chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total increased, Red blood cell count normal, Red cell distribution width normal, Sinus tachycardia
Clinical narrative: HPI: This is a 20 year old male presenting with chest pain since yesterday. Pain started gradually after receiving 3rd  COVID-19 booster shot. It is described as dull and aching, radiating into nowhere. Pain is described as moderate upon onset and is currently mild, with symptoms such as shortness of breath and heart palpitations.  No history of the same.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Toxicologic test normal, Troponin normal, Urine analysis normal, White blood cell count normal
Clinical narrative: HPI: This is a 20 year old male presenting with chest pain since yesterday. Pain started gradually after receiving 3rd  COVID-19 booster shot. It is described as dull and aching, radiating into nowhere. Pain is described as moderate upon onset and is currently mild, with symptoms such as shortness of breath and heart palpitations.  No history of the same.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives started on December 26 and have been ongoing since. He has been taking Claritin and Benadryl to help.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Rash
Clinical narrative: 9-year-old pt. received adult formulation of Pfizer COVID vaccine. Pt had a rash on her buttocks later that day.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Vomiting
Clinical narrative: My son began having stomach pain about 8 hours after his second dose of the Pfizer vaccine.  He then vomited and had diarrhea throughout the night and into the next morning.  He last vomited about 2 hours ago. (It is 11:00 a.m. right now--roughly 19 hours since his shot.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Client's mother reported the client had only gotten 1 dose of Pfizer so far and needed a 2nd dose. It was not determined until after vaccination that the client had already received 2 doses of Pfizer.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Decreased appetite, Eye irritation, Feeling abnormal, Feeling drunk
Clinical narrative: Sat at pharmacy for 10 min., no reaction. Drove to bank drive thru then hone - less than 5 miles. Mile before home, immediately thought I could not drive car home - felt totally drunk. Barely got the car in the garage, told husband I felt bad and went to bed and fell asleep. Later that day, got up to watch TV/sleep with ice pack on my head and eyes. Eyes were burning. Was like that for 2 days. No appetite, still had all senses but felt like the worse sinus attack and headache ever. Two days bad 3 days to fully recover strength. Mild loss of memory.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Impaired driving ability, Sinus pain
Clinical narrative: Sat at pharmacy for 10 min., no reaction. Drove to bank drive thru then hone - less than 5 miles. Mile before home, immediately thought I could not drive car home - felt totally drunk. Barely got the car in the garage, told husband I felt bad and went to bed and fell asleep. Later that day, got up to watch TV/sleep with ice pack on my head and eyes. Eyes were burning. Was like that for 2 days. No appetite, still had all senses but felt like the worse sinus attack and headache ever. Two days bad 3 days to fully recover strength. Mild loss of memory.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 7-year-old patient given an adult dose (0.3mL purple top) of Pfizer vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive COVID
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed of COVID 19 In-patient
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 17 yo patient received Pfizer 5-11 COVID vaccine instead of Pfizer 12+ vaccine.  no additional doses were given.  patient was advised per agency website to return in 21 days for a Pfizer 12+ vaccine.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Dyspnoea exertional, SARS-CoV-2 test positive
Clinical narrative: Covid breakthrough. First Vaccine Pfizer 09//05/2021.  Patient is a 74 yo F who denies PMH states no home meds, noted previous hospitalizations for HTN, presenting with exertional dyspnea, + covid-19 multi-focal pneumonia.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection, X-ray abnormal
Clinical narrative: Covid breakthrough. First Vaccine Pfizer 09//05/2021.  Patient is a 74 yo F who denies PMH states no home meds, noted previous hospitalizations for HTN, presenting with exertional dyspnea, + covid-19 multi-focal pneumonia.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: I woke up the next day (01/03/2021) with extremely swollen lips (3-4x normal size). I took Benadryl and eventually they went down overall several hours. 30 minutes after taking the Benadryl, I took a picture of them and sent it to Dr. When I went to work, Dr. consulted with Dr. (an allergist) who looked into it. She advised me to not get the second dose or booster of Pfizer or Moderna. Rather, to get the J&J vaccine. Initially I didn't get a J&J vaccine because the single dose of Moderna seemed equivalent to the J&J vaccine. So, when the boosters came out, I started looking for the J&J vaccine, but have not been able to find it in stock.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Loss of personal independence in daily activities, Pain in extremity, Peripheral swelling, Sleep disorder
Clinical narrative: Joint pain/swelling in right hand and foot causing limitations in the ability to use extremities to fulfill activities of daily life.  Anti-inflammatories help reduce symptoms however; symptoms reoccur after medication has worn off. Pain in hand and foot will wake me up at night. Undergoing medical evaluation for treatment and guidance.
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Extra dose administered, SARS-CoV-2 test positive
Clinical narrative: Patient received a total of 6 covid vaccines due to failure to check vaccine records by various entities. Moderna series completed appropriately by PCP office (3/10/2021, 4/7/2021). J&J dose administered inappropriately on 5/15/2021 by another site w/in same system as PCP clinic. Pfizer series administered inappropriately by a Pharmacy (6/24/2021, 7/15/2021). J&J dose administered inappropriately on 9/15/2021. Patient presented to ED on 12/16/2021 and was found to have Covid 19 Pneumonia.
Age: 1.0
Sex: F
Vaccine: HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Injection site bruising, Injection site rash, Rash
Clinical narrative: Rash started to appear around varicella injection sight on patient's left thigh on 01/03/2022. It then spread to her trunk, arms and neck the next day and injection sight appears bruised. Followed up with patient's mother on 01/05/2022 and mom states it looks like hives and is also on her face. Directed mom to contact their health provider and get recommendations on if she needs treatment and to see if it is break through chicken pox or a vaccine reaction.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria, Urticaria chronic
Clinical narrative: Developed chronic uticaria with dermatographia approximately 2 weeks post-vaccine (booster shot).   Symptoms include daily outbreaks of itchy wheals and hives.  Symptoms continue now  one month later.  Taking oral Zyrtec once daily 10mg and using Benadryl cream as needed for itching.  Zyrtec does not resolve completely but does help.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Felt faint and weak.
Age: 43.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 positive.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health's internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated on 04/13/2021, Hospitalization on 11/29/2021 for COVID positive. history of GERD, Systemic Lupus  Erythematosus, Coronary artery disease
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health's internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia oral
Clinical narrative: Thirteen days after vaccination initially felt a tingle on lower left side of lip which progressed to a patchy hypothesia extending from left lower jawline up to left brow line and back of left ear. These symptoms wax and wane but still persist to this day.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Loss of consciousness, Oropharyngeal pain
Clinical narrative: received vaccine after being exposed to covid, pharmacists failed to give patient consent form, patient passed out and woke up in ER, shortness of breath sore throat
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, COVID-19, Cough, Dialysis device insertion
Clinical narrative: 70-year-old male known to us with past medical history significant for CAD s/p stenting, hyperlipidemia, complete heart block, hypertension, type 2 diabetes mellitus history of pacemaker, CHF with an EF of 35% was previously noted to have sustained V. tach on his pacemaker interrogation underwent an upgrade of his previous pacemaker to a biventricular ICD on September 27, 2021.Patient is COVID positive on 11/4/2021. He presented to the hospital due to shortness of breath and cough. In addition he had slightly elevated troponins and had been trending down. EKG was negative for ACS.  Hospital course:  remdesivir and dexamethasone for COVID.  Oxygen therapy, bronchodilator treatment, Lovenox for anticoagulation. Acute renal failure. Dialysis catheter placed. Set up HD as outpatient.  Pt discharged to home.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: 70-year-old male known to us with past medical history significant for CAD s/p stenting, hyperlipidemia, complete heart block, hypertension, type 2 diabetes mellitus history of pacemaker, CHF with an EF of 35% was previously noted to have sustained V. tach on his pacemaker interrogation underwent an upgrade of his previous pacemaker to a biventricular ICD on September 27, 2021.Patient is COVID positive on 11/4/2021. He presented to the hospital due to shortness of breath and cough. In addition he had slightly elevated troponins and had been trending down. EKG was negative for ACS.  Hospital course:  remdesivir and dexamethasone for COVID.  Oxygen therapy, bronchodilator treatment, Lovenox for anticoagulation. Acute renal failure. Dialysis catheter placed. Set up HD as outpatient.  Pt discharged to home.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: The Pfizer vaccine was not reconstituted. The patient received 0.3mL of unmixed Pfizer. We have not heard from the patient on any adverse effects.
Age: 96.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: fully vaccinated-covid related death
Age: 67.0
Sex: F
Vaccine: PNC13
Symptoms: Extra dose administered
Clinical narrative: Gave prevnar dose and then discovered she already had one in 2019
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Nasal congestion, Pyrexia, SARS-CoV-2 test
Clinical narrative: Covid symptoms included: slight fever, severe fatigue, nasal congestion, coughing and sneezing.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: Covid symptoms included: slight fever, severe fatigue, nasal congestion, coughing and sneezing.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine Breakthrough case. Boosted, Moderna 030A21A on 03/23/2021 and Moderna 004M20A on 02/15/2021. Booster Moderna 939904 on 10/27/2021.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Administered 0.5ml instead of the 0.25ml dose. Patient is not aware of the error and never reported any side effects or adverse reactions.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest pain, Cough
Clinical narrative: 12/27/2021-Event occurred after 2nd vaccine.   72-year-old female presenting due to hypoxia and Covid positive test from urgent care earlier today. Patient states 5 days ago she was around her Covid positive granddaughter and 3 days ago she started to notice cough, fatigue, nasal congestion, and shortness of breath.  Has had constant nonradiating chest pain that occurs predominantly when she coughs of 3 days duration.. Chest x-ray showed bilateral opacities consistent with Covid pneumonia.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Hypoxia, Lung opacity
Clinical narrative: 12/27/2021-Event occurred after 2nd vaccine.   72-year-old female presenting due to hypoxia and Covid positive test from urgent care earlier today. Patient states 5 days ago she was around her Covid positive granddaughter and 3 days ago she started to notice cough, fatigue, nasal congestion, and shortness of breath.  Has had constant nonradiating chest pain that occurs predominantly when she coughs of 3 days duration.. Chest x-ray showed bilateral opacities consistent with Covid pneumonia.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: 12/27/2021-Event occurred after 2nd vaccine.   72-year-old female presenting due to hypoxia and Covid positive test from urgent care earlier today. Patient states 5 days ago she was around her Covid positive granddaughter and 3 days ago she started to notice cough, fatigue, nasal congestion, and shortness of breath.  Has had constant nonradiating chest pain that occurs predominantly when she coughs of 3 days duration.. Chest x-ray showed bilateral opacities consistent with Covid pneumonia.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a booster dose of the Pfizer vaccine that was not reconstituted. The patient received 0.3mL of unmixed Pfizer. The patient has not reported any adverse effects.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain
Clinical narrative: SOME JOINT PAIN/VERY FATIGUED/BAD INJECTION SITE PAIN/ HEADACHE
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging abnormal, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Multiple sclerosis
Clinical narrative: Began having altered sensation in limbs in April 2021. Endorses right hand numbness which progressed to bilateral lower extremity, left hand, and across the chest numbness. Symptoms improved in August 2021 except for right hand numbness. On November 14, 2021 she noticed vision changes in her right eye (described as blurriness). Initiated high-dose IV steroids followed by oral steroid taper.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Optic neuritis, Sensory disturbance, Vision blurred, Visual impairment, White matter lesion
Clinical narrative: Began having altered sensation in limbs in April 2021. Endorses right hand numbness which progressed to bilateral lower extremity, left hand, and across the chest numbness. Symptoms improved in August 2021 except for right hand numbness. On November 14, 2021 she noticed vision changes in her right eye (described as blurriness). Initiated high-dose IV steroids followed by oral steroid taper.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound scan abnormal
Clinical narrative: DVT right lower extremity.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Pain in extremity
Clinical narrative: 45 minutes after shot intense headache started at back of head then entire face and left arm went painfully numb.  Numbness down left arm has subsided but sometimes is painful in upper left arm and face still has some numbness but is much less intense.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Skin irritation, Skin swelling
Clinical narrative: I want to report an adverse reaction to the Pfizer booster - 17 days after receiving the booster I noticed my neck was red; on my skin under my chin, on my throat area only.  Not itchy, just red and irritated.  A few days later slight raise in skin, and next day some linear rashes, like dashes on my neck - I had not changed anything in cosmetics, detergents, clothing fabrics (I am an allergic person so I examined all of that). My doctor said he had seen this and prescribed a cortisone cream to use and told me to take an antihistamine for a few days.  The rash is mostly gone now almost a week later.  Another friend had told me she also had a reaction 9 days after her booster; but hers was much more severe - having to go to the ER and is still 2 months later dealing with the issues.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood test, Heart rate irregular, Laboratory test normal, Palpitations
Clinical narrative: I developed off and on heart palpitations shortly after my second injection. They have remained constant and have not abated. They do not seem too serious but I do get anxious when my heart palpitates and has an irregular heartbeat. It usually goes away after a minute or two. But it does happen every couple of times. So, it is relatively frequent.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Very swollen, red, hot arm at injection site for many days following vaccination
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered 0.5mL instead of the 0.25mL dose. Patient is not aware of the error and never reported any side effects or adverse reactions.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Angiogram pulmonary abnormal, Blood bicarbonate normal, Blood creatinine increased, Blood culture positive
Clinical narrative: Pt presented to ED on 12/15/21 after testing positive for Covid 19 at urgent care today. Pt states that his symptoms started with nasal congestion and cough on Monday. Yesterday he states he started to have more productive cough and fever Tmax 101. Pt is vaccinated x2 with last dose in April 2021 however he did not receive his booster yet. Pt also reports poor appetite. Pt denied any vomiting but noted that stool was more loose in his ostomy. He preceded to urgent care today for covid testing. Pt tested positive and was noted to have increased work of breathing so he was advised to go to the ED for further evaluation.CTA negative for PE and showed ground glass infiltrates within the right lower lobe consistent with covid pneumonia. Pt received dose of Rocephin and Zithromax as well as Decadron. He was admitted for further treatment of Covid pneumonia. The patient was discharged on 12/17/21 on o2 therapy, 2L only on exertion, RA on rest, prednisone for 3 days and azithromycin 3 days. Came back on 12/24/21 where he presented to the ED with complaints of SOB. Pt tested positive for COVID-19 on 12/15/2021 and was admitted and treated for COVID PNA at that time with Decadron and Azithromycin for 3 days. In the ED, patient was afebrile with a BP 127/62, HR 75, RR 16, 90% 2L NC. CBC showed no leukocytosis, CMP demonstrated glu of 134 slight AKI with a creatine of 1.7, procal 0.10, LA 1.64, serum ketones negative. Troponin negative. UA was normal. ABG showed pH 7.4, pCO2 41.8, pO2 51.8, and HCO3 27.1. CXR demonstrated worsening of RLL PNA compared to 12/15/2021. Patient was admitted for further treatment for COVID PNA. Pt had a home 02 requirement of 2L that was determined by a 6 minute walk prior to discharge from his last admission. Pt was saturating well on 2L throughout this admission and remained afebrile. Pt was not eligible for Remdesivir.He was started on Rocephin and Azithromycin. He completed 1 day of Azithromycin 500mg and 4 days of 250mg. He also completed 5 days of Rocephin. COVID labs were trended and Blood Cultures were collected. Initial Blood cultures grew micrococcus species likely due to contamination so repeat cultures were collected. At time of discharge, repeat blood cultures showed no growth for 3 days. A CTA was also performed to rule out PE (see results below). Pt was found to have an AKI due to poor oral intake and was placed on IV fluids. Patient's blood sugars were also monitored and home insulin level was increased due to elevated blood sugars in response to steroid therapy. Pt was initially started on decadron and completed 4 days of it before being switched to a Prednisone taper. Pt's blood sugars improved as steroids were decreased. Pt had a 6 minute walk performed prior to discharge, which showed that the patient requires no supplemental oxygen at rest, and 1L with exertion. Pt will be discharged to facility where he will complete the steroid taper. Discharged again on 12/29/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood gases, Blood glucose normal, Blood ketone body absent, Blood lactic acid, Blood pH normal
Clinical narrative: Pt presented to ED on 12/15/21 after testing positive for Covid 19 at urgent care today. Pt states that his symptoms started with nasal congestion and cough on Monday. Yesterday he states he started to have more productive cough and fever Tmax 101. Pt is vaccinated x2 with last dose in April 2021 however he did not receive his booster yet. Pt also reports poor appetite. Pt denied any vomiting but noted that stool was more loose in his ostomy. He preceded to urgent care today for covid testing. Pt tested positive and was noted to have increased work of breathing so he was advised to go to the ED for further evaluation.CTA negative for PE and showed ground glass infiltrates within the right lower lobe consistent with covid pneumonia. Pt received dose of Rocephin and Zithromax as well as Decadron. He was admitted for further treatment of Covid pneumonia. The patient was discharged on 12/17/21 on o2 therapy, 2L only on exertion, RA on rest, prednisone for 3 days and azithromycin 3 days. Came back on 12/24/21 where he presented to the ED with complaints of SOB. Pt tested positive for COVID-19 on 12/15/2021 and was admitted and treated for COVID PNA at that time with Decadron and Azithromycin for 3 days. In the ED, patient was afebrile with a BP 127/62, HR 75, RR 16, 90% 2L NC. CBC showed no leukocytosis, CMP demonstrated glu of 134 slight AKI with a creatine of 1.7, procal 0.10, LA 1.64, serum ketones negative. Troponin negative. UA was normal. ABG showed pH 7.4, pCO2 41.8, pO2 51.8, and HCO3 27.1. CXR demonstrated worsening of RLL PNA compared to 12/15/2021. Patient was admitted for further treatment for COVID PNA. Pt had a home 02 requirement of 2L that was determined by a 6 minute walk prior to discharge from his last admission. Pt was saturating well on 2L throughout this admission and remained afebrile. Pt was not eligible for Remdesivir.He was started on Rocephin and Azithromycin. He completed 1 day of Azithromycin 500mg and 4 days of 250mg. He also completed 5 days of Rocephin. COVID labs were trended and Blood Cultures were collected. Initial Blood cultures grew micrococcus species likely due to contamination so repeat cultures were collected. At time of discharge, repeat blood cultures showed no growth for 3 days. A CTA was also performed to rule out PE (see results below). Pt was found to have an AKI due to poor oral intake and was placed on IV fluids. Patient's blood sugars were also monitored and home insulin level was increased due to elevated blood sugars in response to steroid therapy. Pt was initially started on decadron and completed 4 days of it before being switched to a Prednisone taper. Pt's blood sugars improved as steroids were decreased. Pt had a 6 minute walk performed prior to discharge, which showed that the patient requires no supplemental oxygen at rest, and 1L with exertion. Pt will be discharged to facility where he will complete the steroid taper. Discharged again on 12/29/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Colostomy, Cough
Clinical narrative: Pt presented to ED on 12/15/21 after testing positive for Covid 19 at urgent care today. Pt states that his symptoms started with nasal congestion and cough on Monday. Yesterday he states he started to have more productive cough and fever Tmax 101. Pt is vaccinated x2 with last dose in April 2021 however he did not receive his booster yet. Pt also reports poor appetite. Pt denied any vomiting but noted that stool was more loose in his ostomy. He preceded to urgent care today for covid testing. Pt tested positive and was noted to have increased work of breathing so he was advised to go to the ED for further evaluation.CTA negative for PE and showed ground glass infiltrates within the right lower lobe consistent with covid pneumonia. Pt received dose of Rocephin and Zithromax as well as Decadron. He was admitted for further treatment of Covid pneumonia. The patient was discharged on 12/17/21 on o2 therapy, 2L only on exertion, RA on rest, prednisone for 3 days and azithromycin 3 days. Came back on 12/24/21 where he presented to the ED with complaints of SOB. Pt tested positive for COVID-19 on 12/15/2021 and was admitted and treated for COVID PNA at that time with Decadron and Azithromycin for 3 days. In the ED, patient was afebrile with a BP 127/62, HR 75, RR 16, 90% 2L NC. CBC showed no leukocytosis, CMP demonstrated glu of 134 slight AKI with a creatine of 1.7, procal 0.10, LA 1.64, serum ketones negative. Troponin negative. UA was normal. ABG showed pH 7.4, pCO2 41.8, pO2 51.8, and HCO3 27.1. CXR demonstrated worsening of RLL PNA compared to 12/15/2021. Patient was admitted for further treatment for COVID PNA. Pt had a home 02 requirement of 2L that was determined by a 6 minute walk prior to discharge from his last admission. Pt was saturating well on 2L throughout this admission and remained afebrile. Pt was not eligible for Remdesivir.He was started on Rocephin and Azithromycin. He completed 1 day of Azithromycin 500mg and 4 days of 250mg. He also completed 5 days of Rocephin. COVID labs were trended and Blood Cultures were collected. Initial Blood cultures grew micrococcus species likely due to contamination so repeat cultures were collected. At time of discharge, repeat blood cultures showed no growth for 3 days. A CTA was also performed to rule out PE (see results below). Pt was found to have an AKI due to poor oral intake and was placed on IV fluids. Patient's blood sugars were also monitored and home insulin level was increased due to elevated blood sugars in response to steroid therapy. Pt was initially started on decadron and completed 4 days of it before being switched to a Prednisone taper. Pt's blood sugars improved as steroids were decreased. Pt had a 6 minute walk performed prior to discharge, which showed that the patient requires no supplemental oxygen at rest, and 1L with exertion. Pt will be discharged to facility where he will complete the steroid taper. Discharged again on 12/29/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Dyspnoea, Full blood count normal, Hypophagia
Clinical narrative: Pt presented to ED on 12/15/21 after testing positive for Covid 19 at urgent care today. Pt states that his symptoms started with nasal congestion and cough on Monday. Yesterday he states he started to have more productive cough and fever Tmax 101. Pt is vaccinated x2 with last dose in April 2021 however he did not receive his booster yet. Pt also reports poor appetite. Pt denied any vomiting but noted that stool was more loose in his ostomy. He preceded to urgent care today for covid testing. Pt tested positive and was noted to have increased work of breathing so he was advised to go to the ED for further evaluation.CTA negative for PE and showed ground glass infiltrates within the right lower lobe consistent with covid pneumonia. Pt received dose of Rocephin and Zithromax as well as Decadron. He was admitted for further treatment of Covid pneumonia. The patient was discharged on 12/17/21 on o2 therapy, 2L only on exertion, RA on rest, prednisone for 3 days and azithromycin 3 days. Came back on 12/24/21 where he presented to the ED with complaints of SOB. Pt tested positive for COVID-19 on 12/15/2021 and was admitted and treated for COVID PNA at that time with Decadron and Azithromycin for 3 days. In the ED, patient was afebrile with a BP 127/62, HR 75, RR 16, 90% 2L NC. CBC showed no leukocytosis, CMP demonstrated glu of 134 slight AKI with a creatine of 1.7, procal 0.10, LA 1.64, serum ketones negative. Troponin negative. UA was normal. ABG showed pH 7.4, pCO2 41.8, pO2 51.8, and HCO3 27.1. CXR demonstrated worsening of RLL PNA compared to 12/15/2021. Patient was admitted for further treatment for COVID PNA. Pt had a home 02 requirement of 2L that was determined by a 6 minute walk prior to discharge from his last admission. Pt was saturating well on 2L throughout this admission and remained afebrile. Pt was not eligible for Remdesivir.He was started on Rocephin and Azithromycin. He completed 1 day of Azithromycin 500mg and 4 days of 250mg. He also completed 5 days of Rocephin. COVID labs were trended and Blood Cultures were collected. Initial Blood cultures grew micrococcus species likely due to contamination so repeat cultures were collected. At time of discharge, repeat blood cultures showed no growth for 3 days. A CTA was also performed to rule out PE (see results below). Pt was found to have an AKI due to poor oral intake and was placed on IV fluids. Patient's blood sugars were also monitored and home insulin level was increased due to elevated blood sugars in response to steroid therapy. Pt was initially started on decadron and completed 4 days of it before being switched to a Prednisone taper. Pt's blood sugars improved as steroids were decreased. Pt had a 6 minute walk performed prior to discharge, which showed that the patient requires no supplemental oxygen at rest, and 1L with exertion. Pt will be discharged to facility where he will complete the steroid taper. Discharged again on 12/29/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Lung opacity, Metabolic function test abnormal, Nasal congestion, PCO2 normal
Clinical narrative: Pt presented to ED on 12/15/21 after testing positive for Covid 19 at urgent care today. Pt states that his symptoms started with nasal congestion and cough on Monday. Yesterday he states he started to have more productive cough and fever Tmax 101. Pt is vaccinated x2 with last dose in April 2021 however he did not receive his booster yet. Pt also reports poor appetite. Pt denied any vomiting but noted that stool was more loose in his ostomy. He preceded to urgent care today for covid testing. Pt tested positive and was noted to have increased work of breathing so he was advised to go to the ED for further evaluation.CTA negative for PE and showed ground glass infiltrates within the right lower lobe consistent with covid pneumonia. Pt received dose of Rocephin and Zithromax as well as Decadron. He was admitted for further treatment of Covid pneumonia. The patient was discharged on 12/17/21 on o2 therapy, 2L only on exertion, RA on rest, prednisone for 3 days and azithromycin 3 days. Came back on 12/24/21 where he presented to the ED with complaints of SOB. Pt tested positive for COVID-19 on 12/15/2021 and was admitted and treated for COVID PNA at that time with Decadron and Azithromycin for 3 days. In the ED, patient was afebrile with a BP 127/62, HR 75, RR 16, 90% 2L NC. CBC showed no leukocytosis, CMP demonstrated glu of 134 slight AKI with a creatine of 1.7, procal 0.10, LA 1.64, serum ketones negative. Troponin negative. UA was normal. ABG showed pH 7.4, pCO2 41.8, pO2 51.8, and HCO3 27.1. CXR demonstrated worsening of RLL PNA compared to 12/15/2021. Patient was admitted for further treatment for COVID PNA. Pt had a home 02 requirement of 2L that was determined by a 6 minute walk prior to discharge from his last admission. Pt was saturating well on 2L throughout this admission and remained afebrile. Pt was not eligible for Remdesivir.He was started on Rocephin and Azithromycin. He completed 1 day of Azithromycin 500mg and 4 days of 250mg. He also completed 5 days of Rocephin. COVID labs were trended and Blood Cultures were collected. Initial Blood cultures grew micrococcus species likely due to contamination so repeat cultures were collected. At time of discharge, repeat blood cultures showed no growth for 3 days. A CTA was also performed to rule out PE (see results below). Pt was found to have an AKI due to poor oral intake and was placed on IV fluids. Patient's blood sugars were also monitored and home insulin level was increased due to elevated blood sugars in response to steroid therapy. Pt was initially started on decadron and completed 4 days of it before being switched to a Prednisone taper. Pt's blood sugars improved as steroids were decreased. Pt had a 6 minute walk performed prior to discharge, which showed that the patient requires no supplemental oxygen at rest, and 1L with exertion. Pt will be discharged to facility where he will complete the steroid taper. Discharged again on 12/29/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: PO2 decreased, Pneumonia, Procalcitonin, Productive cough, Pyrexia
Clinical narrative: Pt presented to ED on 12/15/21 after testing positive for Covid 19 at urgent care today. Pt states that his symptoms started with nasal congestion and cough on Monday. Yesterday he states he started to have more productive cough and fever Tmax 101. Pt is vaccinated x2 with last dose in April 2021 however he did not receive his booster yet. Pt also reports poor appetite. Pt denied any vomiting but noted that stool was more loose in his ostomy. He preceded to urgent care today for covid testing. Pt tested positive and was noted to have increased work of breathing so he was advised to go to the ED for further evaluation.CTA negative for PE and showed ground glass infiltrates within the right lower lobe consistent with covid pneumonia. Pt received dose of Rocephin and Zithromax as well as Decadron. He was admitted for further treatment of Covid pneumonia. The patient was discharged on 12/17/21 on o2 therapy, 2L only on exertion, RA on rest, prednisone for 3 days and azithromycin 3 days. Came back on 12/24/21 where he presented to the ED with complaints of SOB. Pt tested positive for COVID-19 on 12/15/2021 and was admitted and treated for COVID PNA at that time with Decadron and Azithromycin for 3 days. In the ED, patient was afebrile with a BP 127/62, HR 75, RR 16, 90% 2L NC. CBC showed no leukocytosis, CMP demonstrated glu of 134 slight AKI with a creatine of 1.7, procal 0.10, LA 1.64, serum ketones negative. Troponin negative. UA was normal. ABG showed pH 7.4, pCO2 41.8, pO2 51.8, and HCO3 27.1. CXR demonstrated worsening of RLL PNA compared to 12/15/2021. Patient was admitted for further treatment for COVID PNA. Pt had a home 02 requirement of 2L that was determined by a 6 minute walk prior to discharge from his last admission. Pt was saturating well on 2L throughout this admission and remained afebrile. Pt was not eligible for Remdesivir.He was started on Rocephin and Azithromycin. He completed 1 day of Azithromycin 500mg and 4 days of 250mg. He also completed 5 days of Rocephin. COVID labs were trended and Blood Cultures were collected. Initial Blood cultures grew micrococcus species likely due to contamination so repeat cultures were collected. At time of discharge, repeat blood cultures showed no growth for 3 days. A CTA was also performed to rule out PE (see results below). Pt was found to have an AKI due to poor oral intake and was placed on IV fluids. Patient's blood sugars were also monitored and home insulin level was increased due to elevated blood sugars in response to steroid therapy. Pt was initially started on decadron and completed 4 days of it before being switched to a Prednisone taper. Pt's blood sugars improved as steroids were decreased. Pt had a 6 minute walk performed prior to discharge, which showed that the patient requires no supplemental oxygen at rest, and 1L with exertion. Pt will be discharged to facility where he will complete the steroid taper. Discharged again on 12/29/21
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin normal, Urine analysis normal
Clinical narrative: Pt presented to ED on 12/15/21 after testing positive for Covid 19 at urgent care today. Pt states that his symptoms started with nasal congestion and cough on Monday. Yesterday he states he started to have more productive cough and fever Tmax 101. Pt is vaccinated x2 with last dose in April 2021 however he did not receive his booster yet. Pt also reports poor appetite. Pt denied any vomiting but noted that stool was more loose in his ostomy. He preceded to urgent care today for covid testing. Pt tested positive and was noted to have increased work of breathing so he was advised to go to the ED for further evaluation.CTA negative for PE and showed ground glass infiltrates within the right lower lobe consistent with covid pneumonia. Pt received dose of Rocephin and Zithromax as well as Decadron. He was admitted for further treatment of Covid pneumonia. The patient was discharged on 12/17/21 on o2 therapy, 2L only on exertion, RA on rest, prednisone for 3 days and azithromycin 3 days. Came back on 12/24/21 where he presented to the ED with complaints of SOB. Pt tested positive for COVID-19 on 12/15/2021 and was admitted and treated for COVID PNA at that time with Decadron and Azithromycin for 3 days. In the ED, patient was afebrile with a BP 127/62, HR 75, RR 16, 90% 2L NC. CBC showed no leukocytosis, CMP demonstrated glu of 134 slight AKI with a creatine of 1.7, procal 0.10, LA 1.64, serum ketones negative. Troponin negative. UA was normal. ABG showed pH 7.4, pCO2 41.8, pO2 51.8, and HCO3 27.1. CXR demonstrated worsening of RLL PNA compared to 12/15/2021. Patient was admitted for further treatment for COVID PNA. Pt had a home 02 requirement of 2L that was determined by a 6 minute walk prior to discharge from his last admission. Pt was saturating well on 2L throughout this admission and remained afebrile. Pt was not eligible for Remdesivir.He was started on Rocephin and Azithromycin. He completed 1 day of Azithromycin 500mg and 4 days of 250mg. He also completed 5 days of Rocephin. COVID labs were trended and Blood Cultures were collected. Initial Blood cultures grew micrococcus species likely due to contamination so repeat cultures were collected. At time of discharge, repeat blood cultures showed no growth for 3 days. A CTA was also performed to rule out PE (see results below). Pt was found to have an AKI due to poor oral intake and was placed on IV fluids. Patient's blood sugars were also monitored and home insulin level was increased due to elevated blood sugars in response to steroid therapy. Pt was initially started on decadron and completed 4 days of it before being switched to a Prednisone taper. Pt's blood sugars improved as steroids were decreased. Pt had a 6 minute walk performed prior to discharge, which showed that the patient requires no supplemental oxygen at rest, and 1L with exertion. Pt will be discharged to facility where he will complete the steroid taper. Discharged again on 12/29/21
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: About 5 days following the shot, my skin began to itch and hives appeared. My hands and feet become itchy. Hives randomly appear all over my body.  I have been prescribed a steroid (Methylprednisolone) by my doctor. While I think it has helped, the hives are still appearing. This has now been going on for approximately 1.5 months.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case. Pfizer EN6207 on 04/07/2021 and Moderna on 12/21/2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site paraesthesia, Paraesthesia
Clinical narrative: Left arm tingling from shoulder through left thumb
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Administered 0.5ml instead of the 0.25ml dose. Patient is not aware of the error and never reported any side effects or adverse reactions.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: COULD NOT GET OUT OF BED THE NEXT MORNING/COULD NOT MOVE ANY JOINTS IN MY BODY WITHOUT PAIN/ NEEDED HELP TO USE THE RESTROOM/SLEPT ALL DAY/ LOST ABOUT 36 HOURS OF MY LIFE/VERY SCARY
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Dizziness, Malaise
Clinical narrative: Started to feel ill night of vaccination.  Had chills, weakness and aches, dizziness and some loss of appetite. Symptoms were worst the next day (Friday). Each day the symptoms got lighter, by Sunday I felt almost back to normal. By Monday symptoms were gone. Used Advil to treat symptoms Thursday and Friday, by Saturday no longer needed Advil.   All in all, felt like a small replay of many of the symptoms I had back in mid November when I tested positive for COVID itself.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Started to feel ill night of vaccination.  Had chills, weakness and aches, dizziness and some loss of appetite. Symptoms were worst the next day (Friday). Each day the symptoms got lighter, by Sunday I felt almost back to normal. By Monday symptoms were gone. Used Advil to treat symptoms Thursday and Friday, by Saturday no longer needed Advil.   All in all, felt like a small replay of many of the symptoms I had back in mid November when I tested positive for COVID itself.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram head normal
Clinical narrative: Presented to ER on 12/28/21 . Received moderna on 03/05/21 and 04/06/21. COVID positive 12/27/21. Complaints of having diarrhea and vomiting for the past couple days.  Patient was diagnosed with COVID yesterday in her ER and left AMA prior to receiving her regeneron infusion.  When patient went home she states that she tripped on something and fell and her family member stated that she lost consciousness for a while.  She is a poor historian.  She denies feeling dizzy but states that for the past day or so she has felt like she is going to pass out.  She is unsure she took her medication this morning for blood pressure.  In the ER she is found to have an acute kidney injury, last creatinine that we have is from 2018 which is normal.  Patient had CT head and CT C-spine which was negative but it showed thyroid nodules.  Her lab work is otherwise normal.  She denies any respiratory symptoms.  She is currently saturating well on room air. Stable on 12/29/21 and discharged
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram spine, Diarrhoea, Dizziness, Fall, Inappropriate schedule of product administration
Clinical narrative: Presented to ER on 12/28/21 . Received moderna on 03/05/21 and 04/06/21. COVID positive 12/27/21. Complaints of having diarrhea and vomiting for the past couple days.  Patient was diagnosed with COVID yesterday in her ER and left AMA prior to receiving her regeneron infusion.  When patient went home she states that she tripped on something and fell and her family member stated that she lost consciousness for a while.  She is a poor historian.  She denies feeling dizzy but states that for the past day or so she has felt like she is going to pass out.  She is unsure she took her medication this morning for blood pressure.  In the ER she is found to have an acute kidney injury, last creatinine that we have is from 2018 which is normal.  Patient had CT head and CT C-spine which was negative but it showed thyroid nodules.  Her lab work is otherwise normal.  She denies any respiratory symptoms.  She is currently saturating well on room air. Stable on 12/29/21 and discharged
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Loss of consciousness, SARS-CoV-2 test positive, Thyroid mass, Vomiting
Clinical narrative: Presented to ER on 12/28/21 . Received moderna on 03/05/21 and 04/06/21. COVID positive 12/27/21. Complaints of having diarrhea and vomiting for the past couple days.  Patient was diagnosed with COVID yesterday in her ER and left AMA prior to receiving her regeneron infusion.  When patient went home she states that she tripped on something and fell and her family member stated that she lost consciousness for a while.  She is a poor historian.  She denies feeling dizzy but states that for the past day or so she has felt like she is going to pass out.  She is unsure she took her medication this morning for blood pressure.  In the ER she is found to have an acute kidney injury, last creatinine that we have is from 2018 which is normal.  Patient had CT head and CT C-spine which was negative but it showed thyroid nodules.  Her lab work is otherwise normal.  She denies any respiratory symptoms.  She is currently saturating well on room air. Stable on 12/29/21 and discharged
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Insomnia, Pain, Pyrexia
Clinical narrative: Symptoms: Chills, body aches, insomnia  Starting in the evening after receiving the vaccine I began experiencing chills where I felt so cold that I would wrap in a blanket immediately followed by feelings of feverishness where I threw off the blanket, repeatedly. This feeling was accompanied with feelings of whole body aching and the inability to sleep.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Asthenia, COVID-19, Computerised tomogram thorax normal
Clinical narrative: Patient is COVID + on 11/4/2021.  Admission dx with cough, malaise and fatigue,  Increased weakness when ambulating.  Pain and swelling of the right knee.  71-year-old female, significant for past medical history for osteoarthritis, status post right knee arthroplasty, which was done on 10/16, presented due to complaint of right knee pain.  D dimer 3185--2091-downtrended--continue with aspirin BID and close PCP follow up  Negative DVT, Negative CT PE---no evidence of pulmonary embolism.  started on Lovenox.  No indications for Decadron, no remdesivir. Pt discharged.