chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary system x-ray normal, Vomiting, White blood cell count increased
Clinical narrative: A 73-year-old female, long-term care resident at Health and Rehab under the care of Dr., was sent to the emergency room tonight by staff at the nursing home.  The patient has some baseline dementia and acutely confused on top of that, so history is sketchy from her.  She complains of some suprapubic and left lower quadrant abdominal pain.  I was initially called to admit the patient for what was felt to be a possible appendicitis, new onset atrial fibrillation, electrolyte disturbances.  I called and spoke with the nurse who cares for her at the nursing home.  The patient the previous night had prolonged vomiting for 4-5 hours,  then subsided during the day today.  A KUB was done at the nursin nursing home yesterday  morning, which the nurse said was read as unremarkable.  However, this evening vomiting  began again.  The patient then became slightly confused from her baseline, had elevated temperature 99.4, blood pressure 176/88, so they sent her to the emergency room.  On arrival to the ED, she was in atrial fibrillation with a rate in the 120-range and was given IV diltiazem.  Because of elevated white blood cell count and  possible appendicitis on CT, Invanz was ordered in the ED.  A CT angiogram of the abdomen  and pelvis was done that was fairly unremarkable, although VRad noted they could not  completely rule out appendicitis.  Of note, the patient was diagnosed with COVID on January 5th and started on dexamethasone 6 mg daily on January 6th, which she is still taking.  No chest x-ray has been done yet.  Her oxygen saturation is 98% on room air.   PT IS STILL AN INPATIENT IN THIS TIME.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pain in extremity
Clinical narrative: arm pain, body aches and chills, headache. lasting at this time for over 10 hours
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood gases, Blood pH normal, Blood urea normal, C-reactive protein normal
Clinical narrative: 78 yo F with PMH of HTN and CKD Stage 3, otherwise, reports that she has been in good health.  She p/w 3-4 day onset of body aches, nausea, malaise. chills, and frontal HA.  She had a syncopal episode this am and summoned EMS.   She states that she started feeling nauseated and got up to use the restroom.  States she felt very lightheaded and she does not really recall exactly what happened (likely had +LOC) but she believes she may have hit her head on the toilet.  Her HA is the same as previous days.   She  has an abrasion to the right side of her face. She denies anticoagulation use and denies any  other area of injury or pain  since the syncopal episode. She denies fevers, sore throat, chest pain, palpitation
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray normal, Chills, Computerised tomogram head normal, Computerised tomogram spine
Clinical narrative: 78 yo F with PMH of HTN and CKD Stage 3, otherwise, reports that she has been in good health.  She p/w 3-4 day onset of body aches, nausea, malaise. chills, and frontal HA.  She had a syncopal episode this am and summoned EMS.   She states that she started feeling nauseated and got up to use the restroom.  States she felt very lightheaded and she does not really recall exactly what happened (likely had +LOC) but she believes she may have hit her head on the toilet.  Her HA is the same as previous days.   She  has an abrasion to the right side of her face. She denies anticoagulation use and denies any  other area of injury or pain  since the syncopal episode. She denies fevers, sore throat, chest pain, palpitation
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fibrin D dimer, Headache, Hypotension, Hypoxia
Clinical narrative: 78 yo F with PMH of HTN and CKD Stage 3, otherwise, reports that she has been in good health.  She p/w 3-4 day onset of body aches, nausea, malaise. chills, and frontal HA.  She had a syncopal episode this am and summoned EMS.   She states that she started feeling nauseated and got up to use the restroom.  States she felt very lightheaded and she does not really recall exactly what happened (likely had +LOC) but she believes she may have hit her head on the toilet.  Her HA is the same as previous days.   She  has an abrasion to the right side of her face. She denies anticoagulation use and denies any  other area of injury or pain  since the syncopal episode. She denies fevers, sore throat, chest pain, palpitation
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza virus test negative, Loss of consciousness, Malaise, Memory impairment, Nausea
Clinical narrative: 78 yo F with PMH of HTN and CKD Stage 3, otherwise, reports that she has been in good health.  She p/w 3-4 day onset of body aches, nausea, malaise. chills, and frontal HA.  She had a syncopal episode this am and summoned EMS.   She states that she started feeling nauseated and got up to use the restroom.  States she felt very lightheaded and she does not really recall exactly what happened (likely had +LOC) but she believes she may have hit her head on the toilet.  Her HA is the same as previous days.   She  has an abrasion to the right side of her face. She denies anticoagulation use and denies any  other area of injury or pain  since the syncopal episode. She denies fevers, sore throat, chest pain, palpitation
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pain, SARS-CoV-2 test positive, Serum ferritin increased, Skin abrasion
Clinical narrative: 78 yo F with PMH of HTN and CKD Stage 3, otherwise, reports that she has been in good health.  She p/w 3-4 day onset of body aches, nausea, malaise. chills, and frontal HA.  She had a syncopal episode this am and summoned EMS.   She states that she started feeling nauseated and got up to use the restroom.  States she felt very lightheaded and she does not really recall exactly what happened (likely had +LOC) but she believes she may have hit her head on the toilet.  Her HA is the same as previous days.   She  has an abrasion to the right side of her face. She denies anticoagulation use and denies any  other area of injury or pain  since the syncopal episode. She denies fevers, sore throat, chest pain, palpitation
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: 78 yo F with PMH of HTN and CKD Stage 3, otherwise, reports that she has been in good health.  She p/w 3-4 day onset of body aches, nausea, malaise. chills, and frontal HA.  She had a syncopal episode this am and summoned EMS.   She states that she started feeling nauseated and got up to use the restroom.  States she felt very lightheaded and she does not really recall exactly what happened (likely had +LOC) but she believes she may have hit her head on the toilet.  Her HA is the same as previous days.   She  has an abrasion to the right side of her face. She denies anticoagulation use and denies any  other area of injury or pain  since the syncopal episode. She denies fevers, sore throat, chest pain, palpitation
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Sensitive skin
Clinical narrative: 3 hrs after taking the vaccine he started getting skin sensitivity on his face. He look in the mirror and started see little red bumps on his face. He took Benadryl a it got better a little. When he woke up the next day the bumps spreaded from his face to down his neck.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anxiety, Atrial fibrillation, Blood gases, Blood pH normal, Brain natriuretic peptide increased
Clinical narrative: 78 y/o female with history of COPD, CHF, afib who p/w increased sob. The patient notes that she has been more tired for the last several days, acutely worsened sob today. She has been vaccinated and boosted for covid. She saw her daughter last Tuesday?, who is not vaccinated, and who tested positive for covid on Wednesday. She notes her daughter is fine, still in quarantine. The patient is covid positive. She is quite anxious and upset by this, crying, stating she got all her vaccines and it did her no good. I discussed with her that she currently is on 2L, and her CXR may be more related to some of her other issues than covid pna. Discussed that the vaccine is likely helping to keep her much better off than if she were not vaccinated.  In the ER, ABG 7.44/32/52 on room air, saturating well on 2L. She is in afib with RVR, with history of afib as well. CXR shows possible edema vs atypical infection. BNP 1100. Admission is requested. Patient notes primary symptoms of cough, sob, and wheezing.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Condition aggravated, Cough, Crying
Clinical narrative: 78 y/o female with history of COPD, CHF, afib who p/w increased sob. The patient notes that she has been more tired for the last several days, acutely worsened sob today. She has been vaccinated and boosted for covid. She saw her daughter last Tuesday?, who is not vaccinated, and who tested positive for covid on Wednesday. She notes her daughter is fine, still in quarantine. The patient is covid positive. She is quite anxious and upset by this, crying, stating she got all her vaccines and it did her no good. I discussed with her that she currently is on 2L, and her CXR may be more related to some of her other issues than covid pna. Discussed that the vaccine is likely helping to keep her much better off than if she were not vaccinated.  In the ER, ABG 7.44/32/52 on room air, saturating well on 2L. She is in afib with RVR, with history of afib as well. CXR shows possible edema vs atypical infection. BNP 1100. Admission is requested. Patient notes primary symptoms of cough, sob, and wheezing.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Emotional distress, Exposure to SARS-CoV-2, Fatigue, Wheezing
Clinical narrative: 78 y/o female with history of COPD, CHF, afib who p/w increased sob. The patient notes that she has been more tired for the last several days, acutely worsened sob today. She has been vaccinated and boosted for covid. She saw her daughter last Tuesday?, who is not vaccinated, and who tested positive for covid on Wednesday. She notes her daughter is fine, still in quarantine. The patient is covid positive. She is quite anxious and upset by this, crying, stating she got all her vaccines and it did her no good. I discussed with her that she currently is on 2L, and her CXR may be more related to some of her other issues than covid pna. Discussed that the vaccine is likely helping to keep her much better off than if she were not vaccinated.  In the ER, ABG 7.44/32/52 on room air, saturating well on 2L. She is in afib with RVR, with history of afib as well. CXR shows possible edema vs atypical infection. BNP 1100. Admission is requested. Patient notes primary symptoms of cough, sob, and wheezing.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive, Seizure
Clinical narrative: Patient experienced a seizure 12 hrs after administration of influenza vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 42.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Abdominal operation, Abdominal pain lower, Appendicitis, COVID-19
Clinical narrative: The patient presents with Patient is a 43 year old female presenting for evaluation of abdominal pain. Patient reports the pain began Tuesday and was located in the RLQ. The pain was and remains a sharp discomfort and does not radiate. It is a 10/10 in intensity. This is the first period of pain like this. Movement and palpation have exacerbated the pain. She reports fever, chills, nausea, and vomiting as well. Nothing at home has improved her pain. Given the unremitting pain, the patient presents to the ER for evaluation and was found to have appendicitis on CT scan. Surgery was therefore called. Incidentally, the patient was noted to have COVID infection concurrently. She denies dyspnea or hypoxia while at HOME./PT REMAINS INPATIENT AT THIS TIME.
Age: 42.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Chills, Computerised tomogram abdomen abnormal, Nausea, Pain, Pyrexia
Clinical narrative: The patient presents with Patient is a 43 year old female presenting for evaluation of abdominal pain. Patient reports the pain began Tuesday and was located in the RLQ. The pain was and remains a sharp discomfort and does not radiate. It is a 10/10 in intensity. This is the first period of pain like this. Movement and palpation have exacerbated the pain. She reports fever, chills, nausea, and vomiting as well. Nothing at home has improved her pain. Given the unremitting pain, the patient presents to the ER for evaluation and was found to have appendicitis on CT scan. Surgery was therefore called. Incidentally, the patient was noted to have COVID infection concurrently. She denies dyspnea or hypoxia while at HOME./PT REMAINS INPATIENT AT THIS TIME.
Age: 42.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: The patient presents with Patient is a 43 year old female presenting for evaluation of abdominal pain. Patient reports the pain began Tuesday and was located in the RLQ. The pain was and remains a sharp discomfort and does not radiate. It is a 10/10 in intensity. This is the first period of pain like this. Movement and palpation have exacerbated the pain. She reports fever, chills, nausea, and vomiting as well. Nothing at home has improved her pain. Given the unremitting pain, the patient presents to the ER for evaluation and was found to have appendicitis on CT scan. Surgery was therefore called. Incidentally, the patient was noted to have COVID infection concurrently. She denies dyspnea or hypoxia while at HOME./PT REMAINS INPATIENT AT THIS TIME.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Complication of pregnancy, Maternal exposure before pregnancy
Clinical narrative: Patient is a 32 year old G4P3 at 38 weeks & 2 days confirmed by ultrasound for an EDD of 1/26/22. She presented to triage for IOL. Patient reports feeling well, has no complaints.  Pregnancy complicated by HTN. Denies headache, change in vision, loss of fluid, vaginal bleeding, vaginal discharge, swelling, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, dysuria, fever/chills. She reports good fetal movement throughout pregnancy. Takes PNV.  PT CONTINUES TO BE INPATIENT.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Injection site pain, Musculoskeletal pain
Clinical narrative: Shortly after vaccine was administered the injection sire became sore which I thought was normal but several days later the injection continued to be sore.  Few days later my shoulder and shoulder blade became sore.  I exercise my shoulder a lot since the start and have used a heating pad.  The soreness continues sometimes worse than other times.  The injection site continues to hurt along with the shoulder and back.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram thorax abnormal, Echocardiogram
Clinical narrative: NORMAL SIDE EFFECTS AFTER THE BOOSTER ON 12-3(SORE ARM, HEADACHE, ETC.) BUT REALLY DIDN'T FEEL WELL LATER IN THE WEEK AND BY 12-12 MY HUSBAND DROVE ME TO THE ER WITH CHEST PAIN I COULD NO LONGER TOLERATE.  I WAS DIAGNOSED WITH PERICARDIAL EFFUSION CAUSED BY THE VACCINE.   MY FIRST TWO VACCINES WERE PFIZER (3-8-2021 AND 3-30-2021).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction, Electrocardiogram, Headache, Inappropriate schedule of product administration, Malaise
Clinical narrative: NORMAL SIDE EFFECTS AFTER THE BOOSTER ON 12-3(SORE ARM, HEADACHE, ETC.) BUT REALLY DIDN'T FEEL WELL LATER IN THE WEEK AND BY 12-12 MY HUSBAND DROVE ME TO THE ER WITH CHEST PAIN I COULD NO LONGER TOLERATE.  I WAS DIAGNOSED WITH PERICARDIAL EFFUSION CAUSED BY THE VACCINE.   MY FIRST TWO VACCINES WERE PFIZER (3-8-2021 AND 3-30-2021).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pericardial effusion, Scan with contrast abnormal, Vaccination complication
Clinical narrative: NORMAL SIDE EFFECTS AFTER THE BOOSTER ON 12-3(SORE ARM, HEADACHE, ETC.) BUT REALLY DIDN'T FEEL WELL LATER IN THE WEEK AND BY 12-12 MY HUSBAND DROVE ME TO THE ER WITH CHEST PAIN I COULD NO LONGER TOLERATE.  I WAS DIAGNOSED WITH PERICARDIAL EFFUSION CAUSED BY THE VACCINE.   MY FIRST TWO VACCINES WERE PFIZER (3-8-2021 AND 3-30-2021).
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  2/25, 3/18, 12/8/21 COVID-19 positive by PCR on  12/12/21. Hospitalized 12/12-12/26/21 d/t COVID 19 pneumonia readmitted on 1/10/22 d/t respiratory distress in setting of COVID 19. underlying COPD, HTN, h/o stroke, pulmonary fibrosis, AAA
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Genital herpes simplex, Laboratory test normal, Pain in extremity, Pudendal canal syndrome
Clinical narrative: I did not have an immediate response. I was later diagnosed with GHSV2. I had a primary outbreak in May. I have had significant pudendal nerve pain problems for the 8 months since. I only mention this because I'm aware that others with HSV have had adverse reactions to the vaccine (known through social media reporting/communications) and because it is a neurological problem while COVID 19 can cause significant neurological problems. I have not to my knowledge had COVID-19. I did not have any immediate noticeable adverse reaction to my booster shot in December 2021, after my pudendial neuralgia had been active for several months. My immediate symptom for a day after each of my 3 shots was a sore arm and nothing further. COVID Pfizer 12/23/20 // 1/13/21 // booster 12/11/21.  I have also had Hep B vaccine and HPV vaccine over the course of 2020.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 3rd dose in August 25, 2021 and given a 4th dose in October 11, 2021, Pt. given 4 doses in error.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Red and swollen around injection site. Nurse gave 10ml (25mg total) of diphenhist 12.5/5.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Injection site erythema, Injection site nodule, Injection site warmth, Pain
Clinical narrative: Fever 100.4 was first observed the day after injection, and continued through the following day, with some chills. I had a lot more arm pain than expected, and it continued for about 5 days, bad enough to disturb my sleep. A hot red knot formed about 3 inches below the injection site and was there for about a week.  I used a warm moist pack on that to help me sleep. I medicated fever and pain with Advil, taking about 4 pills total.over 5 days.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity, Pyrexia, Sleep disorder
Clinical narrative: Fever 100.4 was first observed the day after injection, and continued through the following day, with some chills. I had a lot more arm pain than expected, and it continued for about 5 days, bad enough to disturb my sleep. A hot red knot formed about 3 inches below the injection site and was there for about a week.  I used a warm moist pack on that to help me sleep. I medicated fever and pain with Advil, taking about 4 pills total.over 5 days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Pain
Clinical narrative: Patient received  covid booster on Friday around 9:45 am.    "  I just wanted to let y'all know that I've had extreme redness, pain, and itchiness in the injection sight. I've also had a terrible headache since Friday. I had body aches that kept me from taking care of my kids on Saturday. The body aches are still there, but they are manageable now. "  Message from patient.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: I administered a 5-11 aged vaccine to a patient older than 12 years. No reactions were noted. Primary physician spoke to the patient and advised that we would give the correct dose in 21 days from now.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized with covid
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID19 case.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Received Janssen vaccine on 4/27/21 COVID-19 positive by PCR on  1/10/22 admitted to hospital on 1/10/22 d/t generalized weakness, falls; found to be COVID positive on admit.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Induration, Pain in jaw, Swelling face
Clinical narrative: Extreme swelling at site of filler (Restylane) injection - jawline.  Pain, discomfort.  Lasted one week, currently taking Methylprednisolone 4 mg Dospak 21S to reduce swelling.  Area of injection became hard to the touch and spread across jawline.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient experienced chest pain which started Monday evening and continued through the night. For vaccination appointment at pharmacy.
Age: 25.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Arthropathy, Injection site pain, Joint range of motion decreased, Product administered at inappropriate site
Clinical narrative: Pain during injection. Worsening shoulder pain, popping, difficulty moving arm ever since. Have seen a doctor who confirmed damage to rotator cuff due to vaccine being given too high.
Age: 25.0
Sex: F
Vaccine: HPV9
Symptoms: Rotator cuff syndrome, X-ray limb abnormal
Clinical narrative: Pain during injection. Worsening shoulder pain, popping, difficulty moving arm ever since. Have seen a doctor who confirmed damage to rotator cuff due to vaccine being given too high.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Headache, Vertigo
Clinical narrative: Severe Vertigo, diarrhea, headache, Gastrointestinal discomfort
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Accelerated idioventricular rhythm, Asthenia, Blood glucose increased, COVID-19, Cardiac telemetry abnormal
Clinical narrative: Patient is a 79 y.o. male with a history of mixed hyperlipidemia, diabetes, hypertension, and myocardial infarction who presents to the emergency department for evaluation of COVID-19 exacerbation. The patient presents to triage for shortness of breath, and his oxygen saturation was 77%, so he was brought back to stabilization room 2. The patient tested positive for COVID-19 on Saturday (1/1). The patient states that he started to feel sick with symptoms of fatigue, cough, and weakness 3 to 4 days prior to testing positive. The patient is currently nauseous. The patient is not on oxygen at baseline. The patient does not have a history of asthma, COPD, or emphysema. The patient does not use an inhaler. The patient states that he had a heart attack in June 2021, which he was treated for at hospital. The patient is fully COVID-19 vaccinated including his booster, which he received on 10/17/21. The patient denies fevers, lightheadedness, dizziness, headache, or chest pain.  Patient is a very pleasant 79 y.o. male with a history of CAD s/p PCI 6/2021 (follows at Mercy), diabetes, HTN, hyperlipidemia (declines statins), PVCs  who was admitted 1/5/2022 for dyspnea, fatigue, headache, positive COVID test 1/1/2022, found to be hypoxic to 71% at admit.  Cardiology called due to PVCs and short runs of NSVT (4-8 beats) and accelerated idioventricular rhythm on telemetry, no chest pain, palpitations, on-going dyspnea.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Echocardiogram abnormal, Ejection fraction normal
Clinical narrative: Patient is a 79 y.o. male with a history of mixed hyperlipidemia, diabetes, hypertension, and myocardial infarction who presents to the emergency department for evaluation of COVID-19 exacerbation. The patient presents to triage for shortness of breath, and his oxygen saturation was 77%, so he was brought back to stabilization room 2. The patient tested positive for COVID-19 on Saturday (1/1). The patient states that he started to feel sick with symptoms of fatigue, cough, and weakness 3 to 4 days prior to testing positive. The patient is currently nauseous. The patient is not on oxygen at baseline. The patient does not have a history of asthma, COPD, or emphysema. The patient does not use an inhaler. The patient states that he had a heart attack in June 2021, which he was treated for at hospital. The patient is fully COVID-19 vaccinated including his booster, which he received on 10/17/21. The patient denies fevers, lightheadedness, dizziness, headache, or chest pain.  Patient is a very pleasant 79 y.o. male with a history of CAD s/p PCI 6/2021 (follows at Mercy), diabetes, HTN, hyperlipidemia (declines statins), PVCs  who was admitted 1/5/2022 for dyspnea, fatigue, headache, positive COVID test 1/1/2022, found to be hypoxic to 71% at admit.  Cardiology called due to PVCs and short runs of NSVT (4-8 beats) and accelerated idioventricular rhythm on telemetry, no chest pain, palpitations, on-going dyspnea.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Headache, Heart rate decreased, Hypoxia
Clinical narrative: Patient is a 79 y.o. male with a history of mixed hyperlipidemia, diabetes, hypertension, and myocardial infarction who presents to the emergency department for evaluation of COVID-19 exacerbation. The patient presents to triage for shortness of breath, and his oxygen saturation was 77%, so he was brought back to stabilization room 2. The patient tested positive for COVID-19 on Saturday (1/1). The patient states that he started to feel sick with symptoms of fatigue, cough, and weakness 3 to 4 days prior to testing positive. The patient is currently nauseous. The patient is not on oxygen at baseline. The patient does not have a history of asthma, COPD, or emphysema. The patient does not use an inhaler. The patient states that he had a heart attack in June 2021, which he was treated for at hospital. The patient is fully COVID-19 vaccinated including his booster, which he received on 10/17/21. The patient denies fevers, lightheadedness, dizziness, headache, or chest pain.  Patient is a very pleasant 79 y.o. male with a history of CAD s/p PCI 6/2021 (follows at Mercy), diabetes, HTN, hyperlipidemia (declines statins), PVCs  who was admitted 1/5/2022 for dyspnea, fatigue, headache, positive COVID test 1/1/2022, found to be hypoxic to 71% at admit.  Cardiology called due to PVCs and short runs of NSVT (4-8 beats) and accelerated idioventricular rhythm on telemetry, no chest pain, palpitations, on-going dyspnea.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular dysfunction, Malaise, Mitral valve incompetence, Mitral valve prolapse, Nausea
Clinical narrative: Patient is a 79 y.o. male with a history of mixed hyperlipidemia, diabetes, hypertension, and myocardial infarction who presents to the emergency department for evaluation of COVID-19 exacerbation. The patient presents to triage for shortness of breath, and his oxygen saturation was 77%, so he was brought back to stabilization room 2. The patient tested positive for COVID-19 on Saturday (1/1). The patient states that he started to feel sick with symptoms of fatigue, cough, and weakness 3 to 4 days prior to testing positive. The patient is currently nauseous. The patient is not on oxygen at baseline. The patient does not have a history of asthma, COPD, or emphysema. The patient does not use an inhaler. The patient states that he had a heart attack in June 2021, which he was treated for at hospital. The patient is fully COVID-19 vaccinated including his booster, which he received on 10/17/21. The patient denies fevers, lightheadedness, dizziness, headache, or chest pain.  Patient is a very pleasant 79 y.o. male with a history of CAD s/p PCI 6/2021 (follows at Mercy), diabetes, HTN, hyperlipidemia (declines statins), PVCs  who was admitted 1/5/2022 for dyspnea, fatigue, headache, positive COVID test 1/1/2022, found to be hypoxic to 71% at admit.  Cardiology called due to PVCs and short runs of NSVT (4-8 beats) and accelerated idioventricular rhythm on telemetry, no chest pain, palpitations, on-going dyspnea.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin decreased, Ventricular extrasystoles, Ventricular tachycardia
Clinical narrative: Patient is a 79 y.o. male with a history of mixed hyperlipidemia, diabetes, hypertension, and myocardial infarction who presents to the emergency department for evaluation of COVID-19 exacerbation. The patient presents to triage for shortness of breath, and his oxygen saturation was 77%, so he was brought back to stabilization room 2. The patient tested positive for COVID-19 on Saturday (1/1). The patient states that he started to feel sick with symptoms of fatigue, cough, and weakness 3 to 4 days prior to testing positive. The patient is currently nauseous. The patient is not on oxygen at baseline. The patient does not have a history of asthma, COPD, or emphysema. The patient does not use an inhaler. The patient states that he had a heart attack in June 2021, which he was treated for at hospital. The patient is fully COVID-19 vaccinated including his booster, which he received on 10/17/21. The patient denies fevers, lightheadedness, dizziness, headache, or chest pain.  Patient is a very pleasant 79 y.o. male with a history of CAD s/p PCI 6/2021 (follows at Mercy), diabetes, HTN, hyperlipidemia (declines statins), PVCs  who was admitted 1/5/2022 for dyspnea, fatigue, headache, positive COVID test 1/1/2022, found to be hypoxic to 71% at admit.  Cardiology called due to PVCs and short runs of NSVT (4-8 beats) and accelerated idioventricular rhythm on telemetry, no chest pain, palpitations, on-going dyspnea.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Haemoglobin decreased, Intensive care, SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 2/12, 3/12/21 COVID-19 positive by PCR on  1/10/22 admitted to hospital/ICU on 1/10/22 for evaluation of low hemoglobin (5.0), incidental finding of COVID 19
Age: 52.0
Sex: M
Vaccine: VARZOS
Symptoms: Fatigue, Pain
Clinical narrative: Body aches - lower body Fatigue
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Injection site erythema, Injection site warmth, Peripheral swelling
Clinical narrative: My vaccinated arm was really red and swollen after I got the shot (2 inches larger than normal) and there was red circle (3x3) - where I got the shot. Temperature of where the red circle was located was 104.2 degrees. I called my doctor and prescribed me with steroids and she gave me a shot of Toradol and wrote me a prescription of Ibuprofen (800mg). A couple of days later my arm got bigger than it was (5 inches to be exact) and the redness was still there. The swelling subsided after 2 weeks and the redness lasted for at least a month. (When my symptoms were subsiding I developed blisters both in my right and left arm) It subsided after 1 week.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Headache, Migraine, Nausea, Vomiting
Clinical narrative: Later that night and for a week now, I've thrown up and felt nauseated and or had stomach pain. I also had/have headaches and migraines all week. I didn't not have a stomach ache at the time of injection. I also was given a flu shot as well in the left arm.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Sinus bradycardia, Syncope
Clinical narrative: Received Moderna vaccines on 8/20, 9/18/21 COVID-19 positive by PCR on  1/9/22 admitted to hospital 1/9-1/11/22 d/t syncope, sinus bradycardia, found to be COVID positive on admission.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus days after booster
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous
Clinical narrative: MIscarriage in first Trimester
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Intense, incapacitating  flu-like symptoms starting approx. 12 hours after injection, lasted for 24 hours
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac function test, Delirium, Imaging procedure, Laboratory test normal
Clinical narrative: one week post vaccine pt developed acute delirum was unable to recognized family members, was not oriented to placed time, self was hospitalized for event and all testing negative for stroke, heart attack, no abnormal lab values
Age: 5.0
Sex: F
Vaccine: FLUR4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Flublok quadrivalent inadvertently administered to pediatric patient, instead of Fluzone Quadrivalent.   No adverse event reported as of 1/14/22.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Shoulder injury related to vaccine administration
Clinical narrative: SIRVA - extreme pain at injection site, continuing for 2+ months
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Computerised tomogram, Cough, Dry throat, Nasal dryness
Clinical narrative: Reports that 1 day after receiving his booster he started to experience dry throat and nose, and cough. He states he "had to use Vix on his mouth and nose to sleep".  Denies SOB. States on the 12/26/21 he was hospitalized and his WBC's were up to 24.8 and his blood sugar was off and was diagnosed with sepsis.  He states he had CT scans and xrays and was put on antibiotics.  He states his WBC on 12-15-21 was 8.11 and today was 16.5
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Sleep disorder, White blood cell count increased, X-ray
Clinical narrative: Reports that 1 day after receiving his booster he started to experience dry throat and nose, and cough. He states he "had to use Vix on his mouth and nose to sleep".  Denies SOB. States on the 12/26/21 he was hospitalized and his WBC's were up to 24.8 and his blood sugar was off and was diagnosed with sepsis.  He states he had CT scans and xrays and was put on antibiotics.  He states his WBC on 12-15-21 was 8.11 and today was 16.5
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Lethargy, SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 9/17, 10/21/21 COVID-19 positive by PCR on  12/21/21 admitted to hospital on 1/10/22 for lethargy and dyspnea, COVID pneumonia past history of renal transplant, CAD, CKD, thyroid cancer, type 2 DM, HTN
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Blood creatine increased, Brain natriuretic peptide increased, Bundle branch block left
Clinical narrative: Patient is a 66 y.o. male with a past medical history of CAD, ischemic cardiomyopathy, wheezing on CPAP, obesity, PFO with TBI from paradoxical embolism, left cerebellar infarct in the past, hypertension, type 2 diabetes mellitus, history of laryngeal cancer mild dysphagia not on treatment, history of DVT on Coumadin was brought in the ED by EMS on 1/1 after sliding out of his bed.  Patient did not hit his head or lose consciousness.   In the ED, EKG showed a chronic LBBB but new ST changes noted.  Troponin was elevated.  He tested positive for COVID-19.  He was seen by cardiology during this hospital stay who rec'd outpatient stress test.  Patient improved and was off oxygen. He was cleared to d/c home w/ home care.     COVID 19 PNA Acute hypoxic respiratory failure, resolved  Patient not hypoxic at presentation.  Chest x-ray at presentation was suggestive of pulmonary edema.  He also had elevated BNP -Overnight on 1/7, he was noted to desat on room air and required 2 L/min via nasal cannula.  Therefore, I he received a dose of 6 mg Decadron.  Patient weaned off oxygen on 1/8 and Decadron discontinued however placed back on 1/9. -PT/OT rec'd TCU but patient improved enough to go home w/ home care   Coronary Artery Disease Chronic HFrEF/ICM  Sinus exit block  Elevated troponin-likely demand ischemia in the setting of COVID-19 infection  -Seen by cardiology during this hospital stay. Cardiology did not think that this clinical presentation was consistent with ACS.  Cardiology noted that his echo may have new anterolateral wall motion abnormality that was not reported on echo at hospital January, 2021. -Outpatient nuclear stress test recommended -Cardiology recommended resuming PTA Plavix. Discontinue aspirin and resume PTA Plavix   History of CVA, PFO and paradoxical embolism  Previous DVT -Pharm. dosing warfarin -INR currently at goal   Azotemia: Creatinine up trended to 1.44 from 1.01 but is now back to normal -Resume PTA Lasix 40 mg daily   Hypertension -PTA on losartan 100 mg daily, metoprolol XL 100 mg daily.  Blood pressures stable - Continue home losartan, metoprolol   Physical deconditioning - initially PT rec'd TCU but patient improved enough to go home w/ home care. Uses a walker at baseline.    Dyslipidemia -continue PTA Crestor 40 mg daily.   Diabetes Mellitus: PTA on metformin 850 mg 3 times daily and glipizide 2.5 mg twice daily. - Hold home metformin and glipizide- resume at d/c - Continue Lantus 13 units at bedtime
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure, Cardiac stress test, Chest X-ray abnormal
Clinical narrative: Patient is a 66 y.o. male with a past medical history of CAD, ischemic cardiomyopathy, wheezing on CPAP, obesity, PFO with TBI from paradoxical embolism, left cerebellar infarct in the past, hypertension, type 2 diabetes mellitus, history of laryngeal cancer mild dysphagia not on treatment, history of DVT on Coumadin was brought in the ED by EMS on 1/1 after sliding out of his bed.  Patient did not hit his head or lose consciousness.   In the ED, EKG showed a chronic LBBB but new ST changes noted.  Troponin was elevated.  He tested positive for COVID-19.  He was seen by cardiology during this hospital stay who rec'd outpatient stress test.  Patient improved and was off oxygen. He was cleared to d/c home w/ home care.     COVID 19 PNA Acute hypoxic respiratory failure, resolved  Patient not hypoxic at presentation.  Chest x-ray at presentation was suggestive of pulmonary edema.  He also had elevated BNP -Overnight on 1/7, he was noted to desat on room air and required 2 L/min via nasal cannula.  Therefore, I he received a dose of 6 mg Decadron.  Patient weaned off oxygen on 1/8 and Decadron discontinued however placed back on 1/9. -PT/OT rec'd TCU but patient improved enough to go home w/ home care   Coronary Artery Disease Chronic HFrEF/ICM  Sinus exit block  Elevated troponin-likely demand ischemia in the setting of COVID-19 infection  -Seen by cardiology during this hospital stay. Cardiology did not think that this clinical presentation was consistent with ACS.  Cardiology noted that his echo may have new anterolateral wall motion abnormality that was not reported on echo at hospital January, 2021. -Outpatient nuclear stress test recommended -Cardiology recommended resuming PTA Plavix. Discontinue aspirin and resume PTA Plavix   History of CVA, PFO and paradoxical embolism  Previous DVT -Pharm. dosing warfarin -INR currently at goal   Azotemia: Creatinine up trended to 1.44 from 1.01 but is now back to normal -Resume PTA Lasix 40 mg daily   Hypertension -PTA on losartan 100 mg daily, metoprolol XL 100 mg daily.  Blood pressures stable - Continue home losartan, metoprolol   Physical deconditioning - initially PT rec'd TCU but patient improved enough to go home w/ home care. Uses a walker at baseline.    Dyslipidemia -continue PTA Crestor 40 mg daily.   Diabetes Mellitus: PTA on metformin 850 mg 3 times daily and glipizide 2.5 mg twice daily. - Hold home metformin and glipizide- resume at d/c - Continue Lantus 13 units at bedtime
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Coronary artery disease, Diabetes mellitus, Dyslipidaemia, Echocardiogram abnormal
Clinical narrative: Patient is a 66 y.o. male with a past medical history of CAD, ischemic cardiomyopathy, wheezing on CPAP, obesity, PFO with TBI from paradoxical embolism, left cerebellar infarct in the past, hypertension, type 2 diabetes mellitus, history of laryngeal cancer mild dysphagia not on treatment, history of DVT on Coumadin was brought in the ED by EMS on 1/1 after sliding out of his bed.  Patient did not hit his head or lose consciousness.   In the ED, EKG showed a chronic LBBB but new ST changes noted.  Troponin was elevated.  He tested positive for COVID-19.  He was seen by cardiology during this hospital stay who rec'd outpatient stress test.  Patient improved and was off oxygen. He was cleared to d/c home w/ home care.     COVID 19 PNA Acute hypoxic respiratory failure, resolved  Patient not hypoxic at presentation.  Chest x-ray at presentation was suggestive of pulmonary edema.  He also had elevated BNP -Overnight on 1/7, he was noted to desat on room air and required 2 L/min via nasal cannula.  Therefore, I he received a dose of 6 mg Decadron.  Patient weaned off oxygen on 1/8 and Decadron discontinued however placed back on 1/9. -PT/OT rec'd TCU but patient improved enough to go home w/ home care   Coronary Artery Disease Chronic HFrEF/ICM  Sinus exit block  Elevated troponin-likely demand ischemia in the setting of COVID-19 infection  -Seen by cardiology during this hospital stay. Cardiology did not think that this clinical presentation was consistent with ACS.  Cardiology noted that his echo may have new anterolateral wall motion abnormality that was not reported on echo at hospital January, 2021. -Outpatient nuclear stress test recommended -Cardiology recommended resuming PTA Plavix. Discontinue aspirin and resume PTA Plavix   History of CVA, PFO and paradoxical embolism  Previous DVT -Pharm. dosing warfarin -INR currently at goal   Azotemia: Creatinine up trended to 1.44 from 1.01 but is now back to normal -Resume PTA Lasix 40 mg daily   Hypertension -PTA on losartan 100 mg daily, metoprolol XL 100 mg daily.  Blood pressures stable - Continue home losartan, metoprolol   Physical deconditioning - initially PT rec'd TCU but patient improved enough to go home w/ home care. Uses a walker at baseline.    Dyslipidemia -continue PTA Crestor 40 mg daily.   Diabetes Mellitus: PTA on metformin 850 mg 3 times daily and glipizide 2.5 mg twice daily. - Hold home metformin and glipizide- resume at d/c - Continue Lantus 13 units at bedtime
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ST-T change, Electrocardiogram abnormal, Fall, International normalised ratio normal, Left ventricular dysfunction
Clinical narrative: Patient is a 66 y.o. male with a past medical history of CAD, ischemic cardiomyopathy, wheezing on CPAP, obesity, PFO with TBI from paradoxical embolism, left cerebellar infarct in the past, hypertension, type 2 diabetes mellitus, history of laryngeal cancer mild dysphagia not on treatment, history of DVT on Coumadin was brought in the ED by EMS on 1/1 after sliding out of his bed.  Patient did not hit his head or lose consciousness.   In the ED, EKG showed a chronic LBBB but new ST changes noted.  Troponin was elevated.  He tested positive for COVID-19.  He was seen by cardiology during this hospital stay who rec'd outpatient stress test.  Patient improved and was off oxygen. He was cleared to d/c home w/ home care.     COVID 19 PNA Acute hypoxic respiratory failure, resolved  Patient not hypoxic at presentation.  Chest x-ray at presentation was suggestive of pulmonary edema.  He also had elevated BNP -Overnight on 1/7, he was noted to desat on room air and required 2 L/min via nasal cannula.  Therefore, I he received a dose of 6 mg Decadron.  Patient weaned off oxygen on 1/8 and Decadron discontinued however placed back on 1/9. -PT/OT rec'd TCU but patient improved enough to go home w/ home care   Coronary Artery Disease Chronic HFrEF/ICM  Sinus exit block  Elevated troponin-likely demand ischemia in the setting of COVID-19 infection  -Seen by cardiology during this hospital stay. Cardiology did not think that this clinical presentation was consistent with ACS.  Cardiology noted that his echo may have new anterolateral wall motion abnormality that was not reported on echo at hospital January, 2021. -Outpatient nuclear stress test recommended -Cardiology recommended resuming PTA Plavix. Discontinue aspirin and resume PTA Plavix   History of CVA, PFO and paradoxical embolism  Previous DVT -Pharm. dosing warfarin -INR currently at goal   Azotemia: Creatinine up trended to 1.44 from 1.01 but is now back to normal -Resume PTA Lasix 40 mg daily   Hypertension -PTA on losartan 100 mg daily, metoprolol XL 100 mg daily.  Blood pressures stable - Continue home losartan, metoprolol   Physical deconditioning - initially PT rec'd TCU but patient improved enough to go home w/ home care. Uses a walker at baseline.    Dyslipidemia -continue PTA Crestor 40 mg daily.   Diabetes Mellitus: PTA on metformin 850 mg 3 times daily and glipizide 2.5 mg twice daily. - Hold home metformin and glipizide- resume at d/c - Continue Lantus 13 units at bedtime