chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Dyspnoea, Dyspnoea exertional, Endoscopy upper gastrointestinal tract normal, Fatigue
Clinical narrative: Breakthrough case of COVID  Positive test 05/19/2022. I was in the hospital beginning 05/17/2022 for 32 hours due to epigastric pain and esophageal pain. Internist Dr. and hospital GI. A CAT SCAN fluid surrounding lungs (plural effusions), thickening at the gastroesophageal junctions. I had an upper endoscopy that was normal, no issues from the inside. I was discharge and they asked my PCP to order a PET Scan. Results of Pet Scan were sx of the Covid, and I am waiting to meet with the GI to see if ore testing is needed. D/C from hospital on 05/18/2022. 05/19/2022 lost sense of taste of and smell and I developed mild congestion and fever of 101 at the highest. I took a home Covid test that came back positive. 05/20/2022, I started on Paxlovid due to concerns with the fluid in my lungs. I am 16 days out and I just have some shortness of breath with mild exertion and leftover fatigue, but that is improving as well.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Oesophageal disorder, Oesophageal pain, Pleural effusion, Positron emission tomogram abnormal
Clinical narrative: Breakthrough case of COVID  Positive test 05/19/2022. I was in the hospital beginning 05/17/2022 for 32 hours due to epigastric pain and esophageal pain. Internist Dr. and hospital GI. A CAT SCAN fluid surrounding lungs (plural effusions), thickening at the gastroesophageal junctions. I had an upper endoscopy that was normal, no issues from the inside. I was discharge and they asked my PCP to order a PET Scan. Results of Pet Scan were sx of the Covid, and I am waiting to meet with the GI to see if ore testing is needed. D/C from hospital on 05/18/2022. 05/19/2022 lost sense of taste of and smell and I developed mild congestion and fever of 101 at the highest. I took a home Covid test that came back positive. 05/20/2022, I started on Paxlovid due to concerns with the fluid in my lungs. I am 16 days out and I just have some shortness of breath with mild exertion and leftover fatigue, but that is improving as well.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID  Positive test 05/19/2022. I was in the hospital beginning 05/17/2022 for 32 hours due to epigastric pain and esophageal pain. Internist Dr. and hospital GI. A CAT SCAN fluid surrounding lungs (plural effusions), thickening at the gastroesophageal junctions. I had an upper endoscopy that was normal, no issues from the inside. I was discharge and they asked my PCP to order a PET Scan. Results of Pet Scan were sx of the Covid, and I am waiting to meet with the GI to see if ore testing is needed. D/C from hospital on 05/18/2022. 05/19/2022 lost sense of taste of and smell and I developed mild congestion and fever of 101 at the highest. I took a home Covid test that came back positive. 05/20/2022, I started on Paxlovid due to concerns with the fluid in my lungs. I am 16 days out and I just have some shortness of breath with mild exertion and leftover fatigue, but that is improving as well.
Age: 28.0
Sex: M
Vaccine: FLUA4
Symptoms: Anxiety, Feeling hot, Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient is 28 y/o male presented to clinic for booster dose of Moderna COVID-19 vaccine and 2021-2022 flu vaccine. After vaccination, it was realized that patient had been given the flu vaccine for individuals 65 years and older which has not been approved for his age group. Patient informed and asked if he could wait in the clinic for an extra few minutes while we consulted a provider. Patient consented and stated that he was feeling well 15 minutes post vaccination. Consulted with provider and the Fluad Quad package insert. Instructed patient that the dose for 65 and older that he had received includes a stronger dose of the flu vaccine than the one that would usually be provided. Reinforced education on the possibility of side effects of the vaccine, including arm pain, headache, and fever. Patient stated that his hands were beginning to feel hot and that his hands had not felt hot like this before. Patient also asked further about myocarditis and pericarditis after Covid vaccination. Patient appeared to be anxious.  Reinforced education and brought patient a bottle of water. Patient appeared less anxious. Instructed patient to stay at the clinic until he felt well but that he  would be free to go when he felt well. Instructed patient to call the clinic if he had questions after he left. Informed patient that he would be checked on again in 10 minutes. Returned to patient's room after 10 minutes, and patient had left.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: VACCINE ADMINISTERED OUTSIDE OF THE RECOMMENDED USE BY DATE FROM MANUFACTURER
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Dose was given to patient under the age of 18.  Parents gave us the wrong date of birth.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Leukocytosis
Clinical narrative: COVID Vaccine Breakthrough Case  J&J dose 3/13/21 (180501) Moderna Dose 11/9/21 (076C21A) COVID Positive March 2020 COVID Positive 12/20/21  12/20/21: History is obtained from patient as well as the personal review of records. Patient is a 45-year-old with known history of class 3 obesity, BMI of 52.2, anxiety and depression, lung nodule, diabetes mellitus, sleep apnea, asthma, chronic respiratory failure, and other medical problems.  She has been having intermittent episodes of worsening shortness of breath and low pulse ox. She has oxygen concentrator at home and is supposed to use oxygen as needed.  On and off episodes of cough with small amount of white sputum.  She called her pulmonologist for worsening shortness of breath and low oxygen levels.  She was advised to come to emergency department. She was found to have fever on arrival at emergency department.  Her temperature went up to 101.2° F while undergoing evaluation in ED.  she felt better after oxygen supplementation. X-ray showed right-sided pneumonia.  She tested positive for SARS-CoV-2.  Patient previously tested positive for COVID-19 in March 2020. She required ventilatory assistance and was treated at Hospitals and Clinics.  She has chronic leukocytosis and follows with hematologist.  She follows with neurologist for memory problems.  12/22/21: Home with Home Health Care
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Oxygen saturation decreased, Pneumonia, Productive cough, Pyrexia
Clinical narrative: COVID Vaccine Breakthrough Case  J&J dose 3/13/21 (180501) Moderna Dose 11/9/21 (076C21A) COVID Positive March 2020 COVID Positive 12/20/21  12/20/21: History is obtained from patient as well as the personal review of records. Patient is a 45-year-old with known history of class 3 obesity, BMI of 52.2, anxiety and depression, lung nodule, diabetes mellitus, sleep apnea, asthma, chronic respiratory failure, and other medical problems.  She has been having intermittent episodes of worsening shortness of breath and low pulse ox. She has oxygen concentrator at home and is supposed to use oxygen as needed.  On and off episodes of cough with small amount of white sputum.  She called her pulmonologist for worsening shortness of breath and low oxygen levels.  She was advised to come to emergency department. She was found to have fever on arrival at emergency department.  Her temperature went up to 101.2° F while undergoing evaluation in ED.  she felt better after oxygen supplementation. X-ray showed right-sided pneumonia.  She tested positive for SARS-CoV-2.  Patient previously tested positive for COVID-19 in March 2020. She required ventilatory assistance and was treated at Hospitals and Clinics.  She has chronic leukocytosis and follows with hematologist.  She follows with neurologist for memory problems.  12/22/21: Home with Home Health Care
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  J&J dose 3/13/21 (180501) Moderna Dose 11/9/21 (076C21A) COVID Positive March 2020 COVID Positive 12/20/21  12/20/21: History is obtained from patient as well as the personal review of records. Patient is a 45-year-old with known history of class 3 obesity, BMI of 52.2, anxiety and depression, lung nodule, diabetes mellitus, sleep apnea, asthma, chronic respiratory failure, and other medical problems.  She has been having intermittent episodes of worsening shortness of breath and low pulse ox. She has oxygen concentrator at home and is supposed to use oxygen as needed.  On and off episodes of cough with small amount of white sputum.  She called her pulmonologist for worsening shortness of breath and low oxygen levels.  She was advised to come to emergency department. She was found to have fever on arrival at emergency department.  Her temperature went up to 101.2° F while undergoing evaluation in ED.  she felt better after oxygen supplementation. X-ray showed right-sided pneumonia.  She tested positive for SARS-CoV-2.  Patient previously tested positive for COVID-19 in March 2020. She required ventilatory assistance and was treated at Hospitals and Clinics.  She has chronic leukocytosis and follows with hematologist.  She follows with neurologist for memory problems.  12/22/21: Home with Home Health Care
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: CLIENT RECEIVED PEDIATRIC PFIZER FORULATION OF 0.2ML AT 12YO. CLIENT SHOULD'VE RECEIVED GRAY-CAP FORMULATION OF 0.3ML.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Dysarthria, Dyspnoea, Headache
Clinical narrative: Pt brought in by EMS 4/24 having weakness on the left side and his speech was a little bit slurred. Denied any chest pain, palpitations, or shortness of breath. Pt COVID positive 4/25 denies any new symptoms besides mild headache. 4/28 pt denies any pain.  Left arm and leg are noted to be flaccid.  Pt remains A/Ox4.  Appetite moderate. 4/29 pt stable, reported weakness, shortness of breath or chest pain. Left arm and leg continued to be flaccid.  Pt c/o headache and medicated x2 with tylenol. 4/30 L side flaccid but pt is able to assist with repositioning. Pt continues to have daily headaches but denies any photophobia or neck stiffness. Discharged 4/30.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hemiparesis, Hypotonia, SARS-CoV-2 test positive
Clinical narrative: Pt brought in by EMS 4/24 having weakness on the left side and his speech was a little bit slurred. Denied any chest pain, palpitations, or shortness of breath. Pt COVID positive 4/25 denies any new symptoms besides mild headache. 4/28 pt denies any pain.  Left arm and leg are noted to be flaccid.  Pt remains A/Ox4.  Appetite moderate. 4/29 pt stable, reported weakness, shortness of breath or chest pain. Left arm and leg continued to be flaccid.  Pt c/o headache and medicated x2 with tylenol. 4/30 L side flaccid but pt is able to assist with repositioning. Pt continues to have daily headaches but denies any photophobia or neck stiffness. Discharged 4/30.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Cellulitis, Condition aggravated, Coronary arterial stent insertion
Clinical narrative: COVID Vaccine Breakthrough Case   Moderna Dose 1 1/12/21 (012L20A) Moderna Dose 2 2/9/21 (013M20A) Moderna Dose 3 12/10/21 (032H21A) COVID Positive 12/26/21  12/26/21: 57-year-old female patient with a history of uncontrolled type 2 diabetes with an A1c of 12% according to the patient  , hypertension, CAD with 1 stent placed on 3/1/2021-on Plavix, dyslipidemia returns to the emergency room with complaints of worsening of pain and the ulcer in her left foot.  The ulcer is located on the plantar surface of the left foot.  The patient was seen on 12/18/2021 in the emergency room for evaluation of a small open wound and prescribed clindamycin and discharged.  Patient return to see her primary care physician on 12/22/21 and her antibiotic was changed to Levaquin.  The patient has been taking her antibiotics as prescribed with no improvement. She noticed significant worsening of the pain rated at 9/10 and increased in swelling and redness of the left foot with inability to bear weight and hence came to the emergency room for further evaluation.  Patient denies any fever/chills/nausea or vomiting.  The patient has been a chronic smoker for more than 30 years but quit smoking a week ago.  She used to smoke about a pack or more every day.  Patient's case was discussed with orthopedics on-call who recommended podiatry consultation in a.m. for I and D and possible diagnosis of osteomyelitis.  12/31/21: 2019 novel coronavirus detected  Cellulitis Left foot  Left Diabetic foot ulcer  Sepsis  Type 2 diabetes mellitus with hyperglycemia
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetic foot, Dyslipidaemia, Erythema, Glycosylated haemoglobin increased, Hyperglycaemia
Clinical narrative: COVID Vaccine Breakthrough Case   Moderna Dose 1 1/12/21 (012L20A) Moderna Dose 2 2/9/21 (013M20A) Moderna Dose 3 12/10/21 (032H21A) COVID Positive 12/26/21  12/26/21: 57-year-old female patient with a history of uncontrolled type 2 diabetes with an A1c of 12% according to the patient  , hypertension, CAD with 1 stent placed on 3/1/2021-on Plavix, dyslipidemia returns to the emergency room with complaints of worsening of pain and the ulcer in her left foot.  The ulcer is located on the plantar surface of the left foot.  The patient was seen on 12/18/2021 in the emergency room for evaluation of a small open wound and prescribed clindamycin and discharged.  Patient return to see her primary care physician on 12/22/21 and her antibiotic was changed to Levaquin.  The patient has been taking her antibiotics as prescribed with no improvement. She noticed significant worsening of the pain rated at 9/10 and increased in swelling and redness of the left foot with inability to bear weight and hence came to the emergency room for further evaluation.  Patient denies any fever/chills/nausea or vomiting.  The patient has been a chronic smoker for more than 30 years but quit smoking a week ago.  She used to smoke about a pack or more every day.  Patient's case was discussed with orthopedics on-call who recommended podiatry consultation in a.m. for I and D and possible diagnosis of osteomyelitis.  12/31/21: 2019 novel coronavirus detected  Cellulitis Left foot  Left Diabetic foot ulcer  Sepsis  Type 2 diabetes mellitus with hyperglycemia
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, SARS-CoV-2 test positive, Sepsis, Skin ulcer
Clinical narrative: COVID Vaccine Breakthrough Case   Moderna Dose 1 1/12/21 (012L20A) Moderna Dose 2 2/9/21 (013M20A) Moderna Dose 3 12/10/21 (032H21A) COVID Positive 12/26/21  12/26/21: 57-year-old female patient with a history of uncontrolled type 2 diabetes with an A1c of 12% according to the patient  , hypertension, CAD with 1 stent placed on 3/1/2021-on Plavix, dyslipidemia returns to the emergency room with complaints of worsening of pain and the ulcer in her left foot.  The ulcer is located on the plantar surface of the left foot.  The patient was seen on 12/18/2021 in the emergency room for evaluation of a small open wound and prescribed clindamycin and discharged.  Patient return to see her primary care physician on 12/22/21 and her antibiotic was changed to Levaquin.  The patient has been taking her antibiotics as prescribed with no improvement. She noticed significant worsening of the pain rated at 9/10 and increased in swelling and redness of the left foot with inability to bear weight and hence came to the emergency room for further evaluation.  Patient denies any fever/chills/nausea or vomiting.  The patient has been a chronic smoker for more than 30 years but quit smoking a week ago.  She used to smoke about a pack or more every day.  Patient's case was discussed with orthopedics on-call who recommended podiatry consultation in a.m. for I and D and possible diagnosis of osteomyelitis.  12/31/21: 2019 novel coronavirus detected  Cellulitis Left foot  Left Diabetic foot ulcer  Sepsis  Type 2 diabetes mellitus with hyperglycemia
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, Vaccine breakthrough infection, Weight bearing difficulty, Wound
Clinical narrative: COVID Vaccine Breakthrough Case   Moderna Dose 1 1/12/21 (012L20A) Moderna Dose 2 2/9/21 (013M20A) Moderna Dose 3 12/10/21 (032H21A) COVID Positive 12/26/21  12/26/21: 57-year-old female patient with a history of uncontrolled type 2 diabetes with an A1c of 12% according to the patient  , hypertension, CAD with 1 stent placed on 3/1/2021-on Plavix, dyslipidemia returns to the emergency room with complaints of worsening of pain and the ulcer in her left foot.  The ulcer is located on the plantar surface of the left foot.  The patient was seen on 12/18/2021 in the emergency room for evaluation of a small open wound and prescribed clindamycin and discharged.  Patient return to see her primary care physician on 12/22/21 and her antibiotic was changed to Levaquin.  The patient has been taking her antibiotics as prescribed with no improvement. She noticed significant worsening of the pain rated at 9/10 and increased in swelling and redness of the left foot with inability to bear weight and hence came to the emergency room for further evaluation.  Patient denies any fever/chills/nausea or vomiting.  The patient has been a chronic smoker for more than 30 years but quit smoking a week ago.  She used to smoke about a pack or more every day.  Patient's case was discussed with orthopedics on-call who recommended podiatry consultation in a.m. for I and D and possible diagnosis of osteomyelitis.  12/31/21: 2019 novel coronavirus detected  Cellulitis Left foot  Left Diabetic foot ulcer  Sepsis  Type 2 diabetes mellitus with hyperglycemia
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: 2 days following vaccination developed pruritic confluent facial rash, with areas on both upper and lower extremities
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hyperglycaemia, Imaging procedure, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 Moderna COVID vaccinations, last dose 05/31/22, who admitted to hospital with COVID complications.  Provider d/c note below:  "Elderly diabetic woman previously vaccinated against COVID, recently diagnosed with acute COVID, started on prednisone for the same.  Presents with hyperglycemia in 500s, admitted and placed on insulin with control of blood sugar.  Steroids stopped.  No evidence of COVID pneumonitis on imaging.  Rapidly improved, weaned to room air and tolerated activity and ambulation on room air.  Patient requested discharge to home.  Patient released home on her chronic medications without further steroids or antivirals.  Patient completed her ten days of recommended quarantine while in the hospital"
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Anticoagulant therapy, Discomfort, Electroencephalogram, Feeling abnormal
Clinical narrative: pt states he started feeling slow.  He could feel the blood flowing in the veins around the brain in the skill.  He felt heavy like he was carrying a back pack on his back.  He was driving and he doesn't remember driving a couple of miles before he crashed his vehicle.  He was taken  to the community hospital ER.  He followed up with the clinic and took the ER medical records to them.  No treatment was started for his condition.  On 5/25/21 he had a seizure/convulsion and crashed another vehicle.  He was taken to another ER where he stayed for 3 days before coming to.  They ran all kinds of test.  Given blood thinners.  He was told to FU w/ clinic where he is still being treated. Clinic has yet to receive his medical records from the hospital.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Loss of consciousness, Road traffic accident, Seizure, Sensory disturbance
Clinical narrative: pt states he started feeling slow.  He could feel the blood flowing in the veins around the brain in the skill.  He felt heavy like he was carrying a back pack on his back.  He was driving and he doesn't remember driving a couple of miles before he crashed his vehicle.  He was taken  to the community hospital ER.  He followed up with the clinic and took the ER medical records to them.  No treatment was started for his condition.  On 5/25/21 he had a seizure/convulsion and crashed another vehicle.  He was taken to another ER where he stayed for 3 days before coming to.  They ran all kinds of test.  Given blood thinners.  He was told to FU w/ clinic where he is still being treated. Clinic has yet to receive his medical records from the hospital.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Antiplatelet therapy, Atrial fibrillation, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 9/23/21 (FE3592) Pfizer Dose 2 10/14/21 (FF8841) COVID Positive 12/16/21  12/16/21: History is obtained from patient as well as by personal review of records.  Patient is 80-year-old gentleman with known history of hypertension diabetes mellitus coronary status post artery bypass, aortic aneurysm repair,  bypass surgery,   anxiety disorder, peripheral vascular disease and medical problems. He has received 2 doses of  SARS-CoV-2  vaccination. Second dose in October 2021.  He presented to emergency department worsening shortness of breath few days duration.  Started off as dyspnea on exertion.  Breathing is worse in last 1 day.  He also reported fever, chills and extreme fatigue.  He reportedly had pulse ox of 74. He required up to 10 L of oxygen in emergency department to maintain saturations.  He was found to be in atrial fibrillation with rapid ventricular response.  He has converted to sinus rhythm by the time of my examination.  No previous history of atrial fibrillation as per records.  He tested positive for  SARS-CoV-2.  He reported orthopnea.  Worsening cough without much expectoration.  Lab work showed elevated total CK, CK-MB and  troponin.  1/6/22: 80-year-old male patient with history of hypertension, type 2 diabetes, CABG, aortic aneurysm repair, peripheral vascular disease the was admitted to the hospital on 12/17/2021 with complaints of shortness of breath.  Patient had received 2 doses of COVID-19 vaccines. However he was very short of breath with hypoxemia and required 10 L of oxygen as his pulse ox was 74% on admission.  Patient also noted to have atrial fibrillation with RVR and elevated troponins.  Cardiology and pulmonology consultations were obtained and the patient was recommended outpatient evaluation for ischemic heart disease.  Medications were adjusted for appropriate heart rate per Cardiology.  He was maintained on aspirin, Plavix and Eliquis was started but however the patient had hematuria and hence Eliquis was on hold.  The patient continued to require significant amount of oxygen to about 10 L and was able to maintain his pulse ox in the low 90s and his clinical condition was discussed in detail with the daughter.  The the patient and the daughter decided for him to be discharged home with hospice. Arrangements were made per the case manager for the patient to be transferred to hospice care at home.  Patient was discharged with hospice on 1/6/2022.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 9/23/21 (FE3592) Pfizer Dose 2 10/14/21 (FF8841) COVID Positive 12/16/21  12/16/21: History is obtained from patient as well as by personal review of records.  Patient is 80-year-old gentleman with known history of hypertension diabetes mellitus coronary status post artery bypass, aortic aneurysm repair,  bypass surgery,   anxiety disorder, peripheral vascular disease and medical problems. He has received 2 doses of  SARS-CoV-2  vaccination. Second dose in October 2021.  He presented to emergency department worsening shortness of breath few days duration.  Started off as dyspnea on exertion.  Breathing is worse in last 1 day.  He also reported fever, chills and extreme fatigue.  He reportedly had pulse ox of 74. He required up to 10 L of oxygen in emergency department to maintain saturations.  He was found to be in atrial fibrillation with rapid ventricular response.  He has converted to sinus rhythm by the time of my examination.  No previous history of atrial fibrillation as per records.  He tested positive for  SARS-CoV-2.  He reported orthopnea.  Worsening cough without much expectoration.  Lab work showed elevated total CK, CK-MB and  troponin.  1/6/22: 80-year-old male patient with history of hypertension, type 2 diabetes, CABG, aortic aneurysm repair, peripheral vascular disease the was admitted to the hospital on 12/17/2021 with complaints of shortness of breath.  Patient had received 2 doses of COVID-19 vaccines. However he was very short of breath with hypoxemia and required 10 L of oxygen as his pulse ox was 74% on admission.  Patient also noted to have atrial fibrillation with RVR and elevated troponins.  Cardiology and pulmonology consultations were obtained and the patient was recommended outpatient evaluation for ischemic heart disease.  Medications were adjusted for appropriate heart rate per Cardiology.  He was maintained on aspirin, Plavix and Eliquis was started but however the patient had hematuria and hence Eliquis was on hold.  The patient continued to require significant amount of oxygen to about 10 L and was able to maintain his pulse ox in the low 90s and his clinical condition was discussed in detail with the daughter.  The the patient and the daughter decided for him to be discharged home with hospice. Arrangements were made per the case manager for the patient to be transferred to hospice care at home.  Patient was discharged with hospice on 1/6/2022.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Haematuria, Hypoxia, Laboratory test, Orthopnoea
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 9/23/21 (FE3592) Pfizer Dose 2 10/14/21 (FF8841) COVID Positive 12/16/21  12/16/21: History is obtained from patient as well as by personal review of records.  Patient is 80-year-old gentleman with known history of hypertension diabetes mellitus coronary status post artery bypass, aortic aneurysm repair,  bypass surgery,   anxiety disorder, peripheral vascular disease and medical problems. He has received 2 doses of  SARS-CoV-2  vaccination. Second dose in October 2021.  He presented to emergency department worsening shortness of breath few days duration.  Started off as dyspnea on exertion.  Breathing is worse in last 1 day.  He also reported fever, chills and extreme fatigue.  He reportedly had pulse ox of 74. He required up to 10 L of oxygen in emergency department to maintain saturations.  He was found to be in atrial fibrillation with rapid ventricular response.  He has converted to sinus rhythm by the time of my examination.  No previous history of atrial fibrillation as per records.  He tested positive for  SARS-CoV-2.  He reported orthopnea.  Worsening cough without much expectoration.  Lab work showed elevated total CK, CK-MB and  troponin.  1/6/22: 80-year-old male patient with history of hypertension, type 2 diabetes, CABG, aortic aneurysm repair, peripheral vascular disease the was admitted to the hospital on 12/17/2021 with complaints of shortness of breath.  Patient had received 2 doses of COVID-19 vaccines. However he was very short of breath with hypoxemia and required 10 L of oxygen as his pulse ox was 74% on admission.  Patient also noted to have atrial fibrillation with RVR and elevated troponins.  Cardiology and pulmonology consultations were obtained and the patient was recommended outpatient evaluation for ischemic heart disease.  Medications were adjusted for appropriate heart rate per Cardiology.  He was maintained on aspirin, Plavix and Eliquis was started but however the patient had hematuria and hence Eliquis was on hold.  The patient continued to require significant amount of oxygen to about 10 L and was able to maintain his pulse ox in the low 90s and his clinical condition was discussed in detail with the daughter.  The the patient and the daughter decided for him to be discharged home with hospice. Arrangements were made per the case manager for the patient to be transferred to hospice care at home.  Patient was discharged with hospice on 1/6/2022.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Troponin increased, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 9/23/21 (FE3592) Pfizer Dose 2 10/14/21 (FF8841) COVID Positive 12/16/21  12/16/21: History is obtained from patient as well as by personal review of records.  Patient is 80-year-old gentleman with known history of hypertension diabetes mellitus coronary status post artery bypass, aortic aneurysm repair,  bypass surgery,   anxiety disorder, peripheral vascular disease and medical problems. He has received 2 doses of  SARS-CoV-2  vaccination. Second dose in October 2021.  He presented to emergency department worsening shortness of breath few days duration.  Started off as dyspnea on exertion.  Breathing is worse in last 1 day.  He also reported fever, chills and extreme fatigue.  He reportedly had pulse ox of 74. He required up to 10 L of oxygen in emergency department to maintain saturations.  He was found to be in atrial fibrillation with rapid ventricular response.  He has converted to sinus rhythm by the time of my examination.  No previous history of atrial fibrillation as per records.  He tested positive for  SARS-CoV-2.  He reported orthopnea.  Worsening cough without much expectoration.  Lab work showed elevated total CK, CK-MB and  troponin.  1/6/22: 80-year-old male patient with history of hypertension, type 2 diabetes, CABG, aortic aneurysm repair, peripheral vascular disease the was admitted to the hospital on 12/17/2021 with complaints of shortness of breath.  Patient had received 2 doses of COVID-19 vaccines. However he was very short of breath with hypoxemia and required 10 L of oxygen as his pulse ox was 74% on admission.  Patient also noted to have atrial fibrillation with RVR and elevated troponins.  Cardiology and pulmonology consultations were obtained and the patient was recommended outpatient evaluation for ischemic heart disease.  Medications were adjusted for appropriate heart rate per Cardiology.  He was maintained on aspirin, Plavix and Eliquis was started but however the patient had hematuria and hence Eliquis was on hold.  The patient continued to require significant amount of oxygen to about 10 L and was able to maintain his pulse ox in the low 90s and his clinical condition was discussed in detail with the daughter.  The the patient and the daughter decided for him to be discharged home with hospice. Arrangements were made per the case manager for the patient to be transferred to hospice care at home.  Patient was discharged with hospice on 1/6/2022.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: HIV test, HIV test false positive
Clinical narrative: False positive hiv test
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: HIV test, Injury associated with device, SARS-CoV-2 test, Stress, Weight
Clinical narrative: False positive hiv test
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Illness
Clinical narrative: False positive hiv test
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Wound, Wound closure
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/11/21 (EN6205) Pfizer Dose 2 4/8/21 (EN6208) Pfizer Dose 3 10/15/21 (FF2588) COVID Positive 12/29/21  12/28/21: 76-year-old female patient with a history of bowel obstruction 3 times and subsequently had exploratory laparotomy for lysis of adhesions which were extensive. This surgery was performed on 10/17/2021 per Dr. at Hospital.  Subsequently the patient was discharged to the Hospital for further care for the wound care.  The patient was discharged with an open abdominal wound as this could not be closed.  The patient's family was unhappy with the care provided to the patient and the Hospital and hence she was transferred to another location.  And this location, the family again and noticed that due patient was covered completely in her stool and there was significant excoriation of the skin around the open wound.  The patient was then brought into the hospital today for admission. The patient could not be admitted at the first Hospital as  Dr. is available but due to the inavailability of the beds, the patient is admitted here. The emergency room physician spoke with this surgeon on-call Dr. who agreed to follow the patient here but no surgery will be performed at present.  Dr. was also called who recommended only TPN and no acute need for surgery. The patient has no history of fevers, chills, nausea or vomiting.  The patient was unfortunately fed at the hospital and hence her drainage was getting worse.  The patient has no other complaints at this point.  1/7/22: 76-year-old female patient with a history of bowel obstruction 3 times and subsequently had exploratory laparotomy for lysis of adhesions which were extensive. This surgery was performed on 10/17/2021 per Dr. at Hospital.  Subsequently the patient was discharged to the Hospital for further care for the wound care.  The patient was discharged with an open abdominal wound as this could not be closed.  The patient's family was unhappy with the care provided to the patient at the Hospital and hence she was transferred to another location.  At this location, the family again  noticed that patient was covered completely in her stool and there was significant excoriation of the skin around the open wound.  The patient was then brought into the hospital for admission.  The patient could not be admitted at the first Hospital as  Dr. is available but due to the lack of the beds, the patient was admitted here.   Patient was noted to be positive for the SARS-CoV-2 virus infection.  She was totally asymptomatic did not have any fevers or hypoxia.  The wound nurse was consulted who had the patient with the wound VAC and also surgery consultation was obtained.  The patient was also started on TPN.  Education and instructions given to the family with regards to Accuchecks and TPN administration.  Patient will see the surgeon 1st prior to being discharged home at his clinic.  Patient will have visiting nurses services.  All questions answered at the time of discharge.  Patient will follow up with PCP in 1 week.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: 5-26-2022, I started noticing a sore throat, fatigue and head congestion and I took a home Covid test that was negative. I retook another home test on 5-27 and it was negative as well. On 5-30, 2022, I took another home test and it was positive. I called the doctor on 5-30 and went to the urgent care. They prescribed a cough medicine with codeine and told me to come back if it got worse. I am much better today. I am reporting my breakthrough case of Covid.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: 5-26-2022, I started noticing a sore throat, fatigue and head congestion and I took a home Covid test that was negative. I retook another home test on 5-27 and it was negative as well. On 5-30, 2022, I took another home test and it was positive. I called the doctor on 5-30 and went to the urgent care. They prescribed a cough medicine with codeine and told me to come back if it got worse. I am much better today. I am reporting my breakthrough case of Covid.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Urinary Tract infection which was resolved with antibiotics
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Astigmatism, Corrective lens user, Migraine, Ophthalmological examination abnormal, Pyrexia
Clinical narrative: After the vaccine, I had a severe headache like a migraine, fever 102. I took Tylenol and Ibuprofen for a few days while this lasted. Within a week I had an awful, dry headache, which leaded to my vision to change. The migraine medication didn't help. I had extreme restless legs. Maybe a week later, I noticed my vision was not great. I was closing one eye to look at things on my phone. I was diagnosed with a stigmatism, and given contacts by my doctor. A few weeks later, I was told again at another eye exam that it was much worse and needed corrective lenses for both eyes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Restless legs syndrome, Visual impairment
Clinical narrative: After the vaccine, I had a severe headache like a migraine, fever 102. I took Tylenol and Ibuprofen for a few days while this lasted. Within a week I had an awful, dry headache, which leaded to my vision to change. The migraine medication didn't help. I had extreme restless legs. Maybe a week later, I noticed my vision was not great. I was closing one eye to look at things on my phone. I was diagnosed with a stigmatism, and given contacts by my doctor. A few weeks later, I was told again at another eye exam that it was much worse and needed corrective lenses for both eyes.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Cardiac failure, Cardiac failure congestive, Catheterisation cardiac abnormal
Clinical narrative: Patient with 3 COVID vaccinations who admitted with dyspnea and tested detected for COVID.  Provider d/c note below:  "Reason for Admission: Dyspnea   68 yo with CAD, CHF, COPD, PVD, AAA, DM, smoking history, presented with 2-3 weeks of feeling unwell.  He tested positive for COVID on 5/15 - he had flu-like symptoms   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for chronic obstructive pulmonary disease exacerbation finding of CHF with reduced ejection fraction, history of coronary artery disease, COVID-19 infection  Cardiology consultation   Had cardiac catheterization on 06/02, has CHF with reduced ejection fraction, known coronary artery disease, status post stents False positive findings on CT scan, no significant coronary artery disease requiring any intervention Cardiac catheterization performed from the right radial artery Stent in the coronary arteries are patent There was no obstructive was noted the plaque irregularity is seen.  The area in question as reported by CT scan critical proximal LAD stenosis has no lesion it was a false-positive report. LV-gram shows ejection fraction of 35-40%   Acute exacerbation of chronic obstructive pulmonary disease Continue with DuoNeb, already on steroid in the form of dexamethasone for COVID infection   COVID-19 infection Mild hypoxia, already on steroids, CTA pulmonary shows no pulmonary embolism incidental finding of coronary artery disease Case discussed with infection control patient being removed of severe respiratory isolation, as he is 10 days out of initiation of symptomatic infection   Left lower lung pulmonary nodule-not seen on CTA of the pulmonary artery, however will need dedicated CT scans on follow-up   Coronary artery disease-history of stent,   CHF with reduced ejection fraction-LVEF of 35-40% On Ace inhibitor, lisinopril, beta-blocker, metoprolol, Aldactone Cardiology is planning cardiac catheterization 6/2   Diabetes mellitus- appears well controlled Continue with Lantus at a smaller dose for now Correction insulin, diabetic diet,   Smoking cessation offered, however patient refuses to quit   Recurrent headaches-MRI of the brain was done at the patient's request, no acute abnormality"
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea, Ejection fraction
Clinical narrative: Patient with 3 COVID vaccinations who admitted with dyspnea and tested detected for COVID.  Provider d/c note below:  "Reason for Admission: Dyspnea   68 yo with CAD, CHF, COPD, PVD, AAA, DM, smoking history, presented with 2-3 weeks of feeling unwell.  He tested positive for COVID on 5/15 - he had flu-like symptoms   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for chronic obstructive pulmonary disease exacerbation finding of CHF with reduced ejection fraction, history of coronary artery disease, COVID-19 infection  Cardiology consultation   Had cardiac catheterization on 06/02, has CHF with reduced ejection fraction, known coronary artery disease, status post stents False positive findings on CT scan, no significant coronary artery disease requiring any intervention Cardiac catheterization performed from the right radial artery Stent in the coronary arteries are patent There was no obstructive was noted the plaque irregularity is seen.  The area in question as reported by CT scan critical proximal LAD stenosis has no lesion it was a false-positive report. LV-gram shows ejection fraction of 35-40%   Acute exacerbation of chronic obstructive pulmonary disease Continue with DuoNeb, already on steroid in the form of dexamethasone for COVID infection   COVID-19 infection Mild hypoxia, already on steroids, CTA pulmonary shows no pulmonary embolism incidental finding of coronary artery disease Case discussed with infection control patient being removed of severe respiratory isolation, as he is 10 days out of initiation of symptomatic infection   Left lower lung pulmonary nodule-not seen on CTA of the pulmonary artery, however will need dedicated CT scans on follow-up   Coronary artery disease-history of stent,   CHF with reduced ejection fraction-LVEF of 35-40% On Ace inhibitor, lisinopril, beta-blocker, metoprolol, Aldactone Cardiology is planning cardiac catheterization 6/2   Diabetes mellitus- appears well controlled Continue with Lantus at a smaller dose for now Correction insulin, diabetic diet,   Smoking cessation offered, however patient refuses to quit   Recurrent headaches-MRI of the brain was done at the patient's request, no acute abnormality"
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: False positive investigation result, Headache, Hypoxia, Influenza like illness, Magnetic resonance imaging head normal
Clinical narrative: Patient with 3 COVID vaccinations who admitted with dyspnea and tested detected for COVID.  Provider d/c note below:  "Reason for Admission: Dyspnea   68 yo with CAD, CHF, COPD, PVD, AAA, DM, smoking history, presented with 2-3 weeks of feeling unwell.  He tested positive for COVID on 5/15 - he had flu-like symptoms   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for chronic obstructive pulmonary disease exacerbation finding of CHF with reduced ejection fraction, history of coronary artery disease, COVID-19 infection  Cardiology consultation   Had cardiac catheterization on 06/02, has CHF with reduced ejection fraction, known coronary artery disease, status post stents False positive findings on CT scan, no significant coronary artery disease requiring any intervention Cardiac catheterization performed from the right radial artery Stent in the coronary arteries are patent There was no obstructive was noted the plaque irregularity is seen.  The area in question as reported by CT scan critical proximal LAD stenosis has no lesion it was a false-positive report. LV-gram shows ejection fraction of 35-40%   Acute exacerbation of chronic obstructive pulmonary disease Continue with DuoNeb, already on steroid in the form of dexamethasone for COVID infection   COVID-19 infection Mild hypoxia, already on steroids, CTA pulmonary shows no pulmonary embolism incidental finding of coronary artery disease Case discussed with infection control patient being removed of severe respiratory isolation, as he is 10 days out of initiation of symptomatic infection   Left lower lung pulmonary nodule-not seen on CTA of the pulmonary artery, however will need dedicated CT scans on follow-up   Coronary artery disease-history of stent,   CHF with reduced ejection fraction-LVEF of 35-40% On Ace inhibitor, lisinopril, beta-blocker, metoprolol, Aldactone Cardiology is planning cardiac catheterization 6/2   Diabetes mellitus- appears well controlled Continue with Lantus at a smaller dose for now Correction insulin, diabetic diet,   Smoking cessation offered, however patient refuses to quit   Recurrent headaches-MRI of the brain was done at the patient's request, no acute abnormality"
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient with 3 COVID vaccinations who admitted with dyspnea and tested detected for COVID.  Provider d/c note below:  "Reason for Admission: Dyspnea   68 yo with CAD, CHF, COPD, PVD, AAA, DM, smoking history, presented with 2-3 weeks of feeling unwell.  He tested positive for COVID on 5/15 - he had flu-like symptoms   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for chronic obstructive pulmonary disease exacerbation finding of CHF with reduced ejection fraction, history of coronary artery disease, COVID-19 infection  Cardiology consultation   Had cardiac catheterization on 06/02, has CHF with reduced ejection fraction, known coronary artery disease, status post stents False positive findings on CT scan, no significant coronary artery disease requiring any intervention Cardiac catheterization performed from the right radial artery Stent in the coronary arteries are patent There was no obstructive was noted the plaque irregularity is seen.  The area in question as reported by CT scan critical proximal LAD stenosis has no lesion it was a false-positive report. LV-gram shows ejection fraction of 35-40%   Acute exacerbation of chronic obstructive pulmonary disease Continue with DuoNeb, already on steroid in the form of dexamethasone for COVID infection   COVID-19 infection Mild hypoxia, already on steroids, CTA pulmonary shows no pulmonary embolism incidental finding of coronary artery disease Case discussed with infection control patient being removed of severe respiratory isolation, as he is 10 days out of initiation of symptomatic infection   Left lower lung pulmonary nodule-not seen on CTA of the pulmonary artery, however will need dedicated CT scans on follow-up   Coronary artery disease-history of stent,   CHF with reduced ejection fraction-LVEF of 35-40% On Ace inhibitor, lisinopril, beta-blocker, metoprolol, Aldactone Cardiology is planning cardiac catheterization 6/2   Diabetes mellitus- appears well controlled Continue with Lantus at a smaller dose for now Correction insulin, diabetic diet,   Smoking cessation offered, however patient refuses to quit   Recurrent headaches-MRI of the brain was done at the patient's request, no acute abnormality"
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Dyspnoea, Hypoxia
Clinical narrative: DC from hospital for COVID day prior to arrival, hypoxia at home. Treated with remdesivir, Vit-c, aspirin, zithromax, Vit-D, steroids, singulair, O2. Weaned to RA and discharged home.  Hospital Course: patient is a 66 y.o. female who presented to the hospital with complaint of shortness of breath and fever.  Patient was found to have covid pneumonia and associated acute hypoxic respiratory failure.  She improved with decadron, remdesivir, and supportive care.  She was then discharged home for outpatient follow up.   Disposition: She will be discharged 9/13/21 to home