chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Gram stain positive, Hypoxia, Laboratory test normal
Clinical narrative: Patient is a 58 y.o. male with PMH follicular lymphoma s/p bendamustine/obinutuzumab, hypogammaglobulinemia s/p IVIG, hx of COVID-19 PNA (2/1/22) with subsequent cryptogenic organizing pneumonia (per 4/2022 surgical lung biopsy) who presents on 6/1/22 from Pulmonary Clinic with hypoxia, tachycardia, and chills.  Patient initially diagnosed with follicular lymphoma on 1/19/2021 and has been following with outpatient Hematology.  He was hospitalized 3/4/2022-3/12/2022 for COVID-19 pneumonia and has had a difficult course since then.  He was again hospitalized from 3/19/2022-3/27/2022 for persistent fevers felt to be related to COVID-19 and given his immunosuppressed status there is a possibly he is unable to clear the infection.  He was hospitalized again from 4/4/22-4/18/22 for acute hypoxic respiratory failure and is s/p bronch+BAL with extensive infectious workup which was unrevealing except for persistently positive COVID antigen.  Open lung biopsy on 4/12/2022 showed organizing for which the patient was started on steroids.  He was hospitalized again from 4/30/22-5/3/22 for recurrent fevers with negative infectious workup was discharged on prednisone and Bactrim prophylaxis.  He was hospitalized again from 5/13/22-5/15/22 when a single blood culture was positive for GPC (felt to be contaminant) and repeat blood cultures were negative.  Bactrim prophylaxis was changed to atovaquone for PJP prophylaxis.  The patient presents to pulmonary clinic follow-up today and was noted to be hypoxic, tachycardic, and experiencing chills.  Upon my evaluation the patient tells me he had a fever 102° F 2 days ago.  He continues to have intermittent chills throughout the day in addition to cold sweats.  Other symptoms include shortness of breath with activity and bilateral knee pain that started several days ago.  Early this morning he did have some chest pain which felt like dull ache under his left rib cage that lasted about 30 minutes.  Denies palpitations, dyspnea at rest, nausea, vomiting, hematemesis, cough, hemoptysis, abdominal pain, dysuria, hematuria, constipation, diarrhea, melena hematochezia.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Tachycardia
Clinical narrative: Patient is a 58 y.o. male with PMH follicular lymphoma s/p bendamustine/obinutuzumab, hypogammaglobulinemia s/p IVIG, hx of COVID-19 PNA (2/1/22) with subsequent cryptogenic organizing pneumonia (per 4/2022 surgical lung biopsy) who presents on 6/1/22 from Pulmonary Clinic with hypoxia, tachycardia, and chills.  Patient initially diagnosed with follicular lymphoma on 1/19/2021 and has been following with outpatient Hematology.  He was hospitalized 3/4/2022-3/12/2022 for COVID-19 pneumonia and has had a difficult course since then.  He was again hospitalized from 3/19/2022-3/27/2022 for persistent fevers felt to be related to COVID-19 and given his immunosuppressed status there is a possibly he is unable to clear the infection.  He was hospitalized again from 4/4/22-4/18/22 for acute hypoxic respiratory failure and is s/p bronch+BAL with extensive infectious workup which was unrevealing except for persistently positive COVID antigen.  Open lung biopsy on 4/12/2022 showed organizing for which the patient was started on steroids.  He was hospitalized again from 4/30/22-5/3/22 for recurrent fevers with negative infectious workup was discharged on prednisone and Bactrim prophylaxis.  He was hospitalized again from 5/13/22-5/15/22 when a single blood culture was positive for GPC (felt to be contaminant) and repeat blood cultures were negative.  Bactrim prophylaxis was changed to atovaquone for PJP prophylaxis.  The patient presents to pulmonary clinic follow-up today and was noted to be hypoxic, tachycardic, and experiencing chills.  Upon my evaluation the patient tells me he had a fever 102° F 2 days ago.  He continues to have intermittent chills throughout the day in addition to cold sweats.  Other symptoms include shortness of breath with activity and bilateral knee pain that started several days ago.  Early this morning he did have some chest pain which felt like dull ache under his left rib cage that lasted about 30 minutes.  Denies palpitations, dyspnea at rest, nausea, vomiting, hematemesis, cough, hemoptysis, abdominal pain, dysuria, hematuria, constipation, diarrhea, melena hematochezia.
Age: 0.83
Sex: F
Vaccine: MENB
Symptoms: No adverse event
Clinical narrative: NO SIGNS OF ADVERSE EVENT AT THIS TIME.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient developed COVID-19 after receiving vaccinations.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: I caught covid around May 22, 2022. I had respiratory symptoms, and they lingered for about 3 weeks. I am still having respiratory symptoms, even today, where its difficult to breathe. I have needed to use a nebulizer. I have been weak and exhausted. I have been regularly short of breath and been having very bad brain fog. I have regularly been having to take naps and not feeling good. Sometimes I have better days than others, and sometimes they are not so good. I went to an urgent care and was prescribed Cromolyn and Budesonide. I am still having really bad brain fog.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: I caught covid around May 22, 2022. I had respiratory symptoms, and they lingered for about 3 weeks. I am still having respiratory symptoms, even today, where its difficult to breathe. I have needed to use a nebulizer. I have been weak and exhausted. I have been regularly short of breath and been having very bad brain fog. I have regularly been having to take naps and not feeling good. Sometimes I have better days than others, and sometimes they are not so good. I went to an urgent care and was prescribed Cromolyn and Budesonide. I am still having really bad brain fog.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Headache, Injection site rash, Oropharyngeal pain
Clinical narrative: Breakthrough COVID case: 06/02/2022- rash appeared primarily on left upper forearm and, eventually, on both arms and both legs, from shoulder to wrist and from hip to ankle. 06/04/2022- Husband tested positive for COVID at urgent care clinic. 06/05/2022- Sore throat, headache, achy feeling. 06/06/2022- Visited urgent care clinic, tested negative. 06/07/2022 - Sore throat, headache, achy feeling, congestion, and fever of 99.4. Tested positive on 2 home test kits. Telehealth visit with primary care office. Prescribed COVID antiviral medication but I was out of state and could not get it. 06/08/2022- Another telehealth visit with primary care office. Prescribed a different COVID antiviral medication, PAXLOVID. Fever 100.8. Started PAXLOVID that evening. 06/09/2022- Fever improved to 99.5. Follow up telehealth visit to primary care office. All symptoms began improving. 06/10/2022- All symptoms continued to improve. 06/11-06/12- All symptoms continued to improve. 06/13/2022- Completed PAXLOVID.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID case: 06/02/2022- rash appeared primarily on left upper forearm and, eventually, on both arms and both legs, from shoulder to wrist and from hip to ankle. 06/04/2022- Husband tested positive for COVID at urgent care clinic. 06/05/2022- Sore throat, headache, achy feeling. 06/06/2022- Visited urgent care clinic, tested negative. 06/07/2022 - Sore throat, headache, achy feeling, congestion, and fever of 99.4. Tested positive on 2 home test kits. Telehealth visit with primary care office. Prescribed COVID antiviral medication but I was out of state and could not get it. 06/08/2022- Another telehealth visit with primary care office. Prescribed a different COVID antiviral medication, PAXLOVID. Fever 100.8. Started PAXLOVID that evening. 06/09/2022- Fever improved to 99.5. Follow up telehealth visit to primary care office. All symptoms began improving. 06/10/2022- All symptoms continued to improve. 06/11-06/12- All symptoms continued to improve. 06/13/2022- Completed PAXLOVID.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case: 06/02/2022- rash appeared primarily on left upper forearm and, eventually, on both arms and both legs, from shoulder to wrist and from hip to ankle. 06/04/2022- Husband tested positive for COVID at urgent care clinic. 06/05/2022- Sore throat, headache, achy feeling. 06/06/2022- Visited urgent care clinic, tested negative. 06/07/2022 - Sore throat, headache, achy feeling, congestion, and fever of 99.4. Tested positive on 2 home test kits. Telehealth visit with primary care office. Prescribed COVID antiviral medication but I was out of state and could not get it. 06/08/2022- Another telehealth visit with primary care office. Prescribed a different COVID antiviral medication, PAXLOVID. Fever 100.8. Started PAXLOVID that evening. 06/09/2022- Fever improved to 99.5. Follow up telehealth visit to primary care office. All symptoms began improving. 06/10/2022- All symptoms continued to improve. 06/11-06/12- All symptoms continued to improve. 06/13/2022- Completed PAXLOVID.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I thought my first symptom was on June 3rd. I dragged out a test kit from home and it was positive. I started messaging my doctor's office on June 6th. I had a virtual appointment and was prescribed Paxlovid. I took first dose on that Tuesday, the 7th of June. I had runny nose, sore throat. Sore throat was gone by day 6.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Laboratory test, Muscle enzyme increased
Clinical narrative: So I was having a very heavy feeling on the left side of my chest. It feel like stabbing in my chest. It happens really quick and once it's over, my chest hurt for a few days. I am a very healthy person. I have been healthy. This pain started after the vaccine. I keep records of when this happen. I went to the doctor and she told me to keep a record and she said to do a FU with her but I had been out. I had to miss the appointment due to my present job.  I did a sick call and they ran test and one of my test came back positive and it was a muscle enzymes. It was something like a heart attack, to me. When they repeat the test after a while, my enzymes wasn't as high.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was given 5 days after refrigerator shelf life
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given 5 days after refrigerator shelf life
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given 7 days after refrigerator shelf life
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given  8 days after refrigerator shelf life.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Feeling abnormal, Headache, Nausea
Clinical narrative: Breakthrough COVID-19 Case:  I started to have a slight bout of nausea, headache that was concentrated on the back of my head. I just remember feeling off. I did not take anything. My husband tested positive 2 days earlier so I decided to do a home rapid test and it came back positive 06/10/2022. I called my primary care physician to request the antiviral. I was given Paxlovid which I am still taking. I do experience a raw feeling in the back of my nasal passage. My symptoms are not too bad.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 Case:  I started to have a slight bout of nausea, headache that was concentrated on the back of my head. I just remember feeling off. I did not take anything. My husband tested positive 2 days earlier so I decided to do a home rapid test and it came back positive 06/10/2022. I called my primary care physician to request the antiviral. I was given Paxlovid which I am still taking. I do experience a raw feeling in the back of my nasal passage. My symptoms are not too bad.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given 8 days after refrigerator shelf life.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine given 8 days after refrigerator shelf life.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given 20 days after refrigerator shelf life.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hormone therapy, Muscle spasms, Postmenopausal haemorrhage, Ultrasound scan vagina normal
Clinical narrative: Post Menopausal bleeding. 2 years post menopause cramping and heavy bleeding. Required 10 day hormone supplement to stop bleeding. Subsequent ultrasound showed no other cause for bleeding and bleeding has not reoccurred.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine given 21 days after refrigerator shelf live.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired device used, Product storage error
Clinical narrative: Vaccine given 21 days after refrigerator shelf live.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine given 21 days after refrigerator shelf life.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine given 21 days after refrigerator shelf life.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given 25 days after refrigerator shelf life.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine (5-11yrs) manufacturer expiration date is 8/31/2022. However, vaccine expiration date after being transferred from freezer to refrigerator is 5/17/22. Vaccine was administered on 5/25/22.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient developed COVID-19 after receiving COVID vaccinations.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nerve injury, Nervous system disorder
Clinical narrative: Systemic: Neurological Disorder (diagnosed by MD)-Severe, Additional Details: Patient states that since receiving these vaccines she has not been able to use her arm.  Reports that she went to the neurologist who confirmed that she has nerve damage.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Eye swelling, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test
Clinical narrative: Approximately 1 month after my 4th dose vaccination I contracted Covid-19 and had the following symptoms: stuffy nose, sore throat, nasal congestion, swollen eyes. I had a tele visit with a doctor and was prescribed with BENADRYL at night to help keep my nose open. MUCINEX, vitamin C, zinc and to use cough drops to preserve my voice and also to take TYLENOL and ibuprofen. So far, it's only been 12 hours since I started the medications so I can't say for sure if it's improved my symptoms or not.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone marrow abnormal, Neoplasm, Plasma cell myeloma, Plasmacytoma
Clinical narrative: Patient was diagnosed with Plasmacytoma and then tested for Multiple Myeloma, which came back positive.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine (5-11yrs) manufacturer expiration date is 8/31/2022. However, vaccine expiration date after being transferred from freezer to refrigerator is 5/17/22. Vaccine was administered on 5/25/22.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis reactive, Aspiration, Blood test, Computerised tomogram
Clinical narrative: Event 1) Epididymitis, stent placed. Severe pain in groin. 5 weeks Event 2) Reactive Arthritis, steroid treatment. Severe swelling in knee, hip and joint pain, eyes, and skin rash from October 2021 to PRESENT
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Epididymitis, Eye disorder, Groin pain, Joint swelling, Magnetic resonance imaging
Clinical narrative: Event 1) Epididymitis, stent placed. Severe pain in groin. 5 weeks Event 2) Reactive Arthritis, steroid treatment. Severe swelling in knee, hip and joint pain, eyes, and skin rash from October 2021 to PRESENT
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rheumatoid factor, Stent placement, Ultrasound Doppler, Ureteroscopy abnormal
Clinical narrative: Event 1) Epididymitis, stent placed. Severe pain in groin. 5 weeks Event 2) Reactive Arthritis, steroid treatment. Severe swelling in knee, hip and joint pain, eyes, and skin rash from October 2021 to PRESENT
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood culture negative, Blood gases, Blood pH normal
Clinical narrative: Patient received moderna vaccine on 3/9/21, 4/9/21 and 11/10/21. Presented to ER on 5/28/22. Found to be COVID positive. admitted to hospital for acute on chronic hypoxic respiratory failure. On initial presentation, patient was saturating at 83% on home oxygen 3LNC. Patient continued to desaturation and oxygen requirements increased to high flow nasal cannula. Patient received a dose of solu-medrol and duoneb. CBC was unremarkable, hemoglobin of 8.3 (baseline 8-9), CRP 28.4, negative procal, blood cultures showed no growth. Sputum cultures showed normal respiratory flora and a light growth of yeast. Negative strep and legionella. BNP 141, negative troponin, ABG: pH(7.41, pCO2(39), pO2(55), CO2(26). CTA showed no PE, multifocal pneumonia. Patient was admitted to unit for treatment for acute on chronic hypoxic respiratory failure. Patient continued all other home therapies for COPD and started on antibiotics and steroids. During patients hospital course, her respiratory status began to decline and pulmonology was consulted. Pulmonology was consulted and patient was intubated on 6/1 and transferred to ICU. Patient received therapeutic bronchoscope with BAL, started on solu-medrol 62.5 mcg bid, continued on duonebs scheduled mucomyst and vest therapy. BAL cultures were negative. Patient was extubated on 6/2/2022. Patient was able to return to home oxygen baseline (3LNC). Pulmonology provided recommendations, which included the use of Vest PT, duonebs, prednisone taper, mucomyst, nasal hypertonic, flutter valve, albuterol, mucinex, trelegy, and mucinex. Patient was approached during admission for the possibility needing BIPAP/AVAPs nightly. Patient declined the recommendation, due to not being able to sleep. Pulmonolgy was contacted in regards to recommendation and stated that BIPAP/AVAPs would be beneficial for the patient, but did not qualify due to the results of ABGs during hospital admission. Patients respiratory status was stable and patient remained stable on home oxygen of 3L NC.  Discharged on 6/6/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Bronchoalveolar lavage normal, Bronchoscopy, C-reactive protein increased, COVID-19
Clinical narrative: Patient received moderna vaccine on 3/9/21, 4/9/21 and 11/10/21. Presented to ER on 5/28/22. Found to be COVID positive. admitted to hospital for acute on chronic hypoxic respiratory failure. On initial presentation, patient was saturating at 83% on home oxygen 3LNC. Patient continued to desaturation and oxygen requirements increased to high flow nasal cannula. Patient received a dose of solu-medrol and duoneb. CBC was unremarkable, hemoglobin of 8.3 (baseline 8-9), CRP 28.4, negative procal, blood cultures showed no growth. Sputum cultures showed normal respiratory flora and a light growth of yeast. Negative strep and legionella. BNP 141, negative troponin, ABG: pH(7.41, pCO2(39), pO2(55), CO2(26). CTA showed no PE, multifocal pneumonia. Patient was admitted to unit for treatment for acute on chronic hypoxic respiratory failure. Patient continued all other home therapies for COPD and started on antibiotics and steroids. During patients hospital course, her respiratory status began to decline and pulmonology was consulted. Pulmonology was consulted and patient was intubated on 6/1 and transferred to ICU. Patient received therapeutic bronchoscope with BAL, started on solu-medrol 62.5 mcg bid, continued on duonebs scheduled mucomyst and vest therapy. BAL cultures were negative. Patient was extubated on 6/2/2022. Patient was able to return to home oxygen baseline (3LNC). Pulmonology provided recommendations, which included the use of Vest PT, duonebs, prednisone taper, mucomyst, nasal hypertonic, flutter valve, albuterol, mucinex, trelegy, and mucinex. Patient was approached during admission for the possibility needing BIPAP/AVAPs nightly. Patient declined the recommendation, due to not being able to sleep. Pulmonolgy was contacted in regards to recommendation and stated that BIPAP/AVAPs would be beneficial for the patient, but did not qualify due to the results of ABGs during hospital admission. Patients respiratory status was stable and patient remained stable on home oxygen of 3L NC.  Discharged on 6/6/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide decreased, Chronic obstructive pulmonary disease, Condition aggravated, Diaphragmatic disorder, Endotracheal intubation
Clinical narrative: Patient received moderna vaccine on 3/9/21, 4/9/21 and 11/10/21. Presented to ER on 5/28/22. Found to be COVID positive. admitted to hospital for acute on chronic hypoxic respiratory failure. On initial presentation, patient was saturating at 83% on home oxygen 3LNC. Patient continued to desaturation and oxygen requirements increased to high flow nasal cannula. Patient received a dose of solu-medrol and duoneb. CBC was unremarkable, hemoglobin of 8.3 (baseline 8-9), CRP 28.4, negative procal, blood cultures showed no growth. Sputum cultures showed normal respiratory flora and a light growth of yeast. Negative strep and legionella. BNP 141, negative troponin, ABG: pH(7.41, pCO2(39), pO2(55), CO2(26). CTA showed no PE, multifocal pneumonia. Patient was admitted to unit for treatment for acute on chronic hypoxic respiratory failure. Patient continued all other home therapies for COPD and started on antibiotics and steroids. During patients hospital course, her respiratory status began to decline and pulmonology was consulted. Pulmonology was consulted and patient was intubated on 6/1 and transferred to ICU. Patient received therapeutic bronchoscope with BAL, started on solu-medrol 62.5 mcg bid, continued on duonebs scheduled mucomyst and vest therapy. BAL cultures were negative. Patient was extubated on 6/2/2022. Patient was able to return to home oxygen baseline (3LNC). Pulmonology provided recommendations, which included the use of Vest PT, duonebs, prednisone taper, mucomyst, nasal hypertonic, flutter valve, albuterol, mucinex, trelegy, and mucinex. Patient was approached during admission for the possibility needing BIPAP/AVAPs nightly. Patient declined the recommendation, due to not being able to sleep. Pulmonolgy was contacted in regards to recommendation and stated that BIPAP/AVAPs would be beneficial for the patient, but did not qualify due to the results of ABGs during hospital admission. Patients respiratory status was stable and patient remained stable on home oxygen of 3L NC.  Discharged on 6/6/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Fungal test positive, Haemoglobin decreased, Intensive care, Legionella test
Clinical narrative: Patient received moderna vaccine on 3/9/21, 4/9/21 and 11/10/21. Presented to ER on 5/28/22. Found to be COVID positive. admitted to hospital for acute on chronic hypoxic respiratory failure. On initial presentation, patient was saturating at 83% on home oxygen 3LNC. Patient continued to desaturation and oxygen requirements increased to high flow nasal cannula. Patient received a dose of solu-medrol and duoneb. CBC was unremarkable, hemoglobin of 8.3 (baseline 8-9), CRP 28.4, negative procal, blood cultures showed no growth. Sputum cultures showed normal respiratory flora and a light growth of yeast. Negative strep and legionella. BNP 141, negative troponin, ABG: pH(7.41, pCO2(39), pO2(55), CO2(26). CTA showed no PE, multifocal pneumonia. Patient was admitted to unit for treatment for acute on chronic hypoxic respiratory failure. Patient continued all other home therapies for COPD and started on antibiotics and steroids. During patients hospital course, her respiratory status began to decline and pulmonology was consulted. Pulmonology was consulted and patient was intubated on 6/1 and transferred to ICU. Patient received therapeutic bronchoscope with BAL, started on solu-medrol 62.5 mcg bid, continued on duonebs scheduled mucomyst and vest therapy. BAL cultures were negative. Patient was extubated on 6/2/2022. Patient was able to return to home oxygen baseline (3LNC). Pulmonology provided recommendations, which included the use of Vest PT, duonebs, prednisone taper, mucomyst, nasal hypertonic, flutter valve, albuterol, mucinex, trelegy, and mucinex. Patient was approached during admission for the possibility needing BIPAP/AVAPs nightly. Patient declined the recommendation, due to not being able to sleep. Pulmonolgy was contacted in regards to recommendation and stated that BIPAP/AVAPs would be beneficial for the patient, but did not qualify due to the results of ABGs during hospital admission. Patients respiratory status was stable and patient remained stable on home oxygen of 3L NC.  Discharged on 6/6/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Oxygen saturation decreased, PCO2 normal, PO2 decreased, Pneumonia
Clinical narrative: Patient received moderna vaccine on 3/9/21, 4/9/21 and 11/10/21. Presented to ER on 5/28/22. Found to be COVID positive. admitted to hospital for acute on chronic hypoxic respiratory failure. On initial presentation, patient was saturating at 83% on home oxygen 3LNC. Patient continued to desaturation and oxygen requirements increased to high flow nasal cannula. Patient received a dose of solu-medrol and duoneb. CBC was unremarkable, hemoglobin of 8.3 (baseline 8-9), CRP 28.4, negative procal, blood cultures showed no growth. Sputum cultures showed normal respiratory flora and a light growth of yeast. Negative strep and legionella. BNP 141, negative troponin, ABG: pH(7.41, pCO2(39), pO2(55), CO2(26). CTA showed no PE, multifocal pneumonia. Patient was admitted to unit for treatment for acute on chronic hypoxic respiratory failure. Patient continued all other home therapies for COPD and started on antibiotics and steroids. During patients hospital course, her respiratory status began to decline and pulmonology was consulted. Pulmonology was consulted and patient was intubated on 6/1 and transferred to ICU. Patient received therapeutic bronchoscope with BAL, started on solu-medrol 62.5 mcg bid, continued on duonebs scheduled mucomyst and vest therapy. BAL cultures were negative. Patient was extubated on 6/2/2022. Patient was able to return to home oxygen baseline (3LNC). Pulmonology provided recommendations, which included the use of Vest PT, duonebs, prednisone taper, mucomyst, nasal hypertonic, flutter valve, albuterol, mucinex, trelegy, and mucinex. Patient was approached during admission for the possibility needing BIPAP/AVAPs nightly. Patient declined the recommendation, due to not being able to sleep. Pulmonolgy was contacted in regards to recommendation and stated that BIPAP/AVAPs would be beneficial for the patient, but did not qualify due to the results of ABGs during hospital admission. Patients respiratory status was stable and patient remained stable on home oxygen of 3L NC.  Discharged on 6/6/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin normal, Pulmonary imaging procedure abnormal, SARS-CoV-2 test positive, Sputum culture positive, Streptococcus test negative
Clinical narrative: Patient received moderna vaccine on 3/9/21, 4/9/21 and 11/10/21. Presented to ER on 5/28/22. Found to be COVID positive. admitted to hospital for acute on chronic hypoxic respiratory failure. On initial presentation, patient was saturating at 83% on home oxygen 3LNC. Patient continued to desaturation and oxygen requirements increased to high flow nasal cannula. Patient received a dose of solu-medrol and duoneb. CBC was unremarkable, hemoglobin of 8.3 (baseline 8-9), CRP 28.4, negative procal, blood cultures showed no growth. Sputum cultures showed normal respiratory flora and a light growth of yeast. Negative strep and legionella. BNP 141, negative troponin, ABG: pH(7.41, pCO2(39), pO2(55), CO2(26). CTA showed no PE, multifocal pneumonia. Patient was admitted to unit for treatment for acute on chronic hypoxic respiratory failure. Patient continued all other home therapies for COPD and started on antibiotics and steroids. During patients hospital course, her respiratory status began to decline and pulmonology was consulted. Pulmonology was consulted and patient was intubated on 6/1 and transferred to ICU. Patient received therapeutic bronchoscope with BAL, started on solu-medrol 62.5 mcg bid, continued on duonebs scheduled mucomyst and vest therapy. BAL cultures were negative. Patient was extubated on 6/2/2022. Patient was able to return to home oxygen baseline (3LNC). Pulmonology provided recommendations, which included the use of Vest PT, duonebs, prednisone taper, mucomyst, nasal hypertonic, flutter valve, albuterol, mucinex, trelegy, and mucinex. Patient was approached during admission for the possibility needing BIPAP/AVAPs nightly. Patient declined the recommendation, due to not being able to sleep. Pulmonolgy was contacted in regards to recommendation and stated that BIPAP/AVAPs would be beneficial for the patient, but did not qualify due to the results of ABGs during hospital admission. Patients respiratory status was stable and patient remained stable on home oxygen of 3L NC.  Discharged on 6/6/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: Patient received moderna vaccine on 3/9/21, 4/9/21 and 11/10/21. Presented to ER on 5/28/22. Found to be COVID positive. admitted to hospital for acute on chronic hypoxic respiratory failure. On initial presentation, patient was saturating at 83% on home oxygen 3LNC. Patient continued to desaturation and oxygen requirements increased to high flow nasal cannula. Patient received a dose of solu-medrol and duoneb. CBC was unremarkable, hemoglobin of 8.3 (baseline 8-9), CRP 28.4, negative procal, blood cultures showed no growth. Sputum cultures showed normal respiratory flora and a light growth of yeast. Negative strep and legionella. BNP 141, negative troponin, ABG: pH(7.41, pCO2(39), pO2(55), CO2(26). CTA showed no PE, multifocal pneumonia. Patient was admitted to unit for treatment for acute on chronic hypoxic respiratory failure. Patient continued all other home therapies for COPD and started on antibiotics and steroids. During patients hospital course, her respiratory status began to decline and pulmonology was consulted. Pulmonology was consulted and patient was intubated on 6/1 and transferred to ICU. Patient received therapeutic bronchoscope with BAL, started on solu-medrol 62.5 mcg bid, continued on duonebs scheduled mucomyst and vest therapy. BAL cultures were negative. Patient was extubated on 6/2/2022. Patient was able to return to home oxygen baseline (3LNC). Pulmonology provided recommendations, which included the use of Vest PT, duonebs, prednisone taper, mucomyst, nasal hypertonic, flutter valve, albuterol, mucinex, trelegy, and mucinex. Patient was approached during admission for the possibility needing BIPAP/AVAPs nightly. Patient declined the recommendation, due to not being able to sleep. Pulmonolgy was contacted in regards to recommendation and stated that BIPAP/AVAPs would be beneficial for the patient, but did not qualify due to the results of ABGs during hospital admission. Patients respiratory status was stable and patient remained stable on home oxygen of 3L NC.  Discharged on 6/6/22
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Axillary pain, Headache, Nausea, Pain
Clinical narrative: High fever  for 12 hours, sore arm and armpit. Pain all over the body and some headache. Feel nausea and very weak.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: High fever  for 12 hours, sore arm and armpit. Pain all over the body and some headache. Feel nausea and very weak.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: CLIENT WAS 12 YO AT TIME OF VACCINATION AND RECEIVED PEDIATRIC PFIZER FORMULATION OF 0.2ML. PEDIATRIC PFIZER IS APPROVED FOR AGES 5-11YO. CLIENT SHOULD'VE RECEIVED THE PFIZER GRAY-CAP FORMULATION OF 0.3ML.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse event. The patient was administered the pediatric pfizer vaccine when they qualified for the 12+ dose now. The parent was counseled that an additional dose was not indicated at this time.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Asthenia, COVID-19, Inappropriate schedule of product administration, Mental status changes
Clinical narrative: Patient received pfizer vaccine on 4/4/21, 5/2/21 and 11/15/21. Presented to ER on 5/30/22 and found to be COVID positive. who presented to the emergency room for issues related worsening weakness.  Recent medical history as noted in the H&P as well.  Workup was positive for COVID-19.  Was placed on dexamethasone and ribs does appear with complete those courses.  Oxygen saturation was followed carefully. Was continued on home meds for psychiatric issues but would require titration down words as he was having some somnolence and worsened mental status.  Prognosis was exceedingly poor.  Had some issues early in the hospital stay with agitation that were addressed with Haldol but by the close of his hospital stay was not requiring any Haldol and was calm and compliant.  Discussion was had with the patient's family most notably his mother and wife about his poor prognosis and decision was made to have patient be placed in hospice but to do so at skilled nursing facility setting.  Patient needed to complete his isolation.  For COVID and after that was complete was discharged in stable condition on hospice care to the loft on 6/10/22.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Somnolence
Clinical narrative: Patient received pfizer vaccine on 4/4/21, 5/2/21 and 11/15/21. Presented to ER on 5/30/22 and found to be COVID positive. who presented to the emergency room for issues related worsening weakness.  Recent medical history as noted in the H&P as well.  Workup was positive for COVID-19.  Was placed on dexamethasone and ribs does appear with complete those courses.  Oxygen saturation was followed carefully. Was continued on home meds for psychiatric issues but would require titration down words as he was having some somnolence and worsened mental status.  Prognosis was exceedingly poor.  Had some issues early in the hospital stay with agitation that were addressed with Haldol but by the close of his hospital stay was not requiring any Haldol and was calm and compliant.  Discussion was had with the patient's family most notably his mother and wife about his poor prognosis and decision was made to have patient be placed in hospice but to do so at skilled nursing facility setting.  Patient needed to complete his isolation.  For COVID and after that was complete was discharged in stable condition on hospice care to the loft on 6/10/22.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse effects have currently been reported. This is being completed due to patient receiving vaccination with a vial that was left out greater than 12 hours (23 hours) at room temperature after first puncture.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: On 6-7-2022, I started having a scratchy throat, brain fog, fatigue, possible fever (did not check) and upper respiratory congestion. It got worse overnight. The next day, I took a Covid home test and it was positive. On 6-9, I took another home Covid test and it was positive as well. I went to the walk in public clinic that day and they gave me a steroid injection and antiviral injection as well as a zpac and cough syrup. I am better today and I am reporting a breakthru case of Covid.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Upper respiratory tract congestion, Vaccine breakthrough infection
Clinical narrative: On 6-7-2022, I started having a scratchy throat, brain fog, fatigue, possible fever (did not check) and upper respiratory congestion. It got worse overnight. The next day, I took a Covid home test and it was positive. On 6-9, I took another home Covid test and it was positive as well. I went to the walk in public clinic that day and they gave me a steroid injection and antiviral injection as well as a zpac and cough syrup. I am better today and I am reporting a breakthru case of Covid.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol use, Atrial flutter, COVID-19, Cardiac failure congestive, Cardiomyopathy
Clinical narrative: Patient is fully vaccinate.  COVID positive on admission 5/10/2022.   54y.o. male who came to the ER with dyspnea and palpitations. He was in Atrial flutter in the ER and started on Cardizem infusion.  Echocardiogram done today showed new cardiomyopathy.  His labs also show elevated LFTs and thrombocytopenia. He has history of alcohol abuse and admits to drinking daily. He has not drank for almost a week. . No prior labs or imaging available. No known history of cirrhosis. BP 102/77  | Pulse (!) 147  | Temp 98.9 °F (37.2 °C)  | Resp 20  | Ht 170.2 cm (5' 7")  | Wt 59 kg (130 lb)  | SpO2 99% Elevated troponin. PLT 50 CHF exacerbation. Thrombocytopenia. Renal failure, COVID infection. oxygen 4L. Remdesivir not given. Discharged home.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Echocardiogram abnormal, Liver function test increased, Palpitations
Clinical narrative: Patient is fully vaccinate.  COVID positive on admission 5/10/2022.   54y.o. male who came to the ER with dyspnea and palpitations. He was in Atrial flutter in the ER and started on Cardizem infusion.  Echocardiogram done today showed new cardiomyopathy.  His labs also show elevated LFTs and thrombocytopenia. He has history of alcohol abuse and admits to drinking daily. He has not drank for almost a week. . No prior labs or imaging available. No known history of cirrhosis. BP 102/77  | Pulse (!) 147  | Temp 98.9 °F (37.2 °C)  | Resp 20  | Ht 170.2 cm (5' 7")  | Wt 59 kg (130 lb)  | SpO2 99% Elevated troponin. PLT 50 CHF exacerbation. Thrombocytopenia. Renal failure, COVID infection. oxygen 4L. Remdesivir not given. Discharged home.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Renal failure, SARS-CoV-2 test positive, Thrombocytopenia, Troponin increased
Clinical narrative: Patient is fully vaccinate.  COVID positive on admission 5/10/2022.   54y.o. male who came to the ER with dyspnea and palpitations. He was in Atrial flutter in the ER and started on Cardizem infusion.  Echocardiogram done today showed new cardiomyopathy.  His labs also show elevated LFTs and thrombocytopenia. He has history of alcohol abuse and admits to drinking daily. He has not drank for almost a week. . No prior labs or imaging available. No known history of cirrhosis. BP 102/77  | Pulse (!) 147  | Temp 98.9 °F (37.2 °C)  | Resp 20  | Ht 170.2 cm (5' 7")  | Wt 59 kg (130 lb)  | SpO2 99% Elevated troponin. PLT 50 CHF exacerbation. Thrombocytopenia. Renal failure, COVID infection. oxygen 4L. Remdesivir not given. Discharged home.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient developed COVID-19 after COVID vaccinations administered.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiomegaly, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Patient received moderna vaccine on 4/23/21 and 5/23/21. Unsure of lots, route, and site. Presented to ER on 6/2/22 and found to be COVID positive.  presented with SOB, feeling hot/sweating onset 1 day. Pt was positive for COVID which likely exacerbated her COPD. Pt was treated with steroids, doxycyline, remdesivir, oxygen via NC, and and home inhalers. Pt complained of weakness in her legs and wanted more time in the hospital to help recover her strength. She refused SNF palcement. She was agreeable to going home with HHC. Before discharge, pt's oxygen was back to baseline of 2LNC. A 6 minute walk was performed that also confirmed her oxygen requirement of 2LNC. Discharged on 6/8/22
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Feeling hot, Hyperhidrosis, Inappropriate schedule of product administration
Clinical narrative: Patient received moderna vaccine on 4/23/21 and 5/23/21. Unsure of lots, route, and site. Presented to ER on 6/2/22 and found to be COVID positive.  presented with SOB, feeling hot/sweating onset 1 day. Pt was positive for COVID which likely exacerbated her COPD. Pt was treated with steroids, doxycyline, remdesivir, oxygen via NC, and and home inhalers. Pt complained of weakness in her legs and wanted more time in the hospital to help recover her strength. She refused SNF palcement. She was agreeable to going home with HHC. Before discharge, pt's oxygen was back to baseline of 2LNC. A 6 minute walk was performed that also confirmed her oxygen requirement of 2LNC. Discharged on 6/8/22
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, SARS-CoV-2 test positive, Walking distance test abnormal
Clinical narrative: Patient received moderna vaccine on 4/23/21 and 5/23/21. Unsure of lots, route, and site. Presented to ER on 6/2/22 and found to be COVID positive.  presented with SOB, feeling hot/sweating onset 1 day. Pt was positive for COVID which likely exacerbated her COPD. Pt was treated with steroids, doxycyline, remdesivir, oxygen via NC, and and home inhalers. Pt complained of weakness in her legs and wanted more time in the hospital to help recover her strength. She refused SNF palcement. She was agreeable to going home with HHC. Before discharge, pt's oxygen was back to baseline of 2LNC. A 6 minute walk was performed that also confirmed her oxygen requirement of 2LNC. Discharged on 6/8/22
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Fatigue
Clinical narrative: Approximately a few hours after my 4th dose vaccination I contracted COVID-19 and experienced the following symptoms: Cough, Fatigue, Muscle Aches and Chills. After I tested positive - I took Tylenol, Cough Syrup and Nyquil to help ease the symptoms. 2 days after, I consulted with my doctor and was given some alternatives and I was still in the window to take medications and since I do not have tightness in my chest or any severe COVID-19 symptoms - he advised me to let my symptoms run its course and if it did not improve 2 days after he gave me an emergency hotline number to contact. So far as of today, 06/13/2022 my symptoms are almost gone, my energy level has gone back to normal.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, SARS-CoV-2 test positive
Clinical narrative: Approximately a few hours after my 4th dose vaccination I contracted COVID-19 and experienced the following symptoms: Cough, Fatigue, Muscle Aches and Chills. After I tested positive - I took Tylenol, Cough Syrup and Nyquil to help ease the symptoms. 2 days after, I consulted with my doctor and was given some alternatives and I was still in the window to take medications and since I do not have tightness in my chest or any severe COVID-19 symptoms - he advised me to let my symptoms run its course and if it did not improve 2 days after he gave me an emergency hotline number to contact. So far as of today, 06/13/2022 my symptoms are almost gone, my energy level has gone back to normal.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dry throat, Fatigue, Feeling abnormal, Night sweats
Clinical narrative: Starting 06/04/2022, in the evening, I developed a mild dry throat and then developed aches and fatigue. I went to bed and had some night sweats and woke up feeling off. So the following morning I woke up and took a test and it was positive. I called my doctor and they prescribed me PAXLOVID and SYMBICORT, and I picked them up and started them that day (06/05/2022). I progressively got more tired that day and had night sweats that night as well. Monday (06/06/2022) I was tired and achy most of the day and was staying in my room mostly. I started feeling better by 06/07/2022 and remained stable through the end of the week. I felt better by that weekend (tested negative on 06/11/2022) and was outside around the house. This morning (06/13/2022) I felt a dry throat and tested myself which was positive. I'm getting a little fatigued and congested at this time.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Starting 06/04/2022, in the evening, I developed a mild dry throat and then developed aches and fatigue. I went to bed and had some night sweats and woke up feeling off. So the following morning I woke up and took a test and it was positive. I called my doctor and they prescribed me PAXLOVID and SYMBICORT, and I picked them up and started them that day (06/05/2022). I progressively got more tired that day and had night sweats that night as well. Monday (06/06/2022) I was tired and achy most of the day and was staying in my room mostly. I started feeling better by 06/07/2022 and remained stable through the end of the week. I felt better by that weekend (tested negative on 06/11/2022) and was outside around the house. This morning (06/13/2022) I felt a dry throat and tested myself which was positive. I'm getting a little fatigued and congested at this time.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Suspected COVID-19, Vaccination failure
Clinical narrative: Starting 06/04/2022, in the evening, I developed a mild dry throat and then developed aches and fatigue. I went to bed and had some night sweats and woke up feeling off. So the following morning I woke up and took a test and it was positive. I called my doctor and they prescribed me PAXLOVID and SYMBICORT, and I picked them up and started them that day (06/05/2022). I progressively got more tired that day and had night sweats that night as well. Monday (06/06/2022) I was tired and achy most of the day and was staying in my room mostly. I started feeling better by 06/07/2022 and remained stable through the end of the week. I felt better by that weekend (tested negative on 06/11/2022) and was outside around the house. This morning (06/13/2022) I felt a dry throat and tested myself which was positive. I'm getting a little fatigued and congested at this time.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Fatigue, Pyrexia, Rash erythematous, Rash macular
Clinical narrative: Within 12 hours of vaccines, she started with splotchy red rash, fever to 101.7, feeling tired; lasted 2 days
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse effects just receive 2nd booster and did not meet CDC requirements
Age: 0.5
Sex: M
Vaccine: MENB, PNC13, RV5
Symptoms: Feeling abnormal, Irritability, Pyrexia, Wrong product administered
Clinical narrative: Pt received the Trumemba vaccine instead of the Vaxelis vaccine. That same night the patient started running a fever.  Pt ran a fever until 06/04/2022.  He was very fussy miserable.  Baby would perk up and condition improved with mom alternating Tylenol and ibuprofen. No other symptoms were reported during this time only fevers and fussiness.  We will continue to keep in contact with mom to monitor any other possible reactions.