chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Migraine, Migraine with aura, Nausea, Photophobia
Clinical narrative: Narrative: PT is a 54 yr old MALE with complaints of: headache and expressive aphasia. HISTORY OF PRESENT ILLNESS: 54 y/o male who presented to the ED today for "the worst headache I have ever had and I wasn't able to get my words out correctly." He reports that this event occurred in a store at approximately 1400. He states that he has had a headache "off and on since Monday, I would take Motrin and Tylenol and the pain would go away, but it always came back." He stated that the pain occurred "mainly in my forehead." He admits to nausea this afternoon with the headache and reports photophobia. He reports he vomited x 1 today "with the headache." He denies vertigo or LOC with this event and denies loss of bowel or bladder function. He was resting quietly in on the bed in his room and appears in no acute distress. +photophobia upon exam. He reports that he has a rash on his flank that is "mostly on the left side and it it is very itchy and hurts when I touch it." He denies fever, chills, sob and chest pain. His speech is clear and non-garbled, able to speak in complete sentences without difficulty. Telestroke consult completed in ED with following recommendations: - 54 yo RH M presenting with transient episodic aphasia in setting of severe headache and zoster rash. Currently speech is close to normal. Periods of aphasia correlate with headache severity. Given history, transient aphasia likely related to migraine vs mild VZV encephalitis/vasculitis as opposed to transient cerebral ischemia. Furthermore his symptoms are improving and non disabling. Recommend evaluation by local neurology for further work up as indicated. Consider MRI brain w/wo. He will be admitted for CVA r/o, Covid 19,shingles and headache. HOSPITAL COURSE: Pt admitted to the floor. admitting dx r/o cva ; aphasia. mri of brain ordered. neurology consult. CTA of neck: No occlusion or high grade stenosis noted. CTA of head: No acute intracranial abnormality. CT of Head: no acute abnormality. prn pain med for headache. pt w/o hypoxia or fever associated with covid. resp isolation. no medications indicated. shingles - started on acyclovir. corrected electrolytes. neurology consult: Transit secondary migraine with aura vs TIA, likely due to Covid There is no evidence of vasculitis on CT angiogram, no evidence of encephalitis on MRI. recommended echo to complete work up. pt reports no headaches 6/4/22. no further aphasia. pt preference for outpt echo . pt stable for d/c to home. to cont tx for shingles for 7 days total. to self isolate for 5 days due to covid.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, SARS-CoV-2 test positive, Transient aphasia, Transient ischaemic attack
Clinical narrative: Narrative: PT is a 54 yr old MALE with complaints of: headache and expressive aphasia. HISTORY OF PRESENT ILLNESS: 54 y/o male who presented to the ED today for "the worst headache I have ever had and I wasn't able to get my words out correctly." He reports that this event occurred in a store at approximately 1400. He states that he has had a headache "off and on since Monday, I would take Motrin and Tylenol and the pain would go away, but it always came back." He stated that the pain occurred "mainly in my forehead." He admits to nausea this afternoon with the headache and reports photophobia. He reports he vomited x 1 today "with the headache." He denies vertigo or LOC with this event and denies loss of bowel or bladder function. He was resting quietly in on the bed in his room and appears in no acute distress. +photophobia upon exam. He reports that he has a rash on his flank that is "mostly on the left side and it it is very itchy and hurts when I touch it." He denies fever, chills, sob and chest pain. His speech is clear and non-garbled, able to speak in complete sentences without difficulty. Telestroke consult completed in ED with following recommendations: - 54 yo RH M presenting with transient episodic aphasia in setting of severe headache and zoster rash. Currently speech is close to normal. Periods of aphasia correlate with headache severity. Given history, transient aphasia likely related to migraine vs mild VZV encephalitis/vasculitis as opposed to transient cerebral ischemia. Furthermore his symptoms are improving and non disabling. Recommend evaluation by local neurology for further work up as indicated. Consider MRI brain w/wo. He will be admitted for CVA r/o, Covid 19,shingles and headache. HOSPITAL COURSE: Pt admitted to the floor. admitting dx r/o cva ; aphasia. mri of brain ordered. neurology consult. CTA of neck: No occlusion or high grade stenosis noted. CTA of head: No acute intracranial abnormality. CT of Head: no acute abnormality. prn pain med for headache. pt w/o hypoxia or fever associated with covid. resp isolation. no medications indicated. shingles - started on acyclovir. corrected electrolytes. neurology consult: Transit secondary migraine with aura vs TIA, likely due to Covid There is no evidence of vasculitis on CT angiogram, no evidence of encephalitis on MRI. recommended echo to complete work up. pt reports no headaches 6/4/22. no further aphasia. pt preference for outpt echo . pt stable for d/c to home. to cont tx for shingles for 7 days total. to self isolate for 5 days due to covid.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Narrative: PT is a 54 yr old MALE with complaints of: headache and expressive aphasia. HISTORY OF PRESENT ILLNESS: 54 y/o male who presented to the ED today for "the worst headache I have ever had and I wasn't able to get my words out correctly." He reports that this event occurred in a store at approximately 1400. He states that he has had a headache "off and on since Monday, I would take Motrin and Tylenol and the pain would go away, but it always came back." He stated that the pain occurred "mainly in my forehead." He admits to nausea this afternoon with the headache and reports photophobia. He reports he vomited x 1 today "with the headache." He denies vertigo or LOC with this event and denies loss of bowel or bladder function. He was resting quietly in on the bed in his room and appears in no acute distress. +photophobia upon exam. He reports that he has a rash on his flank that is "mostly on the left side and it it is very itchy and hurts when I touch it." He denies fever, chills, sob and chest pain. His speech is clear and non-garbled, able to speak in complete sentences without difficulty. Telestroke consult completed in ED with following recommendations: - 54 yo RH M presenting with transient episodic aphasia in setting of severe headache and zoster rash. Currently speech is close to normal. Periods of aphasia correlate with headache severity. Given history, transient aphasia likely related to migraine vs mild VZV encephalitis/vasculitis as opposed to transient cerebral ischemia. Furthermore his symptoms are improving and non disabling. Recommend evaluation by local neurology for further work up as indicated. Consider MRI brain w/wo. He will be admitted for CVA r/o, Covid 19,shingles and headache. HOSPITAL COURSE: Pt admitted to the floor. admitting dx r/o cva ; aphasia. mri of brain ordered. neurology consult. CTA of neck: No occlusion or high grade stenosis noted. CTA of head: No acute intracranial abnormality. CT of Head: no acute abnormality. prn pain med for headache. pt w/o hypoxia or fever associated with covid. resp isolation. no medications indicated. shingles - started on acyclovir. corrected electrolytes. neurology consult: Transit secondary migraine with aura vs TIA, likely due to Covid There is no evidence of vasculitis on CT angiogram, no evidence of encephalitis on MRI. recommended echo to complete work up. pt reports no headaches 6/4/22. no further aphasia. pt preference for outpt echo . pt stable for d/c to home. to cont tx for shingles for 7 days total. to self isolate for 5 days due to covid.
Age: 64.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:  No documentation located regarding ADE to influenza vaccine as patient did not receive through the clinic.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Fall, Fatigue
Clinical narrative: Narrative: Covid+, hospital Emergency room, confusion, weakness, fall-hit head, fatigue, nausea, parkinsons, Moderna#3, returned home
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Head injury, Nausea, Parkinson's disease, SARS-CoV-2 test positive
Clinical narrative: Narrative: Covid+, hospital Emergency room, confusion, weakness, fall-hit head, fatigue, nausea, parkinsons, Moderna#3, returned home
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Basophil count normal, Basophil percentage, Blood albumin normal
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood lactic acid, Blood magnesium normal, Blood potassium normal, Blood sodium normal
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, COVID-19, Carbon dioxide decreased, Eosinophil count normal, Eosinophil percentage increased
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Granulocyte count, Granulocyte percentage, Haematocrit normal, Haemoglobin normal
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Laboratory test, Lymphocyte count normal, Lymphocyte percentage
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume normal, Monocyte count increased
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte percentage increased, Platelet count normal, Protein total normal, Red blood cell count normal, Red cell distribution width normal
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Troponin I normal, White blood cell count normal
Clinical narrative: Narrative:  patient COVID positive despite 2 doses of COVID vaccination. patient admitted to hospital 2/1/2022 - 2/3/2022
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Dialysis, SARS-CoV-2 test positive
Clinical narrative: Narrative: Nursing home Emergency Room, CHF, dialysis, d/c back to nursing home, Covid+, moderna +3
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: HYPERtension Narrative: Employee saw PCP today for follow up continues with HTN.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Anion gap, Basophil count decreased, Basophil percentage increased
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood lactic acid decreased, Blood potassium normal
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Eosinophil count decreased, Eosinophil percentage decreased, Glomerular filtration rate decreased, Granulocyte percentage
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Influenza A virus test negative, Influenza B virus test, Leukocytosis
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte percentage, Nitrite urine absent, Platelet count normal, Protein urine
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Protein urine absent, Pyrexia, Red blood cell count normal, Red cell distribution width increased, Respiratory syncytial virus test negative
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Specific gravity urine increased, Urine ketone body absent, Urine leukocyte esterase, White blood cell count increased
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: pH urine normal
Clinical narrative: Narrative:  81-year-old male with past medical history of dementia and bedbound state who presented to the hospital with a chief complaint of cough and fever. Most of the history was obtained from the wife at the bedside as the patient is basically aphasic. Wife states that the patient has had a cough for the past 24 hours. She also states his fever has been up and down. She states that she has felt fine. ER work-up which included routine labs showed the patient had a mild leukocytosis. Patient was also found to be Covid positive. Chest x-ray shows bilateral infiltrates. We were consulted for admission mainly given that the patient was noted to be satting in the 80s requiring oxygen. HOSPITAL COURSE: Pt admitted to the floor. dx Mild acute hypoxic respiratory failure due to Covid/COVID PNA. mild sx noted. noted minimal use of oxygen. hold on remdesivir. continued medications for chronic conditions. pt started on remdesivir and dexamethasone given ongoing use of oxygen, albeit minimal in a functional quadraplegic. pt tolerating medications. pt off oxygen after 48 hours except for overnight use in lieu of cpap . pt able to handle own resp secretions. pt given 3 doses of remdesivir; had gotten 4 doses of dexamthasone. stable for d/c to home on 6/6/22.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rash
Clinical narrative: Headache & Rash Narrative:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap, Basophil count increased, Basophil percentage increased, Bilirubin urine, Blood calcium increased
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine increased, Blood glucose normal, Blood potassium normal, Blood sodium decreased
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Blood urine absent, Brain natriuretic peptide increased, COVID-19, Carbon dioxide decreased
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac failure congestive, Chest X-ray abnormal, Chromaturia, Cough
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eosinophil count normal, Eosinophil percentage decreased, Exposure to SARS-CoV-2, Glomerular filtration rate decreased
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Glucose urine absent, Granulocyte count, Granulocyte percentage, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hypervolaemia, Influenza A virus test negative, Influenza B virus test, Laboratory test, Lung infiltration
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume decreased
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte count increased, Monocyte percentage, Nitrite urine absent, Pain
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Pneumonia, Protein urine absent, Red blood cell count normal, Red cell distribution width increased
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Specific gravity urine normal, Throat irritation, Troponin I normal
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count increased, pH urine normal
Clinical narrative: Narrative:  Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Nodule, Peripheral swelling, Phlebitis, Skin warm
Clinical narrative: Phlebitis Arm is red, swollen and has a hard nodule , warm to touch Narrative:
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Dyspnoea, Feeling abnormal, Memory impairment
Clinical narrative: Narrative: Per PCP note: pt reportshis bp increased after his first shot. Hed had the second vaccine (6/2021) and his bp again increased. a wk later he noted brain fog(couldnot remember thing), he noted chest pain w/ walking or exercise, some sob. this occured until maybe two mos ago.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Pyrexia
Clinical narrative: Dizziness, Headache, chills, with fever Narrative:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pyrexia
Clinical narrative: Headache, Arthralgia, Fever, Chills Narrative:
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue
Clinical narrative: Arthralgia FATIGUE Narrative:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Fever, fatigue, pain at injection site Narrative:
Age: 0.67
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Contusion, Dizziness, Fatigue, Myalgia
Clinical narrative: Dizziness, Myalgia, Arthralgia, fatigue, bruising Narrative:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Cytomegalovirus chorioretinitis, Cytomegalovirus test negative, HIV test negative
Clinical narrative: Several weeks after he received the booster dose, he developed CMV retinitis in his eye on the same side.  He does not have any apparent immunodeficiency and his HIV testing is negative.
Age: 17.0
Sex: F
Vaccine: HEPA, IPV, MENB, TD
Symptoms: Injection site pain, X-ray limb
Clinical narrative: Patient recieved 3 vaccines on each deltoid in the peds office as a courtesy because adult practice doesn't have state vaccines  Two days later returned to PCP in Family Medicine with right shoulder pain it is assumed this side effect is from Bexsero but this is unknown
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Guillain-Barre syndrome, Laboratory test, Myalgia
Clinical narrative: After 3 to 4 weeks of the vaccination my body start acting weird  a lot of muscle pain and after it nex weeks all got worse until I ended up in the hospital in an emergency?s , and they keep me there for a week ,  after  that several analyzes  the doctors determined that I had contracted the síndrome of GILLIAN BARRE.
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Pyrexia, Rash macular
Clinical narrative: 03/15/2022 Patient came in for vomiting out of nowhere for a couple of days, had water and milk and threw it up . Recurrent vomiting, cough and congestion. Patient was sent for labs and x-rays  Diagnoses: Severe OM, URI and cough  03/19/2022 Patient was assessed over telemedicine   for labs and x-ray  Diagnoses: sinusitis and cough  Medication: Augmentin 600/5ml (5ml PO BID x 8 days  04/15/2022 Patient  came in for sinus infection was given the pneumococcal 23    IM on the left thigh  Diagnoses: sinusitis and low pneumococcal titers 04/17/2022 Patient was assessed over telemedicine  for pain and redness to injection site, vomiting, restless x 1 day @13:30 per mom size grew  Diagnoses: Cellulitis Medication: Clindamycin 75mg/5 ml (10ml TID x 7 days) 04/19/2022 Follow up on pcv 23 has cellulitis from vaccine. Site still red and swollen  Diagnoses: Left thigh cellulites    04/ 21/2022 Follow up on injection site and cellulites  Diagnoses: improved
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Screaming, Somnolence, Vomiting
Clinical narrative: 03/15/2022 Patient came in for vomiting out of nowhere for a couple of days, had water and milk and threw it up . Recurrent vomiting, cough and congestion. Patient was sent for labs and x-rays  Diagnoses: Severe OM, URI and cough  03/19/2022 Patient was assessed over telemedicine   for labs and x-ray  Diagnoses: sinusitis and cough  Medication: Augmentin 600/5ml (5ml PO BID x 8 days  04/15/2022 Patient  came in for sinus infection was given the pneumococcal 23    IM on the left thigh  Diagnoses: sinusitis and low pneumococcal titers 04/17/2022 Patient was assessed over telemedicine  for pain and redness to injection site, vomiting, restless x 1 day @13:30 per mom size grew  Diagnoses: Cellulitis Medication: Clindamycin 75mg/5 ml (10ml TID x 7 days) 04/19/2022 Follow up on pcv 23 has cellulitis from vaccine. Site still red and swollen  Diagnoses: Left thigh cellulites    04/ 21/2022 Follow up on injection site and cellulites  Diagnoses: improved
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Cellulitis, Cough, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 03/15/2022 Patient came in for vomiting out of nowhere for a couple of days, had water and milk and threw it up . Recurrent vomiting, cough and congestion. Patient was sent for labs and x-rays  Diagnoses: Severe OM, URI and cough  03/19/2022 Patient was assessed over telemedicine   for labs and x-ray  Diagnoses: sinusitis and cough  Medication: Augmentin 600/5ml (5ml PO BID x 8 days  04/15/2022 Patient  came in for sinus infection was given the pneumococcal 23    IM on the left thigh  Diagnoses: sinusitis and low pneumococcal titers 04/17/2022 Patient was assessed over telemedicine  for pain and redness to injection site, vomiting, restless x 1 day @13:30 per mom size grew  Diagnoses: Cellulitis Medication: Clindamycin 75mg/5 ml (10ml TID x 7 days) 04/19/2022 Follow up on pcv 23 has cellulitis from vaccine. Site still red and swollen  Diagnoses: Left thigh cellulites    04/ 21/2022 Follow up on injection site and cellulites  Diagnoses: improved
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Laboratory test, Otitis media, Respiratory tract congestion, Restlessness, Sinusitis
Clinical narrative: 03/15/2022 Patient came in for vomiting out of nowhere for a couple of days, had water and milk and threw it up . Recurrent vomiting, cough and congestion. Patient was sent for labs and x-rays  Diagnoses: Severe OM, URI and cough  03/19/2022 Patient was assessed over telemedicine   for labs and x-ray  Diagnoses: sinusitis and cough  Medication: Augmentin 600/5ml (5ml PO BID x 8 days  04/15/2022 Patient  came in for sinus infection was given the pneumococcal 23    IM on the left thigh  Diagnoses: sinusitis and low pneumococcal titers 04/17/2022 Patient was assessed over telemedicine  for pain and redness to injection site, vomiting, restless x 1 day @13:30 per mom size grew  Diagnoses: Cellulitis Medication: Clindamycin 75mg/5 ml (10ml TID x 7 days) 04/19/2022 Follow up on pcv 23 has cellulitis from vaccine. Site still red and swollen  Diagnoses: Left thigh cellulites    04/ 21/2022 Follow up on injection site and cellulites  Diagnoses: improved
Age: 2.0
Sex: F
Vaccine: PPV, PPV
Symptoms: Upper respiratory tract infection, Vomiting, X-ray
Clinical narrative: 03/15/2022 Patient came in for vomiting out of nowhere for a couple of days, had water and milk and threw it up . Recurrent vomiting, cough and congestion. Patient was sent for labs and x-rays  Diagnoses: Severe OM, URI and cough  03/19/2022 Patient was assessed over telemedicine   for labs and x-ray  Diagnoses: sinusitis and cough  Medication: Augmentin 600/5ml (5ml PO BID x 8 days  04/15/2022 Patient  came in for sinus infection was given the pneumococcal 23    IM on the left thigh  Diagnoses: sinusitis and low pneumococcal titers 04/17/2022 Patient was assessed over telemedicine  for pain and redness to injection site, vomiting, restless x 1 day @13:30 per mom size grew  Diagnoses: Cellulitis Medication: Clindamycin 75mg/5 ml (10ml TID x 7 days) 04/19/2022 Follow up on pcv 23 has cellulitis from vaccine. Site still red and swollen  Diagnoses: Left thigh cellulites    04/ 21/2022 Follow up on injection site and cellulites  Diagnoses: improved
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chills, Dizziness, Extra dose administered, Fatigue
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hyperhidrosis, Impaired work ability, Nausea, Pain in extremity
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Peripheral swelling
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Seborrhoea
Clinical narrative: NOTICED 1 WK AFTER SHOT 2 SOME GREASY SWEAT ABOVE EARS. IT KEPT GETTING  WORSE SO ASKED HEALTH NURSE ABOUT IT. SHE REPLIED SOME OTHER CASES HAD STOPPED AND HAD NOTHING TO GIVE ME. 4-21 AT  DERMATOGIST - GIVEN RX FOR CLOBETASOL .05% SHAMPOO, CLOBETASOL SOLUTION, KETOCONAZALE 2% SHAMPOO. NONE OF THESE HELPED OR STOPPED OILY SWEATS IN HEAD AREA. AT MY REGULAR DOCTOR 10-21 AND GIVEN PRESCRIPTION FOR HYDROXYZINE HCL 25MG TABLETS WHICH DID NOT WORK ON  GREASY SWEATS. BOTH DOCTORS HAVE GIVEN UP ON TRYING  TO SOLVE THE PROBLEM. 12-21 NO HELP AND GREASY  SWEATS GETTING WORSE.  I STARTED LOOKING FOR HELP ELSEWHERE 4-22 WITH MODERNA WHICH HAD PRODUCED NO RESULTS OR  ASSISTANCE.  I CONTACTED CDC 6-22 AND REFERED TO VAERS.  NOTE: USED THOUSANDS OF NAPKINS WIPING GREASY SWEAT FROM HEAD - TRYING TO KEEP OUT OF EARS  AND EYES. IT IS A 24-7 PROBLEM FROM BEGINNING TO NOW WHICH HAS GOTTEN WORSE.  I HAVE NO WHERE TO TURN FOR HELP. I AM 77  YEARS OLD AND WOULD LIKE A LIFE WITHOUT SWEATS TILL IT ENDS FOR ME.  PLEASE HELP ME!!
Age: 3.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Nurse called us and stated the vaccine had been reconstituted incorrectly which caused patient to receive approximately 3 times the approved dose.
Age: 3.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Nurse called us and stated the vaccine had been reconstituted incorrectly which caused patient to receive approximately 3 times the approved dose.