chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Blood glucose normal, Blood lactic acid normal, Blood magnesium, Blood potassium normal, Blood sodium normal
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Blood urea increased, COVID-19, Cardiac telemetry abnormal, Chest X-ray abnormal, Chills
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Condition aggravated, Cough, Decreased activity, Diarrhoea, Dyslipidaemia
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Dysstasia, Electrocardiogram abnormal, Fatigue
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Gait disturbance, Glomerular filtration rate decreased, Haematocrit decreased, Haemoglobin decreased, Hypophagia
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Hypophosphataemia, Laboratory test abnormal, Leukocytosis, Lung infiltration, Major depression
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Mean cell volume normal, Myalgia, Nausea, Oropharyngeal pain, Oxygen saturation decreased
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Padua prediction score, Platelet count normal, Procalcitonin increased, Productive cough, Prohormone brain natriuretic peptide
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Pyrexia, Red blood cell count normal, Renal impairment, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 76.0
Sex: M
Vaccine: COVID19, FLUA4, COVID19
Symptoms: Sinus tachycardia, Supraventricular extrasystoles, Systemic inflammatory response syndrome, Tachycardia, Vomiting
Clinical narrative: Discharge Provider: PA-C Attending Physician: MD Primary Care Provider at Discharge: DO  Admission Date: 5/5/2022 Discharge Date: 05/08/2022  PRESENTING PROBLEM: Acute respiratory insufficiency [R06.89] COVID [U07.1]   HOSPITAL COURSE: Patient is a 77-year-old male with a history of remote ischemic stroke without residual deficits, hyperlipidemia, GERD, depression, and anxiety who presented secondary to severe worsening generalized weakness.  About 5 days prior to admission, he began to notice worsening weakness, along with a mild cough, sore throat, shortness of breath on exertion, diarrhea, nausea, and vomiting.  He had received his COVID vaccination x2 and 1st booster in 10/2021.  On arrival, he was febrile and tachycardic.  He desatted on room air and was placed on 2 L nasal cannula.  Labs notable for leukocytosis, acute kidney injury, and COVID positive.  Chest x-ray clear.  He was given 1 L of normal saline, started on Decadron and admitted for further care.  Procalcitonin elevated at 13 for which he was started on a ceftriaxone and azithromycin.  Supplemental oxygen weaned to room air.  Additional fluids held on admission given COVID positive status, but creatinine down trended to baseline with encouragement of oral intake. OT evaluated and recommended discharge home.  He was discharged home in stable condition on 5/8/22.  He will complete a 5 day total course of antibiotics with remaining 2 days of Ceftin and azithromycin.  He was advised to arrange hospital follow-up with his primary care physician.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood culture positive, COVID-19, Chest X-ray normal, Cough
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Headache, Malaise, Myalgia, Respiratory tract infection
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Staphylococcus test positive
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abstains from alcohol, Abstains from recreational drugs, Angiogram pulmonary abnormal, Anticoagulant therapy, Arthralgia
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bacteraemia, Blood culture positive, Breath sounds abnormal, COVID-19
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Capillary nail refill test, Cellulitis, Chest X-ray abnormal, Condition aggravated, Cor pulmonale acute
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Deep vein thrombosis, Disorientation, Dysphagia, Dyspnoea
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysstasia, Fatigue, Gastrointestinal examination normal, Headache, Laboratory test abnormal
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Myalgia, Non-tobacco user, Normocytic anaemia, Oedema
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pallor, Physical deconditioning, Pulmonary embolism, Respiratory tract infection, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Staphylococcus test positive, Thrombocytopenia, Total lung capacity decreased, Ultrasound Doppler abnormal
Clinical narrative: Admission Date: 5/5/2022 Discharge Date: 05/09/2022   PRESENTING PROBLEM: Weakness COVID-19 virus infection Respiratory tract infection due to COVID-19 virus   HOSPITAL COURSE: Patient is a 77 y.o. male with a history of Parkinson's dementia, A-Fib, prior PE, HLD, OSA, Obesity and recent DVT/PE on eliquis who presented to ED for malaise, cough, dyspnea, myalgias, generalized weakness, and headache. He is found to be COVID positive but is not hypoxic and has negative CXR. Due to significant weakness he was admitted under observation for PT/OT eval. Therapy evaluated patient and recommended discharge back to ALF with 2-person assist. His facility reported they were able to provide this level of care for him. Patient slowly started to feel better throughout stay and never became hypoxic. He was given supportive care for his COVID.   To note, one blood culture was obtained on admission that grew Staph epidermidis, which is a suspected contaminant. Repeat blood cultures remain NGTD and he remained afebrile and no other signs of systemic infection. He was discharged back to his ALF in stable and improved condition.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: The next day after the vaccine, for 3 days I had muscle aches, extreme fatigue, and fever of 102. Muscle aches and fatigue went away but the fever continued for 10 days. I took Advil to bring down the fever. I talked with my doctor and had a negative COVID-19 test with a telehealth visit.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Bronchitis, Chest X-ray, Chills, Conjunctivitis
Clinical narrative: I was feeling flu like symptoms which is normal for me but the next day I was still feeling crappy so I worked from home. I was having head congestion. The 11th I was starting to have a bad sore throat that got worse over the day. It felt like I was swallowing shards of glass. I went to urgent care and they determined that I had strep throat and gave me penicillin. I ended up with a fever Thursday night and Friday I as coughing so badly and I could not stop- it sounded like the whooping cough cough. I had this gunk in my eye and was fatigued and having hot flashes and then chills. I walked to the ER since it is close and I was afraid to drive. They did a blood panel the flu, strep, and Covid tests again like at the urgent care. They diagnosed me with an acute bronchitis and pink eye. I had gone back to urgent care and they got me on new meds and steroids and an inhaler to help.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Eye discharge, Fatigue, Fear, Feeling abnormal
Clinical narrative: I was feeling flu like symptoms which is normal for me but the next day I was still feeling crappy so I worked from home. I was having head congestion. The 11th I was starting to have a bad sore throat that got worse over the day. It felt like I was swallowing shards of glass. I went to urgent care and they determined that I had strep throat and gave me penicillin. I ended up with a fever Thursday night and Friday I as coughing so badly and I could not stop- it sounded like the whooping cough cough. I had this gunk in my eye and was fatigued and having hot flashes and then chills. I walked to the ER since it is close and I was afraid to drive. They did a blood panel the flu, strep, and Covid tests again like at the urgent care. They diagnosed me with an acute bronchitis and pink eye. I had gone back to urgent care and they got me on new meds and steroids and an inhaler to help.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Impaired driving ability, Influenza like illness, Influenza virus test, Odynophagia
Clinical narrative: I was feeling flu like symptoms which is normal for me but the next day I was still feeling crappy so I worked from home. I was having head congestion. The 11th I was starting to have a bad sore throat that got worse over the day. It felt like I was swallowing shards of glass. I went to urgent care and they determined that I had strep throat and gave me penicillin. I ended up with a fever Thursday night and Friday I as coughing so badly and I could not stop- it sounded like the whooping cough cough. I had this gunk in my eye and was fatigued and having hot flashes and then chills. I walked to the ER since it is close and I was afraid to drive. They did a blood panel the flu, strep, and Covid tests again like at the urgent care. They diagnosed me with an acute bronchitis and pink eye. I had gone back to urgent care and they got me on new meds and steroids and an inhaler to help.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pharyngitis streptococcal, Pyrexia, SARS-CoV-2 test, Streptococcus test
Clinical narrative: I was feeling flu like symptoms which is normal for me but the next day I was still feeling crappy so I worked from home. I was having head congestion. The 11th I was starting to have a bad sore throat that got worse over the day. It felt like I was swallowing shards of glass. I went to urgent care and they determined that I had strep throat and gave me penicillin. I ended up with a fever Thursday night and Friday I as coughing so badly and I could not stop- it sounded like the whooping cough cough. I had this gunk in my eye and was fatigued and having hot flashes and then chills. I walked to the ER since it is close and I was afraid to drive. They did a blood panel the flu, strep, and Covid tests again like at the urgent care. They diagnosed me with an acute bronchitis and pink eye. I had gone back to urgent care and they got me on new meds and steroids and an inhaler to help.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Upper respiratory tract congestion
Clinical narrative: I was feeling flu like symptoms which is normal for me but the next day I was still feeling crappy so I worked from home. I was having head congestion. The 11th I was starting to have a bad sore throat that got worse over the day. It felt like I was swallowing shards of glass. I went to urgent care and they determined that I had strep throat and gave me penicillin. I ended up with a fever Thursday night and Friday I as coughing so badly and I could not stop- it sounded like the whooping cough cough. I had this gunk in my eye and was fatigued and having hot flashes and then chills. I walked to the ER since it is close and I was afraid to drive. They did a blood panel the flu, strep, and Covid tests again like at the urgent care. They diagnosed me with an acute bronchitis and pink eye. I had gone back to urgent care and they got me on new meds and steroids and an inhaler to help.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac ablation, Electrocardiogram, Laboratory test, Magnetic resonance imaging heart
Clinical narrative: Excessive heart palpitations while exercising.  Ultimately diagnosed with Myocarditis and high PVC burden, which has required cardiac ablation.   This is still on ongoing treatment and may require further ablation therapy.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis, Palpitations, Stress echocardiogram, Troponin, Ventricular extrasystoles
Clinical narrative: Excessive heart palpitations while exercising.  Ultimately diagnosed with Myocarditis and high PVC burden, which has required cardiac ablation.   This is still on ongoing treatment and may require further ablation therapy.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dizziness, Fatigue, Feeling abnormal
Clinical narrative: I had no symptoms from the vaccine itself, but I did test positive for Covid on April 7, 2022. I had a fever, body aches, nasal, head, and chest congestion, night sweats, dizziness, headache, wheezing, fatigue, and coughing. I was in absolute misery for about 4 days, and then I felt just miserable. I am still having some symptoms. The congestion was the most problematic. I still have a cough and fatigue. I took the antiviral Molnupiravir. I took Mucinex which helped with the coughing, and I took Tylenol for the fever. I also used my Albuterol Inhaler. My experience with having Covid was bad enough to where I thought I needed to go the hospital.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Nasal congestion, Night sweats, Pain
Clinical narrative: I had no symptoms from the vaccine itself, but I did test positive for Covid on April 7, 2022. I had a fever, body aches, nasal, head, and chest congestion, night sweats, dizziness, headache, wheezing, fatigue, and coughing. I was in absolute misery for about 4 days, and then I felt just miserable. I am still having some symptoms. The congestion was the most problematic. I still have a cough and fatigue. I took the antiviral Molnupiravir. I took Mucinex which helped with the coughing, and I took Tylenol for the fever. I also used my Albuterol Inhaler. My experience with having Covid was bad enough to where I thought I needed to go the hospital.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Wheezing
Clinical narrative: I had no symptoms from the vaccine itself, but I did test positive for Covid on April 7, 2022. I had a fever, body aches, nasal, head, and chest congestion, night sweats, dizziness, headache, wheezing, fatigue, and coughing. I was in absolute misery for about 4 days, and then I felt just miserable. I am still having some symptoms. The congestion was the most problematic. I still have a cough and fatigue. I took the antiviral Molnupiravir. I took Mucinex which helped with the coughing, and I took Tylenol for the fever. I also used my Albuterol Inhaler. My experience with having Covid was bad enough to where I thought I needed to go the hospital.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Aura, Blood pressure increased, Blood test, Dizziness, Neurological examination normal
Clinical narrative: It was a return of the same symptoms I had after the second dose. It was a very odd sensation that came over me like an aura. It started with a little change in my state of consciousness. It was almost like pins and needles. It's not painful though. It was all over my body after the second dose but mainly in the esophageal area after this third dose. It would last for different amounts of time and my blood pressure would go up while it was happening. I was also feeling dizzy and lightheaded more often and the feeling would wake me up at night sometimes.  My doctor ran a bunch of neurological tests and found nothing wrong in that regard. I also saw a Rheumatologist and Neurosurgeon and they did not find any issues either.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sensory disturbance, Sleep disorder
Clinical narrative: It was a return of the same symptoms I had after the second dose. It was a very odd sensation that came over me like an aura. It started with a little change in my state of consciousness. It was almost like pins and needles. It's not painful though. It was all over my body after the second dose but mainly in the esophageal area after this third dose. It would last for different amounts of time and my blood pressure would go up while it was happening. I was also feeling dizzy and lightheaded more often and the feeling would wake me up at night sometimes.  My doctor ran a bunch of neurological tests and found nothing wrong in that regard. I also saw a Rheumatologist and Neurosurgeon and they did not find any issues either.
Age: 7.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received a dose of Dtap and should have received Tdap due to over age 7. No treatment needed and no adverse reactions noted.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired at time of administration.  It was past bud of 10 weeks in the fridge.  It expired on 3/30/22.  Called patient to discuss cdc recommendation for re-vaccination.  Patient wanted us to call her pcp and get their recommendation.  That Dr. did not recommend re-vax so patient does not want it.
Age: 34.0
Sex: F
Vaccine: HPV9
Symptoms: Exposure during pregnancy
Clinical narrative: Patient 16 weeks pregnant. Estimated Due Date: 10/31/2022 by LMP
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration past expiration date. Moderna has confirmed vaccine was still viable at the time of administration.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: hospitalized with breakthrough COVID infection
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site swelling, Injection site warmth, Pain, Pain in extremity
Clinical narrative: First night (4/6/2022), could  not sleep more than an hour at a time due waking up to readjust position because of the pain. Day one after vaccination (4/7), sore arm and low grade fever. Second night after vaccination (4/7), waking up every two hours to readjust position. Day two after vaccination (4/8), rash erupted on right upper thigh, abdomen, and then my left wrist. Spent day in bed Third night after vaccination (4/8), only woke up twice from pain Day three after vaccination (4/9), rash has spread to right forearm Fourth night after vaccination (4/9), was able to sleep through the night without pain Day four after vaccination (4/10), hot, swollen, rash appeared on left upper arm centimeters below vaccination site  Was limited in amount of Benadryl I could take because I was driving a lot, and I rarely take pain killers unless the pain is bad. I probably only took one ibuprofen a day, and most of the pain was while I was trying to sleep.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Rash, Sleep disorder
Clinical narrative: First night (4/6/2022), could  not sleep more than an hour at a time due waking up to readjust position because of the pain. Day one after vaccination (4/7), sore arm and low grade fever. Second night after vaccination (4/7), waking up every two hours to readjust position. Day two after vaccination (4/8), rash erupted on right upper thigh, abdomen, and then my left wrist. Spent day in bed Third night after vaccination (4/8), only woke up twice from pain Day three after vaccination (4/9), rash has spread to right forearm Fourth night after vaccination (4/9), was able to sleep through the night without pain Day four after vaccination (4/10), hot, swollen, rash appeared on left upper arm centimeters below vaccination site  Was limited in amount of Benadryl I could take because I was driving a lot, and I rarely take pain killers unless the pain is bad. I probably only took one ibuprofen a day, and most of the pain was while I was trying to sleep.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Febrile neutropenia
Clinical narrative: Admit to Hospital for Neutropenic Fever,
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccination was given to patient on 05/12/02022.  Expiry date as per manufacturer was 05/31/2022 but beyond date use was 04/19/2022.  Talked to patient mother and patient is doing great with no side effects, There was no temperature excursion during the storage of vaccine from the time we received vaccine at pharmacy.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization of fully vaccinated COVID positive pt.  Not boosted.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired at time of administration.  It was past bud of 10 weeks in the fridge.  It expired on 3/30/22.  Called patient to discuss cdc recommendation for re-vaccination.  Patient did not want to re-vax
Age: 22.0
Sex: F
Vaccine: IPV, TYP, YF
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Redness and itchiness over site of yellow fever injection
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Dyspnoea exertional, Fatigue
Clinical narrative: COVID break through report. I received my second booster shot on 04/29/2022. I contacted Covid on 05/09/2022. My adverse event started on 05/07/2022. I was very very tired, through the night I had body ache, then the next day I had a itchy throat. I couldn't breathe I was having difficulty breathing when I try to move around. My head is so congested. I had no fever. On May 13/2022 I contacted my doc through tele health she prescribed antibiotics 10 day. I am on my second day as of today. My cough is better now. I did home COVID test where I tested positive on May 9/2022 and May 13/2022 for COVID.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Pain, SARS-CoV-2 test positive, Throat irritation, Vaccine breakthrough infection
Clinical narrative: COVID break through report. I received my second booster shot on 04/29/2022. I contacted Covid on 05/09/2022. My adverse event started on 05/07/2022. I was very very tired, through the night I had body ache, then the next day I had a itchy throat. I couldn't breathe I was having difficulty breathing when I try to move around. My head is so congested. I had no fever. On May 13/2022 I contacted my doc through tele health she prescribed antibiotics 10 day. I am on my second day as of today. My cough is better now. I did home COVID test where I tested positive on May 9/2022 and May 13/2022 for COVID.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Interchange of vaccine products, Pruritus, Swelling face, Swollen tongue
Clinical narrative: This was my first time getting a Moderna Booster . My 3 previous covid vaccines were Pfizer .  See previous info as well . I got Moderna booster and then 3.5 hours  my face got itchy and felt swollen. My eyes and nose and throat were very itchy . My tongue felt a little swollen. I took a Benadryl 25mg and symptoms resolved in 1 hour .