chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Spinal X-ray normal, White blood cell count increased
Clinical narrative: Discharge Provider:  DO Primary Care Provider:  MD Admission Date: 1/16/2023 Discharge Date: Jan 19, 2023 COVID positive date: 1/16/2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 82 y.o. female with past medical history of hypertension, hyperlipidemia, Parkinson's disease, non-insulin-dependent diabetes with peripheral neuropathy, CKD 3 and benign essential tremor, presented to ED due to generalized weakness and inability to get out of her recliner. She sustained a fall hitting her head and was unable to get up. EMS was summoned and she declined to present to ED. Spent day resting in her recliner and when she attempted to get up was unable to, so EMS was again summoned and brought her to ED. She reported 2-3 days of nonproductive cough, had fever per EMS.  Patient has chronic fatigue.  Patient reported intermittent weakness due to Parkinson's disease but was able to get around in her house with help of walker. Patient has fallen twice in past 6 months per her husband. Patient has chronic back pain which is unchanged from baseline. Patient also noted lower extremity swelling which is chronic and unchanged.   In ED she was febrile to 38.5. Remainder of VSS on RA. Labs with creatinine 1.11, WBC 11.74, LA 1.0. COVID+. Blood cultures were drawn. CT head and CXR unremarkable. She was given 500ml IVF and Tylenol. Patient was admitted with generalized weakness secondary to COVID19.  Patient started complaining of acute back pain.  X-rays of the spine were done which showed no acute abnormalities.  Patient was given 1 time dose of IV Dilaudid which resulted in hallucinations.  IV Dilaudid was discontinued and patient was given oral oxycodone for better pain control.  Patient was also given Flexeril and provided with heat packs.  Physical therapy and occupational therapy were consulted and recommended patient return home with home health care. Pt. will continue with her home tramadol and lidocaine patches for her back pain. Pt. to follow up with her PCP outpatient. She is discharging in improved and stable condition.
Age: 59.0
Sex: M
Vaccine: UNK
Symptoms: Erythema, Oedema
Clinical narrative: significant erythema and mild edema with the 2nd dose of vaccine
Age: 0.75
Sex: F
Vaccine: COVID19, UNK
Symptoms: COVID-19, Productive cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: She tested positive for COVID-19 on January 11, 2023.  She had a fever up to 102 along with a productive cough and runny nose.  Symptoms lasted for about 5 days.  She still has a productive cough, but only at nighttime.
Age: 70.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough, Lower respiratory tract infection, Malaise, Wheezing
Clinical narrative: I did not have an adverse reaction to the vaccine. I woke up on 12/13/2022 with a bad cough and things progressed from there. I saw my doctor on 12/19/2022 and he heard a wheezing sound in my lungs. I was diagnosed with a lower respiratory infection. I was prescribed an inhaler. I was sick for 15 days.
Age: 40.0
Sex: M
Vaccine: COVID19-2
Symptoms: Urticaria
Clinical narrative: Broke out in severe hives.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Exposure to SARS-CoV-2, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: We hosted a dinner for the family, and my granddaughter informed us she was around a friend who tested positive. I started experiencing mild body aches, fever, and runny nose through the weekend and decided to take an at-home COVID-19 test on  11/30/2022. The test came back positive and called my doctor since I originally had an in-visit office appointment that next day; I told my doctor about my symptoms, and he informed me since my symptoms were mild to just rest, stay hydrated and take ibuprofen if needed. After some days, my symptoms went away, and I recovered.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: We hosted a dinner for the family, and my granddaughter informed us she was around a friend who tested positive. I started experiencing mild body aches, fever, and runny nose through the weekend and decided to take an at-home COVID-19 test on  11/30/2022. The test came back positive and called my doctor since I originally had an in-visit office appointment that next day; I told my doctor about my symptoms, and he informed me since my symptoms were mild to just rest, stay hydrated and take ibuprofen if needed. After some days, my symptoms went away, and I recovered.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Anxiety, Condition aggravated, Fatigue, Heart rate increased, Malaise
Clinical narrative: Patient returned to pharmacy about 45 minutes after receiving vaccine, stated "not feeling well" and "felt like she was going to have a seizure." We grabbed a chair to seat her and called emergency services to get an ambulance to come pick her up. While waiting for ambulance spoke with patient, she said her symptoms were similar to the last time she had a seizure where she felt very anxious, her heart rate increased significantly, and felt very fatigued. Fell asleep briefly as first-responders arrived in pharmacy.
Age: 41.0
Sex: F
Vaccine: TDAP
Symptoms: Seizure
Clinical narrative: Patient returned to pharmacy about 45 minutes after receiving vaccine, stated "not feeling well" and "felt like she was going to have a seizure." We grabbed a chair to seat her and called emergency services to get an ambulance to come pick her up. While waiting for ambulance spoke with patient, she said her symptoms were similar to the last time she had a seizure where she felt very anxious, her heart rate increased significantly, and felt very fatigued. Fell asleep briefly as first-responders arrived in pharmacy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Angiogram cerebral normal, Anti-NMDA antibody negative, Anti-thyroid antibody, Anti-thyroid antibody negative, Antibody test negative
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Antinuclear antibody negative, Bacterial test negative, Blood glucose decreased, Blood immunoglobulin G, Blood thyroid stimulating hormone normal
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: CD4 lymphocytes decreased, CD4/CD8 ratio decreased, CSF glucose decreased, CSF protein increased, CSF red blood cell count
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: CSF white blood cell count increased, Carcinoembryonic antigen normal, Central nervous system lesion, Cognitive disorder, Computerised tomogram abdomen normal
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Computerised tomogram thorax abnormal, Confusional state, Culture negative, Encephalopathy, Enterovirus test negative
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Flow cytometry, Fungal test negative, Headache, Hemiparesis, Herpes simplex test negative
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Hypoaesthesia, Laboratory test normal, Lymph node calcification, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Memory impairment, Migraine, Mycobacterium tuberculosis complex test negative, Mycoplasma test negative, Nausea
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Photophobia, Positron emission tomogram abnormal, Protein total, Pulmonary calcification, Pulmonary granuloma
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Red blood cell count increased, SARS-CoV-2 test negative, Scan with contrast abnormal, Somnolence, Spinal cord disorder
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: Thyroxine free normal, Toxicologic test normal, Ultrasound testes normal, Varicella virus test negative, Viral test negative
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 39.0
Sex: M
Vaccine: COVID19-2, FLUR4
Symptoms: West Nile virus test negative, White blood cell count increased
Clinical narrative: 10 days after vaccinations (9/19) he started experiencing a new headache and sensitivity to light along with nausea. He went to emergency room and was treated for migraine. His headache continued and on 9/27 (18 days after vaccinations) he went to primary care MD who ordered MRI of brain with and without contrast as well as CT angiogram of brain. Imaging showed no significant abnormalities. On 10/6/22 (27 days after vaccinations) he went to emergency room again for same symptoms as well as left arm numbness and memory issues as well as worsening drowsiness. CT angiography was normal and he was discharged. On 10/11/2022 (32 days after vaccinations) he become significantly more confused and sister insisted he go to emergency room again. Repeat MRI brain showed significant bilateral (right > left) medial temporal enhancing lesions. Workup negative for infections and serologic autoimmune/paraneoplastic disease. He did not get any steroids or treatments aside from very briefly being on acyclovir for initial concern for HSV encephalitis.   Subsequent imaging as shown improvement in brain lesions but discovered a cervical spine lesion (unknown if this was present before. FDG PET showed small area of avidity in thoracic spine so now getting thoracic spine MRI.   He is slowly improving in terms of his cognition and left-sided weakness. He has high cognitive reserve so is able to function despite slowly recovering encephalopathy.
Age: 20.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient indicated that this was her first booster, however she had not received the 2nd dose of her primary series and did not have her card with her and information was unavailable in immunization system for us to verify.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Angiogram, Chest pain, Computerised tomogram head, Dyspnoea, Electrocardiogram
Clinical narrative: sudden onset severe headache shortness of breath  chest pain
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Laboratory test, Troponin
Clinical narrative: sudden onset severe headache shortness of breath  chest pain
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Body temperature increased, COVID-19, Dyspnoea, Hypotension
Clinical narrative: Patient with history of ischemic left MCA stroke, chronic respiratory failure and tracheostomy dependence, G-tube dependence.   Patient was brought to the ED via EMS on 11/9 for evaluation of difficulty breathing. Patient was noted by nursing facility staff to be hypotensive in the 80/40s, hypoxic in the 80s, and hot to touch with a temperature of 101.2F. There were concerns for sepsis, prompting staff to call 911. In the ED, patient was tested for COVID by PCR and was positive; he was placed on 6L FiO2. At baseline, patient chronically on 0-2L via trach. Ultimately patient was admitted 11/9 - 11/18 for sepsis, suspect secondary to COVID-19 and acute hypoxic respiratory failure. Patient has received COVID primary vaccine series.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive, Sepsis, Skin warm
Clinical narrative: Patient with history of ischemic left MCA stroke, chronic respiratory failure and tracheostomy dependence, G-tube dependence.   Patient was brought to the ED via EMS on 11/9 for evaluation of difficulty breathing. Patient was noted by nursing facility staff to be hypotensive in the 80/40s, hypoxic in the 80s, and hot to touch with a temperature of 101.2F. There were concerns for sepsis, prompting staff to call 911. In the ED, patient was tested for COVID by PCR and was positive; he was placed on 6L FiO2. At baseline, patient chronically on 0-2L via trach. Ultimately patient was admitted 11/9 - 11/18 for sepsis, suspect secondary to COVID-19 and acute hypoxic respiratory failure. Patient has received COVID primary vaccine series.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, COVID-19, Death, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE OF PFIZER COVID VACCINE GIVEN 1/14/22, LOT #FG2537. pt had a positive COVID test on 8/7/22; pt in hospice facility at unknown residence for metastatic lung CA, GIP dyspnea; non-verbal; unable to make needs known; pt passed away in the facility 6 days later after positive test.
Age: 78.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Agitation, Asthenia, Asymptomatic COVID-19, Basal ganglia stroke, Cardiac telemetry normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/17/2023 Discharge Date: Jan 22, 2023 COVID positive date: 1/17/2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 y/o with advanced Alzheimer's dementia diagnosed 7 years ago, hypothyroidism, anxiety who presented due to generalized weakness and worsening confusion.  Family had been unable to get patient out of bed.  He had been in a recent car accident.  Tested positive for COVID however asymptomatic outside of possible fatigue.  CT head did show age indeterminate left occipital infarct.  No injuries identified from car crash. In setting of covid suspected acute stroke however MRI showing basal ganglia and occipital stroke.  Patient was started on aspirin and statin.  Difficult to keep tele on patient no however no evidence of AFib and wife not wanting ZIO patch on discharge. Echo obtained with EF 45% with mildly dilated left ventricle and dyssynchronous septal wall motion.   Plan for follow-up with memory Clinic neurologist and stroke clinic. He initially remained in bed in hospital. ON working with physical therapy was able to stand. The following morning patient was up and ambulating setting off bed alarm frequently PT. Decreased agitation with spouse present. Her goal was to keep patient at home as long as possible however was unclear if he would be able to return home. On leaving patient rapidly escalated was placed in a posey bed for safety and needing to remain in isolation for covid. Spouse aware of distress and wanting to return home with patient providing 24/7 care with home care giver. Working towards memory placement resources given information for bridging older adults program for additional assistance.
Age: 78.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Cerebral infarction, Cerebrovascular accident, Computerised tomogram head abnormal, Confusional state, Echocardiogram abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/17/2023 Discharge Date: Jan 22, 2023 COVID positive date: 1/17/2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 y/o with advanced Alzheimer's dementia diagnosed 7 years ago, hypothyroidism, anxiety who presented due to generalized weakness and worsening confusion.  Family had been unable to get patient out of bed.  He had been in a recent car accident.  Tested positive for COVID however asymptomatic outside of possible fatigue.  CT head did show age indeterminate left occipital infarct.  No injuries identified from car crash. In setting of covid suspected acute stroke however MRI showing basal ganglia and occipital stroke.  Patient was started on aspirin and statin.  Difficult to keep tele on patient no however no evidence of AFib and wife not wanting ZIO patch on discharge. Echo obtained with EF 45% with mildly dilated left ventricle and dyssynchronous septal wall motion.   Plan for follow-up with memory Clinic neurologist and stroke clinic. He initially remained in bed in hospital. ON working with physical therapy was able to stand. The following morning patient was up and ambulating setting off bed alarm frequently PT. Decreased agitation with spouse present. Her goal was to keep patient at home as long as possible however was unclear if he would be able to return home. On leaving patient rapidly escalated was placed in a posey bed for safety and needing to remain in isolation for covid. Spouse aware of distress and wanting to return home with patient providing 24/7 care with home care giver. Working towards memory placement resources given information for bridging older adults program for additional assistance.
Age: 78.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Ejection fraction, Emotional distress, Left ventricular dilatation, Magnetic resonance imaging head abnormal, Mobility decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/17/2023 Discharge Date: Jan 22, 2023 COVID positive date: 1/17/2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 y/o with advanced Alzheimer's dementia diagnosed 7 years ago, hypothyroidism, anxiety who presented due to generalized weakness and worsening confusion.  Family had been unable to get patient out of bed.  He had been in a recent car accident.  Tested positive for COVID however asymptomatic outside of possible fatigue.  CT head did show age indeterminate left occipital infarct.  No injuries identified from car crash. In setting of covid suspected acute stroke however MRI showing basal ganglia and occipital stroke.  Patient was started on aspirin and statin.  Difficult to keep tele on patient no however no evidence of AFib and wife not wanting ZIO patch on discharge. Echo obtained with EF 45% with mildly dilated left ventricle and dyssynchronous septal wall motion.   Plan for follow-up with memory Clinic neurologist and stroke clinic. He initially remained in bed in hospital. ON working with physical therapy was able to stand. The following morning patient was up and ambulating setting off bed alarm frequently PT. Decreased agitation with spouse present. Her goal was to keep patient at home as long as possible however was unclear if he would be able to return home. On leaving patient rapidly escalated was placed in a posey bed for safety and needing to remain in isolation for covid. Spouse aware of distress and wanting to return home with patient providing 24/7 care with home care giver. Working towards memory placement resources given information for bridging older adults program for additional assistance.
Age: 78.0
Sex: M
Vaccine: COVID19-2, FLUA4
Symptoms: Road traffic accident, SARS-CoV-2 test positive, Wall motion score index abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/17/2023 Discharge Date: Jan 22, 2023 COVID positive date: 1/17/2023 PRESENTING PROBLEM: COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 78 y/o with advanced Alzheimer's dementia diagnosed 7 years ago, hypothyroidism, anxiety who presented due to generalized weakness and worsening confusion.  Family had been unable to get patient out of bed.  He had been in a recent car accident.  Tested positive for COVID however asymptomatic outside of possible fatigue.  CT head did show age indeterminate left occipital infarct.  No injuries identified from car crash. In setting of covid suspected acute stroke however MRI showing basal ganglia and occipital stroke.  Patient was started on aspirin and statin.  Difficult to keep tele on patient no however no evidence of AFib and wife not wanting ZIO patch on discharge. Echo obtained with EF 45% with mildly dilated left ventricle and dyssynchronous septal wall motion.   Plan for follow-up with memory Clinic neurologist and stroke clinic. He initially remained in bed in hospital. ON working with physical therapy was able to stand. The following morning patient was up and ambulating setting off bed alarm frequently PT. Decreased agitation with spouse present. Her goal was to keep patient at home as long as possible however was unclear if he would be able to return home. On leaving patient rapidly escalated was placed in a posey bed for safety and needing to remain in isolation for covid. Spouse aware of distress and wanting to return home with patient providing 24/7 care with home care giver. Working towards memory placement resources given information for bridging older adults program for additional assistance.
Age: 33.0
Sex: F
Vaccine: FLU4, TDAP
Symptoms: Exposure during pregnancy, Extra dose administered, No adverse event
Clinical narrative: Patient is 28 weeks 3 days along with EDD of 04/15/2023.  Pregnancy has been normal thus far.  Patient presented for prenatal appt.  Patient was given a TDAP and flu vaccine.  Patient had already received a flu vaccine on October 13th, 2022.  Patient was administered a flu vaccine she did not need.  No adverse reactions noted.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Bursitis, Incorrect route of product administration, Periarthritis
Clinical narrative: Tdap was given intra-articular, instead of intramuscular, resulting in acute capsulitis/bursitis.  Onset of symptoms was 4 hours after injection.
Age: 0.5
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan, Vaccination site abscess sterile
Clinical narrative: Patient developed a sterile abscess at the vaccination site, first noted within 2 weeks of the vaccine administration.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Dyspnoea, Fatigue, Laboratory test, Lethargy
Clinical narrative: Client reports running errands on 1/6/23 and suddenly feeling "winded and exhausted". Since that time she has felt lethargic stating, "I have no energy to keep doing what I do in a normal day." Also reports having a runny nose since this time. Client reported occurrence on 1/20/23.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Loss of personal independence in daily activities, Rhinorrhoea
Clinical narrative: Client reports running errands on 1/6/23 and suddenly feeling "winded and exhausted". Since that time she has felt lethargic stating, "I have no energy to keep doing what I do in a normal day." Also reports having a runny nose since this time. Client reported occurrence on 1/20/23.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Third Shingrix dose given outside of recommended two shot series.   Patient came to pharmacy and discussed Shingrix with staff.  We did  search that showed incomplete history of one Shingrix.  In area due "no data available at this time".  Open ended question patient  confirmed 2nd Shingrix.  Asked to check on flu status.  Reran report and full history populated and discovered today patient was given third Shingrix dose.
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 12 year old patient rec'd Fluzone High Dose, no treatment necessary, no adverse reaction.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Acute respiratory failure, COVID-19, Death, Feeling hot
Clinical narrative: Patient with history of diabetes, wheelchair dependent.   The morning of 11/10, group home staff noticed that the patient was warm and "not acting right". EMS was called and on arrival, patient was mildly hypoxic. In the ED, he was noted to be COVID-19 positive by PCR.   Ultimately patient was admitted on 11/10 with "severe sepsis and acute hypoxemic respiratory failure due to healthcare associated pneumonia, further complicated by moderate to severe COVID-19."  He was weaned off supplemental O2 11/15/22. Patient clinically worsening, and ultimately transitioned to inpatient comfort cares and passed away 11/17/22. He has received the COVID primary vaccine series.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Pneumonia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient with history of diabetes, wheelchair dependent.   The morning of 11/10, group home staff noticed that the patient was warm and "not acting right". EMS was called and on arrival, patient was mildly hypoxic. In the ED, he was noted to be COVID-19 positive by PCR.   Ultimately patient was admitted on 11/10 with "severe sepsis and acute hypoxemic respiratory failure due to healthcare associated pneumonia, further complicated by moderate to severe COVID-19."  He was weaned off supplemental O2 11/15/22. Patient clinically worsening, and ultimately transitioned to inpatient comfort cares and passed away 11/17/22. He has received the COVID primary vaccine series.
Age: 95.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had a breakthrough infection and passed away.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Pleural effusion, Ultrasound scan abnormal
Clinical narrative: Clinical Narrative: Patient was treated for COVID-19 pneumonia, of which she was started on breathing treatments, steroids with Decadron, guaifenesin, and she completed 5 days of remdesivir this morning.  She is presently afebrile, no shortness of breaths she is on room air saturating 95% and she is anxious to be discharged back home she was started on empirical antibiotics with ceftriaxone and Zithromax for possible superimposed bacterial pneumonia, completed 45 days of antibiotic Chest x-ray has shown blunting of the costophrenic angle on the right, consent for pleural effusion and ultrasound was done this morning which shows very small right pleural effusion Patient will be discharged to follow closely with her family physician
Age: 9.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 9 year old patient rec'd Fluzone High Dose, no treatment necessary, no adverse reaction.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling cold, Headache, Influenza, Malaise
Clinical narrative: She got her vaccine, she had a racing heart, sat in her car and decided to let it settle down as she was still at clinic and fell asleep.  She woke up and that had stopped.  She had racing heart issues in the past, but nothing recent kind of a panic attack.  This morning she was a little bit on the colder side, aches, malaise, tiredness and feeling like she was not thinking straight.  She does care for children in wheelchairs, and cannot get a grip on it and didn't feel well and not able to figure it out how to secure the child in it.  She had to have help with that and decided that she was not normal, something was affecting her.  She went to the nurse, her temp was over 100, and was a fever for her as she is normally at 97.8.  She took it again after she was ready to go, it was 102 degrees and was told to go home for a few days until she felt better.  She is stuffed up and having cold/flu symptoms, which is unusual for her.  On her way home she was falling asleep, but did make it home safely.   She is feeling better, not a pre-nausea state and has been able to hold down fruit and yogurt and is feeling hungry.  She does have a headache and feels she has some immunity.  She has been able to rest and feels that it should get better, and if things worsen she will call back.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Mental impairment, Nasal congestion, Nasopharyngitis, Pain, Palpitations
Clinical narrative: She got her vaccine, she had a racing heart, sat in her car and decided to let it settle down as she was still at clinic and fell asleep.  She woke up and that had stopped.  She had racing heart issues in the past, but nothing recent kind of a panic attack.  This morning she was a little bit on the colder side, aches, malaise, tiredness and feeling like she was not thinking straight.  She does care for children in wheelchairs, and cannot get a grip on it and didn't feel well and not able to figure it out how to secure the child in it.  She had to have help with that and decided that she was not normal, something was affecting her.  She went to the nurse, her temp was over 100, and was a fever for her as she is normally at 97.8.  She took it again after she was ready to go, it was 102 degrees and was told to go home for a few days until she felt better.  She is stuffed up and having cold/flu symptoms, which is unusual for her.  On her way home she was falling asleep, but did make it home safely.   She is feeling better, not a pre-nausea state and has been able to hold down fruit and yogurt and is feeling hungry.  She does have a headache and feels she has some immunity.  She has been able to rest and feels that it should get better, and if things worsen she will call back.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Somnolence
Clinical narrative: She got her vaccine, she had a racing heart, sat in her car and decided to let it settle down as she was still at clinic and fell asleep.  She woke up and that had stopped.  She had racing heart issues in the past, but nothing recent kind of a panic attack.  This morning she was a little bit on the colder side, aches, malaise, tiredness and feeling like she was not thinking straight.  She does care for children in wheelchairs, and cannot get a grip on it and didn't feel well and not able to figure it out how to secure the child in it.  She had to have help with that and decided that she was not normal, something was affecting her.  She went to the nurse, her temp was over 100, and was a fever for her as she is normally at 97.8.  She took it again after she was ready to go, it was 102 degrees and was told to go home for a few days until she felt better.  She is stuffed up and having cold/flu symptoms, which is unusual for her.  On her way home she was falling asleep, but did make it home safely.   She is feeling better, not a pre-nausea state and has been able to hold down fruit and yogurt and is feeling hungry.  She does have a headache and feels she has some immunity.  She has been able to rest and feels that it should get better, and if things worsen she will call back.
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Vaccine breakthrough infection
Clinical narrative: Patient had a breakthrough infection and passed away.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pyrexia
Clinical narrative: I tested positive for COVID-19 on 01/19/2023, 3 days after my husband tested positive. I knew early to test for COVID-19 if there are any new symptoms. I knew that I had caught it early. The symptoms were mild and stayed fairly mild. I felt feverish first and a cough and sore throat. I also felt tiredness. There wasn't too much fatigue, but I did need to rest a lot. Because I'm over 70, I contacted my doctor and was able to do a virtual consultation with the PA and asked about the possibility of PAXLOVID because of my age. I was also fairly sure I was a candidate for that. It was within the earlier days of the infection and it was primarily to avoid complications from COVID-19. Currently, I'm on day 5 of taking PAXLOVID. My symptoms have been decreasing and I've been fever free for 2 days now. I have not tested again and I will wait to test until day 6 at least. My highest fever was 100.9 and the first three days I did have a fever. My temperature did drop for the last few days and I've been fever free. I've been coughing a little bit but not too much anymore. I feel like the PAXLOVID may have helped me get through this faster, but that's not something I know for sure. I'm currently recovering, but not recovered just yet. During my COVID-19 infection (as well as when I got the vaccination), I made sure to stay hydrated throughout with water and tea with honey.
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 01/19/2023, 3 days after my husband tested positive. I knew early to test for COVID-19 if there are any new symptoms. I knew that I had caught it early. The symptoms were mild and stayed fairly mild. I felt feverish first and a cough and sore throat. I also felt tiredness. There wasn't too much fatigue, but I did need to rest a lot. Because I'm over 70, I contacted my doctor and was able to do a virtual consultation with the PA and asked about the possibility of PAXLOVID because of my age. I was also fairly sure I was a candidate for that. It was within the earlier days of the infection and it was primarily to avoid complications from COVID-19. Currently, I'm on day 5 of taking PAXLOVID. My symptoms have been decreasing and I've been fever free for 2 days now. I have not tested again and I will wait to test until day 6 at least. My highest fever was 100.9 and the first three days I did have a fever. My temperature did drop for the last few days and I've been fever free. I've been coughing a little bit but not too much anymore. I feel like the PAXLOVID may have helped me get through this faster, but that's not something I know for sure. I'm currently recovering, but not recovered just yet. During my COVID-19 infection (as well as when I got the vaccination), I made sure to stay hydrated throughout with water and tea with honey.
Age: 14.0
Sex: M
Vaccine: FLU4
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 14 year old patient rec'd Fluzone High Dose, no treatment necessary, no adverse reaction.