chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Incoherent, Urinary tract infection, Urine analysis
Clinical narrative: She was a little incoherent decreased activity loss of motivation overall very confused. I then contacted the doctor recommended a neurologist, but we haven't don't that yet and did a urine culture, but we don't have the results back just yet.  The doctor did give her antibiotics for I think a UTI, but I am not sure. We thought the UTI was causing the confusion. I did take her to the ER on 02/18 because I thought she had another UTI, but they said she didn't have a UTI. They said it was something in her blood culture and they gave antibiotics and retested three days later, and it was cleared up.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Infection, Myalgia, SARS-CoV-2 test positive
Clinical narrative: I experienced a breakthrough case of COVID-19 with sneezing, coughing and muscle aches.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sneezing
Clinical narrative: I experienced a breakthrough case of COVID-19 with sneezing, coughing and muscle aches.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, Blood test abnormal, COVID-19, Chest X-ray abnormal, Influenza virus test negative
Clinical narrative: 11/22/22 I was at a wedding and two days later I got an upper respiratory infection. It got worse and turned into Asthmatic Bronchitis. I was given an inhaler and prednisone by a physician on 11/26/22. I saw my pulmonologist a week later. I had an X-ray of my lungs, which were hyper inflated, and was prescribed another inhaler and another round of prednisone. I was tested for COVID and FLU, both were negative. On 12/20/22 I still had symptoms and tested positive for COVID. I called my PCP and was prescribed PAXLOVID and ended up with a rebound case of COVID a week after I finished PAXLOVID.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lung hyperinflation, SARS-CoV-2 test positive, Upper respiratory tract infection
Clinical narrative: 11/22/22 I was at a wedding and two days later I got an upper respiratory infection. It got worse and turned into Asthmatic Bronchitis. I was given an inhaler and prednisone by a physician on 11/26/22. I saw my pulmonologist a week later. I had an X-ray of my lungs, which were hyper inflated, and was prescribed another inhaler and another round of prednisone. I was tested for COVID and FLU, both were negative. On 12/20/22 I still had symptoms and tested positive for COVID. I called my PCP and was prescribed PAXLOVID and ended up with a rebound case of COVID a week after I finished PAXLOVID.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized for covid 3/3/23
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Dyspnoea, Heart rate increased, Immunisation reaction
Clinical narrative: he seemed fine after got shot. Took him to school at 1030 & by noon they were calling me to come get him because his legs were hurting. When got home did a albuturol breathing treatment at 1230. Another at 230. By 345 he was having trouble breathing, his face was swelling, getting rash, very rapid heartbeat.  I put his albuturol breathing mask on him to help as i called EMS. Went to hospital by ambulance & shorthy after was airlifted to hospital in another city. Spent the night there and improved to come home the next evening
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Rash, Swelling face
Clinical narrative: he seemed fine after got shot. Took him to school at 1030 & by noon they were calling me to come get him because his legs were hurting. When got home did a albuturol breathing treatment at 1230. Another at 230. By 345 he was having trouble breathing, his face was swelling, getting rash, very rapid heartbeat.  I put his albuturol breathing mask on him to help as i called EMS. Went to hospital by ambulance & shorthy after was airlifted to hospital in another city. Spent the night there and improved to come home the next evening
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Tinnitus
Clinical narrative: Tinnitus in both ears starting approximately one week after the first Pfizer covid-19 shot and continuing since then for over two years.  No treatment.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient was set-up to receive the COVID-19 Bivalent vaccine. Patient was interviewed as to when the last dose was and if they had had COVID within the last 90 days. Vaccine was administered and when the information was entered into database the pharmacist realized that the patient had already had the Bivalent vaccine on 9/21/22. Patient was called to inform him of what had happened and to report any major adverse events. None were reported.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Dizziness, Impaired work ability
Clinical narrative: I had a lot of chills with a fever and dizziness. Slight congestion and a slight cough with a little runny nose with some nausea. I could not work but I feel like I had a mild case.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Nausea, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a lot of chills with a fever and dizziness. Slight congestion and a slight cough with a little runny nose with some nausea. I could not work but I feel like I had a mild case.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine administered (according to chart documentation) is 5-11 year old Pfizer monovalent dose. The patient is 2 years old and should have received the 6 mo-4 yr Pfizer bivalent dose.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient was set-up to receive the COVID-19 Bivalent vaccine. Patient was interviewed as to when the last dose was and if they had had COVID within the last 90 days. Vaccine was administered and when the information was entered into database the pharmacist realized that the patient had already had the Bivalent vaccine on 9/21/22. Patient was called to inform her of what had happened and to report any major adverse events. None were reported.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Pulmonary mass, SARS-CoV-2 test positive
Clinical narrative: Pt had a positive COVID test on 8/10/22; 8/16/22 admitted to hospital for AHRF; also found a large right sided spiculated lung mass; family opted for pt to have hospice care and transitioned to comfort care; pt passed away in the hospital.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Cardiac stress test, Echocardiogram normal, Palpitations
Clinical narrative: omg, these pages are so difficult to fill out.  Everytime I ender a date, it autocorrects it to the same date, I'm about to give up.    I'll try one more page.    I started having chest palpitations about 8 months ago, I didn't pay attention to it too well so I don't know the exact date.   I didn't connect it to the vaccine and still not sure if it is.  But EVERYDAY, my heart is beating out of my chest, even if I'm laying down sleeping.    I'm concerned about it, so I went to a heart doctor and did a stress test and echo, he said everything was ok, but the pounding in my chest is still there.   I don't have lot numbers on my card to fill out the above, but it was Pfizer all the way
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Injection site pruritus, Pruritus
Clinical narrative: Shortly after vaccination, patient reported itching at the injection site that then spread to his arms, chest and face. There were no visible signs of anaphylaxis (no rash, hives, or swelling) and no trouble breathing. He also said he was experiencing some dizziness. Patient was asked to stay for further observation. As he waited near the pharmacy, he also reported chills and feeling faint. At that point 9-1-1 was called. He was evaluated by paramedics and released. He declined transport to a hospital and was driven home by a companion about on hour post-vaccination. Patient was conscious and alert the entire time.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Feeling cold, Malaise, Odynophagia
Clinical narrative: On 02/08/23 I started feeling unwell, I had a sore throat, I had a cough with a lot of mucus that I was coughing up. It felt like a cold and stayed in. I was taking TYLENOL cold and flu that was helping to control the mucus. By Friday I still had a sore throat but only on one side and hurt when I swallowed. The mucus just would not go away. I decided to go to the local urgent care over the weekend and was tested for COVID-19, that came back positive. I was given a prescription for PAXLOVID. I started taking it immediately and by the time I finished it in the five days I was better.
Age: 29.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: On 02/08/23 I started feeling unwell, I had a sore throat, I had a cough with a lot of mucus that I was coughing up. It felt like a cold and stayed in. I was taking TYLENOL cold and flu that was helping to control the mucus. By Friday I still had a sore throat but only on one side and hurt when I swallowed. The mucus just would not go away. I decided to go to the local urgent care over the weekend and was tested for COVID-19, that came back positive. I was given a prescription for PAXLOVID. I started taking it immediately and by the time I finished it in the five days I was better.
Age: 59.0
Sex: F
Vaccine: DTAP
Symptoms: Arthralgia, Injection site pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Extreme pain in injected arm.  Pain in arm, shoulder and neck with shooting pain to fingers and sharp pain in shoulder and neck.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Pneumonia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: 3RD DOSE MODERNA COVID VACCINE GIVEN 11/11/21, #058F21A; 8/3/22 pt admitted from a rehab center for pneumonia and UTI; on ABX; during hospital course, pt found to be positive for COVID on 8/12/22; Remdesivir x 3days; weaned off of O2; dc'd back to rehab for PT on 8/17/22; pt passed away at home on 9/8/22
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaemia, Breast feeding, Cholestasis, Delivery, Exposure during pregnancy
Clinical narrative: Hospitals - Hospital  Admission Date: 2/27/2023 Discharge Date: 3/1/2023  ADMISSION DIAGNOSES: 1. Intrauterine pregnancy at 37w6d gestation 2. Induction of labor 3. Cholestasis  4. Anemia  5. History of laparoscopic right salpingectomy and evacuation of hemoperitoneum 6. History of PPH 7. Language barrier  8.  Cholelithiasis  The patient is a 25 y.o. female who presented to L&D at 37w6d weeks gestation as a G3P1011. Her pregnancy was complicated by cholestasis, anemia, history of PPH, and language barrier. Labor course included pitocin and amniotomy. Delivery was uncomplicated.  DELIVERY TYPE: Vaginal, Spontaneous    ESTIMATED DUE DATE: Estimated Date of Delivery: 3/14/23 GESTATIONAL AGE AT DELIVERY: 37w6d  G3P2012 DELIVERY PROVIDER:   ASSISTING PROVIDER(S):      FINDINGS: NEWBORN STATUS: Living  NEWBORN SEX:  girl      Delivery Date/Time:              WEIGHT: 3.33 kg  APGAR:  1 minutes 5 minutes 10 minutes  8  9        RESCUSITATION: Tactile stimulation  PLACENTA REMOVAL: Spontaneous  CORD VESSELS: 3 Vessels  ANALGESIA METHOD: Epidural  EBL: 300 mL  The patient met all of her postpartum milestones. Her pre-delivery Hgb was 12.5 and Hgb on discharge was 10.2. She is breastfeeding her infant. She received a breast pump prescription and was seen by a lactation consultant for breastfeeding support. She desired nexplanon for contraception to be placed at her 6wk PP visit. Postpartum course also included gallbladder US that demonstrated cholelithiasis. She was discharged home in stable condition on postpartum day #1. She was given standard postpartum discharge instructions. Warning signs of postpartum hemorrhage, infection, pre-eclampsia, DVT/PE and depression were discussed. She is to follow up with her OB in six weeks for a postpartum check-up and General surgery for cholelithiasis   OB info: MD
Age: 24.0
Sex: F
Vaccine: COVID19-2
Symptoms: Haemoglobin decreased, Labour induction, Ultrasound biliary tract abnormal
Clinical narrative: Hospitals - Hospital  Admission Date: 2/27/2023 Discharge Date: 3/1/2023  ADMISSION DIAGNOSES: 1. Intrauterine pregnancy at 37w6d gestation 2. Induction of labor 3. Cholestasis  4. Anemia  5. History of laparoscopic right salpingectomy and evacuation of hemoperitoneum 6. History of PPH 7. Language barrier  8.  Cholelithiasis  The patient is a 25 y.o. female who presented to L&D at 37w6d weeks gestation as a G3P1011. Her pregnancy was complicated by cholestasis, anemia, history of PPH, and language barrier. Labor course included pitocin and amniotomy. Delivery was uncomplicated.  DELIVERY TYPE: Vaginal, Spontaneous    ESTIMATED DUE DATE: Estimated Date of Delivery: 3/14/23 GESTATIONAL AGE AT DELIVERY: 37w6d  G3P2012 DELIVERY PROVIDER:   ASSISTING PROVIDER(S):      FINDINGS: NEWBORN STATUS: Living  NEWBORN SEX:  girl      Delivery Date/Time:              WEIGHT: 3.33 kg  APGAR:  1 minutes 5 minutes 10 minutes  8  9        RESCUSITATION: Tactile stimulation  PLACENTA REMOVAL: Spontaneous  CORD VESSELS: 3 Vessels  ANALGESIA METHOD: Epidural  EBL: 300 mL  The patient met all of her postpartum milestones. Her pre-delivery Hgb was 12.5 and Hgb on discharge was 10.2. She is breastfeeding her infant. She received a breast pump prescription and was seen by a lactation consultant for breastfeeding support. She desired nexplanon for contraception to be placed at her 6wk PP visit. Postpartum course also included gallbladder US that demonstrated cholelithiasis. She was discharged home in stable condition on postpartum day #1. She was given standard postpartum discharge instructions. Warning signs of postpartum hemorrhage, infection, pre-eclampsia, DVT/PE and depression were discussed. She is to follow up with her OB in six weeks for a postpartum check-up and General surgery for cholelithiasis   OB info: MD
Age: 16.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Nausea, Pain
Clinical narrative: Patient refers dizziness, nausea, pain after administration of the HPV vaccine. She is kept under observation until the patient refers not having nausea, indicating that she has only a little dizziness, indicating that she feels better. 11:26 am patient leaves the vaccination area alert, oriented and walking in the company of mother.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cough
Clinical narrative: On 02/21/2023, I started getting a cough, different from the cough I always have. When I returned from a trip, on 02/21/2023, I got into the doctor's office, a nurse practitioner prescribed a steroid. Allergy season hit and the cough is still persisting.
Age: 35.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abortion spontaneous, Exposure during pregnancy, Muscle spasms, Preterm premature rupture of membranes, Ultrasound scan
Clinical narrative: I started to cramp on the 15th of January, I called the on-call doctor in the middle of all that was going on. My water broke and I had a miscarriage on the 16th of January.  They had me come in a day later for an ultrasound to ensure that everything had passed. Due date was July 22, 2023
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial flutter, Blood iron decreased, Blood zinc decreased, COVID-19, Chest X-ray abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/25/2023 Discharge Date: Mar 3, 2023  PRESENTING PROBLEM: Hypoxia  COVID-19    HOSPITAL COURSE: 84 year old female presented with complaints of sore throat, headache and fatigue and also exertional hypoxia. She was found to have covid infection and was hypoxemic requiring nasal cannula.  CXR shows pulmonary congestion. She was started on remdesevir and decadron. Her LFTs remained normal the entire duration of her stay.Her hypoxia improved from requiring 3 liters down to 1 liter. Transition to Home consulted, patient enrolled and pulmo rehab for follow up and home med respectively .    During her hospital stay she was found to have  anemia. Indices indicative of microcytic hypochromic Iron and iron sat , Zinc all were low  and were repleted.    On day of discharge she was noted to be in atrial flutter in varying conductance She is known to heart facility, started on NOAC ( after questionable history of CVA perhaps bleed was ruled out ) , and cardizem. Her heart rate controlled, with Highest heart rate up to  98 on ambulation . Echo showed no pericardial effusion , mild pulmonary HTN ( also known and following with Pulmonary service, her EF 50% )    Discharged on 3/3/2023 hemodynamically  stable, tolerating meals and ambulation .  Zio patch on discharge
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Echocardiogram abnormal, Fatigue, Headache, Hypochromic anaemia, Hypoxia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/25/2023 Discharge Date: Mar 3, 2023  PRESENTING PROBLEM: Hypoxia  COVID-19    HOSPITAL COURSE: 84 year old female presented with complaints of sore throat, headache and fatigue and also exertional hypoxia. She was found to have covid infection and was hypoxemic requiring nasal cannula.  CXR shows pulmonary congestion. She was started on remdesevir and decadron. Her LFTs remained normal the entire duration of her stay.Her hypoxia improved from requiring 3 liters down to 1 liter. Transition to Home consulted, patient enrolled and pulmo rehab for follow up and home med respectively .    During her hospital stay she was found to have  anemia. Indices indicative of microcytic hypochromic Iron and iron sat , Zinc all were low  and were repleted.    On day of discharge she was noted to be in atrial flutter in varying conductance She is known to heart facility, started on NOAC ( after questionable history of CVA perhaps bleed was ruled out ) , and cardizem. Her heart rate controlled, with Highest heart rate up to  98 on ambulation . Echo showed no pericardial effusion , mild pulmonary HTN ( also known and following with Pulmonary service, her EF 50% )    Discharged on 3/3/2023 hemodynamically  stable, tolerating meals and ambulation .  Zio patch on discharge
Age: 84.0
Sex: F
Vaccine: COVID19-2
Symptoms: Liver function test normal, Oropharyngeal pain, Pulmonary congestion, Transferrin saturation decreased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/25/2023 Discharge Date: Mar 3, 2023  PRESENTING PROBLEM: Hypoxia  COVID-19    HOSPITAL COURSE: 84 year old female presented with complaints of sore throat, headache and fatigue and also exertional hypoxia. She was found to have covid infection and was hypoxemic requiring nasal cannula.  CXR shows pulmonary congestion. She was started on remdesevir and decadron. Her LFTs remained normal the entire duration of her stay.Her hypoxia improved from requiring 3 liters down to 1 liter. Transition to Home consulted, patient enrolled and pulmo rehab for follow up and home med respectively .    During her hospital stay she was found to have  anemia. Indices indicative of microcytic hypochromic Iron and iron sat , Zinc all were low  and were repleted.    On day of discharge she was noted to be in atrial flutter in varying conductance She is known to heart facility, started on NOAC ( after questionable history of CVA perhaps bleed was ruled out ) , and cardizem. Her heart rate controlled, with Highest heart rate up to  98 on ambulation . Echo showed no pericardial effusion , mild pulmonary HTN ( also known and following with Pulmonary service, her EF 50% )    Discharged on 3/3/2023 hemodynamically  stable, tolerating meals and ambulation .  Zio patch on discharge
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer 3/9/21 EN6208, 3/30/21 EW0150, and 9/29/21 301359A
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Death, General physical health deterioration, Immediate post-injection reaction
Clinical narrative: 1st dose did not seem to do anything. 2nd dose seemed to cause immediate, slow decline. We saw a gradual decline each day until death. His days were not up and down. He did not have any days showing any improvement. We saw a consistent decline each day after the 2nd dose.
Age: 74.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, COVID-19, Chronic kidney disease
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/21/2023 Discharge Date: 2/27/23 PRESENTING PROBLEM: Weakness Fall, initial encounter Chronic kidney disease, unspecified CKD stage COVID COVID-19   HOSPITAL COURSE: Patient is a 74-year-old male with a past medical history of ankylosing spondylitis, chronic pain, hypertension, prostate cancer, decubitus ulcer stage IV, diabetes mellitus type 2 and dyslipidemia who presented with a chief complaint of fever, recent falls with a positive COVID test at home.  Patient was feeling ill 2 days prior to admission with a temperature up to 103°.  He recently had been weaning off of gabapentin and on to Lyrica per his nephrologist an outpatient PCP.  His pain had increased with these adjustments.  He had been started on Norco.  He also had been noting constipation.  He already was taking tramadol and p.r.n. morphine, but had significant side effects of nausea from his morphine and only took it for breakthrough pain.  He had fallen multiple times prior to admission. His daughter noted he was 88% on room air on a home monitor.  He was afebrile.  His creatinine was elevated from baseline with AKI on CKD stage IV.  Labs were otherwise stable.  He was admitted to the hospitalist service for COVID-19 infection and generalized weakness with AKI.   He was initially treated with gentle fluids without improvement of his kidney function.  Renal ultrasound showed no obstruction, but showed bilateral medical renal disease.  He was continued on fluids with eventual improvement of his kidney function towards his baseline.  Nephrology was consulted and recommended continuing fluids and adding sodium bicarb.  In regards to COVID-19,  he required up to 3 L nasal cannul and received 5 days of Decadron therapy while inpatient, discharged on room air with mild dry cough.    Palliative care was consulted to help with adjustments in his pain medication,  His gabapentin was weaned down with plans to completely replace with Lyrica by March 3rd with prescription given on discharge. Final pain plan includes intermittent norco with low dose oxycodone for severe pain available, due to kidney dysfunction morphine was discontinued along with tramadol.    PT/OT recommended subacute rehab but patient improved enough during stay to qualify for HHC for PT/OT, and RN for wound care. DC in stable condition on 2/27.
Age: 74.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Condition aggravated, Constipation, Cough, Fall, Laboratory test normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/21/2023 Discharge Date: 2/27/23 PRESENTING PROBLEM: Weakness Fall, initial encounter Chronic kidney disease, unspecified CKD stage COVID COVID-19   HOSPITAL COURSE: Patient is a 74-year-old male with a past medical history of ankylosing spondylitis, chronic pain, hypertension, prostate cancer, decubitus ulcer stage IV, diabetes mellitus type 2 and dyslipidemia who presented with a chief complaint of fever, recent falls with a positive COVID test at home.  Patient was feeling ill 2 days prior to admission with a temperature up to 103°.  He recently had been weaning off of gabapentin and on to Lyrica per his nephrologist an outpatient PCP.  His pain had increased with these adjustments.  He had been started on Norco.  He also had been noting constipation.  He already was taking tramadol and p.r.n. morphine, but had significant side effects of nausea from his morphine and only took it for breakthrough pain.  He had fallen multiple times prior to admission. His daughter noted he was 88% on room air on a home monitor.  He was afebrile.  His creatinine was elevated from baseline with AKI on CKD stage IV.  Labs were otherwise stable.  He was admitted to the hospitalist service for COVID-19 infection and generalized weakness with AKI.   He was initially treated with gentle fluids without improvement of his kidney function.  Renal ultrasound showed no obstruction, but showed bilateral medical renal disease.  He was continued on fluids with eventual improvement of his kidney function towards his baseline.  Nephrology was consulted and recommended continuing fluids and adding sodium bicarb.  In regards to COVID-19,  he required up to 3 L nasal cannul and received 5 days of Decadron therapy while inpatient, discharged on room air with mild dry cough.    Palliative care was consulted to help with adjustments in his pain medication,  His gabapentin was weaned down with plans to completely replace with Lyrica by March 3rd with prescription given on discharge. Final pain plan includes intermittent norco with low dose oxycodone for severe pain available, due to kidney dysfunction morphine was discontinued along with tramadol.    PT/OT recommended subacute rehab but patient improved enough during stay to qualify for HHC for PT/OT, and RN for wound care. DC in stable condition on 2/27.
Age: 74.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Malaise, Pain, Pyrexia, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/21/2023 Discharge Date: 2/27/23 PRESENTING PROBLEM: Weakness Fall, initial encounter Chronic kidney disease, unspecified CKD stage COVID COVID-19   HOSPITAL COURSE: Patient is a 74-year-old male with a past medical history of ankylosing spondylitis, chronic pain, hypertension, prostate cancer, decubitus ulcer stage IV, diabetes mellitus type 2 and dyslipidemia who presented with a chief complaint of fever, recent falls with a positive COVID test at home.  Patient was feeling ill 2 days prior to admission with a temperature up to 103°.  He recently had been weaning off of gabapentin and on to Lyrica per his nephrologist an outpatient PCP.  His pain had increased with these adjustments.  He had been started on Norco.  He also had been noting constipation.  He already was taking tramadol and p.r.n. morphine, but had significant side effects of nausea from his morphine and only took it for breakthrough pain.  He had fallen multiple times prior to admission. His daughter noted he was 88% on room air on a home monitor.  He was afebrile.  His creatinine was elevated from baseline with AKI on CKD stage IV.  Labs were otherwise stable.  He was admitted to the hospitalist service for COVID-19 infection and generalized weakness with AKI.   He was initially treated with gentle fluids without improvement of his kidney function.  Renal ultrasound showed no obstruction, but showed bilateral medical renal disease.  He was continued on fluids with eventual improvement of his kidney function towards his baseline.  Nephrology was consulted and recommended continuing fluids and adding sodium bicarb.  In regards to COVID-19,  he required up to 3 L nasal cannul and received 5 days of Decadron therapy while inpatient, discharged on room air with mild dry cough.    Palliative care was consulted to help with adjustments in his pain medication,  His gabapentin was weaned down with plans to completely replace with Lyrica by March 3rd with prescription given on discharge. Final pain plan includes intermittent norco with low dose oxycodone for severe pain available, due to kidney dysfunction morphine was discontinued along with tramadol.    PT/OT recommended subacute rehab but patient improved enough during stay to qualify for HHC for PT/OT, and RN for wound care. DC in stable condition on 2/27.
Age: 74.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Ultrasound kidney abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/21/2023 Discharge Date: 2/27/23 PRESENTING PROBLEM: Weakness Fall, initial encounter Chronic kidney disease, unspecified CKD stage COVID COVID-19   HOSPITAL COURSE: Patient is a 74-year-old male with a past medical history of ankylosing spondylitis, chronic pain, hypertension, prostate cancer, decubitus ulcer stage IV, diabetes mellitus type 2 and dyslipidemia who presented with a chief complaint of fever, recent falls with a positive COVID test at home.  Patient was feeling ill 2 days prior to admission with a temperature up to 103°.  He recently had been weaning off of gabapentin and on to Lyrica per his nephrologist an outpatient PCP.  His pain had increased with these adjustments.  He had been started on Norco.  He also had been noting constipation.  He already was taking tramadol and p.r.n. morphine, but had significant side effects of nausea from his morphine and only took it for breakthrough pain.  He had fallen multiple times prior to admission. His daughter noted he was 88% on room air on a home monitor.  He was afebrile.  His creatinine was elevated from baseline with AKI on CKD stage IV.  Labs were otherwise stable.  He was admitted to the hospitalist service for COVID-19 infection and generalized weakness with AKI.   He was initially treated with gentle fluids without improvement of his kidney function.  Renal ultrasound showed no obstruction, but showed bilateral medical renal disease.  He was continued on fluids with eventual improvement of his kidney function towards his baseline.  Nephrology was consulted and recommended continuing fluids and adding sodium bicarb.  In regards to COVID-19,  he required up to 3 L nasal cannul and received 5 days of Decadron therapy while inpatient, discharged on room air with mild dry cough.    Palliative care was consulted to help with adjustments in his pain medication,  His gabapentin was weaned down with plans to completely replace with Lyrica by March 3rd with prescription given on discharge. Final pain plan includes intermittent norco with low dose oxycodone for severe pain available, due to kidney dysfunction morphine was discontinued along with tramadol.    PT/OT recommended subacute rehab but patient improved enough during stay to qualify for HHC for PT/OT, and RN for wound care. DC in stable condition on 2/27.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive after completing vaccine series
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pressure increased, COVID-19, Cardiac stress test abnormal, Chest pain, Echocardiogram abnormal
Clinical narrative: I had little soreness in my arm and fatigue after receiving the vaccine. I contracted COVID-19 while on vacation and tested positive for COVID-19 on 09/17/2022. I took PAXLOVID starting on 09/18/2022 and tolerated the medication very well. I developed random chest pains and got worse. I went for a stress and echocardiogram on 01/11/2023 it showed an abnormal atypical hypokinesis and stress portion was normal and elevated blood pressure. I saw a cardiologist on 01/17/2023 and showed a left ventricle elevated diastolic pressure. I was prescribed amlodipine and my symptoms got better.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Hypokinesia, Left ventricular end-diastolic pressure increased, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I had little soreness in my arm and fatigue after receiving the vaccine. I contracted COVID-19 while on vacation and tested positive for COVID-19 on 09/17/2022. I took PAXLOVID starting on 09/18/2022 and tolerated the medication very well. I developed random chest pains and got worse. I went for a stress and echocardiogram on 01/11/2023 it showed an abnormal atypical hypokinesis and stress portion was normal and elevated blood pressure. I saw a cardiologist on 01/17/2023 and showed a left ventricle elevated diastolic pressure. I was prescribed amlodipine and my symptoms got better.
Age: 2.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Dose administered to child under four years of age
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, COVID-19, Death, Gastrointestinal tube insertion, Intensive care
Clinical narrative: 8/15/22 transferred from local Memorial hospital following bx of pelvic mass; findings also of small bowel obstruction transfer with s/p NG tube; 8/16/22 found to be positive for COVID; tachycardia, leukocytosis pretension, worsening renal function; ICU; ABX for sepsis; changed status to DNR/DNI and comfort measures; pt passed away in the hospital
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Leukocytosis, Pelvic mass, Renal impairment, SARS-CoV-2 test positive, Sepsis
Clinical narrative: 8/15/22 transferred from local Memorial hospital following bx of pelvic mass; findings also of small bowel obstruction transfer with s/p NG tube; 8/16/22 found to be positive for COVID; tachycardia, leukocytosis pretension, worsening renal function; ICU; ABX for sepsis; changed status to DNR/DNI and comfort measures; pt passed away in the hospital
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Small intestinal obstruction, Tachycardia
Clinical narrative: 8/15/22 transferred from local Memorial hospital following bx of pelvic mass; findings also of small bowel obstruction transfer with s/p NG tube; 8/16/22 found to be positive for COVID; tachycardia, leukocytosis pretension, worsening renal function; ICU; ABX for sepsis; changed status to DNR/DNI and comfort measures; pt passed away in the hospital
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Oligomenorrhoea
Clinical narrative: Since being vaccinated, I have begun experiencing very painful, long menstrual cycles. Some of these cycles are lasting longer than 60 days.
Age: 63.0
Sex: F
Vaccine: PNC20
Symptoms: Urticaria
Clinical narrative: Hives occurring 18 hours after administration. Tried Benadryl with partial improvement. Went to urgent care and prescribed steroid burst and taper.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyskinesia
Clinical narrative: severe chills and uncontrollable spasm like movements
Age: 42.0
Sex: F
Vaccine: COVID19-2
Symptoms: Feeling abnormal, Flushing, Hypoaesthesia, Sleep disorder
Clinical narrative: Patient called the pharmacy the day after and stated woke up from bad sleep with numbness in imminization arm, leg, flushed face and feeling not right.   There was no redness at the site of injection.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Fatigue, Headache
Clinical narrative: When I woke up in the middle of the night on Feb 8th,  I had a headache and my body ache all over. Then since that time, for the next last month, I have had nausea, loss of appetite, extreme fatigue, swollen joints, dizziness, and malaise. It is completely effecting my ability to do basic normal activity. There are periods that I will have for a couple of hours, every other day, or on the third day, that I feel better. And then it comes back. But those periods seems to be related to food. I feel a bit like on a roller coaster. Some days I feel really bad, and other days I have a couple of hours, I feel really good. It's just up and down. I have spoke to the doctors, and they said if I am having a reaction to the booster, it's going to take 1 to 3 months to settle down. I was feeling better until I had the vaccine. I also have chronic diarrhea.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Joint swelling, Laboratory test, Loss of personal independence in daily activities, Malaise, Middle insomnia
Clinical narrative: When I woke up in the middle of the night on Feb 8th,  I had a headache and my body ache all over. Then since that time, for the next last month, I have had nausea, loss of appetite, extreme fatigue, swollen joints, dizziness, and malaise. It is completely effecting my ability to do basic normal activity. There are periods that I will have for a couple of hours, every other day, or on the third day, that I feel better. And then it comes back. But those periods seems to be related to food. I feel a bit like on a roller coaster. Some days I feel really bad, and other days I have a couple of hours, I feel really good. It's just up and down. I have spoke to the doctors, and they said if I am having a reaction to the booster, it's going to take 1 to 3 months to settle down. I was feeling better until I had the vaccine. I also have chronic diarrhea.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain
Clinical narrative: When I woke up in the middle of the night on Feb 8th,  I had a headache and my body ache all over. Then since that time, for the next last month, I have had nausea, loss of appetite, extreme fatigue, swollen joints, dizziness, and malaise. It is completely effecting my ability to do basic normal activity. There are periods that I will have for a couple of hours, every other day, or on the third day, that I feel better. And then it comes back. But those periods seems to be related to food. I feel a bit like on a roller coaster. Some days I feel really bad, and other days I have a couple of hours, I feel really good. It's just up and down. I have spoke to the doctors, and they said if I am having a reaction to the booster, it's going to take 1 to 3 months to settle down. I was feeling better until I had the vaccine. I also have chronic diarrhea.
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Asthenia, Chest X-ray abnormal, Chest discomfort, Computerised tomogram, Decreased appetite
Clinical narrative: On 01/14/2023 I started feeling weak, loss of  appetite, fatigue, and sore throat. On 01/15/2023 my symptoms progressed I had a headache and chest pressure, I took a COVID test and tested negative. I went to urgent care and was given a COVID test and also came back negative. I also had a CT scan and x-ray. I was diagnosed with Pneumonia at that time, the Physician also notes that I may have the onset of Sepsis at that time. I also had a fever of 104.0 and was discharged shortly after receiving an IV dose of antibiotics. I was prescribed ATROMIZIN and amoxicillin prescribed released from the ER with antibiotic amoxicillin for 7 days and erythromycin 250mg per day.
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Fatigue, Headache, Oropharyngeal pain, Pneumonia, Pyrexia
Clinical narrative: On 01/14/2023 I started feeling weak, loss of  appetite, fatigue, and sore throat. On 01/15/2023 my symptoms progressed I had a headache and chest pressure, I took a COVID test and tested negative. I went to urgent care and was given a COVID test and also came back negative. I also had a CT scan and x-ray. I was diagnosed with Pneumonia at that time, the Physician also notes that I may have the onset of Sepsis at that time. I also had a fever of 104.0 and was discharged shortly after receiving an IV dose of antibiotics. I was prescribed ATROMIZIN and amoxicillin prescribed released from the ER with antibiotic amoxicillin for 7 days and erythromycin 250mg per day.
Age: 60.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test negative, Sepsis
Clinical narrative: On 01/14/2023 I started feeling weak, loss of  appetite, fatigue, and sore throat. On 01/15/2023 my symptoms progressed I had a headache and chest pressure, I took a COVID test and tested negative. I went to urgent care and was given a COVID test and also came back negative. I also had a CT scan and x-ray. I was diagnosed with Pneumonia at that time, the Physician also notes that I may have the onset of Sepsis at that time. I also had a fever of 104.0 and was discharged shortly after receiving an IV dose of antibiotics. I was prescribed ATROMIZIN and amoxicillin prescribed released from the ER with antibiotic amoxicillin for 7 days and erythromycin 250mg per day.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Nasopharyngitis, Pain
Clinical narrative: 12/20/22   I had congestion, coughing and felt like I had a bad cold. As it progressed, the cough became worse, I was tired and I began feeling achy, nothing would knock it. I took an at home COVID test on 12/23/22 around 10:00 am and it was positive. I called the doctor?s office and he prescribed Paxlovid. I began taking the Paxlovid on 12/23/22.  The symptoms gradually got better. After finishing the Paxlovid, my symptoms were gone.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 12/20/22   I had congestion, coughing and felt like I had a bad cold. As it progressed, the cough became worse, I was tired and I began feeling achy, nothing would knock it. I took an at home COVID test on 12/23/22 around 10:00 am and it was positive. I called the doctor?s office and he prescribed Paxlovid. I began taking the Paxlovid on 12/23/22.  The symptoms gradually got better. After finishing the Paxlovid, my symptoms were gone.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Dyspnoea, Injection site erythema, Injection site swelling
Clinical narrative: mild shortness of breath, swelling and redness at injection site
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrioventricular block second degree, Chest pain, Dyspnoea, Heart rate decreased, Narcolepsy
Clinical narrative: I had a second degree heart block, months after the vaccine. I was feeling short of breath with mild chest pain, I also have narcolepsy. I had a sleep study on 27FEB2023 which showed pastoral sleep apnea and slow heart rate.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: Sleep apnoea syndrome, Sleep study abnormal
Clinical narrative: I had a second degree heart block, months after the vaccine. I was feeling short of breath with mild chest pain, I also have narcolepsy. I had a sleep study on 27FEB2023 which showed pastoral sleep apnea and slow heart rate.
Age: 4.0
Sex: M
Vaccine: COVID19, DTAPIPV, FLU4, MMRV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Gave Pfizer monovalent 5y-11y vaccine to this 4 year old.  Tolerated well, monitored for 15 minutes after dose given
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site warmth, Peripheral swelling, Rash papular
Clinical narrative: 2/1/2021 that morning I woke up and my left arm was swollen, a rash from the shoulder halfway down the arm. It was raised and hot to the touch. It was also very sore. The next day, I called the doctor. He had me take BENADRYL and had me put a steroid ointment on it. I stayed I contact with him and it got better after a couple of weeks.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Endoscopy abnormal, Gastrointestinal ulcer
Clinical narrative: I did not have an adverse reaction to the vaccine. I had ongoing stomach issues for several months before receiving the vaccine. I went to my doctor and was referred to a gastroenterologist. I had an endoscopy preformed and diagnosed with an ulcer. I take two medications to help with my symptoms.
Age: 94.0
Sex: F
Vaccine: PNC20
Symptoms: Atrial fibrillation, Condition aggravated, Pyrexia
Clinical narrative: Fever; exacerbation of A-fib
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Herpes zoster, Lymphadenopathy, Rash, Swelling face
Clinical narrative: A week after vaccination, got swollen lymph nodes in left armpit, but eventually went away. 10 days after vaccination I broke out in a rash on the right side of my face and was diagnosed with Cellulitis. Was given Mupirocin Ointment and Hydrocortisone Cream. Had still started worsening over time. On March 1, 2023 was Bactrim and told to continue with Mupirocin Ointment and Hydrocortisone Cream as well. On March 2, 2023 started to get extreme swelling in my face and went to Urgent Care. Was advised to give the medications one more day, and if it didn't get better to go to the ER. The next morning everything worsened so went to the ER and was diagnosed with Shingles. Prescribed Clindamycin, Prednisone, and Valacyclovir. Because of the location on my Shingles, Doctor was concerned Ramsay Hunt Syndrome. Was also given a test for Shingles of the eye and it was negative. Initial rash is starting to improve, but it has spread to my scalp. Following up with my Primary Care Doctor because it hasn't completely gone away.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Bronchitis, COVID-19, Chest X-ray normal, Cough, Headache
Clinical narrative: Started symptoms on 12/14/2022 and on 12/16/2022 went to a clinic and tested positive for COVID-19. Diagnosed with acute bronchitis. I didn't not get rid of the cough until the end of January. I also still have headaches, but they are much less frequent.
Age: 71.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Influenza A virus test negative, Influenza B virus test, SARS-CoV-2 test positive
Clinical narrative: Started symptoms on 12/14/2022 and on 12/16/2022 went to a clinic and tested positive for COVID-19. Diagnosed with acute bronchitis. I didn't not get rid of the cough until the end of January. I also still have headaches, but they are much less frequent.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Fatigue, Lethargy, Musculoskeletal stiffness
Clinical narrative: Lethargy in the morning on Thursday, very tired, with a runny nose, sore throat, stiff neck. Tested with an at home COVID-19 test positive. Called doctor who prescribed PAXLOVID. Symptoms gradually improved over 4 days, with symptoms pretty well disappeared on day 5. Dry productive cough lingers as does nasal drainage.
Age: 72.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Oropharyngeal pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Lethargy in the morning on Thursday, very tired, with a runny nose, sore throat, stiff neck. Tested with an at home COVID-19 test positive. Called doctor who prescribed PAXLOVID. Symptoms gradually improved over 4 days, with symptoms pretty well disappeared on day 5. Dry productive cough lingers as does nasal drainage.
Age: 42.0
Sex: F
Vaccine: PNC20
Symptoms: Feeling hot, Injection site irritation, Pain, Skin irritation
Clinical narrative: Skin irritation round injection site; warmth; pain
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Death, Dyspnoea, Haemoptysis
Clinical narrative: Pt brought to ED with SOB and hemoptysis; approximately a month ago, pt dx with PE, on Eliquis; found to be positive for COVID in ED; Dexamethasone, Remdesivir, O2 supplementation; transitioned to DNR, comfort care; passed away in the hospital
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt brought to ED with SOB and hemoptysis; approximately a month ago, pt dx with PE, on Eliquis; found to be positive for COVID in ED; Dexamethasone, Remdesivir, O2 supplementation; transitioned to DNR, comfort care; passed away in the hospital
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Nervousness, Pallor, Tremor
Clinical narrative: Pt was administered IM menquadfi at 2:15 pm after completing physical. At that time patient was anxious about vaccination and I offered pt water. Pt declined and I administered vaccination and gave pt ice pack after administration. Pt jumped right off of table, I discussed with patient and stepmom and brother (who also received menquadfi) that they should move arms around and can use tylenol later for any remaining pain. Approximately 10 minutes later receptionist from front desk called to state pt was feeling faint. RNs went up to pt first to assess. Pt was pale and shaking but sitting in chair, complaining of dizziness. I brought the BP machine and water to pt, RN applied ice packs to patient's neck and forehead. V/s in waiting room were 122/73, pulse 88 and pulseox 98%. After water and ice packs patient did state he felt improvement in symptoms. Had patient sit in chair for 15 minutes. Able to stand up, pt stated he felt fine though he was still shaky. Able to walk off floor with assistance from stepmom and dad who came up from car.