chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol use, Blood thyroid stimulating hormone normal, Brain natriuretic peptide normal, Cardiac monitoring, Cardiac stress test
Clinical narrative: In short, I had one episode in which I fainted and another few episodes in which I felt shortness of breath, abnormal heartbeat, and the feeling of near fainting. One of the near fainting episodes was at work where I had to be picked up off of the floor in my office and brought by ambulance to the ER. Tests were run and found nothing. Then I was referred to a cardiologist. He wrote the following note: Patient comes in with 2 episodes of syncope. The 1st occurred several weeks ago while he was traveling, he had drunk more than usual at that time had smelled marijuana which caused become lightheaded and eventually passed out.  The 2nd episode occurred yesterday, he was at work and noted the onset of palpitations lightheadedness and passed out.  He was evaluated at Hospital where an EKG, and extensive laboratory evaluation was unremarkable.  This included a D-dimer, BNP, troponin and TSH. He does not have a history of heart problems, but has had hypertension for many years.  His blood pressure has been well controlled.  He has not been on an unusual diet.  His drug screen was negative. Family history negative for sudden death, heart problems. However, since probably July or August of 2021, I have not had any of the above mentioned symptoms. I have had unusual intense fatigue after exercise a few times but that has not occurred in the past couple of months.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Dizziness, Drug screen negative, Dyspnoea, Echocardiogram
Clinical narrative: In short, I had one episode in which I fainted and another few episodes in which I felt shortness of breath, abnormal heartbeat, and the feeling of near fainting. One of the near fainting episodes was at work where I had to be picked up off of the floor in my office and brought by ambulance to the ER. Tests were run and found nothing. Then I was referred to a cardiologist. He wrote the following note: Patient comes in with 2 episodes of syncope. The 1st occurred several weeks ago while he was traveling, he had drunk more than usual at that time had smelled marijuana which caused become lightheaded and eventually passed out.  The 2nd episode occurred yesterday, he was at work and noted the onset of palpitations lightheadedness and passed out.  He was evaluated at Hospital where an EKG, and extensive laboratory evaluation was unremarkable.  This included a D-dimer, BNP, troponin and TSH. He does not have a history of heart problems, but has had hypertension for many years.  His blood pressure has been well controlled.  He has not been on an unusual diet.  His drug screen was negative. Family history negative for sudden death, heart problems. However, since probably July or August of 2021, I have not had any of the above mentioned symptoms. I have had unusual intense fatigue after exercise a few times but that has not occurred in the past couple of months.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fall, Fatigue, Fibrin D dimer normal, Heart rate abnormal
Clinical narrative: In short, I had one episode in which I fainted and another few episodes in which I felt shortness of breath, abnormal heartbeat, and the feeling of near fainting. One of the near fainting episodes was at work where I had to be picked up off of the floor in my office and brought by ambulance to the ER. Tests were run and found nothing. Then I was referred to a cardiologist. He wrote the following note: Patient comes in with 2 episodes of syncope. The 1st occurred several weeks ago while he was traveling, he had drunk more than usual at that time had smelled marijuana which caused become lightheaded and eventually passed out.  The 2nd episode occurred yesterday, he was at work and noted the onset of palpitations lightheadedness and passed out.  He was evaluated at Hospital where an EKG, and extensive laboratory evaluation was unremarkable.  This included a D-dimer, BNP, troponin and TSH. He does not have a history of heart problems, but has had hypertension for many years.  His blood pressure has been well controlled.  He has not been on an unusual diet.  His drug screen was negative. Family history negative for sudden death, heart problems. However, since probably July or August of 2021, I have not had any of the above mentioned symptoms. I have had unusual intense fatigue after exercise a few times but that has not occurred in the past couple of months.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Loss of consciousness, Palpitations, Parosmia, Presyncope
Clinical narrative: In short, I had one episode in which I fainted and another few episodes in which I felt shortness of breath, abnormal heartbeat, and the feeling of near fainting. One of the near fainting episodes was at work where I had to be picked up off of the floor in my office and brought by ambulance to the ER. Tests were run and found nothing. Then I was referred to a cardiologist. He wrote the following note: Patient comes in with 2 episodes of syncope. The 1st occurred several weeks ago while he was traveling, he had drunk more than usual at that time had smelled marijuana which caused become lightheaded and eventually passed out.  The 2nd episode occurred yesterday, he was at work and noted the onset of palpitations lightheadedness and passed out.  He was evaluated at Hospital where an EKG, and extensive laboratory evaluation was unremarkable.  This included a D-dimer, BNP, troponin and TSH. He does not have a history of heart problems, but has had hypertension for many years.  His blood pressure has been well controlled.  He has not been on an unusual diet.  His drug screen was negative. Family history negative for sudden death, heart problems. However, since probably July or August of 2021, I have not had any of the above mentioned symptoms. I have had unusual intense fatigue after exercise a few times but that has not occurred in the past couple of months.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Troponin normal
Clinical narrative: In short, I had one episode in which I fainted and another few episodes in which I felt shortness of breath, abnormal heartbeat, and the feeling of near fainting. One of the near fainting episodes was at work where I had to be picked up off of the floor in my office and brought by ambulance to the ER. Tests were run and found nothing. Then I was referred to a cardiologist. He wrote the following note: Patient comes in with 2 episodes of syncope. The 1st occurred several weeks ago while he was traveling, he had drunk more than usual at that time had smelled marijuana which caused become lightheaded and eventually passed out.  The 2nd episode occurred yesterday, he was at work and noted the onset of palpitations lightheadedness and passed out.  He was evaluated at Hospital where an EKG, and extensive laboratory evaluation was unremarkable.  This included a D-dimer, BNP, troponin and TSH. He does not have a history of heart problems, but has had hypertension for many years.  His blood pressure has been well controlled.  He has not been on an unusual diet.  His drug screen was negative. Family history negative for sudden death, heart problems. However, since probably July or August of 2021, I have not had any of the above mentioned symptoms. I have had unusual intense fatigue after exercise a few times but that has not occurred in the past couple of months.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 09/20/2021.
Age: 1.25
Sex: M
Vaccine: DTAPIPV, FLU4, HIBV, PNC13
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given kinrix instead of daptacel. Has had not reaction.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Coronary artery disease
Clinical narrative: Multi-vessel coronary artery disease and STEMI. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Positive COVID-19.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Constipation, Dialysis, Dyspnoea, Fatigue
Clinical narrative: presents to ED for evaluation of shortness of breath. Pt states she missed dialysis yesterday because she was "too sick". She reports a 9lb weight gain since her Thursday treatment.  She reports abdominal pain and constipation as the reason she did not go to dialysis. She also complains of nausea, peripheral edema, and fatigue
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Nausea, Oedema peripheral, Weight increased
Clinical narrative: presents to ED for evaluation of shortness of breath. Pt states she missed dialysis yesterday because she was "too sick". She reports a 9lb weight gain since her Thursday treatment.  She reports abdominal pain and constipation as the reason she did not go to dialysis. She also complains of nausea, peripheral edema, and fatigue
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: We administered the Pfizer Vaccine past thawed expiration date.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Agitation, Anticoagulant therapy, Bladder catheterisation, Blood lactic acid
Clinical narrative: This is a 66-year-old male with past medical history of diabetes and hypertension who presents to the emergency room shortness of breath, fever, chills, cough and  low oxygen at home for the last 5 days.  He states he has vaccinated x3 against COVID.  He says symptoms have become more severe over the last few days and therefore came to the emergency room.  In the emergency room his O2 sat was 86%.  On room air.  An ABG shows a pH of 7.48, pCO2 29, PaO2 52 and O2 sat of 86%.  He has since been placed on high-flow oxygen.  His x-ray is positive for COVID pneumonia.  His lactic acid was 4.7 but his white count is normal.  He was given sepsis fluids in the emergency room.   See continuation... 66-year-old gentleman, was fully vaccinated with Moderna  for COVID-19 pneumonia, with booster dose, history of diabetes, that was admitted to the hospital on 1/21/2022, complaining of shortness of breath, tested positive for COVID-19 pneumonia. He was maintained on Bipap in PCU until 1/30/22 at which point he was transferred to the ICU. Patient was intubated, central line and arterial line were placed on 01/30/2022. [3] He initially did well with successful weaning of FiO2 but during multiple amounts of sedation vacation pt would become agitated and acutely hypoxic. Troponins were found to be elevated and he was placed on a heparin gtt and reached therapeutic levels. Hospital course complicated by Klebsiella pneumonia, ileus and AKI. Kidney function was slowly improving and pt was extremely responsive to diuresis. However, on 2/6 he became acutely hypoxic and tachycardic. Increasing FiO2, PEEP and suctioning requirements for secretion burden in addition to vent dyssynchrony. Sent for stat CT PE which was positive for bilat lower lobe PE despite being therapeutic on Heparin gtt. Pt had multiple episodes requiring ambu bag ventilation to increase O2 sats to above 70%. Increasing requirements of vasoactive infusions. Code status changed to partial code (no chest compressions or defibrillation) on 2/7. [2] Nimbex was discontinued and sedation was weaned after 4/4 train of four achieved. Maxed on vasoactive infusions, pt sustained MAPs <50 and O2 sats < 80% with 100% FiO2. AKI worsened after contrast dye load for PE scan. Pt became bradycardic after 1100cc UOP catheterized from bladder and 800cc of fecal matter suctioned from OG. Family decided to transition to comfort care on 2/8/22 and TOD 0933.  Moderna 3/19/21, 4/16/21, 12/16/21
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pH increased, Bradycardia, COVID-19, COVID-19 pneumonia, Central venous catheterisation
Clinical narrative: This is a 66-year-old male with past medical history of diabetes and hypertension who presents to the emergency room shortness of breath, fever, chills, cough and  low oxygen at home for the last 5 days.  He states he has vaccinated x3 against COVID.  He says symptoms have become more severe over the last few days and therefore came to the emergency room.  In the emergency room his O2 sat was 86%.  On room air.  An ABG shows a pH of 7.48, pCO2 29, PaO2 52 and O2 sat of 86%.  He has since been placed on high-flow oxygen.  His x-ray is positive for COVID pneumonia.  His lactic acid was 4.7 but his white count is normal.  He was given sepsis fluids in the emergency room.   See continuation... 66-year-old gentleman, was fully vaccinated with Moderna  for COVID-19 pneumonia, with booster dose, history of diabetes, that was admitted to the hospital on 1/21/2022, complaining of shortness of breath, tested positive for COVID-19 pneumonia. He was maintained on Bipap in PCU until 1/30/22 at which point he was transferred to the ICU. Patient was intubated, central line and arterial line were placed on 01/30/2022. [3] He initially did well with successful weaning of FiO2 but during multiple amounts of sedation vacation pt would become agitated and acutely hypoxic. Troponins were found to be elevated and he was placed on a heparin gtt and reached therapeutic levels. Hospital course complicated by Klebsiella pneumonia, ileus and AKI. Kidney function was slowly improving and pt was extremely responsive to diuresis. However, on 2/6 he became acutely hypoxic and tachycardic. Increasing FiO2, PEEP and suctioning requirements for secretion burden in addition to vent dyssynchrony. Sent for stat CT PE which was positive for bilat lower lobe PE despite being therapeutic on Heparin gtt. Pt had multiple episodes requiring ambu bag ventilation to increase O2 sats to above 70%. Increasing requirements of vasoactive infusions. Code status changed to partial code (no chest compressions or defibrillation) on 2/7. [2] Nimbex was discontinued and sedation was weaned after 4/4 train of four achieved. Maxed on vasoactive infusions, pt sustained MAPs <50 and O2 sats < 80% with 100% FiO2. AKI worsened after contrast dye load for PE scan. Pt became bradycardic after 1100cc UOP catheterized from bladder and 800cc of fecal matter suctioned from OG. Family decided to transition to comfort care on 2/8/22 and TOD 0933.  Moderna 3/19/21, 4/16/21, 12/16/21
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Computerised tomogram thorax abnormal, Death, Dyspnoea
Clinical narrative: This is a 66-year-old male with past medical history of diabetes and hypertension who presents to the emergency room shortness of breath, fever, chills, cough and  low oxygen at home for the last 5 days.  He states he has vaccinated x3 against COVID.  He says symptoms have become more severe over the last few days and therefore came to the emergency room.  In the emergency room his O2 sat was 86%.  On room air.  An ABG shows a pH of 7.48, pCO2 29, PaO2 52 and O2 sat of 86%.  He has since been placed on high-flow oxygen.  His x-ray is positive for COVID pneumonia.  His lactic acid was 4.7 but his white count is normal.  He was given sepsis fluids in the emergency room.   See continuation... 66-year-old gentleman, was fully vaccinated with Moderna  for COVID-19 pneumonia, with booster dose, history of diabetes, that was admitted to the hospital on 1/21/2022, complaining of shortness of breath, tested positive for COVID-19 pneumonia. He was maintained on Bipap in PCU until 1/30/22 at which point he was transferred to the ICU. Patient was intubated, central line and arterial line were placed on 01/30/2022. [3] He initially did well with successful weaning of FiO2 but during multiple amounts of sedation vacation pt would become agitated and acutely hypoxic. Troponins were found to be elevated and he was placed on a heparin gtt and reached therapeutic levels. Hospital course complicated by Klebsiella pneumonia, ileus and AKI. Kidney function was slowly improving and pt was extremely responsive to diuresis. However, on 2/6 he became acutely hypoxic and tachycardic. Increasing FiO2, PEEP and suctioning requirements for secretion burden in addition to vent dyssynchrony. Sent for stat CT PE which was positive for bilat lower lobe PE despite being therapeutic on Heparin gtt. Pt had multiple episodes requiring ambu bag ventilation to increase O2 sats to above 70%. Increasing requirements of vasoactive infusions. Code status changed to partial code (no chest compressions or defibrillation) on 2/7. [2] Nimbex was discontinued and sedation was weaned after 4/4 train of four achieved. Maxed on vasoactive infusions, pt sustained MAPs <50 and O2 sats < 80% with 100% FiO2. AKI worsened after contrast dye load for PE scan. Pt became bradycardic after 1100cc UOP catheterized from bladder and 800cc of fecal matter suctioned from OG. Family decided to transition to comfort care on 2/8/22 and TOD 0933.  Moderna 3/19/21, 4/16/21, 12/16/21
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Hypoxia, Ileus, Intensive care, Mechanical ventilation complication
Clinical narrative: This is a 66-year-old male with past medical history of diabetes and hypertension who presents to the emergency room shortness of breath, fever, chills, cough and  low oxygen at home for the last 5 days.  He states he has vaccinated x3 against COVID.  He says symptoms have become more severe over the last few days and therefore came to the emergency room.  In the emergency room his O2 sat was 86%.  On room air.  An ABG shows a pH of 7.48, pCO2 29, PaO2 52 and O2 sat of 86%.  He has since been placed on high-flow oxygen.  His x-ray is positive for COVID pneumonia.  His lactic acid was 4.7 but his white count is normal.  He was given sepsis fluids in the emergency room.   See continuation... 66-year-old gentleman, was fully vaccinated with Moderna  for COVID-19 pneumonia, with booster dose, history of diabetes, that was admitted to the hospital on 1/21/2022, complaining of shortness of breath, tested positive for COVID-19 pneumonia. He was maintained on Bipap in PCU until 1/30/22 at which point he was transferred to the ICU. Patient was intubated, central line and arterial line were placed on 01/30/2022. [3] He initially did well with successful weaning of FiO2 but during multiple amounts of sedation vacation pt would become agitated and acutely hypoxic. Troponins were found to be elevated and he was placed on a heparin gtt and reached therapeutic levels. Hospital course complicated by Klebsiella pneumonia, ileus and AKI. Kidney function was slowly improving and pt was extremely responsive to diuresis. However, on 2/6 he became acutely hypoxic and tachycardic. Increasing FiO2, PEEP and suctioning requirements for secretion burden in addition to vent dyssynchrony. Sent for stat CT PE which was positive for bilat lower lobe PE despite being therapeutic on Heparin gtt. Pt had multiple episodes requiring ambu bag ventilation to increase O2 sats to above 70%. Increasing requirements of vasoactive infusions. Code status changed to partial code (no chest compressions or defibrillation) on 2/7. [2] Nimbex was discontinued and sedation was weaned after 4/4 train of four achieved. Maxed on vasoactive infusions, pt sustained MAPs <50 and O2 sats < 80% with 100% FiO2. AKI worsened after contrast dye load for PE scan. Pt became bradycardic after 1100cc UOP catheterized from bladder and 800cc of fecal matter suctioned from OG. Family decided to transition to comfort care on 2/8/22 and TOD 0933.  Moderna 3/19/21, 4/16/21, 12/16/21
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: PCO2 decreased, PO2, Pneumonia klebsiella, Polyuria, Positive airway pressure therapy
Clinical narrative: This is a 66-year-old male with past medical history of diabetes and hypertension who presents to the emergency room shortness of breath, fever, chills, cough and  low oxygen at home for the last 5 days.  He states he has vaccinated x3 against COVID.  He says symptoms have become more severe over the last few days and therefore came to the emergency room.  In the emergency room his O2 sat was 86%.  On room air.  An ABG shows a pH of 7.48, pCO2 29, PaO2 52 and O2 sat of 86%.  He has since been placed on high-flow oxygen.  His x-ray is positive for COVID pneumonia.  His lactic acid was 4.7 but his white count is normal.  He was given sepsis fluids in the emergency room.   See continuation... 66-year-old gentleman, was fully vaccinated with Moderna  for COVID-19 pneumonia, with booster dose, history of diabetes, that was admitted to the hospital on 1/21/2022, complaining of shortness of breath, tested positive for COVID-19 pneumonia. He was maintained on Bipap in PCU until 1/30/22 at which point he was transferred to the ICU. Patient was intubated, central line and arterial line were placed on 01/30/2022. [3] He initially did well with successful weaning of FiO2 but during multiple amounts of sedation vacation pt would become agitated and acutely hypoxic. Troponins were found to be elevated and he was placed on a heparin gtt and reached therapeutic levels. Hospital course complicated by Klebsiella pneumonia, ileus and AKI. Kidney function was slowly improving and pt was extremely responsive to diuresis. However, on 2/6 he became acutely hypoxic and tachycardic. Increasing FiO2, PEEP and suctioning requirements for secretion burden in addition to vent dyssynchrony. Sent for stat CT PE which was positive for bilat lower lobe PE despite being therapeutic on Heparin gtt. Pt had multiple episodes requiring ambu bag ventilation to increase O2 sats to above 70%. Increasing requirements of vasoactive infusions. Code status changed to partial code (no chest compressions or defibrillation) on 2/7. [2] Nimbex was discontinued and sedation was weaned after 4/4 train of four achieved. Maxed on vasoactive infusions, pt sustained MAPs <50 and O2 sats < 80% with 100% FiO2. AKI worsened after contrast dye load for PE scan. Pt became bradycardic after 1100cc UOP catheterized from bladder and 800cc of fecal matter suctioned from OG. Family decided to transition to comfort care on 2/8/22 and TOD 0933.  Moderna 3/19/21, 4/16/21, 12/16/21
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary embolism, Pyrexia, SARS-CoV-2 test positive, Tachycardia, Troponin increased
Clinical narrative: This is a 66-year-old male with past medical history of diabetes and hypertension who presents to the emergency room shortness of breath, fever, chills, cough and  low oxygen at home for the last 5 days.  He states he has vaccinated x3 against COVID.  He says symptoms have become more severe over the last few days and therefore came to the emergency room.  In the emergency room his O2 sat was 86%.  On room air.  An ABG shows a pH of 7.48, pCO2 29, PaO2 52 and O2 sat of 86%.  He has since been placed on high-flow oxygen.  His x-ray is positive for COVID pneumonia.  His lactic acid was 4.7 but his white count is normal.  He was given sepsis fluids in the emergency room.   See continuation... 66-year-old gentleman, was fully vaccinated with Moderna  for COVID-19 pneumonia, with booster dose, history of diabetes, that was admitted to the hospital on 1/21/2022, complaining of shortness of breath, tested positive for COVID-19 pneumonia. He was maintained on Bipap in PCU until 1/30/22 at which point he was transferred to the ICU. Patient was intubated, central line and arterial line were placed on 01/30/2022. [3] He initially did well with successful weaning of FiO2 but during multiple amounts of sedation vacation pt would become agitated and acutely hypoxic. Troponins were found to be elevated and he was placed on a heparin gtt and reached therapeutic levels. Hospital course complicated by Klebsiella pneumonia, ileus and AKI. Kidney function was slowly improving and pt was extremely responsive to diuresis. However, on 2/6 he became acutely hypoxic and tachycardic. Increasing FiO2, PEEP and suctioning requirements for secretion burden in addition to vent dyssynchrony. Sent for stat CT PE which was positive for bilat lower lobe PE despite being therapeutic on Heparin gtt. Pt had multiple episodes requiring ambu bag ventilation to increase O2 sats to above 70%. Increasing requirements of vasoactive infusions. Code status changed to partial code (no chest compressions or defibrillation) on 2/7. [2] Nimbex was discontinued and sedation was weaned after 4/4 train of four achieved. Maxed on vasoactive infusions, pt sustained MAPs <50 and O2 sats < 80% with 100% FiO2. AKI worsened after contrast dye load for PE scan. Pt became bradycardic after 1100cc UOP catheterized from bladder and 800cc of fecal matter suctioned from OG. Family decided to transition to comfort care on 2/8/22 and TOD 0933.  Moderna 3/19/21, 4/16/21, 12/16/21
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: This is a 66-year-old male with past medical history of diabetes and hypertension who presents to the emergency room shortness of breath, fever, chills, cough and  low oxygen at home for the last 5 days.  He states he has vaccinated x3 against COVID.  He says symptoms have become more severe over the last few days and therefore came to the emergency room.  In the emergency room his O2 sat was 86%.  On room air.  An ABG shows a pH of 7.48, pCO2 29, PaO2 52 and O2 sat of 86%.  He has since been placed on high-flow oxygen.  His x-ray is positive for COVID pneumonia.  His lactic acid was 4.7 but his white count is normal.  He was given sepsis fluids in the emergency room.   See continuation... 66-year-old gentleman, was fully vaccinated with Moderna  for COVID-19 pneumonia, with booster dose, history of diabetes, that was admitted to the hospital on 1/21/2022, complaining of shortness of breath, tested positive for COVID-19 pneumonia. He was maintained on Bipap in PCU until 1/30/22 at which point he was transferred to the ICU. Patient was intubated, central line and arterial line were placed on 01/30/2022. [3] He initially did well with successful weaning of FiO2 but during multiple amounts of sedation vacation pt would become agitated and acutely hypoxic. Troponins were found to be elevated and he was placed on a heparin gtt and reached therapeutic levels. Hospital course complicated by Klebsiella pneumonia, ileus and AKI. Kidney function was slowly improving and pt was extremely responsive to diuresis. However, on 2/6 he became acutely hypoxic and tachycardic. Increasing FiO2, PEEP and suctioning requirements for secretion burden in addition to vent dyssynchrony. Sent for stat CT PE which was positive for bilat lower lobe PE despite being therapeutic on Heparin gtt. Pt had multiple episodes requiring ambu bag ventilation to increase O2 sats to above 70%. Increasing requirements of vasoactive infusions. Code status changed to partial code (no chest compressions or defibrillation) on 2/7. [2] Nimbex was discontinued and sedation was weaned after 4/4 train of four achieved. Maxed on vasoactive infusions, pt sustained MAPs <50 and O2 sats < 80% with 100% FiO2. AKI worsened after contrast dye load for PE scan. Pt became bradycardic after 1100cc UOP catheterized from bladder and 800cc of fecal matter suctioned from OG. Family decided to transition to comfort care on 2/8/22 and TOD 0933.  Moderna 3/19/21, 4/16/21, 12/16/21
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Incorrect product formulation administered, Injection site pain
Clinical narrative: Patient received full vial of undiluted Pfizer vaccine. Patient was called on 1/20/2022, to inform of adverse event. During phone call patient expressed experiencing a sore injection site that has gotten better each day and headaches that she has been treating with Tylenol or aspirin. Patient did not express any other symptoms.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 07/15/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: New onset atrial fibrillation with rapid ventricular response
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Eye disorder, Eye irritation, Feeling abnormal, Interchange of vaccine products
Clinical narrative: Moderna vaccine booster given at 2:02 PM with subsequent symptoms of eyes burning, strained, and ?not feeling right.?  Medical provider called to assess at 1417. ROS otherwise negative. Vital signs done at 1417 which included a blood pressure 134/82, oxygen saturation 95% on room air, pulse 71.  He seemed concerned and attributed all of this to the vaccine noting that after the first 2 vaccines he has had to have extensive GI work-up including a HIDA scan and a camera pill and multiple ER visits.  His doctor initially told him not to get the vaccine but then cleared him for this booster dose. His current symptoms include that he feels that his "eyes are not right? and ?feels off.?  No rash, itching, trouble breathing, chest pain, headache 1435 another set of vitals were done with an oxygen saturation of 97%, pulse 72, blood pressure 146/95.  His sclerae white, pupils equal and extraocular movements are intact.  There is no facial asymmetry.  He denies blurry vision.  Oropharynx is clear.  He is moving his arms and legs symmetrically.  His speech is clear.  Mentation is clear.  Heart is regular in rate and rhythm, lungs are clear to auscultation with unlabored respirations.  He reports that his oxygen normally runs normal. At 1448 his oxygen saturation was 95% and he feels drawn out, "does not feel right" and is developed a pain in his R jaw which a few minutes later he noted moved down into his throat.  He has no drooling or trouble swallowing and denies flatly any shortness of breath or wheezing.  Lungs clear with good aeration. Oxygen 2 L nasal cannula was applied. At 1453 he reports discomfort in his upper chest extending from his jaw, skin is warm and dry, heart is regular in rate and rhythm respirations are unlabored.  No scratching of his throat difficulty swallowing or drooling.  Exam unremarkable.  Shortly thereafter began to complain of nausea ?I never throw up.? 1454 oxygen saturation 98% on 2 L pulse 71. EMS arrived shortly thereafter ? report given, and they assumed care. To transport to hospital.  Patient was able to stand up and walk to the stretcher.  His skin was warm and dry.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain in jaw
Clinical narrative: Moderna vaccine booster given at 2:02 PM with subsequent symptoms of eyes burning, strained, and ?not feeling right.?  Medical provider called to assess at 1417. ROS otherwise negative. Vital signs done at 1417 which included a blood pressure 134/82, oxygen saturation 95% on room air, pulse 71.  He seemed concerned and attributed all of this to the vaccine noting that after the first 2 vaccines he has had to have extensive GI work-up including a HIDA scan and a camera pill and multiple ER visits.  His doctor initially told him not to get the vaccine but then cleared him for this booster dose. His current symptoms include that he feels that his "eyes are not right? and ?feels off.?  No rash, itching, trouble breathing, chest pain, headache 1435 another set of vitals were done with an oxygen saturation of 97%, pulse 72, blood pressure 146/95.  His sclerae white, pupils equal and extraocular movements are intact.  There is no facial asymmetry.  He denies blurry vision.  Oropharynx is clear.  He is moving his arms and legs symmetrically.  His speech is clear.  Mentation is clear.  Heart is regular in rate and rhythm, lungs are clear to auscultation with unlabored respirations.  He reports that his oxygen normally runs normal. At 1448 his oxygen saturation was 95% and he feels drawn out, "does not feel right" and is developed a pain in his R jaw which a few minutes later he noted moved down into his throat.  He has no drooling or trouble swallowing and denies flatly any shortness of breath or wheezing.  Lungs clear with good aeration. Oxygen 2 L nasal cannula was applied. At 1453 he reports discomfort in his upper chest extending from his jaw, skin is warm and dry, heart is regular in rate and rhythm respirations are unlabored.  No scratching of his throat difficulty swallowing or drooling.  Exam unremarkable.  Shortly thereafter began to complain of nausea ?I never throw up.? 1454 oxygen saturation 98% on 2 L pulse 71. EMS arrived shortly thereafter ? report given, and they assumed care. To transport to hospital.  Patient was able to stand up and walk to the stretcher.  His skin was warm and dry.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes virus infection, Pustule
Clinical narrative: SMALL CLUSTER OF PAINFUL HERPES LESIONS (FLUID FILLED PUSTULES) NOTED TO LEFT LATERAL LOWER LEG APPEARED 3 DAYS AFTER RECEIVING FIRST DOSE OF COVID PFIZER VACCINE
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Influenza, Positive airway pressure therapy, Respiratory failure
Clinical narrative: Patient is a 36 y.o. female with past medical history anxiety, depression, GERD, hypertension, type 2 diabetes who presented to Hospital via ambulance after calling 911 for respiratory failure.  Patient had been exposed to a person with COVID 4 days ago.  Progressively became more short of breath over the last few days.  She has an albuterol inhaler at home that did not offers much relief.  Upon arrival of EMS O2 sats in the 50% on room air.  Patient increased to 15 L non-rebreather and oxygen sats improved however patient remained tachypneic prompting BiPAP.  Hospitalized with respiratory failure d/t influenza A.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tachypnoea
Clinical narrative: Patient is a 36 y.o. female with past medical history anxiety, depression, GERD, hypertension, type 2 diabetes who presented to Hospital via ambulance after calling 911 for respiratory failure.  Patient had been exposed to a person with COVID 4 days ago.  Progressively became more short of breath over the last few days.  She has an albuterol inhaler at home that did not offers much relief.  Upon arrival of EMS O2 sats in the 50% on room air.  Patient increased to 15 L non-rebreather and oxygen sats improved however patient remained tachypneic prompting BiPAP.  Hospitalized with respiratory failure d/t influenza A.
Age: 27.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 79.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dyspnoea
Clinical narrative: end-stage COPD, coronary artery disease, hypertension and solitary kidney who presented with progressive dyspnea. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea, Syncope
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling face, Urticaria
Clinical narrative: Full body hives, facial swelling and body itching Needed to take 2 weeks of oral high dose steriods. 50mg oral benadryl Q6 hours for 48 hours.  Oral zyrtec for 4 weeks switched to 30 day course of oral Singulair. switched to oral claritin daily and pepcid daily Unable to wean off Claritin, singulair and pepcid. full body hives and itching returned after 48 hours of stopping oral meds.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Tension headache
Clinical narrative: Patient reported having pressure in upper chest and tightness in her head 5 minutes into receiving  her Pfizer booster. Patient declined to get her vitals taken or to be seen by MD. Chest pressure resolved a few minutes with rest. Headache continued to persist at the end of her observation period. Patient reported similar headaches with past 2 doses. No medication given. Patient left the building with her partner.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Dyspnoea exertional, Rhinorrhoea
Clinical narrative: History of Present Illness Patient states she started having cough runny nose last week approximately 9 days ago today tested positive for Covid at urgent care was sent here for general infusion, she is a little bit of shortness of breath but mostly with ambulation, still having some cough otherwise denies chest pain fever chills nausea vomiting or any other symptoms or concerns.  She is vaccinated but did not get the booster yet.  Denies any other symptoms or concerns, she is on half liter of oxygen at nighttime and that is because she had diagnosed with whooping cough in the past.  Reason for Hospitalization COVID-19  Hospital Course Fairly stable.  Requires only 1L/NC for upper 90s SpO2.  Has oxygen at home already and wears 1L/NC at NOC already.  Does not qualify for Remdesivir based on length of symptoms.  DC home on dexamethasone.  Will needs SSI Novolog x 7 days while on steroids.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: History of Present Illness Patient states she started having cough runny nose last week approximately 9 days ago today tested positive for Covid at urgent care was sent here for general infusion, she is a little bit of shortness of breath but mostly with ambulation, still having some cough otherwise denies chest pain fever chills nausea vomiting or any other symptoms or concerns.  She is vaccinated but did not get the booster yet.  Denies any other symptoms or concerns, she is on half liter of oxygen at nighttime and that is because she had diagnosed with whooping cough in the past.  Reason for Hospitalization COVID-19  Hospital Course Fairly stable.  Requires only 1L/NC for upper 90s SpO2.  Has oxygen at home already and wears 1L/NC at NOC already.  Does not qualify for Remdesivir based on length of symptoms.  DC home on dexamethasone.  Will needs SSI Novolog x 7 days while on steroids.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 10/12/2021.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive
Clinical narrative: Acute on chronic congestive heart failure. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Sputum increased
Clinical narrative: Hospitalized for large amt of sputum production and acute hypoxic respiratory failure due to covid pneumonia
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood chloride increased, Blood creatine phosphokinase increased, Blood creatinine increased, Blood lactic acid, Blood potassium normal
Clinical narrative: Came to the hospital 12/6/21 via EMS after being found minimally responsive. In the emergency room he was found to be dehydrated hypernatremic obtunded right lower lobe infiltrate on chest x-ray sodium was 157 potassium 4.9 chloride 118 BUN 54 creatinine 2.5 CPK 1907 troponin 365 lactate of 2.6. At that point the patient was negative for COVID.  Patient had cardiac arrest 1/11 with restoration of circulation. He has had a prolonged hospital stay and tested positive for COVID 1/24/22. Patient was being evaluated for trach and peg tube prior to COVID diagnosis - trach and peg on 1/28/22.  Patient has not required treatment for COVID.  Patient vaccinated Pfizer 8/6/21 & 8/27/21.  Discharged 2/4/22
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood sodium increased, Blood urea increased, COVID-19, Cardiac arrest, Chest X-ray abnormal
Clinical narrative: Came to the hospital 12/6/21 via EMS after being found minimally responsive. In the emergency room he was found to be dehydrated hypernatremic obtunded right lower lobe infiltrate on chest x-ray sodium was 157 potassium 4.9 chloride 118 BUN 54 creatinine 2.5 CPK 1907 troponin 365 lactate of 2.6. At that point the patient was negative for COVID.  Patient had cardiac arrest 1/11 with restoration of circulation. He has had a prolonged hospital stay and tested positive for COVID 1/24/22. Patient was being evaluated for trach and peg tube prior to COVID diagnosis - trach and peg on 1/28/22.  Patient has not required treatment for COVID.  Patient vaccinated Pfizer 8/6/21 & 8/27/21.  Discharged 2/4/22
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dehydration, Gastrostomy, Hypernatraemia, Hyporesponsive to stimuli, Lung infiltration
Clinical narrative: Came to the hospital 12/6/21 via EMS after being found minimally responsive. In the emergency room he was found to be dehydrated hypernatremic obtunded right lower lobe infiltrate on chest x-ray sodium was 157 potassium 4.9 chloride 118 BUN 54 creatinine 2.5 CPK 1907 troponin 365 lactate of 2.6. At that point the patient was negative for COVID.  Patient had cardiac arrest 1/11 with restoration of circulation. He has had a prolonged hospital stay and tested positive for COVID 1/24/22. Patient was being evaluated for trach and peg tube prior to COVID diagnosis - trach and peg on 1/28/22.  Patient has not required treatment for COVID.  Patient vaccinated Pfizer 8/6/21 & 8/27/21.  Discharged 2/4/22
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tracheostomy, Troponin
Clinical narrative: Came to the hospital 12/6/21 via EMS after being found minimally responsive. In the emergency room he was found to be dehydrated hypernatremic obtunded right lower lobe infiltrate on chest x-ray sodium was 157 potassium 4.9 chloride 118 BUN 54 creatinine 2.5 CPK 1907 troponin 365 lactate of 2.6. At that point the patient was negative for COVID.  Patient had cardiac arrest 1/11 with restoration of circulation. He has had a prolonged hospital stay and tested positive for COVID 1/24/22. Patient was being evaluated for trach and peg tube prior to COVID diagnosis - trach and peg on 1/28/22.  Patient has not required treatment for COVID.  Patient vaccinated Pfizer 8/6/21 & 8/27/21.  Discharged 2/4/22
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza virus test, Lymph node pain, Myalgia, Pain in extremity
Clinical narrative: I had very tinder lymph nodes.  I had a very sore arm, fatigue, and leg muscle pain. These other symptoms lasted for about 3 days but the leg muscle pain are still ongoing.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: I had very tinder lymph nodes.  I had a very sore arm, fatigue, and leg muscle pain. These other symptoms lasted for about 3 days but the leg muscle pain are still ongoing.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 07/15/2021.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Chest X-ray abnormal, Chills, Cough, Dyspnoea
Clinical narrative: C/O weakness, started about 3-4 days ago. Brought on by respiratory infection, has had cough and congestion. Pt having chills, fever, fatigue, congestion, sore throat, cough, sob, wheezing and nausea. Chest Xray shows pneumonia.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Nausea, Oropharyngeal pain, Pneumonia, Pyrexia
Clinical narrative: C/O weakness, started about 3-4 days ago. Brought on by respiratory infection, has had cough and congestion. Pt having chills, fever, fatigue, congestion, sore throat, cough, sob, wheezing and nausea. Chest Xray shows pneumonia.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, Respiratory tract infection, Wheezing
Clinical narrative: C/O weakness, started about 3-4 days ago. Brought on by respiratory infection, has had cough and congestion. Pt having chills, fever, fatigue, congestion, sore throat, cough, sob, wheezing and nausea. Chest Xray shows pneumonia.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Immune tolerance induction
Clinical narrative: Admission for cycle 6 of carboplatin desensitization. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Breast pain, Fatigue, Headache, Injection site pain
Clinical narrative: Approx 2-1/2 hrs post vaccine, pt had pain at injection site, body felt drained/tired, and headache.  When woke up in morning day following, both breasts had incredible, sharp pain, and right arm: fingers felt swollen, wrist felt sprained, entire arm hurt, pain radiated across shoulder, and continued headache.  Took APAP and approx 1 hr afterwards, pain decreased but not entirely gone.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Approx 2-1/2 hrs post vaccine, pt had pain at injection site, body felt drained/tired, and headache.  When woke up in morning day following, both breasts had incredible, sharp pain, and right arm: fingers felt swollen, wrist felt sprained, entire arm hurt, pain radiated across shoulder, and continued headache.  Took APAP and approx 1 hr afterwards, pain decreased but not entirely gone.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Chills, Condition aggravated, Decreased appetite, Dyspnoea
Clinical narrative: 58 y.o. male PMH obesity, fibromyalgia, hypertension, sleep apnea on CPAP, chronic respiratory failure, dermatomyositis with interstitial lung disease on immune suppression, depression.    Today, he mentions that he noted SOB which started about 3-4d ago progressively worsening with increased O2 needs. Associated symptoms include inspiratory chest pain and notable work of breathing, no cough, reported "fever" 99.7F, chills, occasional abdominal pain, decreased appetite, increased LE edema, skin changes w/ "splotches" on his hands similar to past admissions w/ flares w/ associated pain on his fingernails. Denies recent sick contacts, n/v, diarrhea, cough, congestion, cp. No treatments tried at home including his inha lers as he does not feel they are helpful. Does not think that his recent prednisone taper has been an issue but instead that his IVIG is wearing off. Closely follows w/ both Pulm and Rheum outpt for his Dermatomyositis w/ associated ILD.   Saw Rheum yesterday in which he states that his breathing was better than it is today however, worse than his baseline. During this visit he was advised to continue his tacrolimus, continue his 10mg  Prednisone per day, restart IVIG 150g per month in 2 dived doses, continue cylophosphamide cycle 6 of6 on 2/17.   Uses 3.5L O2 at home w/ 5Lw/ activity. Uses CPAP at night. Uses a walker at home. Regular care and PCP at the VA. No smoking or regular alcohol use. Denies history of blood clots. He is not interested in talking to palliative medicine during this admission.