chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lymphadenopathy, Magnetic resonance imaging, Mononucleosis heterophile test, Myalgia
Clinical narrative: BLOOD CLOT, HIGH FEVER (103), VERY LARGE SWOLLEN LYMPH NODE IN NECK, MUSCLE ACHES, CHILLS, BRADYCARDIA, SEPSIS. HOSPITALIZATION FOR 6 DAYS. SYMPTOMS APPEARED THREE DAYS AFTER VACCINE.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Sepsis, Streptococcus test, Thrombosis
Clinical narrative: BLOOD CLOT, HIGH FEVER (103), VERY LARGE SWOLLEN LYMPH NODE IN NECK, MUSCLE ACHES, CHILLS, BRADYCARDIA, SEPSIS. HOSPITALIZATION FOR 6 DAYS. SYMPTOMS APPEARED THREE DAYS AFTER VACCINE.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: BLOOD CLOT, HIGH FEVER (103), VERY LARGE SWOLLEN LYMPH NODE IN NECK, MUSCLE ACHES, CHILLS, BRADYCARDIA, SEPSIS. HOSPITALIZATION FOR 6 DAYS. SYMPTOMS APPEARED THREE DAYS AFTER VACCINE.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram, Inappropriate schedule of product administration
Clinical narrative: c/o SOB and chest tightness 10 mins after vaccine
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Confusional state, Ear discomfort, Head discomfort, Headache
Clinical narrative: Severity of symptoms increase .  Symptoms from shot 1 (lot 330268D (also reported) Severe nausea, increase sensitivity in eyes, ears, skin, taste fever, excessive sweating, severe headaches  Pressure in ears / sinuses/ head, ears ringing, muscle spasams, confusion, altered mental status.  Required to receive Pfizer vaccination at Medical center. Unable to currently work due to confusion, headaches, light sensitivity and ringing in ears.  Unable to  stay home alone when symptoms are severe.  Had to go to a doctor to receive care of symptoms.  I notified work of symptoms and told me they would let me off with ?COVID? pay.  I do not have COVID.  I?ve been tested 2 times with a negative result.  I was under care with newly diagnosis of Lupus in October 2021 and was started on Lupus medicine.  COVID shot has caused my symptoms to worsen.  Family took me to doctor and he was able to assist with my symptoms.  Will follow up on Monday 12/6.  Possible MRI/CAT scan of head if symptoms continue.  No hospitalizations since 2019.  Minor procedure for neuropathy in Lower extremities in Oct 2020-April 2021
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Impaired work ability, Loss of personal independence in daily activities, Mental status changes, Muscle spasms
Clinical narrative: Severity of symptoms increase .  Symptoms from shot 1 (lot 330268D (also reported) Severe nausea, increase sensitivity in eyes, ears, skin, taste fever, excessive sweating, severe headaches  Pressure in ears / sinuses/ head, ears ringing, muscle spasams, confusion, altered mental status.  Required to receive Pfizer vaccination at Medical center. Unable to currently work due to confusion, headaches, light sensitivity and ringing in ears.  Unable to  stay home alone when symptoms are severe.  Had to go to a doctor to receive care of symptoms.  I notified work of symptoms and told me they would let me off with ?COVID? pay.  I do not have COVID.  I?ve been tested 2 times with a negative result.  I was under care with newly diagnosis of Lupus in October 2021 and was started on Lupus medicine.  COVID shot has caused my symptoms to worsen.  Family took me to doctor and he was able to assist with my symptoms.  Will follow up on Monday 12/6.  Possible MRI/CAT scan of head if symptoms continue.  No hospitalizations since 2019.  Minor procedure for neuropathy in Lower extremities in Oct 2020-April 2021
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paranasal sinus discomfort, Photophobia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Severity of symptoms increase .  Symptoms from shot 1 (lot 330268D (also reported) Severe nausea, increase sensitivity in eyes, ears, skin, taste fever, excessive sweating, severe headaches  Pressure in ears / sinuses/ head, ears ringing, muscle spasams, confusion, altered mental status.  Required to receive Pfizer vaccination at Medical center. Unable to currently work due to confusion, headaches, light sensitivity and ringing in ears.  Unable to  stay home alone when symptoms are severe.  Had to go to a doctor to receive care of symptoms.  I notified work of symptoms and told me they would let me off with ?COVID? pay.  I do not have COVID.  I?ve been tested 2 times with a negative result.  I was under care with newly diagnosis of Lupus in October 2021 and was started on Lupus medicine.  COVID shot has caused my symptoms to worsen.  Family took me to doctor and he was able to assist with my symptoms.  Will follow up on Monday 12/6.  Possible MRI/CAT scan of head if symptoms continue.  No hospitalizations since 2019.  Minor procedure for neuropathy in Lower extremities in Oct 2020-April 2021
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin, Systemic lupus erythematosus, Taste disorder, Tinnitus
Clinical narrative: Severity of symptoms increase .  Symptoms from shot 1 (lot 330268D (also reported) Severe nausea, increase sensitivity in eyes, ears, skin, taste fever, excessive sweating, severe headaches  Pressure in ears / sinuses/ head, ears ringing, muscle spasams, confusion, altered mental status.  Required to receive Pfizer vaccination at Medical center. Unable to currently work due to confusion, headaches, light sensitivity and ringing in ears.  Unable to  stay home alone when symptoms are severe.  Had to go to a doctor to receive care of symptoms.  I notified work of symptoms and told me they would let me off with ?COVID? pay.  I do not have COVID.  I?ve been tested 2 times with a negative result.  I was under care with newly diagnosis of Lupus in October 2021 and was started on Lupus medicine.  COVID shot has caused my symptoms to worsen.  Family took me to doctor and he was able to assist with my symptoms.  Will follow up on Monday 12/6.  Possible MRI/CAT scan of head if symptoms continue.  No hospitalizations since 2019.  Minor procedure for neuropathy in Lower extremities in Oct 2020-April 2021
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymph node pain, Lymphadenopathy, Pain
Clinical narrative: Felt extremely tired and achy for a full day. Lymph node in armpit very tender and swollen - still swollen after 4 days.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Fatigue, Feeling abnormal, Hyperacusis, Neuropathy peripheral
Clinical narrative: About a week after getting the second dose, the following symptoms started. I've had these symptoms for two months straight: vibrations, neuropathy (painful at time), brain fog, noise + sound sensitivity, balance issues, fatigue.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Tremor
Clinical narrative: About a week after getting the second dose, the following symptoms started. I've had these symptoms for two months straight: vibrations, neuropathy (painful at time), brain fog, noise + sound sensitivity, balance issues, fatigue.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose, Wrong product administered
Clinical narrative: Administered 2nd covid dose 5-11 year old Pfizer vaccine to 14 year old.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given a booster dose instead of a second Moderna dose.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Syncope
Clinical narrative: Patient had an episode of Syncope for 30-45 seconds 2-3 minutes after receiving their vaccine. Patient felt nasuseous and sat down, no falls occurred.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Blood culture negative, Blood lactic acid, Brain natriuretic peptide normal, COVID-19
Clinical narrative: Patient is a 78-year-old female who presented to the emergency department on 11/18/21 with complaint of fever, diffuse myalgias and malaise.  She is a poor historian.  States onset of symptoms was yesterday at some point.  States he had some nasal congestion and felt some chills and generally felt poorly.  She is fully vaccinated for COVID with the Moderna vaccine completed about 6 months ago.  Is uncertain where she would have exposed.  In the emergency department she was noted to have fever of just under 103°.  She has been doing some extra work of breathing with borderline hypoxia.  She denies that she has been wheezing.  States she has been coughing but no purulent sputum.  No nausea or vomiting.  Blood pressure has been stable.  Secondary to the borderline respiratory status and her fever she is being admitted to the hospital.Chest x-ray was positive for right lower lung atelectasis and also  had COVID test that was positive.  Cardiac BNP, troponin, blood cultures are  all negative.  The patient was admitted in the hospital and also tried IV ,  then ceftriaxone and azithromycin, and patient tolerated fairly well, and  also had infection markers.  Ferritin was 124 and cardiac BNP was negative.   Lactic acid was only 1.37.  Troponin was negative.  White blood count and  hemoglobin were normal.  Liver function tests were normal and patient was able  to walk fairly well in the room with no hypoxia and down to 89 for a few  seconds and then came back up, and she is comfortable going home.  Patient was  advised to be discharged on p.o. dexamethasone for a few more days and p.o.  Levaquin every other day for 5 more doses, and follow up as an outpatient. Discharged on 11/20/21
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: Patient is a 78-year-old female who presented to the emergency department on 11/18/21 with complaint of fever, diffuse myalgias and malaise.  She is a poor historian.  States onset of symptoms was yesterday at some point.  States he had some nasal congestion and felt some chills and generally felt poorly.  She is fully vaccinated for COVID with the Moderna vaccine completed about 6 months ago.  Is uncertain where she would have exposed.  In the emergency department she was noted to have fever of just under 103°.  She has been doing some extra work of breathing with borderline hypoxia.  She denies that she has been wheezing.  States she has been coughing but no purulent sputum.  No nausea or vomiting.  Blood pressure has been stable.  Secondary to the borderline respiratory status and her fever she is being admitted to the hospital.Chest x-ray was positive for right lower lung atelectasis and also  had COVID test that was positive.  Cardiac BNP, troponin, blood cultures are  all negative.  The patient was admitted in the hospital and also tried IV ,  then ceftriaxone and azithromycin, and patient tolerated fairly well, and  also had infection markers.  Ferritin was 124 and cardiac BNP was negative.   Lactic acid was only 1.37.  Troponin was negative.  White blood count and  hemoglobin were normal.  Liver function tests were normal and patient was able  to walk fairly well in the room with no hypoxia and down to 89 for a few  seconds and then came back up, and she is comfortable going home.  Patient was  advised to be discharged on p.o. dexamethasone for a few more days and p.o.  Levaquin every other day for 5 more doses, and follow up as an outpatient. Discharged on 11/20/21
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Haemoglobin normal, Hypoxia, Inflammatory marker test, Liver function test normal
Clinical narrative: Patient is a 78-year-old female who presented to the emergency department on 11/18/21 with complaint of fever, diffuse myalgias and malaise.  She is a poor historian.  States onset of symptoms was yesterday at some point.  States he had some nasal congestion and felt some chills and generally felt poorly.  She is fully vaccinated for COVID with the Moderna vaccine completed about 6 months ago.  Is uncertain where she would have exposed.  In the emergency department she was noted to have fever of just under 103°.  She has been doing some extra work of breathing with borderline hypoxia.  She denies that she has been wheezing.  States she has been coughing but no purulent sputum.  No nausea or vomiting.  Blood pressure has been stable.  Secondary to the borderline respiratory status and her fever she is being admitted to the hospital.Chest x-ray was positive for right lower lung atelectasis and also  had COVID test that was positive.  Cardiac BNP, troponin, blood cultures are  all negative.  The patient was admitted in the hospital and also tried IV ,  then ceftriaxone and azithromycin, and patient tolerated fairly well, and  also had infection markers.  Ferritin was 124 and cardiac BNP was negative.   Lactic acid was only 1.37.  Troponin was negative.  White blood count and  hemoglobin were normal.  Liver function tests were normal and patient was able  to walk fairly well in the room with no hypoxia and down to 89 for a few  seconds and then came back up, and she is comfortable going home.  Patient was  advised to be discharged on p.o. dexamethasone for a few more days and p.o.  Levaquin every other day for 5 more doses, and follow up as an outpatient. Discharged on 11/20/21
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Malaise, Myalgia, Nasal congestion, Pneumonia
Clinical narrative: Patient is a 78-year-old female who presented to the emergency department on 11/18/21 with complaint of fever, diffuse myalgias and malaise.  She is a poor historian.  States onset of symptoms was yesterday at some point.  States he had some nasal congestion and felt some chills and generally felt poorly.  She is fully vaccinated for COVID with the Moderna vaccine completed about 6 months ago.  Is uncertain where she would have exposed.  In the emergency department she was noted to have fever of just under 103°.  She has been doing some extra work of breathing with borderline hypoxia.  She denies that she has been wheezing.  States she has been coughing but no purulent sputum.  No nausea or vomiting.  Blood pressure has been stable.  Secondary to the borderline respiratory status and her fever she is being admitted to the hospital.Chest x-ray was positive for right lower lung atelectasis and also  had COVID test that was positive.  Cardiac BNP, troponin, blood cultures are  all negative.  The patient was admitted in the hospital and also tried IV ,  then ceftriaxone and azithromycin, and patient tolerated fairly well, and  also had infection markers.  Ferritin was 124 and cardiac BNP was negative.   Lactic acid was only 1.37.  Troponin was negative.  White blood count and  hemoglobin were normal.  Liver function tests were normal and patient was able  to walk fairly well in the room with no hypoxia and down to 89 for a few  seconds and then came back up, and she is comfortable going home.  Patient was  advised to be discharged on p.o. dexamethasone for a few more days and p.o.  Levaquin every other day for 5 more doses, and follow up as an outpatient. Discharged on 11/20/21
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Serum ferritin normal, Troponin normal, White blood cell count normal
Clinical narrative: Patient is a 78-year-old female who presented to the emergency department on 11/18/21 with complaint of fever, diffuse myalgias and malaise.  She is a poor historian.  States onset of symptoms was yesterday at some point.  States he had some nasal congestion and felt some chills and generally felt poorly.  She is fully vaccinated for COVID with the Moderna vaccine completed about 6 months ago.  Is uncertain where she would have exposed.  In the emergency department she was noted to have fever of just under 103°.  She has been doing some extra work of breathing with borderline hypoxia.  She denies that she has been wheezing.  States she has been coughing but no purulent sputum.  No nausea or vomiting.  Blood pressure has been stable.  Secondary to the borderline respiratory status and her fever she is being admitted to the hospital.Chest x-ray was positive for right lower lung atelectasis and also  had COVID test that was positive.  Cardiac BNP, troponin, blood cultures are  all negative.  The patient was admitted in the hospital and also tried IV ,  then ceftriaxone and azithromycin, and patient tolerated fairly well, and  also had infection markers.  Ferritin was 124 and cardiac BNP was negative.   Lactic acid was only 1.37.  Troponin was negative.  White blood count and  hemoglobin were normal.  Liver function tests were normal and patient was able  to walk fairly well in the room with no hypoxia and down to 89 for a few  seconds and then came back up, and she is comfortable going home.  Patient was  advised to be discharged on p.o. dexamethasone for a few more days and p.o.  Levaquin every other day for 5 more doses, and follow up as an outpatient. Discharged on 11/20/21
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Heart rate abnormal, Heart rate increased, Hypoaesthesia
Clinical narrative: chest pain, sob, abn fast heart rate, numbness in left and right hands x 3 months.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Moderna booster shot was given following J&J  which was administered on 4/12/21. I had a  ?Covid arm? reaction to the J&J which showed up after about a week, and lasted for about as long. Moderna booster has caused as similar reaction, however it is not localized like the J&J rash was. I have red, itchy, and sometimes painful rashes on my arms, legs, upper pelvic area, lower abdomen, and ear. The rash showed up about four days ago and has not begun to reduce in size or severity. I have started taking Benedryl today, but am not seeing anything improve as of yet.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Pruritus
Clinical narrative: Patient brought into Covid Observation Area after reporting itchiness to her left forearm and tingling to mouth, lips and nose shortly after receiving Booster dose of Pfizer vaccination. Patient alert and oriented x 4, denies shortness of breath, itching or swelling to throat. No rash or hives noted to left forearm. No noted swelling to face, lips or tongue. Patient states she did not experience any similar symptoms after 1st two doses of Pfizer.    4:13 pm- VS: Temp 97.4, BP 150/84, HR 71, RR 18, 02 SATs 98%. RA.   4:16 pm- Call placed to on call ED physician, Dr. informed of patient symptoms above. Verbal order given per Dr. for Benadryl 25 mg capsule x 1 now. Per Dr., patient to come to ED via ambulance, for further observation due to tingling of mouth, lips and nose. Patient agreed to go to ED. Verbal order for Benadryl 25 mg capsule x 1 now, read back and confirmed.   4:20 pm- Benadryl 25 mg capsule x 1 given now as ordered.   4:23 pm- VS: BP 145/71. HR 75, RR 18, 02 SATs 98% RA. Will continue to monitor.   4:26- Called 911 for ambulance transport to Emergency Department. 911 Dispatcher recommended Epinephrine be administered to patient x 1 now. Patient and Nurse in agreement to administer Epinephrine.    4:30 pm- Epinephrine 0.3 mg auto-injector administered by nurse to patient left lateral thigh.   4:32 pm- Patient reports tingling in nose has resolved and the tingling to her mouth and lips improving. VS: BP 143/73, HR 71, RR 20, 02 SATs 98% RA   4:38 pm- EMT arrived, report of patient symptoms and interventions given to Paramedics. Patient reported tingling in mouth and lips  improving and agreed to go to ED for further observation. VS: BP 141/78, HR 78, RR 20, 02 SATs 98% RA.   4:48pm- Paramedics received notification that ED now at new location and provided ED options to patient. Patient agreed to be taken to another ED.    4:50: Patient transported to ED via EMT in stable condition.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Nausea, Pyrexia
Clinical narrative: Fever, lethargic, nausea. Rest, fluids, Tylenol rotated with ibuprofen
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given a pediatric dose of Pfizer instead of adult Pfizer. Patient had previous attended the first COVID 19 clinic at this site and received the correct first dose of adult Pfizer.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to chemicals, COVID-19, Vaccine breakthrough infection
Clinical narrative: Developed a PPD allergy after being vaccinated, had never been allergic before.  Allergy got worse after I had a breakthru covid case in August.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram, Dyspnoea, Malaise, Nausea
Clinical narrative: Presented to ER on 11/25/21
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Presented to ER on 11/25/21
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Nausea, Syncope, Vomiting
Clinical narrative: Pt fainted immediately after vaccination.  He came to but was nauseated and vomited.  He declined emergency care from ED.  He recovered in about 30 minutes.
Age: 5.0
Sex: F
Vaccine: DTAPHEPBIP, IPV
Symptoms: Wrong product administered
Clinical narrative: Patient was to get DTaP, Polio, MMR, Varicella. By mistake we administered Pediarix (DTap,Hep B, Polio) for the DTaP and we administered Polio. Patient received two doses of polio. Contacted dad 7 days after injections and he stated child was great and the injections didn't slow her down.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Feeling hot, Pain, Peripheral swelling
Clinical narrative: COVID Arm- Severe Arm Swelling, Heat, Pain , Redness, Began within 12 hours of shot and has continued to swell and been painful to touch.  Producing heat, growing redness and discomfort. Trying online recommendations of Antihistamines & Acetaminophen before going to doctors office.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness, Vaccination complication
Clinical narrative: COVID Arm- Severe Arm Swelling, Heat, Pain , Redness, Began within 12 hours of shot and has continued to swell and been painful to touch.  Producing heat, growing redness and discomfort. Trying online recommendations of Antihistamines & Acetaminophen before going to doctors office.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was given Pediatric dose of Pfizer instead of adult dose of Pfizer. Patient attended previous event of COVID 19 clinic and received the correct first dose of adult Pfizer.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood creatinine increased, Blood culture, C-reactive protein increased, COVID-19
Clinical narrative: presented to the ED on 11/28/21 for evaluation of cough, weakness and body aches for 7 days. Pt had a recent visit prior to feeling sick. He was Vaccinated against COVID-19 in April 2021 with Moderna.  While In the ED, he had a fever with temp up to 101.6 and pt was tachypneic. Creatinine was 12,CRP 126, procalcitonin 1.03. CXR  suggestive of right-sided pneumonia and CT chest showed ground-glass opacity with persistent COVID-19 pneumonia. COVID test was positive. Patient diagnosed and treated as sepsis with right-sided pneumonia due to COVID-19 with possibly underlying bacterial infection.  He has been treated with IV Rocephin and doxycycline.     also start after discussion with pt's daughter with prior hospitalist and ID approval.  Blood culture from 11/28 with staph coagulase negative thought to be a contaminant.  Pt has been afebrile and without leukocytosis.  Pt stating that he is going home today whether discharged or not.  Explained the need to set up his dialysis given COVID infection.  Dialysis has now been set up.  Spoke with pt and daughter/POA about plans moving forward.  Pt stable for discharge at this time.  Prescriptions written for PO antibiotics to complete treatment of pneumonia.  Pt has not required oxygen throughout his stay.  He is to follow up with PCP in the next 3-5 days.  Discharged on 12/1/2021
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Condition aggravated, Cough
Clinical narrative: presented to the ED on 11/28/21 for evaluation of cough, weakness and body aches for 7 days. Pt had a recent visit prior to feeling sick. He was Vaccinated against COVID-19 in April 2021 with Moderna.  While In the ED, he had a fever with temp up to 101.6 and pt was tachypneic. Creatinine was 12,CRP 126, procalcitonin 1.03. CXR  suggestive of right-sided pneumonia and CT chest showed ground-glass opacity with persistent COVID-19 pneumonia. COVID test was positive. Patient diagnosed and treated as sepsis with right-sided pneumonia due to COVID-19 with possibly underlying bacterial infection.  He has been treated with IV Rocephin and doxycycline.     also start after discussion with pt's daughter with prior hospitalist and ID approval.  Blood culture from 11/28 with staph coagulase negative thought to be a contaminant.  Pt has been afebrile and without leukocytosis.  Pt stating that he is going home today whether discharged or not.  Explained the need to set up his dialysis given COVID infection.  Dialysis has now been set up.  Spoke with pt and daughter/POA about plans moving forward.  Pt stable for discharge at this time.  Prescriptions written for PO antibiotics to complete treatment of pneumonia.  Pt has not required oxygen throughout his stay.  He is to follow up with PCP in the next 3-5 days.  Discharged on 12/1/2021
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Dialysis, Lung opacity, Malaise, Pain, Pneumonia
Clinical narrative: presented to the ED on 11/28/21 for evaluation of cough, weakness and body aches for 7 days. Pt had a recent visit prior to feeling sick. He was Vaccinated against COVID-19 in April 2021 with Moderna.  While In the ED, he had a fever with temp up to 101.6 and pt was tachypneic. Creatinine was 12,CRP 126, procalcitonin 1.03. CXR  suggestive of right-sided pneumonia and CT chest showed ground-glass opacity with persistent COVID-19 pneumonia. COVID test was positive. Patient diagnosed and treated as sepsis with right-sided pneumonia due to COVID-19 with possibly underlying bacterial infection.  He has been treated with IV Rocephin and doxycycline.     also start after discussion with pt's daughter with prior hospitalist and ID approval.  Blood culture from 11/28 with staph coagulase negative thought to be a contaminant.  Pt has been afebrile and without leukocytosis.  Pt stating that he is going home today whether discharged or not.  Explained the need to set up his dialysis given COVID infection.  Dialysis has now been set up.  Spoke with pt and daughter/POA about plans moving forward.  Pt stable for discharge at this time.  Prescriptions written for PO antibiotics to complete treatment of pneumonia.  Pt has not required oxygen throughout his stay.  He is to follow up with PCP in the next 3-5 days.  Discharged on 12/1/2021
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin increased, Pyrexia, SARS-CoV-2 test positive, Sepsis, Staphylococcal infection
Clinical narrative: presented to the ED on 11/28/21 for evaluation of cough, weakness and body aches for 7 days. Pt had a recent visit prior to feeling sick. He was Vaccinated against COVID-19 in April 2021 with Moderna.  While In the ED, he had a fever with temp up to 101.6 and pt was tachypneic. Creatinine was 12,CRP 126, procalcitonin 1.03. CXR  suggestive of right-sided pneumonia and CT chest showed ground-glass opacity with persistent COVID-19 pneumonia. COVID test was positive. Patient diagnosed and treated as sepsis with right-sided pneumonia due to COVID-19 with possibly underlying bacterial infection.  He has been treated with IV Rocephin and doxycycline.     also start after discussion with pt's daughter with prior hospitalist and ID approval.  Blood culture from 11/28 with staph coagulase negative thought to be a contaminant.  Pt has been afebrile and without leukocytosis.  Pt stating that he is going home today whether discharged or not.  Explained the need to set up his dialysis given COVID infection.  Dialysis has now been set up.  Spoke with pt and daughter/POA about plans moving forward.  Pt stable for discharge at this time.  Prescriptions written for PO antibiotics to complete treatment of pneumonia.  Pt has not required oxygen throughout his stay.  He is to follow up with PCP in the next 3-5 days.  Discharged on 12/1/2021
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea
Clinical narrative: presented to the ED on 11/28/21 for evaluation of cough, weakness and body aches for 7 days. Pt had a recent visit prior to feeling sick. He was Vaccinated against COVID-19 in April 2021 with Moderna.  While In the ED, he had a fever with temp up to 101.6 and pt was tachypneic. Creatinine was 12,CRP 126, procalcitonin 1.03. CXR  suggestive of right-sided pneumonia and CT chest showed ground-glass opacity with persistent COVID-19 pneumonia. COVID test was positive. Patient diagnosed and treated as sepsis with right-sided pneumonia due to COVID-19 with possibly underlying bacterial infection.  He has been treated with IV Rocephin and doxycycline.     also start after discussion with pt's daughter with prior hospitalist and ID approval.  Blood culture from 11/28 with staph coagulase negative thought to be a contaminant.  Pt has been afebrile and without leukocytosis.  Pt stating that he is going home today whether discharged or not.  Explained the need to set up his dialysis given COVID infection.  Dialysis has now been set up.  Spoke with pt and daughter/POA about plans moving forward.  Pt stable for discharge at this time.  Prescriptions written for PO antibiotics to complete treatment of pneumonia.  Pt has not required oxygen throughout his stay.  He is to follow up with PCP in the next 3-5 days.  Discharged on 12/1/2021
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Inflammatory marker test, Myalgia
Clinical narrative: Really severe joint& muscle pain in shoulders, hips, knees.  Similar to  arthritic pain
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Presented to ER on 11/26/21 and was admitted. presents with a several day history of worsening dyspnea and cough.  Patient is reported to have tested positive for COVID 19 in the outpatient setting.  Is vaccinated but yet to received booster. She was noted to be hypoxic on arrival with a pulse oximetry as low as 84% on RA.  She is now on 2L NC and O2 sats remain in the low 90s.  She has an unremarkable laboratory workup at this time. Was placed on azithromycin and ceftriaxone. Received remdesivir and dexamethasone. On 12/2/21, Pt is alert and oriented, denies pain. Denies headache, nausea and vomiting.Denies recent fall. Patient vitals within normal limits. Will be discharge this shift with home oxygen. Pt currently at 4 liters of o2-saturating currently at 93%.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Lung disorder, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Presented to ER on 11/26/21 and was admitted. presents with a several day history of worsening dyspnea and cough.  Patient is reported to have tested positive for COVID 19 in the outpatient setting.  Is vaccinated but yet to received booster. She was noted to be hypoxic on arrival with a pulse oximetry as low as 84% on RA.  She is now on 2L NC and O2 sats remain in the low 90s.  She has an unremarkable laboratory workup at this time. Was placed on azithromycin and ceftriaxone. Received remdesivir and dexamethasone. On 12/2/21, Pt is alert and oriented, denies pain. Denies headache, nausea and vomiting.Denies recent fall. Patient vitals within normal limits. Will be discharge this shift with home oxygen. Pt currently at 4 liters of o2-saturating currently at 93%.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Condition aggravated, Nerve compression, Pain
Clinical narrative: Patient reports having severe pain from a chronic pinched nerve at L1 beginning the next morning and becoming progressively more severe over the next several days. She went to the doctor and he told her that she would have to wait it out. She was being treated by a chiropractor as well.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Petechiae, Rash, Rash erythematous
Clinical narrative: 2 X 2 INCH BRUISE;  RED DOTTED RASH ON UPPER ARM, BACK, AND PART OF SHOULDER
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Vaginal bleeding two weeks after the first dose for three months.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Lymphadenopathy, Myalgia, Night sweats, Pain in extremity
Clinical narrative: Night sweats, lethargy, sore arm, severe itching with what appeared to be hives over 2-3 day period unable to sleep due to itching, muscle aches, enlarged lymp node in left lower neck. Other than night sweat and sore arm the other symptoms were delayed 2-5 days after booster.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep disorder, Urticaria
Clinical narrative: Night sweats, lethargy, sore arm, severe itching with what appeared to be hives over 2-3 day period unable to sleep due to itching, muscle aches, enlarged lymp node in left lower neck. Other than night sweat and sore arm the other symptoms were delayed 2-5 days after booster.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Hypotension
Clinical narrative: She was diagnosed with COVID on November 22nd, she has symptoms on November 21st which included cough and loss of taste and smell.  Patient was doing relatively well after the 22nd and was scheduled for a monoclonal antibodies morning.  When she arrived to the facility they noted she was hypotensive on a wrist cuff blood pressure monitor to the center down to the ER.  Her blood pressure was stable in the ER however they found her to be hypoxic with a saturation in the 70s.  Placed on 2 L of oxygen with the a good response in her saturations.  Workup over there was negative for pneumonia however imaging revealed bilateral patchy infiltrates.  Procal was negative.  Patient was transferred here for further management on 11/26/21 as their hospital did not have any bed availability.  Patient denies any chest pain lightheadedness fevers or chills.  She denies any dyspnea either.  When she arrived to our facility her saturation was 84% on room air so she was placed back on 2 L of oxygen.Treated with dexamethasone, remdesevir, oxygen support. Gradually started to feel well. Weaned off oxygen prior to discharge. Discharged on  11/29/21
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Procalcitonin normal, Pulmonary imaging procedure abnormal, SARS-CoV-2 test positive
Clinical narrative: She was diagnosed with COVID on November 22nd, she has symptoms on November 21st which included cough and loss of taste and smell.  Patient was doing relatively well after the 22nd and was scheduled for a monoclonal antibodies morning.  When she arrived to the facility they noted she was hypotensive on a wrist cuff blood pressure monitor to the center down to the ER.  Her blood pressure was stable in the ER however they found her to be hypoxic with a saturation in the 70s.  Placed on 2 L of oxygen with the a good response in her saturations.  Workup over there was negative for pneumonia however imaging revealed bilateral patchy infiltrates.  Procal was negative.  Patient was transferred here for further management on 11/26/21 as their hospital did not have any bed availability.  Patient denies any chest pain lightheadedness fevers or chills.  She denies any dyspnea either.  When she arrived to our facility her saturation was 84% on room air so she was placed back on 2 L of oxygen.Treated with dexamethasone, remdesevir, oxygen support. Gradually started to feel well. Weaned off oxygen prior to discharge. Discharged on  11/29/21
Age: 78.0
Sex: F
Vaccine: PNC13
Symptoms: Extra dose administered
Clinical narrative: Patient was given a second dose.   Had previously received on 10-1-2015 at another facility, but indicated they had not  been given one.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Administered diluted covid vaccine booster that was sitting at room temperature for 7 days. Brought patient back and readministered booster
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Decreased appetite, Diarrhoea
Clinical narrative: Hx of recurrent C-diff infection, DM2, CKD3b. Who presents to ED c/o diarrhea for the last few days. She has been treated in the last months for C-diff. Pt looks dry and with poor appetite. Pt was supposed to have a procedure but had a family member 2 weeks ago who was positive for Covid so the procedure was delayed. pt denies NV or fever. No CP or SOB. She is weak and tired of diarrhea. She has recent Covid exposure. She has two doses of Moderna vaccine last one was in May. COVID positive on 11/27/21 and was admitted. Her Covid back positive that might contribute to her diarrhea.  Pt seems to have limited Covid infection. Not hypoxic or any distress. Sat 97% in room air.  No indications for any treatment. No . Discharged on 11/29/21.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Hx of recurrent C-diff infection, DM2, CKD3b. Who presents to ED c/o diarrhea for the last few days. She has been treated in the last months for C-diff. Pt looks dry and with poor appetite. Pt was supposed to have a procedure but had a family member 2 weeks ago who was positive for Covid so the procedure was delayed. pt denies NV or fever. No CP or SOB. She is weak and tired of diarrhea. She has recent Covid exposure. She has two doses of Moderna vaccine last one was in May. COVID positive on 11/27/21 and was admitted. Her Covid back positive that might contribute to her diarrhea.  Pt seems to have limited Covid infection. Not hypoxic or any distress. Sat 97% in room air.  No indications for any treatment. No . Discharged on 11/29/21.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspepsia, Hypoaesthesia, Syncope
Clinical narrative: I had my first Moderna shot on 8/7/2021.  On 9/7/2021, I experienced chest pains.  I originally thought it was heartburn and took several antacid tablets.  But felt no relief.  I started to feel numbness in my arm.  So, I became concerned.  I walked into the other room to tell my husband.  I said ?I think I?m having a heart attack? and then I fainted.  I awoke a few minutes later and felt OK.  I went to the E.R. to get checked out.  And they found no heart problems.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Urticaria
Clinical narrative: pt called 12/3 to notify she began to have hives between 5 and 530pm after receiving vaccine approx 238pm.  12/3 am she also had eye swelling.  She has history of hives w benadryl.  Was out in yard on wednesday but thinking it is likely from vaccine, not outside allergies as presentation was thurs night/fri am.  she tried cold compress at home.  RPh referred her to dr due to eye involvement. urgent care gave her steroid shot, oral hydroxyzine, and recommended oral zyrtec.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder catheterisation, Blood lactic acid, COVID-19, Chest X-ray abnormal, Confusional state
Clinical narrative: Presented to ER on 11/27/21 and admitted. This is an elderly 82-year-old Caucasian gentleman with history of dementia,  prior history of CVA as well as CKD stage 4, who was brought to the local  emergency room at Hospital with a fever of 101.6,  complaining of generalized malaise.  Also he was found to be COVID positive  and chest x-ray was showing questionable left lower lobe pneumonia.  Also his  lactic acid was slightly high at 2.8; repeat one being 2.1.  The patient does  have a history of BPH.  They placed a Foley catheter in him and the patient  was supposed to go to Clinic, but as per the family's request, they  called another location.  When I spoke to the ER doctor, the patient had not gotten any  treatment, no Decadron, no remdesivir, and since his onset of symptoms is  relatively new and he is hypoxemic requiring 3 L of oxygen, he was deemed to  be a candidate for both remdesivir and Decadron, which was then requested to  be started over there.  When I saw the patient, he is pleasantly confused.  He  is oriented times 2, knows his name, knows that he is at this hospital.  His  vital signs are relatively stable.  He is saturating well on 3 L nasal  cannula.  He will be admitted as an inpatient to our COVID-19 floor. Patient was weaned of oxygen, was afebrile. Prior to discharge patient continued to feel better. Discharged on 11/29/21
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented to ER on 11/27/21 and admitted. This is an elderly 82-year-old Caucasian gentleman with history of dementia,  prior history of CVA as well as CKD stage 4, who was brought to the local  emergency room at Hospital with a fever of 101.6,  complaining of generalized malaise.  Also he was found to be COVID positive  and chest x-ray was showing questionable left lower lobe pneumonia.  Also his  lactic acid was slightly high at 2.8; repeat one being 2.1.  The patient does  have a history of BPH.  They placed a Foley catheter in him and the patient  was supposed to go to Clinic, but as per the family's request, they  called another location.  When I spoke to the ER doctor, the patient had not gotten any  treatment, no Decadron, no remdesivir, and since his onset of symptoms is  relatively new and he is hypoxemic requiring 3 L of oxygen, he was deemed to  be a candidate for both remdesivir and Decadron, which was then requested to  be started over there.  When I saw the patient, he is pleasantly confused.  He  is oriented times 2, knows his name, knows that he is at this hospital.  His  vital signs are relatively stable.  He is saturating well on 3 L nasal  cannula.  He will be admitted as an inpatient to our COVID-19 floor. Patient was weaned of oxygen, was afebrile. Prior to discharge patient continued to feel better. Discharged on 11/29/21
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received diluted pfizer vaccine drawn in syringe sitting at room temperature X 7 days. Brought patient back in to re-administer pfizer booster
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, Blood electrolytes normal, Blood glucose normal, Condition aggravated, Dyskinesia
Clinical narrative: Briefly this is a 5 yo F with hx of neonatal stroke with L sided weakness and epilepsy presenting with breakthrough seizure. Pt had COVID-19 vaccine 2 days ago. Visiting. No fevers, URI sx. Typical seizure starts with vomiting, hand jerking/shaking, and L eye deviation. Last breakthrough seizure in Feb 2021. Sibling with runny nose. 5 yo F with epilepsy and breakthrough seizure. No symptoms of illness. Unclear if COVID vaccination was trigger for breakthrough seizure. Upon arrival, pt was post-ictal with intermittent L eye deviation and now with hand jerking which was concerning for ongoing seizure activity. Pt was given intranasal midazolam with improvement, but seizure activity returned prompting IV ativan and IV keppra load. Seizure activity stopped and pt became responsive to voice but post-ictal. 2nd IV access obtained. Labs sent with normal glucose, reassuring CBC and electrolytes. Depakote level is in therapeutic range. Pt given home dose of depakote IV (missed AM dose). Neuro at the bedside throughout resuscitation.    COVID neg.     Care transitioned to the inpatient  Neurology attending. Pt was stable at the time of admission. MRI Brain 11/12/21: IMPRESSION: Images were significantly degraded by motion artifact. 1.No evidence of acute intracranial abnormality within limitation of motion artifact. 2.Posterior frontal porencephalic cyst with associated paucity of posterior frontal and right parietal periventricular white matter. On the morning of discharge, smile was symmetric, but she was noted to be ataxic, although much less than the day prior, so we drew a peak VPA level which was 150 (peak), with otherwise normal LFTs, normal platelets and no other signs of VPA toxicity. Thus, it was felt that the ataxia is likely secondary to medication effects in the last 24-48hrs with relatively high depakote level, Midaz 0.5mg/kg total, IV Ativan, and addition of Levetiracetam. Higher level of depakote was attributed to increased bioavailability of IV medication.  We observed her through the afternoon and felt that she was stable for discharge with close Neurology follow-up with Dr. calling on Tuesday 11/16/21. We will request Neurology follow up in clinic prior to  at the end of the month.  Family is considering whether they will get her the 2nd dose of COVID vaccine.  Risks and benefits discussed.  Discussed not flying back within 2 days of dose as much harder to manage if she were to have a prolonged seizure in flight.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Epilepsy, Full blood count normal, Gaze palsy, Liver function test normal, Magnetic resonance imaging
Clinical narrative: Briefly this is a 5 yo F with hx of neonatal stroke with L sided weakness and epilepsy presenting with breakthrough seizure. Pt had COVID-19 vaccine 2 days ago. Visiting. No fevers, URI sx. Typical seizure starts with vomiting, hand jerking/shaking, and L eye deviation. Last breakthrough seizure in Feb 2021. Sibling with runny nose. 5 yo F with epilepsy and breakthrough seizure. No symptoms of illness. Unclear if COVID vaccination was trigger for breakthrough seizure. Upon arrival, pt was post-ictal with intermittent L eye deviation and now with hand jerking which was concerning for ongoing seizure activity. Pt was given intranasal midazolam with improvement, but seizure activity returned prompting IV ativan and IV keppra load. Seizure activity stopped and pt became responsive to voice but post-ictal. 2nd IV access obtained. Labs sent with normal glucose, reassuring CBC and electrolytes. Depakote level is in therapeutic range. Pt given home dose of depakote IV (missed AM dose). Neuro at the bedside throughout resuscitation.    COVID neg.     Care transitioned to the inpatient  Neurology attending. Pt was stable at the time of admission. MRI Brain 11/12/21: IMPRESSION: Images were significantly degraded by motion artifact. 1.No evidence of acute intracranial abnormality within limitation of motion artifact. 2.Posterior frontal porencephalic cyst with associated paucity of posterior frontal and right parietal periventricular white matter. On the morning of discharge, smile was symmetric, but she was noted to be ataxic, although much less than the day prior, so we drew a peak VPA level which was 150 (peak), with otherwise normal LFTs, normal platelets and no other signs of VPA toxicity. Thus, it was felt that the ataxia is likely secondary to medication effects in the last 24-48hrs with relatively high depakote level, Midaz 0.5mg/kg total, IV Ativan, and addition of Levetiracetam. Higher level of depakote was attributed to increased bioavailability of IV medication.  We observed her through the afternoon and felt that she was stable for discharge with close Neurology follow-up with Dr. calling on Tuesday 11/16/21. We will request Neurology follow up in clinic prior to  at the end of the month.  Family is considering whether they will get her the 2nd dose of COVID vaccine.  Risks and benefits discussed.  Discussed not flying back within 2 days of dose as much harder to manage if she were to have a prolonged seizure in flight.