chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Loss of personal independence in daily activities, Magnetic resonance imaging abnormal, Pain, Pain in extremity, Pruritus
Clinical narrative: 1st vaccine 10/15/21 few days after first vaccine palms developed tiny almost blisters mainly right hand burning intense itching sensation i notified occupational health and was still advised i had to receive second vaccine in order to be compliant 2nd vaccine 11/5/21 my hands continued with reaction to the point my skin started peeling off the intensity of pain became so unbearable i had a heartbeat in palm of hand unable to sleep called in to work at 12/20/21 to seek help went to dermatologist 12/20/21 he prescribed oral,topical steroids and steriod injection and was unfamiliar with covid vaccine side effects and thought perhaps it would subside with steroids or possibly psoriasis he wasnt sure of auto immune system response  with covid vaccination. at the same time my right knee swelled however no injury .fast forward another dermatologist stelera did not help or steroids currently skyrizi has not helped today my palm has never healed severe painful cracks it limits my daily functions had biopsy and is palmar psoriasis which is life long .i was referred to rheumatologist by orthopedic my large right knee effusion seen on MRI and x-ray  80ml of fluid was drained/collected rheumatologist stated i had psoriatic arthritis which is life long. I expressed my concerns for exemption prior to vaccine since I had two autoimmune diseases and Dr. our hospital physician deemed that I be vaccinated and even the second vaccine after expressing reaction concerns. Since this Vaccine my quality of life has dramatically changed pain, physical, emotional, not to mention this will never go away.
Age: 41.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Psoriasis, Psoriatic arthropathy, Skin exfoliation, Skin fissures, X-ray limb abnormal
Clinical narrative: 1st vaccine 10/15/21 few days after first vaccine palms developed tiny almost blisters mainly right hand burning intense itching sensation i notified occupational health and was still advised i had to receive second vaccine in order to be compliant 2nd vaccine 11/5/21 my hands continued with reaction to the point my skin started peeling off the intensity of pain became so unbearable i had a heartbeat in palm of hand unable to sleep called in to work at 12/20/21 to seek help went to dermatologist 12/20/21 he prescribed oral,topical steroids and steriod injection and was unfamiliar with covid vaccine side effects and thought perhaps it would subside with steroids or possibly psoriasis he wasnt sure of auto immune system response  with covid vaccination. at the same time my right knee swelled however no injury .fast forward another dermatologist stelera did not help or steroids currently skyrizi has not helped today my palm has never healed severe painful cracks it limits my daily functions had biopsy and is palmar psoriasis which is life long .i was referred to rheumatologist by orthopedic my large right knee effusion seen on MRI and x-ray  80ml of fluid was drained/collected rheumatologist stated i had psoriatic arthritis which is life long. I expressed my concerns for exemption prior to vaccine since I had two autoimmune diseases and Dr. our hospital physician deemed that I be vaccinated and even the second vaccine after expressing reaction concerns. Since this Vaccine my quality of life has dramatically changed pain, physical, emotional, not to mention this will never go away.
Age: 61.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Burning sensation, Insomnia, Joint noise, Ligament injury, Limb discomfort
Clinical narrative: this was an influenza vaccine.my shoulder and arm felt an intense burning sensation when I got the vaccine and the shoulder and  upper arm have been hurting ever since.feels like the arm was pulled out of its socket and some ligaments were damaged.intense twinges of pain when moved certain ways and clicking that wasn?t there before.went to my doctor a week and a half after as it was not getting better and was making it very hard to sleep and do normal activities.
Age: 61.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Loss of personal independence in daily activities, Pain, Sensory disturbance
Clinical narrative: this was an influenza vaccine.my shoulder and arm felt an intense burning sensation when I got the vaccine and the shoulder and  upper arm have been hurting ever since.feels like the arm was pulled out of its socket and some ligaments were damaged.intense twinges of pain when moved certain ways and clicking that wasn?t there before.went to my doctor a week and a half after as it was not getting better and was making it very hard to sleep and do normal activities.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Temperature Excursion. Vaccine was stored refrigerated (2-8 degrees Celsius) for greater than 10 weeks.  Vaccine was stored for a total of 8 days past its beyond use date in the refrigerator.  Patient did not experience any adverse events.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac pacemaker insertion, Dental operation, Headache, Heart rate decreased
Clinical narrative: shot given on 10/13/21  Next day I had the worst headache ever in my life. Different then Migraine. This type of headache came more often until my Physical in Jan. 2022 I told the Dr that I get theses headaches. Time passed and headaches returned more and more frequent.  Had tooth removed. Still headaches. Had a pacemaker put in to help my slow heart rate 6/22 headaches continue to get worse and more frequent. Saw Neurologist Sept 23/22 Dr. for these headaches.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: rash on scalp with none stop itching
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: 61-year-old patient was given a high dose flu vaccine dose instead of a regular flu dose vaccine. Patient stated that they had a severe headache for approximately one day that improved with rest and staying hydrated with water.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: 09/06/22 presents to ED for "A. fib". PMHx of "A. fib."
Age: 7.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, Wrong patient received product
Clinical narrative: The wrong client was inadvertently given the influenza vaccine. This client had already received an annual flu vaccine for this flu season, so client ended up receiving two influenza vaccines within 6 days of each other.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 09/06/22 presents to ED for "breathing problem". PMHx of "afib on eliquis & metoprolol, hypothyroid, HTN"
Age: 31.0
Sex: F
Vaccine: FLU4
Symptoms: Vaccination site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: LARGE REDDENED AREA AROUND VACCINE SITE. WARM TO THE TOUCH. SWELLING AND PAIN.
Age: 65.0
Sex: M
Vaccine: VARZOS
Symptoms: Dysstasia, Gait disturbance, Loss of personal independence in daily activities, Malaise, Vomiting
Clinical narrative: Patient  Called on 11/02/2022 @  09:50 am and stated that he started to not feel well around 5 pm on 10/31/2022 after his vaccination. Patient stated that he vomited around 10 pm on 10/31/2022. Patient stated that he felt like he could not walk and that it progressed overnight on 10/31/2022. Patient stated that he had to call someone to come and help him get up.  Patient stated that he did not have a fever or a rash. Patient stated that he had never had a reaction to any other vaccines in the past and will not get the 2nd dose of the Shingrix due to this reaction.  Patient stated that he did not go to his physician or the hospital in regard to this reaction.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram abdomen abnormal, Diarrhoea, Lipase increased, Nausea
Clinical narrative: Developed abdominal pain, nausea, vomiting and diarrhea and was diagnosed with acute pancreatitis. Had no prior history. Does not use alcohol or illicit drugs. Developed chronic pancreatitis in the year following initial diagnosis. Resulted in 90 pound weight loss since diagnosis. Required draining of pancreatic cyst and placement of stents.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pancreatic cyst, Pancreatic cyst drainage, Pancreatic stent placement, Pancreatitis acute, Pancreatitis chronic
Clinical narrative: Developed abdominal pain, nausea, vomiting and diarrhea and was diagnosed with acute pancreatitis. Had no prior history. Does not use alcohol or illicit drugs. Developed chronic pancreatitis in the year following initial diagnosis. Resulted in 90 pound weight loss since diagnosis. Required draining of pancreatic cyst and placement of stents.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Weight decreased
Clinical narrative: Developed abdominal pain, nausea, vomiting and diarrhea and was diagnosed with acute pancreatitis. Had no prior history. Does not use alcohol or illicit drugs. Developed chronic pancreatitis in the year following initial diagnosis. Resulted in 90 pound weight loss since diagnosis. Required draining of pancreatic cyst and placement of stents.
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash pruritic
Clinical narrative: itchy rash on trunk and left arm beginning 10/30/2022
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Flushing
Clinical narrative: Pt here and had a flush reaction to her10:15am  Moderna Covid Bivalent Booster. Pt in waiting room;at 10:25 pt reports feeling flushed; denies sob or difficulty breathing, denies cp, no hives noted. Flushed skin on neck and face only. Provider evaluated pt who is A&Ox3, VSS (see vs flowsheet). Provider advises pt that we will not plan to give benadryl at this time as she has improved and she is responsible for driving her mother home from our clinic. Plan is for pt to take own Claritin on arrival at home. Pt states an understanding and agrees with this plan. RN continued to monitor pt until 10:57 at which time she was discharged home with instructtions from provider to take her Claritin as discussed and to call us if symptoms worsen.   Triage - F/U call to check on pt after she had a flush reaction to the Bivalent Covid Booster in clinic today. Spoke with pt who states she is "better" but still a "little flushed" Provider here at time of call and updated. Provider advises that pt may repeat Claritin dose according to package directions.  RN reviews reasons to seek immediate urgent care/ED care: Wheezes, swelling of tongue, hives, cold/sweating, and pt should not drive self to ED or UC but call EMS. Pt states an understanding and agrees to this plan of care. RN will make final check-in call to patient tomorrow 10/24/2022. Call ended. October 13, 2022 3:59 PM by RN
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Headache, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 09/06/22 presents to ED for "headache and vomiting". PMHx of "GERD"
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Deafness unilateral
Clinical narrative: Patient called pharmacy around 10am on 11/2/22 reporting hearing loss in left year. Patient received Pfizer bivalent booster yesterday in right arm. Patient stated he took a shower this morning and noticed hearing loss in left ear. Pharmacist informed him may or may not be due to vaccine and counselled patient to report potential ADR to his primary care and to VAERS. Also counselled patient to monitor for pain/fever and seek emergency care depending on severity if occurs. Patient was not experiencing any pain or fever at time of reporting to pharmacy and believed hearing loss could be due to a potential head cold he had previously.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: The wrong vaccine was given to the patient.
Age: 56.0
Sex: M
Vaccine: TDAP
Symptoms: Endotracheal intubation, Throat tightness
Clinical narrative: PATIENT'S CAREGIVER REPORTS THAT 2 HOURS AFTER RECEIVING THE TETANUS SHOT HE FELT HIS THROAT CLOSING OFF AND WENT TO THE ER WHERE HE WAS INTUBATED.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood creatine phosphokinase, Blood iron, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: Developed Myocarditis which was picked up Oct 24, 2022. Fatigue, shortness of breath on occasion, rare palpitations
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Fatigue, Full blood count, Glycosylated haemoglobin, Lipids, Myocarditis
Clinical narrative: Developed Myocarditis which was picked up Oct 24, 2022. Fatigue, shortness of breath on occasion, rare palpitations
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Palpitations, Protein total, Red blood cell sedimentation rate, Renal function test, Scan myocardial perfusion
Clinical narrative: Developed Myocarditis which was picked up Oct 24, 2022. Fatigue, shortness of breath on occasion, rare palpitations
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: Developed Myocarditis which was picked up Oct 24, 2022. Fatigue, shortness of breath on occasion, rare palpitations
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Balance disorder, Computerised tomogram, Discomfort, Fall
Clinical narrative: In April I woke up and could not move my whole right side was heavy and I could not move it. I tried to get out of bed and fell on the floor. Once I got up and tried to walk it would throw me off balance. Sometimes I would fall sometimes I would just lean over and wait until I would regain my strength. I went to see my doctor four days later. He put me on PLAVIX, my right side extremities are still a little bigger than the left side. I am awaiting on an appointment to see a Neurologist.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Gait disturbance, Limbal swelling, Magnetic resonance imaging, Mobility decreased
Clinical narrative: In April I woke up and could not move my whole right side was heavy and I could not move it. I tried to get out of bed and fell on the floor. Once I got up and tried to walk it would throw me off balance. Sometimes I would fall sometimes I would just lean over and wait until I would regain my strength. I went to see my doctor four days later. He put me on PLAVIX, my right side extremities are still a little bigger than the left side. I am awaiting on an appointment to see a Neurologist.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Aortic valve sclerosis, Asthenia, Bundle branch block left, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: After receiving Moderna Bivalent covid-19 booster vaccine on 10/24/2022, patient experienced 2 near-syncope events around noon the following day, 10/25/22.  One occurred in his bed, and the 2nd one occurred in the bathroom which resulted in a fall.  He was transferred via ambulance to the local Hospital emergency department for evaluation and subsequently admitted with hyperkalemia, acute on chronic kidney injury, tachypnea, and tachycardia, with generalized weakness and ambulatory dysfunction. Per hospital records, it was felt that the tachycardia and tachypnea were related to the bivalent booster vaccine.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Diastolic dysfunction, Echocardiogram abnormal, Ejection fraction, Fall, Fibrin D dimer increased
Clinical narrative: After receiving Moderna Bivalent covid-19 booster vaccine on 10/24/2022, patient experienced 2 near-syncope events around noon the following day, 10/25/22.  One occurred in his bed, and the 2nd one occurred in the bathroom which resulted in a fall.  He was transferred via ambulance to the local Hospital emergency department for evaluation and subsequently admitted with hyperkalemia, acute on chronic kidney injury, tachypnea, and tachycardia, with generalized weakness and ambulatory dysfunction. Per hospital records, it was felt that the tachycardia and tachypnea were related to the bivalent booster vaccine.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Gait disturbance, Hyperkalaemia, N-terminal prohormone brain natriuretic peptide increased, Presyncope, Pulmonary fibrosis
Clinical narrative: After receiving Moderna Bivalent covid-19 booster vaccine on 10/24/2022, patient experienced 2 near-syncope events around noon the following day, 10/25/22.  One occurred in his bed, and the 2nd one occurred in the bathroom which resulted in a fall.  He was transferred via ambulance to the local Hospital emergency department for evaluation and subsequently admitted with hyperkalemia, acute on chronic kidney injury, tachypnea, and tachycardia, with generalized weakness and ambulatory dysfunction. Per hospital records, it was felt that the tachycardia and tachypnea were related to the bivalent booster vaccine.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Renal injury, Respiratory syncytial virus test negative, Tachycardia, Tachypnoea, Ventricular hypertrophy
Clinical narrative: After receiving Moderna Bivalent covid-19 booster vaccine on 10/24/2022, patient experienced 2 near-syncope events around noon the following day, 10/25/22.  One occurred in his bed, and the 2nd one occurred in the bathroom which resulted in a fall.  He was transferred via ambulance to the local Hospital emergency department for evaluation and subsequently admitted with hyperkalemia, acute on chronic kidney injury, tachypnea, and tachycardia, with generalized weakness and ambulatory dysfunction. Per hospital records, it was felt that the tachycardia and tachypnea were related to the bivalent booster vaccine.
Age: 85.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wall motion score index abnormal
Clinical narrative: After receiving Moderna Bivalent covid-19 booster vaccine on 10/24/2022, patient experienced 2 near-syncope events around noon the following day, 10/25/22.  One occurred in his bed, and the 2nd one occurred in the bathroom which resulted in a fall.  He was transferred via ambulance to the local Hospital emergency department for evaluation and subsequently admitted with hyperkalemia, acute on chronic kidney injury, tachypnea, and tachycardia, with generalized weakness and ambulatory dysfunction. Per hospital records, it was felt that the tachycardia and tachypnea were related to the bivalent booster vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial test, Blood test, Blood urine present, Culture urine negative, Laboratory test normal
Clinical narrative: On 04 /28/2022 I went to the hospital to get urine and blood test which was referred by my doctor. The results were given around 10:20AM. They found blood, mucus, and bacteria in my urine.  They even did urine culture it was negative. They did it again after couple of weeks later it was negative again.  My doctor referred me to a Urologist. I went to the Urologist yesterday on 11/01/2022 and they did few more tests this time everything was normal even though I still have little blood present in my urine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urine abnormality, Urine analysis abnormal
Clinical narrative: On 04 /28/2022 I went to the hospital to get urine and blood test which was referred by my doctor. The results were given around 10:20AM. They found blood, mucus, and bacteria in my urine.  They even did urine culture it was negative. They did it again after couple of weeks later it was negative again.  My doctor referred me to a Urologist. I went to the Urologist yesterday on 11/01/2022 and they did few more tests this time everything was normal even though I still have little blood present in my urine.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Was given the monovalent Pfizer for ages 5-11 as a booster prior to the bivalent becoming available, but was given the dose 3 months after completing the initial series instead of at 5 months after completing as was approved in the EAU. Parent notified on 11/01/2022 and reports no adverse reactions to the vaccination.  CDC also notified on 11/01/2022 and informed staff that no further action is needed at this time.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted. RN.
Age: 77.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood sodium decreased, COVID-19, Catheter placement
Clinical narrative: Vaccination status - Pfizer x3 Inpt -10/21/2022 - discharge 11/1/2021 CHIEF COMPLAINT: COVID-19  ASSESSMENT / PLAN: #Acute hypoxemic respiratory insufficiency #Acute COVID-19 infection with superimposed strep pneumonia pneumonia  #COPD, no exacerbation  - Symptom onset 10/14/22, and tested positive on 10/21/22.  - The patient was on room air at home, has been requiring 3 L nasal cannula - Hypoxia worsened on 10/25/22, and was placed on non-rebreather - Repeat stat chest xray showed right basilar catheter remains in position. Minimal residual pneumothorax in the right apex - CTA-thorax was negative for PE; there is a progression of mild to moderate right and mild left lung base airspace disease - Patient was hypoxic and required 2L initially now is on high flow  - sputum culture growing has strep pneumoniae and H influenzae - Completed a total of 5 doses of Remdesivir Plan  - currently on 4 L of nasal cannula, will attempt to wean down as tolerated - Continue with dexamethasone 6 mg Daily (Day 10) - Consult to pulmonary medicine, signed off  - Continue Ceftriaxone 1gm Daily  (Day 6) tomorrow is last day  - Continue daily creatinine, complete blood count with differential, and liver function lab monitoring while on IV antibiotic therapy to monitor for renal, myelo-, and hepatoxicity.   - Continue inhalers as needed    - Continue Robitussin  - Tessalon prn   - DVT prophylaxis with Lovenox  - Home oxygen was completed and patient qualified, she currently lives in Mobile trailer he because her house is being built.  Husband is at doing to arrange staying with his sister in order to deliver the concentrator Spontaneous right pneumothorax, improving Chest tube associated chest pain  CTA thorax: moderate size right pneumothorax.  CTS consulted and recommended IR for chest tube. Chest tube placed 10/22.  Attempted water seal on 10/24, with worsening PTX and returned to suction. - Appreciate IR assistance with chest tube management  - chest tube was removed today and repeat chest x-ray showed no pneumothorax  - Continue Oxy PRN for pain control, if uncontrolled can increase dose.  Mild hypovolemic hyponatremia - resolved  - Na 132 on admission, now resolved  - suspect secondary to decreased oral intake  - monitor with daily CMP  Neutrophilic Leukocytosis - resolved - WBC 17.85 on admission -- > 13 -- > 20 -- > 16 -- > 12.8 - suspect secondary to acute COVID-19 infection and steroids, and pneumonia  - Continue treatment as above  - Continue to monitor with daily CBC and antibiotics  HLD  - Continue statin  Hx CVA  - No residual deficits  - Continue plavix  Carotid stenosis s/p right endarterectomy  - Continue Plavix Essential Hypertension  - Restarted Lozol  Tobacco use disorder  - 1/2 pack ppd x 55 years  - nicotine replacement order prn  Diet: General  DVT ppx: Lovenox  Code: Full  Dispo: Patient will transition home once chest tube is removed; Attempt water seal today. Will need home oxygen evaluation prior to discharge.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Chest tube insertion, Full blood count, Haemophilus test positive
Clinical narrative: Vaccination status - Pfizer x3 Inpt -10/21/2022 - discharge 11/1/2021 CHIEF COMPLAINT: COVID-19  ASSESSMENT / PLAN: #Acute hypoxemic respiratory insufficiency #Acute COVID-19 infection with superimposed strep pneumonia pneumonia  #COPD, no exacerbation  - Symptom onset 10/14/22, and tested positive on 10/21/22.  - The patient was on room air at home, has been requiring 3 L nasal cannula - Hypoxia worsened on 10/25/22, and was placed on non-rebreather - Repeat stat chest xray showed right basilar catheter remains in position. Minimal residual pneumothorax in the right apex - CTA-thorax was negative for PE; there is a progression of mild to moderate right and mild left lung base airspace disease - Patient was hypoxic and required 2L initially now is on high flow  - sputum culture growing has strep pneumoniae and H influenzae - Completed a total of 5 doses of Remdesivir Plan  - currently on 4 L of nasal cannula, will attempt to wean down as tolerated - Continue with dexamethasone 6 mg Daily (Day 10) - Consult to pulmonary medicine, signed off  - Continue Ceftriaxone 1gm Daily  (Day 6) tomorrow is last day  - Continue daily creatinine, complete blood count with differential, and liver function lab monitoring while on IV antibiotic therapy to monitor for renal, myelo-, and hepatoxicity.   - Continue inhalers as needed    - Continue Robitussin  - Tessalon prn   - DVT prophylaxis with Lovenox  - Home oxygen was completed and patient qualified, she currently lives in Mobile trailer he because her house is being built.  Husband is at doing to arrange staying with his sister in order to deliver the concentrator Spontaneous right pneumothorax, improving Chest tube associated chest pain  CTA thorax: moderate size right pneumothorax.  CTS consulted and recommended IR for chest tube. Chest tube placed 10/22.  Attempted water seal on 10/24, with worsening PTX and returned to suction. - Appreciate IR assistance with chest tube management  - chest tube was removed today and repeat chest x-ray showed no pneumothorax  - Continue Oxy PRN for pain control, if uncontrolled can increase dose.  Mild hypovolemic hyponatremia - resolved  - Na 132 on admission, now resolved  - suspect secondary to decreased oral intake  - monitor with daily CMP  Neutrophilic Leukocytosis - resolved - WBC 17.85 on admission -- > 13 -- > 20 -- > 16 -- > 12.8 - suspect secondary to acute COVID-19 infection and steroids, and pneumonia  - Continue treatment as above  - Continue to monitor with daily CBC and antibiotics  HLD  - Continue statin  Hx CVA  - No residual deficits  - Continue plavix  Carotid stenosis s/p right endarterectomy  - Continue Plavix Essential Hypertension  - Restarted Lozol  Tobacco use disorder  - 1/2 pack ppd x 55 years  - nicotine replacement order prn  Diet: General  DVT ppx: Lovenox  Code: Full  Dispo: Patient will transition home once chest tube is removed; Attempt water seal today. Will need home oxygen evaluation prior to discharge.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypophagia, Hypovolaemia, Leukocytosis, Metabolic function test
Clinical narrative: Vaccination status - Pfizer x3 Inpt -10/21/2022 - discharge 11/1/2021 CHIEF COMPLAINT: COVID-19  ASSESSMENT / PLAN: #Acute hypoxemic respiratory insufficiency #Acute COVID-19 infection with superimposed strep pneumonia pneumonia  #COPD, no exacerbation  - Symptom onset 10/14/22, and tested positive on 10/21/22.  - The patient was on room air at home, has been requiring 3 L nasal cannula - Hypoxia worsened on 10/25/22, and was placed on non-rebreather - Repeat stat chest xray showed right basilar catheter remains in position. Minimal residual pneumothorax in the right apex - CTA-thorax was negative for PE; there is a progression of mild to moderate right and mild left lung base airspace disease - Patient was hypoxic and required 2L initially now is on high flow  - sputum culture growing has strep pneumoniae and H influenzae - Completed a total of 5 doses of Remdesivir Plan  - currently on 4 L of nasal cannula, will attempt to wean down as tolerated - Continue with dexamethasone 6 mg Daily (Day 10) - Consult to pulmonary medicine, signed off  - Continue Ceftriaxone 1gm Daily  (Day 6) tomorrow is last day  - Continue daily creatinine, complete blood count with differential, and liver function lab monitoring while on IV antibiotic therapy to monitor for renal, myelo-, and hepatoxicity.   - Continue inhalers as needed    - Continue Robitussin  - Tessalon prn   - DVT prophylaxis with Lovenox  - Home oxygen was completed and patient qualified, she currently lives in Mobile trailer he because her house is being built.  Husband is at doing to arrange staying with his sister in order to deliver the concentrator Spontaneous right pneumothorax, improving Chest tube associated chest pain  CTA thorax: moderate size right pneumothorax.  CTS consulted and recommended IR for chest tube. Chest tube placed 10/22.  Attempted water seal on 10/24, with worsening PTX and returned to suction. - Appreciate IR assistance with chest tube management  - chest tube was removed today and repeat chest x-ray showed no pneumothorax  - Continue Oxy PRN for pain control, if uncontrolled can increase dose.  Mild hypovolemic hyponatremia - resolved  - Na 132 on admission, now resolved  - suspect secondary to decreased oral intake  - monitor with daily CMP  Neutrophilic Leukocytosis - resolved - WBC 17.85 on admission -- > 13 -- > 20 -- > 16 -- > 12.8 - suspect secondary to acute COVID-19 infection and steroids, and pneumonia  - Continue treatment as above  - Continue to monitor with daily CBC and antibiotics  HLD  - Continue statin  Hx CVA  - No residual deficits  - Continue plavix  Carotid stenosis s/p right endarterectomy  - Continue Plavix Essential Hypertension  - Restarted Lozol  Tobacco use disorder  - 1/2 pack ppd x 55 years  - nicotine replacement order prn  Diet: General  DVT ppx: Lovenox  Code: Full  Dispo: Patient will transition home once chest tube is removed; Attempt water seal today. Will need home oxygen evaluation prior to discharge.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophilia, Pneumonia pneumococcal, Pneumothorax, SARS-CoV-2 test positive, Sputum culture positive
Clinical narrative: Vaccination status - Pfizer x3 Inpt -10/21/2022 - discharge 11/1/2021 CHIEF COMPLAINT: COVID-19  ASSESSMENT / PLAN: #Acute hypoxemic respiratory insufficiency #Acute COVID-19 infection with superimposed strep pneumonia pneumonia  #COPD, no exacerbation  - Symptom onset 10/14/22, and tested positive on 10/21/22.  - The patient was on room air at home, has been requiring 3 L nasal cannula - Hypoxia worsened on 10/25/22, and was placed on non-rebreather - Repeat stat chest xray showed right basilar catheter remains in position. Minimal residual pneumothorax in the right apex - CTA-thorax was negative for PE; there is a progression of mild to moderate right and mild left lung base airspace disease - Patient was hypoxic and required 2L initially now is on high flow  - sputum culture growing has strep pneumoniae and H influenzae - Completed a total of 5 doses of Remdesivir Plan  - currently on 4 L of nasal cannula, will attempt to wean down as tolerated - Continue with dexamethasone 6 mg Daily (Day 10) - Consult to pulmonary medicine, signed off  - Continue Ceftriaxone 1gm Daily  (Day 6) tomorrow is last day  - Continue daily creatinine, complete blood count with differential, and liver function lab monitoring while on IV antibiotic therapy to monitor for renal, myelo-, and hepatoxicity.   - Continue inhalers as needed    - Continue Robitussin  - Tessalon prn   - DVT prophylaxis with Lovenox  - Home oxygen was completed and patient qualified, she currently lives in Mobile trailer he because her house is being built.  Husband is at doing to arrange staying with his sister in order to deliver the concentrator Spontaneous right pneumothorax, improving Chest tube associated chest pain  CTA thorax: moderate size right pneumothorax.  CTS consulted and recommended IR for chest tube. Chest tube placed 10/22.  Attempted water seal on 10/24, with worsening PTX and returned to suction. - Appreciate IR assistance with chest tube management  - chest tube was removed today and repeat chest x-ray showed no pneumothorax  - Continue Oxy PRN for pain control, if uncontrolled can increase dose.  Mild hypovolemic hyponatremia - resolved  - Na 132 on admission, now resolved  - suspect secondary to decreased oral intake  - monitor with daily CMP  Neutrophilic Leukocytosis - resolved - WBC 17.85 on admission -- > 13 -- > 20 -- > 16 -- > 12.8 - suspect secondary to acute COVID-19 infection and steroids, and pneumonia  - Continue treatment as above  - Continue to monitor with daily CBC and antibiotics  HLD  - Continue statin  Hx CVA  - No residual deficits  - Continue plavix  Carotid stenosis s/p right endarterectomy  - Continue Plavix Essential Hypertension  - Restarted Lozol  Tobacco use disorder  - 1/2 pack ppd x 55 years  - nicotine replacement order prn  Diet: General  DVT ppx: Lovenox  Code: Full  Dispo: Patient will transition home once chest tube is removed; Attempt water seal today. Will need home oxygen evaluation prior to discharge.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test positive, Superinfection, White blood cell count increased
Clinical narrative: Vaccination status - Pfizer x3 Inpt -10/21/2022 - discharge 11/1/2021 CHIEF COMPLAINT: COVID-19  ASSESSMENT / PLAN: #Acute hypoxemic respiratory insufficiency #Acute COVID-19 infection with superimposed strep pneumonia pneumonia  #COPD, no exacerbation  - Symptom onset 10/14/22, and tested positive on 10/21/22.  - The patient was on room air at home, has been requiring 3 L nasal cannula - Hypoxia worsened on 10/25/22, and was placed on non-rebreather - Repeat stat chest xray showed right basilar catheter remains in position. Minimal residual pneumothorax in the right apex - CTA-thorax was negative for PE; there is a progression of mild to moderate right and mild left lung base airspace disease - Patient was hypoxic and required 2L initially now is on high flow  - sputum culture growing has strep pneumoniae and H influenzae - Completed a total of 5 doses of Remdesivir Plan  - currently on 4 L of nasal cannula, will attempt to wean down as tolerated - Continue with dexamethasone 6 mg Daily (Day 10) - Consult to pulmonary medicine, signed off  - Continue Ceftriaxone 1gm Daily  (Day 6) tomorrow is last day  - Continue daily creatinine, complete blood count with differential, and liver function lab monitoring while on IV antibiotic therapy to monitor for renal, myelo-, and hepatoxicity.   - Continue inhalers as needed    - Continue Robitussin  - Tessalon prn   - DVT prophylaxis with Lovenox  - Home oxygen was completed and patient qualified, she currently lives in Mobile trailer he because her house is being built.  Husband is at doing to arrange staying with his sister in order to deliver the concentrator Spontaneous right pneumothorax, improving Chest tube associated chest pain  CTA thorax: moderate size right pneumothorax.  CTS consulted and recommended IR for chest tube. Chest tube placed 10/22.  Attempted water seal on 10/24, with worsening PTX and returned to suction. - Appreciate IR assistance with chest tube management  - chest tube was removed today and repeat chest x-ray showed no pneumothorax  - Continue Oxy PRN for pain control, if uncontrolled can increase dose.  Mild hypovolemic hyponatremia - resolved  - Na 132 on admission, now resolved  - suspect secondary to decreased oral intake  - monitor with daily CMP  Neutrophilic Leukocytosis - resolved - WBC 17.85 on admission -- > 13 -- > 20 -- > 16 -- > 12.8 - suspect secondary to acute COVID-19 infection and steroids, and pneumonia  - Continue treatment as above  - Continue to monitor with daily CBC and antibiotics  HLD  - Continue statin  Hx CVA  - No residual deficits  - Continue plavix  Carotid stenosis s/p right endarterectomy  - Continue Plavix Essential Hypertension  - Restarted Lozol  Tobacco use disorder  - 1/2 pack ppd x 55 years  - nicotine replacement order prn  Diet: General  DVT ppx: Lovenox  Code: Full  Dispo: Patient will transition home once chest tube is removed; Attempt water seal today. Will need home oxygen evaluation prior to discharge.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Redness, soreness, itchiness, swelling at injection site
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: I went to a family reunion, the next day a family member called to let everyone know they tested positive for COVID-19. I did not have any symptoms but tested to be on the side of caution, it came back positive. Once I received the positive test result, I went to an urgent care, I was prescribed PAXLOVID and started taking it immediately. My case was mild, I recovered within twenty fours with no rebound.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injected limb mobility decreased, Muscle tightness, Pain
Clinical narrative: Unable to freely move left arm, pain, tightness
Age: 13.0
Sex: M
Vaccine: MNQ
Symptoms: Rash erythematous, Rash pruritic, Urticaria, Vaccination site erythema
Clinical narrative: Redness around vaccine site traveled down the arm to include the left elbow by 10/29. Also developed red itchy bumps all over his body. Dad presents some photos c/w hives
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Feeling abnormal, Oropharyngeal pain
Clinical narrative: I tested positive for Covid 19 on September 12, 2022, I experienced sore throat, severe sinus infection, very fatigue, had on and off fever, difficulty breathing. wheezing, I was prescribed an inhaler and steroid for my symptoms. I have brain fog as well.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinusitis, Wheezing
Clinical narrative: I tested positive for Covid 19 on September 12, 2022, I experienced sore throat, severe sinus infection, very fatigue, had on and off fever, difficulty breathing. wheezing, I was prescribed an inhaler and steroid for my symptoms. I have brain fog as well.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chills, Coronary arterial stent insertion, Dyspnoea, Palpitations
Clinical narrative: I had a low-grade temperature with chills after receiving my vaccine.  I would have periods time with these symptoms up to January or February 2022.  I would occasionally take Tylenol for the symptoms. I have routine doctor visits for my other illnesses and blood work which are within normal range. In July 2021, I started having heart palpitations that went on for an hour. I have been to many doctors, specialist, emergency rooms and hospital about this.  I take a beta blocker to help with the palpitations. In February 2022, I had heart stents which have helped me. Prior to the stents I was unable to sit upright because I could not breath. After the stents, I can function for about an hour to do normal life things. Then I have to sit down at a dragisic angle so I can breathe. After the last booster, my symptoms seem to be worse. As of today, I have the low-grade temperature with fever again.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had a low-grade temperature with chills after receiving my vaccine.  I would have periods time with these symptoms up to January or February 2022.  I would occasionally take Tylenol for the symptoms. I have routine doctor visits for my other illnesses and blood work which are within normal range. In July 2021, I started having heart palpitations that went on for an hour. I have been to many doctors, specialist, emergency rooms and hospital about this.  I take a beta blocker to help with the palpitations. In February 2022, I had heart stents which have helped me. Prior to the stents I was unable to sit upright because I could not breath. After the stents, I can function for about an hour to do normal life things. Then I have to sit down at a dragisic angle so I can breathe. After the last booster, my symptoms seem to be worse. As of today, I have the low-grade temperature with fever again.
Age: 43.0
Sex: M
Vaccine: FLUR4
Symptoms: Erythema of eyelid, Swelling of eyelid
Clinical narrative: employee had flublok influenza vaccine in left arm on 10/26/2022.  employee verbalized on 10/27/22 his eyelids bilaterally became red and swollen.
Age: 61.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Pain
Clinical narrative: severe body aches  severe fatigue
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, COVID-19, Cough, Decreased appetite, Diarrhoea
Clinical narrative: My eyes were really heavy and tired. I developed a runny nose and a cough. I also had extreme fatigue and a headache for 1 or 2. I developed a fever of around 100 degrees. I also had 1 day of diarrhea and loss of appetite. I tested myself on September 10, using a home COVID-19 test kit and it was positive. I contacted my doctor the next day who recommended isolation and prescribed PAXLOVID. My symptoms did not improve much from the medication. It took about 2 weeks for the symptoms to go away. I had a lingering cough for about 2 days after the 2 weeks. I have currently completely recovered from all my symptoms.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My eyes were really heavy and tired. I developed a runny nose and a cough. I also had extreme fatigue and a headache for 1 or 2. I developed a fever of around 100 degrees. I also had 1 day of diarrhea and loss of appetite. I tested myself on September 10, using a home COVID-19 test kit and it was positive. I contacted my doctor the next day who recommended isolation and prescribed PAXLOVID. My symptoms did not improve much from the medication. It took about 2 weeks for the symptoms to go away. I had a lingering cough for about 2 days after the 2 weeks. I have currently completely recovered from all my symptoms.
Age: 44.0
Sex: M
Vaccine: COVID19-2
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient RECEIVED PFIZER BIVALENT COVID 19 VACCINE INSTEAD OF THE ORGINAL FORMULA OF THE PFIZER COVID 19 VACCINE. 11/2/22 11:18 patient STATED HE HAD NO ADVERSE EFFECTS.
Age: 46.0
Sex: F
Vaccine: FLUR4
Symptoms: Dizziness, Throat tightness
Clinical narrative: patient stated she felt dizzy and throat tightness. by time patient got back in room, throat no longer felt tight but still felt dizzy.  patient did not experience swelling of face or tongue and was able to talk througout whole interaction, so administered benadryl. asked patient if she had anything to eat or drink yet. she said yes. offered crackers and water. she accepted water. monitored bp and hr, was within normal range. observed for 15 minutes in room. counseled pt on s/sx of allergic reaction and to contact 911 if experienced those s/sx at home.
Age: 36.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injection site pain
Clinical narrative: Within 24 hours of vaccination developed painful L shoulder. Pain has persisted since vaccination unless taking consistent NSAID medications.
Age: 2.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Rash, Viral rash
Clinical narrative: Child received third dose of Pfizer vaccine and Seasonal Flu vaccine on 9/30 at 5:30PM. On 10/4 at 12:30PM, child presented with a mild rash on torso and legs. Pediatrician diagnosed with viral exanthem on 10/4. Rash worsened and spread to face and arms by 10/5. Rash cleared by 10/8/2022.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Decreased appetite, Fatigue, Feeling abnormal, Lymph node pain
Clinical narrative: I had a sore throat and glands. I had leg aches that felt like cramps. A very slight fever between 99-100.2. I lost my appetite. I also had nights sweats. I have a cough sometimes with light phlegm with a lot of congestion. Really tired and feeling worn out.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Night sweats, Oropharyngeal pain, Pain in extremity, Productive cough, Pyrexia
Clinical narrative: I had a sore throat and glands. I had leg aches that felt like cramps. A very slight fever between 99-100.2. I lost my appetite. I also had nights sweats. I have a cough sometimes with light phlegm with a lot of congestion. Really tired and feeling worn out.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test
Clinical narrative: I had a sore throat and glands. I had leg aches that felt like cramps. A very slight fever between 99-100.2. I lost my appetite. I also had nights sweats. I have a cough sometimes with light phlegm with a lot of congestion. Really tired and feeling worn out.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient did not experience any adverse events post vaccination and did not require treatment.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Peripheral swelling
Clinical narrative: Patient called into pharmacy to report that after receiving her flu and COVID-19 shot yesterday, her hand and lower arm on the side of the injection began swelling. Patient was advised to contact MD for a prednisone taper or antihistamine.
Age: 32.0
Sex: F
Vaccine: MMR
Symptoms: Incorrect route of product administration
Clinical narrative: Vaccine was administered IM and should have been administered subcutaneous.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest discomfort, Headache
Clinical narrative: Tight chest, headache. Started as I was leaving the store. Not enough to need my inhaler but enough to notice.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Death
Clinical narrative: Client was diagnosed with COVID-19 at facility he lived at. Death was reported on 11/1/2022 by facility Administrator
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Gait disturbance, Headache, Muscular weakness, Myalgia
Clinical narrative: Joint pain and muscle weakness - unable to walk without a cane; muscle aches; headache, fever; nausea.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pyrexia, Walking aid user
Clinical narrative: Joint pain and muscle weakness - unable to walk without a cane; muscle aches; headache, fever; nausea.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Allergy test, Dental operation, Lip exfoliation, Lip swelling
Clinical narrative: I have been having a lot of dental work. After the visit of 9/19/2022, my lips started swelling a lot and peeling, which never happened before. It continued to worsen for about 3 1/2 weeks, subsequently I have been seeing an allergist. My primary prescribed an oral steroids and antihistamines. I had to get off the steroids to have the patch test done. This morning, 11/02/2022, they applied the patch test. They are expecting the results in two days. No results yet.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: 08/11/2022 thought that I had allergies. 08/13/2022: I did come down with major symptoms these included, coughing, congestion, low grade fever. 08/14/2022 molnupiravir shot given at emergency clinic. Symptoms went away after the shot in about 2-3 days. Afterwards I was then clear and COVID-19. However the following Friday I was not feeling well and I became positive again for COVID-19. I was suggested to come in and they tested me again and I was positive for COVID-19 again. They believe that I had a rebound case of COVID-19 and it came with a mild cough, sore throat, and respiratory issues but nothing very severe. I am still having lingering symptoms as well.