chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet transfusion, Thrombocytopenia, Thrombosis with thrombocytopenia syndrome
Clinical narrative: 4/23/22 patient was admitted to the facility from Hospital. Discharge labs were normal, platelets at this time were 193. 4/25/22 resident patient received COVID-19 Moderna booster shot. Patient tolerated well, no signs or symptoms of reaction to the vaccine. 5/3 routine labs were collected. Platelets at this time on CBC were 9. Patient was transferred to the hospital where he revived 1 unit of platelets, started on IVIG x 2 doses, and dexamethasone 40mg po x 4. On 5/10/2022 patient was transferred back to hospital and on 5/12/22 platelets were 65. The hospital ruled out many causes of thrombocytopenia (such as DIC, hemolysis, production issue, infection, or sequestration) and deemed that the acute thrombocytopenia was likely due to ITP from Vaccine-Induced Thrombotic. thrombocytopenia. No skin findings other than a bruise at the injection site. Patient was not on heparin.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Miliaria, Pain, Papule, Rash
Clinical narrative: Two days after vaccination, patient developed an itchy, stinging, fine homogenous papular rash over the face primarily, with a few scattered papules over the neck. It has been hot here lately and patient has been in the sun and exercised. reaction appeared most consistent with miliaria rubra, discussed that it is not clear whether this is coincidental to vaccine administration or actually related. She received the vaccine as a booster, and initial series had been AstraZeneca in her home country (unknown dates)
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic
Clinical narrative: Two days after vaccination, patient developed an itchy, stinging, fine homogenous papular rash over the face primarily, with a few scattered papules over the neck. It has been hot here lately and patient has been in the sun and exercised. reaction appeared most consistent with miliaria rubra, discussed that it is not clear whether this is coincidental to vaccine administration or actually related. She received the vaccine as a booster, and initial series had been AstraZeneca in her home country (unknown dates)
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Catheterisation cardiac, Chest pain, Electrocardiogram, Laboratory test
Clinical narrative: On the 15th I ended up in the ER because of this pain in my chest and neck. I could not do anything to alleviate the pain other than Nitro pills. The tests they ran showed the blood was not pumping through the bottom portion on my heart correctly. We did surgery which was a heart catherization and I was in the hospital for three days for this event.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: On the 15th I ended up in the ER because of this pain in my chest and neck. I could not do anything to alleviate the pain other than Nitro pills. The tests they ran showed the blood was not pumping through the bottom portion on my heart correctly. We did surgery which was a heart catherization and I was in the hospital for three days for this event.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Head injury, Syncope
Clinical narrative: With the first vaccine, patient experienced dizziness within hours of receiving the vaccine. After the second vaccine, patient experienced fainting and hit her head. She was evaluated by a physician.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: No adverse event
Clinical narrative: No adverse reaction
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Nasopharyngitis
Clinical narrative: On 05/11/2022 I had a sore throat it felt like I was swallowing glass but I was able to go about my normal activities. That Thursday we went to my grandchild's spring concert at their school because I thought it was just a sore throat. That Friday, I was still experiencing the sore throat and other cold like symptoms. My doctor requires a Covid test to be taken before appointments so I took a home Covid test which was positive. At the recommendation of my sister who works in health care, I requested Paxlovid from my doctor's office, but the receptionist claimed that they don't prescribe it. She advised that I pick up Tylenol and Mucinex. I insisted that I speak with an actual doctor. Later that day, I spoke with the doctor over the phone who prescribed me the Paxlovid. He also suggested that I take Mucinex and Sudafed. For the next few days, I was still fatigued with a headache and a slight cough. But as the days progress, I have began to feel much better.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Odynophagia, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On 05/11/2022 I had a sore throat it felt like I was swallowing glass but I was able to go about my normal activities. That Thursday we went to my grandchild's spring concert at their school because I thought it was just a sore throat. That Friday, I was still experiencing the sore throat and other cold like symptoms. My doctor requires a Covid test to be taken before appointments so I took a home Covid test which was positive. At the recommendation of my sister who works in health care, I requested Paxlovid from my doctor's office, but the receptionist claimed that they don't prescribe it. She advised that I pick up Tylenol and Mucinex. I insisted that I speak with an actual doctor. Later that day, I spoke with the doctor over the phone who prescribed me the Paxlovid. He also suggested that I take Mucinex and Sudafed. For the next few days, I was still fatigued with a headache and a slight cough. But as the days progress, I have began to feel much better.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chills, Cough, Fatigue
Clinical narrative: I had a low grade temp of 99.8, chills, cough, and sore throat. The next day I received a positive COVID-19 test. I was prescribed Paxlovid. My symptoms progressed to headache and nausea. Within 48 hours of Paxlovid my symptoms resolved except fatigue.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had a low grade temp of 99.8, chills, cough, and sore throat. The next day I received a positive COVID-19 test. I was prescribed Paxlovid. My symptoms progressed to headache and nausea. Within 48 hours of Paxlovid my symptoms resolved except fatigue.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray, Chest pain, Chills
Clinical narrative: On 05/01/2022, I had a terrible, dry cough, but didn't think anything of it. The next day, I had a sore throat. I called the doctor's office, but missed their COVID-19 clinic time period designated for patients. So I went in the next day during the time; by then, I had terrible body aches and chills. They tested me for the flu as well because there was a flu outbreak in the area. I did an at-home COVID-19 on 05/02/2022, but it came back negative. However, 05/04/2022 at the doctor's office, the test came back positive. The nurse practitioner at the office had me go to the urgent care after mentioning having some chest pain to get x-rays done and prescribed oxygen inhaler, Paxlovid, and benzonatate. I've completed the treatment for the medications, and have recovered but still having some fatigue most days. The doctor and the radiologist confirmed I was experiencing COVID pneumonia.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: On 05/01/2022, I had a terrible, dry cough, but didn't think anything of it. The next day, I had a sore throat. I called the doctor's office, but missed their COVID-19 clinic time period designated for patients. So I went in the next day during the time; by then, I had terrible body aches and chills. They tested me for the flu as well because there was a flu outbreak in the area. I did an at-home COVID-19 on 05/02/2022, but it came back negative. However, 05/04/2022 at the doctor's office, the test came back positive. The nurse practitioner at the office had me go to the urgent care after mentioning having some chest pain to get x-rays done and prescribed oxygen inhaler, Paxlovid, and benzonatate. I've completed the treatment for the medications, and have recovered but still having some fatigue most days. The doctor and the radiologist confirmed I was experiencing COVID pneumonia.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac function test normal, Chest X-ray normal, Chest pain, Dyspnoea, Echocardiogram
Clinical narrative: Chest pain and shortness of breath following each dose of COVID vaccine lasting for days. Chronic and worsening since third dose now 6 months post vaccination. So far cardiac testing negative, further evaluation is in process.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Haematocrit increased, Haemoglobin increased, Platelet count decreased
Clinical narrative: Chest pain and shortness of breath following each dose of COVID vaccine lasting for days. Chronic and worsening since third dose now 6 months post vaccination. So far cardiac testing negative, further evaluation is in process.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin normal
Clinical narrative: Chest pain and shortness of breath following each dose of COVID vaccine lasting for days. Chronic and worsening since third dose now 6 months post vaccination. So far cardiac testing negative, further evaluation is in process.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Oligomenorrhoea
Clinical narrative: I had a long gap following the vaccination, a normal period immediately after was normal, but July 8th I started a menstrual cycle that continued until 08/04/2021. It was so heavy for 2 weeks that I had to use 3x of protection at the same time-tampons, pads, and adult diapers and still had to change them out a few times a night. I scheduled an appt but they could not see me until the bleeding stopped. Saw OBGYN Sept. 24th 2021. I am supposed to get a biopsy but haven't been able to as of yet, but my periods were completely normal after the fact. Until my recent 3rd dose (01/2022). I had an unusually long gap between cycles (03/2021 and then nothing until 5/7/21) but was normal.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Eye irritation, Fatigue, Oropharyngeal pain
Clinical narrative: On May 12th woke up with sore throat and cough, which is not uncommon. Thursday evening my eyes began burning so took temperature, so I took an at home rapid test and it was positive. Friday morning I woke up and called PCP and was prescribed Paxlovid and began taking it around 12:30 Friday. Saturday went to a local medical center for a PCR test around 0930 and it was positive as well. Thursday and Friday I was very tired and fatigued. Saturday symptoms began to improve and Sunday I would say I was feeling 70% better. Today is 05/17 and I am feeling a little puny and fatigued.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On May 12th woke up with sore throat and cough, which is not uncommon. Thursday evening my eyes began burning so took temperature, so I took an at home rapid test and it was positive. Friday morning I woke up and called PCP and was prescribed Paxlovid and began taking it around 12:30 Friday. Saturday went to a local medical center for a PCR test around 0930 and it was positive as well. Thursday and Friday I was very tired and fatigued. Saturday symptoms began to improve and Sunday I would say I was feeling 70% better. Today is 05/17 and I am feeling a little puny and fatigued.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure normal, Dizziness, Syncope
Clinical narrative: Patient experienced dizziness and fainting approximately 2 days after receiving vaccine.
Age: 17.0
Sex: F
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Administered ProQuad vaccine out of age range.  No adverse effects noted.
Age: 64.0
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Injection site discomfort, Myalgia
Clinical narrative: 03/25/2021 That evening I had injection site discomfort. I also had aching muscles and exhaustion. It lasted for about 2-3 days after the shot. I continued having exhaustion for several weeks.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Asthenia, Atrial fibrillation, COVID-19, Chemotherapy
Clinical narrative: 79-year-old male with a history of chronic obstructive pulmonary disease, atrial fibrillation, gastroesophageal reflux disease, oral cancer, lung cancer for Which he follows with his oncologist and status post chemotherapy with last treatment approximately 2 weeks prior to admission after which he reported he had progressively worsening shortness of breath and associated weakness, chills, productive cough with thick green sputum, for which he presented to the emergency room on 01/12/2022. He went to see his PCP on the day of admission when his symptoms did not improve and was found to be in atrial fibrillation with rapid ventricular response, and EMS was activated for transport to Medical center.  Upon arrival to the emergency room; he was found to be hypoxic and placed on supplemental oxygen and tested positive for Covid-19.  He was given diltiazem in the emergency room and admitted to the Covid step-down floor.  He continued to require increasing amounts of oxygen despite being placed on remdesivir, steroids, vitamin C, and zinc.  Transferred to the intensive care unit due to ongoing worsening respiratory failure. Pulmonology was consulted on 01/14/2022.   Patient was intubated on 01/15/2022 and never came off the ventilator. He remained with low oxygen saturations in the 80s. He did get treated with baricitinib as well for the COVID-19.  Patient expired on 1/23/22.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Death, Dyspnoea, Endotracheal intubation
Clinical narrative: 79-year-old male with a history of chronic obstructive pulmonary disease, atrial fibrillation, gastroesophageal reflux disease, oral cancer, lung cancer for Which he follows with his oncologist and status post chemotherapy with last treatment approximately 2 weeks prior to admission after which he reported he had progressively worsening shortness of breath and associated weakness, chills, productive cough with thick green sputum, for which he presented to the emergency room on 01/12/2022. He went to see his PCP on the day of admission when his symptoms did not improve and was found to be in atrial fibrillation with rapid ventricular response, and EMS was activated for transport to Medical center.  Upon arrival to the emergency room; he was found to be hypoxic and placed on supplemental oxygen and tested positive for Covid-19.  He was given diltiazem in the emergency room and admitted to the Covid step-down floor.  He continued to require increasing amounts of oxygen despite being placed on remdesivir, steroids, vitamin C, and zinc.  Transferred to the intensive care unit due to ongoing worsening respiratory failure. Pulmonology was consulted on 01/14/2022.   Patient was intubated on 01/15/2022 and never came off the ventilator. He remained with low oxygen saturations in the 80s. He did get treated with baricitinib as well for the COVID-19.  Patient expired on 1/23/22.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Lung disorder, Lung opacity, Mechanical ventilation
Clinical narrative: 79-year-old male with a history of chronic obstructive pulmonary disease, atrial fibrillation, gastroesophageal reflux disease, oral cancer, lung cancer for Which he follows with his oncologist and status post chemotherapy with last treatment approximately 2 weeks prior to admission after which he reported he had progressively worsening shortness of breath and associated weakness, chills, productive cough with thick green sputum, for which he presented to the emergency room on 01/12/2022. He went to see his PCP on the day of admission when his symptoms did not improve and was found to be in atrial fibrillation with rapid ventricular response, and EMS was activated for transport to Medical center.  Upon arrival to the emergency room; he was found to be hypoxic and placed on supplemental oxygen and tested positive for Covid-19.  He was given diltiazem in the emergency room and admitted to the Covid step-down floor.  He continued to require increasing amounts of oxygen despite being placed on remdesivir, steroids, vitamin C, and zinc.  Transferred to the intensive care unit due to ongoing worsening respiratory failure. Pulmonology was consulted on 01/14/2022.   Patient was intubated on 01/15/2022 and never came off the ventilator. He remained with low oxygen saturations in the 80s. He did get treated with baricitinib as well for the COVID-19.  Patient expired on 1/23/22.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pneumonia, Productive cough, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 79-year-old male with a history of chronic obstructive pulmonary disease, atrial fibrillation, gastroesophageal reflux disease, oral cancer, lung cancer for Which he follows with his oncologist and status post chemotherapy with last treatment approximately 2 weeks prior to admission after which he reported he had progressively worsening shortness of breath and associated weakness, chills, productive cough with thick green sputum, for which he presented to the emergency room on 01/12/2022. He went to see his PCP on the day of admission when his symptoms did not improve and was found to be in atrial fibrillation with rapid ventricular response, and EMS was activated for transport to Medical center.  Upon arrival to the emergency room; he was found to be hypoxic and placed on supplemental oxygen and tested positive for Covid-19.  He was given diltiazem in the emergency room and admitted to the Covid step-down floor.  He continued to require increasing amounts of oxygen despite being placed on remdesivir, steroids, vitamin C, and zinc.  Transferred to the intensive care unit due to ongoing worsening respiratory failure. Pulmonology was consulted on 01/14/2022.   Patient was intubated on 01/15/2022 and never came off the ventilator. He remained with low oxygen saturations in the 80s. He did get treated with baricitinib as well for the COVID-19.  Patient expired on 1/23/22.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured, Ultrasound Doppler normal
Clinical narrative: 79-year-old male with a history of chronic obstructive pulmonary disease, atrial fibrillation, gastroesophageal reflux disease, oral cancer, lung cancer for Which he follows with his oncologist and status post chemotherapy with last treatment approximately 2 weeks prior to admission after which he reported he had progressively worsening shortness of breath and associated weakness, chills, productive cough with thick green sputum, for which he presented to the emergency room on 01/12/2022. He went to see his PCP on the day of admission when his symptoms did not improve and was found to be in atrial fibrillation with rapid ventricular response, and EMS was activated for transport to Medical center.  Upon arrival to the emergency room; he was found to be hypoxic and placed on supplemental oxygen and tested positive for Covid-19.  He was given diltiazem in the emergency room and admitted to the Covid step-down floor.  He continued to require increasing amounts of oxygen despite being placed on remdesivir, steroids, vitamin C, and zinc.  Transferred to the intensive care unit due to ongoing worsening respiratory failure. Pulmonology was consulted on 01/14/2022.   Patient was intubated on 01/15/2022 and never came off the ventilator. He remained with low oxygen saturations in the 80s. He did get treated with baricitinib as well for the COVID-19.  Patient expired on 1/23/22.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Atelectasis, Atrial fibrillation, Back pain, Blood bicarbonate increased
Clinical narrative: ED visit (5.6.22);  Hospitalized w/ COVID (5.8.22);  COVID-19 positive (5.1.22 / 5.8.22); Fully vaccinated PLUS two boosters. BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: Admission Date: 5/8/2022; Discharge Date: May 13, 2022; DETAILS OF HOSPITAL STAY:PRESENTING PROBLEM: Hypoxia [R09.02]; Pneumonia due to COVID-19 virus [U07.1, J12.82]; COVID-19 [U07.1]; HOSPITAL COURSE: Pt is a 78 yr old F with PMHx of chronic hypoxic respiratory failure on 8L via NC at baseline, COPD, CAD, CHF, A-Fib, HTN, HLD, depression, OSA and obesity, presented to the ER on 5/8 with c/o worsening dyspnea. She is fully vaccinated, tested  positive on 5/1 for COVID-19 and received molnupiravir (an antiviral) on 5/3 as outpatient.  However, she continued to experience fatigue, hypoxia which prompted her ED visit.   In the ER, she was borderline febrile, normotensive, tachycardic and tachypneic, maintaining appropriate oxygen saturations on 15 L/min NRB mask.  Initial venous gas showed normal serum pH with likely chronically elevated pCO2 of 56 and bicarbonate of 30. Other initial labs show stable renal dysfunction, elevated proBNP, normal procalcitonin, normocytic anemia, and her COVID-19 screen is again positive.  EKG showed A-Fib with RVR.  CXR shows patchy bibasilar opacities suggestive of atelectasis vs infiltrate/pneumonia without significant interval change from imaging 2 days ago. Admitted for further management - started on Decadron x 10 days, Remdesivir x 5 days for COVID-19 PNA. There was concern for superimposed bacterial infection - Pulmonary consulted and empiric IV Cefepime/Doxycycline initiated. Sputum cultured attempted but unsuccessful. Clinically - her symptoms improved with return to baseline of her oxygen demands. On 5/11 - patient had left shoulder pain while attempting to move in bed. X ray concerning for left shoulder dislocation. Ortho consulted - felt it was chronic left rotator cuff tear with plans for outpatient follow up. PT/OT recommend Home with assist and home health. She was transitioned to oral Ceftin/Doxycyline for 3 more days to complete a total of 7 days of Antibiotics, as well as Decadron for total of 10 days. We reviewed stopping Amlodipine and reducing Lisinopril to 10 mg once daily as blood pressures well controlled in the hospital. Also discussed resuming Azithromycin daily once completion of current antibiotics - patient and son voiced understanding. She is discharged on 05/13/2022 in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood gases, Blood pH normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: ED visit (5.6.22);  Hospitalized w/ COVID (5.8.22);  COVID-19 positive (5.1.22 / 5.8.22); Fully vaccinated PLUS two boosters. BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: Admission Date: 5/8/2022; Discharge Date: May 13, 2022; DETAILS OF HOSPITAL STAY:PRESENTING PROBLEM: Hypoxia [R09.02]; Pneumonia due to COVID-19 virus [U07.1, J12.82]; COVID-19 [U07.1]; HOSPITAL COURSE: Pt is a 78 yr old F with PMHx of chronic hypoxic respiratory failure on 8L via NC at baseline, COPD, CAD, CHF, A-Fib, HTN, HLD, depression, OSA and obesity, presented to the ER on 5/8 with c/o worsening dyspnea. She is fully vaccinated, tested  positive on 5/1 for COVID-19 and received molnupiravir (an antiviral) on 5/3 as outpatient.  However, she continued to experience fatigue, hypoxia which prompted her ED visit.   In the ER, she was borderline febrile, normotensive, tachycardic and tachypneic, maintaining appropriate oxygen saturations on 15 L/min NRB mask.  Initial venous gas showed normal serum pH with likely chronically elevated pCO2 of 56 and bicarbonate of 30. Other initial labs show stable renal dysfunction, elevated proBNP, normal procalcitonin, normocytic anemia, and her COVID-19 screen is again positive.  EKG showed A-Fib with RVR.  CXR shows patchy bibasilar opacities suggestive of atelectasis vs infiltrate/pneumonia without significant interval change from imaging 2 days ago. Admitted for further management - started on Decadron x 10 days, Remdesivir x 5 days for COVID-19 PNA. There was concern for superimposed bacterial infection - Pulmonary consulted and empiric IV Cefepime/Doxycycline initiated. Sputum cultured attempted but unsuccessful. Clinically - her symptoms improved with return to baseline of her oxygen demands. On 5/11 - patient had left shoulder pain while attempting to move in bed. X ray concerning for left shoulder dislocation. Ortho consulted - felt it was chronic left rotator cuff tear with plans for outpatient follow up. PT/OT recommend Home with assist and home health. She was transitioned to oral Ceftin/Doxycyline for 3 more days to complete a total of 7 days of Antibiotics, as well as Decadron for total of 10 days. We reviewed stopping Amlodipine and reducing Lisinopril to 10 mg once daily as blood pressures well controlled in the hospital. Also discussed resuming Azithromycin daily once completion of current antibiotics - patient and son voiced understanding. She is discharged on 05/13/2022 in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Chronic respiratory failure, Confusional state, Cough, Dyspnoea
Clinical narrative: ED visit (5.6.22);  Hospitalized w/ COVID (5.8.22);  COVID-19 positive (5.1.22 / 5.8.22); Fully vaccinated PLUS two boosters. BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: Admission Date: 5/8/2022; Discharge Date: May 13, 2022; DETAILS OF HOSPITAL STAY:PRESENTING PROBLEM: Hypoxia [R09.02]; Pneumonia due to COVID-19 virus [U07.1, J12.82]; COVID-19 [U07.1]; HOSPITAL COURSE: Pt is a 78 yr old F with PMHx of chronic hypoxic respiratory failure on 8L via NC at baseline, COPD, CAD, CHF, A-Fib, HTN, HLD, depression, OSA and obesity, presented to the ER on 5/8 with c/o worsening dyspnea. She is fully vaccinated, tested  positive on 5/1 for COVID-19 and received molnupiravir (an antiviral) on 5/3 as outpatient.  However, she continued to experience fatigue, hypoxia which prompted her ED visit.   In the ER, she was borderline febrile, normotensive, tachycardic and tachypneic, maintaining appropriate oxygen saturations on 15 L/min NRB mask.  Initial venous gas showed normal serum pH with likely chronically elevated pCO2 of 56 and bicarbonate of 30. Other initial labs show stable renal dysfunction, elevated proBNP, normal procalcitonin, normocytic anemia, and her COVID-19 screen is again positive.  EKG showed A-Fib with RVR.  CXR shows patchy bibasilar opacities suggestive of atelectasis vs infiltrate/pneumonia without significant interval change from imaging 2 days ago. Admitted for further management - started on Decadron x 10 days, Remdesivir x 5 days for COVID-19 PNA. There was concern for superimposed bacterial infection - Pulmonary consulted and empiric IV Cefepime/Doxycycline initiated. Sputum cultured attempted but unsuccessful. Clinically - her symptoms improved with return to baseline of her oxygen demands. On 5/11 - patient had left shoulder pain while attempting to move in bed. X ray concerning for left shoulder dislocation. Ortho consulted - felt it was chronic left rotator cuff tear with plans for outpatient follow up. PT/OT recommend Home with assist and home health. She was transitioned to oral Ceftin/Doxycyline for 3 more days to complete a total of 7 days of Antibiotics, as well as Decadron for total of 10 days. We reviewed stopping Amlodipine and reducing Lisinopril to 10 mg once daily as blood pressures well controlled in the hospital. Also discussed resuming Azithromycin daily once completion of current antibiotics - patient and son voiced understanding. She is discharged on 05/13/2022 in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Exposure to SARS-CoV-2, Fatigue, General physical health deterioration, Headache
Clinical narrative: ED visit (5.6.22);  Hospitalized w/ COVID (5.8.22);  COVID-19 positive (5.1.22 / 5.8.22); Fully vaccinated PLUS two boosters. BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: Admission Date: 5/8/2022; Discharge Date: May 13, 2022; DETAILS OF HOSPITAL STAY:PRESENTING PROBLEM: Hypoxia [R09.02]; Pneumonia due to COVID-19 virus [U07.1, J12.82]; COVID-19 [U07.1]; HOSPITAL COURSE: Pt is a 78 yr old F with PMHx of chronic hypoxic respiratory failure on 8L via NC at baseline, COPD, CAD, CHF, A-Fib, HTN, HLD, depression, OSA and obesity, presented to the ER on 5/8 with c/o worsening dyspnea. She is fully vaccinated, tested  positive on 5/1 for COVID-19 and received molnupiravir (an antiviral) on 5/3 as outpatient.  However, she continued to experience fatigue, hypoxia which prompted her ED visit.   In the ER, she was borderline febrile, normotensive, tachycardic and tachypneic, maintaining appropriate oxygen saturations on 15 L/min NRB mask.  Initial venous gas showed normal serum pH with likely chronically elevated pCO2 of 56 and bicarbonate of 30. Other initial labs show stable renal dysfunction, elevated proBNP, normal procalcitonin, normocytic anemia, and her COVID-19 screen is again positive.  EKG showed A-Fib with RVR.  CXR shows patchy bibasilar opacities suggestive of atelectasis vs infiltrate/pneumonia without significant interval change from imaging 2 days ago. Admitted for further management - started on Decadron x 10 days, Remdesivir x 5 days for COVID-19 PNA. There was concern for superimposed bacterial infection - Pulmonary consulted and empiric IV Cefepime/Doxycycline initiated. Sputum cultured attempted but unsuccessful. Clinically - her symptoms improved with return to baseline of her oxygen demands. On 5/11 - patient had left shoulder pain while attempting to move in bed. X ray concerning for left shoulder dislocation. Ortho consulted - felt it was chronic left rotator cuff tear with plans for outpatient follow up. PT/OT recommend Home with assist and home health. She was transitioned to oral Ceftin/Doxycyline for 3 more days to complete a total of 7 days of Antibiotics, as well as Decadron for total of 10 days. We reviewed stopping Amlodipine and reducing Lisinopril to 10 mg once daily as blood pressures well controlled in the hospital. Also discussed resuming Azithromycin daily once completion of current antibiotics - patient and son voiced understanding. She is discharged on 05/13/2022 in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypoxia, Laboratory test abnormal, Lung infiltration, Lung opacity, Normocytic anaemia
Clinical narrative: ED visit (5.6.22);  Hospitalized w/ COVID (5.8.22);  COVID-19 positive (5.1.22 / 5.8.22); Fully vaccinated PLUS two boosters. BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: Admission Date: 5/8/2022; Discharge Date: May 13, 2022; DETAILS OF HOSPITAL STAY:PRESENTING PROBLEM: Hypoxia [R09.02]; Pneumonia due to COVID-19 virus [U07.1, J12.82]; COVID-19 [U07.1]; HOSPITAL COURSE: Pt is a 78 yr old F with PMHx of chronic hypoxic respiratory failure on 8L via NC at baseline, COPD, CAD, CHF, A-Fib, HTN, HLD, depression, OSA and obesity, presented to the ER on 5/8 with c/o worsening dyspnea. She is fully vaccinated, tested  positive on 5/1 for COVID-19 and received molnupiravir (an antiviral) on 5/3 as outpatient.  However, she continued to experience fatigue, hypoxia which prompted her ED visit.   In the ER, she was borderline febrile, normotensive, tachycardic and tachypneic, maintaining appropriate oxygen saturations on 15 L/min NRB mask.  Initial venous gas showed normal serum pH with likely chronically elevated pCO2 of 56 and bicarbonate of 30. Other initial labs show stable renal dysfunction, elevated proBNP, normal procalcitonin, normocytic anemia, and her COVID-19 screen is again positive.  EKG showed A-Fib with RVR.  CXR shows patchy bibasilar opacities suggestive of atelectasis vs infiltrate/pneumonia without significant interval change from imaging 2 days ago. Admitted for further management - started on Decadron x 10 days, Remdesivir x 5 days for COVID-19 PNA. There was concern for superimposed bacterial infection - Pulmonary consulted and empiric IV Cefepime/Doxycycline initiated. Sputum cultured attempted but unsuccessful. Clinically - her symptoms improved with return to baseline of her oxygen demands. On 5/11 - patient had left shoulder pain while attempting to move in bed. X ray concerning for left shoulder dislocation. Ortho consulted - felt it was chronic left rotator cuff tear with plans for outpatient follow up. PT/OT recommend Home with assist and home health. She was transitioned to oral Ceftin/Doxycyline for 3 more days to complete a total of 7 days of Antibiotics, as well as Decadron for total of 10 days. We reviewed stopping Amlodipine and reducing Lisinopril to 10 mg once daily as blood pressures well controlled in the hospital. Also discussed resuming Azithromycin daily once completion of current antibiotics - patient and son voiced understanding. She is discharged on 05/13/2022 in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Oropharyngeal pain, PCO2 increased, Pain, Pneumococcal bacteraemia, Procalcitonin normal
Clinical narrative: ED visit (5.6.22);  Hospitalized w/ COVID (5.8.22);  COVID-19 positive (5.1.22 / 5.8.22); Fully vaccinated PLUS two boosters. BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: Admission Date: 5/8/2022; Discharge Date: May 13, 2022; DETAILS OF HOSPITAL STAY:PRESENTING PROBLEM: Hypoxia [R09.02]; Pneumonia due to COVID-19 virus [U07.1, J12.82]; COVID-19 [U07.1]; HOSPITAL COURSE: Pt is a 78 yr old F with PMHx of chronic hypoxic respiratory failure on 8L via NC at baseline, COPD, CAD, CHF, A-Fib, HTN, HLD, depression, OSA and obesity, presented to the ER on 5/8 with c/o worsening dyspnea. She is fully vaccinated, tested  positive on 5/1 for COVID-19 and received molnupiravir (an antiviral) on 5/3 as outpatient.  However, she continued to experience fatigue, hypoxia which prompted her ED visit.   In the ER, she was borderline febrile, normotensive, tachycardic and tachypneic, maintaining appropriate oxygen saturations on 15 L/min NRB mask.  Initial venous gas showed normal serum pH with likely chronically elevated pCO2 of 56 and bicarbonate of 30. Other initial labs show stable renal dysfunction, elevated proBNP, normal procalcitonin, normocytic anemia, and her COVID-19 screen is again positive.  EKG showed A-Fib with RVR.  CXR shows patchy bibasilar opacities suggestive of atelectasis vs infiltrate/pneumonia without significant interval change from imaging 2 days ago. Admitted for further management - started on Decadron x 10 days, Remdesivir x 5 days for COVID-19 PNA. There was concern for superimposed bacterial infection - Pulmonary consulted and empiric IV Cefepime/Doxycycline initiated. Sputum cultured attempted but unsuccessful. Clinically - her symptoms improved with return to baseline of her oxygen demands. On 5/11 - patient had left shoulder pain while attempting to move in bed. X ray concerning for left shoulder dislocation. Ortho consulted - felt it was chronic left rotator cuff tear with plans for outpatient follow up. PT/OT recommend Home with assist and home health. She was transitioned to oral Ceftin/Doxycyline for 3 more days to complete a total of 7 days of Antibiotics, as well as Decadron for total of 10 days. We reviewed stopping Amlodipine and reducing Lisinopril to 10 mg once daily as blood pressures well controlled in the hospital. Also discussed resuming Azithromycin daily once completion of current antibiotics - patient and son voiced understanding. She is discharged on 05/13/2022 in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Prohormone brain natriuretic peptide increased, Pyrexia, Renal impairment, Rotator cuff syndrome, SARS-CoV-2 test positive
Clinical narrative: ED visit (5.6.22);  Hospitalized w/ COVID (5.8.22);  COVID-19 positive (5.1.22 / 5.8.22); Fully vaccinated PLUS two boosters. BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: Admission Date: 5/8/2022; Discharge Date: May 13, 2022; DETAILS OF HOSPITAL STAY:PRESENTING PROBLEM: Hypoxia [R09.02]; Pneumonia due to COVID-19 virus [U07.1, J12.82]; COVID-19 [U07.1]; HOSPITAL COURSE: Pt is a 78 yr old F with PMHx of chronic hypoxic respiratory failure on 8L via NC at baseline, COPD, CAD, CHF, A-Fib, HTN, HLD, depression, OSA and obesity, presented to the ER on 5/8 with c/o worsening dyspnea. She is fully vaccinated, tested  positive on 5/1 for COVID-19 and received molnupiravir (an antiviral) on 5/3 as outpatient.  However, she continued to experience fatigue, hypoxia which prompted her ED visit.   In the ER, she was borderline febrile, normotensive, tachycardic and tachypneic, maintaining appropriate oxygen saturations on 15 L/min NRB mask.  Initial venous gas showed normal serum pH with likely chronically elevated pCO2 of 56 and bicarbonate of 30. Other initial labs show stable renal dysfunction, elevated proBNP, normal procalcitonin, normocytic anemia, and her COVID-19 screen is again positive.  EKG showed A-Fib with RVR.  CXR shows patchy bibasilar opacities suggestive of atelectasis vs infiltrate/pneumonia without significant interval change from imaging 2 days ago. Admitted for further management - started on Decadron x 10 days, Remdesivir x 5 days for COVID-19 PNA. There was concern for superimposed bacterial infection - Pulmonary consulted and empiric IV Cefepime/Doxycycline initiated. Sputum cultured attempted but unsuccessful. Clinically - her symptoms improved with return to baseline of her oxygen demands. On 5/11 - patient had left shoulder pain while attempting to move in bed. X ray concerning for left shoulder dislocation. Ortho consulted - felt it was chronic left rotator cuff tear with plans for outpatient follow up. PT/OT recommend Home with assist and home health. She was transitioned to oral Ceftin/Doxycyline for 3 more days to complete a total of 7 days of Antibiotics, as well as Decadron for total of 10 days. We reviewed stopping Amlodipine and reducing Lisinopril to 10 mg once daily as blood pressures well controlled in the hospital. Also discussed resuming Azithromycin daily once completion of current antibiotics - patient and son voiced understanding. She is discharged on 05/13/2022 in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Sputum discoloured, Tachycardia, Tachypnoea, X-ray limb abnormal
Clinical narrative: ED visit (5.6.22);  Hospitalized w/ COVID (5.8.22);  COVID-19 positive (5.1.22 / 5.8.22); Fully vaccinated PLUS two boosters. BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider: Admission Date: 5/8/2022; Discharge Date: May 13, 2022; DETAILS OF HOSPITAL STAY:PRESENTING PROBLEM: Hypoxia [R09.02]; Pneumonia due to COVID-19 virus [U07.1, J12.82]; COVID-19 [U07.1]; HOSPITAL COURSE: Pt is a 78 yr old F with PMHx of chronic hypoxic respiratory failure on 8L via NC at baseline, COPD, CAD, CHF, A-Fib, HTN, HLD, depression, OSA and obesity, presented to the ER on 5/8 with c/o worsening dyspnea. She is fully vaccinated, tested  positive on 5/1 for COVID-19 and received molnupiravir (an antiviral) on 5/3 as outpatient.  However, she continued to experience fatigue, hypoxia which prompted her ED visit.   In the ER, she was borderline febrile, normotensive, tachycardic and tachypneic, maintaining appropriate oxygen saturations on 15 L/min NRB mask.  Initial venous gas showed normal serum pH with likely chronically elevated pCO2 of 56 and bicarbonate of 30. Other initial labs show stable renal dysfunction, elevated proBNP, normal procalcitonin, normocytic anemia, and her COVID-19 screen is again positive.  EKG showed A-Fib with RVR.  CXR shows patchy bibasilar opacities suggestive of atelectasis vs infiltrate/pneumonia without significant interval change from imaging 2 days ago. Admitted for further management - started on Decadron x 10 days, Remdesivir x 5 days for COVID-19 PNA. There was concern for superimposed bacterial infection - Pulmonary consulted and empiric IV Cefepime/Doxycycline initiated. Sputum cultured attempted but unsuccessful. Clinically - her symptoms improved with return to baseline of her oxygen demands. On 5/11 - patient had left shoulder pain while attempting to move in bed. X ray concerning for left shoulder dislocation. Ortho consulted - felt it was chronic left rotator cuff tear with plans for outpatient follow up. PT/OT recommend Home with assist and home health. She was transitioned to oral Ceftin/Doxycyline for 3 more days to complete a total of 7 days of Antibiotics, as well as Decadron for total of 10 days. We reviewed stopping Amlodipine and reducing Lisinopril to 10 mg once daily as blood pressures well controlled in the hospital. Also discussed resuming Azithromycin daily once completion of current antibiotics - patient and son voiced understanding. She is discharged on 05/13/2022 in stable condition.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Arthralgia, Immediate post-injection reaction, Mobility decreased, Pain
Clinical narrative: I received my 1st dose on 03/22/2021 I started to have pain on my left shoulder immediate after my 1st dose. My left shoulder was frozen. I had severe pain and mobility started couple of weeks later. My doctor said she saw a lot of cases like this. I had Acupuncture, cortisone injection and chiropractor. I had different treatments for 6 months its getting better but not 100%. The pain improved like 90% and mobility improved 75%. I had no reactions to the 2nd, 3rd or the 4th vaccines.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Periarthritis
Clinical narrative: I received my 1st dose on 03/22/2021 I started to have pain on my left shoulder immediate after my 1st dose. My left shoulder was frozen. I had severe pain and mobility started couple of weeks later. My doctor said she saw a lot of cases like this. I had Acupuncture, cortisone injection and chiropractor. I had different treatments for 6 months its getting better but not 100%. The pain improved like 90% and mobility improved 75%. I had no reactions to the 2nd, 3rd or the 4th vaccines.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Pain, Tendon disorder, X-ray limb normal
Clinical narrative: A week or so after the vaccine the back of knee began hurting. It hurts a lot when I walk. My doctor referred me to physical therapy and an orthopedic doctor. He says my bones are fine but it is my tendons that are suffering. However, he has no explanation as to why I'm having issues with my tendons. My physical therapy will start in the first week of June and I have been doing the advised stretches from home twice daily until I begin physical therapy.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Exceed BUD
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Malaise
Clinical narrative: I showed symptoms of COVID on April 3, 2022. (Chills, cough, runny nose, ache, fatigue.) I called Dr.  on April 4. He recommended I take a self COVID test. I did and the result was positive. He prescribed a round of anti virals. I took them for five days and tested negative for COVID after.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I showed symptoms of COVID on April 3, 2022. (Chills, cough, runny nose, ache, fatigue.) I called Dr.  on April 4. He recommended I take a self COVID test. I did and the result was positive. He prescribed a round of anti virals. I took them for five days and tested negative for COVID after.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Balance test, Dizziness, Eye disorder
Clinical narrative: It exacerbated the the light headedness and dizziness. I have been experiencing since the start of covid pandemic. Not as much as the 2nd vaccine did, but it brought it up again. For the dizziness when it gets really bad I go to the hospital at the balance center to help me with that. And I also go to eye doctor here, and one of the things they do with people in my situation is treat them similar to patients who have concussions since the symptoms are the same. Neuro optometric rehabilitation.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: Exceed BUD
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary mass, Axillary pain, Chills, Feeling abnormal, Lymph node pain
Clinical narrative: She got her vaccine, the arm was very, very sore, and she felt "Punk".  In the evening she started shivering, and possibly had a headache.  Then in the middle of the night she noticed heavy pain underneath her armpit and felt like there was a lump that was very painful.  She felt it was in her lymph nodes.  She went to get her booster of COVID the other day and the pharmacist told her to give us a call and report it.  The lump lasted a couple of days, and it did make her nervous.    She never had any reaction with any of the COVID vaccines, and nothing with the first Shingrix vaccine either.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain in extremity
Clinical narrative: She got her vaccine, the arm was very, very sore, and she felt "Punk".  In the evening she started shivering, and possibly had a headache.  Then in the middle of the night she noticed heavy pain underneath her armpit and felt like there was a lump that was very painful.  She felt it was in her lymph nodes.  She went to get her booster of COVID the other day and the pharmacist told her to give us a call and report it.  The lump lasted a couple of days, and it did make her nervous.    She never had any reaction with any of the COVID vaccines, and nothing with the first Shingrix vaccine either.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Delusion, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: I remember laying down and started to feel foggy. I went to bed sweating and got a headache. The next day, everything was blur. I had a bad headache, delusional. My taste and smell has not fully recovered. I had Covid-19 in 2020 prior to the vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Taste disorder, Vision blurred
Clinical narrative: I remember laying down and started to feel foggy. I went to bed sweating and got a headache. The next day, everything was blur. I had a bad headache, delusional. My taste and smell has not fully recovered. I had Covid-19 in 2020 prior to the vaccine.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Blood pressure decreased, Diplopia
Clinical narrative: l had a headache and muscle pain for the first few days then the symptoms worsened. I went to the grocery store and my blood pressure dropped severely. I had cramps in my upper back and should and got weak. The first time I checked my BP, I was unable to get a number because it was so low. After drinking water, My BP was 89/62. The 3rd time 75/61. I reached out to my doctor who was not in the office. I advised that I would go to the ER if it got worse. I was not feeling well the whole day. The next day I felt better after consuming more salt and water. I also experienced some additional symptoms like paresthesis where my lower and upper body went numb. I had agonizing upper back and shoulder pain. I had vertigo also on April 22, 2022. I am uncertain whether I have recovered. I do have physical therapy appointments scheduled. I am also having issues with double vision in my eyes.