chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Endotracheal intubation, Gastrointestinal haemorrhage, Haemofiltration, Hepatic failure
Clinical narrative: Admitted on 12/8/2021 with chest pain that woke her from her sleep.  STEMI protocol initiated.  HC - cors clear.  Code blue arrest x2 following - intubated, pressors required.  CT found splenic ruptures - providers do not feel this was related to CPR at this time.  AKI.  Liver failure.  Now on multiple pressors, ETT, CRRT running, GI bleeding, and now also has positive blood cultures.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Splenic rupture
Clinical narrative: Admitted on 12/8/2021 with chest pain that woke her from her sleep.  STEMI protocol initiated.  HC - cors clear.  Code blue arrest x2 following - intubated, pressors required.  CT found splenic ruptures - providers do not feel this was related to CPR at this time.  AKI.  Liver failure.  Now on multiple pressors, ETT, CRRT running, GI bleeding, and now also has positive blood cultures.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Ocular hyperaemia, Thrombosis
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: blood clot in the mouth and blood shot eyes-Medium, Additional Details: per patient she developed blood clots in her mouth (still has it off and on) after the 1st dose and blood shot eyes after 3 to 4 hours after 2nd dose.  Eyes were checked by her eye doctor and is fully recovered.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis
Clinical narrative: Appendicitis
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Error: Wrong Route (SC, IM, etc.)-
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Error: Wrong Route (SC, IM, etc.)-
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Restlessness
Clinical narrative: 100.5 fever. Chills. Headache. Body aches/soreness. Restlessness.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fall, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted after receiving first dose of Pfizer Covid 19 vaccine NDC 59267-1000-02 Lot: 331308A Expiration 2/28/2022 in her right deltoid. Fainting occured about 5 to 7 minutes post vaccine which was after 2:50PM.  Patient came to in about 20 to 40 seconds and was seated in a chair where they were monitored for 30 minutes. Patient was not bleeding externally but did mention that her back hurt where she fell.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Headache-Medium, Systemic: Hypotension-Mild
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Additional Details: Patient fainted within  5 minutes of receiving a 3rd booster dose (0.25 ml), Emergency Response Team called to make sure patient was ok. Patient called a ride home.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Limb injury, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Per History and Physical written 12/13/21: Patient is a 72 y.o. male with a past medical history significant for essential hypertension, GERD and Hyperlipidemia presents to the ED with complaints of ongoing shortness of air and fatigue.  Patient reports he was diagnosed with COVID 19 at Hospital last week but he is unsure as to the date. However he reports his symptoms have been ongoing for 8 days or longer.  He notes that him and his wife developed symptoms around the same time two weeks ago.  I spoke to his wife by phone and she confirms they both tested positive two weeks ago and both received monoclonal antibodies at Hospital.  Since then his symptoms have not improved.  He continues to have shortness of air, non-productive cough, nausea, diarrhea, fatigue and body aches.  He did receive J&J Vaccine but has yet to receive his booster shot.  Patient denies any chest pain, palpitations, abdominal pain, dysuria, hematuria or melena.  CTA of chest obtained tonight reveals multifocal bilateral pneumonia, greater on the right.  Large hiatal hernia.  No evidence of pulmonary embolism.  Patient will be admitted to Hospital under the care of the Hospitalist for further evaluation and treatment.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hiatus hernia, Nausea, Pain, Pneumonia
Clinical narrative: Per History and Physical written 12/13/21: Patient is a 72 y.o. male with a past medical history significant for essential hypertension, GERD and Hyperlipidemia presents to the ED with complaints of ongoing shortness of air and fatigue.  Patient reports he was diagnosed with COVID 19 at Hospital last week but he is unsure as to the date. However he reports his symptoms have been ongoing for 8 days or longer.  He notes that him and his wife developed symptoms around the same time two weeks ago.  I spoke to his wife by phone and she confirms they both tested positive two weeks ago and both received monoclonal antibodies at Hospital.  Since then his symptoms have not improved.  He continues to have shortness of air, non-productive cough, nausea, diarrhea, fatigue and body aches.  He did receive J&J Vaccine but has yet to receive his booster shot.  Patient denies any chest pain, palpitations, abdominal pain, dysuria, hematuria or melena.  CTA of chest obtained tonight reveals multifocal bilateral pneumonia, greater on the right.  Large hiatal hernia.  No evidence of pulmonary embolism.  Patient will be admitted to Hospital under the care of the Hospitalist for further evaluation and treatment.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Per History and Physical written 12/13/21: Patient is a 72 y.o. male with a past medical history significant for essential hypertension, GERD and Hyperlipidemia presents to the ED with complaints of ongoing shortness of air and fatigue.  Patient reports he was diagnosed with COVID 19 at Hospital last week but he is unsure as to the date. However he reports his symptoms have been ongoing for 8 days or longer.  He notes that him and his wife developed symptoms around the same time two weeks ago.  I spoke to his wife by phone and she confirms they both tested positive two weeks ago and both received monoclonal antibodies at Hospital.  Since then his symptoms have not improved.  He continues to have shortness of air, non-productive cough, nausea, diarrhea, fatigue and body aches.  He did receive J&J Vaccine but has yet to receive his booster shot.  Patient denies any chest pain, palpitations, abdominal pain, dysuria, hematuria or melena.  CTA of chest obtained tonight reveals multifocal bilateral pneumonia, greater on the right.  Large hiatal hernia.  No evidence of pulmonary embolism.  Patient will be admitted to Hospital under the care of the Hospitalist for further evaluation and treatment.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, Blood creatinine increased, C-reactive protein increased, COVID-19
Clinical narrative: Per Infectious disease consult note 12/13/21: "Patient is a 59 y.o. male, PMH DM, HTN, seen today for COVID 19 pneumonia.  He presented to the ED with complaints of shortness of breath.  He had been working in his garage Saturday, slipped and fell onto his back.  He had rib soreness and pain with inspiration.  Yesterday, he developed worsening shortness of breath, with sinus drainage, prompting his presentation to the ED.  Recent COVID exposure from a coworker.  He has been afebrile. Admitting labs with PCT 0.2, CRP 1.68, WBC 8.85, Scr 1.26.  CXR with large left pneumothorax measuring at least 30%. CT was placed in ED.  CTA of chest after CT placement, with a very small residual pneumothorax, atelectatic changes in both lungs. Interstitial changes in LUL.  COVID positive.  Started on Remdesivir and Dexamethasone, and we were consulted for evaluation and treatment.   He states that he had Covid 19 infection approximately 1 year ago. He has received both COVID vaccinations, but not his booster. "
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest tube insertion, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: Per Infectious disease consult note 12/13/21: "Patient is a 59 y.o. male, PMH DM, HTN, seen today for COVID 19 pneumonia.  He presented to the ED with complaints of shortness of breath.  He had been working in his garage Saturday, slipped and fell onto his back.  He had rib soreness and pain with inspiration.  Yesterday, he developed worsening shortness of breath, with sinus drainage, prompting his presentation to the ED.  Recent COVID exposure from a coworker.  He has been afebrile. Admitting labs with PCT 0.2, CRP 1.68, WBC 8.85, Scr 1.26.  CXR with large left pneumothorax measuring at least 30%. CT was placed in ED.  CTA of chest after CT placement, with a very small residual pneumothorax, atelectatic changes in both lungs. Interstitial changes in LUL.  COVID positive.  Started on Remdesivir and Dexamethasone, and we were consulted for evaluation and treatment.   He states that he had Covid 19 infection approximately 1 year ago. He has received both COVID vaccinations, but not his booster. "
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Musculoskeletal chest pain, Painful respiration, Paranasal sinus hypersecretion, Pneumothorax
Clinical narrative: Per Infectious disease consult note 12/13/21: "Patient is a 59 y.o. male, PMH DM, HTN, seen today for COVID 19 pneumonia.  He presented to the ED with complaints of shortness of breath.  He had been working in his garage Saturday, slipped and fell onto his back.  He had rib soreness and pain with inspiration.  Yesterday, he developed worsening shortness of breath, with sinus drainage, prompting his presentation to the ED.  Recent COVID exposure from a coworker.  He has been afebrile. Admitting labs with PCT 0.2, CRP 1.68, WBC 8.85, Scr 1.26.  CXR with large left pneumothorax measuring at least 30%. CT was placed in ED.  CTA of chest after CT placement, with a very small residual pneumothorax, atelectatic changes in both lungs. Interstitial changes in LUL.  COVID positive.  Started on Remdesivir and Dexamethasone, and we were consulted for evaluation and treatment.   He states that he had Covid 19 infection approximately 1 year ago. He has received both COVID vaccinations, but not his booster. "
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin normal, SARS-CoV-2 test positive, Sinus disorder, White blood cell count normal
Clinical narrative: Per Infectious disease consult note 12/13/21: "Patient is a 59 y.o. male, PMH DM, HTN, seen today for COVID 19 pneumonia.  He presented to the ED with complaints of shortness of breath.  He had been working in his garage Saturday, slipped and fell onto his back.  He had rib soreness and pain with inspiration.  Yesterday, he developed worsening shortness of breath, with sinus drainage, prompting his presentation to the ED.  Recent COVID exposure from a coworker.  He has been afebrile. Admitting labs with PCT 0.2, CRP 1.68, WBC 8.85, Scr 1.26.  CXR with large left pneumothorax measuring at least 30%. CT was placed in ED.  CTA of chest after CT placement, with a very small residual pneumothorax, atelectatic changes in both lungs. Interstitial changes in LUL.  COVID positive.  Started on Remdesivir and Dexamethasone, and we were consulted for evaluation and treatment.   He states that he had Covid 19 infection approximately 1 year ago. He has received both COVID vaccinations, but not his booster. "
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: patient came in to report injection site redness and swelling, previous pfizer doses. moderna booster
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Hospitalized 12/6/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  History of Present Illness Patient is a 82 y.o. female  who presents to the hospital with shortness of breath.  The patient began having symptoms approximately 8 days ago.  She was seen in the walk-in clinic on 11/30 for symptoms of cough and congestion.  She was diagnosed with upper respiratory infection but also had a COVID test ordered which subsequently came back positive.  Throughout the course of the next several days she became increasingly fatigued with progressive cough and worsening shortness of breath.  Patient was seen in the emergency department.  She was afebrile but tachypneic in the 20s.  While there she required 6 L of oxygen to maintain sats above 90%.  Chest x-ray showed bilateral infiltrates consistent with possible COVID.  Due to her worsening hypoxemia she was transferred to the hospital for further evaluation care. Acute respiratory failure with hypoxemia  Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease Current required 4 L of oxygen Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning   * Pneumonia due to COVID-19 virus Assessment & Plan Patient was symptom onset 8 days ago Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Planned steroids, remdesivir and supportive care  Note from 12/13/2021: Acute respiratory failure with hypoxemia Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease More hypoxic this morning, CXR yesterday showing some disease progression IV lasix today Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning  Currently on 60% HFNC   * Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptom onset 11/29 Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Dexamethasone 8/10 Remdesivir 5/5 Worsening hypoxia, CT negative for PE but does show basilar consolidative changes Check sputum culture, start empiric antibiotics Rocephin/azithro day 1/5
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax normal, Condition aggravated, Cough, Dyspnoea, Fatigue
Clinical narrative: Hospitalized 12/6/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  History of Present Illness Patient is a 82 y.o. female  who presents to the hospital with shortness of breath.  The patient began having symptoms approximately 8 days ago.  She was seen in the walk-in clinic on 11/30 for symptoms of cough and congestion.  She was diagnosed with upper respiratory infection but also had a COVID test ordered which subsequently came back positive.  Throughout the course of the next several days she became increasingly fatigued with progressive cough and worsening shortness of breath.  Patient was seen in the emergency department.  She was afebrile but tachypneic in the 20s.  While there she required 6 L of oxygen to maintain sats above 90%.  Chest x-ray showed bilateral infiltrates consistent with possible COVID.  Due to her worsening hypoxemia she was transferred to the hospital for further evaluation care. Acute respiratory failure with hypoxemia  Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease Current required 4 L of oxygen Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning   * Pneumonia due to COVID-19 virus Assessment & Plan Patient was symptom onset 8 days ago Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Planned steroids, remdesivir and supportive care  Note from 12/13/2021: Acute respiratory failure with hypoxemia Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease More hypoxic this morning, CXR yesterday showing some disease progression IV lasix today Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning  Currently on 60% HFNC   * Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptom onset 11/29 Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Dexamethasone 8/10 Remdesivir 5/5 Worsening hypoxia, CT negative for PE but does show basilar consolidative changes Check sputum culture, start empiric antibiotics Rocephin/azithro day 1/5
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Incentive spirometry, Lung consolidation, Lung infiltration, Malaise
Clinical narrative: Hospitalized 12/6/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  History of Present Illness Patient is a 82 y.o. female  who presents to the hospital with shortness of breath.  The patient began having symptoms approximately 8 days ago.  She was seen in the walk-in clinic on 11/30 for symptoms of cough and congestion.  She was diagnosed with upper respiratory infection but also had a COVID test ordered which subsequently came back positive.  Throughout the course of the next several days she became increasingly fatigued with progressive cough and worsening shortness of breath.  Patient was seen in the emergency department.  She was afebrile but tachypneic in the 20s.  While there she required 6 L of oxygen to maintain sats above 90%.  Chest x-ray showed bilateral infiltrates consistent with possible COVID.  Due to her worsening hypoxemia she was transferred to the hospital for further evaluation care. Acute respiratory failure with hypoxemia  Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease Current required 4 L of oxygen Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning   * Pneumonia due to COVID-19 virus Assessment & Plan Patient was symptom onset 8 days ago Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Planned steroids, remdesivir and supportive care  Note from 12/13/2021: Acute respiratory failure with hypoxemia Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease More hypoxic this morning, CXR yesterday showing some disease progression IV lasix today Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning  Currently on 60% HFNC   * Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptom onset 11/29 Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Dexamethasone 8/10 Remdesivir 5/5 Worsening hypoxia, CT negative for PE but does show basilar consolidative changes Check sputum culture, start empiric antibiotics Rocephin/azithro day 1/5
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Prone position, Respiratory tract congestion, SARS-CoV-2 test positive, Sputum culture positive, Tachypnoea
Clinical narrative: Hospitalized 12/6/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  History of Present Illness Patient is a 82 y.o. female  who presents to the hospital with shortness of breath.  The patient began having symptoms approximately 8 days ago.  She was seen in the walk-in clinic on 11/30 for symptoms of cough and congestion.  She was diagnosed with upper respiratory infection but also had a COVID test ordered which subsequently came back positive.  Throughout the course of the next several days she became increasingly fatigued with progressive cough and worsening shortness of breath.  Patient was seen in the emergency department.  She was afebrile but tachypneic in the 20s.  While there she required 6 L of oxygen to maintain sats above 90%.  Chest x-ray showed bilateral infiltrates consistent with possible COVID.  Due to her worsening hypoxemia she was transferred to the hospital for further evaluation care. Acute respiratory failure with hypoxemia  Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease Current required 4 L of oxygen Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning   * Pneumonia due to COVID-19 virus Assessment & Plan Patient was symptom onset 8 days ago Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Planned steroids, remdesivir and supportive care  Note from 12/13/2021: Acute respiratory failure with hypoxemia Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease More hypoxic this morning, CXR yesterday showing some disease progression IV lasix today Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning  Currently on 60% HFNC   * Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptom onset 11/29 Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Dexamethasone 8/10 Remdesivir 5/5 Worsening hypoxia, CT negative for PE but does show basilar consolidative changes Check sputum culture, start empiric antibiotics Rocephin/azithro day 1/5
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Upper respiratory tract infection
Clinical narrative: Hospitalized 12/6/2021-still admitted currently; COVID-19 positive 11/30/2021; fully vaccinated  History of Present Illness Patient is a 82 y.o. female  who presents to the hospital with shortness of breath.  The patient began having symptoms approximately 8 days ago.  She was seen in the walk-in clinic on 11/30 for symptoms of cough and congestion.  She was diagnosed with upper respiratory infection but also had a COVID test ordered which subsequently came back positive.  Throughout the course of the next several days she became increasingly fatigued with progressive cough and worsening shortness of breath.  Patient was seen in the emergency department.  She was afebrile but tachypneic in the 20s.  While there she required 6 L of oxygen to maintain sats above 90%.  Chest x-ray showed bilateral infiltrates consistent with possible COVID.  Due to her worsening hypoxemia she was transferred to the hospital for further evaluation care. Acute respiratory failure with hypoxemia  Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease Current required 4 L of oxygen Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning   * Pneumonia due to COVID-19 virus Assessment & Plan Patient was symptom onset 8 days ago Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Planned steroids, remdesivir and supportive care  Note from 12/13/2021: Acute respiratory failure with hypoxemia Assessment & Plan Likely related to COVID pneumonia in setting of mild chronic obstructive pulmonary disease More hypoxic this morning, CXR yesterday showing some disease progression IV lasix today Supportive care, wean as tolerated Instructed in incentive spirometry, flutter and proning  Currently on 60% HFNC   * Pneumonia due to COVID-19 virus Assessment & Plan Patient with symptom onset 11/29 Vaccination status-vaccinated in April, no booster Patient with increasing cough shortness of breath and fatigue Positive test 11/30/2021 Admission 12/06/2021 Dexamethasone 8/10 Remdesivir 5/5 Worsening hypoxia, CT negative for PE but does show basilar consolidative changes Check sputum culture, start empiric antibiotics Rocephin/azithro day 1/5
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Injection site nodule, Injection site swelling
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Blood squirted from arm and hard knots at both injection sites-Mild, Additional Details: pt received flu and covid injection in same shoulder. first injection knot with dribble of blood. second injection knot and squirting blood
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Angiogram normal, Aspartate aminotransferase increased, Blood creatinine increased, C-reactive protein increased
Clinical narrative: Per Infectious Diseases consult 12/13/2021: "Patient is a 78 y.o. male, with PMH CAD, CHF, CVA, RA, vaccinated,   seen today for COVID 19 pneumonia.  He developed shortness of breath, fever, chills, cough, general malaise approximately 4 days ago.  He did at home COVID test which was positive. His symptoms worsened and EMS was called.  His oxygen saturation was 85% on RA.  Admitting labs with WBC 6.89, Scr 1.32, CRP 23.2, ALT 62, AST 102.  Tmax of 103.1.   CTA of chest without PE, extensive ground glass bilateral infiltrates.  He was started on Dexamethasone and Remdesivir, with Vancomycin and Zosyn,  and we were consulted for evaluation and treatment."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chills, Cough, Dyspnoea
Clinical narrative: Per Infectious Diseases consult 12/13/2021: "Patient is a 78 y.o. male, with PMH CAD, CHF, CVA, RA, vaccinated,   seen today for COVID 19 pneumonia.  He developed shortness of breath, fever, chills, cough, general malaise approximately 4 days ago.  He did at home COVID test which was positive. His symptoms worsened and EMS was called.  His oxygen saturation was 85% on RA.  Admitting labs with WBC 6.89, Scr 1.32, CRP 23.2, ALT 62, AST 102.  Tmax of 103.1.   CTA of chest without PE, extensive ground glass bilateral infiltrates.  He was started on Dexamethasone and Remdesivir, with Vancomycin and Zosyn,  and we were consulted for evaluation and treatment."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Per Infectious Diseases consult 12/13/2021: "Patient is a 78 y.o. male, with PMH CAD, CHF, CVA, RA, vaccinated,   seen today for COVID 19 pneumonia.  He developed shortness of breath, fever, chills, cough, general malaise approximately 4 days ago.  He did at home COVID test which was positive. His symptoms worsened and EMS was called.  His oxygen saturation was 85% on RA.  Admitting labs with WBC 6.89, Scr 1.32, CRP 23.2, ALT 62, AST 102.  Tmax of 103.1.   CTA of chest without PE, extensive ground glass bilateral infiltrates.  He was started on Dexamethasone and Remdesivir, with Vancomycin and Zosyn,  and we were consulted for evaluation and treatment."
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Per Infectious Diseases consult 12/13/2021: "Patient is a 78 y.o. male, with PMH CAD, CHF, CVA, RA, vaccinated,   seen today for COVID 19 pneumonia.  He developed shortness of breath, fever, chills, cough, general malaise approximately 4 days ago.  He did at home COVID test which was positive. His symptoms worsened and EMS was called.  His oxygen saturation was 85% on RA.  Admitting labs with WBC 6.89, Scr 1.32, CRP 23.2, ALT 62, AST 102.  Tmax of 103.1.   CTA of chest without PE, extensive ground glass bilateral infiltrates.  He was started on Dexamethasone and Remdesivir, with Vancomycin and Zosyn,  and we were consulted for evaluation and treatment."
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Head injury, Interchange of vaccine products, Skin laceration, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient was told to sit down and wait for 15 min but for unknown reason she stood up and fell forward, hit the head somewhere and had a cut on her forehead about 1and half inches long. this is her booster shot of Moderna, first 2 shots were Pfizer from another location.  911 was called and they arrived 15 to 20min later .
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient was told to sit down and wait for 15 min but for unknown reason she stood up and fell forward, hit the head somewhere and had a cut on her forehead about 1and half inches long. this is her booster shot of Moderna, first 2 shots were Pfizer from another location.  911 was called and they arrived 15 to 20min later .
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Extra dose administered, Headache, Lymph node pain, Pain
Clinical narrative: All three: chills, ache, sore arm, headache Booster: same as above but under armpit soreness in lymph nodes
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: All three: chills, ache, sore arm, headache Booster: same as above but under armpit soreness in lymph nodes
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Lymphadenopathy
Clinical narrative: multiple swollen lymph nodes in shoulder/neck area on left side
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Alopecia, Heavy menstrual bleeding, Intermenstrual bleeding
Clinical narrative: Hair loss and heavy periods and bleeding between periods
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Additional Details: BRUISING AND PAIN REPORTED PER PATIENT'S DAUGHTER.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Blood test abnormal, Heavy menstrual bleeding, Maternal exposure during pregnancy, Thrombosis
Clinical narrative: I was about 4-5 weeks pregnant when I received this second dose. I was hesitant to get the second dose because I had heavy bleeding and passed clots with the first dose, which was not at all normal for me. Three days after I received the second dose, around 9pm, I started heavy bleeding and passing large clots. Similar to what happened the first shot except this time I was pregnant. So I went to the Emergency department and they did some bloodwork and test and diagnosed me with ?threatened miscarriage? but I had to get blood work in a few days to know for sure. So I went to my doctor and got blood work and it showed that I was indeed having a miscarriage from this second vaccination. The bleeding only lasted 4 days and went away. Now it?s been almost two weeks since the bleeding stopped and I?m starting to pass clots again which is something I have only ever experienced since receiving the first covid vaccine dose.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound antenatal screen abnormal
Clinical narrative: I was about 4-5 weeks pregnant when I received this second dose. I was hesitant to get the second dose because I had heavy bleeding and passed clots with the first dose, which was not at all normal for me. Three days after I received the second dose, around 9pm, I started heavy bleeding and passing large clots. Similar to what happened the first shot except this time I was pregnant. So I went to the Emergency department and they did some bloodwork and test and diagnosed me with ?threatened miscarriage? but I had to get blood work in a few days to know for sure. So I went to my doctor and got blood work and it showed that I was indeed having a miscarriage from this second vaccination. The bleeding only lasted 4 days and went away. Now it?s been almost two weeks since the bleeding stopped and I?m starting to pass clots again which is something I have only ever experienced since receiving the first covid vaccine dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Severe flu like symptoms
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too Low-
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Lymphadenopathy, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Lymph Node Swelling-Mild
Age: 37.0
Sex: F
Vaccine: TDAP
Symptoms: Cough, Exposure during pregnancy, Feeling abnormal, Sinus congestion
Clinical narrative: I was 30 weeks 4 days pregnant, due February 11, 2022. The morning after getting the vaccine I developed clogged sinuses and a really bad cough that does not want to go away. I have been self treating with cough drops and I have not called the doctors office yet to inform them due to not feeling good.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills, Cough
Clinical narrative: Hospitalized 12/1/2021; COVID-19 positive 12/1/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: MD Admission Date: 12/1/2021 Discharge Date: Dec 3, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 63-year-old female past medical history significant for obesity, diabetes, insulin resistance, hypothyroidism and known pulmonary hypertension presents to the hospital on 12/1 due to dyspnea, chills, decreased appetite, nonproductive cough, headache diarrhea, nausea and vomiting.  Patient was tested positive for COVID-19, with chest x-ray showing focal opacities in the right lower lobe and right middle lobe representing pneumonia.  Her symptoms started around 11/27.  Patient was started on remdesivir and Decadron.  Decadron was interrupted as patient got better and got discharged on 12/03.  Will however try to complete 10 day course of dexamethasone.  Patient was started on antibiotics with suspicion for concomitant bacterial pneumonia however clinically this was felt to be less likely and hence were discontinued.  Patient was requested to resume her insulin regimen as she was doing before.  She states that hypoglycemic events are not frequent.  I asked her to call PCP if her blood sugars are persistently elevated especially getting discharged on dexamethasone.  However it has to be noted that patient's insulin needs were much lower than what she actually takes at home.  She was evaluated for possible need for home oxygen on the day of discharge, but did not need any.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Dyspnoea, Headache, Lung opacity
Clinical narrative: Hospitalized 12/1/2021; COVID-19 positive 12/1/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: MD Admission Date: 12/1/2021 Discharge Date: Dec 3, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 63-year-old female past medical history significant for obesity, diabetes, insulin resistance, hypothyroidism and known pulmonary hypertension presents to the hospital on 12/1 due to dyspnea, chills, decreased appetite, nonproductive cough, headache diarrhea, nausea and vomiting.  Patient was tested positive for COVID-19, with chest x-ray showing focal opacities in the right lower lobe and right middle lobe representing pneumonia.  Her symptoms started around 11/27.  Patient was started on remdesivir and Decadron.  Decadron was interrupted as patient got better and got discharged on 12/03.  Will however try to complete 10 day course of dexamethasone.  Patient was started on antibiotics with suspicion for concomitant bacterial pneumonia however clinically this was felt to be less likely and hence were discontinued.  Patient was requested to resume her insulin regimen as she was doing before.  She states that hypoglycemic events are not frequent.  I asked her to call PCP if her blood sugars are persistently elevated especially getting discharged on dexamethasone.  However it has to be noted that patient's insulin needs were much lower than what she actually takes at home.  She was evaluated for possible need for home oxygen on the day of discharge, but did not need any.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pneumonia bacterial, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Hospitalized 12/1/2021; COVID-19 positive 12/1/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: MD Admission Date: 12/1/2021 Discharge Date: Dec 3, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is a 63-year-old female past medical history significant for obesity, diabetes, insulin resistance, hypothyroidism and known pulmonary hypertension presents to the hospital on 12/1 due to dyspnea, chills, decreased appetite, nonproductive cough, headache diarrhea, nausea and vomiting.  Patient was tested positive for COVID-19, with chest x-ray showing focal opacities in the right lower lobe and right middle lobe representing pneumonia.  Her symptoms started around 11/27.  Patient was started on remdesivir and Decadron.  Decadron was interrupted as patient got better and got discharged on 12/03.  Will however try to complete 10 day course of dexamethasone.  Patient was started on antibiotics with suspicion for concomitant bacterial pneumonia however clinically this was felt to be less likely and hence were discontinued.  Patient was requested to resume her insulin regimen as she was doing before.  She states that hypoglycemic events are not frequent.  I asked her to call PCP if her blood sugars are persistently elevated especially getting discharged on dexamethasone.  However it has to be noted that patient's insulin needs were much lower than what she actually takes at home.  She was evaluated for possible need for home oxygen on the day of discharge, but did not need any.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: (5-11) age patient given Pfizer 12 and up dose at Vaccine Clinic.  RN Site lead contacted the Dr. to notify and discuss next steps. Informed by Dr. medical director for Medical Group.   RN Site lead notified the parents of the adverse event.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Pain
Clinical narrative: Lump the size of a small chicken egg Throbbing pain in armpit Boby aches
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pediatric (5-11) age children given Pfizer 12 and up dose at  Vaccine Clinic.  RN Site lead-- contacted Dr. to notify and discuss next steps. Informed by Dr.  there is no new symptoms are concerns to worry about at this time but to call and notify the parents of the adverse event.  RN Site lead notified the parents of the adverse event.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Breast discomfort, Chest X-ray normal, Chest discomfort, Dysgeusia, Electrocardiogram normal
Clinical narrative: I started feeling very unwell. My heart rate was high. These heart symptoms started to ramp up over a period of a week or two starting 11/25/21. My chest was tight and there was a strong discomfort in the breast bone area. I would wake up in the morning to my heart pounding. I was also having heart palpitations. headache. Fatigue. Metallic/sickly taste in my mouth. December 8 I went to the ER because I was feeling so unwell. When I got there my HR was high 100-120 when my heart rate is usually 60-70. My bp was also high.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heart rate increased, Hypertension, Malaise
Clinical narrative: I started feeling very unwell. My heart rate was high. These heart symptoms started to ramp up over a period of a week or two starting 11/25/21. My chest was tight and there was a strong discomfort in the breast bone area. I would wake up in the morning to my heart pounding. I was also having heart palpitations. headache. Fatigue. Metallic/sickly taste in my mouth. December 8 I went to the ER because I was feeling so unwell. When I got there my HR was high 100-120 when my heart rate is usually 60-70. My bp was also high.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Taste disorder, Troponin normal
Clinical narrative: I started feeling very unwell. My heart rate was high. These heart symptoms started to ramp up over a period of a week or two starting 11/25/21. My chest was tight and there was a strong discomfort in the breast bone area. I would wake up in the morning to my heart pounding. I was also having heart palpitations. headache. Fatigue. Metallic/sickly taste in my mouth. December 8 I went to the ER because I was feeling so unwell. When I got there my HR was high 100-120 when my heart rate is usually 60-70. My bp was also high.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pediatric (5-11) age children given Pfizer 12 and up dose at Vaccine Clinic.  RN Site lead-- contacted Dr.  to notify and discuss next steps. Informed by Dr.  there is no new symptoms are concerns to worry about at this time but to call and notify the parents of the adverse event.  RN Site lead notified the parents of the adverse event.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, Incorrect dose administered
Clinical narrative: Pediatric (5-11) age children given Pfizer 12 and up dose at  Vaccine Clinic.  RN Site lead contacted Dr. to notify and discuss next steps. Informed by Dr.  there is no new symptoms are concerns to worry about at this time but to call and notify the parents of the adverse event.  RN Site lead notified the parents of the adverse event.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Musculoskeletal stiffness, Neck pain
Clinical narrative: Severe neck stiffness that were followed by migraines and soreness in back of neck at Days 4, 5 and 6.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Incorrect dose administered
Clinical narrative: Pediatric (5-11) age children given Pfizer 12 and up dose at Vaccine Clinic.  RN Site lead- contacted Dr. to notify and discuss next steps. Informed by Dr. there is no new symptoms are concerns to worry about at this time but to call and notify the parents of the adverse event.  RN Site lead notified the parents of the adverse event.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 88.0
Sex: F
Vaccine: FLU4
Symptoms: COVID-19, Malaise, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Began feeling unwell 10/31/2021, then tested positive for COVID 11/1/2021, Progrssively getting worse.  Hospitalized about 11/16/2021-11/26/2021  When treated as an outpatient was given infusion, but pneumonia was so bad she was then admitted.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Dacryoadenitis acquired, Hypersensitivity
Clinical narrative: Acute dacryoadenitis in the left eye.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Heavy menstrual bleeding, Ultrasound scan
Clinical narrative: Blood clots and non-stop menstruation
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Headache, Pain, Pyrexia
Clinical narrative: Fever, body aches, head aches, chest pain
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Bradyphrenia, Computerised tomogram normal, Condition aggravated, Confusional state
Clinical narrative: Starting 12 hrs after injection, Muscle aches, fatigue, fever 101 (while taking 600mg advil every 6 hours) for 2 days, followed by left arm rash (2 days), period 18 days early in cycle, followed by another period 2 weeks later, starting  11/7 extreme lightheadedness (constant buzzing feeling base of skull) and brain fog, inability to multitask, slow thinking and significant memory lapses/brain processing issues for 1 month (began noticing improvement December 4 timeframe),  11/28 brief blurred vision in left eye followed by scintillating scotoma 2 hrs later (never occurred before), doctor discovered high BP, hospital visit to rule out stroke, BP 109/106, elevated diastolic since then (86-90), prior history of low BP before second vaccine dose. Theses were similar, but prolonged symptoms as compared to  what was experienced after second dose of vaccine (second dose- fever, extreme fatigue, 5 periods in 12 weeks, concussion like symptoms, including brain fog and constant headache for 10 days starting day 4 after second dose)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Fatigue, Feeling abnormal, Hypertension
Clinical narrative: Starting 12 hrs after injection, Muscle aches, fatigue, fever 101 (while taking 600mg advil every 6 hours) for 2 days, followed by left arm rash (2 days), period 18 days early in cycle, followed by another period 2 weeks later, starting  11/7 extreme lightheadedness (constant buzzing feeling base of skull) and brain fog, inability to multitask, slow thinking and significant memory lapses/brain processing issues for 1 month (began noticing improvement December 4 timeframe),  11/28 brief blurred vision in left eye followed by scintillating scotoma 2 hrs later (never occurred before), doctor discovered high BP, hospital visit to rule out stroke, BP 109/106, elevated diastolic since then (86-90), prior history of low BP before second vaccine dose. Theses were similar, but prolonged symptoms as compared to  what was experienced after second dose of vaccine (second dose- fever, extreme fatigue, 5 periods in 12 weeks, concussion like symptoms, including brain fog and constant headache for 10 days starting day 4 after second dose)