. Acute kidney injury  3. Hyperkalemia  4. Non-intractable vomiting with nausea, unspecified vomiting type  5. Dehydration  6. Hyponatremia
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: CLINICAL IMPRESSION 1. COVID-19 virus infection  2. Acute kidney injury  3. Hyperkalemia  4. Non-intractable vomiting with nausea, unspecified vomiting type  5. Dehydration  6. Hyponatremia
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chest X-ray abnormal, Death, Haemoglobin decreased
Clinical narrative: Patient is fully vaccinated.  COVID + 1/11/2022 on admission to hospital. 78-year-old gentleman with history of type 2 diabetes and chronic renal failure, requiring hemodialysis.  The patient was missing his dialysis appointments and now presented to emergency room, complaining of not feeling well and pulse ox was found to be 77% on room air.  The patient admitted for acute COVID-19 infection and associated pneumonia with chest x-ray showing diffuse multifocal patchy interstitial and airspace opacities bilaterally.  Nohistory of chest pain.  However, his troponins were found to be high. HG low. The patient is started on high-flow oxygen, IV antibiotics. The patient will be started on hemodialysis. Given:  remdesivir, heparin, steroids.  Bipap. code status changed to DNR and patient expired.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Malaise, Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID + 1/11/2022 on admission to hospital. 78-year-old gentleman with history of type 2 diabetes and chronic renal failure, requiring hemodialysis.  The patient was missing his dialysis appointments and now presented to emergency room, complaining of not feeling well and pulse ox was found to be 77% on room air.  The patient admitted for acute COVID-19 infection and associated pneumonia with chest x-ray showing diffuse multifocal patchy interstitial and airspace opacities bilaterally.  Nohistory of chest pain.  However, his troponins were found to be high. HG low. The patient is started on high-flow oxygen, IV antibiotics. The patient will be started on hemodialysis. Given:  remdesivir, heparin, steroids.  Bipap. code status changed to DNR and patient expired.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Patient is fully vaccinated.  COVID + 1/11/2022 on admission to hospital. 78-year-old gentleman with history of type 2 diabetes and chronic renal failure, requiring hemodialysis.  The patient was missing his dialysis appointments and now presented to emergency room, complaining of not feeling well and pulse ox was found to be 77% on room air.  The patient admitted for acute COVID-19 infection and associated pneumonia with chest x-ray showing diffuse multifocal patchy interstitial and airspace opacities bilaterally.  Nohistory of chest pain.  However, his troponins were found to be high. HG low. The patient is started on high-flow oxygen, IV antibiotics. The patient will be started on hemodialysis. Given:  remdesivir, heparin, steroids.  Bipap. code status changed to DNR and patient expired.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Imaging procedure abnormal, Thrombosis
Clinical narrative: Extensive blood clots in left leg. Doctor prescribed XARELTO 15MG 2 times a day for 21 days, then 20 MG once a day for 21 days.