chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hyponatraemia, Respiratory symptom
Clinical narrative: Discharge Provider:  DO Primary Care Provider: MD Admission Date: 9/23/2022 Discharge Date: 9/28/2022 PRESENTING PROBLEM: Hyperkalemia [E87.5] Hyponatremia [E87.1] Difficulty breathing [R06.89] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 73 years old male with history of squamous cell cancer of epiglottis status post total laryngectomy and partial pharyngectomy and bilateral neck dissection with cricophyargeal myotomy, hypothyroidism, chronic bronchitis on 2L oxygen at home, On salt tabs who presented to the hospital with weakness and shortness of breath with URI symptoms. He was found to have covid infection and severe hyponatremia, Na 120. He was treated with antibiotics, steroid and breathing treatment. He was back to baseline on home oxygen at discharge. He was evaluated by PT, and OT, recommended for home with home health services. This was changed to subacute as PT and OT agreed with patient that he was too weak to be discharge home. He was discharged on salt tabs three times per day.
Age: 35.0
Sex: M
Vaccine: FLUC4
Symptoms: Fatigue, Impaired work ability, Influenza like illness, Nausea, Pain
Clinical narrative: Fever, nausea. Severe fatigue and soreness. Very flu like. Left work early as a result.
Age: 35.0
Sex: M
Vaccine: FLUC4
Symptoms: Pyrexia
Clinical narrative: Fever, nausea. Severe fatigue and soreness. Very flu like. Left work early as a result.
Age: 53.0
Sex: M
Vaccine: PNC20
Symptoms: Fall, Myalgia, Neuralgia, Pain, Pain in extremity
Clinical narrative: Patient was given second shingles immunization and Prevnar 20 immunization on 9/27/22. A few days later 10/1/22 he came to pharmacy complaning of pain in deltoid region of arm that radiates down arm and fells like a sharp stabbing pain(nerve pain). "Patient stated that he is not sure if a nerve was hit when injections were given." Pain started to get worse a day after injections and pain is very strong when it happens. Pain is intermintent at times. Patient said tylenol and hydrocodone/apap does not help with pain. He wanted the incident documented.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Arterial occlusive disease, Arterial stent insertion, Cardiac operation, Computerised tomogram
Clinical narrative: In Dec 2021 I experienced shortness of breath and went to my PCP in January and he did an EKG and didn't like the way it look. He sent me to a Cardiologist, and since then I've been to numerous doctors. Recently Sept 19th I had a heart procedure (stent was put in one of my arteries, cleaning out of another artery and still have 2 blocked arteries) and now I'm recuperating.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Magnetic resonance imaging
Clinical narrative: In Dec 2021 I experienced shortness of breath and went to my PCP in January and he did an EKG and didn't like the way it look. He sent me to a Cardiologist, and since then I've been to numerous doctors. Recently Sept 19th I had a heart procedure (stent was put in one of my arteries, cleaning out of another artery and still have 2 blocked arteries) and now I'm recuperating.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Dyspnoea, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Pt arrived with shortness of breath. Has a PMH of COPD, chronic respiratory failure, and chronic diastolic heart failure. Pt was admitted for pneumonia and COVID positivity.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, COVID-19, Chest discomfort, Cough, Fatigue
Clinical narrative: I had no symptoms after my vaccine. I experienced COVID symptoms, stuffy headache, cough, post nasal drip, chest irritation and fatigue. I also loss my sense of smell for a few days.  I had at home COVID-19 test and it was positive. I did not go see a doctor. I have no symptoms today.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: I had no symptoms after my vaccine. I experienced COVID symptoms, stuffy headache, cough, post nasal drip, chest irritation and fatigue. I also loss my sense of smell for a few days.  I had at home COVID-19 test and it was positive. I did not go see a doctor. I have no symptoms today.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Arthralgia, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 66 y.o. male patient of PA-C with history of metastatic esophageal cancer currently on radiation treatment, systolic and diastolic heart failure, hypertension hyperlipidemia, presented with generalized weakness, fever to outside facility found to have pneumonia due to COVID and possible superimposed bacterial pneumonia.   Pneumonia due to COVID-19 With possible superimposed bacterial pneumonia Covid-19 Virus Infection Acute hypoxic respiratory failure Symptoms: 9/10, positive test: 9/12 Vaccination status: vaccinated Imaging: Chest x-ray shows pneumonia Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: Steroids and remdesivir added by ID Consultants following: Consult infectious disease  anticipated special isolation end date: 9/22 (patient noted COVID infection back in July and asking about isolation, will defer to infectious disease) Finished a course of ceftriaxone and azithro, also stopped remdesivir and steroids Discharge home with hospice    Acute metabolic encephalopathy, significantly improved Likely due to infection CT head was completed and shows no acute abnormality Continue monitor mental status improving   Esophageal carcinoma status post chemoradiation Status post esophagectomy complicated by bronchoesophageal fistula requiring prolonged hospitalization in 2020. Currently on palliative radiation therapy Follows with Dr. V, apprciate oncology input Resume home OxyContin twice daily and Percocet as needed   Chronic right arm and shoulder pain Continue pain medications as needed   Severe malnutrition POA Due to cancer  Anorexia Failure to thrive Depression Patient has agreed to try Zoloft which has been started.   Nutrition consult   Chronic combined systolic and diastolic heart failure Prior echo in 2021 showed LVEF of 45% On midodrine and home due to hypotension, will continue No diuretics for now patient appears euvolemic Continue monitor   Hyponatremia Mild, continue monitor.  Was given IV fluids in outside ED   Diabetes Placed on sliding scale for now
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Condition aggravated, Decreased appetite, Depression
Clinical narrative: Patient is a 66 y.o. male patient of PA-C with history of metastatic esophageal cancer currently on radiation treatment, systolic and diastolic heart failure, hypertension hyperlipidemia, presented with generalized weakness, fever to outside facility found to have pneumonia due to COVID and possible superimposed bacterial pneumonia.   Pneumonia due to COVID-19 With possible superimposed bacterial pneumonia Covid-19 Virus Infection Acute hypoxic respiratory failure Symptoms: 9/10, positive test: 9/12 Vaccination status: vaccinated Imaging: Chest x-ray shows pneumonia Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: Steroids and remdesivir added by ID Consultants following: Consult infectious disease  anticipated special isolation end date: 9/22 (patient noted COVID infection back in July and asking about isolation, will defer to infectious disease) Finished a course of ceftriaxone and azithro, also stopped remdesivir and steroids Discharge home with hospice    Acute metabolic encephalopathy, significantly improved Likely due to infection CT head was completed and shows no acute abnormality Continue monitor mental status improving   Esophageal carcinoma status post chemoradiation Status post esophagectomy complicated by bronchoesophageal fistula requiring prolonged hospitalization in 2020. Currently on palliative radiation therapy Follows with Dr. V, apprciate oncology input Resume home OxyContin twice daily and Percocet as needed   Chronic right arm and shoulder pain Continue pain medications as needed   Severe malnutrition POA Due to cancer  Anorexia Failure to thrive Depression Patient has agreed to try Zoloft which has been started.   Nutrition consult   Chronic combined systolic and diastolic heart failure Prior echo in 2021 showed LVEF of 45% On midodrine and home due to hypotension, will continue No diuretics for now patient appears euvolemic Continue monitor   Hyponatremia Mild, continue monitor.  Was given IV fluids in outside ED   Diabetes Placed on sliding scale for now
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus, Failure to thrive, Hyponatraemia, Hypotension, Infection
Clinical narrative: Patient is a 66 y.o. male patient of PA-C with history of metastatic esophageal cancer currently on radiation treatment, systolic and diastolic heart failure, hypertension hyperlipidemia, presented with generalized weakness, fever to outside facility found to have pneumonia due to COVID and possible superimposed bacterial pneumonia.   Pneumonia due to COVID-19 With possible superimposed bacterial pneumonia Covid-19 Virus Infection Acute hypoxic respiratory failure Symptoms: 9/10, positive test: 9/12 Vaccination status: vaccinated Imaging: Chest x-ray shows pneumonia Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: Steroids and remdesivir added by ID Consultants following: Consult infectious disease  anticipated special isolation end date: 9/22 (patient noted COVID infection back in July and asking about isolation, will defer to infectious disease) Finished a course of ceftriaxone and azithro, also stopped remdesivir and steroids Discharge home with hospice    Acute metabolic encephalopathy, significantly improved Likely due to infection CT head was completed and shows no acute abnormality Continue monitor mental status improving   Esophageal carcinoma status post chemoradiation Status post esophagectomy complicated by bronchoesophageal fistula requiring prolonged hospitalization in 2020. Currently on palliative radiation therapy Follows with Dr. V, apprciate oncology input Resume home OxyContin twice daily and Percocet as needed   Chronic right arm and shoulder pain Continue pain medications as needed   Severe malnutrition POA Due to cancer  Anorexia Failure to thrive Depression Patient has agreed to try Zoloft which has been started.   Nutrition consult   Chronic combined systolic and diastolic heart failure Prior echo in 2021 showed LVEF of 45% On midodrine and home due to hypotension, will continue No diuretics for now patient appears euvolemic Continue monitor   Hyponatremia Mild, continue monitor.  Was given IV fluids in outside ED   Diabetes Placed on sliding scale for now
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Malnutrition, Mental status changes, Metabolic encephalopathy, Neoplasm malignant, Pain in extremity
Clinical narrative: Patient is a 66 y.o. male patient of PA-C with history of metastatic esophageal cancer currently on radiation treatment, systolic and diastolic heart failure, hypertension hyperlipidemia, presented with generalized weakness, fever to outside facility found to have pneumonia due to COVID and possible superimposed bacterial pneumonia.   Pneumonia due to COVID-19 With possible superimposed bacterial pneumonia Covid-19 Virus Infection Acute hypoxic respiratory failure Symptoms: 9/10, positive test: 9/12 Vaccination status: vaccinated Imaging: Chest x-ray shows pneumonia Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: Steroids and remdesivir added by ID Consultants following: Consult infectious disease  anticipated special isolation end date: 9/22 (patient noted COVID infection back in July and asking about isolation, will defer to infectious disease) Finished a course of ceftriaxone and azithro, also stopped remdesivir and steroids Discharge home with hospice    Acute metabolic encephalopathy, significantly improved Likely due to infection CT head was completed and shows no acute abnormality Continue monitor mental status improving   Esophageal carcinoma status post chemoradiation Status post esophagectomy complicated by bronchoesophageal fistula requiring prolonged hospitalization in 2020. Currently on palliative radiation therapy Follows with Dr. V, apprciate oncology input Resume home OxyContin twice daily and Percocet as needed   Chronic right arm and shoulder pain Continue pain medications as needed   Severe malnutrition POA Due to cancer  Anorexia Failure to thrive Depression Patient has agreed to try Zoloft which has been started.   Nutrition consult   Chronic combined systolic and diastolic heart failure Prior echo in 2021 showed LVEF of 45% On midodrine and home due to hypotension, will continue No diuretics for now patient appears euvolemic Continue monitor   Hyponatremia Mild, continue monitor.  Was given IV fluids in outside ED   Diabetes Placed on sliding scale for now
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Radiotherapy, SARS-CoV-2 test positive
Clinical narrative: Patient is a 66 y.o. male patient of PA-C with history of metastatic esophageal cancer currently on radiation treatment, systolic and diastolic heart failure, hypertension hyperlipidemia, presented with generalized weakness, fever to outside facility found to have pneumonia due to COVID and possible superimposed bacterial pneumonia.   Pneumonia due to COVID-19 With possible superimposed bacterial pneumonia Covid-19 Virus Infection Acute hypoxic respiratory failure Symptoms: 9/10, positive test: 9/12 Vaccination status: vaccinated Imaging: Chest x-ray shows pneumonia Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: Steroids and remdesivir added by ID Consultants following: Consult infectious disease  anticipated special isolation end date: 9/22 (patient noted COVID infection back in July and asking about isolation, will defer to infectious disease) Finished a course of ceftriaxone and azithro, also stopped remdesivir and steroids Discharge home with hospice    Acute metabolic encephalopathy, significantly improved Likely due to infection CT head was completed and shows no acute abnormality Continue monitor mental status improving   Esophageal carcinoma status post chemoradiation Status post esophagectomy complicated by bronchoesophageal fistula requiring prolonged hospitalization in 2020. Currently on palliative radiation therapy Follows with Dr. V, apprciate oncology input Resume home OxyContin twice daily and Percocet as needed   Chronic right arm and shoulder pain Continue pain medications as needed   Severe malnutrition POA Due to cancer  Anorexia Failure to thrive Depression Patient has agreed to try Zoloft which has been started.   Nutrition consult   Chronic combined systolic and diastolic heart failure Prior echo in 2021 showed LVEF of 45% On midodrine and home due to hypotension, will continue No diuretics for now patient appears euvolemic Continue monitor   Hyponatremia Mild, continue monitor.  Was given IV fluids in outside ED   Diabetes Placed on sliding scale for now
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anaemia, Antiplatelet therapy, Asthenia, COVID-19
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 9/22/2022 Discharge Date: Oct 2, 2022   PRESENTING PROBLEM: Weakness generalized  Severe sepsis (HCC)  AKI (acute kidney injury)  Other closed fracture of twelfth thoracic vertebra, initial encounter (HCC)    HOSPITAL COURSE: Patient is a 70 y.o. male patient with past medical history of type 2 diabetes, hypertension ,class 3 obesity, obstructive sleep apnea, coronary artery disease, chronic daily alcohol use in remission since Labor Day, chronic kidney disease and generalized debilitation.  He was discharged a day prior to admission from Hospital.  Per family patient sustained a fall at home.  The patient also endorsed he fell against his bedside table attempting to get out of bed.   Patient presented with mild leukocytosis at 10.79 and was found to have a positive SARS-CoV-2 PCR test.  Patient did not endorse shortness of breath but did describe exertional dyspnea.  He had a left heart catheterization done August 29 which showed significant occlusions of the LAD and mid circumflex but no stenting was done due to his anemia and need to be on dual anti-platelet agents.  On arrival, His son states that he fell and hit his head on a piece of furniture without loss of consciousness.  His unenhanced CT head did not show any acute process however his CT lumbar spine shows a T12 nondisplaced superior endplate fracture and would be a subacute to chronic L2 transverse process fracture.  CT cervical spine did not show any acute fracture or dislocation, but did show a right apical nodule which appears unchanged and will need follow-up at 3 months.     During the hospital stay patient did not require any remdesivir or dexamethasone for patient's COVID-19.  He was continued on his home CPAP device.  In regards to presenting diarrhea and GI bleeding, enteric pathogen panel was benign including C difficile.  GI was consulted for need for endoscopic evaluation and GI recommended monitoring clinical stability and did not recommend endoscopic evaluation inpatient.   Spine service was also consulted for patient's T12 superior endplate an L2 fracture-nonoperative management with DLCO brace.  PT/OT were consulted to assess need for subacute rehab.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Clostridium test negative, Computerised tomogram head normal, Computerised tomogram spine, Coronary artery occlusion
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 9/22/2022 Discharge Date: Oct 2, 2022   PRESENTING PROBLEM: Weakness generalized  Severe sepsis (HCC)  AKI (acute kidney injury)  Other closed fracture of twelfth thoracic vertebra, initial encounter (HCC)    HOSPITAL COURSE: Patient is a 70 y.o. male patient with past medical history of type 2 diabetes, hypertension ,class 3 obesity, obstructive sleep apnea, coronary artery disease, chronic daily alcohol use in remission since Labor Day, chronic kidney disease and generalized debilitation.  He was discharged a day prior to admission from Hospital.  Per family patient sustained a fall at home.  The patient also endorsed he fell against his bedside table attempting to get out of bed.   Patient presented with mild leukocytosis at 10.79 and was found to have a positive SARS-CoV-2 PCR test.  Patient did not endorse shortness of breath but did describe exertional dyspnea.  He had a left heart catheterization done August 29 which showed significant occlusions of the LAD and mid circumflex but no stenting was done due to his anemia and need to be on dual anti-platelet agents.  On arrival, His son states that he fell and hit his head on a piece of furniture without loss of consciousness.  His unenhanced CT head did not show any acute process however his CT lumbar spine shows a T12 nondisplaced superior endplate fracture and would be a subacute to chronic L2 transverse process fracture.  CT cervical spine did not show any acute fracture or dislocation, but did show a right apical nodule which appears unchanged and will need follow-up at 3 months.     During the hospital stay patient did not require any remdesivir or dexamethasone for patient's COVID-19.  He was continued on his home CPAP device.  In regards to presenting diarrhea and GI bleeding, enteric pathogen panel was benign including C difficile.  GI was consulted for need for endoscopic evaluation and GI recommended monitoring clinical stability and did not recommend endoscopic evaluation inpatient.   Spine service was also consulted for patient's T12 superior endplate an L2 fracture-nonoperative management with DLCO brace.  PT/OT were consulted to assess need for subacute rehab.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea exertional, Fall, Fracture, Gastrointestinal haemorrhage
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 9/22/2022 Discharge Date: Oct 2, 2022   PRESENTING PROBLEM: Weakness generalized  Severe sepsis (HCC)  AKI (acute kidney injury)  Other closed fracture of twelfth thoracic vertebra, initial encounter (HCC)    HOSPITAL COURSE: Patient is a 70 y.o. male patient with past medical history of type 2 diabetes, hypertension ,class 3 obesity, obstructive sleep apnea, coronary artery disease, chronic daily alcohol use in remission since Labor Day, chronic kidney disease and generalized debilitation.  He was discharged a day prior to admission from Hospital.  Per family patient sustained a fall at home.  The patient also endorsed he fell against his bedside table attempting to get out of bed.   Patient presented with mild leukocytosis at 10.79 and was found to have a positive SARS-CoV-2 PCR test.  Patient did not endorse shortness of breath but did describe exertional dyspnea.  He had a left heart catheterization done August 29 which showed significant occlusions of the LAD and mid circumflex but no stenting was done due to his anemia and need to be on dual anti-platelet agents.  On arrival, His son states that he fell and hit his head on a piece of furniture without loss of consciousness.  His unenhanced CT head did not show any acute process however his CT lumbar spine shows a T12 nondisplaced superior endplate fracture and would be a subacute to chronic L2 transverse process fracture.  CT cervical spine did not show any acute fracture or dislocation, but did show a right apical nodule which appears unchanged and will need follow-up at 3 months.     During the hospital stay patient did not require any remdesivir or dexamethasone for patient's COVID-19.  He was continued on his home CPAP device.  In regards to presenting diarrhea and GI bleeding, enteric pathogen panel was benign including C difficile.  GI was consulted for need for endoscopic evaluation and GI recommended monitoring clinical stability and did not recommend endoscopic evaluation inpatient.   Spine service was also consulted for patient's T12 superior endplate an L2 fracture-nonoperative management with DLCO brace.  PT/OT were consulted to assess need for subacute rehab.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal pathogen panel, Head injury, Leukocytosis, Lumbar vertebral fracture, Nodule
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 9/22/2022 Discharge Date: Oct 2, 2022   PRESENTING PROBLEM: Weakness generalized  Severe sepsis (HCC)  AKI (acute kidney injury)  Other closed fracture of twelfth thoracic vertebra, initial encounter (HCC)    HOSPITAL COURSE: Patient is a 70 y.o. male patient with past medical history of type 2 diabetes, hypertension ,class 3 obesity, obstructive sleep apnea, coronary artery disease, chronic daily alcohol use in remission since Labor Day, chronic kidney disease and generalized debilitation.  He was discharged a day prior to admission from Hospital.  Per family patient sustained a fall at home.  The patient also endorsed he fell against his bedside table attempting to get out of bed.   Patient presented with mild leukocytosis at 10.79 and was found to have a positive SARS-CoV-2 PCR test.  Patient did not endorse shortness of breath but did describe exertional dyspnea.  He had a left heart catheterization done August 29 which showed significant occlusions of the LAD and mid circumflex but no stenting was done due to his anemia and need to be on dual anti-platelet agents.  On arrival, His son states that he fell and hit his head on a piece of furniture without loss of consciousness.  His unenhanced CT head did not show any acute process however his CT lumbar spine shows a T12 nondisplaced superior endplate fracture and would be a subacute to chronic L2 transverse process fracture.  CT cervical spine did not show any acute fracture or dislocation, but did show a right apical nodule which appears unchanged and will need follow-up at 3 months.     During the hospital stay patient did not require any remdesivir or dexamethasone for patient's COVID-19.  He was continued on his home CPAP device.  In regards to presenting diarrhea and GI bleeding, enteric pathogen panel was benign including C difficile.  GI was consulted for need for endoscopic evaluation and GI recommended monitoring clinical stability and did not recommend endoscopic evaluation inpatient.   Spine service was also consulted for patient's T12 superior endplate an L2 fracture-nonoperative management with DLCO brace.  PT/OT were consulted to assess need for subacute rehab.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Orthosis user, Positive airway pressure therapy, SARS-CoV-2 test positive, Sepsis, Thoracic vertebral fracture
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 9/22/2022 Discharge Date: Oct 2, 2022   PRESENTING PROBLEM: Weakness generalized  Severe sepsis (HCC)  AKI (acute kidney injury)  Other closed fracture of twelfth thoracic vertebra, initial encounter (HCC)    HOSPITAL COURSE: Patient is a 70 y.o. male patient with past medical history of type 2 diabetes, hypertension ,class 3 obesity, obstructive sleep apnea, coronary artery disease, chronic daily alcohol use in remission since Labor Day, chronic kidney disease and generalized debilitation.  He was discharged a day prior to admission from Hospital.  Per family patient sustained a fall at home.  The patient also endorsed he fell against his bedside table attempting to get out of bed.   Patient presented with mild leukocytosis at 10.79 and was found to have a positive SARS-CoV-2 PCR test.  Patient did not endorse shortness of breath but did describe exertional dyspnea.  He had a left heart catheterization done August 29 which showed significant occlusions of the LAD and mid circumflex but no stenting was done due to his anemia and need to be on dual anti-platelet agents.  On arrival, His son states that he fell and hit his head on a piece of furniture without loss of consciousness.  His unenhanced CT head did not show any acute process however his CT lumbar spine shows a T12 nondisplaced superior endplate fracture and would be a subacute to chronic L2 transverse process fracture.  CT cervical spine did not show any acute fracture or dislocation, but did show a right apical nodule which appears unchanged and will need follow-up at 3 months.     During the hospital stay patient did not require any remdesivir or dexamethasone for patient's COVID-19.  He was continued on his home CPAP device.  In regards to presenting diarrhea and GI bleeding, enteric pathogen panel was benign including C difficile.  GI was consulted for need for endoscopic evaluation and GI recommended monitoring clinical stability and did not recommend endoscopic evaluation inpatient.   Spine service was also consulted for patient's T12 superior endplate an L2 fracture-nonoperative management with DLCO brace.  PT/OT were consulted to assess need for subacute rehab.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 9/22/2022 Discharge Date: Oct 2, 2022   PRESENTING PROBLEM: Weakness generalized  Severe sepsis (HCC)  AKI (acute kidney injury)  Other closed fracture of twelfth thoracic vertebra, initial encounter (HCC)    HOSPITAL COURSE: Patient is a 70 y.o. male patient with past medical history of type 2 diabetes, hypertension ,class 3 obesity, obstructive sleep apnea, coronary artery disease, chronic daily alcohol use in remission since Labor Day, chronic kidney disease and generalized debilitation.  He was discharged a day prior to admission from Hospital.  Per family patient sustained a fall at home.  The patient also endorsed he fell against his bedside table attempting to get out of bed.   Patient presented with mild leukocytosis at 10.79 and was found to have a positive SARS-CoV-2 PCR test.  Patient did not endorse shortness of breath but did describe exertional dyspnea.  He had a left heart catheterization done August 29 which showed significant occlusions of the LAD and mid circumflex but no stenting was done due to his anemia and need to be on dual anti-platelet agents.  On arrival, His son states that he fell and hit his head on a piece of furniture without loss of consciousness.  His unenhanced CT head did not show any acute process however his CT lumbar spine shows a T12 nondisplaced superior endplate fracture and would be a subacute to chronic L2 transverse process fracture.  CT cervical spine did not show any acute fracture or dislocation, but did show a right apical nodule which appears unchanged and will need follow-up at 3 months.     During the hospital stay patient did not require any remdesivir or dexamethasone for patient's COVID-19.  He was continued on his home CPAP device.  In regards to presenting diarrhea and GI bleeding, enteric pathogen panel was benign including C difficile.  GI was consulted for need for endoscopic evaluation and GI recommended monitoring clinical stability and did not recommend endoscopic evaluation inpatient.   Spine service was also consulted for patient's T12 superior endplate an L2 fracture-nonoperative management with DLCO brace.  PT/OT were consulted to assess need for subacute rehab.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Chills, Cough, Headache
Clinical narrative: I had my vaccination on 04/01/2022. On 08/02/2022 I was getting a cough sore throat headache body chills sore joints and taste of smell was different. I did 2 COVID-19 tests at home and they were Positive. I called my PCM and did a virtual appointment on 08/03/2022. They prescribed me Codeine for the cough Albuterol for my breathing nasal spray and antiviral medication for 5 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Parosmia, SARS-CoV-2 test positive, Taste disorder
Clinical narrative: I had my vaccination on 04/01/2022. On 08/02/2022 I was getting a cough sore throat headache body chills sore joints and taste of smell was different. I did 2 COVID-19 tests at home and they were Positive. I called my PCM and did a virtual appointment on 08/03/2022. They prescribed me Codeine for the cough Albuterol for my breathing nasal spray and antiviral medication for 5 days.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood pressure immeasurable, Dyspnoea, Hypoxia, Restlessness, Skin discolouration
Clinical narrative: Patient was observed at approximately 9am being short of breath, pulse ox 66%, change in color, unable to obtain BP, RR 14 and pulse 73. Noted hypoxia. Dr. on unit and assessed resident. Family wishes patient is comfortable.  Oxygen applied at 5L via nasal cannula, Morphine 0.25mL q2h prn SOB/restlessness. Seen and assessed by MD.  Patient was recently treated for PNA and, prior to vaccine patient was DNR, DNI and DNH.
Age: 11.0
Sex: M
Vaccine: HPV9
Symptoms: Injection site rash
Clinical narrative: RASH ON SITE OF SHOT RX FOR BENADRYL 25MG 1 TAB EVERY 6 HRS
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was drawn up on 09/30/22 and given 10/03/22
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Severe joint pain, particularly lasting in left hip.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was drawn up 09/30/2022 and given 10/03/2022
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Confusional state, Cyanosis, Disorientation, Dyspnoea
Clinical narrative: On 10/1/22   Nurse observed resident struggling to breathe O2 sat 89% O2 was applied via n/c at 2L/mt. Resident was also disoriented. Vital signs BP 104/91, Pulse125 resp 34 temp 97.2 bs 204. O2 sat increased up to 98 % but resident remained confused.   Tele health visit noted,  resident  to be cyanotic and using accessory muscles  advised to call 911to senfd resident to ED. Resident was transported  to hospital for evaluation at  via stretcher. Family was notified. Resident was admitted to hospital with  acute resp failure.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Use of accessory respiratory muscles
Clinical narrative: On 10/1/22   Nurse observed resident struggling to breathe O2 sat 89% O2 was applied via n/c at 2L/mt. Resident was also disoriented. Vital signs BP 104/91, Pulse125 resp 34 temp 97.2 bs 204. O2 sat increased up to 98 % but resident remained confused.   Tele health visit noted,  resident  to be cyanotic and using accessory muscles  advised to call 911to senfd resident to ED. Resident was transported  to hospital for evaluation at  via stretcher. Family was notified. Resident was admitted to hospital with  acute resp failure.
Age: 71.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Chills, Cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of a runny nose and cough. I took a COVID-19 test that was positive. My symptoms progressed to chills. I contacted my doctor and received Paxlovid. The Paxlovid did help and I felt better. My symptoms lasted for a total of 3 days.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had headache, fatigue, congestion. I got a monoclonal antibody infusion, the symptoms lasted 4 days.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Chills, Decreased appetite, Feeling cold, Hyperhidrosis
Clinical narrative: He got his vaccine, he started to feel very achy all over, muscle and joints, sleepy, took some Tylenol and went to bed.   He went to bed early, and when he woke up this morning it was more of chills and also starting to run fever.  He may have been having fever over the night.  He got up every couple of hours drinking water and going to the bathroom.  He is not wanting to move around and just sore all over.  He was having to put on extra clothing to try and stay warm with his apartment at 72 he felt cold.  He took a nap and just got up again and is now sweating, does not feel like he has a fever, temp is back to normal.  He has been taking Tylenol for his symptoms, about 4 doses of 1000 mg at a time.   He also does not have much of an appetite.    He thinks he has experienced this in the past with other vaccines, possibly COVID ones, and has called his doctor for and told him to push fluids and take Tylenol.
Age: 61.0
Sex: M
Vaccine: FLU4
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: He got his vaccine, he started to feel very achy all over, muscle and joints, sleepy, took some Tylenol and went to bed.   He went to bed early, and when he woke up this morning it was more of chills and also starting to run fever.  He may have been having fever over the night.  He got up every couple of hours drinking water and going to the bathroom.  He is not wanting to move around and just sore all over.  He was having to put on extra clothing to try and stay warm with his apartment at 72 he felt cold.  He took a nap and just got up again and is now sweating, does not feel like he has a fever, temp is back to normal.  He has been taking Tylenol for his symptoms, about 4 doses of 1000 mg at a time.   He also does not have much of an appetite.    He thinks he has experienced this in the past with other vaccines, possibly COVID ones, and has called his doctor for and told him to push fluids and take Tylenol.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Dehydration, Lethargy
Clinical narrative: Pt has a PMH of recurrent pneumonia. Pt came to the ER from a SNF due to weakness and lethargy. Pt was found to be COVID positive and was admitted for dehydration and AKI.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt has a PMH of recurrent pneumonia. Pt came to the ER from a SNF due to weakness and lethargy. Pt was found to be COVID positive and was admitted for dehydration and AKI.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Decreased appetite, Diarrhoea, Pain, Pyrexia
Clinical narrative: Patient experienced vomiting, diarrhea, chills, body aches the night of her vaccination. She is still experiencing symptoms, fever, loss of appetite, body aches.
Age: 59.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Patient experienced vomiting, diarrhea, chills, body aches the night of her vaccination. She is still experiencing symptoms, fever, loss of appetite, body aches.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site pain
Clinical narrative: Severe pain at injection site for over three days
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Mobility decreased
Clinical narrative: She got her vaccine, she had a headache, fever, chills (soaked her bed 3-4 times), diarrhea, fatigue and not able to function for 3-4 days.  She was so tired that she stayed in bed.  She did not take anything for her symptoms.   She has now recovered from her symptoms.    She did have a similar reaction to the 4th COVID vaccine as well. but this was worse than the last one.  She did not have any reaction with the first two.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: She got her vaccine, she had a headache, fever, chills (soaked her bed 3-4 times), diarrhea, fatigue and not able to function for 3-4 days.  She was so tired that she stayed in bed.  She did not take anything for her symptoms.   She has now recovered from her symptoms.    She did have a similar reaction to the 4th COVID vaccine as well. but this was worse than the last one.  She did not have any reaction with the first two.
Age: 2.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Urticaria
Clinical narrative: Mother stated that patient woke up and had a full body hives day after receiving vaccines.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Severe Chills High Fever Headache Severe Muscle Aches
Age: 95.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID19
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Pain in extremity, Product administered to patient of inappropriate age
Clinical narrative: sore arm.  given to a 48 year old inadvertently
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Pyrexia, Rhinorrhoea
Clinical narrative: I developed a runny nose, headache, and low grade fever with a cough.  I tested for COVID-19 on the 25th and was negative with a home test.  I finally tested positive two months later when I went to the Emergency room.  They prescribed me steroids' and an Asthma Inhaler names Albuterol.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I developed a runny nose, headache, and low grade fever with a cough.  I tested for COVID-19 on the 25th and was negative with a home test.  I finally tested positive two months later when I went to the Emergency room.  They prescribed me steroids' and an Asthma Inhaler names Albuterol.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer FL2757 vaccine expired on 09/30/22, given on 10/03/22.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injection site pain
Clinical narrative: SORE ARM, SWOLLEN LYMPH NODES IN INJECTED ARM,FEVER, CHILLS, HEADACHE, MUSCLE ACHES, LOSS OF APPETITE, EXTREME TIREDNESS, FREQUENT AND URGENT URINATION ALL WHICH LASTED 2 DAYS.  ALSO DEVELOPED FEVER BLISTERS ON LIPS  ON 2ND DAY
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lip blister, Lymphadenopathy, Micturition urgency, Myalgia, Oral herpes
Clinical narrative: SORE ARM, SWOLLEN LYMPH NODES IN INJECTED ARM,FEVER, CHILLS, HEADACHE, MUSCLE ACHES, LOSS OF APPETITE, EXTREME TIREDNESS, FREQUENT AND URGENT URINATION ALL WHICH LASTED 2 DAYS.  ALSO DEVELOPED FEVER BLISTERS ON LIPS  ON 2ND DAY
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pollakiuria, Pyrexia, Urinary incontinence
Clinical narrative: SORE ARM, SWOLLEN LYMPH NODES IN INJECTED ARM,FEVER, CHILLS, HEADACHE, MUSCLE ACHES, LOSS OF APPETITE, EXTREME TIREDNESS, FREQUENT AND URGENT URINATION ALL WHICH LASTED 2 DAYS.  ALSO DEVELOPED FEVER BLISTERS ON LIPS  ON 2ND DAY
Age: 49.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Wrong technique in product usage process
Clinical narrative: Intradermal injection given to left forearm didn't wheal. Repeat injection given subcutaneous to back of left arm successfully.
Age: 64.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Impaired healing, Injection site erythema, Injection site swelling
Clinical narrative: Injectio site has not heales. Raised red bump
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: 1st and 2nd dose Pfizer vaccine given instead of the Pfizer COVID Bivalent booster
Age: 52.0
Sex: F
Vaccine: COVID19, DTAP
Symptoms: COVID-19, Chest pain, Cough, Fatigue, SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of chest pains. The next day I developed a cough. I took a COVID-19 test that was negative. The next day the cough was stronger. I then took another COVID-19 test that was positive as well as another test a few hours later. I contacted my doctor and was prescribed Paxlovid and OTC Mucinex. I took that for 5 days. My cough did reside eventually but I still had chest pains that were a mild onset. I was extremely tired and fatigued. My symptoms lasted a total of 8 days.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Electrocardiogram normal, Fatigue, Headache, Nausea
Clinical narrative: Patient went to emergency room due to chest pain. she also has fever, headache, body ache, nausea and fatigue.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia
Clinical narrative: Patient went to emergency room due to chest pain. she also has fever, headache, body ache, nausea and fatigue.
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: patient had minimal bleeding at site, she had soreness at site of injection and swelling
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Headache, Pain, Peripheral swelling, Pruritus
Clinical narrative: Severe hives that covered every inch of my body for 6 full days. It's started with Itching  feet, hands and ears for days, stomach pain, body aches, headaches and then painful hives and extreme swelling of hands and feet.
Age: 51.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Severe hives that covered every inch of my body for 6 full days. It's started with Itching  feet, hands and ears for days, stomach pain, body aches, headaches and then painful hives and extreme swelling of hands and feet.
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Influenza, Lymphadenopathy, Oropharyngeal pain, Pain
Clinical narrative: Extreme sore throat, body aches, headache, sinus congestion, lymph nodes swollen on neck. I basically have a horrible flu. I feel worse than when I got Covid!
Age: 58.0
Sex: F
Vaccine: FLU4
Symptoms: SARS-CoV-2 test negative, Sinus congestion
Clinical narrative: Extreme sore throat, body aches, headache, sinus congestion, lymph nodes swollen on neck. I basically have a horrible flu. I feel worse than when I got Covid!
Age: 33.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect product formulation administered
Clinical narrative: 1st and 2nd Pfizer COVID vaccine given instead of the the PFizer  BIValent Booster
Age: 46.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immediate post-injection reaction, Injection site pain, Periarthritis
Clinical narrative: On Sept. 10, 2022 I received a bivalent covid booster shot at a pop-up clinic at High School to my left arm. The shot was immediately painful in my arm -- and much more painful than previous shots or boosters. The pain intensified in the days following the booster and spread to my shoulder. The pain has persisted ever since. I did not have any pain in my arm or shoulder prior to receiving the shot. I'm concerned that this is SIRVA. I went to my primary care physician today. She diagnosed frozen shoulder and prescribed a course of physical therapy.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: At 2:00AM the morning after my bivalent booster I woke up with itching on the top of my hand. I scratched it and it didn't help. I had clotrimazole and betamethasone. The next day I didn't feel it much. I called the nurse line and they advised to soak it in baking soda water and then BENADRYL cream. I got some relief before bed. The next day it began to become swollen, so I made an appointment with dermatologist. I called the nurse line again and let them know it was swollen. I took a BENADRYL allergy pill and slept well. The next day the swelling had covered the entire back of my hand. Originally it was only on the right side of my hand. The dermatologist told me he has seen reactions like this after the vaccines. Steroids do not help much. He gave me a sample of CERAVE. I used it a few times. By the weekend I was feeling better and as of today there is no evidence at all.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was supposed to receive bivalent booster but was mistakenly given monovalent vaccine due to a look-alike error.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient presented on morning of 08/31/2022 for 4th dose.  Staff unaware of new protocol from CDC to cease administering booster doses with Moderna vaccine until late afternoon.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect product formulation administered
Clinical narrative: 1st and 2nd Dose Pfizer COVID vaccine given as the Pfizer BIValent Booster
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: the patient was supposed to receive the 2nd dose of the primary series of the COVID vaccine in the Pfizer brand. what the patient actually received was the updated booster dose in place of that vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Brachytherapy, Chemotherapy, Endometrial cancer, Surgery
Clinical narrative: I received this booster at a local pharmacy in the right arm on August 15, 2021.   It was my third Pfizer dose, and first booster.  I got Clear Cell Endometrial Cancer with first symptom showing up  Nov. 15th, 2021, exactly two months later.  I am MSI stable, if that is info of interest. As of now I am doing well following treatment of surgery, chemo, and brachytherapy.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Seizure
Clinical narrative: Patient has reported series of seizures 4 days after receiving  meningitis vaccine.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose decreased, Blood iron decreased, Chest X-ray normal, Dysmenorrhoea, Electrocardiogram abnormal
Clinical narrative: On 9/29/2022 I starting experiencing  menorrhagia and painful bleeding from early morning. At about 10am I fainted at a restaurant and Emergency Services was called. EMT stated that my sugar was low ,my BP was 90/50 and my heart rate was low. At the ER they conducted a CBC and noted that my Iron was low however I am anemic. I was DX with Syncope and  was discharged that evening and instructed to take Acetaminophen  and Ibuprofen as needed. I have a follow up appointment with my PCP and Cardiologist.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Heart rate decreased, Heavy menstrual bleeding, Syncope
Clinical narrative: On 9/29/2022 I starting experiencing  menorrhagia and painful bleeding from early morning. At about 10am I fainted at a restaurant and Emergency Services was called. EMT stated that my sugar was low ,my BP was 90/50 and my heart rate was low. At the ER they conducted a CBC and noted that my Iron was low however I am anemic. I was DX with Syncope and  was discharged that evening and instructed to take Acetaminophen  and Ibuprofen as needed. I have a follow up appointment with my PCP and Cardiologist.