chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anaemia of chronic disease, Antipsychotic drug level, Asthenia, Blood creatinine increased
Clinical narrative: Impression and Plan    #Fatigue weakness secondary to underlying COVID-19.   Currently patient is on room air   #COVID-19 mild symptoms. Monitor for any oxygen desaturation   #Hypertension Lisinopril, metoprolol   #COPD Breathing treatment as ordered    #Schizophrenia History of traumatic brain injury Patient is on lithium Depakote   # history of ITP Platelets are stable monitor for now.   #Anemia of chronic disease     #History of pulmonary embolism Patient is on Eliquis we will continue     DVT: on Eliquis        PATIENT CLASS : Observation ADMISSION Date & Time : 1/20/2022  4:44 PM     CHIEF COMPLAINTS :  Chief Complaint Patient presents with ? Fatigue     per house keeper, pateint becoming increasingly week the last 3 days. PE in Nov.         HISTORY OF PRESENTING ILLNESS :  Patient is a 76-year-old male with past medical history significant for COPD, hypertension came to the ED from group home with complaints of fatigue.  Patient having chest pain abdominal pain.  History from the patient is limited.  Patient was found to have increasing weakness falls.  When he came to the ER patient vitals has been stable.     Blood work reviewed creatinine of 1.17, sodium 140, hemoglobin of 11.9, WBC of 4.1 Lithium level was low,   Chest x-ray no acute process. CT head done no acute process.   COVID was checked came back  positive Low, RSV came back negative. Valproic acid level was 60
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood test abnormal, COVID-19, Chest X-ray normal, Chest pain
Clinical narrative: Impression and Plan    #Fatigue weakness secondary to underlying COVID-19.   Currently patient is on room air   #COVID-19 mild symptoms. Monitor for any oxygen desaturation   #Hypertension Lisinopril, metoprolol   #COPD Breathing treatment as ordered    #Schizophrenia History of traumatic brain injury Patient is on lithium Depakote   # history of ITP Platelets are stable monitor for now.   #Anemia of chronic disease     #History of pulmonary embolism Patient is on Eliquis we will continue     DVT: on Eliquis        PATIENT CLASS : Observation ADMISSION Date & Time : 1/20/2022  4:44 PM     CHIEF COMPLAINTS :  Chief Complaint Patient presents with ? Fatigue     per house keeper, pateint becoming increasingly week the last 3 days. PE in Nov.         HISTORY OF PRESENTING ILLNESS :  Patient is a 76-year-old male with past medical history significant for COPD, hypertension came to the ED from group home with complaints of fatigue.  Patient having chest pain abdominal pain.  History from the patient is limited.  Patient was found to have increasing weakness falls.  When he came to the ER patient vitals has been stable.     Blood work reviewed creatinine of 1.17, sodium 140, hemoglobin of 11.9, WBC of 4.1 Lithium level was low,   Chest x-ray no acute process. CT head done no acute process.   COVID was checked came back  positive Low, RSV came back negative. Valproic acid level was 60
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Drug level, Fall, Fatigue, Haemoglobin decreased
Clinical narrative: Impression and Plan    #Fatigue weakness secondary to underlying COVID-19.   Currently patient is on room air   #COVID-19 mild symptoms. Monitor for any oxygen desaturation   #Hypertension Lisinopril, metoprolol   #COPD Breathing treatment as ordered    #Schizophrenia History of traumatic brain injury Patient is on lithium Depakote   # history of ITP Platelets are stable monitor for now.   #Anemia of chronic disease     #History of pulmonary embolism Patient is on Eliquis we will continue     DVT: on Eliquis        PATIENT CLASS : Observation ADMISSION Date & Time : 1/20/2022  4:44 PM     CHIEF COMPLAINTS :  Chief Complaint Patient presents with ? Fatigue     per house keeper, pateint becoming increasingly week the last 3 days. PE in Nov.         HISTORY OF PRESENTING ILLNESS :  Patient is a 76-year-old male with past medical history significant for COPD, hypertension came to the ED from group home with complaints of fatigue.  Patient having chest pain abdominal pain.  History from the patient is limited.  Patient was found to have increasing weakness falls.  When he came to the ER patient vitals has been stable.     Blood work reviewed creatinine of 1.17, sodium 140, hemoglobin of 11.9, WBC of 4.1 Lithium level was low,   Chest x-ray no acute process. CT head done no acute process.   COVID was checked came back  positive Low, RSV came back negative. Valproic acid level was 60
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Malaise, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Impression and Plan    #Fatigue weakness secondary to underlying COVID-19.   Currently patient is on room air   #COVID-19 mild symptoms. Monitor for any oxygen desaturation   #Hypertension Lisinopril, metoprolol   #COPD Breathing treatment as ordered    #Schizophrenia History of traumatic brain injury Patient is on lithium Depakote   # history of ITP Platelets are stable monitor for now.   #Anemia of chronic disease     #History of pulmonary embolism Patient is on Eliquis we will continue     DVT: on Eliquis        PATIENT CLASS : Observation ADMISSION Date & Time : 1/20/2022  4:44 PM     CHIEF COMPLAINTS :  Chief Complaint Patient presents with ? Fatigue     per house keeper, pateint becoming increasingly week the last 3 days. PE in Nov.         HISTORY OF PRESENTING ILLNESS :  Patient is a 76-year-old male with past medical history significant for COPD, hypertension came to the ED from group home with complaints of fatigue.  Patient having chest pain abdominal pain.  History from the patient is limited.  Patient was found to have increasing weakness falls.  When he came to the ER patient vitals has been stable.     Blood work reviewed creatinine of 1.17, sodium 140, hemoglobin of 11.9, WBC of 4.1 Lithium level was low,   Chest x-ray no acute process. CT head done no acute process.   COVID was checked came back  positive Low, RSV came back negative. Valproic acid level was 60
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Impression and Plan    #Fatigue weakness secondary to underlying COVID-19.   Currently patient is on room air   #COVID-19 mild symptoms. Monitor for any oxygen desaturation   #Hypertension Lisinopril, metoprolol   #COPD Breathing treatment as ordered    #Schizophrenia History of traumatic brain injury Patient is on lithium Depakote   # history of ITP Platelets are stable monitor for now.   #Anemia of chronic disease     #History of pulmonary embolism Patient is on Eliquis we will continue     DVT: on Eliquis        PATIENT CLASS : Observation ADMISSION Date & Time : 1/20/2022  4:44 PM     CHIEF COMPLAINTS :  Chief Complaint Patient presents with ? Fatigue     per house keeper, pateint becoming increasingly week the last 3 days. PE in Nov.         HISTORY OF PRESENTING ILLNESS :  Patient is a 76-year-old male with past medical history significant for COPD, hypertension came to the ED from group home with complaints of fatigue.  Patient having chest pain abdominal pain.  History from the patient is limited.  Patient was found to have increasing weakness falls.  When he came to the ER patient vitals has been stable.     Blood work reviewed creatinine of 1.17, sodium 140, hemoglobin of 11.9, WBC of 4.1 Lithium level was low,   Chest x-ray no acute process. CT head done no acute process.   COVID was checked came back  positive Low, RSV came back negative. Valproic acid level was 60
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Diarrhoea, Vomiting
Clinical narrative: Patient came to ED with vomiting and diarrhea and was admitted with Covid pneumonia.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Storage date range for Lot number 33038D in freezer was miscalculated by an additional 2 weeks. Vaccine should have been pulled from freezer to be stored in fridge by 12/13/2021. The error was not discovered until 1/13/2022. All vaccines that were given after 12/13/2021 that were affected by the extended freezer storage were determined by Pfizer that they should not be used.  Health Centers determined the best course of action was to offer revaccination to all affected clients.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cholecystectomy, Cholelithiasis, Computerised tomogram, Gallbladder disorder
Clinical narrative: Background information Dose 3: Moderna -Full dose, 08/28/2021. A month in half later gallbladder attack.  Transported to the hospital initially for first visit and stayed until 03:00 AM . Did test and found nothing, told her take peptide for stomachache. CAT and Ultrasound.  Few days later, patient's spouse took to hospital emergency room and was admitted the next morning. Ultimately, admitted to hospital and gallbladder was removed.  Pain after operation and liver function numbers was high.  In operation, the stone was found with a lot of slug that was unexpected. Into of the stone. Had to stay in hospital a little longer to get slug out of the ducks. 7 days hospital stay.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test increased, Procedural pain, Ultrasound scan
Clinical narrative: Background information Dose 3: Moderna -Full dose, 08/28/2021. A month in half later gallbladder attack.  Transported to the hospital initially for first visit and stayed until 03:00 AM . Did test and found nothing, told her take peptide for stomachache. CAT and Ultrasound.  Few days later, patient's spouse took to hospital emergency room and was admitted the next morning. Ultimately, admitted to hospital and gallbladder was removed.  Pain after operation and liver function numbers was high.  In operation, the stone was found with a lot of slug that was unexpected. Into of the stone. Had to stay in hospital a little longer to get slug out of the ducks. 7 days hospital stay.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Colonoscopy, Diarrhoea, Stool analysis
Clinical narrative: On about Jan 19th, 2021, I experienced the onset of loose stools. I took Imodium and ate more fiber and nothing helped. I called the doctor for about 2 weeks later, and on March 2nd, I had a colonoscopy to further investigate why I was having the diarrhea for the last 6 weeks. This is still ongoing.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: The next morning I woke up feeling tired and I had sore muscles. I had fever in and out the next few days. The headaches started the next day around 4-5 pm and the headaches got worse. The headaches were sharp and they moved 180 degrees from the left to the right and they got so bad I had to seek a doctor. That was in the beginning and now they are dull headaches.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Nurse gave undiluted pediatric Pfizer vaccine.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood fibrinogen increased, Blood immunoglobulin M, C-reactive protein, COVID-19
Clinical narrative: Pt had 2 doses of Pfizer Covid 19 vaccine.  Ist 11/13/2021, 2nd dose 12/4/2021 at Medical Group. Pt had mild covid symptoms on 12/24/21, tested positive 12/24/2021. 1/30/2022 pt had fever 103.5 2/1 dev rash, chest tightness, abd pain and diarrhea. chest tightness and GI symptoms resolved, however rash spread, developed conjunctival injection, Cervical LAD and polymorphous rash.  pt admitted 2/5/2022 and diagnosed with MIS-C.  (mild)
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest discomfort, Conjunctival hyperaemia, Diarrhoea, Echocardiogram normal
Clinical narrative: Pt had 2 doses of Pfizer Covid 19 vaccine.  Ist 11/13/2021, 2nd dose 12/4/2021 at Medical Group. Pt had mild covid symptoms on 12/24/21, tested positive 12/24/2021. 1/30/2022 pt had fever 103.5 2/1 dev rash, chest tightness, abd pain and diarrhea. chest tightness and GI symptoms resolved, however rash spread, developed conjunctival injection, Cervical LAD and polymorphous rash.  pt admitted 2/5/2022 and diagnosed with MIS-C.  (mild)
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Immunoglobulin therapy, Lymphadenopathy, Malaise, Multisystem inflammatory syndrome in children
Clinical narrative: Pt had 2 doses of Pfizer Covid 19 vaccine.  Ist 11/13/2021, 2nd dose 12/4/2021 at Medical Group. Pt had mild covid symptoms on 12/24/21, tested positive 12/24/2021. 1/30/2022 pt had fever 103.5 2/1 dev rash, chest tightness, abd pain and diarrhea. chest tightness and GI symptoms resolved, however rash spread, developed conjunctival injection, Cervical LAD and polymorphous rash.  pt admitted 2/5/2022 and diagnosed with MIS-C.  (mild)
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Polymorphic light eruption, Pyrexia, Rash, SARS-CoV-2 antibody test, SARS-CoV-2 test positive
Clinical narrative: Pt had 2 doses of Pfizer Covid 19 vaccine.  Ist 11/13/2021, 2nd dose 12/4/2021 at Medical Group. Pt had mild covid symptoms on 12/24/21, tested positive 12/24/2021. 1/30/2022 pt had fever 103.5 2/1 dev rash, chest tightness, abd pain and diarrhea. chest tightness and GI symptoms resolved, however rash spread, developed conjunctival injection, Cervical LAD and polymorphous rash.  pt admitted 2/5/2022 and diagnosed with MIS-C.  (mild)
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin
Clinical narrative: Pt had 2 doses of Pfizer Covid 19 vaccine.  Ist 11/13/2021, 2nd dose 12/4/2021 at Medical Group. Pt had mild covid symptoms on 12/24/21, tested positive 12/24/2021. 1/30/2022 pt had fever 103.5 2/1 dev rash, chest tightness, abd pain and diarrhea. chest tightness and GI symptoms resolved, however rash spread, developed conjunctival injection, Cervical LAD and polymorphous rash.  pt admitted 2/5/2022 and diagnosed with MIS-C.  (mild)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: pt admitted to hosp after EMS contacted due to SOB after a fall, generalized weakness and cough; positive test for COVID; no evidence of brain hemorrhage or abnormality; COVID pneumonia; O2 supplementation ABX, remdesivir, dexamethasone, baricitinib, Lovenox; intubated; AHRF; pt's condition worsened; pt was made comfort care, extubated and died in the hospital
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Endotracheal intubation, Fall
Clinical narrative: pt admitted to hosp after EMS contacted due to SOB after a fall, generalized weakness and cough; positive test for COVID; no evidence of brain hemorrhage or abnormality; COVID pneumonia; O2 supplementation ABX, remdesivir, dexamethasone, baricitinib, Lovenox; intubated; AHRF; pt's condition worsened; pt was made comfort care, extubated and died in the hospital
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: pt admitted to hosp after EMS contacted due to SOB after a fall, generalized weakness and cough; positive test for COVID; no evidence of brain hemorrhage or abnormality; COVID pneumonia; O2 supplementation ABX, remdesivir, dexamethasone, baricitinib, Lovenox; intubated; AHRF; pt's condition worsened; pt was made comfort care, extubated and died in the hospital
Age: 71.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Acute respiratory failure
Clinical narrative: Acute respiratory failure with hypoxia Plan to discharge with steroid burst to be completed in 3 more days.  Also ordered Spiriva and albuterol inhaler.  Recommend he follow-up with primary care or pulmonary clinic for further evaluation including pulmonary function testing. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood urine present, Chills, Computerised tomogram abdomen normal, Discomfort
Clinical narrative: 1/21/2022   Chief Complaint:  Abdominal pain   Source of Information:  Patient   History of Present Illness:  This is a 34y.o. female with a past medical history of sickle cell anemia, epilepsy, HSV, moyamoya disease, and blood clots presents with abdominal pain.  This started this morning after patient woke up.  Patient states that she was having blood in her urine since Saturday and the pain became severe today.  Patient states she had a similar episode in 2019 when she had a UTI and was hospitalized.  She denies any fevers at this time but experienced chills.  She also experienced some lightheadedness and dizziness.  The pain is increased when she tries to lie down and patient states she cannot get comfortable.  The pain starts in the periumbilical region, pelvic region then moved to her right side.  Patient states she has been able to eat and drink okay lately.  Patient states this is significantly different from her sickle cell crisis episodes.  Patient states that she follows with a doctor at Hospital for monthly transfusions for her sickle cell disease.  Her last transfusion was last week.  Patient denies tobacco, alcohol, illicit drug use.  She does use pain medications at times. In the ED, Vitals on arrival of T 100.2°F, BP 104/57, HR 107, RR 22, SpO2 98% on RA Labs remarkable for wbc 22, hgb 10.5 on CBC, BMP unremarkable.  CT A/P shows no acute intra-abdominal process, cholelithiasis, hepatomegaly and autosplenectomy.  US abdomen shows no fluid, gallbladder with hyperechoic foci but without wall thickening. US pelvis with transvaginal Doppler shows layering debris and simple right ovarian cyst measuring up to 3.3 cm. Patient received fentanyl 50 MCG X3, Toradol 30 mg, ceftriaxone, Zofran, normal saline bolus 1 L. Surgery and ID consulted.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flank pain, Full blood count, Haemoglobin decreased, Influenza A virus test negative
Clinical narrative: 1/21/2022   Chief Complaint:  Abdominal pain   Source of Information:  Patient   History of Present Illness:  This is a 34y.o. female with a past medical history of sickle cell anemia, epilepsy, HSV, moyamoya disease, and blood clots presents with abdominal pain.  This started this morning after patient woke up.  Patient states that she was having blood in her urine since Saturday and the pain became severe today.  Patient states she had a similar episode in 2019 when she had a UTI and was hospitalized.  She denies any fevers at this time but experienced chills.  She also experienced some lightheadedness and dizziness.  The pain is increased when she tries to lie down and patient states she cannot get comfortable.  The pain starts in the periumbilical region, pelvic region then moved to her right side.  Patient states she has been able to eat and drink okay lately.  Patient states this is significantly different from her sickle cell crisis episodes.  Patient states that she follows with a doctor at Hospital for monthly transfusions for her sickle cell disease.  Her last transfusion was last week.  Patient denies tobacco, alcohol, illicit drug use.  She does use pain medications at times. In the ED, Vitals on arrival of T 100.2°F, BP 104/57, HR 107, RR 22, SpO2 98% on RA Labs remarkable for wbc 22, hgb 10.5 on CBC, BMP unremarkable.  CT A/P shows no acute intra-abdominal process, cholelithiasis, hepatomegaly and autosplenectomy.  US abdomen shows no fluid, gallbladder with hyperechoic foci but without wall thickening. US pelvis with transvaginal Doppler shows layering debris and simple right ovarian cyst measuring up to 3.3 cm. Patient received fentanyl 50 MCG X3, Toradol 30 mg, ceftriaxone, Zofran, normal saline bolus 1 L. Surgery and ID consulted.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Metabolic function test normal, Nucleic acid test, Ovarian cyst, Pelvic pain
Clinical narrative: 1/21/2022   Chief Complaint:  Abdominal pain   Source of Information:  Patient   History of Present Illness:  This is a 34y.o. female with a past medical history of sickle cell anemia, epilepsy, HSV, moyamoya disease, and blood clots presents with abdominal pain.  This started this morning after patient woke up.  Patient states that she was having blood in her urine since Saturday and the pain became severe today.  Patient states she had a similar episode in 2019 when she had a UTI and was hospitalized.  She denies any fevers at this time but experienced chills.  She also experienced some lightheadedness and dizziness.  The pain is increased when she tries to lie down and patient states she cannot get comfortable.  The pain starts in the periumbilical region, pelvic region then moved to her right side.  Patient states she has been able to eat and drink okay lately.  Patient states this is significantly different from her sickle cell crisis episodes.  Patient states that she follows with a doctor at Hospital for monthly transfusions for her sickle cell disease.  Her last transfusion was last week.  Patient denies tobacco, alcohol, illicit drug use.  She does use pain medications at times. In the ED, Vitals on arrival of T 100.2°F, BP 104/57, HR 107, RR 22, SpO2 98% on RA Labs remarkable for wbc 22, hgb 10.5 on CBC, BMP unremarkable.  CT A/P shows no acute intra-abdominal process, cholelithiasis, hepatomegaly and autosplenectomy.  US abdomen shows no fluid, gallbladder with hyperechoic foci but without wall thickening. US pelvis with transvaginal Doppler shows layering debris and simple right ovarian cyst measuring up to 3.3 cm. Patient received fentanyl 50 MCG X3, Toradol 30 mg, ceftriaxone, Zofran, normal saline bolus 1 L. Surgery and ID consulted.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Ultrasound abdomen abnormal, Ultrasound scan vagina abnormal, White blood cell count increased
Clinical narrative: 1/21/2022   Chief Complaint:  Abdominal pain   Source of Information:  Patient   History of Present Illness:  This is a 34y.o. female with a past medical history of sickle cell anemia, epilepsy, HSV, moyamoya disease, and blood clots presents with abdominal pain.  This started this morning after patient woke up.  Patient states that she was having blood in her urine since Saturday and the pain became severe today.  Patient states she had a similar episode in 2019 when she had a UTI and was hospitalized.  She denies any fevers at this time but experienced chills.  She also experienced some lightheadedness and dizziness.  The pain is increased when she tries to lie down and patient states she cannot get comfortable.  The pain starts in the periumbilical region, pelvic region then moved to her right side.  Patient states she has been able to eat and drink okay lately.  Patient states this is significantly different from her sickle cell crisis episodes.  Patient states that she follows with a doctor at Hospital for monthly transfusions for her sickle cell disease.  Her last transfusion was last week.  Patient denies tobacco, alcohol, illicit drug use.  She does use pain medications at times. In the ED, Vitals on arrival of T 100.2°F, BP 104/57, HR 107, RR 22, SpO2 98% on RA Labs remarkable for wbc 22, hgb 10.5 on CBC, BMP unremarkable.  CT A/P shows no acute intra-abdominal process, cholelithiasis, hepatomegaly and autosplenectomy.  US abdomen shows no fluid, gallbladder with hyperechoic foci but without wall thickening. US pelvis with transvaginal Doppler shows layering debris and simple right ovarian cyst measuring up to 3.3 cm. Patient received fentanyl 50 MCG X3, Toradol 30 mg, ceftriaxone, Zofran, normal saline bolus 1 L. Surgery and ID consulted.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive at hospital of Covid on 11/28/2021.  No charting of symptoms or pre-existing conditions listed.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Ascites, Cirrhosis alcoholic, Death
Clinical narrative: Alcoholic cirrhosis of liver with ascites. Patient admitted to hospice and passed away on 11/17/2021. Date of death was within 6 weeks of receiving the COVID vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lip swelling, Paraesthesia oral
Clinical narrative: Swelling and tingling of lips, pain at injection site.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, Cardiac failure acute, Cough
Clinical narrative: pt brought to hosp with progressively worsening SOB, cough, poor appetite, decrease in ability to smell and taste; 5 days ago tested positive for COVID; sx have worsened; A Fib with RVR; treated and sent to ICU; Decadron, O2 supplementation, ABX; eventually required intubation; suffered acute heart failure, acute respiratory failure, multi-organ failure; comfort measures instituted; pt extubated and died in the hospital
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Decreased appetite, Dyspnoea, Endotracheal intubation, Hypogeusia
Clinical narrative: pt brought to hosp with progressively worsening SOB, cough, poor appetite, decrease in ability to smell and taste; 5 days ago tested positive for COVID; sx have worsened; A Fib with RVR; treated and sent to ICU; Decadron, O2 supplementation, ABX; eventually required intubation; suffered acute heart failure, acute respiratory failure, multi-organ failure; comfort measures instituted; pt extubated and died in the hospital
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hyposmia, Intensive care, Multiple organ dysfunction syndrome, SARS-CoV-2 test positive
Clinical narrative: pt brought to hosp with progressively worsening SOB, cough, poor appetite, decrease in ability to smell and taste; 5 days ago tested positive for COVID; sx have worsened; A Fib with RVR; treated and sent to ICU; Decadron, O2 supplementation, ABX; eventually required intubation; suffered acute heart failure, acute respiratory failure, multi-organ failure; comfort measures instituted; pt extubated and died in the hospital
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I GOT A FEVER SUDDENLY ON 01/23 OF 102.1 WITH BODY ACHES. I HAD A FEVER 3 DAYS THAT WOULD DROP THEN SPIKE. 1 ST DAY 102.1  2ND DAY 100.3 3RD DAY 100.5 BY 4TH DAY I WAS BETTER. NO FEVER BUT HAD A LOSS OF SMELL AND TASTE FOR ABOUT A 1 WEEK.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Nurse gave undiluted pediatric Pfizer vaccine. Child had no immediate reaction. Notified regional medical director and parent. Advised to take ibuprofen and to contact health unit or PCP if any adverse reaction occurs.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Storage date range for Lot number 33038D in freezer was miscalculated by an additional 2 weeks. Vaccine should have been pulled from freezer to be stored in fridge by 12/13/2021. The error was not discovered until 1/13/2022. All vaccines that were given after 12/13/2021 that were affected by the extended freezer storage were determined by Pfizer that they should not be used. Health Centers determined the best course of action was to offer revaccination to all affected clients.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, Blood test abnormal, Blood test normal, Fatigue
Clinical narrative: The next morning, his arm hurt and he did go to school but was sent home. He was tired, weak and cold. This lasted 24 hours. This happened periodically since after this vaccine. About 5 or 6 times. He saw the doctor once got blood test .On 25FEB2022. He reported to school nurse because he was tired, cold and weak, fever with 101 temp. He had telehealth visit with urgent care with pediatrician. He felt better on the 27Feb2022.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Hepatic enzyme increased, Pyrexia
Clinical narrative: The next morning, his arm hurt and he did go to school but was sent home. He was tired, weak and cold. This lasted 24 hours. This happened periodically since after this vaccine. About 5 or 6 times. He saw the doctor once got blood test .On 25FEB2022. He reported to school nurse because he was tired, cold and weak, fever with 101 temp. He had telehealth visit with urgent care with pediatrician. He felt better on the 27Feb2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 50 y/o F patient presents to clinic and refers generalized urticaria covering her entire body 2 weeks after being vaccinated with her second dose of pfizer.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia streptococcal
Clinical narrative: Strep Pneumonia
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Major depression
Clinical narrative: Epi pen refill on day of first COVID shot. Hospital admission to behavioral health for major depressive disorder. Visits were within 6 weeks of receiving the COVD vaccine
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid on 12/18/2021.  No interview was completed in the disease reporting system, no charting was updated.  Symptoms and pre-existing conditions unknown.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Decreased appetite, Dyspnoea, Dyspnoea exertional
Clinical narrative: Attending Physician: DO     Date of Admission: 1/21/2022   Chief Complaint Patient presents with ? Shortness of Breath     COVID+ as of 1/18. arrived via EMS on NRB, described exertional dyspnea on scene. A&O x4 upon arrival.     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 69y.o. male with pmh of  Renal transplant  ckd since transplant  Cad,s/p cabg x 2 Cardiomyopath,ischemic and non ischemic  paf  Pad  Brought in by EMS after he was recently tested positive for covid on 1/18 and for sob,since tested positive for covid,wife states patient has poor appetite,has sob,and not taking his medication.evaluatedd in ed and admitted. Patient is vaccinated for covid,per medical record Work up in ed shows  V tach for more than 18 beats,for which cardiology recommend to resume his home medication of coreg Chest xray -- patchy bilateral air space disease c/w infectious etiology Wbc 5.7 Troponin 0.14,0.14 When seen in ed patient awake and alert,but not able to tell the reason for coming to the ed and at this time denies any complaints and using o2 per nasal canula,looks slightly sob.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Lung disorder, SARS-CoV-2 test positive, Treatment noncompliance, Troponin, Ventricular tachycardia
Clinical narrative: Attending Physician: DO     Date of Admission: 1/21/2022   Chief Complaint Patient presents with ? Shortness of Breath     COVID+ as of 1/18. arrived via EMS on NRB, described exertional dyspnea on scene. A&O x4 upon arrival.     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 69y.o. male with pmh of  Renal transplant  ckd since transplant  Cad,s/p cabg x 2 Cardiomyopath,ischemic and non ischemic  paf  Pad  Brought in by EMS after he was recently tested positive for covid on 1/18 and for sob,since tested positive for covid,wife states patient has poor appetite,has sob,and not taking his medication.evaluatedd in ed and admitted. Patient is vaccinated for covid,per medical record Work up in ed shows  V tach for more than 18 beats,for which cardiology recommend to resume his home medication of coreg Chest xray -- patchy bilateral air space disease c/w infectious etiology Wbc 5.7 Troponin 0.14,0.14 When seen in ed patient awake and alert,but not able to tell the reason for coming to the ed and at this time denies any complaints and using o2 per nasal canula,looks slightly sob.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Attending Physician: DO     Date of Admission: 1/21/2022   Chief Complaint Patient presents with ? Shortness of Breath     COVID+ as of 1/18. arrived via EMS on NRB, described exertional dyspnea on scene. A&O x4 upon arrival.     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 69y.o. male with pmh of  Renal transplant  ckd since transplant  Cad,s/p cabg x 2 Cardiomyopath,ischemic and non ischemic  paf  Pad  Brought in by EMS after he was recently tested positive for covid on 1/18 and for sob,since tested positive for covid,wife states patient has poor appetite,has sob,and not taking his medication.evaluatedd in ed and admitted. Patient is vaccinated for covid,per medical record Work up in ed shows  V tach for more than 18 beats,for which cardiology recommend to resume his home medication of coreg Chest xray -- patchy bilateral air space disease c/w infectious etiology Wbc 5.7 Troponin 0.14,0.14 When seen in ed patient awake and alert,but not able to tell the reason for coming to the ed and at this time denies any complaints and using o2 per nasal canula,looks slightly sob.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Nurse gave undiluted pediatric Pfizer vaccine. 0.2 ml. Child had no immediate reaction. Notified medical director and parent. Advised to given ibuprofen and contact facility or PCP if any adverse reaction occurs.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Allergy test negative, Antinuclear antibody negative, Electrocardiogram ST-T change, Full blood count normal, Laboratory test normal
Clinical narrative: Full body hives 8 days after injection lasting even through steriods and antihistamines
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Full body hives 8 days after injection lasting even through steriods and antihistamines
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Impaired work ability
Clinical narrative: I had a lump above my right clavicle that lasted for a few months after the second dose. I got Moderna for the first two doses and Pfizer for the third. I experienced extreme headaches after the first dose which subsided after the second dose. It is still a little noticeable a year later. After getting my third dose of the vaccine I experienced chest pain. When I got up two days later I started to get the chest pain and it got progressively worse over the course of four days. The first time I noticed the pain was when I stood up in the morning. The pain got so severe that I ended up going to the Emergency Room. I was prescribed Prilosec. I took it for two days and the pain started to subside. The chest pain was mostly in the middle of my chest. It felt a little better when I put pressure on it. It moved around a little but it was in my upper chest. The pain came and went during the four days until it escalated and then I was unable to work. Each bout of pain lasted for 20 minutes and it was hard to get any relief and then it would disappear. I have not had any more chest pain since that time.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Storage date range for Lot number 33038D in freezer was miscalculated by an additional 2 weeks. Vaccine should have been pulled from freezer to be stored in fridge by 12/13/2021. The error was not discovered until 1/13/2022. All vaccines that were given after 12/13/2021 that were affected by the extended freezer storage were determined by Pfizer that they should not be used. Health Centers determined the best course of action was to offer revaccination to all affected clients.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion, Coronary artery stenosis
Clinical narrative: Patient presented with nausea, vomiting, and chest pain and admitted with work-up concerning for non-ST elevation MI. She required a diltiazem drip for rate control and heparin was concerned for acute coronary syndrome.  Cardiology was consulted and proceeded with left heart catheterization that showed high-grade mid LAD stenosis status post PCI with a drug-eluting stent. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Percutaneous coronary intervention, Vomiting
Clinical narrative: Patient presented with nausea, vomiting, and chest pain and admitted with work-up concerning for non-ST elevation MI. She required a diltiazem drip for rate control and heparin was concerned for acute coronary syndrome.  Cardiology was consulted and proceeded with left heart catheterization that showed high-grade mid LAD stenosis status post PCI with a drug-eluting stent. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Illness, Panic attack, Pyrexia
Clinical narrative: Infected with Covid on date listed.  Was sick for approximately 1 week, which included  4 days of fever and full week of fatigue.  Also had a panic attack.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Chest X-ray normal, Cough, Dyspnoea
Clinical narrative: Patient is fully vaccinated and boosted.  COVID + on admission to hospital 2/12/2022. Patient presents with shortness of breath, cough. No respiratory distress. SpO2 95% on room air.The patient has been having several days to over 1 week of generalized fatigue and malaise. CXR: No definite focal infiltrate is seen. Treatments:  DVT prophylaxis with heparin SQ. Decadron.  Pt on 3L NC. Discharged home.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated and boosted.  COVID + on admission to hospital 2/12/2022. Patient presents with shortness of breath, cough. No respiratory distress. SpO2 95% on room air.The patient has been having several days to over 1 week of generalized fatigue and malaise. CXR: No definite focal infiltrate is seen. Treatments:  DVT prophylaxis with heparin SQ. Decadron.  Pt on 3L NC. Discharged home.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pfizer (Orange Cap) for ages 5-11 was given to patient on 05/25/2004, who was 17 years old.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Vaccination site pain
Clinical narrative: reactions from booster shot....achy joints, pain at vaccine site (upper arm)...overall achy..had no reaction to either of the actual vaccine shots that I received.  Just the booster
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Death, Intensive care
Clinical narrative: pt presents to hosp with hypoxic respiratory failure due to COVID pneumonia; pt tested positive for COVID 5 days prior to hospitalization; transferred to ICU; O2 supplementation; AKI; given dexamethasone, bronchodilators, ABX, steroids; pt showed no improvement in respiratory or mental status; family chose to withdraw care; comfort measures only; pt died in the hospital.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt presents to hosp with hypoxic respiratory failure due to COVID pneumonia; pt tested positive for COVID 5 days prior to hospitalization; transferred to ICU; O2 supplementation; AKI; given dexamethasone, bronchodilators, ABX, steroids; pt showed no improvement in respiratory or mental status; family chose to withdraw care; comfort measures only; pt died in the hospital.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dependence, Endocarditis
Clinical narrative: Infective endocarditis.  Had been previously discharged to home for home antibiotics with IV Vancomcyin. Unfortunately had missed doses and relapsed to using to methamphetamine and heroin. Was admitted through 12/23 for IV abx. He will follow up with ID and PCP post discharge, ordered. He was medically stable for discharge. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Cough, Fatigue, Fibromyalgia
Clinical narrative: I was recovering from a shingles breakout when I got my booster shot. I experienced pain in my arm that is still lingering, fever, and similar symptoms to COVID. However, it was difficult to tell, as I have fibromyalgia, and the symptoms have a lot of overlap. I also believe I may have contracted COVID very early during the pandemic but was unable to be tested at the start of the pandemic. I still have significant pain and fatigue; I am largely bedridden. It has aggravated my fibromyalgia, along with the reactions to the shingles vaccine and a later flu vaccine. Bloodwork is scheduled, but I am unable to drive that distance that is required. I also experience frequent headaches, and a recurring cough. The main issue however is the pain symptoms I am still experiencing, and it has been very debilitating.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Mobility decreased, Pain, Pain in extremity, Pyrexia
Clinical narrative: I was recovering from a shingles breakout when I got my booster shot. I experienced pain in my arm that is still lingering, fever, and similar symptoms to COVID. However, it was difficult to tell, as I have fibromyalgia, and the symptoms have a lot of overlap. I also believe I may have contracted COVID very early during the pandemic but was unable to be tested at the start of the pandemic. I still have significant pain and fatigue; I am largely bedridden. It has aggravated my fibromyalgia, along with the reactions to the shingles vaccine and a later flu vaccine. Bloodwork is scheduled, but I am unable to drive that distance that is required. I also experience frequent headaches, and a recurring cough. The main issue however is the pain symptoms I am still experiencing, and it has been very debilitating.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Pt was given dose without the diluent.  Pt was checked on via phone conversation with parent (guardian) day after the vaccination.  Pt did not experience any adverse reaction  per guardians.   Pt advised to call with any issue.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Pain, Pyrexia
Clinical narrative: I felt like I had the Flu. I was sore and my body ached. I took Tylenol and Advil for the pain but I couldn't get my fever down which was a 103. So I called my doctor and she told my husband to keep a eye on me and the place eye packs under my neck and armpits and the next morning I was fine. The symptoms subsided.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Renal impairment, Urine output
Clinical narrative: patient with past medical history of chronic kidney disease stage IV and diabetes mellitus who came to the hospital with abdominal pain. Nephrology recommended the patient to be on IV fluids as he is having urine output.  The patient's renal function improved and his pain was under control. The patient will be discharged and advised the patient to get urology evaluation as a referral from his PCP. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Coronavirus test positive, Death, SARS-CoV-2 RNA
Clinical narrative: Patient tested positive on 12/20/2021.  No charting of symptoms or pre-existing condition in ODRS.  Patient died 12/28/2021
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: Chief Complaint Patient presents with ? Chest Pain     xcouple days ? Leg Swelling     xcouple weeks     HPI Patient is a 60-year-old male with no significant past medical history who presents for chest pain and leg swelling.  Patient reports for the past couple days he has had pain on the right side of his chest as well as dyspnea with exertion.  He has noted intermittent swelling of his bilateral ankles and bilateral hands but currently are not swollen.  He does admit to rhinorrhea and sore throat with some occasional nausea but no vomiting.  He did receive the Johnson & Johnson vaccine but no boosters.  He denies a cardiac history.  He does smoke and states he has decreased to about 4-5 cigarettes per day.  He denies fevers, chills, vomiting, abdominal pain, diarrhea, constipation, dysuria, hematuria, hematochezia, melena, dizziness, lightheadedness, headache, visual changes, focal deficits.   Review of Systems  Constitutional: Positive for fatigue. Negative for chills, diaphoresis and fever.  HENT: Positive for rhinorrhea and sore throat. Negative for congestion and ear pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and leg swelling. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for abdominal pain, constipation, diarrhea and vomiting.  Genitourinary: Negative for dysuria, flank pain and hematuria.  Musculoskeletal: Positive for myalgias. Negative for back pain, neck pain and neck stiffness.  Skin: Negative for rash.  Neurological: Negative for dizziness, syncope, weakness, light-headedness, numbness and headaches.  Psychiatric/Behavioral: Negative for confusion.      Patient's Medications New Prescriptions
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza A virus test negative, Influenza B virus test, Joint swelling, Myalgia
Clinical narrative: Chief Complaint Patient presents with ? Chest Pain     xcouple days ? Leg Swelling     xcouple weeks     HPI Patient is a 60-year-old male with no significant past medical history who presents for chest pain and leg swelling.  Patient reports for the past couple days he has had pain on the right side of his chest as well as dyspnea with exertion.  He has noted intermittent swelling of his bilateral ankles and bilateral hands but currently are not swollen.  He does admit to rhinorrhea and sore throat with some occasional nausea but no vomiting.  He did receive the Johnson & Johnson vaccine but no boosters.  He denies a cardiac history.  He does smoke and states he has decreased to about 4-5 cigarettes per day.  He denies fevers, chills, vomiting, abdominal pain, diarrhea, constipation, dysuria, hematuria, hematochezia, melena, dizziness, lightheadedness, headache, visual changes, focal deficits.   Review of Systems  Constitutional: Positive for fatigue. Negative for chills, diaphoresis and fever.  HENT: Positive for rhinorrhea and sore throat. Negative for congestion and ear pain.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain and leg swelling. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for abdominal pain, constipation, diarrhea and vomiting.  Genitourinary: Negative for dysuria, flank pain and hematuria.  Musculoskeletal: Positive for myalgias. Negative for back pain, neck pain and neck stiffness.  Skin: Negative for rash.  Neurological: Negative for dizziness, syncope, weakness, light-headedness, numbness and headaches.  Psychiatric/Behavioral: Negative for confusion.      Patient's Medications New Prescriptions