chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to communicable disease, Exposure via direct contact, Fatigue, Fungal test positive, General physical health deterioration
Clinical narrative: Patient with Moderna COVID vaccinations who admitted to hospital with COVID complications and ultimately died on hospice services.  Hospitalist d/f note below:  "61 YO year old male with a history of polycystic kidney disease s/p renal transplant, left breast cancer, T-cell leukemia, T2DM, and hypertension who presented to the ED on 5/1/2022 with generalized weakness.    2 weeks prior to admission had exposure to a sick contact, since then experiencing generalized weakness and fatigue with chills, lightheadedness, shortness of breath, and a productive cough or thick, clear sputum. His brother, went to check on him the day of admission and found him in his room covered and feces and confused. Labs and chest xray were consistent with COVID19 pneumonia and he was treated with steroids, remdesivir and supportive treatment. Pulmonology was consulted which suggested starting anti-biotics for concerns of superimposed bacterial pneumonia and aggressive diuresis. Fungal cultures revealed a reactive Coccidiodes ab and he was started on voriconazole given his immunocompromised state, though there can be cross reactivity with histoplasma ab. He is DNR/DNI aggressive care so bipap,cpap were used for his oxygen needs. Throughout his course his respiratory status continually declined and he developed worsening kidney failure. Palliative was consulted to discuss goals of care. Brother is the patients POA and as the patients status continued to decline, family decided to transition to comfort care and hospice was consulted for GIP status, and was accepted. Patient will transition to hospice inpatient care. "  After admitting to hospice services patient died.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immunodeficiency, Increased viscosity of bronchial secretion, Laboratory test abnormal, Parasitic test positive, Polyuria
Clinical narrative: Patient with Moderna COVID vaccinations who admitted to hospital with COVID complications and ultimately died on hospice services.  Hospitalist d/f note below:  "61 YO year old male with a history of polycystic kidney disease s/p renal transplant, left breast cancer, T-cell leukemia, T2DM, and hypertension who presented to the ED on 5/1/2022 with generalized weakness.    2 weeks prior to admission had exposure to a sick contact, since then experiencing generalized weakness and fatigue with chills, lightheadedness, shortness of breath, and a productive cough or thick, clear sputum. His brother, went to check on him the day of admission and found him in his room covered and feces and confused. Labs and chest xray were consistent with COVID19 pneumonia and he was treated with steroids, remdesivir and supportive treatment. Pulmonology was consulted which suggested starting anti-biotics for concerns of superimposed bacterial pneumonia and aggressive diuresis. Fungal cultures revealed a reactive Coccidiodes ab and he was started on voriconazole given his immunocompromised state, though there can be cross reactivity with histoplasma ab. He is DNR/DNI aggressive care so bipap,cpap were used for his oxygen needs. Throughout his course his respiratory status continually declined and he developed worsening kidney failure. Palliative was consulted to discuss goals of care. Brother is the patients POA and as the patients status continued to decline, family decided to transition to comfort care and hospice was consulted for GIP status, and was accepted. Patient will transition to hospice inpatient care. "  After admitting to hospice services patient died.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Positive airway pressure therapy, Productive cough, Renal failure, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: Patient with Moderna COVID vaccinations who admitted to hospital with COVID complications and ultimately died on hospice services.  Hospitalist d/f note below:  "61 YO year old male with a history of polycystic kidney disease s/p renal transplant, left breast cancer, T-cell leukemia, T2DM, and hypertension who presented to the ED on 5/1/2022 with generalized weakness.    2 weeks prior to admission had exposure to a sick contact, since then experiencing generalized weakness and fatigue with chills, lightheadedness, shortness of breath, and a productive cough or thick, clear sputum. His brother, went to check on him the day of admission and found him in his room covered and feces and confused. Labs and chest xray were consistent with COVID19 pneumonia and he was treated with steroids, remdesivir and supportive treatment. Pulmonology was consulted which suggested starting anti-biotics for concerns of superimposed bacterial pneumonia and aggressive diuresis. Fungal cultures revealed a reactive Coccidiodes ab and he was started on voriconazole given his immunocompromised state, though there can be cross reactivity with histoplasma ab. He is DNR/DNI aggressive care so bipap,cpap were used for his oxygen needs. Throughout his course his respiratory status continually declined and he developed worsening kidney failure. Palliative was consulted to discuss goals of care. Brother is the patients POA and as the patients status continued to decline, family decided to transition to comfort care and hospice was consulted for GIP status, and was accepted. Patient will transition to hospice inpatient care. "  After admitting to hospice services patient died.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Fear, Limb discomfort, Muscular weakness, Ultrasound scan normal
Clinical narrative: About six weeks ago, I was having some problems with my right leg. I am still having problems, but it is not bad as it was. It frightened me because years ago, I went through deep vein thrombosis. But this wasn't really painful, but was heavy and tired from the knee up. I went to the vein clinic and they didn't see any blood clots, so I'm waiting to hear back some more information from my doctor and am still trying to figure out what exactly is going on.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough  dose 1 Moderna 3/24/21 047A21A dose 2 Moderna 4/21/21 040B21A
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired at time of administration.  It was past bud of 10 weeks in the fridge.  It expired on 3/30/22.  Called patient to discuss cdc recommendation for re-vaccination.  Patient is considering re-vax and will call us back when she decides.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Breath odour, Chest discomfort, Disorientation, Exposure to SARS-CoV-2, Influenza virus test negative
Clinical narrative: I had bad breath like a metallic breath on a Saturday May seventh 2022 at 3AM I woke with a sore throat, at 9AM a rapid Covid test was negative. 10 AM I called teladoc who gave me some OTC remedies which was salt water gargle, chloraseptic and cough drops at or around 1PM I felt malaise sluggishness and disorientation @ 2:22PM I was informed I had a close contact exposure. AT 3:30 PM took a PCR test final result was negative, At midnight I had tightness in my chest AND swelling in my eustachian tubes by three AM it had improved. By 2:30pm the following day symptoms were improving and by eight PM I felt nearly normal. By AM Monday May ninth 2022 I was energetic with clear head and throat almost completely better and PCR cam in negative.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Otosalpingitis, SARS-CoV-2 test negative, Sluggishness
Clinical narrative: I had bad breath like a metallic breath on a Saturday May seventh 2022 at 3AM I woke with a sore throat, at 9AM a rapid Covid test was negative. 10 AM I called teladoc who gave me some OTC remedies which was salt water gargle, chloraseptic and cough drops at or around 1PM I felt malaise sluggishness and disorientation @ 2:22PM I was informed I had a close contact exposure. AT 3:30 PM took a PCR test final result was negative, At midnight I had tightness in my chest AND swelling in my eustachian tubes by three AM it had improved. By 2:30pm the following day symptoms were improving and by eight PM I felt nearly normal. By AM Monday May ninth 2022 I was energetic with clear head and throat almost completely better and PCR cam in negative.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration past expiration date. Moderna has confirmed vaccine was still viable at the time of administration.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Hospitalized with breakthrough COVID infection
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Exposure during pregnancy
Clinical narrative: Pt was given a COVID vaccine on 5/6/22 and the BUD (best used date) for the vaccine was 4/25/22.  Patient is currently pregnant in her 2nd trimester
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough   dose 1 Pfizer 1/14/21 EL1283 dose 2 Pfizer 2/4/21 EN9581
Age: 0.17
Sex: F
Vaccine: RV1, UNK, UNK, UNK, UNK
Symptoms: Adverse event, Blood test abnormal, Hypersensitivity, Immunisation reaction, Rash
Clinical narrative: Less than 24 hours from receiving multiple shots at one time, my 2-month old daughter developed a rash from head-to-toe that became worse as time progressed. Her skin became severely sensitive to where she would scratch her face and it would bleed. I have pictures and documentation of my daughter's adverse events so we can help bring the truth to light as to why these corrupt pharmaceutical and governmental agencies are allowing toxic chemicals to enter the bloodstream of our babies?!?! I will contact lawyers and get my daughter's stories heard. This should be a crime against humanity.
Age: 0.17
Sex: F
Vaccine: RV1, UNK, UNK, UNK, UNK
Symptoms: Scratch, Sensitive skin, Skin haemorrhage
Clinical narrative: Less than 24 hours from receiving multiple shots at one time, my 2-month old daughter developed a rash from head-to-toe that became worse as time progressed. Her skin became severely sensitive to where she would scratch her face and it would bleed. I have pictures and documentation of my daughter's adverse events so we can help bring the truth to light as to why these corrupt pharmaceutical and governmental agencies are allowing toxic chemicals to enter the bloodstream of our babies?!?! I will contact lawyers and get my daughter's stories heard. This should be a crime against humanity.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site urticaria, Pruritus, Skin swelling, Urticaria
Clinical narrative: Scattered red raised hives in varying size with mild itching on arms, legs, neck and back. The largest hive appeared at injection site 5 days after administered. More hives are erupting  still
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine was expired at time of administration.  It was past bud of 10 weeks in the fridge.  It expired on 3/30/22.  Called patient to discuss cdc recommendation for re-vaccination.  Left message, will call again
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain, Injection site swelling, Magnetic resonance imaging, Migraine
Clinical narrative: After the shot, had the usual injection site pain/swelling.  Over the next couple of days however, pretty much everything swelled up.  Starting about 3 or 4 days after the shot, I was sore, achey, and started getting migraine headaches which I had not occurred for years.  They progressively got worse with serious vertigo, dizziness, nausea, ...
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Vertigo
Clinical narrative: After the shot, had the usual injection site pain/swelling.  Over the next couple of days however, pretty much everything swelled up.  Starting about 3 or 4 days after the shot, I was sore, achey, and started getting migraine headaches which I had not occurred for years.  They progressively got worse with serious vertigo, dizziness, nausea, ...
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Basedow's disease, Electrocardiogram abnormal, Heart rate increased, Thyroid function test abnormal
Clinical narrative: On April 9th I went to the emergency room.  I was diagnosed with Graves disease and was having atrial fibulation and a rapid heart beat.  I read an article statiing at least 5 cases of Graves disease developing within a month of receiving the vaccine.
Age: 27.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for Covid Vaccine.  Pt had Covid Vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse event reported
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Cough, Dyspnoea
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait inability, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anion gap, Anticoagulant therapy, Appetite disorder, Asthenia, Blood albumin normal
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood bicarbonate decreased, Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood glucose normal
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood phosphorus normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Breath sounds normal
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Carbon dioxide normal, Confusional state, Cough, Decreased activity
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dizziness, Dyspnoea, Fatigue, Gait disturbance
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait inability, Gastrointestinal examination normal, Haematocrit normal, Haemoglobin normal, Heart sounds normal
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume increased, Neutrophil count, Obstructive sleep apnoea syndrome, Pallor, Platelet count decreased
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Red blood cell count normal, Respiratory tract congestion, SARS-CoV-2 test positive, White blood cell count normal
Clinical narrative: Admission Date: 5/4/2022 Discharge Date: 5/6/2022  Condition on discharge: Improved  DETAILS OF HOSPITAL STAY: Patient is a 85 y.o. male with PMH of panhypopituitarism, adrenal insufficiency, OSA, CAD, who presented to Hospital Emergency Department on 5/4/22 with weakness. In the last 24 hours, he has become more weak and confused with cough and SOB. He had fever of up to 103 at home. Wife attempted to improve weakness with stress dose steroids, but patient could not ambulate. He took a home COVID test and was positive. Wife activated EMS as patient could not ambulate. Patient is noted to be awake but poor historian. Wife did not feel she could safely take him home. Will admit observation for continued monitoring.              COVID-19 did not require any O2, decadron or remdesivir. He was vaccinated and boosted in the past. Should stay isolated for 7 more days. He was evaluated by PT/OT who recommended SAR, but there were no available bed. After subsequent evaluation he significantly improved and was discharged home with home PT/OT. He was given stress dose of Florinef on 5/4-6, he will resume standard dose of Florinef tomorrow. Continue DDAVP as before.  Continue other meds as before.  Follow up with PCP if necessary.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Vomiting
Clinical narrative: About 7 hours later, abdominal pain constant vomiting. Telehealth call was prescribed Zofran. Symptoms last about 2 weeks. Same symptoms with the booster.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Nausea, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: reported headache, sore throat, nausea on 5/16/22- tested positive for covid, molecular test same day.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Brain natriuretic peptide normal, COVID-19, Chest X-ray, Chills
Clinical narrative: Patient is an 89-year-old with a history of CHF, COPD, hypertension who is oxygen dependent (3 L) all the time at home.  Patient states yesterday he felt weak and today has had some increased shortness of breath.  He states he is more short of breath if he moved around.  No chest pain.  No fever.  No chills.  No urinary symptoms. Associated Symptoms: chills, cough, shortness of breath, weakness
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Dyspnoea exertional, Laboratory test normal, Oxygen saturation decreased
Clinical narrative: Patient is an 89-year-old with a history of CHF, COPD, hypertension who is oxygen dependent (3 L) all the time at home.  Patient states yesterday he felt weak and today has had some increased shortness of breath.  He states he is more short of breath if he moved around.  No chest pain.  No fever.  No chills.  No urinary symptoms. Associated Symptoms: chills, cough, shortness of breath, weakness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Cluster headache, Magnetic resonance imaging, Neurological symptom, Tunnel vision
Clinical narrative: I received my second dose of my vaccine and within 24 hours after it, I had a frightening neurological problem. I had tunnel vision and couldn't speak like I was experiencing a stroke. I had cluster headaches that lasted for about two weeks. My neurologist gave me a course of steroids to help clear the cluster headaches. I had telehealth appointments with my neurologist and physician; they completed an MRI to ensure I wasn't having a stroke or anything at the time. Since, I've been monitored to see my progression post-vaccination.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test by NAA in fully vaccinated pt
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Upper respiratory tract infection
Clinical narrative: I started getting symptoms of URI symptoms. I did a home test that was negative. The next day I developed adult croup and then I had a positive PCR COVID-19 test. I went to the ER and received high dose steroids. The steroids did help. I am getting an anti-body infusion today.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Fatigue, Pain in extremity, Peripheral swelling
Clinical narrative: Fatigue onset 24 hours after vaccine and lasted 2-3 days. Located erythema, swelling and pain to arm about 24-48 hours afterward and lasted for about a week
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Diarrhoea, Disturbance in attention
Clinical narrative: I noted that I felt bad physically and took a nap. That same day January 04, 2022, I could not breathe out of my nose. Felt extremely unfocused and very tired. Rough feeling in my throat, hurt to cough, dry. Nausea. Day after January 5, 2022, felt very poor, itchy, went to bed early. January 7- having poor bowel movements (diarrhea). January 8- very phlegmy, low appetite but I was hungrier, and took a nap. Over the course of the days, about the same symptoms.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Hunger, Inappropriate schedule of product administration
Clinical narrative: I noted that I felt bad physically and took a nap. That same day January 04, 2022, I could not breathe out of my nose. Felt extremely unfocused and very tired. Rough feeling in my throat, hurt to cough, dry. Nausea. Day after January 5, 2022, felt very poor, itchy, went to bed early. January 7- having poor bowel movements (diarrhea). January 8- very phlegmy, low appetite but I was hungrier, and took a nap. Over the course of the days, about the same symptoms.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Mouth breathing, Nausea, Oropharyngeal discomfort, Productive cough, Pruritus
Clinical narrative: I noted that I felt bad physically and took a nap. That same day January 04, 2022, I could not breathe out of my nose. Felt extremely unfocused and very tired. Rough feeling in my throat, hurt to cough, dry. Nausea. Day after January 5, 2022, felt very poor, itchy, went to bed early. January 7- having poor bowel movements (diarrhea). January 8- very phlegmy, low appetite but I was hungrier, and took a nap. Over the course of the days, about the same symptoms.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I noted that I felt bad physically and took a nap. That same day January 04, 2022, I could not breathe out of my nose. Felt extremely unfocused and very tired. Rough feeling in my throat, hurt to cough, dry. Nausea. Day after January 5, 2022, felt very poor, itchy, went to bed early. January 7- having poor bowel movements (diarrhea). January 8- very phlegmy, low appetite but I was hungrier, and took a nap. Over the course of the days, about the same symptoms.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated and boosted patient tested positive for covid infection during inpatient admission. Vaccines per pt history. No documented evidence or information available.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PATIENT IS HIS OWN PERSON AND WAS ASKED WHICH COVID SHOT HE WAS DUE FOR OR IF HE HAD ANY PREVIOUS SHOT AND HE STATED HE HAD NOT RECEIVED ANY.  THIS WAS ASKED AT THE FACILITY.  PATIENT HAS BEEN MONITORED AND NOT REACTIONS NOTED PER FACILITY.  PATIENT WAS DUE FOR HIS 3RD DOSE OF 0.25MLS AND RECEIVED A DOSE OF 0.5MLS.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Impaired work ability, Malaise, Mobility decreased
Clinical narrative: 05/09/2022 I woke up with a mild cold. As the day progressed I knew I was sick. The next day I still felt pretty sick and stayed home from work and took a home test and it was positive for Covid. I was in bed for two days with bad congestion and dry cough. I went to doc for dry cough was prescribed cough medicine.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 05/09/2022 I woke up with a mild cold. As the day progressed I knew I was sick. The next day I still felt pretty sick and stayed home from work and took a home test and it was positive for Covid. I was in bed for two days with bad congestion and dry cough. I went to doc for dry cough was prescribed cough medicine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired at time of administration.  It was past bud of 10 weeks in the fridge.  It expired on 3/30/22.  Called patient to discuss cdc recommendation for re-vaccination.  Patient is considering re-vax, will call us back.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Blood creatinine increased, COVID-19
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Chest X-ray normal, Condition aggravated, Cough, Diarrhoea, Dyspnoea exertional
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Laboratory test abnormal, Leukocytosis, Nausea, Oropharyngeal pain, Oxygen saturation decreased
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Procalcitonin increased, Pyrexia, SARS-CoV-2 test positive, Tachycardia, Vomiting
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anion gap, Anticoagulant therapy, Appetite disorder
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Asthenia, Back pain, Blood chloride normal, Blood creatinine increased, Blood electrolytes
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.