chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Blood fibrinogen normal, C-reactive protein increased, COVID-19, Chest X-ray normal, Computerised tomogram head normal
Clinical narrative: Patient received pfizer vaccine on 1/26/21 and 2/19/21. Found to be COVID positive on 2/1/22. Presented to ER on 2/3/22. presented with fall in the bathroom at assisted living facility.  Time of fall unknown.              Soft tissue swelling left greater than right periorbital region and forehead. Suspected left-sided weakness- Neurology consulted . CT head negative for acute intracranial abnormalities. No focal deficit on exam. COVID-19 positive on 02/01/2022.  Vaccinated. Acute hypoxia requiring N/C oxygen on 2/6/22. No shortness of breath.  Ferritin 225, fibrinogen 396,  procalcitonin 0.05, CRP 37. Dexamethasone started.  Remdesivir deferred after discussing with family. Discharged on 2/21/22
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Hemiparesis, Hypoxia, Inappropriate schedule of product administration, Periorbital swelling
Clinical narrative: Patient received pfizer vaccine on 1/26/21 and 2/19/21. Found to be COVID positive on 2/1/22. Presented to ER on 2/3/22. presented with fall in the bathroom at assisted living facility.  Time of fall unknown.              Soft tissue swelling left greater than right periorbital region and forehead. Suspected left-sided weakness- Neurology consulted . CT head negative for acute intracranial abnormalities. No focal deficit on exam. COVID-19 positive on 02/01/2022.  Vaccinated. Acute hypoxia requiring N/C oxygen on 2/6/22. No shortness of breath.  Ferritin 225, fibrinogen 396,  procalcitonin 0.05, CRP 37. Dexamethasone started.  Remdesivir deferred after discussing with family. Discharged on 2/21/22
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, SARS-CoV-2 test positive, Serum ferritin increased, Soft tissue swelling, Swelling face
Clinical narrative: Patient received pfizer vaccine on 1/26/21 and 2/19/21. Found to be COVID positive on 2/1/22. Presented to ER on 2/3/22. presented with fall in the bathroom at assisted living facility.  Time of fall unknown.              Soft tissue swelling left greater than right periorbital region and forehead. Suspected left-sided weakness- Neurology consulted . CT head negative for acute intracranial abnormalities. No focal deficit on exam. COVID-19 positive on 02/01/2022.  Vaccinated. Acute hypoxia requiring N/C oxygen on 2/6/22. No shortness of breath.  Ferritin 225, fibrinogen 396,  procalcitonin 0.05, CRP 37. Dexamethasone started.  Remdesivir deferred after discussing with family. Discharged on 2/21/22
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic stenosis, Aortic valve replacement, Transcatheter aortic valve implantation
Clinical narrative: Severe, symptomatic, aortic stenosis s/p successful transcatheter aortic valve replacement with a 26 mm Evolut pro + THV via transfemoral approach. Patient will monitor for signs/symptoms of bleeding, infection, drug reaction, and stroke and will participate in cardiac rehab after returning home. Prior to discharge, the patient showed stable vital signs. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, MMR
Symptoms: Expired product administered
Clinical narrative: Patient might have accidentally received Kinrix Lot H9Y52, expiration 1/31/22. There is currently no way to verify. Contacted manufacturer, GSK, who stated "results from in-house analytical potency testing have shown that Kinrix remains  within the approved specifications for up to 30 days following the expiration date of the  vaccine if stored under appropriate temperature and storage conditions." Based on this, the patient would need to be re-vaccinated as the vaccine was administered after 30 days of vaccine expiration. Patient's parent was contacted, re-vaccination appointment set up for 3/16/22. Parent was encouraged to reach out to our facility with any questions.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Dyspnoea, Endotracheal intubation, Intensive care
Clinical narrative: Presented with 2 weeks SOB & cough; Admitted to medical with Covid PNA; tx with Velletri, steroids, Aviptadil, zinc, Actemra, Maxipime, flagyl; initially on HFO2, TX to ICU 9/25; intubated on 10/2/21; currently remains intubated with FiO2 75% and SpO2 holding >93%; no pressors; Renal function holding but precarious. She is on minimal amounts of Precedex and is planning for transfer to long-term acute care for vent weaning. She is doing some weaning on CPAP currently. Disposition: She will be discharged today to long term acute care.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical ventilation, Positive airway pressure therapy, Wean from ventilator
Clinical narrative: Presented with 2 weeks SOB & cough; Admitted to medical with Covid PNA; tx with Velletri, steroids, Aviptadil, zinc, Actemra, Maxipime, flagyl; initially on HFO2, TX to ICU 9/25; intubated on 10/2/21; currently remains intubated with FiO2 75% and SpO2 holding >93%; no pressors; Renal function holding but precarious. She is on minimal amounts of Precedex and is planning for transfer to long-term acute care for vent weaning. She is doing some weaning on CPAP currently. Disposition: She will be discharged today to long term acute care.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Deep vein thrombosis, Dyspnoea
Clinical narrative: COVID+ PTA, increasing SOB x6 days. Admit for COVID pna and resp failure. Fully vaccinated March 2021. O2, steroids, remdesivir, singulair, Baricitinib (d/c during therapy due to DVT). Escalated to vent 9/28 and developed renal failure. Transitioned to comfort care and passed away 10/17.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical ventilation, Renal failure, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: COVID+ PTA, increasing SOB x6 days. Admit for COVID pna and resp failure. Fully vaccinated March 2021. O2, steroids, remdesivir, singulair, Baricitinib (d/c during therapy due to DVT). Escalated to vent 9/28 and developed renal failure. Transitioned to comfort care and passed away 10/17.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Medical device implantation
Clinical narrative: Patient hospitalized for placement of a watchman device within 6 weeks of receiving COVID vaccination booster.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Blood urine present, Skin discolouration, Urine analysis abnormal
Clinical narrative: PATIENT STATED THAT AFTER RECEIVING HER MODERNA VACCINE SHE DEVELOPED WHITE SPOTS ON HER ARMS AND CHEST THAT LOOKED LIKE RINGWORM, SHE CAME AND GOT HER S2ND VACCINE AND THE SPOTS STARTED GETTING BIGGER. STATED THAT SHE WENT TO THE DR AND HAD HER BLOOD AND URINE TAKEN. FOUND BLOOD IN HER URINE, WAS REFERED TO GYNOCOLOGIST AND DERMATOLOGIST.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: COVID+ one week PTA, arrived with increasing SOB, admitted for COVID pna. Fully vaccinated Aug 2021. Steroids, Vit-c, zinc, O2, anticoag, lasix, actemra. Progressed to Airvo, then Bipap, then vent support 10/6. Condition declined to renal failure. Pt made comfort care and passed away after withdrawal 10/16.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Mechanical ventilation, Positive airway pressure therapy, Renal failure, SARS-CoV-2 test positive
Clinical narrative: COVID+ one week PTA, arrived with increasing SOB, admitted for COVID pna. Fully vaccinated Aug 2021. Steroids, Vit-c, zinc, O2, anticoag, lasix, actemra. Progressed to Airvo, then Bipap, then vent support 10/6. Condition declined to renal failure. Pt made comfort care and passed away after withdrawal 10/16.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Palpitations, Respiratory tract congestion
Clinical narrative: Arrived with congestion, palpatations and cough x4 days. Admitted for COVID pna. Fully vaccinated Jan 2021. O2, rocephin/azithro, steroids, zinc, singulair, remdesivir. Was eventually able to wean O2 down to 3L NC and was discharged to Rehab.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Endotracheal intubation, Hypoxia
Clinical narrative: Presented with SOB/hypoxia, covid + 9/18; admitted to ICU with Covid PNA, sepsis; tx with HFO2, maxipime, steroids, remdesivir, actemra, merrem, ; intubated 9/24; on mulitple pressors; family requested DNR and Withdrawal of Care 10/1;
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Presented with SOB/hypoxia, covid + 9/18; admitted to ICU with Covid PNA, sepsis; tx with HFO2, maxipime, steroids, remdesivir, actemra, merrem, ; intubated 9/24; on mulitple pressors; family requested DNR and Withdrawal of Care 10/1;
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Biliary colic, Dyskinesia, Headache, Insomnia, Laboratory test
Clinical narrative: Severe palpitations, watery headache, throbbing gallbladder, consecutive fainting, loss of consciousness, involuntary movements, loss of sleep, intense pain throughout my body. My period has not returned and I feel symptoms of premature menopause.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Magnetic resonance imaging, Malaise, Menstruation irregular, Pain
Clinical narrative: Severe palpitations, watery headache, throbbing gallbladder, consecutive fainting, loss of consciousness, involuntary movements, loss of sleep, intense pain throughout my body. My period has not returned and I feel symptoms of premature menopause.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Premature menopause, Syncope, Vitamin D deficiency
Clinical narrative: Severe palpitations, watery headache, throbbing gallbladder, consecutive fainting, loss of consciousness, involuntary movements, loss of sleep, intense pain throughout my body. My period has not returned and I feel symptoms of premature menopause.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anticoagulant therapy, Atrial fibrillation, Colitis ischaemic, Colostomy
Clinical narrative: Patient came to the emergency room with worsening abdominal pain affiliated with bloody diarrhea that has been going on for approximately 1 month. Ischemic sigmoid colon and proximal rectum. End descending colostomy created in LUQ. Transected at mid rectum. Stumped marked with suture. Very low, narrow pelvis -indicated that he had ischemic colitis  -Wound ostomy team following for new colostomy.  - Started having bowel function on 12/13 His diet was advanced.  Patient was treated for pain; and replaced back on Xarelto as the patient was on Xarelto prior to admission due to paroxysmal atrial fibrillation. ED visit and hospital admission was within 6 weeks of receiving the COVID vaccine.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea haemorrhagic, Intestinal ischaemia, Suture insertion
Clinical narrative: Patient came to the emergency room with worsening abdominal pain affiliated with bloody diarrhea that has been going on for approximately 1 month. Ischemic sigmoid colon and proximal rectum. End descending colostomy created in LUQ. Transected at mid rectum. Stumped marked with suture. Very low, narrow pelvis -indicated that he had ischemic colitis  -Wound ostomy team following for new colostomy.  - Started having bowel function on 12/13 His diet was advanced.  Patient was treated for pain; and replaced back on Xarelto as the patient was on Xarelto prior to admission due to paroxysmal atrial fibrillation. ED visit and hospital admission was within 6 weeks of receiving the COVID vaccine.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Diarrhoea, Dyspnoea, Influenza A virus test negative
Clinical narrative: Patient presents with ? Diarrhea     Since last thursday, pt has had diarrhea, weakness and shortness of breath ? Shortness of Breath     HPI patient is a 65-year-old male presents the ED for respiratory distress.  Patient reports he has been having diarrhea since last Thursday.  Patient states has been very weak.  Patient has had worsening shortness of breath.  Patient today is unable to catch his breath and wife convinced him to come to the ER to be evaluated.  Patient's wife reports that she was sick a week ago with flulike symptoms.  Patient reports that they are both vaccinated against Covid.  Patient has a previous history of a kidney transplant, hypertension, hyperlipidemia, A. fib, and GERD.  Patient denies any chest pain, syncope, dizziness, recent trauma.   Review of Systems  CONSTITUTIONAL:  no fever, no chills, no fatigue HEAD:  no headache or loss of consciousness. EYES:  no eye pain, redness or discharge. ENMT:  no ear pain, no throat pain; no rhinorrhea or congestion. CARDIAC:  No chest pain, no exercise intolerance, no palpations, no peripheral edema RESPIRATORY:  no cough, wheezing, shortness of breath or trouble breathing. GI:  no nausea, vomiting, diarrhea or abdominal pain. GU:  no dysuria, no increased frequency, no hesitancy MSK:  no muscle aches, joint pain or injury. NEURO:  no dizziness, no change in vision, no seizure SKIN:  no rashes; no lacerations or abrasions, no bruising.  PSYCH: no recent changes in mood, affect, sleep, or thought processes
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Respiratory distress, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Patient presents with ? Diarrhea     Since last thursday, pt has had diarrhea, weakness and shortness of breath ? Shortness of Breath     HPI patient is a 65-year-old male presents the ED for respiratory distress.  Patient reports he has been having diarrhea since last Thursday.  Patient states has been very weak.  Patient has had worsening shortness of breath.  Patient today is unable to catch his breath and wife convinced him to come to the ER to be evaluated.  Patient's wife reports that she was sick a week ago with flulike symptoms.  Patient reports that they are both vaccinated against Covid.  Patient has a previous history of a kidney transplant, hypertension, hyperlipidemia, A. fib, and GERD.  Patient denies any chest pain, syncope, dizziness, recent trauma.   Review of Systems  CONSTITUTIONAL:  no fever, no chills, no fatigue HEAD:  no headache or loss of consciousness. EYES:  no eye pain, redness or discharge. ENMT:  no ear pain, no throat pain; no rhinorrhea or congestion. CARDIAC:  No chest pain, no exercise intolerance, no palpations, no peripheral edema RESPIRATORY:  no cough, wheezing, shortness of breath or trouble breathing. GI:  no nausea, vomiting, diarrhea or abdominal pain. GU:  no dysuria, no increased frequency, no hesitancy MSK:  no muscle aches, joint pain or injury. NEURO:  no dizziness, no change in vision, no seizure SKIN:  no rashes; no lacerations or abrasions, no bruising.  PSYCH: no recent changes in mood, affect, sleep, or thought processes
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Pneumonia, Rhabdomyolysis
Clinical narrative: Presented with gen. weakness, found on floor of retirement center, dx covid 2 weeks PTA; Admitted with rhadomyolysis and Covid 19 infection; CXR clear on admission, SpO2 stable on RA; tx with maxipime, Vit C, Vit D3, Doxycycline; Progressed to PNA; no supplemental O2 required; dc back to SNF
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: DEATH RELATED TO COVID-19
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Presented with cough/congestion x 10 days; + Covid in ED; admitted to hospital with Covid PNA; tx with zithromax, rocephin, steroids, remdesivir, Vit C, Vit D3, zinc, 2-4 LPM O2; back to baseline O2 at time of dc
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Muscular weakness, Pain
Clinical narrative: Central chest pressure and upper/inner left arm weakness and dull pain
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Hypoxia
Clinical narrative: Presented with hypoxia, cough, SOB; dx with Covid 1 week PTA; Admit to tele with Covid PNA; tx with steroids, remdesivir, singulair, zinc, actemra, For the COVID-19 patient received remdesivir and also Actemra. Over the next several days patient shortness of breath has improved and he will be sent home on home oxygen.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram thorax normal, Cough, Dyspnoea
Clinical narrative: Presented with cough, shortness of breath; + covid 2 days prior; admitted with Covid PNA to medical; tx with maxipime, singulair, zinc CT chest ruled out PE. Pt is eager to go home  Pt is being discharged home in a stable state after arranging home o2
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented with cough, shortness of breath; + covid 2 days prior; admitted with Covid PNA to medical; tx with maxipime, singulair, zinc CT chest ruled out PE. Pt is eager to go home  Pt is being discharged home in a stable state after arranging home o2
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Ear inflammation, Fatigue, Feeling of body temperature change
Clinical narrative: I had a "normal" but larger reaction to the vaccine, including a rising temperature for 48 hours, tiredness, cold/hot, and generally not feeling well for 48 hours. My joints hurt some for about a week. A few weeks later, my ears started ringing and just have never stopped since then. It started loudly in my left ear and I went to urgent care, my primary, and my allergist. My allergist gave me prednisone, zyrtec-D, and singulair, which helped a lot, but it never went away (just lessoned). It has been that way since for almost a year.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Middle ear effusion, Tinnitus
Clinical narrative: I had a "normal" but larger reaction to the vaccine, including a rising temperature for 48 hours, tiredness, cold/hot, and generally not feeling well for 48 hours. My joints hurt some for about a week. A few weeks later, my ears started ringing and just have never stopped since then. It started loudly in my left ear and I went to urgent care, my primary, and my allergist. My allergist gave me prednisone, zyrtec-D, and singulair, which helped a lot, but it never went away (just lessoned). It has been that way since for almost a year.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Fatigue, Productive cough
Clinical narrative: Presented with productive cough, SOB, fatigue; + Covid in ED; admit to medical with Covid PNA ; TX with steroids, out of range for remdesivir. 2 L of oxygen for SATS greater than 91%. Home with home oxygen.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented with productive cough, SOB, fatigue; + Covid in ED; admit to medical with Covid PNA ; TX with steroids, out of range for remdesivir. 2 L of oxygen for SATS greater than 91%. Home with home oxygen.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19, Dialysis, Dyspnoea
Clinical narrative: Past medical history of hypertension, diabetes mellitus, cardiomyopathy, ESRD on HD who presented to ER with shortness of breath with oxygen saturations in mid 80s. CT angiogram chest negative for PE, noted to have bilateral pneumonia. She tested positive for COVID-19 virus. Patient was seen by ID and was treated with antibiotics, remdesivir, steroids, and Lovenox. Inflammatory markers started to improve along with her oxygenation. She was down to 2 L oxygen. Patient was seen by Nephrology and dialysis was continued. Patient was discharged home after cleared by consultants. Disposition: Home with home health.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammatory marker test, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Past medical history of hypertension, diabetes mellitus, cardiomyopathy, ESRD on HD who presented to ER with shortness of breath with oxygen saturations in mid 80s. CT angiogram chest negative for PE, noted to have bilateral pneumonia. She tested positive for COVID-19 virus. Patient was seen by ID and was treated with antibiotics, remdesivir, steroids, and Lovenox. Inflammatory markers started to improve along with her oxygenation. She was down to 2 L oxygen. Patient was seen by Nephrology and dialysis was continued. Patient was discharged home after cleared by consultants. Disposition: Home with home health.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with fever, some SOB; + Covid-19 in ED; admit to medical with Covid PNA; TX with Maxipime, remdesivir, vancomycin, Vit D3, steroids, zinc, LF O2; She will be discharged today to home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Colonoscopy, Gastrointestinal disorder
Clinical narrative: Digestive issues.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, hypoxia; + Covid in ED; admitted to HCF with Covid PNA; tx with steroids, remdesivir, zinc
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Endotracheal intubation, Hypoxia
Clinical narrative: Presented with SOB, hypoxia x 5 days; + covid 3 days PTA; admit to medical with Covid PNA; tx with steroids, remdesivir, zinc, barictinib, singulair, initially on 6 LPM O2, progressed to AirVo; tx to ICU 9/23; intubated 9/27; DNR on 9/28; withdraw of care later on 9/28; spo2 high 80's on 100% FIO2, proned, paralyzed, low Vt (500).  Given very poor prognosis by Pulm.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Paralysis, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, hypoxia x 5 days; + covid 3 days PTA; admit to medical with Covid PNA; tx with steroids, remdesivir, zinc, barictinib, singulair, initially on 6 LPM O2, progressed to AirVo; tx to ICU 9/23; intubated 9/27; DNR on 9/28; withdraw of care later on 9/28; spo2 high 80's on 100% FIO2, proned, paralyzed, low Vt (500).  Given very poor prognosis by Pulm.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic kidney disease, Pyelonephritis, Renal cyst
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for pyelonephritis, renal cyst, stage 3 renal disease within 6 weeks of receiving covid booster vaccination.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been stored under conditions that departed from the manufacturer's recommended specifications. Rite Aid consulted with the vaccine manufacturer regarding this issue.  In such a circumstance, the manufacturer deems the vaccine not to be viable.  Additionally, the CDC recommends that patient repeat 1 dose of the same COVID-19 vaccine immediately (no minimum interval). Patient may not have received the full benefits of the vaccine. The additional dose is provided at no cost. Patient will think about it and will call back when she can return to get additional dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-GAD antibody, Autoimmune pancreatitis, Blood glucose increased, Blood immunoglobulin G, Dry mouth
Clinical narrative: January 5th began excessive urinating, dry mouth, nose, headache & fatigue. January 13, 2022, EMTs transported unresponsive patient yo the Hospital ER. Ended up in ICU for 5 days. Autoimmune attack on pancreas causing Type 1 diabetes in previously healthy/fit 70 yr old woman. Extreme blood sugar numbers: 1332. Now on insulin injections 5x per day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hydronephrosis, Intensive care, Nasal dryness
Clinical narrative: January 5th began excessive urinating, dry mouth, nose, headache & fatigue. January 13, 2022, EMTs transported unresponsive patient yo the Hospital ER. Ended up in ICU for 5 days. Autoimmune attack on pancreas causing Type 1 diabetes in previously healthy/fit 70 yr old woman. Extreme blood sugar numbers: 1332. Now on insulin injections 5x per day.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, SARS-CoV-2 antibody test, Type 1 diabetes mellitus, Ultrasound kidney abnormal, Unresponsive to stimuli
Clinical narrative: January 5th began excessive urinating, dry mouth, nose, headache & fatigue. January 13, 2022, EMTs transported unresponsive patient yo the Hospital ER. Ended up in ICU for 5 days. Autoimmune attack on pancreas causing Type 1 diabetes in previously healthy/fit 70 yr old woman. Extreme blood sugar numbers: 1332. Now on insulin injections 5x per day.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Confusional state, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on 2/19/22 for weakness and confusion.  Diagnosed with COVID-19.  Discharged from hospital on 2/21/22.  Limited information provided from hospital.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol use, Anticoagulant therapy, Breath alcohol test, COVID-19, Computerised tomogram head normal
Clinical narrative: Chief Complaint Patient presents with ? Fall     "hes been falling a lot. i went over to his house and he was wandering around and fell and hit his head." + thinner, unknown LOC ? Alcohol Problem     "two shots and a beer" drinks daily. last drink this morning     HPI the patient is a 65y.o. male with past medical history of alcohol abuse, mitral valvular disease status post surgical repair, atrial fibrillation who presents to the emergency department with his friend for evaluation of multiple falls.  Patient reports he has been falling over the past 2 weeks.  He reports that the door into his apartment hit him in the head today while it was closing.  He did not experience any loss of consciousness remember the entire event.  He is on Coumadin for atrial fibrillation.  He does report daily alcohol use, "two shooters and a beer" per day.  Patient had a breathalyzer done by police today which was 0.17.  Patient denies any suicidal homicidal ideation.  Denies any drug use.  Patient's friend brought him to the emergency department today to have him evaluated for the falls.  He expresses concern due to patient's daily alcohol use.  He would like to help the patient get into an alcohol rehabilitation program.   Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for hearing loss and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Negative for cough and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for difficulty urinating.  Musculoskeletal: Negative for arthralgias and myalgias.  Skin: Negative for rash.  Neurological: Negative for weakness and numbness.  Psychiatric/Behavioral: Negative for confusion.    65-year-old male presents to the emergency department with his friend for evaluation after experiencing multiple falls over the past few weeks.  Patient does report daily alcohol use and did drink this morning.  On exam he is nontoxic, chronically ill in appearance.  He is awake and alert and without focal deficit.  CT head and C-spine were obtained per protocol and negative.  Lab work is largely unremarkable.  I did strongly encourage alcohol cessation.  He is declining further evaluation in the emergency department and would like to be discharged.  Resources were provided to patient and his friend present at bedside.  I did strongly again urged alcohol cessation as well as vitamin supplementation with a multivitamin as well as thiamine.  Patient states he has been prescribed both and has them at home and has been taking them.  Return precautions and outpatient follow-up were discussed.  Patient voiced understanding and agreement with treatment plan.  All questions were answered prior to discharge.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram neck, Fall, Head injury, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Chief Complaint Patient presents with ? Fall     "hes been falling a lot. i went over to his house and he was wandering around and fell and hit his head." + thinner, unknown LOC ? Alcohol Problem     "two shots and a beer" drinks daily. last drink this morning     HPI the patient is a 65y.o. male with past medical history of alcohol abuse, mitral valvular disease status post surgical repair, atrial fibrillation who presents to the emergency department with his friend for evaluation of multiple falls.  Patient reports he has been falling over the past 2 weeks.  He reports that the door into his apartment hit him in the head today while it was closing.  He did not experience any loss of consciousness remember the entire event.  He is on Coumadin for atrial fibrillation.  He does report daily alcohol use, "two shooters and a beer" per day.  Patient had a breathalyzer done by police today which was 0.17.  Patient denies any suicidal homicidal ideation.  Denies any drug use.  Patient's friend brought him to the emergency department today to have him evaluated for the falls.  He expresses concern due to patient's daily alcohol use.  He would like to help the patient get into an alcohol rehabilitation program.   Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for hearing loss and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Negative for cough and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for difficulty urinating.  Musculoskeletal: Negative for arthralgias and myalgias.  Skin: Negative for rash.  Neurological: Negative for weakness and numbness.  Psychiatric/Behavioral: Negative for confusion.    65-year-old male presents to the emergency department with his friend for evaluation after experiencing multiple falls over the past few weeks.  Patient does report daily alcohol use and did drink this morning.  On exam he is nontoxic, chronically ill in appearance.  He is awake and alert and without focal deficit.  CT head and C-spine were obtained per protocol and negative.  Lab work is largely unremarkable.  I did strongly encourage alcohol cessation.  He is declining further evaluation in the emergency department and would like to be discharged.  Resources were provided to patient and his friend present at bedside.  I did strongly again urged alcohol cessation as well as vitamin supplementation with a multivitamin as well as thiamine.  Patient states he has been prescribed both and has them at home and has been taking them.  Return precautions and outpatient follow-up were discussed.  Patient voiced understanding and agreement with treatment plan.  All questions were answered prior to discharge.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Chief Complaint Patient presents with ? Fall     "hes been falling a lot. i went over to his house and he was wandering around and fell and hit his head." + thinner, unknown LOC ? Alcohol Problem     "two shots and a beer" drinks daily. last drink this morning     HPI the patient is a 65y.o. male with past medical history of alcohol abuse, mitral valvular disease status post surgical repair, atrial fibrillation who presents to the emergency department with his friend for evaluation of multiple falls.  Patient reports he has been falling over the past 2 weeks.  He reports that the door into his apartment hit him in the head today while it was closing.  He did not experience any loss of consciousness remember the entire event.  He is on Coumadin for atrial fibrillation.  He does report daily alcohol use, "two shooters and a beer" per day.  Patient had a breathalyzer done by police today which was 0.17.  Patient denies any suicidal homicidal ideation.  Denies any drug use.  Patient's friend brought him to the emergency department today to have him evaluated for the falls.  He expresses concern due to patient's daily alcohol use.  He would like to help the patient get into an alcohol rehabilitation program.   Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for hearing loss and sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Negative for cough and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for difficulty urinating.  Musculoskeletal: Negative for arthralgias and myalgias.  Skin: Negative for rash.  Neurological: Negative for weakness and numbness.  Psychiatric/Behavioral: Negative for confusion.    65-year-old male presents to the emergency department with his friend for evaluation after experiencing multiple falls over the past few weeks.  Patient does report daily alcohol use and did drink this morning.  On exam he is nontoxic, chronically ill in appearance.  He is awake and alert and without focal deficit.  CT head and C-spine were obtained per protocol and negative.  Lab work is largely unremarkable.  I did strongly encourage alcohol cessation.  He is declining further evaluation in the emergency department and would like to be discharged.  Resources were provided to patient and his friend present at bedside.  I did strongly again urged alcohol cessation as well as vitamin supplementation with a multivitamin as well as thiamine.  Patient states he has been prescribed both and has them at home and has been taking them.  Return precautions and outpatient follow-up were discussed.  Patient voiced understanding and agreement with treatment plan.  All questions were answered prior to discharge.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Asthma, Atypical pneumonia, Back pain, Blood gases abnormal
Clinical narrative: Received moderna vaccine on 4/1/21 and 4/29/21. COVID positive on 2/11/22. Presented to ER on 2/14/22 and was admitted. presented to the ED today with complaints of worsening shortness of breath and cough.  Patient reports symptoms started on 02/09/22 but began worsening today. She, her husband and son were diagnosed with COVID on 02/11/22.  Patient has been using her home breathing treatments and albuterol inhaler without much improvement.  Notes she is short of breath at rest and with exertion. She notes a productive cough, chills, subjective fever, palpitations, back pain and nausea without emesis. Denies any headache, weight changes, chest pain, abdominal pain, diarrhea, constipation, dysuria, syncope or weakness. Patient is overdue for her COVID booster. She was seen in the ED on 1/17/22 for similar complaints and at that time was being actively treated for a bibasilar pneumonia. Patient was started on a dexamethasone per COVID-19 treatment protocol; asthma exacerbation. Respiratory therapy with bronchodilators was also offered. Antitussive agents and analgesics offered as needed - add tylenol #3. ABG obtained today showed hypoxemia; a 6 minute-walk test was performed and the patient qualified for 2L/min supplemental oxygen with exertion. Pulmonology consult/evaluation was obtained and recommendation was for outpatient follow up. The patient was ultimately discharged home in stable condition and will follow up with Pulmonology and PCP within 2 weeks or as scheduled. Discharged on 2/18/22. Passed away on 2/24/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Condition aggravated, Death, Dyspnoea
Clinical narrative: Received moderna vaccine on 4/1/21 and 4/29/21. COVID positive on 2/11/22. Presented to ER on 2/14/22 and was admitted. presented to the ED today with complaints of worsening shortness of breath and cough.  Patient reports symptoms started on 02/09/22 but began worsening today. She, her husband and son were diagnosed with COVID on 02/11/22.  Patient has been using her home breathing treatments and albuterol inhaler without much improvement.  Notes she is short of breath at rest and with exertion. She notes a productive cough, chills, subjective fever, palpitations, back pain and nausea without emesis. Denies any headache, weight changes, chest pain, abdominal pain, diarrhea, constipation, dysuria, syncope or weakness. Patient is overdue for her COVID booster. She was seen in the ED on 1/17/22 for similar complaints and at that time was being actively treated for a bibasilar pneumonia. Patient was started on a dexamethasone per COVID-19 treatment protocol; asthma exacerbation. Respiratory therapy with bronchodilators was also offered. Antitussive agents and analgesics offered as needed - add tylenol #3. ABG obtained today showed hypoxemia; a 6 minute-walk test was performed and the patient qualified for 2L/min supplemental oxygen with exertion. Pulmonology consult/evaluation was obtained and recommendation was for outpatient follow up. The patient was ultimately discharged home in stable condition and will follow up with Pulmonology and PCP within 2 weeks or as scheduled. Discharged on 2/18/22. Passed away on 2/24/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Hypoxia, Nausea, Palpitations, Pneumonia
Clinical narrative: Received moderna vaccine on 4/1/21 and 4/29/21. COVID positive on 2/11/22. Presented to ER on 2/14/22 and was admitted. presented to the ED today with complaints of worsening shortness of breath and cough.  Patient reports symptoms started on 02/09/22 but began worsening today. She, her husband and son were diagnosed with COVID on 02/11/22.  Patient has been using her home breathing treatments and albuterol inhaler without much improvement.  Notes she is short of breath at rest and with exertion. She notes a productive cough, chills, subjective fever, palpitations, back pain and nausea without emesis. Denies any headache, weight changes, chest pain, abdominal pain, diarrhea, constipation, dysuria, syncope or weakness. Patient is overdue for her COVID booster. She was seen in the ED on 1/17/22 for similar complaints and at that time was being actively treated for a bibasilar pneumonia. Patient was started on a dexamethasone per COVID-19 treatment protocol; asthma exacerbation. Respiratory therapy with bronchodilators was also offered. Antitussive agents and analgesics offered as needed - add tylenol #3. ABG obtained today showed hypoxemia; a 6 minute-walk test was performed and the patient qualified for 2L/min supplemental oxygen with exertion. Pulmonology consult/evaluation was obtained and recommendation was for outpatient follow up. The patient was ultimately discharged home in stable condition and will follow up with Pulmonology and PCP within 2 weeks or as scheduled. Discharged on 2/18/22. Passed away on 2/24/22
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Walking distance test abnormal
Clinical narrative: Received moderna vaccine on 4/1/21 and 4/29/21. COVID positive on 2/11/22. Presented to ER on 2/14/22 and was admitted. presented to the ED today with complaints of worsening shortness of breath and cough.  Patient reports symptoms started on 02/09/22 but began worsening today. She, her husband and son were diagnosed with COVID on 02/11/22.  Patient has been using her home breathing treatments and albuterol inhaler without much improvement.  Notes she is short of breath at rest and with exertion. She notes a productive cough, chills, subjective fever, palpitations, back pain and nausea without emesis. Denies any headache, weight changes, chest pain, abdominal pain, diarrhea, constipation, dysuria, syncope or weakness. Patient is overdue for her COVID booster. She was seen in the ED on 1/17/22 for similar complaints and at that time was being actively treated for a bibasilar pneumonia. Patient was started on a dexamethasone per COVID-19 treatment protocol; asthma exacerbation. Respiratory therapy with bronchodilators was also offered. Antitussive agents and analgesics offered as needed - add tylenol #3. ABG obtained today showed hypoxemia; a 6 minute-walk test was performed and the patient qualified for 2L/min supplemental oxygen with exertion. Pulmonology consult/evaluation was obtained and recommendation was for outpatient follow up. The patient was ultimately discharged home in stable condition and will follow up with Pulmonology and PCP within 2 weeks or as scheduled. Discharged on 2/18/22. Passed away on 2/24/22
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Otolithiasis, Vertigo
Clinical narrative: Starting the night of receiving the vaccine, I woke up in the middle of the night with vertigo which lasted for about 3 days. My doctor told me I had developed ear crystals and was given medicine to treat that. After 3 days, it was gone. My ears are susceptible to health issues: ear infections, ear aches or other general issues.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Biopsy bone marrow, Blood test, Colitis ulcerative, Colonoscopy
Clinical narrative: I did not have any adverse effects during the time of taking the vaccine however did develop an auto immune disorder about a month after the vaccine. Severe ulcerative colitis.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Echocardiogram
Clinical narrative: I did not have any adverse effects during the time of taking the vaccine however did develop an auto immune disorder about a month after the vaccine. Severe ulcerative colitis.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure congestive, Cerebral haemorrhage, Dyspnoea, Hypoxia
Clinical narrative: Pneumonia due to infectious organism. The patient was prescribed Augmentin and doxycycline because he was short of breath. In the Emergency Department, patient was hypoxic. He was placed on nonrebreather and was admitted to the hospital. He has a history of obstructive sleep apnea. Patient also has a history of hemorrhagic intracerebral bleed. On admission, systolic blood pressure was 190. Labetalol was given.   Patient had acute-on-chronic hypoxic respiratory failure due to CHF and possible pneumonia. He was diuresed. Pneumonia was treated with antibiotics. He was discharged with home health. ED visit and hospital admission was within 6 weeks of receiving the COVID vaccine.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Polyuria, Respiratory failure
Clinical narrative: Pneumonia due to infectious organism. The patient was prescribed Augmentin and doxycycline because he was short of breath. In the Emergency Department, patient was hypoxic. He was placed on nonrebreather and was admitted to the hospital. He has a history of obstructive sleep apnea. Patient also has a history of hemorrhagic intracerebral bleed. On admission, systolic blood pressure was 190. Labetalol was given.   Patient had acute-on-chronic hypoxic respiratory failure due to CHF and possible pneumonia. He was diuresed. Pneumonia was treated with antibiotics. He was discharged with home health. ED visit and hospital admission was within 6 weeks of receiving the COVID vaccine.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Acupuncture, Asthenia, Injection site joint pain, Injection site pain, Mobility decreased
Clinical narrative: Right arm has HURT & muscles have gone lame & cannot lift the arm up while laying down, have to grab it with the left hand to lift the right arm.  Has been lame for 4 months.  Even hurts at the top of the shoulder joint.  Muscle from shoulder to elbow aches & has no strength.  Even Acupuncture treatments did not make the muscles less lame.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscle disorder, Pain in extremity
Clinical narrative: Right arm has HURT & muscles have gone lame & cannot lift the arm up while laying down, have to grab it with the left hand to lift the right arm.  Has been lame for 4 months.  Even hurts at the top of the shoulder joint.  Muscle from shoulder to elbow aches & has no strength.  Even Acupuncture treatments did not make the muscles less lame.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine administered was deemed non-viable by manufacturer due to storage conditions
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure abnormal, COVID-19, Chest X-ray abnormal, Confusional state
Clinical narrative: Patient received Moderna vaccine on 3/27/21 and 4/26/21. COVID positive on 2/12/22. Presented to ER on 2/12/22. She was admitted through the emergency room with chest congestion, respiratory failure, and radiographic evidence of bilateral pneumonia with a COVID-positive screening study. She was seen in consultation by the Pulmonary Service. She was begun on the usual regimen of remdesivir and Decadron, as well as empiric coverage with Rocephin and azithromycin. She had basically a very rapid clinical improvement over the next several days. Her  oxygen requirements steadily improved and by the 4th hospital day, she was on room air. Remdesivir was eventually discontinued. Her steroids were discontinued after 5 days. There appeared to be no superimposed bacterial infection, so the IV antibiotics of Rocephin and azithromycin were discontinued as well. Because of her COVID-positive state, even though she remained clinically stable, she had to remain in the hospital for 14 days until the nursing facility would accept her in care. I talked to her husband who did not feel he could manage her at home in that he was also responsible for taking care of patient's elderly sister who is legally blind. The only other complication during her hospital stay was the development of perineal candidiasis, for which she was treated with Lotrisone, as well as  worsening blood pressure control, which required the addition of amlodipine to be added to her regimen. She remained obtunded at times; but toward the end of her hospital stay, she was more alert and responsive, although confused. She was still very weak, spending most of her time in bed. Discharged on 2/24/22.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Depressed level of consciousness, Lung disorder, Mobility decreased, Peritoneal candidiasis, Pneumonia
Clinical narrative: Patient received Moderna vaccine on 3/27/21 and 4/26/21. COVID positive on 2/12/22. Presented to ER on 2/12/22. She was admitted through the emergency room with chest congestion, respiratory failure, and radiographic evidence of bilateral pneumonia with a COVID-positive screening study. She was seen in consultation by the Pulmonary Service. She was begun on the usual regimen of remdesivir and Decadron, as well as empiric coverage with Rocephin and azithromycin. She had basically a very rapid clinical improvement over the next several days. Her  oxygen requirements steadily improved and by the 4th hospital day, she was on room air. Remdesivir was eventually discontinued. Her steroids were discontinued after 5 days. There appeared to be no superimposed bacterial infection, so the IV antibiotics of Rocephin and azithromycin were discontinued as well. Because of her COVID-positive state, even though she remained clinically stable, she had to remain in the hospital for 14 days until the nursing facility would accept her in care. I talked to her husband who did not feel he could manage her at home in that he was also responsible for taking care of patient's elderly sister who is legally blind. The only other complication during her hospital stay was the development of perineal candidiasis, for which she was treated with Lotrisone, as well as  worsening blood pressure control, which required the addition of amlodipine to be added to her regimen. She remained obtunded at times; but toward the end of her hospital stay, she was more alert and responsive, although confused. She was still very weak, spending most of her time in bed. Discharged on 2/24/22.