chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: Patient observed by RN to be having slight distress. Pt taken to observation gurney and assessed. Complains of lightheadedness and no pain or other symptoms.  13:47 Vital signs  BP 128/76 Pulse 65 02 99%  Water and crackers given to patient and she states she is feeling better. Husband is with patient and states he will drive her home.   14:04 Pt left with husband with no distress and states she feels fine. Patient discharged from nursing care.   Electronically signed by: RN 2/1/2022 2:05 PM
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Attended a wedding on 01/01/2022, On 1/05/2022  had a headache, cough, sore throat, went night of 01/05/2022 had a PCR test through the Medical Center then on evening 01/06/2022 home test while waiting for PCR results and both came back positive. The following week on 01/14/2022 receive call in prescription of Inhaler and cough medicine. Still recovering with cough.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia
Clinical narrative: My daughter is saying she is unable to smell things even strong chemicals like bleach.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac monitoring, Cerebral haemorrhage, Computerised tomogram, Decreased appetite
Clinical narrative: I had a brain bleed on 08/07/2021. I was diagnosed at a small hospital. They flew me to another larger advanced hospital and I received care. I received some therapy and flew back to home. I am continuing therapy since I had experienced stroke-like symptoms. I also had loss of appetite and stuttering.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphemia, Magnetic resonance imaging, Neurological symptom
Clinical narrative: I had a brain bleed on 08/07/2021. I was diagnosed at a small hospital. They flew me to another larger advanced hospital and I received care. I received some therapy and flew back to home. I am continuing therapy since I had experienced stroke-like symptoms. I also had loss of appetite and stuttering.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site reaction, Rash macular
Clinical narrative: 2 red itchy blotches that looked like an allergic reaction that appeared under the injection site.  The areas were extremely itchy and they burned.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pt was given covid pfizer booster gray top inadvertently diluted with 1.8 ml sodium chloride
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood test
Clinical narrative: I began loosing my hair but didn't realize the severity until my hair dresser who I've seen for 5 years told me I needed to see a doctor. Since I have been to my doctor and a dermatologist twice, months apart, and my hair is still falling out!  It's coming out on several strands to 15-20 strands at once, it has continued to thin and now shows bald spots in my hair line. I've had blood work and neither my doctor nor dermatologist can determine a cause other than the vaccine, due to timing that my hair loss began.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Nothing was reported.
Age: 0.42
Sex: M
Vaccine: RV5
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: First dose of rotavirus started and client was over 14 weeks of age.  No abnormal side effects noted.  Client is still under the age of 8 months.
Age: 27.0
Sex: F
Vaccine: ANTH
Symptoms: No adverse event
Clinical narrative: Patient came into the immunizations clinic looking to get the Anthrax vaccine. Patient later on came back to let us know that she was pregnant.
Age: 60.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Arthralgia, Erythema, Incorrect route of product administration, Musculoskeletal pain, Tenderness
Clinical narrative: Patient received Shingrix and TDAP (boostrix) vaccine on 01/24/2022 and later developed pain, redness and tenderness up into her shoulder/trapezoid and behind her right scapula. Patient visit urgent care due to the adverse reaction stated above. Patient stated at urgent care and later at follow up appointment with PCP that the reaction was due to receiving the Shingrix vaccine, but per clinic records it was TDAP that was given on the right not Shingrix. Shingrix was given incorrectly to patient through Subcutaneous route instead of intermuscular. Glaxo Medical Information line was contacted due to vaccination mistake and per CDC/Glaxo studies the Shingrix vaccine will not need to be repeated due to a study that showed the same immunity response whether vaccine was given subcutaneous or intermuscular. Information was emailed to clinic and event report created accordingly
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given pfizer covid 19 booster gray top inadvertently mixed with 1.8 ml sodium chloride
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Rash
Clinical narrative: Widespread rash on my upper body which lasted for approximately two weeks as well as extreme menstrual cramps which I've never had before.
Age: 65.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Decreased appetite, Fatigue, Headache, Malaise, Nausea
Clinical narrative: Malaise, body aches, fatigue, headache, nausea, loss of appetite, severe pain and swelling in arm within hours. Within two days developed bright red rash over right upper arm on top of the severe swelling. Seen on day 5 with 101 fever still No treatments had been tried. Started on 1000mg acetaminophen and 10mg cetirizine BID for duration of reaction. Improved on day two but arm rash got bigger. Overall patient feeling improved today  while taking medications (2/1/2022). Has additional follow-up tomorrow.
Age: 65.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pyrexia, Rash erythematous
Clinical narrative: Malaise, body aches, fatigue, headache, nausea, loss of appetite, severe pain and swelling in arm within hours. Within two days developed bright red rash over right upper arm on top of the severe swelling. Seen on day 5 with 101 fever still No treatments had been tried. Started on 1000mg acetaminophen and 10mg cetirizine BID for duration of reaction. Improved on day two but arm rash got bigger. Overall patient feeling improved today  while taking medications (2/1/2022). Has additional follow-up tomorrow.
Age: 65.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Blood culture, Blood iron, Blood lactic acid, Cellulitis, Differential white blood cell count
Clinical narrative: Malaise, body aches, fatigue, headache, nausea, loss of appetite, severe pain and swelling in arm within hours. Within two days developed bright red rash over right upper arm on top of the severe swelling. Seen on day 5 with 101 fever still No treatments had been tried. Started on 1000mg acetaminophen and 10mg cetirizine BID for duration of reaction. Improved on day two but arm rash got bigger. Overall patient feeling improved today  while taking medications (2/1/2022). Has additional follow-up tomorrow.
Age: 65.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Epidermoid cyst excision, Erythema, Full blood count, Inflammation, Laboratory test
Clinical narrative: Malaise, body aches, fatigue, headache, nausea, loss of appetite, severe pain and swelling in arm within hours. Within two days developed bright red rash over right upper arm on top of the severe swelling. Seen on day 5 with 101 fever still No treatments had been tried. Started on 1000mg acetaminophen and 10mg cetirizine BID for duration of reaction. Improved on day two but arm rash got bigger. Overall patient feeling improved today  while taking medications (2/1/2022). Has additional follow-up tomorrow.
Age: 65.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Leukocytosis, Pain, Pain in extremity, Peripheral swelling, Pyrexia
Clinical narrative: Malaise, body aches, fatigue, headache, nausea, loss of appetite, severe pain and swelling in arm within hours. Within two days developed bright red rash over right upper arm on top of the severe swelling. Seen on day 5 with 101 fever still No treatments had been tried. Started on 1000mg acetaminophen and 10mg cetirizine BID for duration of reaction. Improved on day two but arm rash got bigger. Overall patient feeling improved today  while taking medications (2/1/2022). Has additional follow-up tomorrow.
Age: 65.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: SARS-CoV-2 test, Sepsis, Skin reaction, Staphylococcus test, Urine analysis
Clinical narrative: Malaise, body aches, fatigue, headache, nausea, loss of appetite, severe pain and swelling in arm within hours. Within two days developed bright red rash over right upper arm on top of the severe swelling. Seen on day 5 with 101 fever still No treatments had been tried. Started on 1000mg acetaminophen and 10mg cetirizine BID for duration of reaction. Improved on day two but arm rash got bigger. Overall patient feeling improved today  while taking medications (2/1/2022). Has additional follow-up tomorrow.
Age: 65.0
Sex: F
Vaccine: PNC13, PNC13
Symptoms: Vaccination complication, White blood cell count increased
Clinical narrative: Malaise, body aches, fatigue, headache, nausea, loss of appetite, severe pain and swelling in arm within hours. Within two days developed bright red rash over right upper arm on top of the severe swelling. Seen on day 5 with 101 fever still No treatments had been tried. Started on 1000mg acetaminophen and 10mg cetirizine BID for duration of reaction. Improved on day two but arm rash got bigger. Overall patient feeling improved today  while taking medications (2/1/2022). Has additional follow-up tomorrow.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: The pfizer Peds vial was not mixed with diluent.  The patient did not have any reactions. Patient was observed for 15 minutues.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blister, Fatigue, Pruritus, Rash
Clinical narrative: Since receiving the vaccine the patient has been experiencing a rash. She gets blisters that pop up and itch a lot. She also is having a lot of fatigue and weakness. Every now and then she also becomes shaky.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Since receiving the vaccine the patient has been experiencing a rash. She gets blisters that pop up and itch a lot. She also is having a lot of fatigue and weakness. Every now and then she also becomes shaky.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Pain in extremity, Peripheral swelling, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: On 05/15/2021- woke up with a swelling in my left leg, and a nagging in the left calf. Kind of a nagging mild pain.  Sunday, and Monday were not so bad, I went to work on Monday, I exercised and lifted weights. On Tuesday, it was still about the same. On Wednesday, I went for a walk, I thought the exercise would help. On Wed. 05/19/2021, significant swelling in the left leg, and nagging, like a muscle pull or tear, a consistent discomfort. I decided to go to the ER. They did a Doppler study- they saw a blood clot in the left leg. They put me on Eliquis, the standard for blood clots, and they said I could go home from there. I have been on the Eliquis for the last 8 months. I am still on the Eliquis. I have a follow up study in February 2022. I have not had any more issues with the leg.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Body aches, fever up to 101
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Swollen left armpit for 2 weeks, Muscle pain, Chills, Fever, Headache, Tiredness, and Ongoing Nervous system issues with random sharp pain in joins
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nervous system disorder, Pyrexia
Clinical narrative: Swollen left armpit for 2 weeks, Muscle pain, Chills, Fever, Headache, Tiredness, and Ongoing Nervous system issues with random sharp pain in joins
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: nothing was reported
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: ringing in my ears
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given early. Second dose was given10/03/2021.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine dispensed to patient in incorrect age group. Patient vaccinated with Pfizer 5-11 dose. Patient current are 4 years old.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Blood culture negative, COVID-19, COVID-19 pneumonia, Chemotherapy
Clinical narrative: Patient received Moderna vaccine on 3/8/21, 4/6/21, and 11/11/21. Presented to ER on 1/3/22 and found to be COVID-19 positive. Admitted on 1/20/2022 for presented with fever, cough. Patient is vaccinated against COVID-19. Tested positive for COVID-19 on January 3rd, 2022. Symptoms onset 1 day prior. Nausea vomiting diarrhea improved. Cough persisting with clear mucus. Underwent CT angio on 01/13/2022, no PE, bilateral ground-glass changes most consistent with COVID pneumonia. Immune compromised. Non-Hodgkin lymphoma on chemotherapy, WBC 1.1. Oncology consulted. Chronic pancytopenia and neutropenia since Bendamustine chemo for NHL. NO g-CSF (might aggravate inflammatory response especially in the lungs). Hypokalemia supplemented. Patient maintain oxygen saturation on room air throughout hospitalization. Not required any COVID related treatment. For neutropenic fever treated with IV antibiotic. Clinically improving. Remain afebrile. Blood cultures no growth. 6 minute walk test done and no recommendation for oxygen. Patient is medically stable to be discharge Home. Discharged on 1/25/22.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Diarrhoea, Febrile neutropenia, Hypokalaemia
Clinical narrative: Patient received Moderna vaccine on 3/8/21, 4/6/21, and 11/11/21. Presented to ER on 1/3/22 and found to be COVID-19 positive. Admitted on 1/20/2022 for presented with fever, cough. Patient is vaccinated against COVID-19. Tested positive for COVID-19 on January 3rd, 2022. Symptoms onset 1 day prior. Nausea vomiting diarrhea improved. Cough persisting with clear mucus. Underwent CT angio on 01/13/2022, no PE, bilateral ground-glass changes most consistent with COVID pneumonia. Immune compromised. Non-Hodgkin lymphoma on chemotherapy, WBC 1.1. Oncology consulted. Chronic pancytopenia and neutropenia since Bendamustine chemo for NHL. NO g-CSF (might aggravate inflammatory response especially in the lungs). Hypokalemia supplemented. Patient maintain oxygen saturation on room air throughout hospitalization. Not required any COVID related treatment. For neutropenic fever treated with IV antibiotic. Clinically improving. Remain afebrile. Blood cultures no growth. 6 minute walk test done and no recommendation for oxygen. Patient is medically stable to be discharge Home. Discharged on 1/25/22.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Immunodeficiency, Infection, Inflammation, Lung disorder, Lung opacity
Clinical narrative: Patient received Moderna vaccine on 3/8/21, 4/6/21, and 11/11/21. Presented to ER on 1/3/22 and found to be COVID-19 positive. Admitted on 1/20/2022 for presented with fever, cough. Patient is vaccinated against COVID-19. Tested positive for COVID-19 on January 3rd, 2022. Symptoms onset 1 day prior. Nausea vomiting diarrhea improved. Cough persisting with clear mucus. Underwent CT angio on 01/13/2022, no PE, bilateral ground-glass changes most consistent with COVID pneumonia. Immune compromised. Non-Hodgkin lymphoma on chemotherapy, WBC 1.1. Oncology consulted. Chronic pancytopenia and neutropenia since Bendamustine chemo for NHL. NO g-CSF (might aggravate inflammatory response especially in the lungs). Hypokalemia supplemented. Patient maintain oxygen saturation on room air throughout hospitalization. Not required any COVID related treatment. For neutropenic fever treated with IV antibiotic. Clinically improving. Remain afebrile. Blood cultures no growth. 6 minute walk test done and no recommendation for oxygen. Patient is medically stable to be discharge Home. Discharged on 1/25/22.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Neutropenia, Non-Hodgkin's lymphoma, Pancytopenia, Pyrexia
Clinical narrative: Patient received Moderna vaccine on 3/8/21, 4/6/21, and 11/11/21. Presented to ER on 1/3/22 and found to be COVID-19 positive. Admitted on 1/20/2022 for presented with fever, cough. Patient is vaccinated against COVID-19. Tested positive for COVID-19 on January 3rd, 2022. Symptoms onset 1 day prior. Nausea vomiting diarrhea improved. Cough persisting with clear mucus. Underwent CT angio on 01/13/2022, no PE, bilateral ground-glass changes most consistent with COVID pneumonia. Immune compromised. Non-Hodgkin lymphoma on chemotherapy, WBC 1.1. Oncology consulted. Chronic pancytopenia and neutropenia since Bendamustine chemo for NHL. NO g-CSF (might aggravate inflammatory response especially in the lungs). Hypokalemia supplemented. Patient maintain oxygen saturation on room air throughout hospitalization. Not required any COVID related treatment. For neutropenic fever treated with IV antibiotic. Clinically improving. Remain afebrile. Blood cultures no growth. 6 minute walk test done and no recommendation for oxygen. Patient is medically stable to be discharge Home. Discharged on 1/25/22.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Secretion discharge, Vomiting, Walking distance test, White blood cell count decreased
Clinical narrative: Patient received Moderna vaccine on 3/8/21, 4/6/21, and 11/11/21. Presented to ER on 1/3/22 and found to be COVID-19 positive. Admitted on 1/20/2022 for presented with fever, cough. Patient is vaccinated against COVID-19. Tested positive for COVID-19 on January 3rd, 2022. Symptoms onset 1 day prior. Nausea vomiting diarrhea improved. Cough persisting with clear mucus. Underwent CT angio on 01/13/2022, no PE, bilateral ground-glass changes most consistent with COVID pneumonia. Immune compromised. Non-Hodgkin lymphoma on chemotherapy, WBC 1.1. Oncology consulted. Chronic pancytopenia and neutropenia since Bendamustine chemo for NHL. NO g-CSF (might aggravate inflammatory response especially in the lungs). Hypokalemia supplemented. Patient maintain oxygen saturation on room air throughout hospitalization. Not required any COVID related treatment. For neutropenic fever treated with IV antibiotic. Clinically improving. Remain afebrile. Blood cultures no growth. 6 minute walk test done and no recommendation for oxygen. Patient is medically stable to be discharge Home. Discharged on 1/25/22.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Blindness, Limb discomfort, Loss of control of legs
Clinical narrative: LOSS OF FUNCTION ,and control of arms and legs,( fine motor skills) , memory loss,loss of eye sight(part of ) coordination functions
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Electrocardiogram abnormal, Laboratory test normal, Muscle spasms
Clinical narrative: Left sided shoulder and chest pain, muscle spasms, intermittent since incident, occurring every other day on average.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis
Clinical narrative: Left sided shoulder and chest pain, muscle spasms, intermittent since incident, occurring every other day on average.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: pain in shoulder bones
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Delivery, Exposure during pregnancy, Postpartum state, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccine on 4/15/21 and 5/6/21. Found to be COVID positive on 1/19/22. She came to hospital to give brith at 40 weeks and 6 days. Baby was 7 pounds and 14 ounces. Apgars were 9 and 9 at one and five minutes. gravida 1, para 0. Her postpartum course was unremarkable and was discharged the same day in stable condition.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received second dose of the moderna Covid-19 vaccine 7days early. Patient was observed for 15 minutes  after receiving the dose. No adverse reactions occurred during that time.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Prolonged swelling (>5 days) over left deltoid after vaccine administration.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: He developed loss of taste and smell 24 hours after receiving the covid vaccine
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Arthropathy, Blood test, Bone swelling, Condition aggravated
Clinical narrative: After receiving the vaccine I was having issues with redness, hotness, and swelling in my arm. The swelling did go down, but the issues with my shoulder is ongoing. Then I thought I was good, but then January 8, 2022 I started to develop puffy cheek bones. My cheeks just puffed up like I had an allergic reaction, but I haven't ate anything new or out of the ordinary. My face is still not better. My primary doctor offered to give me a steroid but I declined to take it. My doctor told me I had angioedema. Then the allergist told me I did not have angioedema. A week later I started to develop lumps in my joints of my hands and feet. I have 8 lumps now. I am still able to work for now.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Full blood count, Hypersensitivity, Joint effusion, Mass
Clinical narrative: After receiving the vaccine I was having issues with redness, hotness, and swelling in my arm. The swelling did go down, but the issues with my shoulder is ongoing. Then I thought I was good, but then January 8, 2022 I started to develop puffy cheek bones. My cheeks just puffed up like I had an allergic reaction, but I haven't ate anything new or out of the ordinary. My face is still not better. My primary doctor offered to give me a steroid but I declined to take it. My doctor told me I had angioedema. Then the allergist told me I did not have angioedema. A week later I started to develop lumps in my joints of my hands and feet. I have 8 lumps now. I am still able to work for now.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin warm, Swelling face, Ultrasound scan abnormal
Clinical narrative: After receiving the vaccine I was having issues with redness, hotness, and swelling in my arm. The swelling did go down, but the issues with my shoulder is ongoing. Then I thought I was good, but then January 8, 2022 I started to develop puffy cheek bones. My cheeks just puffed up like I had an allergic reaction, but I haven't ate anything new or out of the ordinary. My face is still not better. My primary doctor offered to give me a steroid but I declined to take it. My doctor told me I had angioedema. Then the allergist told me I did not have angioedema. A week later I started to develop lumps in my joints of my hands and feet. I have 8 lumps now. I am still able to work for now.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test negative
Clinical narrative: I started out thinking it was a cold or upper respiratory infection but I got a call from my boss stating I may need a test. Scheduled a appt. With a lab to do a drive up CoVid test PCR on 1/5. The test came back negative and no other test were done for my issues. Was given Tessalon pearl's and Amoxicillin for the duration. It took about a week and I have recovered.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Migraine, Mobility decreased, Pain
Clinical narrative: I woke up the next morning I could not move my body I was in pain but I had a severe migraine on one side of my head the rt side of my head starting at my temple so I went to dr. and I was put on several different meds until I finally asked about Topamax I had heard it would help & I was prescribed Topamax & it started helping the migraine pain. I'm still not totally healed.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute pulmonary oedema, Atelectasis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Patient received J&J on 4/13/21. Found to be COVID positive on 1/6/22. Presented to our ER on 1/25/22. Was previously at another hospital from 1/6-1/17/22 due to acute pulmonary edema secondary to having missed hemodialysis days with COVID pneumonia superimposed bacterial pneumonia. SHe was then sent 1/17/22. Facility was not set up for the patient so she came to our ER on 1/25/22.  The patient is on home O2 at 6 L of oxygen.  When she arrived  here, she was a little bit confused. She has now completed a course  of oral corticosteroids for her COVID infection.  When I saw the patient she  does complain of still having a cough with occasional yellowish sputum.  She  is quite awake and alert and oriented x3 almost.  She was able to tell me her  name, where she was, she was only off by a year, since she told me it was  2021. Since she received COVID19 medications at other hospital, she got vit D and vitamin C at our hospital. Discharged on 1/29/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cough, Effusion, Lung opacity, Pneumonia bacterial
Clinical narrative: Patient received J&J on 4/13/21. Found to be COVID positive on 1/6/22. Presented to our ER on 1/25/22. Was previously at another hospital from 1/6-1/17/22 due to acute pulmonary edema secondary to having missed hemodialysis days with COVID pneumonia superimposed bacterial pneumonia. SHe was then sent 1/17/22. Facility was not set up for the patient so she came to our ER on 1/25/22.  The patient is on home O2 at 6 L of oxygen.  When she arrived  here, she was a little bit confused. She has now completed a course  of oral corticosteroids for her COVID infection.  When I saw the patient she  does complain of still having a cough with occasional yellowish sputum.  She  is quite awake and alert and oriented x3 almost.  She was able to tell me her  name, where she was, she was only off by a year, since she told me it was  2021. Since she received COVID19 medications at other hospital, she got vit D and vitamin C at our hospital. Discharged on 1/29/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sputum discoloured, Superinfection
Clinical narrative: Patient received J&J on 4/13/21. Found to be COVID positive on 1/6/22. Presented to our ER on 1/25/22. Was previously at another hospital from 1/6-1/17/22 due to acute pulmonary edema secondary to having missed hemodialysis days with COVID pneumonia superimposed bacterial pneumonia. SHe was then sent 1/17/22. Facility was not set up for the patient so she came to our ER on 1/25/22.  The patient is on home O2 at 6 L of oxygen.  When she arrived  here, she was a little bit confused. She has now completed a course  of oral corticosteroids for her COVID infection.  When I saw the patient she  does complain of still having a cough with occasional yellowish sputum.  She  is quite awake and alert and oriented x3 almost.  She was able to tell me her  name, where she was, she was only off by a year, since she told me it was  2021. Since she received COVID19 medications at other hospital, she got vit D and vitamin C at our hospital. Discharged on 1/29/22
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Dehydration, Musculoskeletal stiffness, Pain, Pain in extremity
Clinical narrative: I got the shingles shot on 1/25/22 and had a bad reaction.  Chilled, slight fever, sore arm, sore body and sore skin for several days.  Then felt deyhdrated for a few days. Then stiff neck.  Finally feeling 95% better after a week.  Should I still take the 2nd shot?  What kind of coverage do I have after just one shot? If I do take the 2nd shot, I'm worried I will get as sick or sicker, so when is best to get it? 2 months after the first shot or wait until closer to the 6 months?  I had somewhat of a similar reaction to the first Covid shot but less of a reaction to 2nd and 3rd shots. And not as much of a reaction to any of the Covid vaccinations as I had to the shingles shot. I reacted worse to the shingles shot.   What to do?  Thanks.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain of skin, Pyrexia
Clinical narrative: I got the shingles shot on 1/25/22 and had a bad reaction.  Chilled, slight fever, sore arm, sore body and sore skin for several days.  Then felt deyhdrated for a few days. Then stiff neck.  Finally feeling 95% better after a week.  Should I still take the 2nd shot?  What kind of coverage do I have after just one shot? If I do take the 2nd shot, I'm worried I will get as sick or sicker, so when is best to get it? 2 months after the first shot or wait until closer to the 6 months?  I had somewhat of a similar reaction to the first Covid shot but less of a reaction to 2nd and 3rd shots. And not as much of a reaction to any of the Covid vaccinations as I had to the shingles shot. I reacted worse to the shingles shot.   What to do?  Thanks.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dyspnoea, Electrocardiogram normal, Palpitations, Rash
Clinical narrative: I had heart palpitations beginning within a week of getting the first dose. They would occasionally subside but were fairly constant. On December 26th I went to a walk-in to get an EKG and blood work done. The palpitations had been constant for about 24 hours and I was experiencing SOB without exertion. I also developed a rash on my left arm within 24 hours after receiving my second dose. This took about a week to resolve.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: patient age wasn't double verified before vaccination. Patient's parent stated date of birth as 08-02-2004. Responsible party then changed date of birth to 08-02-2010. making patient and 11yrs old only eligible for pfizer peds. Medical staff failed catch or calculate pt age before administering 12& up vaccine to an 11yr old. pt was observed for 15 minutes with no adverse reaction to the vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Blood culture negative, Blood gases, COVID-19, COVID-19 pneumonia
Clinical narrative: Received Pfizer vaccine on 3/11/21 and 4/1/21. Presented to ER on 1/25/22 and found to be COVID-19 positive 2 weeks prior. Presented to ER with 2 week history of dyspnea that recently worsened. Patient has been having lethargy for the past 4 weeks, tested positive for COVID-19 2 weeks ago. He was in our ER on Friday for hypoxia on home pulse ox and exertional dyspnea. He was evaluated, had imaging and sent home. Patient states over the past few days he continued to feel worse. He denies any chest pain but has been having a non productive cough. In our ER he was found to be hypoxic, ABG with PO2 of 45, he is now on high flow at 40 l/min and saturating 91%. Patient appears comfortable. CXR shows COVID-19 pneumonia. He had a CTA performed 1/21 showed no PE. Patient is slightly hypotensive today but MAP is >65. Admitted to hospital. Ended up on high-flow. Was admitted to intensive care unit. Seen by Pulmonary Critical Care. He was started on Decadron. Antibiotics were added for possible suspected bacterial infection also. Blood cultures and sputum cultures were negative. Vitamin-D level was less than 50, supplement was provided. He improved significantly in the last 24 hours and he is off oxygen now being discharged home. On day of discharge he has no complaints of shortness of breath chest pain etc. Discharged on 1/29/22.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Dyspnoea, Dyspnoea exertional, Feeling abnormal
Clinical narrative: Received Pfizer vaccine on 3/11/21 and 4/1/21. Presented to ER on 1/25/22 and found to be COVID-19 positive 2 weeks prior. Presented to ER with 2 week history of dyspnea that recently worsened. Patient has been having lethargy for the past 4 weeks, tested positive for COVID-19 2 weeks ago. He was in our ER on Friday for hypoxia on home pulse ox and exertional dyspnea. He was evaluated, had imaging and sent home. Patient states over the past few days he continued to feel worse. He denies any chest pain but has been having a non productive cough. In our ER he was found to be hypoxic, ABG with PO2 of 45, he is now on high flow at 40 l/min and saturating 91%. Patient appears comfortable. CXR shows COVID-19 pneumonia. He had a CTA performed 1/21 showed no PE. Patient is slightly hypotensive today but MAP is >65. Admitted to hospital. Ended up on high-flow. Was admitted to intensive care unit. Seen by Pulmonary Critical Care. He was started on Decadron. Antibiotics were added for possible suspected bacterial infection also. Blood cultures and sputum cultures were negative. Vitamin-D level was less than 50, supplement was provided. He improved significantly in the last 24 hours and he is off oxygen now being discharged home. On day of discharge he has no complaints of shortness of breath chest pain etc. Discharged on 1/29/22.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Imaging procedure, Intensive care, Lethargy
Clinical narrative: Received Pfizer vaccine on 3/11/21 and 4/1/21. Presented to ER on 1/25/22 and found to be COVID-19 positive 2 weeks prior. Presented to ER with 2 week history of dyspnea that recently worsened. Patient has been having lethargy for the past 4 weeks, tested positive for COVID-19 2 weeks ago. He was in our ER on Friday for hypoxia on home pulse ox and exertional dyspnea. He was evaluated, had imaging and sent home. Patient states over the past few days he continued to feel worse. He denies any chest pain but has been having a non productive cough. In our ER he was found to be hypoxic, ABG with PO2 of 45, he is now on high flow at 40 l/min and saturating 91%. Patient appears comfortable. CXR shows COVID-19 pneumonia. He had a CTA performed 1/21 showed no PE. Patient is slightly hypotensive today but MAP is >65. Admitted to hospital. Ended up on high-flow. Was admitted to intensive care unit. Seen by Pulmonary Critical Care. He was started on Decadron. Antibiotics were added for possible suspected bacterial infection also. Blood cultures and sputum cultures were negative. Vitamin-D level was less than 50, supplement was provided. He improved significantly in the last 24 hours and he is off oxygen now being discharged home. On day of discharge he has no complaints of shortness of breath chest pain etc. Discharged on 1/29/22.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Mean arterial pressure, PO2 decreased, SARS-CoV-2 test positive, Sputum culture, Vitamin D
Clinical narrative: Received Pfizer vaccine on 3/11/21 and 4/1/21. Presented to ER on 1/25/22 and found to be COVID-19 positive 2 weeks prior. Presented to ER with 2 week history of dyspnea that recently worsened. Patient has been having lethargy for the past 4 weeks, tested positive for COVID-19 2 weeks ago. He was in our ER on Friday for hypoxia on home pulse ox and exertional dyspnea. He was evaluated, had imaging and sent home. Patient states over the past few days he continued to feel worse. He denies any chest pain but has been having a non productive cough. In our ER he was found to be hypoxic, ABG with PO2 of 45, he is now on high flow at 40 l/min and saturating 91%. Patient appears comfortable. CXR shows COVID-19 pneumonia. He had a CTA performed 1/21 showed no PE. Patient is slightly hypotensive today but MAP is >65. Admitted to hospital. Ended up on high-flow. Was admitted to intensive care unit. Seen by Pulmonary Critical Care. He was started on Decadron. Antibiotics were added for possible suspected bacterial infection also. Blood cultures and sputum cultures were negative. Vitamin-D level was less than 50, supplement was provided. He improved significantly in the last 24 hours and he is off oxygen now being discharged home. On day of discharge he has no complaints of shortness of breath chest pain etc. Discharged on 1/29/22.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Caesarean section, Exposure during pregnancy, SARS-CoV-2 test positive, Ultrasound foetal
Clinical narrative: The patient is a 32-year-old, gravida 3, para 1, AB1 with intrauterine pregnancy at 39 weeks and 2 days, who presents to Labor and Delivery for scheduled repeat C- section secondary to previous C-section x1 declining VBAC.  The patient's pregnancy has been without significant complications.  She did recently have a growth ultrasound secondary to history of IUGR, but the ultrasound was within normal limits.  She is COVID vaccinated, however, she tested positive for COVID on 01/20, so she has passed her 5 days, but will still need to be in isolation until after day 10 while she is in the hospital.  She has had good prenatal care with me since the first trimester with good followup care.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Malaise, Pain, Pyrexia
Clinical narrative: I got very sick with body aches fever cough chills.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Cellulitis, Computerised tomogram abdomen abnormal, Computerised tomogram normal, Debridement
Clinical narrative: 40-year-old male with a history of diabetes mellitus type 2 that have been poorly controlled and morbid obesity was admitted in October 2021 with pain in the inner right thigh.  At that time a CT was obtained and demonstrated some gas in the soft tissues.  He was taken to the operating room by doctor for debridement of a necrotizing soft tissue infection in the right thigh and groin area.  He went back to the operating room on October 5th for more debridement and then was taken to the operating room for final time on October 7th for his final debridement.  He went home with a wound VAC and oral antibiotics.  He presented to the emergency room last night complaining of some pain in the right groin and some redne  This has been going on for about 2 days.  He said he felt fevers at home.  He denied any drainage from any wounds in right groin.  CT scan was obtained of the abdomen and pelvis and right femur.  There was no abscess or gas noted in the area of the right groin or proximal right thigh.  Some findings consistent with cellulitis were noted however.  I reviewed his CT images.  Patient was admitted to my service and started on Zosyn and vancomycin.   DISCHARGE: Brief history of present illness: 40-year-old male with a history of diabetes mellitus type 2 that have been poorly controlled and morbid obesity was admitted in October 2021 with pain in the inner right thigh.  At that time a CT was obtained and demonstrated some gas in the soft tissues.  He was taken to the operating room by doctor for debridement of a necrotizing soft tissue infection in the right thigh and groin area.  He went back to the operating room on October 5th for more debridement and then was taken to the operating room for final time on October 7th for his final debridement.  He went home with a wound VAC and oral antibiotics.  He presented to the emergency room last night complaining of some pain in the right groin and some redness.  This has been going on for about 2 days.  He said he felt fevers at home.  He denied any drainage from any wounds in right groin.  CT scan was obtained of the abdomen and pelvis and right femur.  There was no abscess or gas noted in the area of the right groin or proximal right thigh.  Some findings consistent with cellulitis were noted however.  I reviewed his CT images.  Patient was admitted to my service and started on Zosyn and vancomycin.   Hospital course: patient was admitted and started on IV antibiotics and also topical antifungal for the right groin. He improved with observation. He also tested positive for Covid. He is asymptomatic from the Covid standpoint. He was discharged home. He already has a prescription for antibiotics waiting on him at the pharmacy that was prescribed by his primary care physician. He will pick up some over the counter antifungal medication.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Flatulence, Groin pain, Necrotising soft tissue infection, Pain in extremity
Clinical narrative: 40-year-old male with a history of diabetes mellitus type 2 that have been poorly controlled and morbid obesity was admitted in October 2021 with pain in the inner right thigh.  At that time a CT was obtained and demonstrated some gas in the soft tissues.  He was taken to the operating room by doctor for debridement of a necrotizing soft tissue infection in the right thigh and groin area.  He went back to the operating room on October 5th for more debridement and then was taken to the operating room for final time on October 7th for his final debridement.  He went home with a wound VAC and oral antibiotics.  He presented to the emergency room last night complaining of some pain in the right groin and some redne  This has been going on for about 2 days.  He said he felt fevers at home.  He denied any drainage from any wounds in right groin.  CT scan was obtained of the abdomen and pelvis and right femur.  There was no abscess or gas noted in the area of the right groin or proximal right thigh.  Some findings consistent with cellulitis were noted however.  I reviewed his CT images.  Patient was admitted to my service and started on Zosyn and vancomycin.   DISCHARGE: Brief history of present illness: 40-year-old male with a history of diabetes mellitus type 2 that have been poorly controlled and morbid obesity was admitted in October 2021 with pain in the inner right thigh.  At that time a CT was obtained and demonstrated some gas in the soft tissues.  He was taken to the operating room by doctor for debridement of a necrotizing soft tissue infection in the right thigh and groin area.  He went back to the operating room on October 5th for more debridement and then was taken to the operating room for final time on October 7th for his final debridement.  He went home with a wound VAC and oral antibiotics.  He presented to the emergency room last night complaining of some pain in the right groin and some redness.  This has been going on for about 2 days.  He said he felt fevers at home.  He denied any drainage from any wounds in right groin.  CT scan was obtained of the abdomen and pelvis and right femur.  There was no abscess or gas noted in the area of the right groin or proximal right thigh.  Some findings consistent with cellulitis were noted however.  I reviewed his CT images.  Patient was admitted to my service and started on Zosyn and vancomycin.   Hospital course: patient was admitted and started on IV antibiotics and also topical antifungal for the right groin. He improved with observation. He also tested positive for Covid. He is asymptomatic from the Covid standpoint. He was discharged home. He already has a prescription for antibiotics waiting on him at the pharmacy that was prescribed by his primary care physician. He will pick up some over the counter antifungal medication.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Wound closure
Clinical narrative: 40-year-old male with a history of diabetes mellitus type 2 that have been poorly controlled and morbid obesity was admitted in October 2021 with pain in the inner right thigh.  At that time a CT was obtained and demonstrated some gas in the soft tissues.  He was taken to the operating room by doctor for debridement of a necrotizing soft tissue infection in the right thigh and groin area.  He went back to the operating room on October 5th for more debridement and then was taken to the operating room for final time on October 7th for his final debridement.  He went home with a wound VAC and oral antibiotics.  He presented to the emergency room last night complaining of some pain in the right groin and some redne  This has been going on for about 2 days.  He said he felt fevers at home.  He denied any drainage from any wounds in right groin.  CT scan was obtained of the abdomen and pelvis and right femur.  There was no abscess or gas noted in the area of the right groin or proximal right thigh.  Some findings consistent with cellulitis were noted however.  I reviewed his CT images.  Patient was admitted to my service and started on Zosyn and vancomycin.   DISCHARGE: Brief history of present illness: 40-year-old male with a history of diabetes mellitus type 2 that have been poorly controlled and morbid obesity was admitted in October 2021 with pain in the inner right thigh.  At that time a CT was obtained and demonstrated some gas in the soft tissues.  He was taken to the operating room by doctor for debridement of a necrotizing soft tissue infection in the right thigh and groin area.  He went back to the operating room on October 5th for more debridement and then was taken to the operating room for final time on October 7th for his final debridement.  He went home with a wound VAC and oral antibiotics.  He presented to the emergency room last night complaining of some pain in the right groin and some redness.  This has been going on for about 2 days.  He said he felt fevers at home.  He denied any drainage from any wounds in right groin.  CT scan was obtained of the abdomen and pelvis and right femur.  There was no abscess or gas noted in the area of the right groin or proximal right thigh.  Some findings consistent with cellulitis were noted however.  I reviewed his CT images.  Patient was admitted to my service and started on Zosyn and vancomycin.   Hospital course: patient was admitted and started on IV antibiotics and also topical antifungal for the right groin. He improved with observation. He also tested positive for Covid. He is asymptomatic from the Covid standpoint. He was discharged home. He already has a prescription for antibiotics waiting on him at the pharmacy that was prescribed by his primary care physician. He will pick up some over the counter antifungal medication.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral normal, Aphasia, Arteriogram carotid normal, Basal ganglia haemorrhage, Cerebral mass effect
Clinical narrative: Patient is a 45 year old  female with PMH of hypertension who presents to our facility by EMS for the above mentioned complaint. History is obtained from discussion with EMS personnel, ER physician, and from the patient's son . The patient is currently aphasic and not able to provide any history. The patient's boyfriend reported that the patient went shopping this afternoon. He last spoke with her on the phone at 1400. At any rate, the patient was apparently in the parking lot of a store when she had a minor fender-bender. Bystanders report she was going approximately 5 mph. EMS was alerted who found the patient unable to get out of car with aphasia, right sided weakness and facial dr  droop, left gaze deviation, right homonymous hemianopia, and right-sided neglect. Her right side is flaccid. she moves her left side spontaneously. NIHSS on my examination is 26. Noncontrast CT of the head demonstrates a left basal ganglia intraparenchymal hemorrhage, measuring 4x26 cm, with local mass effect, mild midline shift of 2mm right to left, and effacement of the left lateral ventricle. CTA of the head and neck is without large vessel occlusion, aneurysm or spot sign. Blood pressure on my examination was 201/123.   ICH score 0 on arrival to ED  The patient's son reports that his mom takes sleeping medication. He is unsure if she takes medication for hypertension. She has had all of her Covid vaccines per her son, and has not been sick recently to his knowledge.     PT REMAINS INPATIENT AT THIS TIME.