chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue
Clinical narrative: Had Covid vaccine booster shots prior to getting Covid; Tiredness; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Had Covid vaccine booster shots prior to getting Covid) and FATIGUE (Tiredness) in a female patient of an unknown age who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.    Co-suspect products included non-company products NIRMATRELVIR, RITONAVIR (PAXLOVID) for an unknown indication and VISMODEGIB (ERIVEDGE) for an unknown indication.    No Medical History information was reported.   On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form, NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) at an unspecified dose On an unknown date, NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) dosage was changed to at an unspecified dose and NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) dosage was changed to at an unspecified dose. and VISMODEGIB (ERIVEDGE) (Oral) 150 mg by mouth. On an unknown date, the patient experienced COVID-19 (Had Covid vaccine booster shots prior to getting Covid) and FATIGUE (Tiredness). At the time of the report, COVID-19 (Had Covid vaccine booster shots prior to getting Covid) and FATIGUE (Tiredness) outcome was unknown.            Concomitant medication was not provided. Treatment medication information was not provided by the reporter. It was reported that after taking 3 doses of paxlovid she does not think that she will continue taking paxlovid. Because her mouth tasted like metal, unable to eat or taste food, non stop thirty, mouth so dry, woke up every 2 hour, needs a drink due to thirst and upset stomach. She thought that other medication erivedge was not making paxlovid effective. Interacting with paxlovid. She felt worse than before she started taking paxlovid.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, Dizziness, Headache
Clinical narrative: Dizzy; Headache; Blood pressure and found that it was elevated; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache), DIZZINESS (Dizzy) and BLOOD PRESSURE INCREASED (Blood pressure and found that it was elevated) in a 53-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 065H22A) for COVID-19 prophylaxis.     Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE on 10-Mar-2021, PFIZER BIONTECH COVID-19 VACCINE on 31-Mar-2021 and PFIZER BIONTECH COVID-19 VACCINE on 14-Dec-2021. Past adverse reactions to the above products included No adverse event with PFIZER BIONTECH COVID-19 VACCINE, PFIZER BIONTECH COVID-19 VACCINE and PFIZER BIONTECH COVID-19 VACCINE.    On 02-Feb-2023, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced HEADACHE (Headache), DIZZINESS (Dizzy) and BLOOD PRESSURE INCREASED (Blood pressure and found that it was elevated). At the time of the report, HEADACHE (Headache) and DIZZINESS (Dizzy) had not resolved and BLOOD PRESSURE INCREASED (Blood pressure and found that it was elevated) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure increased: blood pressure and found that it was elevated (130/90).     For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments.   No concomitant medication information was reported. The reporter stated that they had the Moderna bivalent booster dose and had a slight headache after until the next day. But today 08Feb2023, she again had headache which did not seem to subside and she became dizzy for a long period of time. The school nurse where she works took her blood pressure and found that it was elevated (130/90). No treatment medication information was reported.
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pruritus
Clinical narrative: Left sore arm, achy; itchy left arm; This case was reported by a nurse via sales rep and described the occurrence of pain in arm in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced pain in arm and itchy upper limbs. On an unknown date, the outcome of the pain in arm and itchy upper limbs were recovering/resolving.   It was unknown if the reporter considered the pain in arm and itchy upper limbs to be related to Shingrix.     Additional Information: GSK Receipt Date: 31-Jan-2023 Reporter's Comments: The patient's left arm was sore and achy and itching as it was healing the following day. The reporter did not consent to follow up.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; This spontaneous report received from a consumer via a company representative concerned a 34 year old female of an unspecified race and ethnic origin. Initial information was processed with the additional information received on 27-JAN-2023. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802068 expiry: UNKNOWN) dose was not reported, 1 in total, administered on 01-APR-2021 for covid-19 prophylaxis.  The drug was associated with Batch and lot tested and found within specifications.  Age at time of vaccination 4 decade old.  No concomitant medications were reported.  On an unspecified date in NOV-2021, the patient experienced covid-19 (Covid Delta variant), tested positive via rapid test and had symptoms (reported as mild symptoms) (coded as confirmed covid-19 infection and confirmed clinical vaccination failure).  Laboratory data included: COVID-19 rapid POC test Positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the confirmed covid-19 infection and confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000263299. The suspected product quality complaint has been confirmed to be batch and lot tested and found within specifications. The reported allegation was not confirmed and the root cause was determined to be not manufacturing related based on the PQC evaluation/investigation performed. This case, from the same reporter is linked to 20221229001, 20221228979, 20230211727, 20220100988 and 20220100666.; Sender's Comments: V0: 20230211704-confirmed clinical vaccination failure. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event. Specifically: SPECIAL SITUATIONS. Therefore, this event is considered inconsistent with vaccine administration.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; This spontaneous report received from a consumer via a company representative concerned a 31 year old male of unspecified race and ethnicity. Initial information was processed with the additional information received on 27-JAN-2023. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802068, expiry: unknown) dose was not reported, 1 total administered on 01-APR-2021 for covid-19 prophylaxis. Age at time of vaccination 4 decade old. No concomitant medications were reported.  On an unspecified date in NOV-2021, the patient experienced covid (covid-19 delta variant infection), tested positive via rapid test and had symptoms (thus had confirmed covid-19 infection and confirmed clinical vaccination failure). It was stated that patient had more mild symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the confirmed covid-19 infection and confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20221229001, 20221228979, 20230211704, 20220100988 and 20220100666. This report was associated with product quality complaint number: 90000263303. The suspected product quality complaint has been confirmed to be batch and lot tested and found within specifications. The reported allegation was not confirmed and the root cause was determined to be not manufacturing related based on the PQC evaluation/investigation performed.; Sender's Comments: V0: 20230211727-confirmed clinical vaccination failure. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event. Specifically: SPECIAL SITUATIONS. Therefore, this event is considered inconsistent with vaccine administration.
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Antibody test, COVID-19, COVID-19 immunisation
Clinical narrative: COVID-19; REVACCINATION WITH DIFFERENT COVID-19 VACCINE; This spontaneous report received from a consumer via other manufacturer (Pfizer) concerned a male of unspecified age, race and ethnicity. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (Dose number in series 1) (suspension for injection, route of admin was not reported, batch number: Unknown, expiry: Unknown) dose was not reported, 1 total, administered on 2021 for covid-19 prophylaxis. The batch number was not reported and has been requested. Concomitant medications included antibodies infusion in last week of APR-2021. On an unspecified date in APR-2021, about a month and a half later of vaccination the patient got covid-19 (Dose number in series 1).  The patient also received two doses of non-company suspect vaccine comirnaty (tozinameran) (Dose number in series 2) (form of admin, route of admin was not reported, batch number: Unknown, expiry: Unknown) dose was not reported, administered on 2021 (after 90 days from APR-2021) for covid-19 prophylaxis which was associated with revaccination with different covid-19 vaccine (Dose number in series 2).  On an unspecified date on JUL-2022, the patient had covid-19 (Dose number in series 2). As per the doctor the antibodies are high.  The action taken with covid-19 vaccine ad26.cov2.s, and tozinameran was not applicable. The outcome of the covid-19 and revaccination with different covid-19 vaccine was not reported. This report was non-serious.
Sex: M
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: Father had Tia several weeks after receiving the COVID vaccine/ he received the moderna, not the pfizer; This spontaneous case was reported by a patient family member or friend and describes the occurrence of TRANSIENT ISCHAEMIC ATTACK (Father had Tia several weeks after receiving the COVID vaccine/ he received the moderna, not the pfizer) in a male patient of an unknown age who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis.     No Medical History information was reported.    On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced TRANSIENT ISCHAEMIC ATTACK (Father had Tia several weeks after receiving the COVID vaccine/ he received the moderna, not the pfizer) (seriousness criterion medically significant). At the time of the report, TRANSIENT ISCHAEMIC ATTACK (Father had Tia several weeks after receiving the COVID vaccine/ he received the moderna, not the pfizer) outcome was unknown.            No concomitant medication was provided.  Treatment medication was not provided by the reporter.; Reporter's Comments: This spontaneous case concerns an unknown-years-old male patient, with  no medical history reported who experienced the medically significant AESI  of transient ischaemic attack  unknown days after a  dose of  mRNA- 1273 bivalent vaccine. Treatment medication or outcome of the event were not provided by the reporter The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report. Events seriousness was assessed based on medical judgement.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Illness, Impaired work ability, Liver function test increased
Clinical narrative: Headache, Myalgia, Nausea Vomiting, fatigue and elevated LFT's seen hepatologist Narrative: off work illness
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Headache, Myalgia, Nausea Vomiting, fatigue and elevated LFT's seen hepatologist Narrative: off work illness
Age: 63.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Contracted COVID but had vaccine
Age: 1.0
Sex: M
Vaccine: HEPA, MMRV, VARCEL
Symptoms: Wrong product administered
Clinical narrative: Patient given dose of MMRV instead of MMR; pt also given dose of Varicella vaccine, so pt received a double dose of Varicella.  Pt's parents both advised of error, cautioned re. adverse effects to watch for going forward.  Pt's PCP advised of error as well.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer 4/20/21 EW0169, 5/11/21 EW0179, and boosted 3/14/22 FK9895
Age: 11.0
Sex: F
Vaccine: HEP, IPV, MMR, PNC13, TD
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Prevnar  given to child outside age limit.  No adverse reaction.
Age: 4.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Was given Pfizer 5-11 Bivalent Booster instead of the Pfizer 6m-4y Bivalent Booster
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given Pfizer 5-11 Bivalent Booster instead of the 6m-4y Bivalent Booster
Age: 34.0
Sex: F
Vaccine: COVID19-2
Symptoms: Paraesthesia
Clinical narrative: Was already hospitalized due to being ill when given vaccination. I had a little tingling after injection .
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Erythema, Lymphadenopathy
Clinical narrative: Swelling right axillary lymph nodes and redness
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blepharospasm, COVID-19, Chronic obstructive pulmonary disease, Cough
Clinical narrative: I had no complications after receiving the vaccine. I was exposed to COVID-19 on 10/11/2022 at a store with someone coughing in my face.  I started feeling symptoms of not feeling well on 10/19/2022. I felt like I was hit by a truck, I felt drained, coughing and could not breath. I went to the emergency room because I just could not breath. I was admitted and tested positive for COVID-19 on 10/21/2022. I was out of work for over a month. I have developed COPD, asthma and blepharospasm since having the vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Impaired work ability, Malaise
Clinical narrative: I had no complications after receiving the vaccine. I was exposed to COVID-19 on 10/11/2022 at a store with someone coughing in my face.  I started feeling symptoms of not feeling well on 10/19/2022. I felt like I was hit by a truck, I felt drained, coughing and could not breath. I went to the emergency room because I just could not breath. I was admitted and tested positive for COVID-19 on 10/21/2022. I was out of work for over a month. I have developed COPD, asthma and blepharospasm since having the vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: I had no complications after receiving the vaccine. I was exposed to COVID-19 on 10/11/2022 at a store with someone coughing in my face.  I started feeling symptoms of not feeling well on 10/19/2022. I felt like I was hit by a truck, I felt drained, coughing and could not breath. I went to the emergency room because I just could not breath. I was admitted and tested positive for COVID-19 on 10/21/2022. I was out of work for over a month. I have developed COPD, asthma and blepharospasm since having the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Arthralgia, COVID-19, Cough, Fatigue, Feeling abnormal
Clinical narrative: I had a sore arm after the vaccines, swelling and very tender and hot. I was also fatigued and had a headache. All of these lasted between 24 hours to 48 hrs. The soreness of my arm lasted a few days. In January I contracted COVID. I experienced cough which I still have and I noticed the most. I also had fatigue which started about a day or 2 after which is why I tested myself because it was severe fatigue. I tested myself positive. By the 15th of January, so around a day after, I had a sore throat and mucus and congestion. I could not smell things with a mild smell but things like coffee that had a strong smell I could still smell. I had a bit of brain fog but it did not last long. I also had achy joints for about a week. By the 20th of January I saw the doctor and he prescribed I take some over the counter medication and prescribed advere discus. I took around 8 doses. Today, Feburary 10th, I still have a bit of mucus which is still making me cough, but nothing else.
Age: 39.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Feeling hot, Headache, Oropharyngeal pain, Pain in extremity, Parosmia
Clinical narrative: I had a sore arm after the vaccines, swelling and very tender and hot. I was also fatigued and had a headache. All of these lasted between 24 hours to 48 hrs. The soreness of my arm lasted a few days. In January I contracted COVID. I experienced cough which I still have and I noticed the most. I also had fatigue which started about a day or 2 after which is why I tested myself because it was severe fatigue. I tested myself positive. By the 15th of January, so around a day after, I had a sore throat and mucus and congestion. I could not smell things with a mild smell but things like coffee that had a strong smell I could still smell. I had a bit of brain fog but it did not last long. I also had achy joints for about a week. By the 20th of January I saw the doctor and he prescribed I take some over the counter medication and prescribed advere discus. I took around 8 doses. Today, Feburary 10th, I still have a bit of mucus which is still making me cough, but nothing else.
Age: 39.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Peripheral swelling, Respiratory tract congestion, SARS-CoV-2 test positive, Secretion discharge, Tenderness
Clinical narrative: I had a sore arm after the vaccines, swelling and very tender and hot. I was also fatigued and had a headache. All of these lasted between 24 hours to 48 hrs. The soreness of my arm lasted a few days. In January I contracted COVID. I experienced cough which I still have and I noticed the most. I also had fatigue which started about a day or 2 after which is why I tested myself because it was severe fatigue. I tested myself positive. By the 15th of January, so around a day after, I had a sore throat and mucus and congestion. I could not smell things with a mild smell but things like coffee that had a strong smell I could still smell. I had a bit of brain fog but it did not last long. I also had achy joints for about a week. By the 20th of January I saw the doctor and he prescribed I take some over the counter medication and prescribed advere discus. I took around 8 doses. Today, Feburary 10th, I still have a bit of mucus which is still making me cough, but nothing else.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Condition aggravated, Death, End stage renal disease
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 9/28/21, LOT #FF2587; 4TH DOSE PFIZER COVID VACCINE GIVEN 3/18/22, LOT #FK9894; pt had a positive COVID test on 8/7/22 and was admitted into the hospital; COVID pneumonia; pt's condition deteriorated considerably; admitted to inpatient hospice on 8/25/22 in ESRD; comfort measures; pt passed away in the hospital with hospice
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 9/28/21, LOT #FF2587; 4TH DOSE PFIZER COVID VACCINE GIVEN 3/18/22, LOT #FK9894; pt had a positive COVID test on 8/7/22 and was admitted into the hospital; COVID pneumonia; pt's condition deteriorated considerably; admitted to inpatient hospice on 8/25/22 in ESRD; comfort measures; pt passed away in the hospital with hospice
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Basedow's disease, Diarrhoea, Hyperthyroidism, Laboratory test abnormal
Clinical narrative: itchy flaky scalp, puffy eyes, itchy skin, diarrhea blurry vision, anxiety, The symptoms started in July/2021
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Periorbital swelling, Pruritus, Skin exfoliation, Vision blurred
Clinical narrative: itchy flaky scalp, puffy eyes, itchy skin, diarrhea blurry vision, anxiety, The symptoms started in July/2021
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basedow's disease
Clinical narrative: itchy flaky scalp, puffy eyes, itchy skin, diarrhea blurry vision, anxiety, The symptoms started in July/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 8/22/22; inpatient hospice; pt passed away in local Hospice; no other records
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Hypersomnia, Neurological examination, Syncope
Clinical narrative: syncope vs hypersomnolence occuring within 6 hours of vaccine administration. Happened at school. No direct witnesses. No neurologic sequelae on exam following day.
Age: 1.75
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Croup infectious, Exposure to SARS-CoV-2, Loss of personal independence in daily activities
Clinical narrative: It started with a cold. She had a lingering runny nose, but her dad tested positive the week later. We tested her for COVID and she tested positive. Her running nose got worse from the 18th to the 20th. On the 20th of January she started a cough. We did over the counter cold medication and she was doing well. On the 24th, she went into the doctor for care and they gave her Decadron because she had developed coop on top of the COVID.  About a week later she was feeling better and she is fully recovered now and back in daycare.
Age: 1.75
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: It started with a cold. She had a lingering runny nose, but her dad tested positive the week later. We tested her for COVID and she tested positive. Her running nose got worse from the 18th to the 20th. On the 20th of January she started a cough. We did over the counter cold medication and she was doing well. On the 24th, she went into the doctor for care and they gave her Decadron because she had developed coop on top of the COVID.  About a week later she was feeling better and she is fully recovered now and back in daycare.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Injection site pain, Injection site swelling, Pain
Clinical narrative: Injection site pain and swelling Headache x 2 days in spite of acetaminophen Body aches Chills Skin sensitivity
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Sensitive skin
Clinical narrative: Injection site pain and swelling Headache x 2 days in spite of acetaminophen Body aches Chills Skin sensitivity
Age: 36.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Blood glucose normal, Blood iron decreased, Blood lactic acid, C-reactive protein increased, COVID-19
Clinical narrative: Discharge Provider:  MD Primary Care Provider: MD Admission Date: 2/6/2023 Discharge Date: Feb 9, 2023  PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 36 y.o. male with a past medical history of TOF/situs invertus s/p fontan, heterotaxy syndrome s/p heart proc, DM2, NASH cirrhosis, schwannoma, OSA on CPAP nightly, obesity, DM2. He comes in for COVID per congenital cardiology recommendations in the setting of his extensive cardiac history.  Patient did not have any shortness of breath or chest pain.  Patient's main complaint was a cough.  There are no fevers or chills.  In the emergency room, patient had lactic acidosis of 3.2 that resolved with fluids.  Patient also had elevation and CRP and D-dimer which remained stable during admission.  Patient's oxygen saturations ranged between 88-90%.  Patient is usually at 90%, but does go down to 80% at night and uses CPAP machine.  Patient did technically meet criteria for sepsis on admission, but his heart rate is normally around 100.  Pediatric cardiology was consulted for medication recommendations.  Patient's GDMT was held including Lasix, losartan, spironolactone, and metoprolol.  Patient did receive digoxin and GDMT  was slowly restarted as he washed his fluid status.  Patient received 3 days of IV remdesivir.  Decadron was not started given patient's baseline oxygenation status and improvement in symptoms.  Patient's glucoses had a few readings in the 70s with his home 100 units nightly Lantus, so we discharged him on 90 units with recommendations to follow-up with his PCP for adjustment if needed.  Patient also had a normocytic anemia with iron studies showing iron deficiency and was given IV iron treatment.  Patient uses CPAP at night like he does at home for sleep apnea.  On day of discharge, patient was back on his home GDMT and was feeling very good and ready to go home.  Ambulatory pulse ox was done on day of discharge and patient was satting at his baseline to an 88 and 90%.  At requested pediatric cardiology, cardiac monitor for 7 days is paced at discharge. Instructions given to the patient to return if any worsening in symptoms.
Age: 36.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Cardiac monitoring, Cough, Fibrin D dimer increased, Iron deficiency, Lactic acidosis
Clinical narrative: Discharge Provider:  MD Primary Care Provider: MD Admission Date: 2/6/2023 Discharge Date: Feb 9, 2023  PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 36 y.o. male with a past medical history of TOF/situs invertus s/p fontan, heterotaxy syndrome s/p heart proc, DM2, NASH cirrhosis, schwannoma, OSA on CPAP nightly, obesity, DM2. He comes in for COVID per congenital cardiology recommendations in the setting of his extensive cardiac history.  Patient did not have any shortness of breath or chest pain.  Patient's main complaint was a cough.  There are no fevers or chills.  In the emergency room, patient had lactic acidosis of 3.2 that resolved with fluids.  Patient also had elevation and CRP and D-dimer which remained stable during admission.  Patient's oxygen saturations ranged between 88-90%.  Patient is usually at 90%, but does go down to 80% at night and uses CPAP machine.  Patient did technically meet criteria for sepsis on admission, but his heart rate is normally around 100.  Pediatric cardiology was consulted for medication recommendations.  Patient's GDMT was held including Lasix, losartan, spironolactone, and metoprolol.  Patient did receive digoxin and GDMT  was slowly restarted as he washed his fluid status.  Patient received 3 days of IV remdesivir.  Decadron was not started given patient's baseline oxygenation status and improvement in symptoms.  Patient's glucoses had a few readings in the 70s with his home 100 units nightly Lantus, so we discharged him on 90 units with recommendations to follow-up with his PCP for adjustment if needed.  Patient also had a normocytic anemia with iron studies showing iron deficiency and was given IV iron treatment.  Patient uses CPAP at night like he does at home for sleep apnea.  On day of discharge, patient was back on his home GDMT and was feeling very good and ready to go home.  Ambulatory pulse ox was done on day of discharge and patient was satting at his baseline to an 88 and 90%.  At requested pediatric cardiology, cardiac monitor for 7 days is paced at discharge. Instructions given to the patient to return if any worsening in symptoms.
Age: 36.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Normocytic anaemia, Sepsis
Clinical narrative: Discharge Provider:  MD Primary Care Provider: MD Admission Date: 2/6/2023 Discharge Date: Feb 9, 2023  PRESENTING PROBLEM: Severe sepsis (HCC) [A41.9, R65.20] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 36 y.o. male with a past medical history of TOF/situs invertus s/p fontan, heterotaxy syndrome s/p heart proc, DM2, NASH cirrhosis, schwannoma, OSA on CPAP nightly, obesity, DM2. He comes in for COVID per congenital cardiology recommendations in the setting of his extensive cardiac history.  Patient did not have any shortness of breath or chest pain.  Patient's main complaint was a cough.  There are no fevers or chills.  In the emergency room, patient had lactic acidosis of 3.2 that resolved with fluids.  Patient also had elevation and CRP and D-dimer which remained stable during admission.  Patient's oxygen saturations ranged between 88-90%.  Patient is usually at 90%, but does go down to 80% at night and uses CPAP machine.  Patient did technically meet criteria for sepsis on admission, but his heart rate is normally around 100.  Pediatric cardiology was consulted for medication recommendations.  Patient's GDMT was held including Lasix, losartan, spironolactone, and metoprolol.  Patient did receive digoxin and GDMT  was slowly restarted as he washed his fluid status.  Patient received 3 days of IV remdesivir.  Decadron was not started given patient's baseline oxygenation status and improvement in symptoms.  Patient's glucoses had a few readings in the 70s with his home 100 units nightly Lantus, so we discharged him on 90 units with recommendations to follow-up with his PCP for adjustment if needed.  Patient also had a normocytic anemia with iron studies showing iron deficiency and was given IV iron treatment.  Patient uses CPAP at night like he does at home for sleep apnea.  On day of discharge, patient was back on his home GDMT and was feeling very good and ready to go home.  Ambulatory pulse ox was done on day of discharge and patient was satting at his baseline to an 88 and 90%.  At requested pediatric cardiology, cardiac monitor for 7 days is paced at discharge. Instructions given to the patient to return if any worsening in symptoms.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Diabetic ketoacidosis, Diarrhoea, Nausea
Clinical narrative: Hospitalization 5/3/22-5/5/22 Nausea, vomiting, diarrhea, weakness, DKA, afib,
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Hospitalization 5/3/22-5/5/22 Nausea, vomiting, diarrhea, weakness, DKA, afib,
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Lymph node pain, Neck pain, Pain
Clinical narrative: About two weeks after receiving the second booster of Moderna, I started to experience pain up the left side of my head, that I've never experienced before. I was unable to lie on that side. The pain moved to the left side of my neck and progressed to my lymph nodes. I could feel the pain and pressure. The headache and pains up to my temple lasted through the summer. The pain in my lymph nodes became dormant. Once I received the Moderna Bivalent booster, the pain in my lymph nodes, neck and upper torso had increased and become constant. I have not sought care from my physician yet, but I am working with a licensed massage therapist. After my sessions, I feel better for about 3-5 days, but the pain returns. If my daily activities become interrupted, I will seek care from my PCP.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy oesophagus abnormal, COVID-19, Condition aggravated, Cystitis, Discoloured vomit
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/28/2023 Discharge Date: Feb 9, 2023  PRESENTING PROBLEM: UTI (urinary tract infection) [N39.0] Acute cystitis with hematuria [N30.01] Complicated UTI (urinary tract infection) [N39.0]   HOSPITAL COURSE: Patient is a 76 y.o. female with a past medical history of dementia, CKD, essential hypertension, among other comorbid conditions who presented to the Hospital Emergency Department on 01/28/2023 from a local long-term care facility via EMS with complaints of vomiting and tremors onset 1 day prior to presentation. The patient was diagnosed with an acute urinary tract and COVID-19 infection and admitted to the hospitalist service for ongoing management and coordination. She was started on Rocephin for urinary tract infection medication. COVID was treated with prophylactic remdesivir to prevent progression for 3 days. Given the patient's vomiting and a brownish color to the emesis the gastroenterology team was asked to evaluate the patient for potential upper gastrointestinal bleed. EGD showed hemorrhagic gastritis, likely from PO iron. IV Iron supplementation was started instead. Her biopsy from EGD was positive for HSV esophagitis and she was started on treatment with acyclovir. HIV testing was negative. ID was consulted who agreed with management and recommended 10 days of therapy.   Patient clinically improved with no further concerns. Discussed with patient and DPOA to obtain outpatient labs in 1 week. She was prescribed Acyclovir to complete a total of 10 days of therapy and Protonix twice daily for her Esophagitis.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Gastritis haemorrhagic, HIV test negative, Haematuria, Herpes simplex oesophagitis, Herpes simplex test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/28/2023 Discharge Date: Feb 9, 2023  PRESENTING PROBLEM: UTI (urinary tract infection) [N39.0] Acute cystitis with hematuria [N30.01] Complicated UTI (urinary tract infection) [N39.0]   HOSPITAL COURSE: Patient is a 76 y.o. female with a past medical history of dementia, CKD, essential hypertension, among other comorbid conditions who presented to the Hospital Emergency Department on 01/28/2023 from a local long-term care facility via EMS with complaints of vomiting and tremors onset 1 day prior to presentation. The patient was diagnosed with an acute urinary tract and COVID-19 infection and admitted to the hospitalist service for ongoing management and coordination. She was started on Rocephin for urinary tract infection medication. COVID was treated with prophylactic remdesivir to prevent progression for 3 days. Given the patient's vomiting and a brownish color to the emesis the gastroenterology team was asked to evaluate the patient for potential upper gastrointestinal bleed. EGD showed hemorrhagic gastritis, likely from PO iron. IV Iron supplementation was started instead. Her biopsy from EGD was positive for HSV esophagitis and she was started on treatment with acyclovir. HIV testing was negative. ID was consulted who agreed with management and recommended 10 days of therapy.   Patient clinically improved with no further concerns. Discussed with patient and DPOA to obtain outpatient labs in 1 week. She was prescribed Acyclovir to complete a total of 10 days of therapy and Protonix twice daily for her Esophagitis.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophagogastroduodenoscopy abnormal, Tremor, Urinary tract infection, Vomiting
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 1/28/2023 Discharge Date: Feb 9, 2023  PRESENTING PROBLEM: UTI (urinary tract infection) [N39.0] Acute cystitis with hematuria [N30.01] Complicated UTI (urinary tract infection) [N39.0]   HOSPITAL COURSE: Patient is a 76 y.o. female with a past medical history of dementia, CKD, essential hypertension, among other comorbid conditions who presented to the Hospital Emergency Department on 01/28/2023 from a local long-term care facility via EMS with complaints of vomiting and tremors onset 1 day prior to presentation. The patient was diagnosed with an acute urinary tract and COVID-19 infection and admitted to the hospitalist service for ongoing management and coordination. She was started on Rocephin for urinary tract infection medication. COVID was treated with prophylactic remdesivir to prevent progression for 3 days. Given the patient's vomiting and a brownish color to the emesis the gastroenterology team was asked to evaluate the patient for potential upper gastrointestinal bleed. EGD showed hemorrhagic gastritis, likely from PO iron. IV Iron supplementation was started instead. Her biopsy from EGD was positive for HSV esophagitis and she was started on treatment with acyclovir. HIV testing was negative. ID was consulted who agreed with management and recommended 10 days of therapy.   Patient clinically improved with no further concerns. Discussed with patient and DPOA to obtain outpatient labs in 1 week. She was prescribed Acyclovir to complete a total of 10 days of therapy and Protonix twice daily for her Esophagitis.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive pt, fully vaccinated admitted to hospital
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Death on 02/06/2023
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Chest discomfort, Chills, Cough, Pain
Clinical narrative: I received my 4th dose of Moderna Bivalent on 11/2022. My adverse event started on 11/21/2022 in the evening. I felt like something rushes me. I felt like I was drugged. I felt chills, body aches, and low energy. I had aches from hip to ankle. 2 weeks ago I felt a tight feeling in my chest. I took ADVIL to over come the symptoms which helped with the body aches. It was making me cough but the cough wasn't really there. It's different than the asthma. I even took albuterol but it didn't help. I jet felt the tightness in my chest. It happened 4 times all together with the same symptoms but this time I felt tightness in my chest along with other symptoms. First time it happened on November 21/2022. The second time it happened on December 26/2022. The third time it happened on January 16/2023. The  fourth time it happened on Feb 1/2023. This is something new. It happens every 3-4 weeks. I spoke with my doctor on December about this. In mid October I was diagnosed with Shingles and my doctor prescribed me with some medications to take. When my daughter was diagnosed with Flu my doctor then prescribed me TAMIFLU to prevent Flu. I still have the chest tightness as of today 02/10/20223.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test negative, Sensory disturbance
Clinical narrative: I received my 4th dose of Moderna Bivalent on 11/2022. My adverse event started on 11/21/2022 in the evening. I felt like something rushes me. I felt like I was drugged. I felt chills, body aches, and low energy. I had aches from hip to ankle. 2 weeks ago I felt a tight feeling in my chest. I took ADVIL to over come the symptoms which helped with the body aches. It was making me cough but the cough wasn't really there. It's different than the asthma. I even took albuterol but it didn't help. I jet felt the tightness in my chest. It happened 4 times all together with the same symptoms but this time I felt tightness in my chest along with other symptoms. First time it happened on November 21/2022. The second time it happened on December 26/2022. The third time it happened on January 16/2023. The  fourth time it happened on Feb 1/2023. This is something new. It happens every 3-4 weeks. I spoke with my doctor on December about this. In mid October I was diagnosed with Shingles and my doctor prescribed me with some medications to take. When my daughter was diagnosed with Flu my doctor then prescribed me TAMIFLU to prevent Flu. I still have the chest tightness as of today 02/10/20223.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Condition aggravated, Retinal detachment, Retinal operation, Retinal tear, Scan abnormal
Clinical narrative: I have a history of retinal detachment. I had one in each eye. I had surgery in August. I started having vision problems in left eye ad had partial loss of vision. I went back to see my surgeon. He diagnosed several holes in the retina. The holes let the fluid seep behind the retina and cause another detachment. It got progressively worse over the next few days. I had a follow-up appointment 10 days later. He determined I had to have another surgery to fix the problem. I had the surgery on November 30, 2022.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Visual impairment
Clinical narrative: I have a history of retinal detachment. I had one in each eye. I had surgery in August. I started having vision problems in left eye ad had partial loss of vision. I went back to see my surgeon. He diagnosed several holes in the retina. The holes let the fluid seep behind the retina and cause another detachment. It got progressively worse over the next few days. I had a follow-up appointment 10 days later. He determined I had to have another surgery to fix the problem. I had the surgery on November 30, 2022.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Annuloplasty, Cardiac murmur, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient started getting sick following the second injection in early March 2021. Patient having respiratory symptoms, Chronic Cough, Breathing problems, Chest related illnesses that continued every couple months per patient never going away. Was sent to Pulmonologist but no real progress in relief of symptoms then progressing last year to  Chronic fatigue, gradually worsening  up to the date patient found to have a  RR+R with Grade 2-3/6 holosystolic murmur heard over the entire precordium and sent to cardiology in October 2022, within 3 months of murmur detection patient received surgical intervention in January of 2023 of Prosthetic Mitral heart valve (ANNULOPLASTY RING).  See following pages sent through system.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Illness, Malaise, Respiratory symptom
Clinical narrative: Patient started getting sick following the second injection in early March 2021. Patient having respiratory symptoms, Chronic Cough, Breathing problems, Chest related illnesses that continued every couple months per patient never going away. Was sent to Pulmonologist but no real progress in relief of symptoms then progressing last year to  Chronic fatigue, gradually worsening  up to the date patient found to have a  RR+R with Grade 2-3/6 holosystolic murmur heard over the entire precordium and sent to cardiology in October 2022, within 3 months of murmur detection patient received surgical intervention in January of 2023 of Prosthetic Mitral heart valve (ANNULOPLASTY RING).  See following pages sent through system.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chest X-ray, Cough, Headache, Nasal congestion, Rhinorrhoea
Clinical narrative: Runny nose; nasal congestion and coughing. Slight headache.
Age: 60.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient stated he had only had the primary and secondary series, did not have a card, and Vax database was down for maintenance. RN gave Bivalent vaccine. Later when Vax database Was available, and the record showed he had already had the bivalent vaccine.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: HOSPITALIZATION RELATED TO COVID-19 FOLLOWING COMPLETION OF PRIMARY COVID VACCINE SERIES
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus, ringing in ears
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Retinal detachment, Scan abnormal, Surgery, Visual impairment, Vitreous floaters
Clinical narrative: On June 09, 2021, I developed large floaters in my eye and had big black dots obscuring my vision. I saw a surgeon. He did an eye exam and a retinal scan. On June 11, 2021, I had surgery to correct the issue.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Aphasia, Asthenia, Chest pain, Diplopia
Clinical narrative: Disruption to normal life functions, Headache, Tired, Muscle Aches, Nausea, Fever, unusual feeling on skin, tinnitus, shortness of breath, chest pain, leg swelling, abdominal pain, headache, blurred vision, dizziness, weakness, fast heart beat, difficulty breathing, difficulty walking, difficulty with facial movements/speaking, double vision, abnormal bowel function,
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Functional gastrointestinal disorder, Gait disturbance
Clinical narrative: Disruption to normal life functions, Headache, Tired, Muscle Aches, Nausea, Fever, unusual feeling on skin, tinnitus, shortness of breath, chest pain, leg swelling, abdominal pain, headache, blurred vision, dizziness, weakness, fast heart beat, difficulty breathing, difficulty walking, difficulty with facial movements/speaking, double vision, abnormal bowel function,
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hypokinesia, Impaired quality of life, Myalgia
Clinical narrative: Disruption to normal life functions, Headache, Tired, Muscle Aches, Nausea, Fever, unusual feeling on skin, tinnitus, shortness of breath, chest pain, leg swelling, abdominal pain, headache, blurred vision, dizziness, weakness, fast heart beat, difficulty breathing, difficulty walking, difficulty with facial movements/speaking, double vision, abnormal bowel function,
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral swelling, Pyrexia, Skin texture abnormal, Tinnitus
Clinical narrative: Disruption to normal life functions, Headache, Tired, Muscle Aches, Nausea, Fever, unusual feeling on skin, tinnitus, shortness of breath, chest pain, leg swelling, abdominal pain, headache, blurred vision, dizziness, weakness, fast heart beat, difficulty breathing, difficulty walking, difficulty with facial movements/speaking, double vision, abnormal bowel function,
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Disruption to normal life functions, Headache, Tired, Muscle Aches, Nausea, Fever, unusual feeling on skin, tinnitus, shortness of breath, chest pain, leg swelling, abdominal pain, headache, blurred vision, dizziness, weakness, fast heart beat, difficulty breathing, difficulty walking, difficulty with facial movements/speaking, double vision, abnormal bowel function,
Age: 38.0
Sex: F
Vaccine: COVID19-2
Symptoms: Alopecia, Blood test normal, Fatigue, Influenza, Influenza like illness
Clinical narrative: 11/08/2022 I received my Covid-19 vaccine. I was fine most of the day with flu like symptoms the days after. The fatigue from the flu went away however I still felt an underlying feeling of fatigue that is gradually getting worse. On 12/15/2022 I started to notice hair loss. After reaching out to my doctor there was no diagnosis.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Asthenia, Fall, Malnutrition, Sepsis
Clinical narrative: Hospitalization 5/5/22-5/12/22 weakness, fall, syncope, sepsis, anemia, malnutrition,
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Hospitalization 5/5/22-5/12/22 weakness, fall, syncope, sepsis, anemia, malnutrition,
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chronic respiratory failure, Dyspnoea, Hypoxia
Clinical narrative: 01/15/23 presents to ED for "SOB". PMHx of "CKD stage III, PE on Eliquis (December 2022), chronic hypoxic respiratory failure status post RSV with superimposed MRSA pneumonia (November 2022), asthma, bronchiectasis, IgA deficiency, CVA with PFO, HFpEF, COVID-19 pneumonia"