chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Angiogram cerebral normal, Arteriogram carotid normal, Bordetella test negative, COVID-19
Clinical narrative: ED to Hosp-Admission  Discharged  10/28/2021 - 10/30/2021 (2 days) Hospital  MD  Left-sided weakness   Hospital Diagnosis Left-sided weakness   Hospital Course 44-year-old female with hypertension, Crohn's disease, admitted on 10/28/2021 for left arm and leg weakness.  Patient had recently received the Covid vaccine on 10/15/21.  Noted onset of Covid symptoms including sore throat around 10/25/21.  On 10/28/2021, patient noted left arm and leg weakness.  Came to the hospital for further evaluation.  Symptoms were concerning for stroke and she received TPA. CT angiogram head/neck without stenosis.  Follow-up MRI luckily without stroke.  Echocardiogram with EF 60 to 65%.  No significant wall motion abnormalities.  Neurology was consulted.  Recommend continuing aspirin 81 mg and atorvastatin 40 mg nightly.  Follow-up with neurology as outpatient.  Patient does report a prior history of migraines more than 20 years ago.  Denied any headache or migraine symptoms with this episode.  Does report that she is under some stress, but this would be a diagnosis of exclusion.  PT/OT cleared for discharge to home.  Does still have some minimal left arm and leg weakness.  Have ordered outpatient physical therapy.  On discharge, patient is satting well on room air, feels well to go home.  Given instructions on COVID care.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chlamydia test negative, Computerised tomogram head normal, Condition aggravated, Coronavirus test negative
Clinical narrative: ED to Hosp-Admission  Discharged  10/28/2021 - 10/30/2021 (2 days) Hospital  MD  Left-sided weakness   Hospital Diagnosis Left-sided weakness   Hospital Course 44-year-old female with hypertension, Crohn's disease, admitted on 10/28/2021 for left arm and leg weakness.  Patient had recently received the Covid vaccine on 10/15/21.  Noted onset of Covid symptoms including sore throat around 10/25/21.  On 10/28/2021, patient noted left arm and leg weakness.  Came to the hospital for further evaluation.  Symptoms were concerning for stroke and she received TPA. CT angiogram head/neck without stenosis.  Follow-up MRI luckily without stroke.  Echocardiogram with EF 60 to 65%.  No significant wall motion abnormalities.  Neurology was consulted.  Recommend continuing aspirin 81 mg and atorvastatin 40 mg nightly.  Follow-up with neurology as outpatient.  Patient does report a prior history of migraines more than 20 years ago.  Denied any headache or migraine symptoms with this episode.  Does report that she is under some stress, but this would be a diagnosis of exclusion.  PT/OT cleared for discharge to home.  Does still have some minimal left arm and leg weakness.  Have ordered outpatient physical therapy.  On discharge, patient is satting well on room air, feels well to go home.  Given instructions on COVID care.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Diffusion-weighted brain MRI normal, Echocardiogram, Echocardiogram abnormal, Ejection fraction normal, Enterovirus test negative
Clinical narrative: ED to Hosp-Admission  Discharged  10/28/2021 - 10/30/2021 (2 days) Hospital  MD  Left-sided weakness   Hospital Diagnosis Left-sided weakness   Hospital Course 44-year-old female with hypertension, Crohn's disease, admitted on 10/28/2021 for left arm and leg weakness.  Patient had recently received the Covid vaccine on 10/15/21.  Noted onset of Covid symptoms including sore throat around 10/25/21.  On 10/28/2021, patient noted left arm and leg weakness.  Came to the hospital for further evaluation.  Symptoms were concerning for stroke and she received TPA. CT angiogram head/neck without stenosis.  Follow-up MRI luckily without stroke.  Echocardiogram with EF 60 to 65%.  No significant wall motion abnormalities.  Neurology was consulted.  Recommend continuing aspirin 81 mg and atorvastatin 40 mg nightly.  Follow-up with neurology as outpatient.  Patient does report a prior history of migraines more than 20 years ago.  Denied any headache or migraine symptoms with this episode.  Does report that she is under some stress, but this would be a diagnosis of exclusion.  PT/OT cleared for discharge to home.  Does still have some minimal left arm and leg weakness.  Have ordered outpatient physical therapy.  On discharge, patient is satting well on room air, feels well to go home.  Given instructions on COVID care.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Human metapneumovirus test, Human rhinovirus test, Indeterminate investigation result, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission  Discharged  10/28/2021 - 10/30/2021 (2 days) Hospital  MD  Left-sided weakness   Hospital Diagnosis Left-sided weakness   Hospital Course 44-year-old female with hypertension, Crohn's disease, admitted on 10/28/2021 for left arm and leg weakness.  Patient had recently received the Covid vaccine on 10/15/21.  Noted onset of Covid symptoms including sore throat around 10/25/21.  On 10/28/2021, patient noted left arm and leg weakness.  Came to the hospital for further evaluation.  Symptoms were concerning for stroke and she received TPA. CT angiogram head/neck without stenosis.  Follow-up MRI luckily without stroke.  Echocardiogram with EF 60 to 65%.  No significant wall motion abnormalities.  Neurology was consulted.  Recommend continuing aspirin 81 mg and atorvastatin 40 mg nightly.  Follow-up with neurology as outpatient.  Patient does report a prior history of migraines more than 20 years ago.  Denied any headache or migraine symptoms with this episode.  Does report that she is under some stress, but this would be a diagnosis of exclusion.  PT/OT cleared for discharge to home.  Does still have some minimal left arm and leg weakness.  Have ordered outpatient physical therapy.  On discharge, patient is satting well on room air, feels well to go home.  Given instructions on COVID care.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza virus test negative, Magnetic resonance imaging, Mitral valve incompetence, Mycoplasma test negative
Clinical narrative: ED to Hosp-Admission  Discharged  10/28/2021 - 10/30/2021 (2 days) Hospital  MD  Left-sided weakness   Hospital Diagnosis Left-sided weakness   Hospital Course 44-year-old female with hypertension, Crohn's disease, admitted on 10/28/2021 for left arm and leg weakness.  Patient had recently received the Covid vaccine on 10/15/21.  Noted onset of Covid symptoms including sore throat around 10/25/21.  On 10/28/2021, patient noted left arm and leg weakness.  Came to the hospital for further evaluation.  Symptoms were concerning for stroke and she received TPA. CT angiogram head/neck without stenosis.  Follow-up MRI luckily without stroke.  Echocardiogram with EF 60 to 65%.  No significant wall motion abnormalities.  Neurology was consulted.  Recommend continuing aspirin 81 mg and atorvastatin 40 mg nightly.  Follow-up with neurology as outpatient.  Patient does report a prior history of migraines more than 20 years ago.  Denied any headache or migraine symptoms with this episode.  Does report that she is under some stress, but this would be a diagnosis of exclusion.  PT/OT cleared for discharge to home.  Does still have some minimal left arm and leg weakness.  Have ordered outpatient physical therapy.  On discharge, patient is satting well on room air, feels well to go home.  Given instructions on COVID care.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Perfusion brain scan normal, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission  Discharged  10/28/2021 - 10/30/2021 (2 days) Hospital  MD  Left-sided weakness   Hospital Diagnosis Left-sided weakness   Hospital Course 44-year-old female with hypertension, Crohn's disease, admitted on 10/28/2021 for left arm and leg weakness.  Patient had recently received the Covid vaccine on 10/15/21.  Noted onset of Covid symptoms including sore throat around 10/25/21.  On 10/28/2021, patient noted left arm and leg weakness.  Came to the hospital for further evaluation.  Symptoms were concerning for stroke and she received TPA. CT angiogram head/neck without stenosis.  Follow-up MRI luckily without stroke.  Echocardiogram with EF 60 to 65%.  No significant wall motion abnormalities.  Neurology was consulted.  Recommend continuing aspirin 81 mg and atorvastatin 40 mg nightly.  Follow-up with neurology as outpatient.  Patient does report a prior history of migraines more than 20 years ago.  Denied any headache or migraine symptoms with this episode.  Does report that she is under some stress, but this would be a diagnosis of exclusion.  PT/OT cleared for discharge to home.  Does still have some minimal left arm and leg weakness.  Have ordered outpatient physical therapy.  On discharge, patient is satting well on room air, feels well to go home.  Given instructions on COVID care.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast normal, Stress, Tricuspid valve incompetence
Clinical narrative: ED to Hosp-Admission  Discharged  10/28/2021 - 10/30/2021 (2 days) Hospital  MD  Left-sided weakness   Hospital Diagnosis Left-sided weakness   Hospital Course 44-year-old female with hypertension, Crohn's disease, admitted on 10/28/2021 for left arm and leg weakness.  Patient had recently received the Covid vaccine on 10/15/21.  Noted onset of Covid symptoms including sore throat around 10/25/21.  On 10/28/2021, patient noted left arm and leg weakness.  Came to the hospital for further evaluation.  Symptoms were concerning for stroke and she received TPA. CT angiogram head/neck without stenosis.  Follow-up MRI luckily without stroke.  Echocardiogram with EF 60 to 65%.  No significant wall motion abnormalities.  Neurology was consulted.  Recommend continuing aspirin 81 mg and atorvastatin 40 mg nightly.  Follow-up with neurology as outpatient.  Patient does report a prior history of migraines more than 20 years ago.  Denied any headache or migraine symptoms with this episode.  Does report that she is under some stress, but this would be a diagnosis of exclusion.  PT/OT cleared for discharge to home.  Does still have some minimal left arm and leg weakness.  Have ordered outpatient physical therapy.  On discharge, patient is satting well on room air, feels well to go home.  Given instructions on COVID care.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Prostatic specific antigen normal
Clinical narrative: PSA levels increased a lot.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 39.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Expired product administered
Clinical narrative: The patient was administer the moderna vaccine after the expired time allow on the punctured vial.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient received the vaccination one week prior to death
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm, Contusion
Clinical narrative: 1-Left eye "jitters" randomly since day after  the first shot, lasting 10 seconds up to 10 hours.  2-Bruising noted all over upper extremities and a little on lower legs without injuries
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Inflammation, Injection site inflammation, Injection site pain
Clinical narrative: Exceedingly bad generalized inflammation response building through the week and peaking until Sunday, Pain in all joints.  Duration 7 days.  Injection site very inflamed and painful for at least 5 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Myalgia
Clinical narrative: Severe fatigue. Muscle aches (lower extremities). Brain fog.
Age: 82.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 68.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Abdominal discomfort, Cough, Decreased appetite, Diarrhoea, Fatigue
Clinical narrative: It started with general pains and a slight headache. By later in the evening, I was having a really upset stomach. I had a lot of difficulty sleeping. And I really couldn't fall asleep until after 3am. I woke up around 5 in the morning and I had nausea. Even starting around 7pm the night before, I had diarrhea which stopped by 10/11 pm. I had that one bout of nausea, and I was basically just knocked out the rest of the day. I had kind of a sore throat and a little bit of coughing and that was very minimal. No appetite, no desire to eat until the afternoon. I was able to get a good night of sleep after on that Tuesday night. I think it was Tuesday during the day that I called my doctor and she wanted me to have a COVID test and they called back very quickly to come through the drive through. I did that Tuesday afternoon and had the results later in the afternoon which was negative. And I felt a bit better Tuesday night. And by Wednesday I wasn't 100%, but Thursday was better. Friends said there was a really bad stomach virus that was going around. It started off the first day with all the symptoms and it was bad. I hope it's not related to the vaccine but I think I just caught a stomach flu that was really really bad.
Age: 68.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Gastroenteritis viral, Headache, Insomnia, Nausea, Oropharyngeal pain
Clinical narrative: It started with general pains and a slight headache. By later in the evening, I was having a really upset stomach. I had a lot of difficulty sleeping. And I really couldn't fall asleep until after 3am. I woke up around 5 in the morning and I had nausea. Even starting around 7pm the night before, I had diarrhea which stopped by 10/11 pm. I had that one bout of nausea, and I was basically just knocked out the rest of the day. I had kind of a sore throat and a little bit of coughing and that was very minimal. No appetite, no desire to eat until the afternoon. I was able to get a good night of sleep after on that Tuesday night. I think it was Tuesday during the day that I called my doctor and she wanted me to have a COVID test and they called back very quickly to come through the drive through. I did that Tuesday afternoon and had the results later in the afternoon which was negative. And I felt a bit better Tuesday night. And by Wednesday I wasn't 100%, but Thursday was better. Friends said there was a really bad stomach virus that was going around. It started off the first day with all the symptoms and it was bad. I hope it's not related to the vaccine but I think I just caught a stomach flu that was really really bad.
Age: 68.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: It started with general pains and a slight headache. By later in the evening, I was having a really upset stomach. I had a lot of difficulty sleeping. And I really couldn't fall asleep until after 3am. I woke up around 5 in the morning and I had nausea. Even starting around 7pm the night before, I had diarrhea which stopped by 10/11 pm. I had that one bout of nausea, and I was basically just knocked out the rest of the day. I had kind of a sore throat and a little bit of coughing and that was very minimal. No appetite, no desire to eat until the afternoon. I was able to get a good night of sleep after on that Tuesday night. I think it was Tuesday during the day that I called my doctor and she wanted me to have a COVID test and they called back very quickly to come through the drive through. I did that Tuesday afternoon and had the results later in the afternoon which was negative. And I felt a bit better Tuesday night. And by Wednesday I wasn't 100%, but Thursday was better. Friends said there was a really bad stomach virus that was going around. It started off the first day with all the symptoms and it was bad. I hope it's not related to the vaccine but I think I just caught a stomach flu that was really really bad.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram, Balance disorder, Computerised tomogram, Deafness, Ear discomfort
Clinical narrative: Presented 3/30/2021 to (ENT) for evaluation of bilateral ear pressure and facial numbness. He reports he has had bilateral ear pressure for 5 days, and has had facial numbness bilaterally below and in front of the ears for 2 days. He states he has had a ringing tinnitus and equalization issues in bilateral ears. He has had a similar issue after going on an air plane but his ears typically are able to equalize. He has not had any changes in otorrhea, dizziness, or true vertigo during this time. No prior history of ear infections, surgery, or trauma. He denies any nasal congestion, pressure or hx of allergies. He got his COVID vaccine last Saturday, a few days before symptoms started. Pt is very concerned about symptoms and potentially having stroke symptoms. Pt denies changes in gross/fine motor, vision, speech, or any evident paralysis.   Steroids were given. He hasn't had any significant improvement of his hearing at this time.  4/9/21: "HPI: Pt reports back sooner then expected due to no improvement in hearing loss post 10 days of 60 mg of prednisone. Pt reports post his first dose of prednisone the numbness which was originally in front of both ears worsened to his whole side of his R face as well as continued to be in front of his L ear. Pt thought he was having a stroke and went to ER where blood work, a CT, and multiple others tests were done which per Pt report were normal. Pt did not bring results from the ER just his discharge paperwork. Pt was told to f/u with Neurology but could not get in till June and felt if he returned to ENTAA care sooner, we would have pull in getting Pt into see Neurology sooner. Pt feels the facial numbness and hearing loss are related and if he can fix the numbness his hearing loss will resolve. Pt would like to wean off prednisone since it has not been beneficial and wants to defer dex injections at this time. Pt would like to f/u post his neurology appointment. Pt denies any improvement in hearing, numbness, pressure, or tinnitus."  Patient's physical exam was within normal limits today. Patient's MRI to evaluate facial numbness and asymmetrical hearing loss showed no acute findings, including no evidence of vestibular schwannoma or prior stroke. We discussed the possible dehiscence of the covering of the right superior semicircular canal and how he does not present with the typical pathology we would expect with this finding. Per the radiologist's recommendation for a temporal bone CT, I suggested this for the patient but he ultimately defers at this time. Patient defers Dex injection at this time so I highly recommended he follow up with Neurology as soon as he can. He will return in five months for a comprehensive audiogram.  Follow-Up in five months with audiogram beforehand
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Tinnitus
Clinical narrative: Presented 3/30/2021 to (ENT) for evaluation of bilateral ear pressure and facial numbness. He reports he has had bilateral ear pressure for 5 days, and has had facial numbness bilaterally below and in front of the ears for 2 days. He states he has had a ringing tinnitus and equalization issues in bilateral ears. He has had a similar issue after going on an air plane but his ears typically are able to equalize. He has not had any changes in otorrhea, dizziness, or true vertigo during this time. No prior history of ear infections, surgery, or trauma. He denies any nasal congestion, pressure or hx of allergies. He got his COVID vaccine last Saturday, a few days before symptoms started. Pt is very concerned about symptoms and potentially having stroke symptoms. Pt denies changes in gross/fine motor, vision, speech, or any evident paralysis.   Steroids were given. He hasn't had any significant improvement of his hearing at this time.  4/9/21: "HPI: Pt reports back sooner then expected due to no improvement in hearing loss post 10 days of 60 mg of prednisone. Pt reports post his first dose of prednisone the numbness which was originally in front of both ears worsened to his whole side of his R face as well as continued to be in front of his L ear. Pt thought he was having a stroke and went to ER where blood work, a CT, and multiple others tests were done which per Pt report were normal. Pt did not bring results from the ER just his discharge paperwork. Pt was told to f/u with Neurology but could not get in till June and felt if he returned to ENTAA care sooner, we would have pull in getting Pt into see Neurology sooner. Pt feels the facial numbness and hearing loss are related and if he can fix the numbness his hearing loss will resolve. Pt would like to wean off prednisone since it has not been beneficial and wants to defer dex injections at this time. Pt would like to f/u post his neurology appointment. Pt denies any improvement in hearing, numbness, pressure, or tinnitus."  Patient's physical exam was within normal limits today. Patient's MRI to evaluate facial numbness and asymmetrical hearing loss showed no acute findings, including no evidence of vestibular schwannoma or prior stroke. We discussed the possible dehiscence of the covering of the right superior semicircular canal and how he does not present with the typical pathology we would expect with this finding. Per the radiologist's recommendation for a temporal bone CT, I suggested this for the patient but he ultimately defers at this time. Patient defers Dex injection at this time so I highly recommended he follow up with Neurology as soon as he can. He will return in five months for a comprehensive audiogram.  Follow-Up in five months with audiogram beforehand
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECIEVED VACCINE PAST THE BEYOND USE DATE. NO ADVERSE EFFECTS REPORTED.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient was accidentally given a COVID-19 Pfizer shot instead of the Influenza Afluria Quad shot (P100367897)
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pyrexia, SARS-CoV-2 test
Clinical narrative: SOB, fever, cough
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECEIVED COVID VACCINE THAT WAS PAST BEYOND USE DATE. NO ADVERSE REACTION.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient presented with generalized weakness and feeling "unwell". Patient ended up testing positive for COVID and are fully vaccinated
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Fatigue, Headache
Clinical narrative: Headache,  extreme fatigue, nausea, loss of appetite, fever, body aches, chills, sweating, loose stools
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: Headache,  extreme fatigue, nausea, loss of appetite, fever, body aches, chills, sweating, loose stools
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Axillary pain, Bradyphrenia, Fatigue, Feeling abnormal
Clinical narrative: Extreme arm  soreness where injected. Sharp stabbing pains would suddenly come and go throughout my body. The sharp stabbing pains were most painful in my right kidney area and just below my sternum.  The pain below my sternum was so bad I would have to buckle over. I also had pain in right arm that mirrored the pain in the left arm where I was injected even though I had not been injected in my right arm.  The right arm pain was a constant pain and did not come and go like the other sharp stabbing pains. I also had fatigue and slight brain fog.  I had trouble thinking clearly at times and was told my reaction times were noticeably slower. This lasted about two days. The injection area pain was the last to subside. It lasted four days. I was extremely sore under my left arm and putting deodorant on was very painful all four days.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Mental impairment, Pain, Pain in extremity
Clinical narrative: Extreme arm  soreness where injected. Sharp stabbing pains would suddenly come and go throughout my body. The sharp stabbing pains were most painful in my right kidney area and just below my sternum.  The pain below my sternum was so bad I would have to buckle over. I also had pain in right arm that mirrored the pain in the left arm where I was injected even though I had not been injected in my right arm.  The right arm pain was a constant pain and did not come and go like the other sharp stabbing pains. I also had fatigue and slight brain fog.  I had trouble thinking clearly at times and was told my reaction times were noticeably slower. This lasted about two days. The injection area pain was the last to subside. It lasted four days. I was extremely sore under my left arm and putting deodorant on was very painful all four days.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ, TDAP
Symptoms: Blood glucose, Dizziness, Fall, Hyperhidrosis, Pallor
Clinical narrative: Patient appeared well and responded when spoken to after vaccines were given. Stickers were given to the pt and the pt's sibling. Reviewed the immunization record and VIS with parent. I directed them to the front lobby. A code blue for the second floor lobby was called over the intercom minutes later. I reponded along with several other employees/nurses. I saw that the code was called for this pt. When I arrived to the scene. Security was supporting the pt's head on the floor, and the mother was at the pt's feet with the pt's sibling. The mother reported that the pt told her he felt dizzy, and then he began to fall. She stated that she was able to catch him and lower him to the ground. RNs had arrived at the scene with the crash cart and glucometer. RN was checking the pt's pulse. RN checked the pt's blood suger level as well as respirations. The pt was alert and responded when spoken to. His face and lips appeared to be pale. Pt took small sips of water. I got an ice pack for his head. Pt appeared to be slightly sweaty. We stood there for several minutes. After his color came back and he stated that he was feeling better, he was assisted to a wheel chair. He was taken back to one of the clinic rooms to be monitored by myself. The pt was given more water and some crackers. After monitoring for several more minutes, the pt reported that he felt well. He stated that he felt completely normal and denied dizziness. I assisted him to stand up slowly. RN and myself walked with the pt down the hallway, in the elvator, and to the car. Pt stated that he still felt well. Mother was instructed to follow up with the pt's PCP and to inform him of this situation and the vaccines given today. Mother was also advised to call EMS or go to the emergency department if she notices anything out of the ordinary. Parent verbalized understanding.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dry skin, Injection site pain, Pityriasis rosea, Rash, Rash pruritic
Clinical narrative: There were no adverse events from the first or second Covid vaccine.  I received the booster on 10/11 /2021 and my arm hurt very bad for a week. Right after that I developed dry patches on my skin. An area on my back, one on my stomach and one on my neck. About one week after that I started getting a rash. It was small at first, just a few bumps. Then it began to spread until there were itchy raised bumps all over my entire body, from my head to my feet.  The itching is maddening.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Dyspnoea, Pneumonia, Pyrexia
Clinical narrative: I started having pneumonia symptoms. I could not breathe. I had shortness of breath and a fever. I went to urgent care on 08/27/2021. The doctors put me on a nebulizer, Albuterol Inhaler and some medications for coughing. At the time I tested negative for COVID-19. They did chest X-rays, which showed the pneumonia.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: I started having pneumonia symptoms. I could not breathe. I had shortness of breath and a fever. I went to urgent care on 08/27/2021. The doctors put me on a nebulizer, Albuterol Inhaler and some medications for coughing. At the time I tested negative for COVID-19. They did chest X-rays, which showed the pneumonia.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PT RECEIVED COVID VACCINE THAT WAS PAST BEYOND USE DATE. NO ADVERSE REACTION.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient presented difficulty breathing and generalized weakness. Patient is still inpatient, being treated with aspirin, tylenol, pantoprazole, and dexamethasone.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood gases normal, Blood lactic acid normal, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Vaccine dates 1/13/21, 2/9/21, 10/26/21  CHIEF COMPLAINT AMS       HISTORY OF PRESENT ILLNESS Patient is a 89 y.o. male who presents with AMS, found to COVID.    He has a medical history of BPH requiring TID self-catheterization, UTI's, hypertension, hyperlipidemia, atrial fibrillation anticoagulated on apixaban, pacemaker placement, asthma, sleep apnea on CPAP, PTSD, and history of falls.   Patient reports having hallucinations last night, seen his wife who is deceased in his room.  This was quite distressing to him.  Of note, chart review reveals he has had previous bouts of hallucinations, usually in the setting of infection, namely UTI.  In addition, he also notes subjective fevers, feeling chilled and shortness of breath.  He does not feel his shortness of breath is consistent with prior asthma exacerbations.  He has recently been treated for UTI.  His usual UTI symptoms are back pain which is not present to the degree he would expect with UTI.  He arrived to hospital via ambulance.  He lives in an assisted living facility.   In ED, labs notable for unremarkable venous blood gas, hemoglobin of 12 with an MCV of 96, platelets of 116, lymphopenia, creatinine of 1.29 with a baseline around 1.2-1.3, lactate within normal limits, troponins elevated to the 30s but flat, BNP around 2300 which is down from the 3000 range previously, urinalysis not indicative of infection, COVID testing positive and influenza testing negative.  EKG without obvious ischemic changes, unchanged from prior.  Chest x-ray without acute abnormality.  The patient was saturating well on room air and hemodynamically stable, afebrile.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Condition aggravated, Dyspnoea, Electrocardiogram normal, Feeling cold
Clinical narrative: Vaccine dates 1/13/21, 2/9/21, 10/26/21  CHIEF COMPLAINT AMS       HISTORY OF PRESENT ILLNESS Patient is a 89 y.o. male who presents with AMS, found to COVID.    He has a medical history of BPH requiring TID self-catheterization, UTI's, hypertension, hyperlipidemia, atrial fibrillation anticoagulated on apixaban, pacemaker placement, asthma, sleep apnea on CPAP, PTSD, and history of falls.   Patient reports having hallucinations last night, seen his wife who is deceased in his room.  This was quite distressing to him.  Of note, chart review reveals he has had previous bouts of hallucinations, usually in the setting of infection, namely UTI.  In addition, he also notes subjective fevers, feeling chilled and shortness of breath.  He does not feel his shortness of breath is consistent with prior asthma exacerbations.  He has recently been treated for UTI.  His usual UTI symptoms are back pain which is not present to the degree he would expect with UTI.  He arrived to hospital via ambulance.  He lives in an assisted living facility.   In ED, labs notable for unremarkable venous blood gas, hemoglobin of 12 with an MCV of 96, platelets of 116, lymphopenia, creatinine of 1.29 with a baseline around 1.2-1.3, lactate within normal limits, troponins elevated to the 30s but flat, BNP around 2300 which is down from the 3000 range previously, urinalysis not indicative of infection, COVID testing positive and influenza testing negative.  EKG without obvious ischemic changes, unchanged from prior.  Chest x-ray without acute abnormality.  The patient was saturating well on room air and hemodynamically stable, afebrile.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hallucination, visual, Influenza virus test negative, Lymphopenia, Mean cell volume increased
Clinical narrative: Vaccine dates 1/13/21, 2/9/21, 10/26/21  CHIEF COMPLAINT AMS       HISTORY OF PRESENT ILLNESS Patient is a 89 y.o. male who presents with AMS, found to COVID.    He has a medical history of BPH requiring TID self-catheterization, UTI's, hypertension, hyperlipidemia, atrial fibrillation anticoagulated on apixaban, pacemaker placement, asthma, sleep apnea on CPAP, PTSD, and history of falls.   Patient reports having hallucinations last night, seen his wife who is deceased in his room.  This was quite distressing to him.  Of note, chart review reveals he has had previous bouts of hallucinations, usually in the setting of infection, namely UTI.  In addition, he also notes subjective fevers, feeling chilled and shortness of breath.  He does not feel his shortness of breath is consistent with prior asthma exacerbations.  He has recently been treated for UTI.  His usual UTI symptoms are back pain which is not present to the degree he would expect with UTI.  He arrived to hospital via ambulance.  He lives in an assisted living facility.   In ED, labs notable for unremarkable venous blood gas, hemoglobin of 12 with an MCV of 96, platelets of 116, lymphopenia, creatinine of 1.29 with a baseline around 1.2-1.3, lactate within normal limits, troponins elevated to the 30s but flat, BNP around 2300 which is down from the 3000 range previously, urinalysis not indicative of infection, COVID testing positive and influenza testing negative.  EKG without obvious ischemic changes, unchanged from prior.  Chest x-ray without acute abnormality.  The patient was saturating well on room air and hemodynamically stable, afebrile.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Platelet count decreased, Pyrexia, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Vaccine dates 1/13/21, 2/9/21, 10/26/21  CHIEF COMPLAINT AMS       HISTORY OF PRESENT ILLNESS Patient is a 89 y.o. male who presents with AMS, found to COVID.    He has a medical history of BPH requiring TID self-catheterization, UTI's, hypertension, hyperlipidemia, atrial fibrillation anticoagulated on apixaban, pacemaker placement, asthma, sleep apnea on CPAP, PTSD, and history of falls.   Patient reports having hallucinations last night, seen his wife who is deceased in his room.  This was quite distressing to him.  Of note, chart review reveals he has had previous bouts of hallucinations, usually in the setting of infection, namely UTI.  In addition, he also notes subjective fevers, feeling chilled and shortness of breath.  He does not feel his shortness of breath is consistent with prior asthma exacerbations.  He has recently been treated for UTI.  His usual UTI symptoms are back pain which is not present to the degree he would expect with UTI.  He arrived to hospital via ambulance.  He lives in an assisted living facility.   In ED, labs notable for unremarkable venous blood gas, hemoglobin of 12 with an MCV of 96, platelets of 116, lymphopenia, creatinine of 1.29 with a baseline around 1.2-1.3, lactate within normal limits, troponins elevated to the 30s but flat, BNP around 2300 which is down from the 3000 range previously, urinalysis not indicative of infection, COVID testing positive and influenza testing negative.  EKG without obvious ischemic changes, unchanged from prior.  Chest x-ray without acute abnormality.  The patient was saturating well on room air and hemodynamically stable, afebrile.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Vaccine dates 1/13/21, 2/9/21, 10/26/21  CHIEF COMPLAINT AMS       HISTORY OF PRESENT ILLNESS Patient is a 89 y.o. male who presents with AMS, found to COVID.    He has a medical history of BPH requiring TID self-catheterization, UTI's, hypertension, hyperlipidemia, atrial fibrillation anticoagulated on apixaban, pacemaker placement, asthma, sleep apnea on CPAP, PTSD, and history of falls.   Patient reports having hallucinations last night, seen his wife who is deceased in his room.  This was quite distressing to him.  Of note, chart review reveals he has had previous bouts of hallucinations, usually in the setting of infection, namely UTI.  In addition, he also notes subjective fevers, feeling chilled and shortness of breath.  He does not feel his shortness of breath is consistent with prior asthma exacerbations.  He has recently been treated for UTI.  His usual UTI symptoms are back pain which is not present to the degree he would expect with UTI.  He arrived to hospital via ambulance.  He lives in an assisted living facility.   In ED, labs notable for unremarkable venous blood gas, hemoglobin of 12 with an MCV of 96, platelets of 116, lymphopenia, creatinine of 1.29 with a baseline around 1.2-1.3, lactate within normal limits, troponins elevated to the 30s but flat, BNP around 2300 which is down from the 3000 range previously, urinalysis not indicative of infection, COVID testing positive and influenza testing negative.  EKG without obvious ischemic changes, unchanged from prior.  Chest x-ray without acute abnormality.  The patient was saturating well on room air and hemodynamically stable, afebrile.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Ear discomfort, Ear infection, Ear pain
Clinical narrative: I wake up and had an earache and it was very muffled. I went to the clinic on Monday. They gave me ear drops for the ear infection. They referred me to an ENT. They gave me different drops.  They think it is related to the vaccine. I still cannot hear out of my ear and it still hurts.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Impaired work ability, Menstruation irregular
Clinical narrative: started my period 2 weeks early with large blood clots x 10 days with contraction like cramping.   this is abnormal for me as my period is very very light x 2-3 days.   next cycles started 5 days late again with large blood clots, contractions so bad i had to miss work.  cycles is on day 10 with continued large blood clots daily where i soil my clothing
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Diarrhoea, Hypoaesthesia, Injection site pain, Nausea
Clinical narrative: Patient stated she had severe GI discomfort including nausea and diarrhea, extremely painful arm at injection site, and numbness of the legs including feet.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Arterial catheterisation abnormal, Arterial compression therapy, Arterial disorder, Arteriogram carotid abnormal
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Bladder catheterisation, Brain natriuretic peptide, COVID-19, Cardiac failure congestive
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Carotid arteriosclerosis, Carotid artery disease, Carotid artery stenosis, Cataract
Clinical narrative: Communal Living / SNF Placement (Asymptomatic) ED to Hosp-Admission  Current   10/21/2021 - present (14 days) MD  Last attending  Chief Complaint Patient presents with ? Shortness of Breath     1. Severe sepsis 2. Acute encephalopathy 3. Pneumonia 4. Chronic systolic CHF 5. Stage 3 CKD 6. Hypertension 7. Type 2 diabetes   Plan:   This is a little bit of a confusing case so far in terms of whether there is truly an infection or not.    This is a gentleman with a history of stroke, CKD, DM, HTN who came in with SOB from nursing facility. In the ED, he was febrile initially. However, WBC count and procalcitonin are both normal.    I am treating this like pneumonia. He does have a history of CHF but the BNP is lower than previous and clinically he looks quite dry.    Otherwise, I considered other causes of fever and altered mental status/SOB - he does have a history of stroke - CT head doesn't have anything new. But I have ordered a stat MRI brain as well. Neuro checks.    Type 2 diabetes mellitus without complication   Spoke to ED physician personally and agree with admission.    Called and updated son. Confirmed for now code status is DNR/DNI - he will call back if this changes at any point - he is going to discuss again with his mother Patient is an 88 y.o. male.       I personally interviewed patient, reviewed chart, and reviewed emergency room resident history and agree with it in its following entirety unless otherwise noted below.  "Patient is a 88 y.o. yo male presenting to the ED with recent left MCA stroke with resultant right sided deficits, discharged from rehab 3 days ago to nursing facility now presents with reported O2 saturation on room air in the mid 70s.  Patient reportedly had rales bilaterally.  Of note, the patient had developed new onset CHF on his last hospitalization.  Troponins have been chronically elevated.  Per nursing facility, at baseline the patient is able to talk and is alert and oriented with some difficulties with speech fluidity after the stroke.  They deny history of fever.  They state that he became altered in association with his difficulty breathing."   In the emergency room he underwent a CAT scan of the head.  This was unremarkable for anything new but does have a lot of chronic findings on it.  The patient cannot contribute much to history.   He was febrile.  He was given antibiotics out of concern for pneumonia.   Otherwise history is incredibly limited given the patient's altered mentation