chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Induration, Loss of personal independence in daily activities, Mobility decreased, Myalgia, Pruritus
Clinical narrative: Hard, hot swollen upper arm, hot, itchy, rash cascading down arm, currently 6+ days but appears to be resolving slowly. Episodic chills, muscle ache, joint pain, GI distress and anorexia intermittently,  causing me to stay in bed for several hours at a time, unable to conduct normal routines, currently 6+ days but appears to be resolving slowly.  I tested for COVID x2 just in case. I severely limit my exposure and have not been ill since pre pandemic. I am reporting due to the length of these symptoms. I have never had such a strong reaction to a vaccine. I previously was given the Pneumovax 5 years ago without anything remarkable.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Rash, SARS-CoV-2 test, Swelling
Clinical narrative: Hard, hot swollen upper arm, hot, itchy, rash cascading down arm, currently 6+ days but appears to be resolving slowly. Episodic chills, muscle ache, joint pain, GI distress and anorexia intermittently,  causing me to stay in bed for several hours at a time, unable to conduct normal routines, currently 6+ days but appears to be resolving slowly.  I tested for COVID x2 just in case. I severely limit my exposure and have not been ill since pre pandemic. I am reporting due to the length of these symptoms. I have never had such a strong reaction to a vaccine. I previously was given the Pneumovax 5 years ago without anything remarkable.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Laboratory test abnormal, Nasal congestion
Clinical narrative: It started with two days of an intense headache which didn't go away with medication. On the third day I had the headache. nasal congestion and fatigue. I then tested positive on the third day of the symptoms. The symptoms have just been a few days of nasal congestion and on day 4 the headache went away. Today is day 5 and I just have a slight cough and nasal congestion. I have also had body aches the whole time.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: It started with two days of an intense headache which didn't go away with medication. On the third day I had the headache. nasal congestion and fatigue. I then tested positive on the third day of the symptoms. The symptoms have just been a few days of nasal congestion and on day 4 the headache went away. Today is day 5 and I just have a slight cough and nasal congestion. I have also had body aches the whole time.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: Covid-19. I tested positive for Covid 19 on July 14, 2022 I experienced congested sinuses, runny nose, cough, sore throat, fever, & extreme fatigue. I was taking DAYQUIL for my symptoms.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Covid-19. I tested positive for Covid 19 on July 14, 2022 I experienced congested sinuses, runny nose, cough, sore throat, fever, & extreme fatigue. I was taking DAYQUIL for my symptoms.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Lethargy, SARS-CoV-2 test positive
Clinical narrative: Patient resident of Home.  Patient tested positive for Covid 19 at facility on 11/25/2021.  On 11/29/2021 patient required 5lNC for oxygen support, was lethargic, with 0ML of UOP.  Patient expired on 11/29/2021.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Cough, Pharyngitis streptococcal, Pyrexia, Skin lesion, Speech disorder
Clinical narrative: Spoke with patient regarding symptoms on 8/6/22. Per symptoms presented on 8/1/22. Patient states tested positive for Syphilis on 8/2/22. Patient states had sores, fever, and a cough. Patient states went to the Urgent care on 8/4/2022 and was diagnosed with strep throat. Patient stated being treated for Strep Throat. Attempted to get further clarification from patient. Patient stated it was hard for him to speak. Patient stated I could contact him via text regarding further questions. Reached out to client via text with permission for further clarification on 8/6/22 regarding symptoms. Unable to get clarification due to patient not responding to all of the information requested. Patient encouraged to follow up with primary care physician regarding any symptoms. Patient did not respond. Made an additional attempt to reach out to the patient on 8/8/2022. No response received.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Streptococcus test positive, Treponema test positive
Clinical narrative: Spoke with patient regarding symptoms on 8/6/22. Per symptoms presented on 8/1/22. Patient states tested positive for Syphilis on 8/2/22. Patient states had sores, fever, and a cough. Patient states went to the Urgent care on 8/4/2022 and was diagnosed with strep throat. Patient stated being treated for Strep Throat. Attempted to get further clarification from patient. Patient stated it was hard for him to speak. Patient stated I could contact him via text regarding further questions. Reached out to client via text with permission for further clarification on 8/6/22 regarding symptoms. Unable to get clarification due to patient not responding to all of the information requested. Patient encouraged to follow up with primary care physician regarding any symptoms. Patient did not respond. Made an additional attempt to reach out to the patient on 8/8/2022. No response received.
Age: 1.08
Sex: M
Vaccine: COVID19
Symptoms: Irritability, Pyrexia, Rash, SARS-CoV-2 test negative
Clinical narrative: He experienced a high fever of 103.8, irritability and rash on his back.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Syncope
Clinical narrative: Patient admitted as observation on 8/4/22 due to Syncope.  Patient was tested for COVID-19 and was positive on 8/4/22.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date of use
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 18.0
Sex: M
Vaccine: UNK, UNK, UNK, UNK
Symptoms: Expired product administered
Clinical narrative: After the patient left the clinic while completing the vaccination record paperwork, this RN realized the Bexero  vaccine administered to the patient had an expiration date of 07/31/22. Supervisor was immediately notified.  Call placed to Glaxo Smith-Kline Medical Information to find out vaccine viability  period past the expiration date.  Spoke to Medical Information Scientist who informed this RN that although GSK does not recommend, and the CDC has not evaluated the immunogenicity or safety of giving an expired vaccine, an in-house stability analysis and potency testing study shows that when stored under proper conditions and temperatures, the Bexero vaccine remains within approved specification up to 30 days past the expiration date.  The Bexero Vaccine given had been continuously stored in the proper conditions and temperatures prior to being administered.  This RN requested writtten documentation of information received over the telephone, and received the information via email.    No adverse reactions were reoprted by the patient or parent.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: I had a sore throat and felt kind of yucky on Friday night 07/08/2022. On Saturday, I felt fine when waking up, but about an hour later I felt terrible, so I went back to bed. I tested positive for COVID-19 that day. I had a fever of about 101. My temperature was elevated for 24-36 hours. I also experienced body aches and just felt lousy. I went to a walk-in clinic where they gave me an antiviral medication. Overall, I felt badly for about 3-4 days, but it took around 2 weeks for me to actually test negative for COVID-19.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had a sore throat and felt kind of yucky on Friday night 07/08/2022. On Saturday, I felt fine when waking up, but about an hour later I felt terrible, so I went back to bed. I tested positive for COVID-19 that day. I had a fever of about 101. My temperature was elevated for 24-36 hours. I also experienced body aches and just felt lousy. I went to a walk-in clinic where they gave me an antiviral medication. Overall, I felt badly for about 3-4 days, but it took around 2 weeks for me to actually test negative for COVID-19.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date of use
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of Covid-19: Cold like symptoms very mild
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray normal, Chronic obstructive pulmonary disease
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 7/29/2022 Discharge Date: 8/1/2022  PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE:      Patient is an 85 y.o. male with a prior medical history of hypertension, chronic obstructive pulmonary disease, type 2 diabetes, systolic CHF and obstructive sleep apnea who presented to hospital on 7/29/2022 with Generalized weakness and fever.  The patient was found to have COVID-19 viral pneumonia with chronic obstructive pulmonary disease exacerbation..  Chest x-ray was negative for infiltrate however he was found to be hypoxic and required 2 L nasal cannula to maintain oxygen saturations over 92%.  The patient was admitted to the hospital for further monitoring. While hospitalized he was treated with Decadron initially and then transitioned to IV Solu-Medrol due to poor air flow throughout his entire lungs. He improved quickly with IV solumedrol and was transitioned to PO prednisone prior to discharge, will continue prednisone 20mg for 5 days. Was also started on remdesivir and received a total of 3 doses.  Physical therapy evaluated the patient and does not recommend any additional skilled services. The patient has been weaned off supplemental oxygen. Recommend post-hospitalization follow-up with PCP in 1-week.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Hypoxia, Pyrexia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: MD  Admission Date: 7/29/2022 Discharge Date: 8/1/2022  PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE:      Patient is an 85 y.o. male with a prior medical history of hypertension, chronic obstructive pulmonary disease, type 2 diabetes, systolic CHF and obstructive sleep apnea who presented to hospital on 7/29/2022 with Generalized weakness and fever.  The patient was found to have COVID-19 viral pneumonia with chronic obstructive pulmonary disease exacerbation..  Chest x-ray was negative for infiltrate however he was found to be hypoxic and required 2 L nasal cannula to maintain oxygen saturations over 92%.  The patient was admitted to the hospital for further monitoring. While hospitalized he was treated with Decadron initially and then transitioned to IV Solu-Medrol due to poor air flow throughout his entire lungs. He improved quickly with IV solumedrol and was transitioned to PO prednisone prior to discharge, will continue prednisone 20mg for 5 days. Was also started on remdesivir and received a total of 3 doses.  Physical therapy evaluated the patient and does not recommend any additional skilled services. The patient has been weaned off supplemental oxygen. Recommend post-hospitalization follow-up with PCP in 1-week.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Vaccine administered past date of use
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Goitre, Hyperthyroidism, Neck pain, Pyrexia
Clinical narrative: My Thyroid (which had been perfectly normal in all blood tests prior) went hyperthyroid and we believe I have sub-acute thyroiditis. My heart rate is constantly in tachycardia, I?ve had fever, my neck has hurt because the right lobe of my thyroid is now twice the size of the left lobe.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Thyroiditis subacute, Ultrasound scan
Clinical narrative: My Thyroid (which had been perfectly normal in all blood tests prior) went hyperthyroid and we believe I have sub-acute thyroiditis. My heart rate is constantly in tachycardia, I?ve had fever, my neck has hurt because the right lobe of my thyroid is now twice the size of the left lobe.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date of use
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac failure acute, Chronic kidney disease, Death
Clinical narrative: Patient with a hx of COPD and CHF presented to Medical Center on 12/31/2021 with SOB.   In the ED patient was placed on BiPAP.  Patient was started on Lasix for volume overload, procalcitonin was elevated, started on empiric meropenem.  Patient tested positive for COVID 19 on 01/05/2022.  Patient remained in hospital for isolation until 01/17/2022 and discharge to skilled nursing facility with possible hospice.  Patient then admitted to Health Center with acute and chronic respiratory failure, acute on chronic systolic heart failure, COPE, CKD IV.  Patient expired at facility on 01/28/2022.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypervolaemia, Left ventricular failure, Positive airway pressure therapy, Procalcitonin increased
Clinical narrative: Patient with a hx of COPD and CHF presented to Medical Center on 12/31/2021 with SOB.   In the ED patient was placed on BiPAP.  Patient was started on Lasix for volume overload, procalcitonin was elevated, started on empiric meropenem.  Patient tested positive for COVID 19 on 01/05/2022.  Patient remained in hospital for isolation until 01/17/2022 and discharge to skilled nursing facility with possible hospice.  Patient then admitted to Health Center with acute and chronic respiratory failure, acute on chronic systolic heart failure, COPE, CKD IV.  Patient expired at facility on 01/28/2022.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with a hx of COPD and CHF presented to Medical Center on 12/31/2021 with SOB.   In the ED patient was placed on BiPAP.  Patient was started on Lasix for volume overload, procalcitonin was elevated, started on empiric meropenem.  Patient tested positive for COVID 19 on 01/05/2022.  Patient remained in hospital for isolation until 01/17/2022 and discharge to skilled nursing facility with possible hospice.  Patient then admitted to Health Center with acute and chronic respiratory failure, acute on chronic systolic heart failure, COPE, CKD IV.  Patient expired at facility on 01/28/2022.
Age: 55.0
Sex: F
Vaccine: MMR
Symptoms: Mumps
Clinical narrative: A few days later, patient took Medrol and on August 3rd, she developed Mumps
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Product preparation issue
Clinical narrative: Patient received  a dose of Menveo vaccine that was prepared with the powder vial and a sterile diluent instead of the liquid conjugate vial  from a medical assistant in the facility.  I contacted manufacturer to verify potential side effects and when to revaccinate. Per GSK patient can revaccinate as soon as possible without any time frame wait. Information regarding side effects, information was emailed to me to give to nursing staff involved.  Nursing staff involved will then contact patient and guardian to report, offer revaccination or appointment with provider to discuss further. Event will also be submitted.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspepsia, Ear discomfort
Clinical narrative: I had a sore arm for about 24 hours. I tested positive for COVID-19 on 07/20/22  at a local pharmacy. I tested three times with a home test prior and all were negative. I had the following symptoms: sore throat, headache, tired, diarrhea, ears clogged, coughing and sneezing. I took TYLENOL to help with my symptoms. I had the antibodies on 07/22/22. As of today, I still have digestive issues but I sleep better at night.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I had a sore arm for about 24 hours. I tested positive for COVID-19 on 07/20/22  at a local pharmacy. I tested three times with a home test prior and all were negative. I had the following symptoms: sore throat, headache, tired, diarrhea, ears clogged, coughing and sneezing. I took TYLENOL to help with my symptoms. I had the antibodies on 07/22/22. As of today, I still have digestive issues but I sleep better at night.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I had a sore arm for about 24 hours. I tested positive for COVID-19 on 07/20/22  at a local pharmacy. I tested three times with a home test prior and all were negative. I had the following symptoms: sore throat, headache, tired, diarrhea, ears clogged, coughing and sneezing. I took TYLENOL to help with my symptoms. I had the antibodies on 07/22/22. As of today, I still have digestive issues but I sleep better at night.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date of use
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Discomfort, Hot flush, Insomnia
Clinical narrative: Since having had Covid (diagnosed on July 8th),  I have had hot flashes at least once or twice per evening for the last three weeks.  I am post menopause and did not have hot flashes prior to having had Covid.  I did not have them after my 4th Pfizer shot.  I have an appointment on August 18th with my PCP to discuss this issue.  Also, three days after my 4th shot, I had chest pain that lasted a few hours that I found very uncomfortable and caused me not to sleep well.  Thankfully the pain stopped by morning but I did see my PCP on 5/11/2022 about it.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Psoriasis, Rash
Clinical narrative: I started noticing a psoriasis flare up. It started on my back and I did not know at first. My back was covered in bumps. I went to my dermatologist and was told psoriasis flare up and was given a steroid cream. That has been helping. It is not cleared completely. I am not for sure if it is related to raloxifene, a medication that I took since June or the vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Fatigue, Headache
Clinical narrative: Sneezing, headache, fatigue , cough, congestion, tight chest
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Sneezing, headache, fatigue , cough, congestion, tight chest
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date of use
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Temp 101, chills, headache, injection site pain, body aches,fatigue, dizziness . Took Tylenol for 2 days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, SARS-CoV-2 test negative
Clinical narrative: Temp 101, chills, headache, injection site pain, body aches,fatigue, dizziness . Took Tylenol for 2 days.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Tired, congestion fever. Took paxlovid, improved quickly. I was not that sick, but had a vacation trip scheduled, would have lost a lot of money if I cancelled. So" wanted to get welk quickly.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: sore throat, swollen glands, headache, body ache, severe coughing. Doctor pescribed inhaler. Home tests postive for 10 days. symptoms improved in 3 days.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: sore throat, swollen glands, headache, body ache, severe coughing. Doctor pescribed inhaler. Home tests postive for 10 days. symptoms improved in 3 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bundle branch block left, COVID-19, Chest X-ray abnormal, Chills
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 7/29/2022 Discharge Date: 8/3/2022  PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 year old male with a PMH of hypertension, CAD, hyperlipidemia, type II diabetes mellitus, CKD stage III, BPH, HF, dementia and Parkinson's disease.    Patient started experiencing increased weakness and falls. Patient also had been experiencing fatigue, weakness, fevers/chills, nausea, body aches, dry cough, and decreased appetite since 7/27/2022.  Due to increased weakness, patient started to fall at home. Patient had fallen twice in 2 days prior to presentation to the ER.    While in ER, lab work was unremarkable. Patient was positive for COVID-19. An EKG shows normal sinus rhythm with left bundle branch block.  A CT head showed no acute intracranial abnormality and a CT cervical spine was negative for acute fracture or malalignment.  A chest x-ray shows no acute cardiopulmonary findings however there are multiple hyperdense foreign bodies in the right lower lobe that is suspicious for aspiration of a high density material. The patient and daughter could not remember a recent significant aspiration event. Given the patient's recent falls and generalized weakness he was admitted to the hospitalist service for ongoing management of generalized weakness and COVID-19.     During his admission, patient did not have respiratory symptoms and remained on room air during course of hospitalization. Due to lack of respiratory symptoms, patient was not started on dexamethasone and remdesivir. While admitted, PT, OT, and SLP was consulted. PT and OT recommended discharge to skilled nursing facility for rehab. Speech therapy recommended thin liquids, soft and bite-sized (dysphagia advanced), no straws. Pills to be given whole in puree. The patient's daughter stated that if the patient needs to be placed in a facility for rehabilitation she would prefer at a certain facility. Unfortunately, patient was unable to be placed. Family elected to have home PT/OT/speech therapy and a home nursing aide. At this time, patient is medically stable for discharge. Plan to continue home PT/OT/Speech therapy and home nursing with aid. Plan of care discussed with patient and family. They are agreeable to plan at this time. Questions answered to their satisfaction.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Computerised tomogram spine, Condition aggravated, Cough, Decreased appetite
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 7/29/2022 Discharge Date: 8/3/2022  PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 year old male with a PMH of hypertension, CAD, hyperlipidemia, type II diabetes mellitus, CKD stage III, BPH, HF, dementia and Parkinson's disease.    Patient started experiencing increased weakness and falls. Patient also had been experiencing fatigue, weakness, fevers/chills, nausea, body aches, dry cough, and decreased appetite since 7/27/2022.  Due to increased weakness, patient started to fall at home. Patient had fallen twice in 2 days prior to presentation to the ER.    While in ER, lab work was unremarkable. Patient was positive for COVID-19. An EKG shows normal sinus rhythm with left bundle branch block.  A CT head showed no acute intracranial abnormality and a CT cervical spine was negative for acute fracture or malalignment.  A chest x-ray shows no acute cardiopulmonary findings however there are multiple hyperdense foreign bodies in the right lower lobe that is suspicious for aspiration of a high density material. The patient and daughter could not remember a recent significant aspiration event. Given the patient's recent falls and generalized weakness he was admitted to the hospitalist service for ongoing management of generalized weakness and COVID-19.     During his admission, patient did not have respiratory symptoms and remained on room air during course of hospitalization. Due to lack of respiratory symptoms, patient was not started on dexamethasone and remdesivir. While admitted, PT, OT, and SLP was consulted. PT and OT recommended discharge to skilled nursing facility for rehab. Speech therapy recommended thin liquids, soft and bite-sized (dysphagia advanced), no straws. Pills to be given whole in puree. The patient's daughter stated that if the patient needs to be placed in a facility for rehabilitation she would prefer at a certain facility. Unfortunately, patient was unable to be placed. Family elected to have home PT/OT/speech therapy and a home nursing aide. At this time, patient is medically stable for discharge. Plan to continue home PT/OT/Speech therapy and home nursing with aid. Plan of care discussed with patient and family. They are agreeable to plan at this time. Questions answered to their satisfaction.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Electrocardiogram abnormal, Fall, Fatigue, Foreign body aspiration
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 7/29/2022 Discharge Date: 8/3/2022  PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 year old male with a PMH of hypertension, CAD, hyperlipidemia, type II diabetes mellitus, CKD stage III, BPH, HF, dementia and Parkinson's disease.    Patient started experiencing increased weakness and falls. Patient also had been experiencing fatigue, weakness, fevers/chills, nausea, body aches, dry cough, and decreased appetite since 7/27/2022.  Due to increased weakness, patient started to fall at home. Patient had fallen twice in 2 days prior to presentation to the ER.    While in ER, lab work was unremarkable. Patient was positive for COVID-19. An EKG shows normal sinus rhythm with left bundle branch block.  A CT head showed no acute intracranial abnormality and a CT cervical spine was negative for acute fracture or malalignment.  A chest x-ray shows no acute cardiopulmonary findings however there are multiple hyperdense foreign bodies in the right lower lobe that is suspicious for aspiration of a high density material. The patient and daughter could not remember a recent significant aspiration event. Given the patient's recent falls and generalized weakness he was admitted to the hospitalist service for ongoing management of generalized weakness and COVID-19.     During his admission, patient did not have respiratory symptoms and remained on room air during course of hospitalization. Due to lack of respiratory symptoms, patient was not started on dexamethasone and remdesivir. While admitted, PT, OT, and SLP was consulted. PT and OT recommended discharge to skilled nursing facility for rehab. Speech therapy recommended thin liquids, soft and bite-sized (dysphagia advanced), no straws. Pills to be given whole in puree. The patient's daughter stated that if the patient needs to be placed in a facility for rehabilitation she would prefer at a certain facility. Unfortunately, patient was unable to be placed. Family elected to have home PT/OT/speech therapy and a home nursing aide. At this time, patient is medically stable for discharge. Plan to continue home PT/OT/Speech therapy and home nursing with aid. Plan of care discussed with patient and family. They are agreeable to plan at this time. Questions answered to their satisfaction.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Foreign body in respiratory tract, Laboratory test normal, Nausea, Pain, Pyrexia
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 7/29/2022 Discharge Date: 8/3/2022  PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 year old male with a PMH of hypertension, CAD, hyperlipidemia, type II diabetes mellitus, CKD stage III, BPH, HF, dementia and Parkinson's disease.    Patient started experiencing increased weakness and falls. Patient also had been experiencing fatigue, weakness, fevers/chills, nausea, body aches, dry cough, and decreased appetite since 7/27/2022.  Due to increased weakness, patient started to fall at home. Patient had fallen twice in 2 days prior to presentation to the ER.    While in ER, lab work was unremarkable. Patient was positive for COVID-19. An EKG shows normal sinus rhythm with left bundle branch block.  A CT head showed no acute intracranial abnormality and a CT cervical spine was negative for acute fracture or malalignment.  A chest x-ray shows no acute cardiopulmonary findings however there are multiple hyperdense foreign bodies in the right lower lobe that is suspicious for aspiration of a high density material. The patient and daughter could not remember a recent significant aspiration event. Given the patient's recent falls and generalized weakness he was admitted to the hospitalist service for ongoing management of generalized weakness and COVID-19.     During his admission, patient did not have respiratory symptoms and remained on room air during course of hospitalization. Due to lack of respiratory symptoms, patient was not started on dexamethasone and remdesivir. While admitted, PT, OT, and SLP was consulted. PT and OT recommended discharge to skilled nursing facility for rehab. Speech therapy recommended thin liquids, soft and bite-sized (dysphagia advanced), no straws. Pills to be given whole in puree. The patient's daughter stated that if the patient needs to be placed in a facility for rehabilitation she would prefer at a certain facility. Unfortunately, patient was unable to be placed. Family elected to have home PT/OT/speech therapy and a home nursing aide. At this time, patient is medically stable for discharge. Plan to continue home PT/OT/Speech therapy and home nursing with aid. Plan of care discussed with patient and family. They are agreeable to plan at this time. Questions answered to their satisfaction.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus rhythm
Clinical narrative: Discharge Provider: DO Primary Care Provider at Discharge: MD  Admission Date: 7/29/2022 Discharge Date: 8/3/2022  PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 year old male with a PMH of hypertension, CAD, hyperlipidemia, type II diabetes mellitus, CKD stage III, BPH, HF, dementia and Parkinson's disease.    Patient started experiencing increased weakness and falls. Patient also had been experiencing fatigue, weakness, fevers/chills, nausea, body aches, dry cough, and decreased appetite since 7/27/2022.  Due to increased weakness, patient started to fall at home. Patient had fallen twice in 2 days prior to presentation to the ER.    While in ER, lab work was unremarkable. Patient was positive for COVID-19. An EKG shows normal sinus rhythm with left bundle branch block.  A CT head showed no acute intracranial abnormality and a CT cervical spine was negative for acute fracture or malalignment.  A chest x-ray shows no acute cardiopulmonary findings however there are multiple hyperdense foreign bodies in the right lower lobe that is suspicious for aspiration of a high density material. The patient and daughter could not remember a recent significant aspiration event. Given the patient's recent falls and generalized weakness he was admitted to the hospitalist service for ongoing management of generalized weakness and COVID-19.     During his admission, patient did not have respiratory symptoms and remained on room air during course of hospitalization. Due to lack of respiratory symptoms, patient was not started on dexamethasone and remdesivir. While admitted, PT, OT, and SLP was consulted. PT and OT recommended discharge to skilled nursing facility for rehab. Speech therapy recommended thin liquids, soft and bite-sized (dysphagia advanced), no straws. Pills to be given whole in puree. The patient's daughter stated that if the patient needs to be placed in a facility for rehabilitation she would prefer at a certain facility. Unfortunately, patient was unable to be placed. Family elected to have home PT/OT/speech therapy and a home nursing aide. At this time, patient is medically stable for discharge. Plan to continue home PT/OT/Speech therapy and home nursing with aid. Plan of care discussed with patient and family. They are agreeable to plan at this time. Questions answered to their satisfaction.
Age: 9.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site reaction, Urticaria
Clinical narrative: Child developed welt and redness on and around injection site
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 2 doses Pfizer.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case Covid-19 after fully vaccinated (doses mRNA OR 1 dose viral vector)
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Vomiting
Clinical narrative: Chills Diarrhea  Vomiting Fatigue
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Post-traumatic stress disorder
Clinical narrative: Patient presented the following day reporting a "PTSD episode triggered by the vaccine." She is now seeking assistance for the physical effects of a "cortisol dump," but refuses the suggestion of the ER or Urgent Care as they will lock her up and tell her she is crazy. She does not have a PCP.  At the time of the vaccine patient was fine- in no apparent distress. She was monitored for 30 minutes after and just reported tingling in her fingers. She reported it was not from the shot in her arm when it was suggested. "When this happens she gets up and walks around."  She  was offered a glass of water and accepted. She drank the glass of water and communicated no distress. It was only the following day that she reported this vaccine triggered a PTSD event, but would not elaborate.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date of use
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: July 1, 2022 I had a runny nose, cough and a little headache. I had no fever. I took a home COVID test that was negative. I took a second COVID home test on 7/2/2022 and it was positive. These symptoms continued for a few days and gradually disappeared. I have recovered. Roughly a week later, I took another home Covid test that was negative.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date-of-use.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date-of-use.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Death, Headache
Clinical narrative: Patient with a PMH of chronic bronchitis, morbid obesity, epilepsy, and T2DM.  Patient presented to Hospital on 01/26/2022 with c/o a cold and cough, chest tightness, post-tussive emesis, and HA.  In the ED patient tested positive for Covid-19.  Patient was triaged and discharged home.  Patient was sent home with albuterol inhaler.  Patient expired at home on 01/30/2022.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Post-tussive vomiting, SARS-CoV-2 test positive
Clinical narrative: Patient with a PMH of chronic bronchitis, morbid obesity, epilepsy, and T2DM.  Patient presented to Hospital on 01/26/2022 with c/o a cold and cough, chest tightness, post-tussive emesis, and HA.  In the ED patient tested positive for Covid-19.  Patient was triaged and discharged home.  Patient was sent home with albuterol inhaler.  Patient expired at home on 01/30/2022.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient tested positive for COVID-19.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date-of-use.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date-of-use.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Extension for hospitalized patient now COVID-19 positive. Fully vaccinated.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date-of-use.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date-of-use.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I did NOT have an adverse event from the vaccine or any of the boosters.  I was determined to have Covid from a pcr test on August 4, 2022.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given after beyond use date
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cystitis, Electrolyte substitution therapy, Laboratory test
Clinical narrative: Discharge Provider: Medical Doctor  Primary Care Provider : Medical Doctor   Admission Date: 7/29/2022 Discharge Date: 08/03/2022  PRESENTING PROBLEM:  Weakness generalized Weakness Acute cystitis without hematuria COVID-19 AMS (altered mental status)   HOSPITAL COURSE:   Patient is a 74-year-old female with  PMH significant for generalized anxiety disorder, depression who presented to the ER on  7/28, was diagnosed to have COVID but her vitals and oxygenation was within normal limits and was discharged with Paxlovid.  Again presented to the emergency department on 7/29 due to persistent generalized weakness.  In ER, vitals were all within normal limits, labs are also mostly unremarkable.  During the hospitalization treated with supportive care, IV hydration, electrolyte replacement, did not require any oxygen, evaluated by PT and OT recommended home health, eventually discharged home on 08/03/2022 with home care.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes
Clinical narrative: Discharge Provider: Medical Doctor  Primary Care Provider : Medical Doctor   Admission Date: 7/29/2022 Discharge Date: 08/03/2022  PRESENTING PROBLEM:  Weakness generalized Weakness Acute cystitis without hematuria COVID-19 AMS (altered mental status)   HOSPITAL COURSE:   Patient is a 74-year-old female with  PMH significant for generalized anxiety disorder, depression who presented to the ER on  7/28, was diagnosed to have COVID but her vitals and oxygenation was within normal limits and was discharged with Paxlovid.  Again presented to the emergency department on 7/29 due to persistent generalized weakness.  In ER, vitals were all within normal limits, labs are also mostly unremarkable.  During the hospitalization treated with supportive care, IV hydration, electrolyte replacement, did not require any oxygen, evaluated by PT and OT recommended home health, eventually discharged home on 08/03/2022 with home care.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was given past the beyond use date.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19 after receiving 2 doses of mRNA vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case COVID-19 after fully vaccinated with 3 doses of Moderna.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Herpes zoster
Clinical narrative: COVID-19 symptoms started on 06/27/2022; tested positive on 06/28/2022. Symptoms came on very suddenly and I felt like my entire body including my hair and fingers hurt and everything just hurt. Shortly after that, I spiked a 100.5 fever and then I went to sleep and the next day I noticed a massive rash on my left breast. I had a discussion with my dermatologist who told me I had shingles again, so I had COVID-19 and Shingles at the same time. Symptoms lasted 5 days or so and I went back for repeat PCR that Sunday 07/03/2022 and it came back negative. The rash was still there but the intense pain and stinging of it subsided each day. 07/20/2022 I went to sleep and the fatigue came back around midnight or so and I woke up not feeling good and took a rapid test and tested positive again as well as positive on PCR. The doctor office said if I didn't feel good I should just stay home. I was sickly with sinus issues, runny nose, coughing, fatigue, and a headache that was the worse thing about it and lasted an entire week. I finally tested negative on Monday 08/01/22.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pain of skin, Pyrexia, Rash
Clinical narrative: COVID-19 symptoms started on 06/27/2022; tested positive on 06/28/2022. Symptoms came on very suddenly and I felt like my entire body including my hair and fingers hurt and everything just hurt. Shortly after that, I spiked a 100.5 fever and then I went to sleep and the next day I noticed a massive rash on my left breast. I had a discussion with my dermatologist who told me I had shingles again, so I had COVID-19 and Shingles at the same time. Symptoms lasted 5 days or so and I went back for repeat PCR that Sunday 07/03/2022 and it came back negative. The rash was still there but the intense pain and stinging of it subsided each day. 07/20/2022 I went to sleep and the fatigue came back around midnight or so and I woke up not feeling good and took a rapid test and tested positive again as well as positive on PCR. The doctor office said if I didn't feel good I should just stay home. I was sickly with sinus issues, runny nose, coughing, fatigue, and a headache that was the worse thing about it and lasted an entire week. I finally tested negative on Monday 08/01/22.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: COVID-19 symptoms started on 06/27/2022; tested positive on 06/28/2022. Symptoms came on very suddenly and I felt like my entire body including my hair and fingers hurt and everything just hurt. Shortly after that, I spiked a 100.5 fever and then I went to sleep and the next day I noticed a massive rash on my left breast. I had a discussion with my dermatologist who told me I had shingles again, so I had COVID-19 and Shingles at the same time. Symptoms lasted 5 days or so and I went back for repeat PCR that Sunday 07/03/2022 and it came back negative. The rash was still there but the intense pain and stinging of it subsided each day. 07/20/2022 I went to sleep and the fatigue came back around midnight or so and I woke up not feeling good and took a rapid test and tested positive again as well as positive on PCR. The doctor office said if I didn't feel good I should just stay home. I was sickly with sinus issues, runny nose, coughing, fatigue, and a headache that was the worse thing about it and lasted an entire week. I finally tested negative on Monday 08/01/22.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date-of-use.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date-of-use.
Age: 4.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt diagnosed with Covid.  Had Covid Vaccine
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date of use
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine administered past date of use
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Vaccine administered past date of use
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine given beyond-use-date.
Age: 32.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Received Covid Vaccine.  Diagnosed with Covid