chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: DC from hospital for COVID day prior to arrival, hypoxia at home. Treated with remdesivir, Vit-c, aspirin, zithromax, Vit-D, steroids, singulair, O2. Weaned to RA and discharged home.  Hospital Course: patient is a 66 y.o. female who presented to the hospital with complaint of shortness of breath and fever.  Patient was found to have covid pneumonia and associated acute hypoxic respiratory failure.  She improved with decadron, remdesivir, and supportive care.  She was then discharged home for outpatient follow up.   Disposition: She will be discharged 9/13/21 to home
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Transfusion
Clinical narrative: Admitted with COVID pna. Treated with plasma, vit-c, vit-d, zinc, singulair. O2, rocephin, zithromax, steroids. Improved and discharged home.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admitted with COVID pneumonia. Treated with steroids, remdesivir, zinc, vit-c, singulair, O2, merrem. Discharged home with O2.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, General physical health deterioration
Clinical narrative: Admitted for COVID pna. Fully vaccinated. Diagnosed PTA, condition declined at home. Treated with steroids, O2, zinc, doxy. Improved and was discharged home on oral steroids and 2L O2.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Lung neoplasm malignant
Clinical narrative: Admitted for COVID pna. Fully vaccinated. Rocephin, zithromax, O2. Discharged to SNF with hospice due to lung cancer.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Acute respiratory failure, COVID-19 pneumonia, Death, Endotracheal intubation
Clinical narrative: During the hospitalization , patient was treated for following diagnosis 1. Acute hypoxic respiratory failure with ARDS secondary to COVID-19 bilateral pneumonia (POA): Patient was intubated on 09/12/2021  Patient was extubated on 09/18/2021 and within few minutes of extubation patient passed away comfortably with family members bedside  Patient was pronounced dead at 12:31 p.m. on 09/18/2021
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Extubation, Pneumonia
Clinical narrative: During the hospitalization , patient was treated for following diagnosis 1. Acute hypoxic respiratory failure with ARDS secondary to COVID-19 bilateral pneumonia (POA): Patient was intubated on 09/12/2021  Patient was extubated on 09/18/2021 and within few minutes of extubation patient passed away comfortably with family members bedside  Patient was pronounced dead at 12:31 p.m. on 09/18/2021
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Bronchitis, COVID-19, Cardiac arrest
Clinical narrative: Pt readmitted from 10/16 - 10/21 stay for AKI & falls; returned d/t worsening creatinine of 5.0; admitted for AKI, acute bronchitis; pt COVID+ & xray showed pneumonia; tx w/Azithromycin, Cefipime, Vit C, steroids & zinc; 10/20 - started 5 day course of remdesivir; O2 status  & creatinine worsened and pt started dialysis 10/30; Hgb dropped to 5.7 w/ no evidence of bleeding; 2 U PRBCs transfused; pt did not improve w/ dialysis & oxygenation status continued to deteriorate and required OptiFlow & BiPAP. Pt made DNR, went into asystole 11/4 and subsequently passed away.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dialysis, Fall, Haemoglobin decreased, Oxygen saturation decreased
Clinical narrative: Pt readmitted from 10/16 - 10/21 stay for AKI & falls; returned d/t worsening creatinine of 5.0; admitted for AKI, acute bronchitis; pt COVID+ & xray showed pneumonia; tx w/Azithromycin, Cefipime, Vit C, steroids & zinc; 10/20 - started 5 day course of remdesivir; O2 status  & creatinine worsened and pt started dialysis 10/30; Hgb dropped to 5.7 w/ no evidence of bleeding; 2 U PRBCs transfused; pt did not improve w/ dialysis & oxygenation status continued to deteriorate and required OptiFlow & BiPAP. Pt made DNR, went into asystole 11/4 and subsequently passed away.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, Red blood cell transfusion, SARS-CoV-2 test positive, X-ray abnormal
Clinical narrative: Pt readmitted from 10/16 - 10/21 stay for AKI & falls; returned d/t worsening creatinine of 5.0; admitted for AKI, acute bronchitis; pt COVID+ & xray showed pneumonia; tx w/Azithromycin, Cefipime, Vit C, steroids & zinc; 10/20 - started 5 day course of remdesivir; O2 status  & creatinine worsened and pt started dialysis 10/30; Hgb dropped to 5.7 w/ no evidence of bleeding; 2 U PRBCs transfused; pt did not improve w/ dialysis & oxygenation status continued to deteriorate and required OptiFlow & BiPAP. Pt made DNR, went into asystole 11/4 and subsequently passed away.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Cough, Dyspnoea, Respiratory tract congestion
Clinical narrative: Presented to ED w/cough, congestion, & SOB; admitted for COVID PNA & acute resp w/hypoxia; hi-flo O2 started; 10/22 -tx w/bronchodilators, steroids, Levaquin; 10/23 - added Ceftriaxone & Azithromycin and thiamine; pt weaned to RA prior to DC & discharged home.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: INADVERTANT TEMPERATURE EXCURSION, VACCINE WAS STORED IN FREEZER TEMPERATURES (-50° C TO -15° C) BEYOND THE ALLOWABLE TWO WEEK EXCURSION THEN ADMINISTERED TO PATIENT. NO PATIENT ISSUES REPORTED FROM VACCINE.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Dyspnoea, Hypoxia, Malaise
Clinical narrative: Presented to ED w/COVID symptoms x 1 wk; SOB & hypoxic on arrival; admitted for COVID-19 PNA and acute on chronic resp failure w/hypoxia;10/27 -  tx w/ steroids, zin, pulmicort & bronchodilator nebs;10/28 - added zinc; 10/29 - added remdesivir; pt was O2 dependent on 2L/NC prior to arrival and was weaned down to 2L at discharge.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Endotracheal intubation, Fatigue
Clinical narrative: Presented to ED w/gen weakness, fatigue & SOB; pt dx w/ COVID in ED day prior but d/t no improvement, pt returned; admitted 10/25 for COVID-19 infection & hypoxia; 10/25 - tx w/antibiotics, steroids,Vit C, zinc; 10/27 - added remdesivir; pt became increasing hypoxic & maxed out on BIPAP and was intubated 10/2, extubated 10/30.Pt weaned down to RA at DC.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Positive airway pressure therapy
Clinical narrative: Presented to ED w/gen weakness, fatigue & SOB; pt dx w/ COVID in ED day prior but d/t no improvement, pt returned; admitted 10/25 for COVID-19 infection & hypoxia; 10/25 - tx w/antibiotics, steroids,Vit C, zinc; 10/27 - added remdesivir; pt became increasing hypoxic & maxed out on BIPAP and was intubated 10/2, extubated 10/30.Pt weaned down to RA at DC.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Presented to ED w/SOB & cough; COVD+ w/PNA; admitted for acute hypoxic resp failure d/t COVID-19 PNA; 10/27 - tx w/ Cefipime, remdesivir, zinc, azithromycin & ceftriaxone; pt developed Afib w/ RVR during stay; prolonged hospital stay d/t SOB & O2 requirements; pt discharged on 4L NC.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presented to ED w/SOB & cough; COVD+ w/PNA; admitted for acute hypoxic resp failure d/t COVID-19 PNA; 10/27 - tx w/ Cefipime, remdesivir, zinc, azithromycin & ceftriaxone; pt developed Afib w/ RVR during stay; prolonged hospital stay d/t SOB & O2 requirements; pt discharged on 4L NC.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Blood loss anaemia, COVID-19, Cardiac telemetry normal, Chills
Clinical narrative: Patient up to date on Moderna COVID vaccinations who was mildly symptomatic for COVID at home - but admitted for GI bleed.  Provider d/c note below:  "49 YO female with PMH of PUD, multinodular goiter and GERD who presented to hospital's ED for evaluation of recurrent syncopal episode and melena. However, on Friday, she developed symptoms of mild sore throat, nonproductive cough, coryza and nasal congestion. The patient also had a low-grade fever of 99.8° F and some chills.  She also notes that her epigastric pain has worsened and has become more constant in nature.  She did a home kit for COVID and came back positive. She reports she started having melena on 05/27 and went to an ED where she was evaluated.  She presented to them that time the stool that she saved.  She was found to have an acute blood loss anemia but hemodynamically stable with H&H at 9.8 g and 29.4% hematocrit. After she left the hospital, she had 2 episodes of syncope, after the second one, she ended up in the tub but she did not have a major injury as the husband was right there.  She apparently was out for a good 2 minutes. The husband described that at both times that she passed out 1 after the other, she was very pale, clammy and just did not look good. She was then brought to the emergency room by EMS after her 2nd syncopal episode. Upon arrival, her blood pressure was 91/43, heart rate of 79, respirations of 20 and temperature of 36.4° C. ED labs showed Hgb 6.7 and  She received 1 unit transfusion and hospitalist service asked to admit patient for further monitoring. GI consulted and EGD revealed clean based ulcers without evidence of active bleeding or old blood seen. Small hiatal hernia also seen.  She received 5 units pRBCs and hemoglobin stabilized. A head CT was completed which revealed no acute abnormality.Telemetry was normal sinus rhythm. She was evaluated by our therapy teams and deemed to go home independently.   She is to start iron supplementation every other day. She is to continue BID PPI for 8 weeks with close up with doctor for repeat EGD and continued monitoring. She is discharged home in stable condition.  She is to obtain CBC prior to her upcoming PCP appointment."
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cold sweat, Computerised tomogram head normal, Cough, Gastric ulcer, Gastrointestinal haemorrhage
Clinical narrative: Patient up to date on Moderna COVID vaccinations who was mildly symptomatic for COVID at home - but admitted for GI bleed.  Provider d/c note below:  "49 YO female with PMH of PUD, multinodular goiter and GERD who presented to hospital's ED for evaluation of recurrent syncopal episode and melena. However, on Friday, she developed symptoms of mild sore throat, nonproductive cough, coryza and nasal congestion. The patient also had a low-grade fever of 99.8° F and some chills.  She also notes that her epigastric pain has worsened and has become more constant in nature.  She did a home kit for COVID and came back positive. She reports she started having melena on 05/27 and went to an ED where she was evaluated.  She presented to them that time the stool that she saved.  She was found to have an acute blood loss anemia but hemodynamically stable with H&H at 9.8 g and 29.4% hematocrit. After she left the hospital, she had 2 episodes of syncope, after the second one, she ended up in the tub but she did not have a major injury as the husband was right there.  She apparently was out for a good 2 minutes. The husband described that at both times that she passed out 1 after the other, she was very pale, clammy and just did not look good. She was then brought to the emergency room by EMS after her 2nd syncopal episode. Upon arrival, her blood pressure was 91/43, heart rate of 79, respirations of 20 and temperature of 36.4° C. ED labs showed Hgb 6.7 and  She received 1 unit transfusion and hospitalist service asked to admit patient for further monitoring. GI consulted and EGD revealed clean based ulcers without evidence of active bleeding or old blood seen. Small hiatal hernia also seen.  She received 5 units pRBCs and hemoglobin stabilized. A head CT was completed which revealed no acute abnormality.Telemetry was normal sinus rhythm. She was evaluated by our therapy teams and deemed to go home independently.   She is to start iron supplementation every other day. She is to continue BID PPI for 8 weeks with close up with doctor for repeat EGD and continued monitoring. She is discharged home in stable condition.  She is to obtain CBC prior to her upcoming PCP appointment."
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hiatus hernia, Loss of consciousness, Melaena
Clinical narrative: Patient up to date on Moderna COVID vaccinations who was mildly symptomatic for COVID at home - but admitted for GI bleed.  Provider d/c note below:  "49 YO female with PMH of PUD, multinodular goiter and GERD who presented to hospital's ED for evaluation of recurrent syncopal episode and melena. However, on Friday, she developed symptoms of mild sore throat, nonproductive cough, coryza and nasal congestion. The patient also had a low-grade fever of 99.8° F and some chills.  She also notes that her epigastric pain has worsened and has become more constant in nature.  She did a home kit for COVID and came back positive. She reports she started having melena on 05/27 and went to an ED where she was evaluated.  She presented to them that time the stool that she saved.  She was found to have an acute blood loss anemia but hemodynamically stable with H&H at 9.8 g and 29.4% hematocrit. After she left the hospital, she had 2 episodes of syncope, after the second one, she ended up in the tub but she did not have a major injury as the husband was right there.  She apparently was out for a good 2 minutes. The husband described that at both times that she passed out 1 after the other, she was very pale, clammy and just did not look good. She was then brought to the emergency room by EMS after her 2nd syncopal episode. Upon arrival, her blood pressure was 91/43, heart rate of 79, respirations of 20 and temperature of 36.4° C. ED labs showed Hgb 6.7 and  She received 1 unit transfusion and hospitalist service asked to admit patient for further monitoring. GI consulted and EGD revealed clean based ulcers without evidence of active bleeding or old blood seen. Small hiatal hernia also seen.  She received 5 units pRBCs and hemoglobin stabilized. A head CT was completed which revealed no acute abnormality.Telemetry was normal sinus rhythm. She was evaluated by our therapy teams and deemed to go home independently.   She is to start iron supplementation every other day. She is to continue BID PPI for 8 weeks with close up with doctor for repeat EGD and continued monitoring. She is discharged home in stable condition.  She is to obtain CBC prior to her upcoming PCP appointment."
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nasal congestion, Oesophagogastroduodenoscopy abnormal, Oropharyngeal pain, Pallor, Pyrexia
Clinical narrative: Patient up to date on Moderna COVID vaccinations who was mildly symptomatic for COVID at home - but admitted for GI bleed.  Provider d/c note below:  "49 YO female with PMH of PUD, multinodular goiter and GERD who presented to hospital's ED for evaluation of recurrent syncopal episode and melena. However, on Friday, she developed symptoms of mild sore throat, nonproductive cough, coryza and nasal congestion. The patient also had a low-grade fever of 99.8° F and some chills.  She also notes that her epigastric pain has worsened and has become more constant in nature.  She did a home kit for COVID and came back positive. She reports she started having melena on 05/27 and went to an ED where she was evaluated.  She presented to them that time the stool that she saved.  She was found to have an acute blood loss anemia but hemodynamically stable with H&H at 9.8 g and 29.4% hematocrit. After she left the hospital, she had 2 episodes of syncope, after the second one, she ended up in the tub but she did not have a major injury as the husband was right there.  She apparently was out for a good 2 minutes. The husband described that at both times that she passed out 1 after the other, she was very pale, clammy and just did not look good. She was then brought to the emergency room by EMS after her 2nd syncopal episode. Upon arrival, her blood pressure was 91/43, heart rate of 79, respirations of 20 and temperature of 36.4° C. ED labs showed Hgb 6.7 and  She received 1 unit transfusion and hospitalist service asked to admit patient for further monitoring. GI consulted and EGD revealed clean based ulcers without evidence of active bleeding or old blood seen. Small hiatal hernia also seen.  She received 5 units pRBCs and hemoglobin stabilized. A head CT was completed which revealed no acute abnormality.Telemetry was normal sinus rhythm. She was evaluated by our therapy teams and deemed to go home independently.   She is to start iron supplementation every other day. She is to continue BID PPI for 8 weeks with close up with doctor for repeat EGD and continued monitoring. She is discharged home in stable condition.  She is to obtain CBC prior to her upcoming PCP appointment."
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Red blood cell transfusion, Rhinitis, SARS-CoV-2 test positive, Syncope, Transfusion
Clinical narrative: Patient up to date on Moderna COVID vaccinations who was mildly symptomatic for COVID at home - but admitted for GI bleed.  Provider d/c note below:  "49 YO female with PMH of PUD, multinodular goiter and GERD who presented to hospital's ED for evaluation of recurrent syncopal episode and melena. However, on Friday, she developed symptoms of mild sore throat, nonproductive cough, coryza and nasal congestion. The patient also had a low-grade fever of 99.8° F and some chills.  She also notes that her epigastric pain has worsened and has become more constant in nature.  She did a home kit for COVID and came back positive. She reports she started having melena on 05/27 and went to an ED where she was evaluated.  She presented to them that time the stool that she saved.  She was found to have an acute blood loss anemia but hemodynamically stable with H&H at 9.8 g and 29.4% hematocrit. After she left the hospital, she had 2 episodes of syncope, after the second one, she ended up in the tub but she did not have a major injury as the husband was right there.  She apparently was out for a good 2 minutes. The husband described that at both times that she passed out 1 after the other, she was very pale, clammy and just did not look good. She was then brought to the emergency room by EMS after her 2nd syncopal episode. Upon arrival, her blood pressure was 91/43, heart rate of 79, respirations of 20 and temperature of 36.4° C. ED labs showed Hgb 6.7 and  She received 1 unit transfusion and hospitalist service asked to admit patient for further monitoring. GI consulted and EGD revealed clean based ulcers without evidence of active bleeding or old blood seen. Small hiatal hernia also seen.  She received 5 units pRBCs and hemoglobin stabilized. A head CT was completed which revealed no acute abnormality.Telemetry was normal sinus rhythm. She was evaluated by our therapy teams and deemed to go home independently.   She is to start iron supplementation every other day. She is to continue BID PPI for 8 weeks with close up with doctor for repeat EGD and continued monitoring. She is discharged home in stable condition.  She is to obtain CBC prior to her upcoming PCP appointment."
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anxiety, Chills, Confusional state, Headache
Clinical narrative: nausea, chills, confusion, headache, fever, vomit   it all started around 12-1 am with me feeling ill, headache and stomachache were first, then severe confusion, and then chills plus shaking followed, nausea was next. i also had a fever, and after that i had a severe anxiety attack which i believe was brought on by the symptoms i was experiencing. after i had calmed my heart rate remained pretty high or at least faster than it usually would be and i vomited at around 5 am, after i vomited i started recovering from my illness
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Malaise, Nausea, Pyrexia, Tremor
Clinical narrative: nausea, chills, confusion, headache, fever, vomit   it all started around 12-1 am with me feeling ill, headache and stomachache were first, then severe confusion, and then chills plus shaking followed, nausea was next. i also had a fever, and after that i had a severe anxiety attack which i believe was brought on by the symptoms i was experiencing. after i had calmed my heart rate remained pretty high or at least faster than it usually would be and i vomited at around 5 am, after i vomited i started recovering from my illness
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: nausea, chills, confusion, headache, fever, vomit   it all started around 12-1 am with me feeling ill, headache and stomachache were first, then severe confusion, and then chills plus shaking followed, nausea was next. i also had a fever, and after that i had a severe anxiety attack which i believe was brought on by the symptoms i was experiencing. after i had calmed my heart rate remained pretty high or at least faster than it usually would be and i vomited at around 5 am, after i vomited i started recovering from my illness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, Malaise
Clinical narrative: Presented to ED w/COVID symptoms; admitted for COVID-19 infection & hypoxia; tx w/ IV steroids, remdesivir, Vit C, melatonin, zinc; pt required 2L/NC and weaned to RA at discharge.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hypoxia, Mental status changes, Sepsis, Urinary tract infection
Clinical narrative: Presented to ED w/AMS, COVID-19 infection; admitted for COVID-19, sepsis, hypoxia & UTI; tx w/ antibiotics, steroids, zinc; required high-flow oxygen support weaned to RA; pt discharged back to hospital.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Myalgia, Pain, Respiratory tract congestion
Clinical narrative: I am reporting a breakthrough Covid19 infection.  I woke up and my body felt very sore and muscles were very achy and I was congested.  Since I had plans to visit family I wanted to ensure I was ok.  I did the at home nasal swab test and it was positive.   My symptoms persisted and then I got a slight headache.  I reached out to my doctor and she prescribed the Paxolovid.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: I am reporting a breakthrough Covid19 infection.  I woke up and my body felt very sore and muscles were very achy and I was congested.  Since I had plans to visit family I wanted to ensure I was ok.  I did the at home nasal swab test and it was positive.   My symptoms persisted and then I got a slight headache.  I reached out to my doctor and she prescribed the Paxolovid.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adverse event, Exercise tolerance decreased, Herpes zoster, Pain, Pruritus
Clinical narrative: I want to start by saying I?m not sure if this is an adverse event due to the vaccines. I got the booster in November and my health condition started in May. I was diagnosed with shingles, which is odd for my age and because I am not immune compromised. It could of well been triggered by stress and anxiety however I figured I?d report it just in case. Again, I?m not sure if this was something the booster triggered since I was boosted in November 2021 and I was diagnosed with shingles May 2022.  Currently my shingles rash is drying up and I am not as itchy as when it began.  The pain is almost non existent unless I work out or walk too much that day. The week I was diagnosed I was very itchy and had some pain.  I have shingles rash on my right side of my stomach, lower abdomen, and lower back.  I used calamine lotion for the itch and that helped.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash
Clinical narrative: I want to start by saying I?m not sure if this is an adverse event due to the vaccines. I got the booster in November and my health condition started in May. I was diagnosed with shingles, which is odd for my age and because I am not immune compromised. It could of well been triggered by stress and anxiety however I figured I?d report it just in case. Again, I?m not sure if this was something the booster triggered since I was boosted in November 2021 and I was diagnosed with shingles May 2022.  Currently my shingles rash is drying up and I am not as itchy as when it began.  The pain is almost non existent unless I work out or walk too much that day. The week I was diagnosed I was very itchy and had some pain.  I have shingles rash on my right side of my stomach, lower abdomen, and lower back.  I used calamine lotion for the itch and that helped.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Asthenia, Blood glucose normal, Blood sodium decreased, COVID-19
Clinical narrative: Patient is a 75 y/o female who presented with complaints of shortness of breath and generalized weakness. Patient has a past medical history of COPD with oxygen dependency, pulmonary embolism, atrial fibrillation on chronic anticoagulation, lung cancer s/p radiation and chemo, and hypertension. Patient was hospitalized here in December 2021 with COPD exacerbation and discharged on 5L O2 with instructions to reestablish care with Pulmonology. Patient reports she had weaned back down to 2-3L O2 since that admission. She has not followed up in Pulmonology clinic. She reports she did have routine PET scan at Facility within the past couple of months which showed no recurrence per her report. Per Dr.s 1st it appears she was on prednisone taper in April however she does not recall this. Nevertheless, patient reports increased shortness of breath and cough over the past two days. She has thick sputum production. No fevers. She has not required increased O2 requirements. She reports generalized feeling of unwell and weakness. She denies any sick contacts. Reports she has received COVID19 vaccine X2, no booster. Patient also reports right hip pain for the past two days. Denies any injuries or falls.   In the emergency department patient is normotensive,HR 110s, EKG with sinus tachycardia. SpO2 on home oxygen 93%. CXR with right upper and lower lobe scarring. No acute process. Routine CBC with WBC 5.09 with 83% granulocytes. Chemistry significant fro Na 124, blucose110. COVID positive. UA with positive nitrites and 5-10 leukocyte esterase. Patient received IV ceftriaxone and IV toradol in the ED. Hospitalist asked to admit.  PT REMAINS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Patient is a 75 y/o female who presented with complaints of shortness of breath and generalized weakness. Patient has a past medical history of COPD with oxygen dependency, pulmonary embolism, atrial fibrillation on chronic anticoagulation, lung cancer s/p radiation and chemo, and hypertension. Patient was hospitalized here in December 2021 with COPD exacerbation and discharged on 5L O2 with instructions to reestablish care with Pulmonology. Patient reports she had weaned back down to 2-3L O2 since that admission. She has not followed up in Pulmonology clinic. She reports she did have routine PET scan at Facility within the past couple of months which showed no recurrence per her report. Per Dr.s 1st it appears she was on prednisone taper in April however she does not recall this. Nevertheless, patient reports increased shortness of breath and cough over the past two days. She has thick sputum production. No fevers. She has not required increased O2 requirements. She reports generalized feeling of unwell and weakness. She denies any sick contacts. Reports she has received COVID19 vaccine X2, no booster. Patient also reports right hip pain for the past two days. Denies any injuries or falls.   In the emergency department patient is normotensive,HR 110s, EKG with sinus tachycardia. SpO2 on home oxygen 93%. CXR with right upper and lower lobe scarring. No acute process. Routine CBC with WBC 5.09 with 83% granulocytes. Chemistry significant fro Na 124, blucose110. COVID positive. UA with positive nitrites and 5-10 leukocyte esterase. Patient received IV ceftriaxone and IV toradol in the ED. Hospitalist asked to admit.  PT REMAINS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Full blood count, Granulocyte count increased, Laboratory test, Malaise, Nitrite urine present
Clinical narrative: Patient is a 75 y/o female who presented with complaints of shortness of breath and generalized weakness. Patient has a past medical history of COPD with oxygen dependency, pulmonary embolism, atrial fibrillation on chronic anticoagulation, lung cancer s/p radiation and chemo, and hypertension. Patient was hospitalized here in December 2021 with COPD exacerbation and discharged on 5L O2 with instructions to reestablish care with Pulmonology. Patient reports she had weaned back down to 2-3L O2 since that admission. She has not followed up in Pulmonology clinic. She reports she did have routine PET scan at Facility within the past couple of months which showed no recurrence per her report. Per Dr.s 1st it appears she was on prednisone taper in April however she does not recall this. Nevertheless, patient reports increased shortness of breath and cough over the past two days. She has thick sputum production. No fevers. She has not required increased O2 requirements. She reports generalized feeling of unwell and weakness. She denies any sick contacts. Reports she has received COVID19 vaccine X2, no booster. Patient also reports right hip pain for the past two days. Denies any injuries or falls.   In the emergency department patient is normotensive,HR 110s, EKG with sinus tachycardia. SpO2 on home oxygen 93%. CXR with right upper and lower lobe scarring. No acute process. Routine CBC with WBC 5.09 with 83% granulocytes. Chemistry significant fro Na 124, blucose110. COVID positive. UA with positive nitrites and 5-10 leukocyte esterase. Patient received IV ceftriaxone and IV toradol in the ED. Hospitalist asked to admit.  PT REMAINS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Positron emission tomogram normal, Productive cough, Pulmonary fibrosis, SARS-CoV-2 test positive, Sinus tachycardia
Clinical narrative: Patient is a 75 y/o female who presented with complaints of shortness of breath and generalized weakness. Patient has a past medical history of COPD with oxygen dependency, pulmonary embolism, atrial fibrillation on chronic anticoagulation, lung cancer s/p radiation and chemo, and hypertension. Patient was hospitalized here in December 2021 with COPD exacerbation and discharged on 5L O2 with instructions to reestablish care with Pulmonology. Patient reports she had weaned back down to 2-3L O2 since that admission. She has not followed up in Pulmonology clinic. She reports she did have routine PET scan at Facility within the past couple of months which showed no recurrence per her report. Per Dr.s 1st it appears she was on prednisone taper in April however she does not recall this. Nevertheless, patient reports increased shortness of breath and cough over the past two days. She has thick sputum production. No fevers. She has not required increased O2 requirements. She reports generalized feeling of unwell and weakness. She denies any sick contacts. Reports she has received COVID19 vaccine X2, no booster. Patient also reports right hip pain for the past two days. Denies any injuries or falls.   In the emergency department patient is normotensive,HR 110s, EKG with sinus tachycardia. SpO2 on home oxygen 93%. CXR with right upper and lower lobe scarring. No acute process. Routine CBC with WBC 5.09 with 83% granulocytes. Chemistry significant fro Na 124, blucose110. COVID positive. UA with positive nitrites and 5-10 leukocyte esterase. Patient received IV ceftriaxone and IV toradol in the ED. Hospitalist asked to admit.  PT REMAINS INPATIENT AT THIS TIME.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Urine analysis, Urine leukocyte esterase positive, White blood cell count normal
Clinical narrative: Patient is a 75 y/o female who presented with complaints of shortness of breath and generalized weakness. Patient has a past medical history of COPD with oxygen dependency, pulmonary embolism, atrial fibrillation on chronic anticoagulation, lung cancer s/p radiation and chemo, and hypertension. Patient was hospitalized here in December 2021 with COPD exacerbation and discharged on 5L O2 with instructions to reestablish care with Pulmonology. Patient reports she had weaned back down to 2-3L O2 since that admission. She has not followed up in Pulmonology clinic. She reports she did have routine PET scan at Facility within the past couple of months which showed no recurrence per her report. Per Dr.s 1st it appears she was on prednisone taper in April however she does not recall this. Nevertheless, patient reports increased shortness of breath and cough over the past two days. She has thick sputum production. No fevers. She has not required increased O2 requirements. She reports generalized feeling of unwell and weakness. She denies any sick contacts. Reports she has received COVID19 vaccine X2, no booster. Patient also reports right hip pain for the past two days. Denies any injuries or falls.   In the emergency department patient is normotensive,HR 110s, EKG with sinus tachycardia. SpO2 on home oxygen 93%. CXR with right upper and lower lobe scarring. No acute process. Routine CBC with WBC 5.09 with 83% granulocytes. Chemistry significant fro Na 124, blucose110. COVID positive. UA with positive nitrites and 5-10 leukocyte esterase. Patient received IV ceftriaxone and IV toradol in the ED. Hospitalist asked to admit.  PT REMAINS INPATIENT AT THIS TIME.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adverse event, COVID-19, Cough, Decreased appetite, Fatigue
Clinical narrative: My adverse event was NOT in response to a vaccine.  I got a breakthrough case of COVID approximately 5 months after my 3rd vaccine (1st booster).  All vaccines I received were Moderna.    I had a severe sore throat, low grade fever (never above 101), headache, body aches, severe nasal congestion, brief chest congestion/cough (1-2 days), fatigue but inability to sleep, low appetite, and muted sense of smell and taste.  All of these symptoms resolved after 5 days with the exception of the nasal/head congestion.  The nasal/head congestion lingered for about 5 days more.  At day 10 I still tested positive for COVID, although the home test line was very faint.  By Day 15 I tested negative for COVID.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Nasal congestion, Oropharyngeal pain, Pain, Parosmia
Clinical narrative: My adverse event was NOT in response to a vaccine.  I got a breakthrough case of COVID approximately 5 months after my 3rd vaccine (1st booster).  All vaccines I received were Moderna.    I had a severe sore throat, low grade fever (never above 101), headache, body aches, severe nasal congestion, brief chest congestion/cough (1-2 days), fatigue but inability to sleep, low appetite, and muted sense of smell and taste.  All of these symptoms resolved after 5 days with the exception of the nasal/head congestion.  The nasal/head congestion lingered for about 5 days more.  At day 10 I still tested positive for COVID, although the home test line was very faint.  By Day 15 I tested negative for COVID.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion, Sleep disorder
Clinical narrative: My adverse event was NOT in response to a vaccine.  I got a breakthrough case of COVID approximately 5 months after my 3rd vaccine (1st booster).  All vaccines I received were Moderna.    I had a severe sore throat, low grade fever (never above 101), headache, body aches, severe nasal congestion, brief chest congestion/cough (1-2 days), fatigue but inability to sleep, low appetite, and muted sense of smell and taste.  All of these symptoms resolved after 5 days with the exception of the nasal/head congestion.  The nasal/head congestion lingered for about 5 days more.  At day 10 I still tested positive for COVID, although the home test line was very faint.  By Day 15 I tested negative for COVID.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Taste disorder, Vaccine breakthrough infection
Clinical narrative: My adverse event was NOT in response to a vaccine.  I got a breakthrough case of COVID approximately 5 months after my 3rd vaccine (1st booster).  All vaccines I received were Moderna.    I had a severe sore throat, low grade fever (never above 101), headache, body aches, severe nasal congestion, brief chest congestion/cough (1-2 days), fatigue but inability to sleep, low appetite, and muted sense of smell and taste.  All of these symptoms resolved after 5 days with the exception of the nasal/head congestion.  The nasal/head congestion lingered for about 5 days more.  At day 10 I still tested positive for COVID, although the home test line was very faint.  By Day 15 I tested negative for COVID.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 72-year-old male who presents emergency room complaining increased shortness of breath.  He also has had increasing cough.  He reports that his symptoms started yesterday afternoon.  Patient states he has not had any fever at home.  He did have a temperature of 99.6° on presentation to the emergency room.  Patient has a history of severe COPD and is on 4 liters/minute of oxygen continuous at home.  His pulse ox on presentation to the emergency room was 87% and his oxygen was increased to 6 L. patient takes an aspirin daily 81 mg.  He also is on prednisone 20 mg daily and states that he has been on this for the past 6 weeks.  His pulmonologist is Dr.  He also is followed by Dr. Cardiology.  Will his chest x-ray tonight shows some by basilar stranding but overall does not appear much different than his previous chest x-rays.  The patient has had his initial COVID shots and has had 2 boosters.  He reports that he when out to eat at a restaurant approximately 1 week ago.  His COVID swab tonight is positive.  I have been asked to admit the patient due to an increased oxygen requirement.  On the patient is a retired respiratory therapist who worked at this facility.  PT IS CURRENTLY INPATIENT.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Inadvertent temperature excursion, vaccine was stored in freezer temperatures (-50° C to -15° C)   beyond the allowable two-week excursion then administered to patient.  No patient issue to report from vaccine.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Anxiety, Blood creatine phosphokinase increased, Computerised tomogram head normal, Developmental hip dysplasia
Clinical narrative: Patient is non-verbal. Developed increased anxiety and change in behavior, then started to limp. No trauma or injury to the area. Went to the ED for further evaluation, was sent home with supportive care. Noted to have elevated CK, elevated WBC, elevated platelets on labs. No other viral or sick symptoms at time of presentation.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Platelet count increased, Speech disorder, White blood cell count increased, X-ray abnormal
Clinical narrative: Patient is non-verbal. Developed increased anxiety and change in behavior, then started to limp. No trauma or injury to the area. Went to the ED for further evaluation, was sent home with supportive care. Noted to have elevated CK, elevated WBC, elevated platelets on labs. No other viral or sick symptoms at time of presentation.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Cerebrovascular accident, SARS-CoV-2 test positive
Clinical narrative: Incidental positive COVID infection found during routine testing.  Patient admitted to rehabilitation unit after stroke and found to be COVID detected.  Asymptomatic throughout stay.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Fatigue, Hypervolaemia
Clinical narrative: weakness, fatigue, afib with RVR treated with amiodarone gtt, pt converted and PO amiodarone was started. lasix was also given for overload, transitioned to PO.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cerebrovascular accident, End stage renal disease, Mental status changes
Clinical narrative: Presented to ED w/AMS; admitted for ESRD & COVID-pna; 10/30 - tx w/ Cefipime; 10/31 - added Vit C, zinc & steroids; 11/6 - pt suffered acute stroke; required minimal O2 during stay and was weaned to RA by 11/7; pt DC to acute rehab d/t stroke.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Product storage error
Clinical narrative: Patient given wrong dose for age.   Inadvertent temperature excursion, vaccine was stored in freezer temperatures (-50° C to -15° C)   beyond the allowable two-week excursion then administered to patient.  No patient issue to report from vaccine.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Dyskinesia, SARS-CoV-2 test positive
Clinical narrative: Presented to ED w/ c/o involunatary movements since night before presentation; admitted for AKI and acute urinary retention; +COVID w/ acute resp failure tx with oxygen support via NC, Vit C, zinc & steroids; pt weaned to RA prior to DC.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary retention
Clinical narrative: Presented to ED w/ c/o involunatary movements since night before presentation; admitted for AKI and acute urinary retention; +COVID w/ acute resp failure tx with oxygen support via NC, Vit C, zinc & steroids; pt weaned to RA prior to DC.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Headache, Myalgia
Clinical narrative: Breakthrough COVID first dose 9/21/2021 062E21A, second dose 10/19/2021 048F21A.  COVID positive 6/2/2022.  65-year-old obese, recent ex-smoker with a complicated past pulmonary history, which includes COPD with associated pulmonary hypertension as well as obstructive sleep apnea syndrome.  No recall on the amount of pressure used at home for CPAP and 2 L of oxygen therapy on an as-needed basis.  She is on a maintenance regimen that includes "p.r.n." Combivent, albuterol, Symbicort, Advair and Trelegy. With this background history, she seeks medical attention for a subacute course over the past 48 hours of worsening cough, nonproductive, associated with chest tightness, wheezing, headaches, fever & myalgias
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection, Wheezing
Clinical narrative: Breakthrough COVID first dose 9/21/2021 062E21A, second dose 10/19/2021 048F21A.  COVID positive 6/2/2022.  65-year-old obese, recent ex-smoker with a complicated past pulmonary history, which includes COPD with associated pulmonary hypertension as well as obstructive sleep apnea syndrome.  No recall on the amount of pressure used at home for CPAP and 2 L of oxygen therapy on an as-needed basis.  She is on a maintenance regimen that includes "p.r.n." Combivent, albuterol, Symbicort, Advair and Trelegy. With this background history, she seeks medical attention for a subacute course over the past 48 hours of worsening cough, nonproductive, associated with chest tightness, wheezing, headaches, fever & myalgias
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Product storage error
Clinical narrative: Patient given wrong dose for age.  Inadvertent temperature excursion, vaccine was stored in freezer temperatures (-50° C to -15° C)   beyond the allowable two-week excursion then administered to patient.  No patient issue to report from vaccine.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED OUTSIDE OF THE RECOMMENDED USE BY DATE FROM MANUFACTURER
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Headache, Malaise
Clinical narrative: COVID breakthrough case. I received my 2nd booster shot on 05/10/2022 and My COVID symptoms started on 05/22/2022 with a headache and congestions. on 05/23/2022 in the evening around 6-7PM with headache, sore throat, chills, nasal congestions, muscle aches, fatigue, this continued till few days. I did 2 tele health with my doctor and he gave me PAXLOVID for five days. After 10 days I tested positive. My symptoms have improved but they are still trying to figure out what is happening with me.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough case. I received my 2nd booster shot on 05/10/2022 and My COVID symptoms started on 05/22/2022 with a headache and congestions. on 05/23/2022 in the evening around 6-7PM with headache, sore throat, chills, nasal congestions, muscle aches, fatigue, this continued till few days. I did 2 tele health with my doctor and he gave me PAXLOVID for five days. After 10 days I tested positive. My symptoms have improved but they are still trying to figure out what is happening with me.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case. I received my 2nd booster shot on 05/10/2022 and My COVID symptoms started on 05/22/2022 with a headache and congestions. on 05/23/2022 in the evening around 6-7PM with headache, sore throat, chills, nasal congestions, muscle aches, fatigue, this continued till few days. I did 2 tele health with my doctor and he gave me PAXLOVID for five days. After 10 days I tested positive. My symptoms have improved but they are still trying to figure out what is happening with me.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Muscular weakness
Clinical narrative: Pt c/o of weakness in legs in the afternoon that resulted in a fall. He later was hospitalized for 3 days.
Age: 6.0
Sex: M
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: received it BEFORE 9 years old
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Antiviral treatment, Herpes zoster, Nasal congestion, Rash
Clinical narrative: I have a rash and stuffy nose; my doctor thinks it's shingles. I have not received the results from the swab. I was prescribed antiviral medication. I am unsure if it is a result of the vaccine or because I may have shingles.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Feeling abnormal, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid 19.  Symptoms included congestion, body aches and feeling "run down"
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Inadvertent temperature excursion, vaccine was stored in freezer temperatures (-50° C to -15° C)   beyond the allowable two-week excursion then administered to patient.  No patient issue to report from vaccine.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: INADVERTANT TEMPERATURE EXCURSION, VACCINE WAS STORED IN FREEZER TEMPERATURES (-50° C TO -15° C) BEYOND THE ALLOWABLE TWO WEEK EXCURSION THEN ADMINISTERED TO PATIENT. NO PATIENT ISSUES REPORTED FROM VACCINE.