chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Nausea, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Discharged   9/2/2021 - 9/6/2021 (4 days)  Hospital Hospital Course:  Patient is an 83 y.o. year old female with a past medical history of GERD, anxiety, depression, mixed hyperlipidemia and acquired hypothyroidism, who was admitted with severe acute on chronic hyponatremia.  A problem based hospital course has been listed below;   o Acute on chronic hyponatremia, severe and symptomatic: Her sodium was 111 on admission (sodium of 127 on 8/27/2021).  This is most likely due to severe dehydration related to poor oral intake due to severe malaise, nausea and vomiting.  Urine studies along with low serum uric acid levels are suggestive of SIADH.  She received hypertonic saline due to symptomatic hyponatremia.  Due to overcorrection of sodium, she was also placed on D5 infusion at 100 mL/h as per nephrology recommendations.  Her sodium appropriately improved after that and was 130 at discharge which is close to her baseline.  She was advised to restrict total fluid intake to less than 1800 mL/day and her Wellbutrin was discontinued.  She was clinically and hemodynamically stable at the time of discharge.  She was advised to follow-up with her PCP within 5 days with repeat blood work.     o COVID-19 infection: The patient presented with severe malaise, weakness, cough, abdominal pain, nausea and vomiting.  Chest x-ray revealed no evidence of discrete infiltrate and there was no persistent hypoxia.  She received dexamethasone 6 mg IV every 24 hour for 5 days during hospital stay.  She was discharged on dexamethasone 6 mg daily for 5 more days to complete a course of 10 days of dexamethasone.     o Hypophosphatemia: Her phosphorus was down to 1.1 on 9/4/21 which improved to 2.5 after multiple repletion with IV K-Phos.   o Mixed hyperlipidemia: She is not on statin due to intolerance.   o Acquired hypothyroidism: She is on levothyroxine 50 mcg daily.   o GERD: She is on Protonix 40 mg daily.   o Anxiety/depression: Her mood is relatively stable at this time.  Her Wellbutrin was discontinued due to hyponatremia/SIADH and if needed, she should be placed on alternative antidepression/antianxiety medication as outpatient.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Urine uric acid decreased, Viral test negative, Vomiting
Clinical narrative: ED to Hosp-Admission Discharged   9/2/2021 - 9/6/2021 (4 days)  Hospital Hospital Course:  Patient is an 83 y.o. year old female with a past medical history of GERD, anxiety, depression, mixed hyperlipidemia and acquired hypothyroidism, who was admitted with severe acute on chronic hyponatremia.  A problem based hospital course has been listed below;   o Acute on chronic hyponatremia, severe and symptomatic: Her sodium was 111 on admission (sodium of 127 on 8/27/2021).  This is most likely due to severe dehydration related to poor oral intake due to severe malaise, nausea and vomiting.  Urine studies along with low serum uric acid levels are suggestive of SIADH.  She received hypertonic saline due to symptomatic hyponatremia.  Due to overcorrection of sodium, she was also placed on D5 infusion at 100 mL/h as per nephrology recommendations.  Her sodium appropriately improved after that and was 130 at discharge which is close to her baseline.  She was advised to restrict total fluid intake to less than 1800 mL/day and her Wellbutrin was discontinued.  She was clinically and hemodynamically stable at the time of discharge.  She was advised to follow-up with her PCP within 5 days with repeat blood work.     o COVID-19 infection: The patient presented with severe malaise, weakness, cough, abdominal pain, nausea and vomiting.  Chest x-ray revealed no evidence of discrete infiltrate and there was no persistent hypoxia.  She received dexamethasone 6 mg IV every 24 hour for 5 days during hospital stay.  She was discharged on dexamethasone 6 mg daily for 5 more days to complete a course of 10 days of dexamethasone.     o Hypophosphatemia: Her phosphorus was down to 1.1 on 9/4/21 which improved to 2.5 after multiple repletion with IV K-Phos.   o Mixed hyperlipidemia: She is not on statin due to intolerance.   o Acquired hypothyroidism: She is on levothyroxine 50 mcg daily.   o GERD: She is on Protonix 40 mg daily.   o Anxiety/depression: Her mood is relatively stable at this time.  Her Wellbutrin was discontinued due to hyponatremia/SIADH and if needed, she should be placed on alternative antidepression/antianxiety medication as outpatient.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma
Clinical narrative: Patient was vaccinated on 8/28/21. On 9/3/21 patient broke out into hives over entire body. The patient was seen at a walk in clinic and was given a steroid injection.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Fatigue
Clinical narrative: This is a very pleasant 73-year-old male with hypertension, hyperlipidemia, peripheral neuropathy, patient presented to the emergency department due to progressively worsening cough and shortness of breath, he has known positive COVID-19 infection in the outpatient setting, he reports that he is vaccinated with Moderna vaccine 1st dose in April 2021 and the 2nd dose in May 2021, P started to have symptoms about 7-10 days ago, he also received a dose of Regenerone in the outpatient setting about 4 days ago per his report, he denies any known sick contacts, lives with his wife at home, his symptoms have been progressively worsening including shortness of breath, nonproductive cough, overall generalized weakness and fatigue.  He denies any chest pain, nausea, vomiting, sweating, dizziness or focal weaknesses.  In the emergency department, his resting pulse ox is 90-91%, requiring minimal supplemental O2 via nasal cannula.  Nothing seems to improve or worsen his symptoms.  He is currently afebrile and hemodynamically stable Tested positive on 9/2/2021
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: This is a very pleasant 73-year-old male with hypertension, hyperlipidemia, peripheral neuropathy, patient presented to the emergency department due to progressively worsening cough and shortness of breath, he has known positive COVID-19 infection in the outpatient setting, he reports that he is vaccinated with Moderna vaccine 1st dose in April 2021 and the 2nd dose in May 2021, P started to have symptoms about 7-10 days ago, he also received a dose of Regenerone in the outpatient setting about 4 days ago per his report, he denies any known sick contacts, lives with his wife at home, his symptoms have been progressively worsening including shortness of breath, nonproductive cough, overall generalized weakness and fatigue.  He denies any chest pain, nausea, vomiting, sweating, dizziness or focal weaknesses.  In the emergency department, his resting pulse ox is 90-91%, requiring minimal supplemental O2 via nasal cannula.  Nothing seems to improve or worsen his symptoms.  He is currently afebrile and hemodynamically stable Tested positive on 9/2/2021
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood urea increased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: This is a very pleasant 64-year-old female patient with a known medical history of chronic kidney disease stage 5, hypertension, hyperlipidemia, morbid obesity, type 2 diabetes mellitus with hyperglycemia, neuropathy, obstructive sleep apnea, osteoarthritis, pulmonary hypertension, rheumatoid arthritis, history of stroke, CAD with history of stent, adrenal mass, anemia, asthma who presented to the ED with complaints of cough and mild shortness of breath and secondary to these complaints she has missed her scheduled dialysis treatments.  She was diagnosed with COVID on August 31, 2021, she did receive her 2 doses of COVID-19 vaccine.  She denies any recent fevers, chills, chest pain, palpitations.  Supposedly she did not get her dialysis on Tuesday nor today secondary to her worsening cough and shortness of breath.  She follows with Dr. outpatient for chronic kidney disease stage 5 undergoes dialysis Tuesday, Thursday and Saturday, her last dialysis treatment was last Saturday and per patient report 2 L were taken off.  She presents today with volume overload and acute on chronic renal failure with worsening creatinine at 10.68/BUN 53, after review of her readings in June her creatinine was at 4.  She also presents with an elevated troponin 298 with BNP 29437.  Patient will be admitted for dialysis and consultation to Nephrology as well as trending her troponin and cardiac consultation.                                          Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Hypervolaemia, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: This is a very pleasant 64-year-old female patient with a known medical history of chronic kidney disease stage 5, hypertension, hyperlipidemia, morbid obesity, type 2 diabetes mellitus with hyperglycemia, neuropathy, obstructive sleep apnea, osteoarthritis, pulmonary hypertension, rheumatoid arthritis, history of stroke, CAD with history of stent, adrenal mass, anemia, asthma who presented to the ED with complaints of cough and mild shortness of breath and secondary to these complaints she has missed her scheduled dialysis treatments.  She was diagnosed with COVID on August 31, 2021, she did receive her 2 doses of COVID-19 vaccine.  She denies any recent fevers, chills, chest pain, palpitations.  Supposedly she did not get her dialysis on Tuesday nor today secondary to her worsening cough and shortness of breath.  She follows with Dr. outpatient for chronic kidney disease stage 5 undergoes dialysis Tuesday, Thursday and Saturday, her last dialysis treatment was last Saturday and per patient report 2 L were taken off.  She presents today with volume overload and acute on chronic renal failure with worsening creatinine at 10.68/BUN 53, after review of her readings in June her creatinine was at 4.  She also presents with an elevated troponin 298 with BNP 29437.  Patient will be admitted for dialysis and consultation to Nephrology as well as trending her troponin and cardiac consultation.                                          Patient denies any fever, cough, chills, rhinorrhea, sore throat, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, nausea, vomiting, constipation, hematuria, dysuria, frequency, melena, hematochezia or focal neurological complaints
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Corrective lens user, Ophthalmological examination abnormal, Visual impairment
Clinical narrative: My vision got much worse beginning the day after the shot. It got even worse after the second shot. I now require glasses for both reading and far vision. Prior to the vaccine I did not wear glasses.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19, Condition aggravated, Insomnia, Pain
Clinical narrative: The patient presents with back pain and lumbar pain.  The onset was 3.5  weeks ago.  The course/duration of symptoms is Coming and going.  Type of injury: none.  Location: lumbar. Radiating pain: none. The character of symptoms is stabbing.  The degree at onset was minimal.  The degree at present is moderate.  The exacerbating factor is none.  The relieving factor is none.  Risk factors consist of coronary artery disease and hypertension.  Prior episodes: occasional.  Therapy today: prescription medications including Augmentin.  The patient presents to the emergency department with a 3-4 week history of low back pain.  He reports the pain is been coming and going.  He reports that makes  Tested positive on 9/6/2021  The degree at present is moderate.  The exacerbating factor is none.  The relieving factor is none.  Risk factors consist of coronary artery disease and hypertension.  Prior episodes: occasional.  Therapy today: prescription medications including Augmentin.  The patient presents to the emergency department with a 3-4 week history of low back pain.  He reports the pain is been coming and going.  He reports that makes it difficult to sleep at night.  He reports that he has had associated problems with urinating.  He reports that when he has the urge to urinate he has had the ability to get to the bathroom quickly and ends up having incontinence.  The patient reports that he has seen his physician regarding this and was given a prescription for Augmentin, however he is unsure exactly why.  He reports that prior to this he was also on another antibiotic.  The patient reports a past medical history of having a bladder cancer with localized chemotherapy to the bladder, and history of kidney cancer with right nephrectomy.  He denies having any associated nausea, vomiting, or diarrhea.  He denies having any chest pain, chest pressure, or shortness of breath.  The patient arrives with a low-grade temp of 100.1°.  He denies any bowel incontinence.  He denies having any numbness or tingling to his extremities, weakness of his extremities, or saddle anesthesia.  He denies any recent trauma or fall.  He reports that years ago he did fall off a roof and broke a bone in his back, however he did not require any surgery..
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Urinary incontinence
Clinical narrative: The patient presents with back pain and lumbar pain.  The onset was 3.5  weeks ago.  The course/duration of symptoms is Coming and going.  Type of injury: none.  Location: lumbar. Radiating pain: none. The character of symptoms is stabbing.  The degree at onset was minimal.  The degree at present is moderate.  The exacerbating factor is none.  The relieving factor is none.  Risk factors consist of coronary artery disease and hypertension.  Prior episodes: occasional.  Therapy today: prescription medications including Augmentin.  The patient presents to the emergency department with a 3-4 week history of low back pain.  He reports the pain is been coming and going.  He reports that makes  Tested positive on 9/6/2021  The degree at present is moderate.  The exacerbating factor is none.  The relieving factor is none.  Risk factors consist of coronary artery disease and hypertension.  Prior episodes: occasional.  Therapy today: prescription medications including Augmentin.  The patient presents to the emergency department with a 3-4 week history of low back pain.  He reports the pain is been coming and going.  He reports that makes it difficult to sleep at night.  He reports that he has had associated problems with urinating.  He reports that when he has the urge to urinate he has had the ability to get to the bathroom quickly and ends up having incontinence.  The patient reports that he has seen his physician regarding this and was given a prescription for Augmentin, however he is unsure exactly why.  He reports that prior to this he was also on another antibiotic.  The patient reports a past medical history of having a bladder cancer with localized chemotherapy to the bladder, and history of kidney cancer with right nephrectomy.  He denies having any associated nausea, vomiting, or diarrhea.  He denies having any chest pain, chest pressure, or shortness of breath.  The patient arrives with a low-grade temp of 100.1°.  He denies any bowel incontinence.  He denies having any numbness or tingling to his extremities, weakness of his extremities, or saddle anesthesia.  He denies any recent trauma or fall.  He reports that years ago he did fall off a roof and broke a bone in his back, however he did not require any surgery..
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Inappropriate schedule of product administration, Mediastinal mass, Respiratory tract congestion
Clinical narrative: 9/1/21: Patient arrived at the ER due to cough and congestion as well as shortness of breath. Patient is on room air with oxygen saturation of 98% awaiting bronchoscopy with ultrasound-guided FNA of the mediastinal mass.  Please note: Patient received first dose Pfizer vaccine on 3/30/2021 Lot # EP7533 and the second dose on 4/12/2021 Lot # EW0153
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Thrombosis, Vaginal haemorrhage
Clinical narrative: Monday, the day after the vaccine I had a lot of pain in my arm and I still have it. Vaginal bleeding and I'm still bleeding and pains that come and go, and it's still going down with clots.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Craniocerebral injury, Fall, Head injury, Pain
Clinical narrative: This very pleasant 52 year-old female from a nursing nursing home fell and sustained traumatic brain injury and was admitted;---more detailed history per attending physician, is verified and reproduced below .....  Tested positive on 9/6/2021 This very pleasant 52 year-old female from a nursing nursing home fell and sustained traumatic brain injury and was admitted;---more detailed history per attending physician, is verified and reproduced below   The patient presents following fall.  The onset was just prior to arrival.  The occurrence was single episode.  The fall was described as UNKNOWN.  The location where the incident occurred was REHAB FACILITY.  Location: Right head. The character of symptoms is pain.  The degree at present is minimal.  The exacerbating factor is none.  The relieving factor is none.  Risk factors consist of age and anticoagulated.  The patient's dominant hand is the right hand.  Therapy today: emergency medical services.  Preceding symptoms PATIENT UNCERTAIN.  Associated symptoms: none.  PATIENT RECENTLY DISCHARGED FROM THE HOSPITAL ON ELIQUIS.  STROKE..  PATIENT INITIALLY EVALUATED IN RAPID ASSESSMENT BY MIDLEVEL PROVIDER.  I ASSUMED ALL CARE POST ASSESSMENT..
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: This very pleasant 52 year-old female from a nursing nursing home fell and sustained traumatic brain injury and was admitted;---more detailed history per attending physician, is verified and reproduced below .....  Tested positive on 9/6/2021 This very pleasant 52 year-old female from a nursing nursing home fell and sustained traumatic brain injury and was admitted;---more detailed history per attending physician, is verified and reproduced below   The patient presents following fall.  The onset was just prior to arrival.  The occurrence was single episode.  The fall was described as UNKNOWN.  The location where the incident occurred was REHAB FACILITY.  Location: Right head. The character of symptoms is pain.  The degree at present is minimal.  The exacerbating factor is none.  The relieving factor is none.  Risk factors consist of age and anticoagulated.  The patient's dominant hand is the right hand.  Therapy today: emergency medical services.  Preceding symptoms PATIENT UNCERTAIN.  Associated symptoms: none.  PATIENT RECENTLY DISCHARGED FROM THE HOSPITAL ON ELIQUIS.  STROKE..  PATIENT INITIALLY EVALUATED IN RAPID ASSESSMENT BY MIDLEVEL PROVIDER.  I ASSUMED ALL CARE POST ASSESSMENT..
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Nausea, Ultrasound abdomen
Clinical narrative: I experienced SEVERE abdominal pain, directly in my stomach followed by extreme nausea and dizziness. This continued for 3 days until I had diarrhea beginning Sunday at midnight, non stop for over 48 hours. The pain in my stomach continues to affect me, it?s been 6 days.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Runny nose/Congestion,  Shortness of breath or difficulty breathing, Hospitalized 08/14/2021 to 08/18/2021.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I tested positive for Covid.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: UNKNOWN AT THIS TIME
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Asthenia, Blood sodium decreased, Bordetella test negative, COVID-19
Clinical narrative: ED to Hosp-Admission Discharged 8/30/2021 - 9/1/2021 (2 days) Hospital   Hospital Problems -     * (Principal) COVID-19,   Pneumonia due to COVID-19 virus, Hyponatremia, Chronic obstructive pulmonary disease   Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 85 y.o. female.   Past medical history of COPD hypertension history of breast cancer and nodules presented with cough shortness of breath last 3 to 4 days.  Patient went to primary care physician for cough for sore throat low-grade fevers and shortness of breath since few days.  Complains of sore throat pain on coughing 3 but intensity sharp in nature increase in coughing no relieving factors.  Complains of low-grade fevers and chills and generalized weakness, complains of associated shortness of breath on exertion and coughing denies any PND orthopnea has chronic lower extremity edema.   Patient has history of COPD on 2 L oxygen at home on inhalers sees a pulmonologist  Patient on HCTZ stable History of lung nodules refusing biopsy   In the emergency room chest x-ray negative for infiltrate subcutaneous breast shadows initially was hypoxic when she came in but improved with 2 L, EKG sinus rhythm CBC normal BMP showed hyponatremia sodium levels of 124   Review of Systems  Constitutional: Positive for fatigue and fever. Negative for activity change and appetite change.  HENT: Negative.  Negative for congestion, dental problem and drooling.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for apnea, choking, chest tightness, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative.   Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness. Negative for seizures, syncope, speech difficulty, light-headedness and numbness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.  The patient is not hyperactive.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray normal, Chills, Chlamydia test negative, Coronavirus test negative
Clinical narrative: ED to Hosp-Admission Discharged 8/30/2021 - 9/1/2021 (2 days) Hospital   Hospital Problems -     * (Principal) COVID-19,   Pneumonia due to COVID-19 virus, Hyponatremia, Chronic obstructive pulmonary disease   Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 85 y.o. female.   Past medical history of COPD hypertension history of breast cancer and nodules presented with cough shortness of breath last 3 to 4 days.  Patient went to primary care physician for cough for sore throat low-grade fevers and shortness of breath since few days.  Complains of sore throat pain on coughing 3 but intensity sharp in nature increase in coughing no relieving factors.  Complains of low-grade fevers and chills and generalized weakness, complains of associated shortness of breath on exertion and coughing denies any PND orthopnea has chronic lower extremity edema.   Patient has history of COPD on 2 L oxygen at home on inhalers sees a pulmonologist  Patient on HCTZ stable History of lung nodules refusing biopsy   In the emergency room chest x-ray negative for infiltrate subcutaneous breast shadows initially was hypoxic when she came in but improved with 2 L, EKG sinus rhythm CBC normal BMP showed hyponatremia sodium levels of 124   Review of Systems  Constitutional: Positive for fatigue and fever. Negative for activity change and appetite change.  HENT: Negative.  Negative for congestion, dental problem and drooling.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for apnea, choking, chest tightness, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative.   Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness. Negative for seizures, syncope, speech difficulty, light-headedness and numbness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.  The patient is not hyperactive.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Dyspnoea exertional, Electrocardiogram normal, Enterovirus test negative
Clinical narrative: ED to Hosp-Admission Discharged 8/30/2021 - 9/1/2021 (2 days) Hospital   Hospital Problems -     * (Principal) COVID-19,   Pneumonia due to COVID-19 virus, Hyponatremia, Chronic obstructive pulmonary disease   Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 85 y.o. female.   Past medical history of COPD hypertension history of breast cancer and nodules presented with cough shortness of breath last 3 to 4 days.  Patient went to primary care physician for cough for sore throat low-grade fevers and shortness of breath since few days.  Complains of sore throat pain on coughing 3 but intensity sharp in nature increase in coughing no relieving factors.  Complains of low-grade fevers and chills and generalized weakness, complains of associated shortness of breath on exertion and coughing denies any PND orthopnea has chronic lower extremity edema.   Patient has history of COPD on 2 L oxygen at home on inhalers sees a pulmonologist  Patient on HCTZ stable History of lung nodules refusing biopsy   In the emergency room chest x-ray negative for infiltrate subcutaneous breast shadows initially was hypoxic when she came in but improved with 2 L, EKG sinus rhythm CBC normal BMP showed hyponatremia sodium levels of 124   Review of Systems  Constitutional: Positive for fatigue and fever. Negative for activity change and appetite change.  HENT: Negative.  Negative for congestion, dental problem and drooling.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for apnea, choking, chest tightness, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative.   Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness. Negative for seizures, syncope, speech difficulty, light-headedness and numbness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.  The patient is not hyperactive.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count normal, Human metapneumovirus test, Human rhinovirus test, Hyponatraemia
Clinical narrative: ED to Hosp-Admission Discharged 8/30/2021 - 9/1/2021 (2 days) Hospital   Hospital Problems -     * (Principal) COVID-19,   Pneumonia due to COVID-19 virus, Hyponatremia, Chronic obstructive pulmonary disease   Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 85 y.o. female.   Past medical history of COPD hypertension history of breast cancer and nodules presented with cough shortness of breath last 3 to 4 days.  Patient went to primary care physician for cough for sore throat low-grade fevers and shortness of breath since few days.  Complains of sore throat pain on coughing 3 but intensity sharp in nature increase in coughing no relieving factors.  Complains of low-grade fevers and chills and generalized weakness, complains of associated shortness of breath on exertion and coughing denies any PND orthopnea has chronic lower extremity edema.   Patient has history of COPD on 2 L oxygen at home on inhalers sees a pulmonologist  Patient on HCTZ stable History of lung nodules refusing biopsy   In the emergency room chest x-ray negative for infiltrate subcutaneous breast shadows initially was hypoxic when she came in but improved with 2 L, EKG sinus rhythm CBC normal BMP showed hyponatremia sodium levels of 124   Review of Systems  Constitutional: Positive for fatigue and fever. Negative for activity change and appetite change.  HENT: Negative.  Negative for congestion, dental problem and drooling.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for apnea, choking, chest tightness, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative.   Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness. Negative for seizures, syncope, speech difficulty, light-headedness and numbness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.  The patient is not hyperactive.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Influenza A virus test negative, Influenza B virus test, Metabolic function test, Mycoplasma test negative
Clinical narrative: ED to Hosp-Admission Discharged 8/30/2021 - 9/1/2021 (2 days) Hospital   Hospital Problems -     * (Principal) COVID-19,   Pneumonia due to COVID-19 virus, Hyponatremia, Chronic obstructive pulmonary disease   Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 85 y.o. female.   Past medical history of COPD hypertension history of breast cancer and nodules presented with cough shortness of breath last 3 to 4 days.  Patient went to primary care physician for cough for sore throat low-grade fevers and shortness of breath since few days.  Complains of sore throat pain on coughing 3 but intensity sharp in nature increase in coughing no relieving factors.  Complains of low-grade fevers and chills and generalized weakness, complains of associated shortness of breath on exertion and coughing denies any PND orthopnea has chronic lower extremity edema.   Patient has history of COPD on 2 L oxygen at home on inhalers sees a pulmonologist  Patient on HCTZ stable History of lung nodules refusing biopsy   In the emergency room chest x-ray negative for infiltrate subcutaneous breast shadows initially was hypoxic when she came in but improved with 2 L, EKG sinus rhythm CBC normal BMP showed hyponatremia sodium levels of 124   Review of Systems  Constitutional: Positive for fatigue and fever. Negative for activity change and appetite change.  HENT: Negative.  Negative for congestion, dental problem and drooling.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for apnea, choking, chest tightness, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative.   Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness. Negative for seizures, syncope, speech difficulty, light-headedness and numbness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.  The patient is not hyperactive.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Oropharyngeal pain, Pyrexia, Respiratory syncytial virus test negative, Rhonchi
Clinical narrative: ED to Hosp-Admission Discharged 8/30/2021 - 9/1/2021 (2 days) Hospital   Hospital Problems -     * (Principal) COVID-19,   Pneumonia due to COVID-19 virus, Hyponatremia, Chronic obstructive pulmonary disease   Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 85 y.o. female.   Past medical history of COPD hypertension history of breast cancer and nodules presented with cough shortness of breath last 3 to 4 days.  Patient went to primary care physician for cough for sore throat low-grade fevers and shortness of breath since few days.  Complains of sore throat pain on coughing 3 but intensity sharp in nature increase in coughing no relieving factors.  Complains of low-grade fevers and chills and generalized weakness, complains of associated shortness of breath on exertion and coughing denies any PND orthopnea has chronic lower extremity edema.   Patient has history of COPD on 2 L oxygen at home on inhalers sees a pulmonologist  Patient on HCTZ stable History of lung nodules refusing biopsy   In the emergency room chest x-ray negative for infiltrate subcutaneous breast shadows initially was hypoxic when she came in but improved with 2 L, EKG sinus rhythm CBC normal BMP showed hyponatremia sodium levels of 124   Review of Systems  Constitutional: Positive for fatigue and fever. Negative for activity change and appetite change.  HENT: Negative.  Negative for congestion, dental problem and drooling.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for apnea, choking, chest tightness, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative.   Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness. Negative for seizures, syncope, speech difficulty, light-headedness and numbness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.  The patient is not hyperactive.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Viral test negative
Clinical narrative: ED to Hosp-Admission Discharged 8/30/2021 - 9/1/2021 (2 days) Hospital   Hospital Problems -     * (Principal) COVID-19,   Pneumonia due to COVID-19 virus, Hyponatremia, Chronic obstructive pulmonary disease   Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 85 y.o. female.   Past medical history of COPD hypertension history of breast cancer and nodules presented with cough shortness of breath last 3 to 4 days.  Patient went to primary care physician for cough for sore throat low-grade fevers and shortness of breath since few days.  Complains of sore throat pain on coughing 3 but intensity sharp in nature increase in coughing no relieving factors.  Complains of low-grade fevers and chills and generalized weakness, complains of associated shortness of breath on exertion and coughing denies any PND orthopnea has chronic lower extremity edema.   Patient has history of COPD on 2 L oxygen at home on inhalers sees a pulmonologist  Patient on HCTZ stable History of lung nodules refusing biopsy   In the emergency room chest x-ray negative for infiltrate subcutaneous breast shadows initially was hypoxic when she came in but improved with 2 L, EKG sinus rhythm CBC normal BMP showed hyponatremia sodium levels of 124   Review of Systems  Constitutional: Positive for fatigue and fever. Negative for activity change and appetite change.  HENT: Negative.  Negative for congestion, dental problem and drooling.   Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for apnea, choking, chest tightness, wheezing and stridor.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Negative.   Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Negative.   Skin: Negative.   Allergic/Immunologic: Negative.   Neurological: Positive for weakness. Negative for seizures, syncope, speech difficulty, light-headedness and numbness.  Hematological: Negative.   Psychiatric/Behavioral: Negative.  The patient is not hyperactive.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia
Clinical narrative: Around 30 hours post injection patient experienced left arm and left side of face total numbness and  paralyses. These symptoms moved to right side of face and down the left side of body; left upper back and left chest. Patient said it felt like she was experiencing what is described as Bell's Palsy type symptoms. These symptoms lasted until 8/30/21 then they started fading.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: Fever of 103 degrees, vomiting,  rash on all extremities,
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Intermenstrual bleeding, Laboratory test
Clinical narrative: had period Late February/Early March, received first dose on 3/31/2021, had very light spotting 4/1/2021 and have not gotten period since.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: I am the epidemiologist reporting on behalf of 61-year-old female patient. The patient received two doses of the Pfizer vaccine on 1/29/21 and 2/19/21. The patient tested positive for COVID-19 on 8/10/21 via PCR. The patient died 9/1/21 and the cause of death is listed as ?ARDS Covid-19?. I do not have further information regarding immunodeficiency status or underlying health conditions.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Rash, Skin warm, Urticaria
Clinical narrative: body aches, chills, rash/hives on palms, slowly worked its way all over, underarms, inner thighs, private areas, back, butt, warm to touch, raised red hives.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administered Moderna Covid Vaccine to 15 year old patient, instead of Pfizer Covid Vaccine.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administered Moderna Covid Vaccine to 15 year old patient, instead of Pfizer Covid Vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: not documented.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: Fatigue or tiredness,  Headache, Hospitalization
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient's parent presented a signed consent form for the Janssen covid 19 vaccine indicating the patient was over the age of 18 which is required to receive the Janssen vaccine. After administering the vaccine to the patient, we quickly realized the patient's date of birth in the facility database was different. This patient has not yet turned 18 and therefore should not have received the Janssen vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Refusal of treatment by patient, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 8/28/2021 with cough and difficulty breathing. She was diagnosed with COVID-19 infection on 8/20/2021 at her dialysis facility. Patient was admitted for further management. She was discharged on 9/5/2021. She was admitted previously on 8/19/2021 to 8/20/2021 in which she was found to be COVID-19 positive but left against medical advice.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blindness transient, Headache, Nausea
Clinical narrative: 3-4 DAYS AFTER INJECTION NOTED  OF NAUSEA, MILD ABDOMINAL DISCOMFORT,  GENERALIZED HEADACHE LASTING A COUPLE OF HOURS.  HEADACHE MORE SEVERE AT FIRST AND GRADUALLY RESOLVED.      WHILE THIS WAS GOING ON patient  NOTED LOSS OF   VISION ON LEFT LATERAL VISUAL FIELD   INVOLVING  LEFT EYE ONLY.   THIS LASTED 30-40 MINUTES .   IT WAS NOT NOTICED TILL AFTER THE OTHER SYMPTOMS HAD BEEN THERE FOR A WHILE AND MIGHT HAVE BEEN THERE LONGER AS THE VISION FROM THE RIGHT EYE WAS OK AND  HE HAD TO COVER THE RIGHT EYE TO APPRECIATE THE DEFECT.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Nausea, Pyrexia, Sleep disorder
Clinical narrative: Pain at injection site. Pain in arm and shoulder which received the shot. Fatigue, nausea, vomiting, fever (102), unable to sleep.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pain at injection site. Pain in arm and shoulder which received the shot. Fatigue, nausea, vomiting, fever (102), unable to sleep.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Dizziness, Headache, Heart rate increased, Thrombosis
Clinical narrative: I started with a headache the evening of and flip flop feeling in my heart and in my chest, each day I would have some dizziness, flip flop in my chest and my heart rate would spike my BP 198/100. My heart rate was 128 resting. The dr recommended extra hydration and electrolytes and I continued having dizzy spells. I was at dentist and he pulled out a clot out of my mouth and He asked if I was on blood thinners. I'm suppose to have a cardiac consult.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Death, Pneumonia
Clinical narrative: I am the epidemiologist reporting on behalf of 84-year-old female patient. The patient received two doses of the Moderna vaccine on 3/11/21 and 4/8/21. The patient tested positive for COVID-19 on 8/23/21 via PCR. On 8/26/21, nurse at facility where patient resided reported the patient?s only symptom as ?a bit of weakness.? The patient died 8/30/21 and the cause of death is listed as ?Acute Respiratory Failure; Pneumonia; Covid-19?. I do not have further information regarding immunodeficiency status or underlying health conditions.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I am the epidemiologist reporting on behalf of 84-year-old female patient. The patient received two doses of the Moderna vaccine on 3/11/21 and 4/8/21. The patient tested positive for COVID-19 on 8/23/21 via PCR. On 8/26/21, nurse at facility where patient resided reported the patient?s only symptom as ?a bit of weakness.? The patient died 8/30/21 and the cause of death is listed as ?Acute Respiratory Failure; Pneumonia; Covid-19?. I do not have further information regarding immunodeficiency status or underlying health conditions.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: pt had fist dose here on 08/17/2021 for second dose Pfizer, however when we went to document it in system we found he had received 2 doses of Pfizer at vaccine site . Pt has had a total of 4 doses all Pfizer
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Premenstrual pain, Skin discolouration, Thrombosis
Clinical narrative: Following my first dose, when my menstrual cycle came I had blood clots the size of my palm. The blood clots were so severe that my left arm had restricted blood circulation (blue). I do not normally feel when my cycle is coming on, however, the past 3 months the cramps have been unbearable. My cycle is normally 5 days long, the past 3 months I've had 7 day cycles.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: 75 y.o. female who presented to the ED complaining of fatigue and shortness of breath.  Plain film of the chest suggested bilateral infiltrates.   Oxygen saturation was 86%  and she was initially placed  on 4 L nasal cannula and eventually increased to 5 L nasal cannula.  She also received dexamethasone 6 mg IV daily.    Oxygen was weaned off and patient was discharged after a 2 day hospital stay.  She was prescribed dexamethasone to complete a 10 day course of therapy.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU) Lot number / expiration date / route / site not available for 2nd dose
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue
Clinical narrative: Fever >100.4,  Subjective fever (felt feverish),  Muscle or body aches,  New loss of taste or smell,  Cough (new onset or worsening of chronic cough),  Fatigue or tiredness,  Headache, ER visit, Hospitalization
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fever >100.4,  Subjective fever (felt feverish),  Muscle or body aches,  New loss of taste or smell,  Cough (new onset or worsening of chronic cough),  Fatigue or tiredness,  Headache, ER visit, Hospitalization
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized on 9/7/21, SARS-CoV-2 positive
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Alopecia, Asthenia, Fatigue, Fluid retention
Clinical narrative: Loss of taste, fatigue, no energy, loss of hair, problems with retaining fluids.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Patient uncooperative, Underdose
Clinical narrative: 60% of dose given. Patient has a developemental delay and was unable to tolerate vaccine process. First attempt was made and 0.3mL of 0.5mL dose was given. Distraction and redirection techniques were attempted by patient?s care giver and staff members. Second attempt was made but again,  patient was unable to tolerate and care giver advised vaccine adminsitrator to stop.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Angiogram pulmonary abnormal, Aortic arteriosclerosis, Arteriosclerosis coronary artery, Asthenia
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Blood sodium decreased, Bordetella test negative, Brain natriuretic peptide increased, COVID-19
Clinical narrative: ED to Hosp-Admission Current  9/2/2021 - present (6 days)l  Chief Complaint Patient presents with ? Shortness of Breath   Patient is an 83 y.o. male.    Past medical history COPD, hypertension, brought into the ED by his family for weakness and altered mental status along with shortness of breath.  Patient is a poor historian but he does report having worsening shortness of breath over the past couple weeks.  During this timeframe patient does have productive cough with white and yellow sputum.  Patient denies any fevers or chills.  This morning he became so weak that he was not able to get out of bed and even his son was not able to get him out of bed.  Over the past week patient has also been having midsternal chest pain intermittently.  Patient denies any recent sick contacts, he has received 2 doses of COVID-19 vaccines.  Patient denies any changes in his weight, denies any travel history or night sweats.  Patient denies any abdominal pain, nausea or vomiting.  He has indwelling Foley catheter and has had history of urosepsis.  Per family patient is more confused compared to usual but he is able to answer certain details correctly.   In the ED patient was found to be tachypneic respiratory rate 24, he was afebrile.  Patient was placed on 2 L oxygen.  Blood work was remarkable for platelet of 84,000, D-dimer of 1.57, sodium level 129.  First set of troponin is 0.06, BNP of 103.  UA had 52 WBCs.  CTA chest was negative for PE, patient has bilateral infiltrates consistent with Covid pneumonia.  Patient was given vancomycin and cefepime in the ED.