chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Laryngitis
Clinical narrative: 06/07 - fatigue / runny nose/ head ache/ sneezing  (continued) 06/08 -06/14 - cough, wheezing, body aches, fever, sore throat, fatigue 06/09 - started paxlovid 06/14 - coughing, sore throat, fatigue, laryngitis 06/16 - began antibiotic, coughing, fatigue 06/20 - began prednisone, coughing, fatigue 06/28 - no larygitis, coughing, fatigue 07/10 - coughing and fatigure waining
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 06/07 - fatigue / runny nose/ head ache/ sneezing  (continued) 06/08 -06/14 - cough, wheezing, body aches, fever, sore throat, fatigue 06/09 - started paxlovid 06/14 - coughing, sore throat, fatigue, laryngitis 06/16 - began antibiotic, coughing, fatigue 06/20 - began prednisone, coughing, fatigue 06/28 - no larygitis, coughing, fatigue 07/10 - coughing and fatigure waining
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Wheezing
Clinical narrative: 06/07 - fatigue / runny nose/ head ache/ sneezing  (continued) 06/08 -06/14 - cough, wheezing, body aches, fever, sore throat, fatigue 06/09 - started paxlovid 06/14 - coughing, sore throat, fatigue, laryngitis 06/16 - began antibiotic, coughing, fatigue 06/20 - began prednisone, coughing, fatigue 06/28 - no larygitis, coughing, fatigue 07/10 - coughing and fatigure waining
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Drainage, Exposure to SARS-CoV-2, Fatigue, Insomnia
Clinical narrative: It started a week ago. July 6, 2022. At first, I thought it was just a bad cold. I had gotten all 4 of the shots, so I was pretty confident that I wasn't at too much risk. We had attended a wedding that turned out to be a spreader event. My grandson and son who both live with me both came down with COVID-19. My first evidence that I had it was a scratchy throat. I tried to clear that but I wasn't able to. That turned into what I thought was  a normal cold. Sleeping that night was very difficult. I had a lot of drainage and was really achy. I was also tired and fatigued. I got up the next day and it felt like a bad cold to me. With all the other incidences around me, I took a home test and it was positive right away. That's when we tested my son if he was sick as well. We knew my grandson had COVID-19 and my son had symptoms and he tested positive as well. On Friday, I called the doctor's office and wanted to ask what I should do. I asked if I should get treatment and asked about isolation. I had a telehealth visit and we talked it through, and he mentioned that there was a lot of interactions with medication. By that Friday though, I actually was feeling better, particularly that night as well because I felt like I was on the mend. We decided to let it go for a little bit and it did continue to get better. Today is the first day I've been off quarantine. My body is fatigued and tired. I can't do much without having to sit down and take a rest. Other than that, I feel pretty good. Tomorrow would be a full week since this started.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nasopharyngitis, Pain, Quarantine, SARS-CoV-2 test positive
Clinical narrative: It started a week ago. July 6, 2022. At first, I thought it was just a bad cold. I had gotten all 4 of the shots, so I was pretty confident that I wasn't at too much risk. We had attended a wedding that turned out to be a spreader event. My grandson and son who both live with me both came down with COVID-19. My first evidence that I had it was a scratchy throat. I tried to clear that but I wasn't able to. That turned into what I thought was  a normal cold. Sleeping that night was very difficult. I had a lot of drainage and was really achy. I was also tired and fatigued. I got up the next day and it felt like a bad cold to me. With all the other incidences around me, I took a home test and it was positive right away. That's when we tested my son if he was sick as well. We knew my grandson had COVID-19 and my son had symptoms and he tested positive as well. On Friday, I called the doctor's office and wanted to ask what I should do. I asked if I should get treatment and asked about isolation. I had a telehealth visit and we talked it through, and he mentioned that there was a lot of interactions with medication. By that Friday though, I actually was feeling better, particularly that night as well because I felt like I was on the mend. We decided to let it go for a little bit and it did continue to get better. Today is the first day I've been off quarantine. My body is fatigued and tired. I can't do much without having to sit down and take a rest. Other than that, I feel pretty good. Tomorrow would be a full week since this started.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Throat clearing, Throat irritation
Clinical narrative: It started a week ago. July 6, 2022. At first, I thought it was just a bad cold. I had gotten all 4 of the shots, so I was pretty confident that I wasn't at too much risk. We had attended a wedding that turned out to be a spreader event. My grandson and son who both live with me both came down with COVID-19. My first evidence that I had it was a scratchy throat. I tried to clear that but I wasn't able to. That turned into what I thought was  a normal cold. Sleeping that night was very difficult. I had a lot of drainage and was really achy. I was also tired and fatigued. I got up the next day and it felt like a bad cold to me. With all the other incidences around me, I took a home test and it was positive right away. That's when we tested my son if he was sick as well. We knew my grandson had COVID-19 and my son had symptoms and he tested positive as well. On Friday, I called the doctor's office and wanted to ask what I should do. I asked if I should get treatment and asked about isolation. I had a telehealth visit and we talked it through, and he mentioned that there was a lot of interactions with medication. By that Friday though, I actually was feeling better, particularly that night as well because I felt like I was on the mend. We decided to let it go for a little bit and it did continue to get better. Today is the first day I've been off quarantine. My body is fatigued and tired. I can't do much without having to sit down and take a rest. Other than that, I feel pretty good. Tomorrow would be a full week since this started.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Illness, Oropharyngeal pain, Pain
Clinical narrative: I contracted COVID-19 on 07/10/2022 with symptoms of sore throat, cough, congestion, fever up to 99.7, and body aches. I was prescribed Paxlovid on 07/11/2022. My temperature is back to normal, and the body aches have resolved as of my 3rd day of illness. I am not fully recovered yet.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 07/10/2022 with symptoms of sore throat, cough, congestion, fever up to 99.7, and body aches. I was prescribed Paxlovid on 07/11/2022. My temperature is back to normal, and the body aches have resolved as of my 3rd day of illness. I am not fully recovered yet.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Fatigue, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: After returning from travel, I took a COVID test and it was positive. I took a second one later in the day; it was again positive. I was fatigued and had sinus issues, but those were normal for long travel. I had no other indications that I was ill.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Caecopexy, Computerised tomogram abdomen abnormal, Flatulence
Clinical narrative: Moderna Dose 1 3/16/21 (026A21A) Moderna Dose 2 4/13/21 (040B21A) Moderna Dose 3 11/23/21 (NA) COVID Positive 1/5/22 COVID Positive 1/15/22 1/15/22: Symptoms started around 03:00 o'clock yesterday afternoon. She had abdominal pain followed by vomiting. Last bowel movement was yesterday morning and was normal. Since onset of symptoms, patient does not recall having passed any flatus. She presented to the emergency room early this morning. Labs were generally unremarkable. CT scan demonstrated findings consistent with a high-grade small-bowel obstruction with transition point in the right mid abdomen. The overnight read suggested the possibility of a second transition point at periumbilical hernia. The over read by our in-house radiologist did not think there was a transition point at the hernia. Patient has had an NG tube placed in the emergency room. She is still having pain, but notes that it is mildly improved. 1/19/22: Patient was admitted with CT confirmed evidence of a small-bowel obstruction. After 1 day of conservative management, she was not showing signs of resolution. She was taken to the operating room. She was found to have an internal hernia caused by her cecum flopping over towards the left side of her abdomen. Her cecum was hyper mobile. There was nothing actually tethering it down like this. I performed a cecopexy. Postoperatively, she recovered quickly, passing flatus 2 days after the surgery and then having a bowel movement. Her diet was advanced stepwise. She was deemed ready for discharge 3 days after the surgery.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Laboratory test normal, Malaise, SARS-CoV-2 test positive, Small intestinal obstruction
Clinical narrative: Moderna Dose 1 3/16/21 (026A21A) Moderna Dose 2 4/13/21 (040B21A) Moderna Dose 3 11/23/21 (NA) COVID Positive 1/5/22 COVID Positive 1/15/22 1/15/22: Symptoms started around 03:00 o'clock yesterday afternoon. She had abdominal pain followed by vomiting. Last bowel movement was yesterday morning and was normal. Since onset of symptoms, patient does not recall having passed any flatus. She presented to the emergency room early this morning. Labs were generally unremarkable. CT scan demonstrated findings consistent with a high-grade small-bowel obstruction with transition point in the right mid abdomen. The overnight read suggested the possibility of a second transition point at periumbilical hernia. The over read by our in-house radiologist did not think there was a transition point at the hernia. Patient has had an NG tube placed in the emergency room. She is still having pain, but notes that it is mildly improved. 1/19/22: Patient was admitted with CT confirmed evidence of a small-bowel obstruction. After 1 day of conservative management, she was not showing signs of resolution. She was taken to the operating room. She was found to have an internal hernia caused by her cecum flopping over towards the left side of her abdomen. Her cecum was hyper mobile. There was nothing actually tethering it down like this. I performed a cecopexy. Postoperatively, she recovered quickly, passing flatus 2 days after the surgery and then having a bowel movement. Her diet was advanced stepwise. She was deemed ready for discharge 3 days after the surgery.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Umbilical hernia, Vomiting
Clinical narrative: Moderna Dose 1 3/16/21 (026A21A) Moderna Dose 2 4/13/21 (040B21A) Moderna Dose 3 11/23/21 (NA) COVID Positive 1/5/22 COVID Positive 1/15/22 1/15/22: Symptoms started around 03:00 o'clock yesterday afternoon. She had abdominal pain followed by vomiting. Last bowel movement was yesterday morning and was normal. Since onset of symptoms, patient does not recall having passed any flatus. She presented to the emergency room early this morning. Labs were generally unremarkable. CT scan demonstrated findings consistent with a high-grade small-bowel obstruction with transition point in the right mid abdomen. The overnight read suggested the possibility of a second transition point at periumbilical hernia. The over read by our in-house radiologist did not think there was a transition point at the hernia. Patient has had an NG tube placed in the emergency room. She is still having pain, but notes that it is mildly improved. 1/19/22: Patient was admitted with CT confirmed evidence of a small-bowel obstruction. After 1 day of conservative management, she was not showing signs of resolution. She was taken to the operating room. She was found to have an internal hernia caused by her cecum flopping over towards the left side of her abdomen. Her cecum was hyper mobile. There was nothing actually tethering it down like this. I performed a cecopexy. Postoperatively, she recovered quickly, passing flatus 2 days after the surgery and then having a bowel movement. Her diet was advanced stepwise. She was deemed ready for discharge 3 days after the surgery.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose Administered beyond-use date
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asymptomatic COVID-19, COVID-19, Colitis, Computerised tomogram abdomen abnormal
Clinical narrative: Moderna Dose 1 2/19/21 (023M20A) Moderna Dose 2 3/19/21 (026A21A) Moderna Dose 3 12/15/21 (029H21B) COVID Positive 2/5/22  2/5/22: 68-year-old male patient with a history of muscular dystrophy, hypertension, s/p pacemaker placement several years ago  is wheelchair-bound at home.  There is a caretaker who helps him.  Patient has been constipated for more than 2 weeks.  He has had very little flatus.  His abdominal pain has been slowly getting worse.  Patient has had some nausea and only 1 episode of vomiting.  Since the pain was getting worse, patient came to the hospital for further evaluation.  The pain is located in all the quadrants of the abdomen.  Patient has not had any bloody stools.  He denies any fever/chills associated with abdominal pain.  A CT of the abdomen/pelvis shows evidence of significant amount of stool impaction.  Surgeon was called from the emergency room for consultation.  2/9/22: 68-year-old male patient with a history of muscular dystrophy, hypertension, s/p pacemaker placement several years ago  is wheelchair-bound at home.  There is a caretaker who helps him.  Patient has been constipated for more than 2 weeks.  He had very little flatus.  His abdominal pain was slowly getting worse.  Patient has had some nausea and only 1 episode of vomiting.  Since the pain was getting worse, patient came to the hospital for further evaluation.  The pain was located in all the quadrants of the abdomen.  Patient  had no bloody stools.  He denied any fever/chills associated with abdominal pain.  A CT of the abdomen/pelvis shows evidence of significant amount of stool impaction.  Surgeon was called from the emergency room for consultation.   Patient had manual disimpaction of the stool on 02/05 per surgery in the OR.  Patient was also noted to have rectal colitis and started on Levaquin and Flagyl.  Patient subsequently was able to have bowel movements without difficulty.  Patient also had  perirectal fissure, wound nurse was consulted.  Patient was also tested positive for SARS-CoV-2 infection but he was totally asymptomatic and was not placed on any oxygen.  He did not require any treatment with remdesivir or dexamethasone as he did not complain of any shortness of breath.  His electrolyte abnormalities were corrected.  Patient was stable at the time of discharge.  He was discharged home with VNA.  He will complete the course of antibiotics as prescribed for treating rectal colitis.  I did discuss with the patient's caregiver and all questions were answered.  Patient will follow-up with primary care physician in 1 week.  Patient was advised high-fiber diet and stool softeners advised to be continued to prevent is further episodes of severe constipation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Constipation, Electrolyte imbalance, Faecal disimpaction, Faecaloma, Nausea
Clinical narrative: Moderna Dose 1 2/19/21 (023M20A) Moderna Dose 2 3/19/21 (026A21A) Moderna Dose 3 12/15/21 (029H21B) COVID Positive 2/5/22  2/5/22: 68-year-old male patient with a history of muscular dystrophy, hypertension, s/p pacemaker placement several years ago  is wheelchair-bound at home.  There is a caretaker who helps him.  Patient has been constipated for more than 2 weeks.  He has had very little flatus.  His abdominal pain has been slowly getting worse.  Patient has had some nausea and only 1 episode of vomiting.  Since the pain was getting worse, patient came to the hospital for further evaluation.  The pain is located in all the quadrants of the abdomen.  Patient has not had any bloody stools.  He denies any fever/chills associated with abdominal pain.  A CT of the abdomen/pelvis shows evidence of significant amount of stool impaction.  Surgeon was called from the emergency room for consultation.  2/9/22: 68-year-old male patient with a history of muscular dystrophy, hypertension, s/p pacemaker placement several years ago  is wheelchair-bound at home.  There is a caretaker who helps him.  Patient has been constipated for more than 2 weeks.  He had very little flatus.  His abdominal pain was slowly getting worse.  Patient has had some nausea and only 1 episode of vomiting.  Since the pain was getting worse, patient came to the hospital for further evaluation.  The pain was located in all the quadrants of the abdomen.  Patient  had no bloody stools.  He denied any fever/chills associated with abdominal pain.  A CT of the abdomen/pelvis shows evidence of significant amount of stool impaction.  Surgeon was called from the emergency room for consultation.   Patient had manual disimpaction of the stool on 02/05 per surgery in the OR.  Patient was also noted to have rectal colitis and started on Levaquin and Flagyl.  Patient subsequently was able to have bowel movements without difficulty.  Patient also had  perirectal fissure, wound nurse was consulted.  Patient was also tested positive for SARS-CoV-2 infection but he was totally asymptomatic and was not placed on any oxygen.  He did not require any treatment with remdesivir or dexamethasone as he did not complain of any shortness of breath.  His electrolyte abnormalities were corrected.  Patient was stable at the time of discharge.  He was discharged home with VNA.  He will complete the course of antibiotics as prescribed for treating rectal colitis.  I did discuss with the patient's caregiver and all questions were answered.  Patient will follow-up with primary care physician in 1 week.  Patient was advised high-fiber diet and stool softeners advised to be continued to prevent is further episodes of severe constipation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Rectal fissure, SARS-CoV-2 test positive, Surgery, Vomiting
Clinical narrative: Moderna Dose 1 2/19/21 (023M20A) Moderna Dose 2 3/19/21 (026A21A) Moderna Dose 3 12/15/21 (029H21B) COVID Positive 2/5/22  2/5/22: 68-year-old male patient with a history of muscular dystrophy, hypertension, s/p pacemaker placement several years ago  is wheelchair-bound at home.  There is a caretaker who helps him.  Patient has been constipated for more than 2 weeks.  He has had very little flatus.  His abdominal pain has been slowly getting worse.  Patient has had some nausea and only 1 episode of vomiting.  Since the pain was getting worse, patient came to the hospital for further evaluation.  The pain is located in all the quadrants of the abdomen.  Patient has not had any bloody stools.  He denies any fever/chills associated with abdominal pain.  A CT of the abdomen/pelvis shows evidence of significant amount of stool impaction.  Surgeon was called from the emergency room for consultation.  2/9/22: 68-year-old male patient with a history of muscular dystrophy, hypertension, s/p pacemaker placement several years ago  is wheelchair-bound at home.  There is a caretaker who helps him.  Patient has been constipated for more than 2 weeks.  He had very little flatus.  His abdominal pain was slowly getting worse.  Patient has had some nausea and only 1 episode of vomiting.  Since the pain was getting worse, patient came to the hospital for further evaluation.  The pain was located in all the quadrants of the abdomen.  Patient  had no bloody stools.  He denied any fever/chills associated with abdominal pain.  A CT of the abdomen/pelvis shows evidence of significant amount of stool impaction.  Surgeon was called from the emergency room for consultation.   Patient had manual disimpaction of the stool on 02/05 per surgery in the OR.  Patient was also noted to have rectal colitis and started on Levaquin and Flagyl.  Patient subsequently was able to have bowel movements without difficulty.  Patient also had  perirectal fissure, wound nurse was consulted.  Patient was also tested positive for SARS-CoV-2 infection but he was totally asymptomatic and was not placed on any oxygen.  He did not require any treatment with remdesivir or dexamethasone as he did not complain of any shortness of breath.  His electrolyte abnormalities were corrected.  Patient was stable at the time of discharge.  He was discharged home with VNA.  He will complete the course of antibiotics as prescribed for treating rectal colitis.  I did discuss with the patient's caregiver and all questions were answered.  Patient will follow-up with primary care physician in 1 week.  Patient was advised high-fiber diet and stool softeners advised to be continued to prevent is further episodes of severe constipation.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac monitoring normal, Electrocardiogram normal, Palpitations, Stress
Clinical narrative: Around the end of December, I started experiencing heart palpitations.  Around February 15th, ten months after receiving the vaccine, I went to the ER where they did an EKG and blood work which came back normal.  The doctors diagnosed "stress" (my father died on Febuary 1st) and followed up with a heart monitor.  Those results also came back normal -- by that time the heart palpitations had ceased.
Age: 1.67
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Varicella virus test positive
Clinical narrative: Shingles/varicella Zoster infection to right leg.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a sub-optimal COVID-19 vaccine due to a storage and handling error. Vaccine was stored in a regular freezer prior to being refrigerated and then administered. The local authority requested that a VAERS form be submitted for this patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Blood creatine phosphokinase increased, Blood sodium decreased, Blood urine present
Clinical narrative: Pfizer Dose 1 2/16/21 (EN9581); Pfizer Dose 2 3/9/21 (EN6204); COVID Positive 1/11/22. 1/12/22: Patient is a 78-year-old female with history of COPD on home O2, pulmonary nodules, tobacco abuse, hypothyroidism, HLD, and chronic anemia.  She presented to the emergency department yesterday with complaints of low back pain.  She had limited evaluation, and was discharged home after being evaluated by physical therapy.  The patient reports that after she returned home last night, she has been unable to get out of her reclining chair due to significant weakness.  Also reports an inability to urinate.  Denies shortness of breath at rest.  Reports chronic cough related to her COPD.  Does not feel this is any worse at this time.  Also reports chronic leg edema. No history of heart failure on file.   Patient thinks she had a low sodium level once before. She thinks she used to see the group for Nephrology. She does not take sodium tablets at home.  Does not think she drinks an excessive amount of water.  Tells me she drinks eight 8oz glasses daily, plus several cups of coffee.  In the ED, vitals have been stable and the patient has not required any supplemental oxygen.  CXR showed no acute processes.  Labs were significant for sodium 114, CK 785. UA was positive for protein, blood, wbc's, rbc's.  The patient was given 1L of normal saline in the ED.  Dr. was consulted from the ED.  He would like a BMP at 15:00 and he will see the patient this evening.  1/18/22: Patient is a 78-year-old female with history of COPD on home O2, pulmonary nodules, tobacco abuse, hypothyroidism, HLD, and chronic anemia. She was treated for COVID 19 pneumonia, hypoxia, UTI and severe hyponatremia. A chest x-ray appears unremarkable.  With clear lungs,  Pulmonary vasculature is normal. No pneumothorax or pleural effusion. She received IV antibiotic, neb treatments and remdesivir which completed on 1/17/22. Na level was 114 admission and Nephrology consulted. Today sodium level 136 after treatment with IV lasix and fluid restriction. Nephrology recommendation reviewed and patient to continue with Lasix 20 mg oral twice a day.  Patient to continue with fluid restriction as well.  She was seen and evaluated at bedside.  She also completed IV antibiotic for UTI. Repeat UA came back negative. She denies shortness of breath , chest pain, palpitation, nausea, vomiting, abdominal pain, dizziness any other discomfort. The patient reports improvement on her symptoms and is able to maintain her sats above 90% 4 L nasal cannula.  She was able to work with physical therapy who recommended skilled nursing placement. Patient was approved for SNF and transfer to Allure in Moline. Patient's family have been updated.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray normal, Hyponatraemia, Hypoxia
Clinical narrative: Pfizer Dose 1 2/16/21 (EN9581); Pfizer Dose 2 3/9/21 (EN6204); COVID Positive 1/11/22. 1/12/22: Patient is a 78-year-old female with history of COPD on home O2, pulmonary nodules, tobacco abuse, hypothyroidism, HLD, and chronic anemia.  She presented to the emergency department yesterday with complaints of low back pain.  She had limited evaluation, and was discharged home after being evaluated by physical therapy.  The patient reports that after she returned home last night, she has been unable to get out of her reclining chair due to significant weakness.  Also reports an inability to urinate.  Denies shortness of breath at rest.  Reports chronic cough related to her COPD.  Does not feel this is any worse at this time.  Also reports chronic leg edema. No history of heart failure on file.   Patient thinks she had a low sodium level once before. She thinks she used to see the group for Nephrology. She does not take sodium tablets at home.  Does not think she drinks an excessive amount of water.  Tells me she drinks eight 8oz glasses daily, plus several cups of coffee.  In the ED, vitals have been stable and the patient has not required any supplemental oxygen.  CXR showed no acute processes.  Labs were significant for sodium 114, CK 785. UA was positive for protein, blood, wbc's, rbc's.  The patient was given 1L of normal saline in the ED.  Dr. was consulted from the ED.  He would like a BMP at 15:00 and he will see the patient this evening.  1/18/22: Patient is a 78-year-old female with history of COPD on home O2, pulmonary nodules, tobacco abuse, hypothyroidism, HLD, and chronic anemia. She was treated for COVID 19 pneumonia, hypoxia, UTI and severe hyponatremia. A chest x-ray appears unremarkable.  With clear lungs,  Pulmonary vasculature is normal. No pneumothorax or pleural effusion. She received IV antibiotic, neb treatments and remdesivir which completed on 1/17/22. Na level was 114 admission and Nephrology consulted. Today sodium level 136 after treatment with IV lasix and fluid restriction. Nephrology recommendation reviewed and patient to continue with Lasix 20 mg oral twice a day.  Patient to continue with fluid restriction as well.  She was seen and evaluated at bedside.  She also completed IV antibiotic for UTI. Repeat UA came back negative. She denies shortness of breath , chest pain, palpitation, nausea, vomiting, abdominal pain, dizziness any other discomfort. The patient reports improvement on her symptoms and is able to maintain her sats above 90% 4 L nasal cannula.  She was able to work with physical therapy who recommended skilled nursing placement. Patient was approved for SNF and transfer to Allure in Moline. Patient's family have been updated.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Mobility decreased, Protein urine present, Red blood cells urine positive, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 2/16/21 (EN9581); Pfizer Dose 2 3/9/21 (EN6204); COVID Positive 1/11/22. 1/12/22: Patient is a 78-year-old female with history of COPD on home O2, pulmonary nodules, tobacco abuse, hypothyroidism, HLD, and chronic anemia.  She presented to the emergency department yesterday with complaints of low back pain.  She had limited evaluation, and was discharged home after being evaluated by physical therapy.  The patient reports that after she returned home last night, she has been unable to get out of her reclining chair due to significant weakness.  Also reports an inability to urinate.  Denies shortness of breath at rest.  Reports chronic cough related to her COPD.  Does not feel this is any worse at this time.  Also reports chronic leg edema. No history of heart failure on file.   Patient thinks she had a low sodium level once before. She thinks she used to see the group for Nephrology. She does not take sodium tablets at home.  Does not think she drinks an excessive amount of water.  Tells me she drinks eight 8oz glasses daily, plus several cups of coffee.  In the ED, vitals have been stable and the patient has not required any supplemental oxygen.  CXR showed no acute processes.  Labs were significant for sodium 114, CK 785. UA was positive for protein, blood, wbc's, rbc's.  The patient was given 1L of normal saline in the ED.  Dr. was consulted from the ED.  He would like a BMP at 15:00 and he will see the patient this evening.  1/18/22: Patient is a 78-year-old female with history of COPD on home O2, pulmonary nodules, tobacco abuse, hypothyroidism, HLD, and chronic anemia. She was treated for COVID 19 pneumonia, hypoxia, UTI and severe hyponatremia. A chest x-ray appears unremarkable.  With clear lungs,  Pulmonary vasculature is normal. No pneumothorax or pleural effusion. She received IV antibiotic, neb treatments and remdesivir which completed on 1/17/22. Na level was 114 admission and Nephrology consulted. Today sodium level 136 after treatment with IV lasix and fluid restriction. Nephrology recommendation reviewed and patient to continue with Lasix 20 mg oral twice a day.  Patient to continue with fluid restriction as well.  She was seen and evaluated at bedside.  She also completed IV antibiotic for UTI. Repeat UA came back negative. She denies shortness of breath , chest pain, palpitation, nausea, vomiting, abdominal pain, dizziness any other discomfort. The patient reports improvement on her symptoms and is able to maintain her sats above 90% 4 L nasal cannula.  She was able to work with physical therapy who recommended skilled nursing placement. Patient was approved for SNF and transfer to Allure in Moline. Patient's family have been updated.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary retention, Urinary tract infection, Urine analysis abnormal, White blood cells urine positive
Clinical narrative: Pfizer Dose 1 2/16/21 (EN9581); Pfizer Dose 2 3/9/21 (EN6204); COVID Positive 1/11/22. 1/12/22: Patient is a 78-year-old female with history of COPD on home O2, pulmonary nodules, tobacco abuse, hypothyroidism, HLD, and chronic anemia.  She presented to the emergency department yesterday with complaints of low back pain.  She had limited evaluation, and was discharged home after being evaluated by physical therapy.  The patient reports that after she returned home last night, she has been unable to get out of her reclining chair due to significant weakness.  Also reports an inability to urinate.  Denies shortness of breath at rest.  Reports chronic cough related to her COPD.  Does not feel this is any worse at this time.  Also reports chronic leg edema. No history of heart failure on file.   Patient thinks she had a low sodium level once before. She thinks she used to see the group for Nephrology. She does not take sodium tablets at home.  Does not think she drinks an excessive amount of water.  Tells me she drinks eight 8oz glasses daily, plus several cups of coffee.  In the ED, vitals have been stable and the patient has not required any supplemental oxygen.  CXR showed no acute processes.  Labs were significant for sodium 114, CK 785. UA was positive for protein, blood, wbc's, rbc's.  The patient was given 1L of normal saline in the ED.  Dr. was consulted from the ED.  He would like a BMP at 15:00 and he will see the patient this evening.  1/18/22: Patient is a 78-year-old female with history of COPD on home O2, pulmonary nodules, tobacco abuse, hypothyroidism, HLD, and chronic anemia. She was treated for COVID 19 pneumonia, hypoxia, UTI and severe hyponatremia. A chest x-ray appears unremarkable.  With clear lungs,  Pulmonary vasculature is normal. No pneumothorax or pleural effusion. She received IV antibiotic, neb treatments and remdesivir which completed on 1/17/22. Na level was 114 admission and Nephrology consulted. Today sodium level 136 after treatment with IV lasix and fluid restriction. Nephrology recommendation reviewed and patient to continue with Lasix 20 mg oral twice a day.  Patient to continue with fluid restriction as well.  She was seen and evaluated at bedside.  She also completed IV antibiotic for UTI. Repeat UA came back negative. She denies shortness of breath , chest pain, palpitation, nausea, vomiting, abdominal pain, dizziness any other discomfort. The patient reports improvement on her symptoms and is able to maintain her sats above 90% 4 L nasal cannula.  She was able to work with physical therapy who recommended skilled nursing placement. Patient was approved for SNF and transfer to Allure in Moline. Patient's family have been updated.
Age: 4.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Dote administered beyond-use date
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol abuse, Angiogram pulmonary abnormal, Atelectasis, COVID-19, COVID-19 pneumonia
Clinical narrative: Pfizer Dose 1 3/9/21 (EN6205) Pfizer Dose 2 4/6/21 (EN6208) COVID Positive 1/21/22  1/21/22: Patient is a 79-year-old male with history of generalized anxiety, COPD, CVA, and HTN.  He also reports chronic alcohol abuse.  Reports he drinks 3 cans of beer daily.  Reports he woke up suddenly at 01:30 today with cough, shortness of breath, and chest congestion.  He denies fever, chills, nausea, vomiting, diarrhea, recent exposure to COVID.  He is fully vaccinated for COVID, but has not gotten his booster.   Patient's vitals have been stable in the ED.  He was placed on supplemental oxygen at 2L for comfort, but has no documented hypoxia.  Labs were fairly unremarkable, aside from a WBC count of 32.23.  CXR showed no acute processes, however, CTA chest showed a persistent right middle lobe infiltrate/consolidation with milder bilateral lower lobe infiltrate or atelectasis.  They recommended follow-up CT in 6-8 weeks and pulmonology follow-up at discharge to ensure resolution of right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  CT of abdomen showed no acute processes.  In the ED, the patient received 125 mg Solu-Medrol, 750 mg Levaquin, and a DuoNeb.  1/24/22: Patient is a 79-year-old male with history of COPD, HTN, CVA, and anxiety disorder who was admitted on 1/21/2022 with acute COPD exacerbation, bilateral COVID pneumonia, likely superimposed bacterial pneumonia, and sepsis.  He was admitted to the medical floor and was started on IV antibiotics, IV steroids, and remdesivir.  On admission, his CT chest showed persistent right middle lobe infiltrate/consolidation, and the radiologist recommended follow-up CT in 6-8 weeks as well as Pulmonary consult to ensure the resolution of the right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  I discussed this with the patient, and he tells me he will follow-up with his PCP.  The patient has slowly improved over the last several days.  His WBCs are trending down, and today are at 13k.  He denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations.  He is requesting to go home today.  As he is not requiring supplemental oxygen, he will be discharged home on dexamethasone and Levaquin.  I explained to him the importance of finishing both of these medications, even if he feels like he does not need them. He verbalized understanding.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chronic obstructive pulmonary disease, Computerised tomogram abdomen normal, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Pfizer Dose 1 3/9/21 (EN6205) Pfizer Dose 2 4/6/21 (EN6208) COVID Positive 1/21/22  1/21/22: Patient is a 79-year-old male with history of generalized anxiety, COPD, CVA, and HTN.  He also reports chronic alcohol abuse.  Reports he drinks 3 cans of beer daily.  Reports he woke up suddenly at 01:30 today with cough, shortness of breath, and chest congestion.  He denies fever, chills, nausea, vomiting, diarrhea, recent exposure to COVID.  He is fully vaccinated for COVID, but has not gotten his booster.   Patient's vitals have been stable in the ED.  He was placed on supplemental oxygen at 2L for comfort, but has no documented hypoxia.  Labs were fairly unremarkable, aside from a WBC count of 32.23.  CXR showed no acute processes, however, CTA chest showed a persistent right middle lobe infiltrate/consolidation with milder bilateral lower lobe infiltrate or atelectasis.  They recommended follow-up CT in 6-8 weeks and pulmonology follow-up at discharge to ensure resolution of right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  CT of abdomen showed no acute processes.  In the ED, the patient received 125 mg Solu-Medrol, 750 mg Levaquin, and a DuoNeb.  1/24/22: Patient is a 79-year-old male with history of COPD, HTN, CVA, and anxiety disorder who was admitted on 1/21/2022 with acute COPD exacerbation, bilateral COVID pneumonia, likely superimposed bacterial pneumonia, and sepsis.  He was admitted to the medical floor and was started on IV antibiotics, IV steroids, and remdesivir.  On admission, his CT chest showed persistent right middle lobe infiltrate/consolidation, and the radiologist recommended follow-up CT in 6-8 weeks as well as Pulmonary consult to ensure the resolution of the right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  I discussed this with the patient, and he tells me he will follow-up with his PCP.  The patient has slowly improved over the last several days.  His WBCs are trending down, and today are at 13k.  He denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations.  He is requesting to go home today.  As he is not requiring supplemental oxygen, he will be discharged home on dexamethasone and Levaquin.  I explained to him the importance of finishing both of these medications, even if he feels like he does not need them. He verbalized understanding.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Inappropriate schedule of product administration, Laboratory test, Lung consolidation
Clinical narrative: Pfizer Dose 1 3/9/21 (EN6205) Pfizer Dose 2 4/6/21 (EN6208) COVID Positive 1/21/22  1/21/22: Patient is a 79-year-old male with history of generalized anxiety, COPD, CVA, and HTN.  He also reports chronic alcohol abuse.  Reports he drinks 3 cans of beer daily.  Reports he woke up suddenly at 01:30 today with cough, shortness of breath, and chest congestion.  He denies fever, chills, nausea, vomiting, diarrhea, recent exposure to COVID.  He is fully vaccinated for COVID, but has not gotten his booster.   Patient's vitals have been stable in the ED.  He was placed on supplemental oxygen at 2L for comfort, but has no documented hypoxia.  Labs were fairly unremarkable, aside from a WBC count of 32.23.  CXR showed no acute processes, however, CTA chest showed a persistent right middle lobe infiltrate/consolidation with milder bilateral lower lobe infiltrate or atelectasis.  They recommended follow-up CT in 6-8 weeks and pulmonology follow-up at discharge to ensure resolution of right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  CT of abdomen showed no acute processes.  In the ED, the patient received 125 mg Solu-Medrol, 750 mg Levaquin, and a DuoNeb.  1/24/22: Patient is a 79-year-old male with history of COPD, HTN, CVA, and anxiety disorder who was admitted on 1/21/2022 with acute COPD exacerbation, bilateral COVID pneumonia, likely superimposed bacterial pneumonia, and sepsis.  He was admitted to the medical floor and was started on IV antibiotics, IV steroids, and remdesivir.  On admission, his CT chest showed persistent right middle lobe infiltrate/consolidation, and the radiologist recommended follow-up CT in 6-8 weeks as well as Pulmonary consult to ensure the resolution of the right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  I discussed this with the patient, and he tells me he will follow-up with his PCP.  The patient has slowly improved over the last several days.  His WBCs are trending down, and today are at 13k.  He denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations.  He is requesting to go home today.  As he is not requiring supplemental oxygen, he will be discharged home on dexamethasone and Levaquin.  I explained to him the importance of finishing both of these medications, even if he feels like he does not need them. He verbalized understanding.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Pneumonia, Pneumonia bacterial, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 3/9/21 (EN6205) Pfizer Dose 2 4/6/21 (EN6208) COVID Positive 1/21/22  1/21/22: Patient is a 79-year-old male with history of generalized anxiety, COPD, CVA, and HTN.  He also reports chronic alcohol abuse.  Reports he drinks 3 cans of beer daily.  Reports he woke up suddenly at 01:30 today with cough, shortness of breath, and chest congestion.  He denies fever, chills, nausea, vomiting, diarrhea, recent exposure to COVID.  He is fully vaccinated for COVID, but has not gotten his booster.   Patient's vitals have been stable in the ED.  He was placed on supplemental oxygen at 2L for comfort, but has no documented hypoxia.  Labs were fairly unremarkable, aside from a WBC count of 32.23.  CXR showed no acute processes, however, CTA chest showed a persistent right middle lobe infiltrate/consolidation with milder bilateral lower lobe infiltrate or atelectasis.  They recommended follow-up CT in 6-8 weeks and pulmonology follow-up at discharge to ensure resolution of right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  CT of abdomen showed no acute processes.  In the ED, the patient received 125 mg Solu-Medrol, 750 mg Levaquin, and a DuoNeb.  1/24/22: Patient is a 79-year-old male with history of COPD, HTN, CVA, and anxiety disorder who was admitted on 1/21/2022 with acute COPD exacerbation, bilateral COVID pneumonia, likely superimposed bacterial pneumonia, and sepsis.  He was admitted to the medical floor and was started on IV antibiotics, IV steroids, and remdesivir.  On admission, his CT chest showed persistent right middle lobe infiltrate/consolidation, and the radiologist recommended follow-up CT in 6-8 weeks as well as Pulmonary consult to ensure the resolution of the right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  I discussed this with the patient, and he tells me he will follow-up with his PCP.  The patient has slowly improved over the last several days.  His WBCs are trending down, and today are at 13k.  He denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations.  He is requesting to go home today.  As he is not requiring supplemental oxygen, he will be discharged home on dexamethasone and Levaquin.  I explained to him the importance of finishing both of these medications, even if he feels like he does not need them. He verbalized understanding.