chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dental caries, Gingival recession
Clinical narrative: Teeth decay, receding gums
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dupuytren's contracture
Clinical narrative: Dupuytren's disease of palm. No treatment. Died of other causes 2 months later (date of death 01/05/2022)
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Loss of personal independence in daily activities, Pain, Pain in extremity, Sleep disorder
Clinical narrative: Patient received first booster dose of Moderna COVID-19 vaccine on 6/28/22 following previous primary dose series with Pfizer COVID-19 vaccine. During 15-minute observation period, patient exhibited no adverse effects. Patient presented the next day reporting inability to move right arm from above the elbow and reports shooting pain when attempting to move ever since approximately 15-30 min post vaccination (on the ride home). He is able to shrug shoulders but cannot lift arm more than slightly from the position of arm at his side. The pain impacted his sleep and ability to get dressed himself. Upon examination on 6/29/22, the arm has no sign of inflammation or irritation (no redness, swelling, or bumps).   Patient was advised to continue to monitor arm mobility and pain and to get it examined by a doctor if this persists after 48 hours since vaccination (6/30/22 noon). Patient will be contacted by pharmacy tomorrow (6/30/22) to follow up with patient and patient has been scheduled for primary care assessment on 7/1/22 in case the issues persists. Patient's regular primary care physician is notified of incident.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Death, Dyspnoea, Dyspnoea exertional
Clinical narrative: Patient with a h/o multivessel disease and endstage CHF presented to ED c/o worsening SOB.  Patient reported getting SOB on exertion.   In the ED the patient was hypotensive and tachycardia, troponin elevated, heparin qtt started, and levophed drip started per cardiology.  Patient also tested positive for Covid-19.   For concerns of sepsis, Vanc and Zosyn started.  Echocardiogram revealed EF <25%, left atrium severely dilated, and severe mitral regurgitation.  On 05/26/2022 patient becoming more hypotensive, MAP was not maintained with levophed and dobutamin qtts.  Patient made comfort care on 05/27/2022 and expired on 5/29/2022.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Hypotension, Left atrial dilatation, Mitral valve incompetence
Clinical narrative: Patient with a h/o multivessel disease and endstage CHF presented to ED c/o worsening SOB.  Patient reported getting SOB on exertion.   In the ED the patient was hypotensive and tachycardia, troponin elevated, heparin qtt started, and levophed drip started per cardiology.  Patient also tested positive for Covid-19.   For concerns of sepsis, Vanc and Zosyn started.  Echocardiogram revealed EF <25%, left atrium severely dilated, and severe mitral regurgitation.  On 05/26/2022 patient becoming more hypotensive, MAP was not maintained with levophed and dobutamin qtts.  Patient made comfort care on 05/27/2022 and expired on 5/29/2022.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Troponin increased
Clinical narrative: Patient with a h/o multivessel disease and endstage CHF presented to ED c/o worsening SOB.  Patient reported getting SOB on exertion.   In the ED the patient was hypotensive and tachycardia, troponin elevated, heparin qtt started, and levophed drip started per cardiology.  Patient also tested positive for Covid-19.   For concerns of sepsis, Vanc and Zosyn started.  Echocardiogram revealed EF <25%, left atrium severely dilated, and severe mitral regurgitation.  On 05/26/2022 patient becoming more hypotensive, MAP was not maintained with levophed and dobutamin qtts.  Patient made comfort care on 05/27/2022 and expired on 5/29/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: Starting 06/22/2022, I developed a scratchy throat and mild cough. I took at home tests on 06/22 and 06/23 which were negative. I took another at home test on 06/25/2022 which was positive. From 06/24/2022 until the 27th I had a dry cough in my chest, dull headache and some fatigue. Yesterday 06/28/2022 I still had some fatigue. Today, 06/29/2022 I still have fatigue but better than yesterday. The fatigue from 06/25/2022-06/27/2022 was very extreme.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Starting 06/22/2022, I developed a scratchy throat and mild cough. I took at home tests on 06/22 and 06/23 which were negative. I took another at home test on 06/25/2022 which was positive. From 06/24/2022 until the 27th I had a dry cough in my chest, dull headache and some fatigue. Yesterday 06/28/2022 I still had some fatigue. Today, 06/29/2022 I still have fatigue but better than yesterday. The fatigue from 06/25/2022-06/27/2022 was very extreme.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Feeling abnormal, Infection, Nasopharyngitis
Clinical narrative: I had congestion like a head cold, sinus drainage, and a sore throat but up in the sinus cavity. I also had soreness. I didn?t have any fever and just a little bit of a cough. That started on the 20th of June. My infection kept hanging on and I tested on the 22nd and came back positive. Two days later on the 24th, I wasn?t feeling any better. I called the health department, and I had a previous episode several years ago of a pertussis cough. I was worried about this moving into my lungs, so I was prescribed Paxlovid and I started that the night of the 24th which I finished yesterday morning. Unfortunately, I am still congested and it?s hanging on and doesn?t want to go away.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus operation, Sinus pain
Clinical narrative: I had congestion like a head cold, sinus drainage, and a sore throat but up in the sinus cavity. I also had soreness. I didn?t have any fever and just a little bit of a cough. That started on the 20th of June. My infection kept hanging on and I tested on the 22nd and came back positive. Two days later on the 24th, I wasn?t feeling any better. I called the health department, and I had a previous episode several years ago of a pertussis cough. I was worried about this moving into my lungs, so I was prescribed Paxlovid and I started that the night of the 24th which I finished yesterday morning. Unfortunately, I am still congested and it?s hanging on and doesn?t want to go away.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Pain in extremity
Clinical narrative: Patient came in on 6/24/2022 at 2:00 p.m. to receive her 2nd booster vaccine which would've been a partial dose of 0.25 mg instead patient received 0.5 mg the full dose. As soon as discovered, I called the patient to make them aware and signs and symptoms to monitor for. Patient stated at the time had no side effects at 4:31 p.m. Called again on monday to see how she was doing and patient stated other than a sore arm she had no side effects.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dry mouth, Nausea, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: My symptoms started on a Sunday night with tightness in my throat when I swallowed. I thought the scratchiness in my throat came from cleaning. The next night I noticed the tightness in my throat was worse and I had dry mouth. I had some congestion, nothing major though. I didn't think anything of it. I was on vacation that week. I also had nausea. I took my dad to urgent care and I decided to test just to be safe, which was positive. This lasted about a week.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation, Throat tightness
Clinical narrative: My symptoms started on a Sunday night with tightness in my throat when I swallowed. I thought the scratchiness in my throat came from cleaning. The next night I noticed the tightness in my throat was worse and I had dry mouth. I had some congestion, nothing major though. I didn't think anything of it. I was on vacation that week. I also had nausea. I took my dad to urgent care and I decided to test just to be safe, which was positive. This lasted about a week.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Feeling abnormal, Food craving
Clinical narrative: On June 7, 2022 I started feeling lethargic I had a fever of 101.8F, then chills. My fever broke around 10:00am June 8, 2022 when I tested positive for COVID-19. I developed a cough that was more in my left side than my right. I did not lose my taste or smell but everything seemed to tasty excessive. I felt like I had ran a marathon and body needed quick carbs, I was craving sweets, waffles with maple syrup. After ten days I went to the clinic to get treated for the persistent cough. I tested negative after fourteen days.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pyrexia, SARS-CoV-2 test positive, Taste disorder
Clinical narrative: On June 7, 2022 I started feeling lethargic I had a fever of 101.8F, then chills. My fever broke around 10:00am June 8, 2022 when I tested positive for COVID-19. I developed a cough that was more in my left side than my right. I did not lose my taste or smell but everything seemed to tasty excessive. I felt like I had ran a marathon and body needed quick carbs, I was craving sweets, waffles with maple syrup. After ten days I went to the clinic to get treated for the persistent cough. I tested negative after fourteen days.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Constipation, Crying, Hyperhidrosis
Clinical narrative: Severe constipation, which has never happened before. She is normally regular and was not dehydrated. She was crying and sweating and sat on the toilet for over an hour. We had to give her a laxative chew. She potentially developed hemorrhoids from pushing so hard.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: Patient came in on 6/24/2022 for his 2nd booster vaccine which should have been a partial dose of 0.25 mg, instead patient received the full dose 0.5 mg. Quickly after discovery, I called patient around 4:30 p.m. to make aware of the incident. Made aware symptoms may intensify or may not have symptoms at all. Made him aware if any severe go straight to ER. Patient stated at the time, he had only a sore arm. Called patient back on monday to see how they were doing and patient stated he felt great and had no other side effect other than the sore arm.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: patient received expired medication. confirmed with manufacturer that dose maintained its efficacy. no follow-up needed. no adverse outcome
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Rash
Clinical narrative: Patient was administered a Pfizer booster vaccine (4th) that was given SQ instead of IM on 6/26/2022. Developed a rash same day  and rash has become larger as of today on 6/29/2022
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Colitis, Colonoscopy abnormal, Fatigue
Clinical narrative: 05/02/2022 I received the vaccination and I did not feel I had a severe reaction, I did however have issues with achiness, fatigue, and overall slightly painful. I did then have a lot of gastrointestinal problems later on and also headaches and fatigue. The most noticeable reaction is that my legs are trembling and it is hard to walk due to increase weakness. Low grade fever every now and then, and weight loss as well. I have been receiving care from my physicians who did a colonoscopy that found slight inflammation and pre cancerous polyps. My symptoms had gotten worse from the procedure as well. They are looking into Addison's Disease. I did have 2 emergency visits due to dry heaving and abdominal pain after my procedure.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Gastrointestinal disorder, Headache, Large intestine polyp, Pain
Clinical narrative: 05/02/2022 I received the vaccination and I did not feel I had a severe reaction, I did however have issues with achiness, fatigue, and overall slightly painful. I did then have a lot of gastrointestinal problems later on and also headaches and fatigue. The most noticeable reaction is that my legs are trembling and it is hard to walk due to increase weakness. Low grade fever every now and then, and weight loss as well. I have been receiving care from my physicians who did a colonoscopy that found slight inflammation and pre cancerous polyps. My symptoms had gotten worse from the procedure as well. They are looking into Addison's Disease. I did have 2 emergency visits due to dry heaving and abdominal pain after my procedure.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Precancerous lesion of digestive tract, Procedural nausea, Procedural pain, Pyrexia, Retching
Clinical narrative: 05/02/2022 I received the vaccination and I did not feel I had a severe reaction, I did however have issues with achiness, fatigue, and overall slightly painful. I did then have a lot of gastrointestinal problems later on and also headaches and fatigue. The most noticeable reaction is that my legs are trembling and it is hard to walk due to increase weakness. Low grade fever every now and then, and weight loss as well. I have been receiving care from my physicians who did a colonoscopy that found slight inflammation and pre cancerous polyps. My symptoms had gotten worse from the procedure as well. They are looking into Addison's Disease. I did have 2 emergency visits due to dry heaving and abdominal pain after my procedure.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Weight decreased
Clinical narrative: 05/02/2022 I received the vaccination and I did not feel I had a severe reaction, I did however have issues with achiness, fatigue, and overall slightly painful. I did then have a lot of gastrointestinal problems later on and also headaches and fatigue. The most noticeable reaction is that my legs are trembling and it is hard to walk due to increase weakness. Low grade fever every now and then, and weight loss as well. I have been receiving care from my physicians who did a colonoscopy that found slight inflammation and pre cancerous polyps. My symptoms had gotten worse from the procedure as well. They are looking into Addison's Disease. I did have 2 emergency visits due to dry heaving and abdominal pain after my procedure.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I was exposed to COVID-19 with my nephew while out with other family members. On June 14, I started having symptoms with a minor sore throat. I didn't feel bad at all because I thought it was allergies. I tested positive for COVID-19 on June 18 with a home test. I took Mucinex-D, Flonase, Tylenol and Advil for my symptoms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: Patient came in on 6/24/2022 for her 2nd booster vaccine which should have been a partial dose of 0.25 mg, instead patient received the full dose 0.5 mg. Quickly after discovery, I called patient around 4:30 p.m. to make aware of the incident. Made aware symptoms may intensify or may not have symptoms at all. Made her aware if any severe go straight to ER. Patient stated at the time, she had only a sore arm. Called patient back on monday to see how they were doing and patient stated she had no other side effect other than the sore arm.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt told vaccinator that he had never had any other covid vaccines. Stated this was his first vaccine. Manager looked up pt in system after the pt had left and found 3 doses prior to today's dose. Pt did not qualify for second booster. Under 50yo and denied immunocompromise. Pt now has 4 doses on record.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had been on a cruise ship so when we docked, I was tired, so I did take a test. The test was positive, and I was shocked I thought I was just jetlagged. I confirmed it with a at home test and then I went to an urgent care. I had sore throat a little cough and I was extremely fatigue. They gave me a prescription for the anti-viral (PAXLOVID). I took it and I am currently still on the medication.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Malaise
Clinical narrative: COVID-19 symptoms started 06/19/22 with scratchy throat first thing in the morning. 06/21/22 I had scratchy throat and severe sore throat when we started on a long trip. I tested positive on 06/22/22 with self test kit. The main thing was severe sore throat. I also felt tired but when I took the test, we decided to drive back home (15 hrs.) just in case we got worse and we would be home. I would say sore throat was the main symptom and fatigue as well and I was tired the night before but it could've been because I didn't sleep well. I had a cough and loss of appetite. I was able to drive back alternating with my wife and I was able to stay awake the whole time. When I got back, my doctor prescribed LAGEVRIO for 5 days, 4 in AM, 4 in PM. Other than that I didn't do anything but rest and social distance. I still have some phlegm and still feel tired although I could do well with normal activities and I've been staying put in our house. I went into the pharmacy yesterday to get the PCR test and I don't have the results yet but I thought that might tell me what type of COVID-19 I have experienced and get some evidence that I'm clear of symptoms.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Productive cough, SARS-CoV-2 test positive, Sleep disorder, Throat irritation
Clinical narrative: COVID-19 symptoms started 06/19/22 with scratchy throat first thing in the morning. 06/21/22 I had scratchy throat and severe sore throat when we started on a long trip. I tested positive on 06/22/22 with self test kit. The main thing was severe sore throat. I also felt tired but when I took the test, we decided to drive back home (15 hrs.) just in case we got worse and we would be home. I would say sore throat was the main symptom and fatigue as well and I was tired the night before but it could've been because I didn't sleep well. I had a cough and loss of appetite. I was able to drive back alternating with my wife and I was able to stay awake the whole time. When I got back, my doctor prescribed LAGEVRIO for 5 days, 4 in AM, 4 in PM. Other than that I didn't do anything but rest and social distance. I still have some phlegm and still feel tired although I could do well with normal activities and I've been staying put in our house. I went into the pharmacy yesterday to get the PCR test and I don't have the results yet but I thought that might tell me what type of COVID-19 I have experienced and get some evidence that I'm clear of symptoms.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Acetonaemia, Alcohol use, Alcohol withdrawal syndrome
Clinical narrative: J&J Dose 4/7/21 (043A21A) Pfizer Dose 12/20/21 (NA) COVID Positive 3/27/22  3/16/22: 64-year-old man who was transferred from Emergency Department for further treatment and evaluation of acute pancreatitis and  uncontrolled diabetic ketonemia.  He reports feeling unwell since December with multiple complaints of abdominal discomfort, diarrhea, generalized weakness and malaise.  Acute episode of illness is reported since approximately 10 days ago with worsening abdominal pain aggravated by alcohol use.  He has a known history of alcohol use disorder, drinks 8-10 beers as well as several shots of whiskey daily.  He is denying any prior history of delirium tremens or withdrawal related seizures.  He denies any prior diagnosis of acute pancreatitis and denies previous diagnosis of alcohol related liver disease.  He reports that his last drink was last week Thursday.  He reports recently been diagnosed with type 2 diabetes mellitus last week and started on oral anti diabetic medications, he is not aware of his hemoglobin A1c at diagnosis.  He has not been compliant with anti diabetic medications.  He presented to the source of referral with worsened abdominal discomfort and on evaluation was found to have markedly elevated lipase levels of 7300.  He was also hyperglycemic in the 400s with elevated  anion gap and serum ketones without accompanying acidosis, pH of 7.39 was reported.  He was transferred for further treatment and evaluation.  4/1/22: 64 male with a history of chronic alcoholism presented to ER complaining of abdominal pain, diarrhea and generalized malaise for several days. Patient diagnosed with DKA, alcohol withdrawal symptoms and acute pancreatitis.  Patient later transferred from the ER to continue with management.  He was moderately hypoxic on arrival to the medical floor.  The chest x-ray showed basal infiltrate/atelectasis.     He was treated with NPO, IV fluid, parenteral opiate analgesics, insulin, IV antibiotics, benzodiazepine protocol  and other supportive care.  Patient was having intermittent fever but blood cultures x4 came back negative.  He has been gradually improving with complete resolution of fever. Curiously the hemoglobin A1c was only 5.4% indicating he may not have diabetes despite the blood glucose was quite elevated on initial presentation to the ER.  On re-evaluation today he is a alert and oriented in all parameters.  Abdominal pain resolved.  The glucose monitor his between 100-130 mg/dL.    He will be discharged on his pre-admission medication only.  I advised him regarding diabetic diet and also counseled him to quit drinking which is the etiology of his problem.  He promised to quit drinking.  He will follow-up with the PCP in 1-2 weeks.  I field out form for him to continue with physical rehabilitation post discharge.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Anion gap increased, Asthenia, Atelectasis, Blood culture negative, Blood glucose increased
Clinical narrative: J&J Dose 4/7/21 (043A21A) Pfizer Dose 12/20/21 (NA) COVID Positive 3/27/22  3/16/22: 64-year-old man who was transferred from Emergency Department for further treatment and evaluation of acute pancreatitis and  uncontrolled diabetic ketonemia.  He reports feeling unwell since December with multiple complaints of abdominal discomfort, diarrhea, generalized weakness and malaise.  Acute episode of illness is reported since approximately 10 days ago with worsening abdominal pain aggravated by alcohol use.  He has a known history of alcohol use disorder, drinks 8-10 beers as well as several shots of whiskey daily.  He is denying any prior history of delirium tremens or withdrawal related seizures.  He denies any prior diagnosis of acute pancreatitis and denies previous diagnosis of alcohol related liver disease.  He reports that his last drink was last week Thursday.  He reports recently been diagnosed with type 2 diabetes mellitus last week and started on oral anti diabetic medications, he is not aware of his hemoglobin A1c at diagnosis.  He has not been compliant with anti diabetic medications.  He presented to the source of referral with worsened abdominal discomfort and on evaluation was found to have markedly elevated lipase levels of 7300.  He was also hyperglycemic in the 400s with elevated  anion gap and serum ketones without accompanying acidosis, pH of 7.39 was reported.  He was transferred for further treatment and evaluation.  4/1/22: 64 male with a history of chronic alcoholism presented to ER complaining of abdominal pain, diarrhea and generalized malaise for several days. Patient diagnosed with DKA, alcohol withdrawal symptoms and acute pancreatitis.  Patient later transferred from the ER to continue with management.  He was moderately hypoxic on arrival to the medical floor.  The chest x-ray showed basal infiltrate/atelectasis.     He was treated with NPO, IV fluid, parenteral opiate analgesics, insulin, IV antibiotics, benzodiazepine protocol  and other supportive care.  Patient was having intermittent fever but blood cultures x4 came back negative.  He has been gradually improving with complete resolution of fever. Curiously the hemoglobin A1c was only 5.4% indicating he may not have diabetes despite the blood glucose was quite elevated on initial presentation to the ER.  On re-evaluation today he is a alert and oriented in all parameters.  Abdominal pain resolved.  The glucose monitor his between 100-130 mg/dL.    He will be discharged on his pre-admission medication only.  I advised him regarding diabetic diet and also counseled him to quit drinking which is the etiology of his problem.  He promised to quit drinking.  He will follow-up with the PCP in 1-2 weeks.  I field out form for him to continue with physical rehabilitation post discharge.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood ketone body increased, Blood pH normal, COVID-19, Chest X-ray abnormal, Diabetic ketoacidosis
Clinical narrative: J&J Dose 4/7/21 (043A21A) Pfizer Dose 12/20/21 (NA) COVID Positive 3/27/22  3/16/22: 64-year-old man who was transferred from Emergency Department for further treatment and evaluation of acute pancreatitis and  uncontrolled diabetic ketonemia.  He reports feeling unwell since December with multiple complaints of abdominal discomfort, diarrhea, generalized weakness and malaise.  Acute episode of illness is reported since approximately 10 days ago with worsening abdominal pain aggravated by alcohol use.  He has a known history of alcohol use disorder, drinks 8-10 beers as well as several shots of whiskey daily.  He is denying any prior history of delirium tremens or withdrawal related seizures.  He denies any prior diagnosis of acute pancreatitis and denies previous diagnosis of alcohol related liver disease.  He reports that his last drink was last week Thursday.  He reports recently been diagnosed with type 2 diabetes mellitus last week and started on oral anti diabetic medications, he is not aware of his hemoglobin A1c at diagnosis.  He has not been compliant with anti diabetic medications.  He presented to the source of referral with worsened abdominal discomfort and on evaluation was found to have markedly elevated lipase levels of 7300.  He was also hyperglycemic in the 400s with elevated  anion gap and serum ketones without accompanying acidosis, pH of 7.39 was reported.  He was transferred for further treatment and evaluation.  4/1/22: 64 male with a history of chronic alcoholism presented to ER complaining of abdominal pain, diarrhea and generalized malaise for several days. Patient diagnosed with DKA, alcohol withdrawal symptoms and acute pancreatitis.  Patient later transferred from the ER to continue with management.  He was moderately hypoxic on arrival to the medical floor.  The chest x-ray showed basal infiltrate/atelectasis.     He was treated with NPO, IV fluid, parenteral opiate analgesics, insulin, IV antibiotics, benzodiazepine protocol  and other supportive care.  Patient was having intermittent fever but blood cultures x4 came back negative.  He has been gradually improving with complete resolution of fever. Curiously the hemoglobin A1c was only 5.4% indicating he may not have diabetes despite the blood glucose was quite elevated on initial presentation to the ER.  On re-evaluation today he is a alert and oriented in all parameters.  Abdominal pain resolved.  The glucose monitor his between 100-130 mg/dL.    He will be discharged on his pre-admission medication only.  I advised him regarding diabetic diet and also counseled him to quit drinking which is the etiology of his problem.  He promised to quit drinking.  He will follow-up with the PCP in 1-2 weeks.  I field out form for him to continue with physical rehabilitation post discharge.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Glycosylated haemoglobin normal, Hyperglycaemia, Hypoxia, Illness
Clinical narrative: J&J Dose 4/7/21 (043A21A) Pfizer Dose 12/20/21 (NA) COVID Positive 3/27/22  3/16/22: 64-year-old man who was transferred from Emergency Department for further treatment and evaluation of acute pancreatitis and  uncontrolled diabetic ketonemia.  He reports feeling unwell since December with multiple complaints of abdominal discomfort, diarrhea, generalized weakness and malaise.  Acute episode of illness is reported since approximately 10 days ago with worsening abdominal pain aggravated by alcohol use.  He has a known history of alcohol use disorder, drinks 8-10 beers as well as several shots of whiskey daily.  He is denying any prior history of delirium tremens or withdrawal related seizures.  He denies any prior diagnosis of acute pancreatitis and denies previous diagnosis of alcohol related liver disease.  He reports that his last drink was last week Thursday.  He reports recently been diagnosed with type 2 diabetes mellitus last week and started on oral anti diabetic medications, he is not aware of his hemoglobin A1c at diagnosis.  He has not been compliant with anti diabetic medications.  He presented to the source of referral with worsened abdominal discomfort and on evaluation was found to have markedly elevated lipase levels of 7300.  He was also hyperglycemic in the 400s with elevated  anion gap and serum ketones without accompanying acidosis, pH of 7.39 was reported.  He was transferred for further treatment and evaluation.  4/1/22: 64 male with a history of chronic alcoholism presented to ER complaining of abdominal pain, diarrhea and generalized malaise for several days. Patient diagnosed with DKA, alcohol withdrawal symptoms and acute pancreatitis.  Patient later transferred from the ER to continue with management.  He was moderately hypoxic on arrival to the medical floor.  The chest x-ray showed basal infiltrate/atelectasis.     He was treated with NPO, IV fluid, parenteral opiate analgesics, insulin, IV antibiotics, benzodiazepine protocol  and other supportive care.  Patient was having intermittent fever but blood cultures x4 came back negative.  He has been gradually improving with complete resolution of fever. Curiously the hemoglobin A1c was only 5.4% indicating he may not have diabetes despite the blood glucose was quite elevated on initial presentation to the ER.  On re-evaluation today he is a alert and oriented in all parameters.  Abdominal pain resolved.  The glucose monitor his between 100-130 mg/dL.    He will be discharged on his pre-admission medication only.  I advised him regarding diabetic diet and also counseled him to quit drinking which is the etiology of his problem.  He promised to quit drinking.  He will follow-up with the PCP in 1-2 weeks.  I field out form for him to continue with physical rehabilitation post discharge.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Lipase increased, Lung infiltration, Malaise, Pancreatitis acute, Pyrexia
Clinical narrative: J&J Dose 4/7/21 (043A21A) Pfizer Dose 12/20/21 (NA) COVID Positive 3/27/22  3/16/22: 64-year-old man who was transferred from Emergency Department for further treatment and evaluation of acute pancreatitis and  uncontrolled diabetic ketonemia.  He reports feeling unwell since December with multiple complaints of abdominal discomfort, diarrhea, generalized weakness and malaise.  Acute episode of illness is reported since approximately 10 days ago with worsening abdominal pain aggravated by alcohol use.  He has a known history of alcohol use disorder, drinks 8-10 beers as well as several shots of whiskey daily.  He is denying any prior history of delirium tremens or withdrawal related seizures.  He denies any prior diagnosis of acute pancreatitis and denies previous diagnosis of alcohol related liver disease.  He reports that his last drink was last week Thursday.  He reports recently been diagnosed with type 2 diabetes mellitus last week and started on oral anti diabetic medications, he is not aware of his hemoglobin A1c at diagnosis.  He has not been compliant with anti diabetic medications.  He presented to the source of referral with worsened abdominal discomfort and on evaluation was found to have markedly elevated lipase levels of 7300.  He was also hyperglycemic in the 400s with elevated  anion gap and serum ketones without accompanying acidosis, pH of 7.39 was reported.  He was transferred for further treatment and evaluation.  4/1/22: 64 male with a history of chronic alcoholism presented to ER complaining of abdominal pain, diarrhea and generalized malaise for several days. Patient diagnosed with DKA, alcohol withdrawal symptoms and acute pancreatitis.  Patient later transferred from the ER to continue with management.  He was moderately hypoxic on arrival to the medical floor.  The chest x-ray showed basal infiltrate/atelectasis.     He was treated with NPO, IV fluid, parenteral opiate analgesics, insulin, IV antibiotics, benzodiazepine protocol  and other supportive care.  Patient was having intermittent fever but blood cultures x4 came back negative.  He has been gradually improving with complete resolution of fever. Curiously the hemoglobin A1c was only 5.4% indicating he may not have diabetes despite the blood glucose was quite elevated on initial presentation to the ER.  On re-evaluation today he is a alert and oriented in all parameters.  Abdominal pain resolved.  The glucose monitor his between 100-130 mg/dL.    He will be discharged on his pre-admission medication only.  I advised him regarding diabetic diet and also counseled him to quit drinking which is the etiology of his problem.  He promised to quit drinking.  He will follow-up with the PCP in 1-2 weeks.  I field out form for him to continue with physical rehabilitation post discharge.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Treatment noncompliance, Type 2 diabetes mellitus
Clinical narrative: J&J Dose 4/7/21 (043A21A) Pfizer Dose 12/20/21 (NA) COVID Positive 3/27/22  3/16/22: 64-year-old man who was transferred from Emergency Department for further treatment and evaluation of acute pancreatitis and  uncontrolled diabetic ketonemia.  He reports feeling unwell since December with multiple complaints of abdominal discomfort, diarrhea, generalized weakness and malaise.  Acute episode of illness is reported since approximately 10 days ago with worsening abdominal pain aggravated by alcohol use.  He has a known history of alcohol use disorder, drinks 8-10 beers as well as several shots of whiskey daily.  He is denying any prior history of delirium tremens or withdrawal related seizures.  He denies any prior diagnosis of acute pancreatitis and denies previous diagnosis of alcohol related liver disease.  He reports that his last drink was last week Thursday.  He reports recently been diagnosed with type 2 diabetes mellitus last week and started on oral anti diabetic medications, he is not aware of his hemoglobin A1c at diagnosis.  He has not been compliant with anti diabetic medications.  He presented to the source of referral with worsened abdominal discomfort and on evaluation was found to have markedly elevated lipase levels of 7300.  He was also hyperglycemic in the 400s with elevated  anion gap and serum ketones without accompanying acidosis, pH of 7.39 was reported.  He was transferred for further treatment and evaluation.  4/1/22: 64 male with a history of chronic alcoholism presented to ER complaining of abdominal pain, diarrhea and generalized malaise for several days. Patient diagnosed with DKA, alcohol withdrawal symptoms and acute pancreatitis.  Patient later transferred from the ER to continue with management.  He was moderately hypoxic on arrival to the medical floor.  The chest x-ray showed basal infiltrate/atelectasis.     He was treated with NPO, IV fluid, parenteral opiate analgesics, insulin, IV antibiotics, benzodiazepine protocol  and other supportive care.  Patient was having intermittent fever but blood cultures x4 came back negative.  He has been gradually improving with complete resolution of fever. Curiously the hemoglobin A1c was only 5.4% indicating he may not have diabetes despite the blood glucose was quite elevated on initial presentation to the ER.  On re-evaluation today he is a alert and oriented in all parameters.  Abdominal pain resolved.  The glucose monitor his between 100-130 mg/dL.    He will be discharged on his pre-admission medication only.  I advised him regarding diabetic diet and also counseled him to quit drinking which is the etiology of his problem.  He promised to quit drinking.  He will follow-up with the PCP in 1-2 weeks.  I field out form for him to continue with physical rehabilitation post discharge.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Pt called 6/28 and reported adverse reaction of facial swelling.  She said her sister first asked her about it 2 days post vaccination.  She claims her face is still swollen 3 weeks post vaccination.  I have not visually seen her so that is the extend of what has been reported.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: Patient seen in the emergency department on 6/3 with cough, fever, fatigue, headache, and dyspnea. COVID-19 PCR testing done at that time was positive. Patient felt comfortable going home and was discharged, however returned to the emergency department on 6/5 with increased coughing and shortness of breath. He was admitted to the hospital from 6/5-6/6. This meets criteria for vaccine breakthrough case review.  Patient has been vaccinated for Covid-19, vaccination dates 1/31/2021 and 2/21/2021. Lot numbers are unavailable.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient seen in the emergency department on 6/3 with cough, fever, fatigue, headache, and dyspnea. COVID-19 PCR testing done at that time was positive. Patient felt comfortable going home and was discharged, however returned to the emergency department on 6/5 with increased coughing and shortness of breath. He was admitted to the hospital from 6/5-6/6. This meets criteria for vaccine breakthrough case review.  Patient has been vaccinated for Covid-19, vaccination dates 1/31/2021 and 2/21/2021. Lot numbers are unavailable.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Influenza like illness, SARS-CoV-2 test positive
Clinical narrative: I developed a racking cough and difficulty breathing including an onset of what felt like a very terrible flu.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Influenza like illness, SARS-CoV-2 test positive
Clinical narrative: Tested (+) for Covid-19 6/24/2022 PM via home test (iHealth COVID-19 Antigen Rapid Test) after rapid onset of Flu-like symptoms. Tested negative via same test kit 6/23/2022 AM. Exposed to Covid positive individual 6/17/2022.  Rx of Paxlovid pack beginning 6/25/2022.  Tested negative 6/29/2022 via same test kit.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was mistakenly given a pediatric dose (5 - 11) of Pfizer for a booster rather than an adult dose.  This patient had no adverse reaction or problem except inconvenience of not receiving appropriate dose.  Patient was advised 3 days later to wait 8 weeks post 06/25 to get an adult booster.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, C-reactive protein increased, COVID-19, Chills, Cough
Clinical narrative: J&J Dose 8/4/21 (203A21A) COVID Positive 1/11/22  1/11/22: Patient is a 50-year-old male with no significant past medical history.  He denies taking any medications at home.  He denies any history of surgeries.  He started having it a tickle in his throat and cough approximately 1 week ago.  His symptoms have progressed.  He tested himself with an at home COVID test and was found to be positive. He has been quarantine a at home and checking his pulse ox regularly.  This morning, he began feeling more short of breath.  He was satting in the upper 70s on room air at home.  He therefore presented emergency department where he was satting 84% on room air.  His O2 sats improved with administration of O2 at 2 L via nasal cannula.  Other symptoms include fevers, chills, sweats, muscle aches, generalized weakness, and fatigue.  He otherwise denies chest pain or pain in his lower extremities.  He was vaccinated with a Johnson and Johnson vaccine.  He did not receive monoclonal antibodies as an outpatient.  He denies any alcohol use, tobacco use, or illicit drug use.  He denies any environmental exposures that may have predisposed him to lung disease.  Family history is noncontributory.  1/15/22: Patient is a 50-year-old male who presented on 01/11/2022 with chief complaint of shortness of breath.  He had previously been struggling with 1 week of cough at home.  He did do a an at home COVID test and was found to be positive.  He was checking his oxygen saturation at home and was noted to be in the upper 70s on room air.  He therefore presented to the emergency department.  He was placed on supplemental oxygen and admitted to the hospital. He was monitored supplemental oxygen as needed as well as standard COVID-19 cares.  He did receive Actemra due to elevated CRP.  He declined remdesivir.  He completed a course of antibiotics with Levaquin.  On 01/15/2022, the patient's oxygen requirements were significantly decreased. He was requiring O2 at 2 L via nasal cannula with exertion. He did not require any O2 at rest.  He was therefore discharged home on oxygen.  He was instructed to follow-up with his primary care provider as an outpatient.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Hyperhidrosis, Myalgia, Oxygen saturation decreased
Clinical narrative: J&J Dose 8/4/21 (203A21A) COVID Positive 1/11/22  1/11/22: Patient is a 50-year-old male with no significant past medical history.  He denies taking any medications at home.  He denies any history of surgeries.  He started having it a tickle in his throat and cough approximately 1 week ago.  His symptoms have progressed.  He tested himself with an at home COVID test and was found to be positive. He has been quarantine a at home and checking his pulse ox regularly.  This morning, he began feeling more short of breath.  He was satting in the upper 70s on room air at home.  He therefore presented emergency department where he was satting 84% on room air.  His O2 sats improved with administration of O2 at 2 L via nasal cannula.  Other symptoms include fevers, chills, sweats, muscle aches, generalized weakness, and fatigue.  He otherwise denies chest pain or pain in his lower extremities.  He was vaccinated with a Johnson and Johnson vaccine.  He did not receive monoclonal antibodies as an outpatient.  He denies any alcohol use, tobacco use, or illicit drug use.  He denies any environmental exposures that may have predisposed him to lung disease.  Family history is noncontributory.  1/15/22: Patient is a 50-year-old male who presented on 01/11/2022 with chief complaint of shortness of breath.  He had previously been struggling with 1 week of cough at home.  He did do a an at home COVID test and was found to be positive.  He was checking his oxygen saturation at home and was noted to be in the upper 70s on room air.  He therefore presented to the emergency department.  He was placed on supplemental oxygen and admitted to the hospital. He was monitored supplemental oxygen as needed as well as standard COVID-19 cares.  He did receive Actemra due to elevated CRP.  He declined remdesivir.  He completed a course of antibiotics with Levaquin.  On 01/15/2022, the patient's oxygen requirements were significantly decreased. He was requiring O2 at 2 L via nasal cannula with exertion. He did not require any O2 at rest.  He was therefore discharged home on oxygen.  He was instructed to follow-up with his primary care provider as an outpatient.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: J&J Dose 8/4/21 (203A21A) COVID Positive 1/11/22  1/11/22: Patient is a 50-year-old male with no significant past medical history.  He denies taking any medications at home.  He denies any history of surgeries.  He started having it a tickle in his throat and cough approximately 1 week ago.  His symptoms have progressed.  He tested himself with an at home COVID test and was found to be positive. He has been quarantine a at home and checking his pulse ox regularly.  This morning, he began feeling more short of breath.  He was satting in the upper 70s on room air at home.  He therefore presented emergency department where he was satting 84% on room air.  His O2 sats improved with administration of O2 at 2 L via nasal cannula.  Other symptoms include fevers, chills, sweats, muscle aches, generalized weakness, and fatigue.  He otherwise denies chest pain or pain in his lower extremities.  He was vaccinated with a Johnson and Johnson vaccine.  He did not receive monoclonal antibodies as an outpatient.  He denies any alcohol use, tobacco use, or illicit drug use.  He denies any environmental exposures that may have predisposed him to lung disease.  Family history is noncontributory.  1/15/22: Patient is a 50-year-old male who presented on 01/11/2022 with chief complaint of shortness of breath.  He had previously been struggling with 1 week of cough at home.  He did do a an at home COVID test and was found to be positive.  He was checking his oxygen saturation at home and was noted to be in the upper 70s on room air.  He therefore presented to the emergency department.  He was placed on supplemental oxygen and admitted to the hospital. He was monitored supplemental oxygen as needed as well as standard COVID-19 cares.  He did receive Actemra due to elevated CRP.  He declined remdesivir.  He completed a course of antibiotics with Levaquin.  On 01/15/2022, the patient's oxygen requirements were significantly decreased. He was requiring O2 at 2 L via nasal cannula with exertion. He did not require any O2 at rest.  He was therefore discharged home on oxygen.  He was instructed to follow-up with his primary care provider as an outpatient.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine