chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Adverse reaction, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Mother called clinic to notify us of swelling and redness to the left thigh. Mother states child woke on 4-4-23 with redness and swelling to the left thigh. Mother gave 24 hours of  watching for any improvement. mother called on 4-5-2023 at 8 Am to notify us of the swelling, redness and warm to the touch. Denied any SOB, raspatory distress mother was advised to head to the clinic and have child evaluated for  symptoms. Provider confirmed adverse reaction to the site. child had 3 x 3 1/2 of redness and swelling on the LT thigh. child was advised to give a dose of Benadryl and notify clinic of any extreme changes.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Pulmonary embolism, Respiratory failure
Clinical narrative: ACUTE PULMONARY EMBOLISM 4/5/2022 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 4/5/2022 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Pain, SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid-19 on January 12, 2023 I experienced  body aches and fatigue. I was prescribed Paxlovid for my symptoms.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site oedema, Injection site pain
Clinical narrative: Patient's mother reported firmness, redness, slight edema & pain at injection sites via phone call. Call took place 10 PM on 03/08/2023; approx. 12 hours after patient's receipt of DTaP/IPV and MMRV vaccines.  Mother's concerns were triaged, and she was advised to have the child assessed at ER / Urgent Care. When the child had workup at ER, he was diagnosed with mild injection site discomfort that had evidently resolved. Tylenol/motrin and continued observation by parent at home recommended by ER. When further contact w/ mother was sought by clinic after this visit (on 03/13/2023), calls were refused due to invalid number / lack of voicemail.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Adenocarcinoma gastric, Hypotension
Clinical narrative: I21.4 ACUTE NON ST ELEVATION MI 7/2/2022 ADENOCARCINOMA, BODY OF STOMACH I95.9 HYPOTENSION 7/2/2022 ADENOCARCINOMA, BODY OF STOMACH
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
Clinical narrative: MMRV administered to left thigh on 4/4/23. Mother reported pain, erythema, and edema surrounding injection site on 4/5/23. On 4/6/23, mother brought patient to office d/t development of vesicles at site and erythema spreading across his left thigh.   Photos taken and uploaded into chart. Erythema with vesicles noted about 3 cm in diameter out from injection site. Mild, scattered erythema noted to anterior left thigh and lateral left thigh. No warmth noted to area. No significant edema noted.   Reassured mother that likely a local reaction d/t the MMRV vaccine, but assured that I would submit documentation regarding potential adverse reaction.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Blood loss anaemia, Dyspnoea
Clinical narrative: J96.00 ACUTE RESPIRATORY FAILURE 8/7/2022 SHORTNESS OF BREATH J96.00 ACUTE RESPIRATORY FAILURE 8/7/2022 ATRIAL FIBRILLATION, PERMANENT J96.00 ACUTE RESPIRATORY FAILURE 8/7/2022 ANEMIA DUE TO BLOOD LOSS
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Asthenia, COVID-19, Chills, Headache
Clinical narrative: My COVID-19 symptoms started on 03/05/2023 in the morning. I had  extreme cough, high  fever, upset stomach, headache, chills and weakness.  I did a home COVID-19 test on 03/05/2023 which was positive. I called my doctor the same day  and told her all my symptoms. I had yellow mucus  along with cough. She prescribe me Mucinex and Benzonatate. I took it for 2 weeks. I began to have heart palpation,  and erratic heart beat. I am still being evaluated. I went to the ER 2 times already. I am basically non functional now. I get systematic  and no body can find out what it is. On 02/21/2023  with Supraventricular Tachycardia. I am still under care with the doctors. On 03/31/2023 I went to an Electrophysiologist he was looking into the report I had before. I will be wearing a Holter Monitor which will be here on Sunday. My doctors are trying to find out the  cause of my irregular heart beat. I am not recovered yet. This happened before getting COVID-19 infection but it triggered more after which I am experiencing now.  I have recovered  from COVID-19 infection as of now but not from irregular heart beat.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Heart rate irregular, Palpitations, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: My COVID-19 symptoms started on 03/05/2023 in the morning. I had  extreme cough, high  fever, upset stomach, headache, chills and weakness.  I did a home COVID-19 test on 03/05/2023 which was positive. I called my doctor the same day  and told her all my symptoms. I had yellow mucus  along with cough. She prescribe me Mucinex and Benzonatate. I took it for 2 weeks. I began to have heart palpation,  and erratic heart beat. I am still being evaluated. I went to the ER 2 times already. I am basically non functional now. I get systematic  and no body can find out what it is. On 02/21/2023  with Supraventricular Tachycardia. I am still under care with the doctors. On 03/31/2023 I went to an Electrophysiologist he was looking into the report I had before. I will be wearing a Holter Monitor which will be here on Sunday. My doctors are trying to find out the  cause of my irregular heart beat. I am not recovered yet. This happened before getting COVID-19 infection but it triggered more after which I am experiencing now.  I have recovered  from COVID-19 infection as of now but not from irregular heart beat.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Supraventricular tachycardia
Clinical narrative: My COVID-19 symptoms started on 03/05/2023 in the morning. I had  extreme cough, high  fever, upset stomach, headache, chills and weakness.  I did a home COVID-19 test on 03/05/2023 which was positive. I called my doctor the same day  and told her all my symptoms. I had yellow mucus  along with cough. She prescribe me Mucinex and Benzonatate. I took it for 2 weeks. I began to have heart palpation,  and erratic heart beat. I am still being evaluated. I went to the ER 2 times already. I am basically non functional now. I get systematic  and no body can find out what it is. On 02/21/2023  with Supraventricular Tachycardia. I am still under care with the doctors. On 03/31/2023 I went to an Electrophysiologist he was looking into the report I had before. I will be wearing a Holter Monitor which will be here on Sunday. My doctors are trying to find out the  cause of my irregular heart beat. I am not recovered yet. This happened before getting COVID-19 infection but it triggered more after which I am experiencing now.  I have recovered  from COVID-19 infection as of now but not from irregular heart beat.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Illness, Injection site discomfort, Nasal congestion
Clinical narrative: The only side effect I had with the shot was very mild discomfort at the point of injection.  About 3 & 1/2 months later on Dec. 27, 2023 I caugh Covid.  I tested positive on 2 home tests.  My doctor prescribed Paxlovid, which I began taking on Dec. 28.  The symptoms I had were strictly upper respiratory.  I had nasal and head congestion and some fatigue.  I had no other symptoms.  They began reducing within 24 hours of taking the Paxlovid.  The entire course of the illness was around 4 days.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: The only side effect I had with the shot was very mild discomfort at the point of injection.  About 3 & 1/2 months later on Dec. 27, 2023 I caugh Covid.  I tested positive on 2 home tests.  My doctor prescribed Paxlovid, which I began taking on Dec. 28.  The symptoms I had were strictly upper respiratory.  I had nasal and head congestion and some fatigue.  I had no other symptoms.  They began reducing within 24 hours of taking the Paxlovid.  The entire course of the illness was around 4 days.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Exposure to SARS-CoV-2, Nervousness, Pain
Clinical narrative: I was around someone on Sunday who ended up testing to positive for COVID-19. They called and told me, and I then started feeling chills, was shaky, I had a fever, I was achy and had pains. I took a COVID-19 home test and it was positive and I went into my doctor, and they tested me as well and it was also positive. They put me on Paxlovid and about after 24 hours I was feeling better.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I was around someone on Sunday who ended up testing to positive for COVID-19. They called and told me, and I then started feeling chills, was shaky, I had a fever, I was achy and had pains. I took a COVID-19 home test and it was positive and I went into my doctor, and they tested me as well and it was also positive. They put me on Paxlovid and about after 24 hours I was feeling better.
Age: 99.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, COVID-19, Chest X-ray abnormal, Dyspnoea, Hypoxia
Clinical narrative: On 2/21/2023, patient presented to the emergency department for evaluation of shortness of breath, malaise, and a positive COVID-19 test at her residential facility on 2/20/2023. In the emergency department, patient was given a COVID-19 antigen test which also resulted positive; Her chest x-ray showed bilateral interstitial opacities, new since 12/4/2022. Patient was afebrile but she was tachycardic and hypoxic; She was diagnosed with COVID-19 and new onset atrial fibrillation. Patient was started on diltiazem drip, IV fluid, given O2 and IV Decadron. However, when goals of care were discussed with the patient, she stated that she did not want aggressive treatment but instead wanted to be transitioned to hospice care. Patient was admitted to the hospital for further care and transition to hospice.  Submitter does not have access to further medical information on this case including discharge date. If more information is needed, please contact the admitting hospital:  Local Hospital,
Age: 99.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lung opacity, Malaise, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: On 2/21/2023, patient presented to the emergency department for evaluation of shortness of breath, malaise, and a positive COVID-19 test at her residential facility on 2/20/2023. In the emergency department, patient was given a COVID-19 antigen test which also resulted positive; Her chest x-ray showed bilateral interstitial opacities, new since 12/4/2022. Patient was afebrile but she was tachycardic and hypoxic; She was diagnosed with COVID-19 and new onset atrial fibrillation. Patient was started on diltiazem drip, IV fluid, given O2 and IV Decadron. However, when goals of care were discussed with the patient, she stated that she did not want aggressive treatment but instead wanted to be transitioned to hospice care. Patient was admitted to the hospital for further care and transition to hospice.  Submitter does not have access to further medical information on this case including discharge date. If more information is needed, please contact the admitting hospital:  Local Hospital,
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Feeling of body temperature change, Productive cough, Pyrexia
Clinical narrative: I got COVID-19 on 02/01/2023. I had very severe symptoms. I felt cold and hot at times, cough with sputum, mild fever, chills. I had a tele health visit on 02/01/2023. I had infusion for three days intravenously.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I got COVID-19 on 02/01/2023. I had very severe symptoms. I felt cold and hot at times, cough with sputum, mild fever, chills. I had a tele health visit on 02/01/2023. I had infusion for three days intravenously.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eye pain, Headache, Heart rate increased, Palpitations
Clinical narrative: I started to have headaches behind the eye, increased heart of 114, it would pound for hours, then go away., shortness of breath. Then I would not experience again for a day or two, then it would happen again. There were no other stress inducing factors in my life that may have caused this. I went to the doctor for a regular visit and mentioned what was going on. He could not tell by vitals as they were all normal that anything had damaged any organs.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI 3/23/2022 ACUTE NON ST ELEVATION MI  ACUTE CORONARY SYNDROME, UNSPECIFIED 4/7/2022 ACUTE NON ST ELEVATION MI
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Headache, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had my vaccination on 11/16/2022. I started to experience malaise and didn't feel well with slight headache and sore throat 01/01/2023. I tested COVID-19 Positive on 01/02/2023. I was prescribed Paxlovid. I feel fine on 04/06/2023.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No ADR Bivalent dose administered as 2nd dose of primary series
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Dizziness, Pyrexia, SARS-CoV-2 test
Clinical narrative: Weakness for 2 weeks. Presented to ER on 4/5/23, with continued weakness, dizziness, and fever.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Blood pressure increased, Blood test normal, Chest pain, Electrocardiogram normal
Clinical narrative: 3/28/23 I had increased blood pressure, Atrial Fibrillation, chest pains and an irregular heartbeat. On 3/30/23 I saw my doctor. I had an EKG and an X-Ray, both were clear. She prescribed losartan. I had bloodwork done on 4/4/23 which was unremarkable, normal.
Age: 82.0
Sex: M
Vaccine: COVID19-2
Symptoms: Heart rate irregular, X-ray normal
Clinical narrative: 3/28/23 I had increased blood pressure, Atrial Fibrillation, chest pains and an irregular heartbeat. On 3/30/23 I saw my doctor. I had an EKG and an X-Ray, both were clear. She prescribed losartan. I had bloodwork done on 4/4/23 which was unremarkable, normal.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Eye irritation, Headache, Pain
Clinical narrative: I had burning eyes, blinding headache, chills, body aches, fever of 100, and running nose. I tested positive for COVID-19 at home. I called my doctor, and he prescribed me Paxlovid. I was sick for 2 weeks, but I believe the Paxlovid helped with my symptoms. I also got a sinus infection right after having COVID-19.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I had burning eyes, blinding headache, chills, body aches, fever of 100, and running nose. I tested positive for COVID-19 at home. I called my doctor, and he prescribed me Paxlovid. I was sick for 2 weeks, but I believe the Paxlovid helped with my symptoms. I also got a sinus infection right after having COVID-19.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, Atrial fibrillation, Blood lactic acid increased
Clinical narrative: Patient presents for evaluation after a fall. Found down in garage with open door in the cold, estimates he was down more than 2 hours. Denies pain or trouble breathing. He reportedly had a positive COVID test this morning. His wife is admitted to the hospital as of yesterday for COVID-19.  While he denies trouble breathing, he is tachypneic and wheezing, hypoxic on room air. O2 applied per NC. Patient with COVID-19, likely COVID-19 pneumonitis.  On presentation, patient was in significant respiratory distress respiratory rate up to 40s, HR 140s 130s, atrial fibrillation with RVR, blood pressure soft 90s to low 100s. He has multiple bruises on the head, back.  Patient given IV fluids, maintained on the cardiac monitor. Heart rate did improve with fluids.  Patient was given additional IV fluids given his elevated lactic acid and his continued soft blood pressure. The patient is given broad-spectrum antibiotics with potential other source of infection. ASSESSMENT/PLAN Principal Problem: Acute hypoxemic respiratory failure  Active Problems: COVID-19 virus infection, Fall, Acute hypoxemic respiratory failure, multifactorial COVID-19 pneumonia, Severe sepsis, suspected aspiration pneumonia, mild rhabdomyolysis, A-fib with RVR Plan ? Admit patient to telemetry, continuous pulse oximetry, oxygen therapy with nasal cannula, wean as needed, ? Broad-spectrum IV antibiotic coverage with cefepime and vancomycin, check MRSA PCR, Legionella antigen, strep antigen ? Follow-up confirmatory COVID PCR, IV remdesivir 200 mg followed by 100 mg daily for 4 doses if positive due to ongoing oxygen requirement ? S/p IV Decadron 10 mg in the ER, plan for Decadron 10 mg x 2 more doses, Decadron 6 mg x 7 doses with confirmed COVID 19 infection ? ID consulted Atrial fibrillation with RVR ? HR initially 120s to 140s, controlled atrial fibrillation with RVR on EKG ? New onset, likely precipitated by hypoxia ? Anticoagulated with Lovenox, HR gradually improved to 110s, BP soft, digoxin 0.25 mg x 1 dose ? Cardiology consulted Hospital Course: 91-year-old male with history of hypertension, coronary artery disease, gout, dyslipidemia, and paroxysmal atrial fibrillation hospitalized with sepsis and acute hypoxic respiratory failure in the setting of COVID-19 pneumonia after falling and being found down at home. His wife was hospitalized at the same time and died of COVID-19 on 3/20. Patient was vaccinated against COVID-19. ID was consulted for help with management. COVID-19 was treated with remdesivir and dexamethasone. He also developed atrial fibrillation with RVR. EP cardiology was consulted for help with management. He was started on therapeutic Lovenox and rate/rhythm controlling medications. His respiratory status further decompensated on 3/29. He was transferred to the ICU and died on 3/28 at 2204. Submitter does not have access to further medical records or information on hospital course. If further information is needed, please contact the admitting hospital.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Bundle branch block right, COVID-19, COVID-19 pneumonia, Cardiac monitoring, Chest X-ray normal
Clinical narrative: Patient presents for evaluation after a fall. Found down in garage with open door in the cold, estimates he was down more than 2 hours. Denies pain or trouble breathing. He reportedly had a positive COVID test this morning. His wife is admitted to the hospital as of yesterday for COVID-19.  While he denies trouble breathing, he is tachypneic and wheezing, hypoxic on room air. O2 applied per NC. Patient with COVID-19, likely COVID-19 pneumonitis.  On presentation, patient was in significant respiratory distress respiratory rate up to 40s, HR 140s 130s, atrial fibrillation with RVR, blood pressure soft 90s to low 100s. He has multiple bruises on the head, back.  Patient given IV fluids, maintained on the cardiac monitor. Heart rate did improve with fluids.  Patient was given additional IV fluids given his elevated lactic acid and his continued soft blood pressure. The patient is given broad-spectrum antibiotics with potential other source of infection. ASSESSMENT/PLAN Principal Problem: Acute hypoxemic respiratory failure  Active Problems: COVID-19 virus infection, Fall, Acute hypoxemic respiratory failure, multifactorial COVID-19 pneumonia, Severe sepsis, suspected aspiration pneumonia, mild rhabdomyolysis, A-fib with RVR Plan ? Admit patient to telemetry, continuous pulse oximetry, oxygen therapy with nasal cannula, wean as needed, ? Broad-spectrum IV antibiotic coverage with cefepime and vancomycin, check MRSA PCR, Legionella antigen, strep antigen ? Follow-up confirmatory COVID PCR, IV remdesivir 200 mg followed by 100 mg daily for 4 doses if positive due to ongoing oxygen requirement ? S/p IV Decadron 10 mg in the ER, plan for Decadron 10 mg x 2 more doses, Decadron 6 mg x 7 doses with confirmed COVID 19 infection ? ID consulted Atrial fibrillation with RVR ? HR initially 120s to 140s, controlled atrial fibrillation with RVR on EKG ? New onset, likely precipitated by hypoxia ? Anticoagulated with Lovenox, HR gradually improved to 110s, BP soft, digoxin 0.25 mg x 1 dose ? Cardiology consulted Hospital Course: 91-year-old male with history of hypertension, coronary artery disease, gout, dyslipidemia, and paroxysmal atrial fibrillation hospitalized with sepsis and acute hypoxic respiratory failure in the setting of COVID-19 pneumonia after falling and being found down at home. His wife was hospitalized at the same time and died of COVID-19 on 3/20. Patient was vaccinated against COVID-19. ID was consulted for help with management. COVID-19 was treated with remdesivir and dexamethasone. He also developed atrial fibrillation with RVR. EP cardiology was consulted for help with management. He was started on therapeutic Lovenox and rate/rhythm controlling medications. His respiratory status further decompensated on 3/29. He was transferred to the ICU and died on 3/28 at 2204. Submitter does not have access to further medical records or information on hospital course. If further information is needed, please contact the admitting hospital.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram head normal, Contusion, Death, Electrocardiogram abnormal, Exposure to SARS-CoV-2
Clinical narrative: Patient presents for evaluation after a fall. Found down in garage with open door in the cold, estimates he was down more than 2 hours. Denies pain or trouble breathing. He reportedly had a positive COVID test this morning. His wife is admitted to the hospital as of yesterday for COVID-19.  While he denies trouble breathing, he is tachypneic and wheezing, hypoxic on room air. O2 applied per NC. Patient with COVID-19, likely COVID-19 pneumonitis.  On presentation, patient was in significant respiratory distress respiratory rate up to 40s, HR 140s 130s, atrial fibrillation with RVR, blood pressure soft 90s to low 100s. He has multiple bruises on the head, back.  Patient given IV fluids, maintained on the cardiac monitor. Heart rate did improve with fluids.  Patient was given additional IV fluids given his elevated lactic acid and his continued soft blood pressure. The patient is given broad-spectrum antibiotics with potential other source of infection. ASSESSMENT/PLAN Principal Problem: Acute hypoxemic respiratory failure  Active Problems: COVID-19 virus infection, Fall, Acute hypoxemic respiratory failure, multifactorial COVID-19 pneumonia, Severe sepsis, suspected aspiration pneumonia, mild rhabdomyolysis, A-fib with RVR Plan ? Admit patient to telemetry, continuous pulse oximetry, oxygen therapy with nasal cannula, wean as needed, ? Broad-spectrum IV antibiotic coverage with cefepime and vancomycin, check MRSA PCR, Legionella antigen, strep antigen ? Follow-up confirmatory COVID PCR, IV remdesivir 200 mg followed by 100 mg daily for 4 doses if positive due to ongoing oxygen requirement ? S/p IV Decadron 10 mg in the ER, plan for Decadron 10 mg x 2 more doses, Decadron 6 mg x 7 doses with confirmed COVID 19 infection ? ID consulted Atrial fibrillation with RVR ? HR initially 120s to 140s, controlled atrial fibrillation with RVR on EKG ? New onset, likely precipitated by hypoxia ? Anticoagulated with Lovenox, HR gradually improved to 110s, BP soft, digoxin 0.25 mg x 1 dose ? Cardiology consulted Hospital Course: 91-year-old male with history of hypertension, coronary artery disease, gout, dyslipidemia, and paroxysmal atrial fibrillation hospitalized with sepsis and acute hypoxic respiratory failure in the setting of COVID-19 pneumonia after falling and being found down at home. His wife was hospitalized at the same time and died of COVID-19 on 3/20. Patient was vaccinated against COVID-19. ID was consulted for help with management. COVID-19 was treated with remdesivir and dexamethasone. He also developed atrial fibrillation with RVR. EP cardiology was consulted for help with management. He was started on therapeutic Lovenox and rate/rhythm controlling medications. His respiratory status further decompensated on 3/29. He was transferred to the ICU and died on 3/28 at 2204. Submitter does not have access to further medical records or information on hospital course. If further information is needed, please contact the admitting hospital.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fall, Full blood count abnormal, Haemoglobin normal, Heart rate increased, Hypoxia
Clinical narrative: Patient presents for evaluation after a fall. Found down in garage with open door in the cold, estimates he was down more than 2 hours. Denies pain or trouble breathing. He reportedly had a positive COVID test this morning. His wife is admitted to the hospital as of yesterday for COVID-19.  While he denies trouble breathing, he is tachypneic and wheezing, hypoxic on room air. O2 applied per NC. Patient with COVID-19, likely COVID-19 pneumonitis.  On presentation, patient was in significant respiratory distress respiratory rate up to 40s, HR 140s 130s, atrial fibrillation with RVR, blood pressure soft 90s to low 100s. He has multiple bruises on the head, back.  Patient given IV fluids, maintained on the cardiac monitor. Heart rate did improve with fluids.  Patient was given additional IV fluids given his elevated lactic acid and his continued soft blood pressure. The patient is given broad-spectrum antibiotics with potential other source of infection. ASSESSMENT/PLAN Principal Problem: Acute hypoxemic respiratory failure  Active Problems: COVID-19 virus infection, Fall, Acute hypoxemic respiratory failure, multifactorial COVID-19 pneumonia, Severe sepsis, suspected aspiration pneumonia, mild rhabdomyolysis, A-fib with RVR Plan ? Admit patient to telemetry, continuous pulse oximetry, oxygen therapy with nasal cannula, wean as needed, ? Broad-spectrum IV antibiotic coverage with cefepime and vancomycin, check MRSA PCR, Legionella antigen, strep antigen ? Follow-up confirmatory COVID PCR, IV remdesivir 200 mg followed by 100 mg daily for 4 doses if positive due to ongoing oxygen requirement ? S/p IV Decadron 10 mg in the ER, plan for Decadron 10 mg x 2 more doses, Decadron 6 mg x 7 doses with confirmed COVID 19 infection ? ID consulted Atrial fibrillation with RVR ? HR initially 120s to 140s, controlled atrial fibrillation with RVR on EKG ? New onset, likely precipitated by hypoxia ? Anticoagulated with Lovenox, HR gradually improved to 110s, BP soft, digoxin 0.25 mg x 1 dose ? Cardiology consulted Hospital Course: 91-year-old male with history of hypertension, coronary artery disease, gout, dyslipidemia, and paroxysmal atrial fibrillation hospitalized with sepsis and acute hypoxic respiratory failure in the setting of COVID-19 pneumonia after falling and being found down at home. His wife was hospitalized at the same time and died of COVID-19 on 3/20. Patient was vaccinated against COVID-19. ID was consulted for help with management. COVID-19 was treated with remdesivir and dexamethasone. He also developed atrial fibrillation with RVR. EP cardiology was consulted for help with management. He was started on therapeutic Lovenox and rate/rhythm controlling medications. His respiratory status further decompensated on 3/29. He was transferred to the ICU and died on 3/28 at 2204. Submitter does not have access to further medical records or information on hospital course. If further information is needed, please contact the admitting hospital.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Intensive care, Leukocytosis, Lung infiltration, Lung opacity, Neutrophil count
Clinical narrative: Patient presents for evaluation after a fall. Found down in garage with open door in the cold, estimates he was down more than 2 hours. Denies pain or trouble breathing. He reportedly had a positive COVID test this morning. His wife is admitted to the hospital as of yesterday for COVID-19.  While he denies trouble breathing, he is tachypneic and wheezing, hypoxic on room air. O2 applied per NC. Patient with COVID-19, likely COVID-19 pneumonitis.  On presentation, patient was in significant respiratory distress respiratory rate up to 40s, HR 140s 130s, atrial fibrillation with RVR, blood pressure soft 90s to low 100s. He has multiple bruises on the head, back.  Patient given IV fluids, maintained on the cardiac monitor. Heart rate did improve with fluids.  Patient was given additional IV fluids given his elevated lactic acid and his continued soft blood pressure. The patient is given broad-spectrum antibiotics with potential other source of infection. ASSESSMENT/PLAN Principal Problem: Acute hypoxemic respiratory failure  Active Problems: COVID-19 virus infection, Fall, Acute hypoxemic respiratory failure, multifactorial COVID-19 pneumonia, Severe sepsis, suspected aspiration pneumonia, mild rhabdomyolysis, A-fib with RVR Plan ? Admit patient to telemetry, continuous pulse oximetry, oxygen therapy with nasal cannula, wean as needed, ? Broad-spectrum IV antibiotic coverage with cefepime and vancomycin, check MRSA PCR, Legionella antigen, strep antigen ? Follow-up confirmatory COVID PCR, IV remdesivir 200 mg followed by 100 mg daily for 4 doses if positive due to ongoing oxygen requirement ? S/p IV Decadron 10 mg in the ER, plan for Decadron 10 mg x 2 more doses, Decadron 6 mg x 7 doses with confirmed COVID 19 infection ? ID consulted Atrial fibrillation with RVR ? HR initially 120s to 140s, controlled atrial fibrillation with RVR on EKG ? New onset, likely precipitated by hypoxia ? Anticoagulated with Lovenox, HR gradually improved to 110s, BP soft, digoxin 0.25 mg x 1 dose ? Cardiology consulted Hospital Course: 91-year-old male with history of hypertension, coronary artery disease, gout, dyslipidemia, and paroxysmal atrial fibrillation hospitalized with sepsis and acute hypoxic respiratory failure in the setting of COVID-19 pneumonia after falling and being found down at home. His wife was hospitalized at the same time and died of COVID-19 on 3/20. Patient was vaccinated against COVID-19. ID was consulted for help with management. COVID-19 was treated with remdesivir and dexamethasone. He also developed atrial fibrillation with RVR. EP cardiology was consulted for help with management. He was started on therapeutic Lovenox and rate/rhythm controlling medications. His respiratory status further decompensated on 3/29. He was transferred to the ICU and died on 3/28 at 2204. Submitter does not have access to further medical records or information on hospital course. If further information is needed, please contact the admitting hospital.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Platelet count normal, Pleural effusion, Pneumonia aspiration, Respiratory distress, Rhabdomyolysis
Clinical narrative: Patient presents for evaluation after a fall. Found down in garage with open door in the cold, estimates he was down more than 2 hours. Denies pain or trouble breathing. He reportedly had a positive COVID test this morning. His wife is admitted to the hospital as of yesterday for COVID-19.  While he denies trouble breathing, he is tachypneic and wheezing, hypoxic on room air. O2 applied per NC. Patient with COVID-19, likely COVID-19 pneumonitis.  On presentation, patient was in significant respiratory distress respiratory rate up to 40s, HR 140s 130s, atrial fibrillation with RVR, blood pressure soft 90s to low 100s. He has multiple bruises on the head, back.  Patient given IV fluids, maintained on the cardiac monitor. Heart rate did improve with fluids.  Patient was given additional IV fluids given his elevated lactic acid and his continued soft blood pressure. The patient is given broad-spectrum antibiotics with potential other source of infection. ASSESSMENT/PLAN Principal Problem: Acute hypoxemic respiratory failure  Active Problems: COVID-19 virus infection, Fall, Acute hypoxemic respiratory failure, multifactorial COVID-19 pneumonia, Severe sepsis, suspected aspiration pneumonia, mild rhabdomyolysis, A-fib with RVR Plan ? Admit patient to telemetry, continuous pulse oximetry, oxygen therapy with nasal cannula, wean as needed, ? Broad-spectrum IV antibiotic coverage with cefepime and vancomycin, check MRSA PCR, Legionella antigen, strep antigen ? Follow-up confirmatory COVID PCR, IV remdesivir 200 mg followed by 100 mg daily for 4 doses if positive due to ongoing oxygen requirement ? S/p IV Decadron 10 mg in the ER, plan for Decadron 10 mg x 2 more doses, Decadron 6 mg x 7 doses with confirmed COVID 19 infection ? ID consulted Atrial fibrillation with RVR ? HR initially 120s to 140s, controlled atrial fibrillation with RVR on EKG ? New onset, likely precipitated by hypoxia ? Anticoagulated with Lovenox, HR gradually improved to 110s, BP soft, digoxin 0.25 mg x 1 dose ? Cardiology consulted Hospital Course: 91-year-old male with history of hypertension, coronary artery disease, gout, dyslipidemia, and paroxysmal atrial fibrillation hospitalized with sepsis and acute hypoxic respiratory failure in the setting of COVID-19 pneumonia after falling and being found down at home. His wife was hospitalized at the same time and died of COVID-19 on 3/20. Patient was vaccinated against COVID-19. ID was consulted for help with management. COVID-19 was treated with remdesivir and dexamethasone. He also developed atrial fibrillation with RVR. EP cardiology was consulted for help with management. He was started on therapeutic Lovenox and rate/rhythm controlling medications. His respiratory status further decompensated on 3/29. He was transferred to the ICU and died on 3/28 at 2204. Submitter does not have access to further medical records or information on hospital course. If further information is needed, please contact the admitting hospital.
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sepsis, Tachypnoea, Wheezing, White blood cell count increased
Clinical narrative: Patient presents for evaluation after a fall. Found down in garage with open door in the cold, estimates he was down more than 2 hours. Denies pain or trouble breathing. He reportedly had a positive COVID test this morning. His wife is admitted to the hospital as of yesterday for COVID-19.  While he denies trouble breathing, he is tachypneic and wheezing, hypoxic on room air. O2 applied per NC. Patient with COVID-19, likely COVID-19 pneumonitis.  On presentation, patient was in significant respiratory distress respiratory rate up to 40s, HR 140s 130s, atrial fibrillation with RVR, blood pressure soft 90s to low 100s. He has multiple bruises on the head, back.  Patient given IV fluids, maintained on the cardiac monitor. Heart rate did improve with fluids.  Patient was given additional IV fluids given his elevated lactic acid and his continued soft blood pressure. The patient is given broad-spectrum antibiotics with potential other source of infection. ASSESSMENT/PLAN Principal Problem: Acute hypoxemic respiratory failure  Active Problems: COVID-19 virus infection, Fall, Acute hypoxemic respiratory failure, multifactorial COVID-19 pneumonia, Severe sepsis, suspected aspiration pneumonia, mild rhabdomyolysis, A-fib with RVR Plan ? Admit patient to telemetry, continuous pulse oximetry, oxygen therapy with nasal cannula, wean as needed, ? Broad-spectrum IV antibiotic coverage with cefepime and vancomycin, check MRSA PCR, Legionella antigen, strep antigen ? Follow-up confirmatory COVID PCR, IV remdesivir 200 mg followed by 100 mg daily for 4 doses if positive due to ongoing oxygen requirement ? S/p IV Decadron 10 mg in the ER, plan for Decadron 10 mg x 2 more doses, Decadron 6 mg x 7 doses with confirmed COVID 19 infection ? ID consulted Atrial fibrillation with RVR ? HR initially 120s to 140s, controlled atrial fibrillation with RVR on EKG ? New onset, likely precipitated by hypoxia ? Anticoagulated with Lovenox, HR gradually improved to 110s, BP soft, digoxin 0.25 mg x 1 dose ? Cardiology consulted Hospital Course: 91-year-old male with history of hypertension, coronary artery disease, gout, dyslipidemia, and paroxysmal atrial fibrillation hospitalized with sepsis and acute hypoxic respiratory failure in the setting of COVID-19 pneumonia after falling and being found down at home. His wife was hospitalized at the same time and died of COVID-19 on 3/20. Patient was vaccinated against COVID-19. ID was consulted for help with management. COVID-19 was treated with remdesivir and dexamethasone. He also developed atrial fibrillation with RVR. EP cardiology was consulted for help with management. He was started on therapeutic Lovenox and rate/rhythm controlling medications. His respiratory status further decompensated on 3/29. He was transferred to the ICU and died on 3/28 at 2204. Submitter does not have access to further medical records or information on hospital course. If further information is needed, please contact the admitting hospital.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vasodilatation
Clinical narrative: I had veins that were swelled up in my left hand which I had never seen before.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Ear pruritus
Clinical narrative: My ears began to itch towards the end of February or early March 2023. My right ear itches about three times more than the left. I went to the walk-in clinic on March 30th. The itch occurs on the inner ear area, and I use water drops or cotton ball to help. There was a physical exam of my ear, and nothing was found. The prescription I was given for Flonase was over the counter. I was advised to take my allergy medication. Neither of those worked and I went back using the salt-water solution to help. I have an ENT appointment on April 20, 2023. At this time, I have not felt pain and there has not been any discharge.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Feeling abnormal, Headache
Clinical narrative: I started having mild sore throat and a few hours later I started having a fever. That night I didn't take anything and the next day I started taking Tylenol. I was still having fever on Friday. I called my doctor and was prescribed Paxlovid and I started Saturday and I had fever and felt miserable till Monday. I had headaches, fever, chills, coughing that was dry and I had a hard time sleeping. A total of 10 days later I started to improve. I keep testing and one day it will be positive and then negative the next. The medicine left a horrible taste in my mouth.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started having mild sore throat and a few hours later I started having a fever. That night I didn't take anything and the next day I started taking Tylenol. I was still having fever on Friday. I called my doctor and was prescribed Paxlovid and I started Saturday and I had fever and felt miserable till Monday. I had headaches, fever, chills, coughing that was dry and I had a hard time sleeping. A total of 10 days later I started to improve. I keep testing and one day it will be positive and then negative the next. The medicine left a horrible taste in my mouth.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 in 04/2023. I had a telehealth visit with my doctor and got a prescription for Paxlovid. I am on day 3 of the medication. I am tolerating the medication. I previously tested positive for COVID-19 in 12/2021.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood urine present, Cardiac monitoring normal, Cystitis, Electrocardiogram normal, Full blood count normal
Clinical narrative: 12/12/2023 I was on the phone and all of a sudden, I dropped the phone and had complete weakness in my left arm. I went to the ER, and I was diagnosed with a mini stroke (TIA), They gave me an EKG, MRI and a CBC, I was given a heart monitor to wear overnight for one month. The results were normal. I also want to report that I have had a bladder infection for the past 2 weeks and they have found blood in my urine. I am currently on antibiotics. I have a follow up appt with the Urologist on May 2nd.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hemiparesis, Magnetic resonance imaging normal, Muscular weakness, Transient ischaemic attack
Clinical narrative: 12/12/2023 I was on the phone and all of a sudden, I dropped the phone and had complete weakness in my left arm. I went to the ER, and I was diagnosed with a mini stroke (TIA), They gave me an EKG, MRI and a CBC, I was given a heart monitor to wear overnight for one month. The results were normal. I also want to report that I have had a bladder infection for the past 2 weeks and they have found blood in my urine. I am currently on antibiotics. I have a follow up appt with the Urologist on May 2nd.
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Headache
Clinical narrative: I started to have headaches, there very constants after the vaccine. I kept having headaches weekly and never had before, I saw my doctor because I keep having Tylenol everyday. I went to a doctor and gave me botox, I have another appointment to check on everything and get more of the botox. I still have headaches even after the botox.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Chronic respiratory failure, Coagulopathy, Delirium, Femoral neck fracture
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE 7/13/2021 COAGULOPATHY, UNSPECIFIED TYPE  CHRONIC HYPOXEMIC RESPIRATORY FAILURE 7/13/2021 DELIRIUM  CHRONIC HYPOXEMIC RESPIRATORY FAILURE 7/13/2021 ANEMIA  CHRONIC HYPOXEMIC RESPIRATORY FAILURE 7/13/2021 RIGHT FEMORAL NECK GARDEN 1 FX INIT
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE 7/13/2021 COAGULOPATHY, UNSPECIFIED TYPE  CHRONIC HYPOXEMIC RESPIRATORY FAILURE 7/13/2021 DELIRIUM  CHRONIC HYPOXEMIC RESPIRATORY FAILURE 7/13/2021 ANEMIA  CHRONIC HYPOXEMIC RESPIRATORY FAILURE 7/13/2021 RIGHT FEMORAL NECK GARDEN 1 FX INIT
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Needle issue, No adverse event, Underdose
Clinical narrative: While vaccinating the patient, the needle popped off the syringe after injection the solution in the arm. Fluid sprayed on the vaccinator's gloved hand and the patient's arm. Unknown amount of vaccine was administered. Spoke to Dr. who gave verbal order for an immediate additional vaccination due to the patient being immunocompromised and needing maximum protection from the vaccine. Patient verbalized understanding and consented to vaccination. Patient handled second vaccination without adverse events.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival bleeding, Stomatitis
Clinical narrative: Ten days started having bleeding gums with mouth sores. Saw doctor and was given chlorhexidine gluconate oral rinse, but the rinse only made sores worse. Gums are still too sore to wear partial.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Chills, Malaise, Nasal congestion, Pain
Clinical narrative: My husband and I had been traveling, I started not feeling well on March 16, 2023. I had severe nasal congestion, chills, never, body aches, I knew it was more than a head hold. I used a home COVID-19 test that had come back positive. I called my doctor to have a telehealth visit, we discussed my symptoms. She prescribed PAXLOVID that I started immediately; I noticed an improvement in my symptoms within a couple of days.
Age: 68.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: My husband and I had been traveling, I started not feeling well on March 16, 2023. I had severe nasal congestion, chills, never, body aches, I knew it was more than a head hold. I used a home COVID-19 test that had come back positive. I called my doctor to have a telehealth visit, we discussed my symptoms. She prescribed PAXLOVID that I started immediately; I noticed an improvement in my symptoms within a couple of days.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Hypothyroidism
Clinical narrative: ACUTE RESPIRATORY FAILURE 9/18/2021 HYPOTHYROIDISM
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Nasal congestion, Oropharyngeal discomfort, Pain
Clinical narrative: 8/25/2022 Positive on a home test. Televisit with doctor who proscribed Paxlovid. Nasal Congestion and drainage with an uncomfortable throat. Felt very weak and trembly. After 2 days symptoms began to improve. Nasal congestion and body aches disappeared on day 3. Fully recovered on day 6.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Tremor
Clinical narrative: 8/25/2022 Positive on a home test. Televisit with doctor who proscribed Paxlovid. Nasal Congestion and drainage with an uncomfortable throat. Felt very weak and trembly. After 2 days symptoms began to improve. Nasal congestion and body aches disappeared on day 3. Fully recovered on day 6.
Age: 90.0
Sex: F
Vaccine: UNK
Symptoms: Acute respiratory failure, Chronic kidney disease, Full blood count abnormal, Glomerular filtration rate, Ulcer
Clinical narrative: J96.90 RESPIRATORY FAILURE, UNSPECIFIED ACUITY 3/31/2021 ABNL CBC J96.90 RESPIRATORY FAILURE, UNSPECIFIED ACUITY 3/31/2021 ULCER OF BUTTOCK, UNSPECIFIED DEPTH J96.90 RESPIRATORY FAILURE, UNSPECIFIED ACUITY 3/31/2021 ACUTE RESPIRATORY FAILURE J96.90 RESPIRATORY FAILURE, UNSPECIFIED ACUITY 3/31/2021 CKD STAGE 4 (GFR 15-29)
Age: 1.25
Sex: F
Vaccine: DTAPHEPBIP
Symptoms: Unevaluable event
Clinical narrative: No signs or symptoms.