chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: Patient came to pharmacy in October of 2023 and said her arm had not stopped hurting since receiving COVID vaccination in October of 2022. She said her doctor suggested the pharmacy fill out a VAERs report.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Antinuclear antibody, Antinuclear antibody positive, Arthralgia, Autoimmune disorder, Inflammatory marker increased
Clinical narrative: Chronic joint pain and high inflammation markers like seen in autoimmune diseases. Esr, scl 70, ana positive
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test, Red blood cell sedimentation rate increased, Smooth muscle antibody
Clinical narrative: Chronic joint pain and high inflammation markers like seen in autoimmune diseases. Esr, scl 70, ana positive
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Interleukin level
Clinical narrative: Patient has had five Covid mRNA shots known to cause auto immune issues and inflammation and got  Covid recently.
Age: 63.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Joint swelling, Lip swelling, Oedema, Swelling face
Clinical narrative: Vaccine given 11-7-23. Pt started with facial swelling left side, cheeks, and lips on the morning of 11-9-23. Patient tried ice and benedril but that didnt help. He then made appt at Dr. office. no itching/not painful. Patient reports some swelling in the volar aspect of his left wrist, no nausea/no diarrhea/no rapid heart beat. Dx:  ang, edema from vaccine
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction
Clinical narrative: ANAPHYLAXIS; Narrative:  Other Relevant HX Other: ANAPHYLAXIS
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Breakthrough COVID-19, Death
Clinical narrative: Covid-19 Breakthrough Infection
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Breakthrough COVID-19
Clinical narrative: Covid-19 Breakthrough Infection
Sex: U
Vaccine: PPV
Symptoms: Expired product administered, No adverse event
Clinical narrative: no additional AE; HCP reported AE on behalf of a patient who was administered expired PNEUMOVAX23 PFS to patien; This spontaneous report was received from a pharmacist and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions, concomitant medications and drug reactions or allergies was not reported.  On 09-NOV-2023, the patient was vaccinated with an expired dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection, 0.5 milliliter (valid lot number W015900 [expiration date 20-OCT-2023]) (dose number, route of administration, frequency, vaccination scheme was not provided) (expired product administered). No temperature excursion (TEs) was reported, no symptoms reported. The healthcare provider (HCP) reported that the physician requested administration of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) to the patient but the HCP suspected that the patient should have received pneumococcal vaccine conj 20v (crm197) (PREVNAR 20), the HCP confirmed that the pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) was administered to the patient, as requested by the physician, the HCP did not make any indication that product confusion occurred as the requested vaccine was administered to the appropriate patient.   No additional adverse event (AE).
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Drug ineffective
Clinical narrative: Treatment of COVID-19; Treatment of COVID-19; This is a spontaneous report received from contactable reporter(s) (Physician).  A 57-year-old male patient received bnt162b2, bnt162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), in Apr2023 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; covid-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown) and as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Dyslipidaemia" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE(medically significant), COVID-19 (medically significant) all with onset Oct2023, outcome "unknown" and all described as "Treatment of COVID-19". Therapeutic measures were taken as a result of Drug ineffective covid-19 with Paxlovid from 30Oct2023 to 03Nov2023. Clinical course: Patient had no known allergies.  The information on the batch/lot number for bnt162b2, bnt162b2 omi ba.4-5 has been requested and will be submitted if and when received.; Sender's Comments: Based on the known the information available the Causal relation between the events Drug ineffective, Covid 19 and suspect drug cannot be excluded completely.,Linked Report(s) : US-PFIZER INC-202300360307 Same patient, different product, different dose/event;
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Pruritus, Swelling
Clinical narrative: Tightness of breath within first 30 minutes (subsided), itching across body (esp. shoulders, underarms, torso, palms, waist, foot) with some small bumps (1 mm) starting at 8:15pm. Still has persisted for 1 hr.  Took 50 mg of Benadryl.
Age: 64.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Dizziness, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: First, my arm got sore, then I got some aches, then I got a fever, followed by a small red rash between the front of my legs, then I got dizzy, followed by nausea, then 3 times the whole room started spinning (extreme dizziness where I had to hold onto something our of fear of falling) followed by extreme nausea. I got the shot on Friday and Sunday night was the worst. By Wed., all I had left is a little dizziness occasionally but it is mostly gone. By Thur. all signs were gone.
Age: 64.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Rash, Rash erythematous, Vertigo
Clinical narrative: First, my arm got sore, then I got some aches, then I got a fever, followed by a small red rash between the front of my legs, then I got dizzy, followed by nausea, then 3 times the whole room started spinning (extreme dizziness where I had to hold onto something our of fear of falling) followed by extreme nausea. I got the shot on Friday and Sunday night was the worst. By Wed., all I had left is a little dizziness occasionally but it is mostly gone. By Thur. all signs were gone.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Anaphylactic reaction, Angiogram pulmonary abnormal, Aortic arteriosclerosis, Atelectasis, Back pain
Clinical narrative: Received vaccine at 10:55 am. Within 15 min vomited once, had back and body pain, and hypertension. She received oral benadryl and had vitals monitored every 15 minutes for an hour. Glucose was normal. Vitals stable, no further events, she was hungry, felt better and wanted to go home in care of her son. At 7:30 pm son brought her to ER for fever, multiple episodes of vomiting, lethargic, some confusion throughout the day. On admission 39.2, HR 116, BP 106/57.  That night she subsequently became hypotensive refractory to fluids, likely shock secondary to anaphylaxis and was transferred to the Intensive Care Unit.  Patient required pressor support and was treated with antibiotic.  She had an extensive workup that was largely unrevealing and was finally discharged on day 6 of hospitalization to home.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Blood culture negative, Blood glucose normal, Cardiac stress test normal, Confusional state, Diastolic dysfunction
Clinical narrative: Received vaccine at 10:55 am. Within 15 min vomited once, had back and body pain, and hypertension. She received oral benadryl and had vitals monitored every 15 minutes for an hour. Glucose was normal. Vitals stable, no further events, she was hungry, felt better and wanted to go home in care of her son. At 7:30 pm son brought her to ER for fever, multiple episodes of vomiting, lethargic, some confusion throughout the day. On admission 39.2, HR 116, BP 106/57.  That night she subsequently became hypotensive refractory to fluids, likely shock secondary to anaphylaxis and was transferred to the Intensive Care Unit.  Patient required pressor support and was treated with antibiotic.  She had an extensive workup that was largely unrevealing and was finally discharged on day 6 of hospitalization to home.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Echocardiogram abnormal, Ejection fraction, Ejection fraction normal, Hunger, Hypertension
Clinical narrative: Received vaccine at 10:55 am. Within 15 min vomited once, had back and body pain, and hypertension. She received oral benadryl and had vitals monitored every 15 minutes for an hour. Glucose was normal. Vitals stable, no further events, she was hungry, felt better and wanted to go home in care of her son. At 7:30 pm son brought her to ER for fever, multiple episodes of vomiting, lethargic, some confusion throughout the day. On admission 39.2, HR 116, BP 106/57.  That night she subsequently became hypotensive refractory to fluids, likely shock secondary to anaphylaxis and was transferred to the Intensive Care Unit.  Patient required pressor support and was treated with antibiotic.  She had an extensive workup that was largely unrevealing and was finally discharged on day 6 of hospitalization to home.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Hypotension, Influenza virus test negative, Intensive care, Lethargy, Lung consolidation
Clinical narrative: Received vaccine at 10:55 am. Within 15 min vomited once, had back and body pain, and hypertension. She received oral benadryl and had vitals monitored every 15 minutes for an hour. Glucose was normal. Vitals stable, no further events, she was hungry, felt better and wanted to go home in care of her son. At 7:30 pm son brought her to ER for fever, multiple episodes of vomiting, lethargic, some confusion throughout the day. On admission 39.2, HR 116, BP 106/57.  That night she subsequently became hypotensive refractory to fluids, likely shock secondary to anaphylaxis and was transferred to the Intensive Care Unit.  Patient required pressor support and was treated with antibiotic.  She had an extensive workup that was largely unrevealing and was finally discharged on day 6 of hospitalization to home.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Lung opacity, Pain, Pleural effusion, Pneumonia, Procalcitonin normal
Clinical narrative: Received vaccine at 10:55 am. Within 15 min vomited once, had back and body pain, and hypertension. She received oral benadryl and had vitals monitored every 15 minutes for an hour. Glucose was normal. Vitals stable, no further events, she was hungry, felt better and wanted to go home in care of her son. At 7:30 pm son brought her to ER for fever, multiple episodes of vomiting, lethargic, some confusion throughout the day. On admission 39.2, HR 116, BP 106/57.  That night she subsequently became hypotensive refractory to fluids, likely shock secondary to anaphylaxis and was transferred to the Intensive Care Unit.  Patient required pressor support and was treated with antibiotic.  She had an extensive workup that was largely unrevealing and was finally discharged on day 6 of hospitalization to home.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Shock, Troponin increased
Clinical narrative: Received vaccine at 10:55 am. Within 15 min vomited once, had back and body pain, and hypertension. She received oral benadryl and had vitals monitored every 15 minutes for an hour. Glucose was normal. Vitals stable, no further events, she was hungry, felt better and wanted to go home in care of her son. At 7:30 pm son brought her to ER for fever, multiple episodes of vomiting, lethargic, some confusion throughout the day. On admission 39.2, HR 116, BP 106/57.  That night she subsequently became hypotensive refractory to fluids, likely shock secondary to anaphylaxis and was transferred to the Intensive Care Unit.  Patient required pressor support and was treated with antibiotic.  She had an extensive workup that was largely unrevealing and was finally discharged on day 6 of hospitalization to home.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting, Wall motion score index normal
Clinical narrative: Received vaccine at 10:55 am. Within 15 min vomited once, had back and body pain, and hypertension. She received oral benadryl and had vitals monitored every 15 minutes for an hour. Glucose was normal. Vitals stable, no further events, she was hungry, felt better and wanted to go home in care of her son. At 7:30 pm son brought her to ER for fever, multiple episodes of vomiting, lethargic, some confusion throughout the day. On admission 39.2, HR 116, BP 106/57.  That night she subsequently became hypotensive refractory to fluids, likely shock secondary to anaphylaxis and was transferred to the Intensive Care Unit.  Patient required pressor support and was treated with antibiotic.  She had an extensive workup that was largely unrevealing and was finally discharged on day 6 of hospitalization to home.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Asthenia, Blood test, Chest X-ray, Computerised tomogram, Dizziness
Clinical narrative: Within 24 hours neck pain, within 48 hours fever with sharp pains in back of head, headache, within 72 hours fever worsen, dizziness, weakness, leg felt like jello, heart racing, within 96 hours all same symptoms just worsen, plus light sensitivity, and could feel legs but wasn't able to walk for few moments almost fell down the stairs, fever, neck, headache extreme, and etc.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Gait disturbance, Headache, Influenza virus test, Lymphadenitis, Muscle strain
Clinical narrative: Within 24 hours neck pain, within 48 hours fever with sharp pains in back of head, headache, within 72 hours fever worsen, dizziness, weakness, leg felt like jello, heart racing, within 96 hours all same symptoms just worsen, plus light sensitivity, and could feel legs but wasn't able to walk for few moments almost fell down the stairs, fever, neck, headache extreme, and etc.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Muscular weakness, Neck pain, Palpitations, Photophobia, Pyrexia
Clinical narrative: Within 24 hours neck pain, within 48 hours fever with sharp pains in back of head, headache, within 72 hours fever worsen, dizziness, weakness, leg felt like jello, heart racing, within 96 hours all same symptoms just worsen, plus light sensitivity, and could feel legs but wasn't able to walk for few moments almost fell down the stairs, fever, neck, headache extreme, and etc.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Respiratory pathogen panel, SARS-CoV-2 test, Streptococcus test
Clinical narrative: Within 24 hours neck pain, within 48 hours fever with sharp pains in back of head, headache, within 72 hours fever worsen, dizziness, weakness, leg felt like jello, heart racing, within 96 hours all same symptoms just worsen, plus light sensitivity, and could feel legs but wasn't able to walk for few moments almost fell down the stairs, fever, neck, headache extreme, and etc.
Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: Pt was given Fluzone that expired on 6.30.23. Dr notified. Pt notified. Pt will monitor and call with any concerns.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Product preparation error
Clinical narrative: IN RELATION TO THE PENTACEL ADMINISTRATION, ONLY VIAL 1 OF 2 WAS ADMINISTERED. PT WAS ONLY IMMUNIZED FOR DTAP AND IPV. ADMINISTRATOR DID NOT USE VIAL 1 DTAP/IPV AS DILUENT TO VIAL 2 HIB. PT IS STILL DUE FOR HIB. PT NEEDS TO BE SCHEDULED TO COME BACK TO GET HIB ONLY VACCINE.
Age: 3.0
Sex: F
Vaccine: HIBV
Symptoms: Expired product administered
Clinical narrative: When entering vaccine into our EMR system I got an alert the vaccine had expired 10/6/2023. No treatment performed for this. Pt mother who brought her to the appointment was informed of the mishap and that the dose would need to be re administered as an expired dose does not count. Pt mother was understanding of having to repeat the Hib vaccine. I also informed one of our office's vaccine leads so they could pull the expired Hib vaccine from our stock to ensure this did not happen again.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchial hyperreactivity, COVID-19, Dyspnoea, Fibrin D dimer, Productive cough
Clinical narrative: Patient presented to the ER with complaints of progressively worsening SOB with cough and phlegm. D-dimer slightly elevated at 0.53. O2 sat 92%, tested positive for Covid-19. Patient was admitted.  Reactive airway disease primarily due to Covid-19. Patient required supplemental oxygen so Decadron IV was started. Patient was able to wean off oxygen without dypsnea or hypoxia. Patient received antibiotics for possible bacterial pneumonia. Patient was discharged home on steroids, pepcid and vitamin supplements.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ER with complaints of progressively worsening SOB with cough and phlegm. D-dimer slightly elevated at 0.53. O2 sat 92%, tested positive for Covid-19. Patient was admitted.  Reactive airway disease primarily due to Covid-19. Patient required supplemental oxygen so Decadron IV was started. Patient was able to wean off oxygen without dypsnea or hypoxia. Patient received antibiotics for possible bacterial pneumonia. Patient was discharged home on steroids, pepcid and vitamin supplements.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram peripheral, COVID-19, COVID-19 pneumonia, Dyspnoea, Lethargy
Clinical narrative: Patient developed right foot wound and was referred to Dr. for peripheral arterial disease.  Patient underwent right lower extremity angiogram 2 weeks ago and upon follow-up visit on February 1st, 2022 he was noted to be lethargic, febrile and having shortness of breath.  Patient was subsequently sent to the ER for further evaluation. Patient had tested positive prior to admission for Covid-19 at NH. Patient was diagnosed with Covid-19 pneumonia. Patient was able to wean off oxygen. Patient received IV antibiotics. Patient was discharged back to SNU
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Limb injury, Peripheral arterial occlusive disease, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient developed right foot wound and was referred to Dr. for peripheral arterial disease.  Patient underwent right lower extremity angiogram 2 weeks ago and upon follow-up visit on February 1st, 2022 he was noted to be lethargic, febrile and having shortness of breath.  Patient was subsequently sent to the ER for further evaluation. Patient had tested positive prior to admission for Covid-19 at NH. Patient was diagnosed with Covid-19 pneumonia. Patient was able to wean off oxygen. Patient received IV antibiotics. Patient was discharged back to SNU
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, Blood lactic acid, COVID-19, Chest pain
Clinical narrative: Patient presented to the ER with recent diagnosis of Covid-19 with complaints of chest pain and shortness of breath. Levophed started, mildly elevated LFTs, initial lactic 2.2, procalcitonin 0.30, troponin negative, CT head no acute intracranial process, CT angiogram chest no evidence pulmonary embolism, subsegmental atelectasis/consolidation of the left and right lower lobe.  Patient treated with cefepime and azithromycin. Patient diagnosed with septic shock secondary to bilateral lower love pneumonia and Covid-19 infection. She completed her course of abx and will continue 5 more days of Doxycycline and Prednisone. Patient discharged to SNU.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Dyspnoea, Liver function test increased, Lung consolidation, Pneumonia
Clinical narrative: Patient presented to the ER with recent diagnosis of Covid-19 with complaints of chest pain and shortness of breath. Levophed started, mildly elevated LFTs, initial lactic 2.2, procalcitonin 0.30, troponin negative, CT head no acute intracranial process, CT angiogram chest no evidence pulmonary embolism, subsegmental atelectasis/consolidation of the left and right lower lobe.  Patient treated with cefepime and azithromycin. Patient diagnosed with septic shock secondary to bilateral lower love pneumonia and Covid-19 infection. She completed her course of abx and will continue 5 more days of Doxycycline and Prednisone. Patient discharged to SNU.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Septic shock, Troponin normal
Clinical narrative: Patient presented to the ER with recent diagnosis of Covid-19 with complaints of chest pain and shortness of breath. Levophed started, mildly elevated LFTs, initial lactic 2.2, procalcitonin 0.30, troponin negative, CT head no acute intracranial process, CT angiogram chest no evidence pulmonary embolism, subsegmental atelectasis/consolidation of the left and right lower lobe.  Patient treated with cefepime and azithromycin. Patient diagnosed with septic shock secondary to bilateral lower love pneumonia and Covid-19 infection. She completed her course of abx and will continue 5 more days of Doxycycline and Prednisone. Patient discharged to SNU.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Acute respiratory failure, Blood creatinine, Blood culture, Blood glucose normal
Clinical narrative: Patient presented to the ER via EMS due to Covid-like symptoms. Patient has advanced dementia and is minimally verbal at baseline; daughter reports is able to ambulate independently at baseline though. Daughter, who is  States that patient starting not acting herself yesterday and started to developed fever, chills, congestion.  States that her oxygen level was getting into the 80s so she decided to call EMS. Upon EMS arrival oxygen saturation was 94%.  While in the ED initial BP 84/45, HR 107, RR 20, otherwise VSS. EKG showing sinus tachycardia, rate 115. Labs revealing WBC 1.4, glucose 108, BUN/Cr 27/1.8 with GFR 25, lactic acid 3.41 -- > 4.49. Procal 49.85, troponin 0.033 -- > 0.064. BNP 371. UA positive for UTI. Blood cultures obtained. Flu negative. COVID swab +. CT head and CXR negative. Received 1L bolus, cefepime, ofirmev. Patients blood pressure intially improved and then decreased into the 70s systolic and additional 1L bolus ordered. Patient diagnosed with septic shock secondary to acute pyelonephritis versus covid-19. Patient diagnosed with acute respiratory failure due to covid-19. Patient required supplemental oxygen, antibiotics and IV steroids.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood pressure abnormal, Blood pressure systolic decreased, Blood urea increased, Brain natriuretic peptide increased
Clinical narrative: Patient presented to the ER via EMS due to Covid-like symptoms. Patient has advanced dementia and is minimally verbal at baseline; daughter reports is able to ambulate independently at baseline though. Daughter, who is  States that patient starting not acting herself yesterday and started to developed fever, chills, congestion.  States that her oxygen level was getting into the 80s so she decided to call EMS. Upon EMS arrival oxygen saturation was 94%.  While in the ED initial BP 84/45, HR 107, RR 20, otherwise VSS. EKG showing sinus tachycardia, rate 115. Labs revealing WBC 1.4, glucose 108, BUN/Cr 27/1.8 with GFR 25, lactic acid 3.41 -- > 4.49. Procal 49.85, troponin 0.033 -- > 0.064. BNP 371. UA positive for UTI. Blood cultures obtained. Flu negative. COVID swab +. CT head and CXR negative. Received 1L bolus, cefepime, ofirmev. Patients blood pressure intially improved and then decreased into the 70s systolic and additional 1L bolus ordered. Patient diagnosed with septic shock secondary to acute pyelonephritis versus covid-19. Patient diagnosed with acute respiratory failure due to covid-19. Patient required supplemental oxygen, antibiotics and IV steroids.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chills, Computerised tomogram head normal, Electrocardiogram abnormal
Clinical narrative: Patient presented to the ER via EMS due to Covid-like symptoms. Patient has advanced dementia and is minimally verbal at baseline; daughter reports is able to ambulate independently at baseline though. Daughter, who is  States that patient starting not acting herself yesterday and started to developed fever, chills, congestion.  States that her oxygen level was getting into the 80s so she decided to call EMS. Upon EMS arrival oxygen saturation was 94%.  While in the ED initial BP 84/45, HR 107, RR 20, otherwise VSS. EKG showing sinus tachycardia, rate 115. Labs revealing WBC 1.4, glucose 108, BUN/Cr 27/1.8 with GFR 25, lactic acid 3.41 -- > 4.49. Procal 49.85, troponin 0.033 -- > 0.064. BNP 371. UA positive for UTI. Blood cultures obtained. Flu negative. COVID swab +. CT head and CXR negative. Received 1L bolus, cefepime, ofirmev. Patients blood pressure intially improved and then decreased into the 70s systolic and additional 1L bolus ordered. Patient diagnosed with septic shock secondary to acute pyelonephritis versus covid-19. Patient diagnosed with acute respiratory failure due to covid-19. Patient required supplemental oxygen, antibiotics and IV steroids.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Influenza virus test negative, Malaise, Procalcitonin, Pyelonephritis acute
Clinical narrative: Patient presented to the ER via EMS due to Covid-like symptoms. Patient has advanced dementia and is minimally verbal at baseline; daughter reports is able to ambulate independently at baseline though. Daughter, who is  States that patient starting not acting herself yesterday and started to developed fever, chills, congestion.  States that her oxygen level was getting into the 80s so she decided to call EMS. Upon EMS arrival oxygen saturation was 94%.  While in the ED initial BP 84/45, HR 107, RR 20, otherwise VSS. EKG showing sinus tachycardia, rate 115. Labs revealing WBC 1.4, glucose 108, BUN/Cr 27/1.8 with GFR 25, lactic acid 3.41 -- > 4.49. Procal 49.85, troponin 0.033 -- > 0.064. BNP 371. UA positive for UTI. Blood cultures obtained. Flu negative. COVID swab +. CT head and CXR negative. Received 1L bolus, cefepime, ofirmev. Patients blood pressure intially improved and then decreased into the 70s systolic and additional 1L bolus ordered. Patient diagnosed with septic shock secondary to acute pyelonephritis versus covid-19. Patient diagnosed with acute respiratory failure due to covid-19. Patient required supplemental oxygen, antibiotics and IV steroids.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Septic shock, Sinus tachycardia
Clinical narrative: Patient presented to the ER via EMS due to Covid-like symptoms. Patient has advanced dementia and is minimally verbal at baseline; daughter reports is able to ambulate independently at baseline though. Daughter, who is  States that patient starting not acting herself yesterday and started to developed fever, chills, congestion.  States that her oxygen level was getting into the 80s so she decided to call EMS. Upon EMS arrival oxygen saturation was 94%.  While in the ED initial BP 84/45, HR 107, RR 20, otherwise VSS. EKG showing sinus tachycardia, rate 115. Labs revealing WBC 1.4, glucose 108, BUN/Cr 27/1.8 with GFR 25, lactic acid 3.41 -- > 4.49. Procal 49.85, troponin 0.033 -- > 0.064. BNP 371. UA positive for UTI. Blood cultures obtained. Flu negative. COVID swab +. CT head and CXR negative. Received 1L bolus, cefepime, ofirmev. Patients blood pressure intially improved and then decreased into the 70s systolic and additional 1L bolus ordered. Patient diagnosed with septic shock secondary to acute pyelonephritis versus covid-19. Patient diagnosed with acute respiratory failure due to covid-19. Patient required supplemental oxygen, antibiotics and IV steroids.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Urinary tract infection, Urine analysis abnormal, White blood cell count decreased
Clinical narrative: Patient presented to the ER via EMS due to Covid-like symptoms. Patient has advanced dementia and is minimally verbal at baseline; daughter reports is able to ambulate independently at baseline though. Daughter, who is  States that patient starting not acting herself yesterday and started to developed fever, chills, congestion.  States that her oxygen level was getting into the 80s so she decided to call EMS. Upon EMS arrival oxygen saturation was 94%.  While in the ED initial BP 84/45, HR 107, RR 20, otherwise VSS. EKG showing sinus tachycardia, rate 115. Labs revealing WBC 1.4, glucose 108, BUN/Cr 27/1.8 with GFR 25, lactic acid 3.41 -- > 4.49. Procal 49.85, troponin 0.033 -- > 0.064. BNP 371. UA positive for UTI. Blood cultures obtained. Flu negative. COVID swab +. CT head and CXR negative. Received 1L bolus, cefepime, ofirmev. Patients blood pressure intially improved and then decreased into the 70s systolic and additional 1L bolus ordered. Patient diagnosed with septic shock secondary to acute pyelonephritis versus covid-19. Patient diagnosed with acute respiratory failure due to covid-19. Patient required supplemental oxygen, antibiotics and IV steroids.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Acute disseminated encephalomyelitis, CSF test normal, Magnetic resonance imaging head abnormal, Neurological symptom
Clinical narrative: Development of neurological sequala - ADEM
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cerebral ischaemia, Death, Endotracheal intubation, Intensive care
Clinical narrative: Patient presented to the ER due to altered mentation and hypoxemic respiratory failure. Patient was diagnosed with metabolic encephalopathy due to Covid-19. MRI showed small ischemic areas. Patient was diagnosed with septic shock due to UTI and Covid-19 infection. He was initially intubated in the ER and admitted to the MICU. Patient received steroids. Per history he had recently been quarantined in his nursing facility due to a positive but asymptomatic COVID-19 positive test and had just gotten out of quarantine. While his oxygenation and ventilation improved his mental status did not and on 12/02/2021 he was terminally extubated to a DNR/DNI status. He continued with support from vasopressors and supplemental oxygen but eventually family decided to transition to comfort measures and he passed away 12/06/2021.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Mental status changes, Metabolic encephalopathy, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ER due to altered mentation and hypoxemic respiratory failure. Patient was diagnosed with metabolic encephalopathy due to Covid-19. MRI showed small ischemic areas. Patient was diagnosed with septic shock due to UTI and Covid-19 infection. He was initially intubated in the ER and admitted to the MICU. Patient received steroids. Per history he had recently been quarantined in his nursing facility due to a positive but asymptomatic COVID-19 positive test and had just gotten out of quarantine. While his oxygenation and ventilation improved his mental status did not and on 12/02/2021 he was terminally extubated to a DNR/DNI status. He continued with support from vasopressors and supplemental oxygen but eventually family decided to transition to comfort measures and he passed away 12/06/2021.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Septic shock, Urinary tract infection
Clinical narrative: Patient presented to the ER due to altered mentation and hypoxemic respiratory failure. Patient was diagnosed with metabolic encephalopathy due to Covid-19. MRI showed small ischemic areas. Patient was diagnosed with septic shock due to UTI and Covid-19 infection. He was initially intubated in the ER and admitted to the MICU. Patient received steroids. Per history he had recently been quarantined in his nursing facility due to a positive but asymptomatic COVID-19 positive test and had just gotten out of quarantine. While his oxygenation and ventilation improved his mental status did not and on 12/02/2021 he was terminally extubated to a DNR/DNI status. He continued with support from vasopressors and supplemental oxygen but eventually family decided to transition to comfort measures and he passed away 12/06/2021.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Patient presented to the ER with recent admission to the hospital for acute exacerbation of COPD as well as COVID-19 infection, currently present to the hospital with complaints of shortness over the last 2-3 days and noted to be in acute respiratory failure with hypoxia.  Patient diagnosed with COVID-19 pneumonia complicated by acute respiratory failure as well as acute COPD exacerbation again. Patient was discharged to SNU. Patient diagnosed with acute hypoxic respiratory failure with hypoxia and hypercapnia possibly in the setting of acute COPD exacerbation as well as COVID-19 associated pneumonia:  Patient with prolonged hospitalization course and required ICU care in the beginning.  Patient is status post remdesivir, tocilizumab as well as dexamethasone.  She was also treated on bronchodilators, IV antibiotics and now on oral steroids.  Her oxygen requirement has significantly improved and is currently down to 5 liters/minute which is her baseline at the time of discharge.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypercapnia, Hypoxia, Intensive care
Clinical narrative: Patient presented to the ER with recent admission to the hospital for acute exacerbation of COPD as well as COVID-19 infection, currently present to the hospital with complaints of shortness over the last 2-3 days and noted to be in acute respiratory failure with hypoxia.  Patient diagnosed with COVID-19 pneumonia complicated by acute respiratory failure as well as acute COPD exacerbation again. Patient was discharged to SNU. Patient diagnosed with acute hypoxic respiratory failure with hypoxia and hypercapnia possibly in the setting of acute COPD exacerbation as well as COVID-19 associated pneumonia:  Patient with prolonged hospitalization course and required ICU care in the beginning.  Patient is status post remdesivir, tocilizumab as well as dexamethasone.  She was also treated on bronchodilators, IV antibiotics and now on oral steroids.  Her oxygen requirement has significantly improved and is currently down to 5 liters/minute which is her baseline at the time of discharge.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Breast cancer female, COVID-19, Chest X-ray normal, Cough, Dyspnoea
Clinical narrative: Patient presented to the ER with cough, shortness of breath and upper respiratory illness symptoms.  She was diagnosed with COVID-19.  She remains stable from a COVID standpoint.  Chest x-ray did not show infiltrates.  Patient remained on room air.  Infectious Disease was consulted.  Given her immunocompromised status, she agreed to receive remdesivir for 3 days. Also, her troponins were mildly elevated.  This was secondary to demand ischemia due to COVID-19.  Cardiology/ Dr was consulted.  Echocardiogram showed EF 60% without wall motion abnormalities.  She was started on aspirin, beta-blocker and low-dose statin.  LDL is 86. She will follow-up with cardiology as outpatient for stress test prior to her surgery for breast cancer. Patient was discharged home.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Ejection fraction normal, Immunodeficiency, Low density lipoprotein normal, Myocardial ischaemia
Clinical narrative: Patient presented to the ER with cough, shortness of breath and upper respiratory illness symptoms.  She was diagnosed with COVID-19.  She remains stable from a COVID standpoint.  Chest x-ray did not show infiltrates.  Patient remained on room air.  Infectious Disease was consulted.  Given her immunocompromised status, she agreed to receive remdesivir for 3 days. Also, her troponins were mildly elevated.  This was secondary to demand ischemia due to COVID-19.  Cardiology/ Dr was consulted.  Echocardiogram showed EF 60% without wall motion abnormalities.  She was started on aspirin, beta-blocker and low-dose statin.  LDL is 86. She will follow-up with cardiology as outpatient for stress test prior to her surgery for breast cancer. Patient was discharged home.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory symptom, Troponin increased
Clinical narrative: Patient presented to the ER with cough, shortness of breath and upper respiratory illness symptoms.  She was diagnosed with COVID-19.  She remains stable from a COVID standpoint.  Chest x-ray did not show infiltrates.  Patient remained on room air.  Infectious Disease was consulted.  Given her immunocompromised status, she agreed to receive remdesivir for 3 days. Also, her troponins were mildly elevated.  This was secondary to demand ischemia due to COVID-19.  Cardiology/ Dr was consulted.  Echocardiogram showed EF 60% without wall motion abnormalities.  She was started on aspirin, beta-blocker and low-dose statin.  LDL is 86. She will follow-up with cardiology as outpatient for stress test prior to her surgery for breast cancer. Patient was discharged home.
Age: 39.0
Sex: M
Vaccine: UNK
Symptoms: Immediate post-injection reaction, Injection site pain
Clinical narrative: PT reports immediate severe left shoulder pain at time of injection that has progressively worsened. No change in ROM, no erythema, no warmth, no swelling.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Brain fog, Chills, Cold sweat, Fatigue, Night sweats
Clinical narrative: Starting ~1:00am shivering, transitioning to clamminess and night sweats.  Waking up ~5:00am with a fever, clamminess, and fatigue.  Took Ibuprofen to reduce symptoms.  Symptoms continued throughout the day.  Went to bed ~9:00 pm, continued throughout the night with clamminess and night sweats.  Woke up ~8:00am with no fever feeling slightly better with a little brain fog.
Age: 68.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Starting ~1:00am shivering, transitioning to clamminess and night sweats.  Waking up ~5:00am with a fever, clamminess, and fatigue.  Took Ibuprofen to reduce symptoms.  Symptoms continued throughout the day.  Went to bed ~9:00 pm, continued throughout the night with clamminess and night sweats.  Woke up ~8:00am with no fever feeling slightly better with a little brain fog.
Age: 44.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Blood loss anaemia, COVID-19, SARS-CoV-2 test positive, Sinus congestion, Uterine haemorrhage
Clinical narrative: Patient was actually admitted for heavy uterine bleeding and acute blood loss anemia.  She had a COVID test that was positive.  She said that she had some sinus congestion and thought that it was her allergies.  She has not felt ill and has no shortness of breath.  She does not have underlying lung disease.  Patient received monoclonal antibodies. Patient was discharged home.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Adenocarcinoma of colon, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: Patient was admitted to hospital and was diagnosed with adenocarcinoma of colon with mets to liver and C spine. He required C5-T1 anterior fusion, C6, C7 corpectomy on 12/1 and he was sent to rehab. Re admitted 12/23-1/23 for radiation pneumonitis or pneumonia with COVID-19. He was discharged to rehab and re admitted to another hospital 2/3-2/7 for hematuria. He was discharged and re admitted 2/10 with worsening hypoxemia and bilateral infiltrates. He declined and was intubated 2/11. His course was complicated by ventilator dependency, sepsis, atrial fibrillation with RVR, COVID-19 pneumonia, right pneumothorax and ongoing blood loss requiring multiple transfusions. Patient underwent tracheostomy placement on 2/16. Palliative care met with family multiple times. Family understood mortality and poor prognosis, and decided to make patient DNR, but refused to withdraw care. They did not wish to escalate care. Patient became hemodynamically unstable on 3/3 and expired at 0116 hours.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dependence on respirator, Endotracheal intubation, Haematuria, Haemodynamic instability, Haemorrhage
Clinical narrative: Patient was admitted to hospital and was diagnosed with adenocarcinoma of colon with mets to liver and C spine. He required C5-T1 anterior fusion, C6, C7 corpectomy on 12/1 and he was sent to rehab. Re admitted 12/23-1/23 for radiation pneumonitis or pneumonia with COVID-19. He was discharged to rehab and re admitted to another hospital 2/3-2/7 for hematuria. He was discharged and re admitted 2/10 with worsening hypoxemia and bilateral infiltrates. He declined and was intubated 2/11. His course was complicated by ventilator dependency, sepsis, atrial fibrillation with RVR, COVID-19 pneumonia, right pneumothorax and ongoing blood loss requiring multiple transfusions. Patient underwent tracheostomy placement on 2/16. Palliative care met with family multiple times. Family understood mortality and poor prognosis, and decided to make patient DNR, but refused to withdraw care. They did not wish to escalate care. Patient became hemodynamically unstable on 3/3 and expired at 0116 hours.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Metastases to liver, Metastases to spine, Pneumonia
Clinical narrative: Patient was admitted to hospital and was diagnosed with adenocarcinoma of colon with mets to liver and C spine. He required C5-T1 anterior fusion, C6, C7 corpectomy on 12/1 and he was sent to rehab. Re admitted 12/23-1/23 for radiation pneumonitis or pneumonia with COVID-19. He was discharged to rehab and re admitted to another hospital 2/3-2/7 for hematuria. He was discharged and re admitted 2/10 with worsening hypoxemia and bilateral infiltrates. He declined and was intubated 2/11. His course was complicated by ventilator dependency, sepsis, atrial fibrillation with RVR, COVID-19 pneumonia, right pneumothorax and ongoing blood loss requiring multiple transfusions. Patient underwent tracheostomy placement on 2/16. Palliative care met with family multiple times. Family understood mortality and poor prognosis, and decided to make patient DNR, but refused to withdraw care. They did not wish to escalate care. Patient became hemodynamically unstable on 3/3 and expired at 0116 hours.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Radiation pneumonitis, Sepsis, Spinal corpectomy, Spinal fusion surgery
Clinical narrative: Patient was admitted to hospital and was diagnosed with adenocarcinoma of colon with mets to liver and C spine. He required C5-T1 anterior fusion, C6, C7 corpectomy on 12/1 and he was sent to rehab. Re admitted 12/23-1/23 for radiation pneumonitis or pneumonia with COVID-19. He was discharged to rehab and re admitted to another hospital 2/3-2/7 for hematuria. He was discharged and re admitted 2/10 with worsening hypoxemia and bilateral infiltrates. He declined and was intubated 2/11. His course was complicated by ventilator dependency, sepsis, atrial fibrillation with RVR, COVID-19 pneumonia, right pneumothorax and ongoing blood loss requiring multiple transfusions. Patient underwent tracheostomy placement on 2/16. Palliative care met with family multiple times. Family understood mortality and poor prognosis, and decided to make patient DNR, but refused to withdraw care. They did not wish to escalate care. Patient became hemodynamically unstable on 3/3 and expired at 0116 hours.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Tracheostomy, Transfusion
Clinical narrative: Patient was admitted to hospital and was diagnosed with adenocarcinoma of colon with mets to liver and C spine. He required C5-T1 anterior fusion, C6, C7 corpectomy on 12/1 and he was sent to rehab. Re admitted 12/23-1/23 for radiation pneumonitis or pneumonia with COVID-19. He was discharged to rehab and re admitted to another hospital 2/3-2/7 for hematuria. He was discharged and re admitted 2/10 with worsening hypoxemia and bilateral infiltrates. He declined and was intubated 2/11. His course was complicated by ventilator dependency, sepsis, atrial fibrillation with RVR, COVID-19 pneumonia, right pneumothorax and ongoing blood loss requiring multiple transfusions. Patient underwent tracheostomy placement on 2/16. Palliative care met with family multiple times. Family understood mortality and poor prognosis, and decided to make patient DNR, but refused to withdraw care. They did not wish to escalate care. Patient became hemodynamically unstable on 3/3 and expired at 0116 hours.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Urticaria
Clinical narrative: patient developed urticarial rash to entire body within 24 hours of receiving the vaccine.   she received the vaccine on Monday, by Tuesday morning she had a rash that progressed into full body rash on Wednesday when she went to the emergency room.  no airway or respiratory concerns.
Age: 71.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site bruising, Injection site swelling
Clinical narrative: injection site developed a deep bruise and excessive swelling which went down after application of ice on it for few seconds
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test normal, Computerised tomogram abdomen normal, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: PE and pneumonia  hospitalization, Heparin Drip X 2 days,  Eliquis 5 mg BID  outcome favorable Symptoms: fainting, pain in left side under the rib cage, fever shortness of breath, fatigue
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Full blood count normal, Musculoskeletal chest pain, Pneumonia, Pulmonary infarction
Clinical narrative: PE and pneumonia  hospitalization, Heparin Drip X 2 days,  Eliquis 5 mg BID  outcome favorable Symptoms: fainting, pain in left side under the rib cage, fever shortness of breath, fatigue
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary thrombosis, Pyrexia, Renal function test normal, Syncope
Clinical narrative: PE and pneumonia  hospitalization, Heparin Drip X 2 days,  Eliquis 5 mg BID  outcome favorable Symptoms: fainting, pain in left side under the rib cage, fever shortness of breath, fatigue
Age: 12.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: Client left the office acting normal and stated she felt fine.
Age: 0.17
Sex: M
Vaccine: DTAP, HEP, HIBV, IPV, PNC15, RV5
Symptoms: Abnormal behaviour, Agitation, Crying, Pain
Clinical narrative: Mother reports patient was extremely agitated and unlike himself for 2 weeks following vaccination.  She described as "near inconsolable" .  Cried out in pain frequently.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aspartate aminotransferase increased, Atypical pneumonia, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient presented to the ER with complaints of low 02 while in her PCP's office for sore throat. Patient tested positive for Covid-19. Patient had a coughing spell while at PCP where O2 sat dropped to 82%, patient was visibly dypneic, after receiving o2, oxygen sat returned to 97%. Patient came to the ER with daughter per PCP recommendation. ED evaluation revealed patient positive for COVID-19.  BP 192/99, HR 117, R 26, temp 97.9°, SpO2 95% on 3 L nasal cannula.  Mild leukocytosis, AST 63, troponin 0.037, BNP 107. CXR showed atypical pneumonia. NS 1 L bolus, azithromycin, Rocephin, Decadron 10 mg IV given in ED. While in ED, patient experienced intermittent hypoxia and increased work up breathing, O2 was subsequently upgraded to high-flow Airvo.  Patient admitted to ICU level of care for medical management of acute respiratory failure with hypoxia and pneumonia secondary to COVID 19 infection. Following admission, patient became more hypoxic with increased work of breathing and respiratory failure, requiring emergent intubation.  Code blue called shortly following intubation, ROSC was not achieved, and patient's daughter, at bedside, requested to stop code blue efforts.