chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 1/25/21 (EN5318) Pfizer Dose 2 2/17/21 (EN5318) COVID Positive 1/29/22  1/29/22: Patient is a 92-year-old male who presents to the emergency room via EMS with complaints of generalized weakness and a fall at home.  Patient states that he fell at home and laid on the ground for roughly 5+ hours.  There had been some complaints of chest pain which the patient is currently denying.  He denies any shortness of breath or dyspnea on exertion with no cough or sputum production symptoms.  He denies any abdominal pain complaints. Patient states that the weakness complaints are ongoing and are not new.  Patient did not hit his head and states that the reason for his fall was that he just weak in general. The only changes to his medical regimen have been that 1 of his blood pressure medications discontinued.  Patient is a do not resuscitate and had actually been considering hospice care recently.  In reviewing his chart it does look like a palliative care referral was made.  Patient's code status was clarified and he confirms that he is a do not resuscitate.  The patient's medical history, current medications, imaging studies, vital signs, laboratory studies and emergency records were personally reviewed. Case was also discussed read with the emergency room provider.  Patient was treated recently for pneumonia with today's chest x-ray showing worsening pneumonia.  2/3/22: 92-year-old male patient with a history of chronic atrial fibrillation, BPH, chronic back pain, hypertension, type 2 diabetes, depression, dementia would to the hospital on 1/29/2022 after he sustained a fall at home due to generalized weakness.  Patient was at home for more than 5 hours prior to the arrival to the emergency room.  Patient was noted to have pneumonia and started on antibiotics. Patient was given IV fluids for elevated CK levels which significantly improved.  Patient has chronic renal failure which is superimposed with acute renal failure due to his fall.  Patient was going to fluids and his kidney function returned to his baseline at the time of discharge.  Patient was tested positive for SARS-CoV-2 virus.  He did not require any at the time of discharge.  Patient was recommended to be transferred to a skilled nursing facility upon evaluation by PT/OT.  Patient will be transferred to the nursing home. He will follow up with primary care physician in 1 week.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Chest discomfort, Condition aggravated
Clinical narrative: Tested positive for COVID on 10/29/21, received monoclonal antibody infusion; 11/1/21 c/o increasing SOB and chest discomfort; taken to ED where he was hypertensive; hypertension treated; COVID pneumonia and acute CHF exacerbation; placed on BiPAP; transferred to ICU; given Decadron and Remdesivir; Ejection Fraction 25-30%; DNR/DNI; pt was transferred to a Rehab center in stable condition on 11/6/21; pt then dc'd to home from rehab center where he passed away naturally with cause of death being COVID 19 pneumonia
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Ejection fraction decreased, Hypertension, Intensive care
Clinical narrative: Tested positive for COVID on 10/29/21, received monoclonal antibody infusion; 11/1/21 c/o increasing SOB and chest discomfort; taken to ED where he was hypertensive; hypertension treated; COVID pneumonia and acute CHF exacerbation; placed on BiPAP; transferred to ICU; given Decadron and Remdesivir; Ejection Fraction 25-30%; DNR/DNI; pt was transferred to a Rehab center in stable condition on 11/6/21; pt then dc'd to home from rehab center where he passed away naturally with cause of death being COVID 19 pneumonia
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID on 10/29/21, received monoclonal antibody infusion; 11/1/21 c/o increasing SOB and chest discomfort; taken to ED where he was hypertensive; hypertension treated; COVID pneumonia and acute CHF exacerbation; placed on BiPAP; transferred to ICU; given Decadron and Remdesivir; Ejection Fraction 25-30%; DNR/DNI; pt was transferred to a Rehab center in stable condition on 11/6/21; pt then dc'd to home from rehab center where he passed away naturally with cause of death being COVID 19 pneumonia
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Blood thyroid stimulating hormone, Brain natriuretic peptide, Chest X-ray, Chest pain
Clinical narrative: Heart palpitations and chest pain
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Electrocardiogram, Electrocardiogram ambulatory, Fibrin D dimer, Full blood count
Clinical narrative: Heart palpitations and chest pain
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio, Laboratory test, Lipase, Liver function test, Palpitations
Clinical narrative: Heart palpitations and chest pain
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Prothrombin time, Thyroxine, Troponin I
Clinical narrative: Heart palpitations and chest pain
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Headache
Clinical narrative: On last Thursday 7/11/22 I came inside from working out in yard. I thought I had just seasonal allergies flaring up. My wife suggested I take an at home test, which was immediately positive. I called my doctor immediately to see if I qualified for any sort of special treatment. I was connected to nurse helpline. My symptoms were significantly worse the next day. I was prescribed PAXLOVID. I started that Friday. I took 3 doses and stopped due to the steroid inhaler I am taking. I was told it could affect my heart. I then had the monoclonal antibody infusion. Symptoms were fatigue, congestion, extreme headache, cough. After first two doses of PAXLOVID I did start to feel significantly better. I am significantly better today and sleeping well.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: On last Thursday 7/11/22 I came inside from working out in yard. I thought I had just seasonal allergies flaring up. My wife suggested I take an at home test, which was immediately positive. I called my doctor immediately to see if I qualified for any sort of special treatment. I was connected to nurse helpline. My symptoms were significantly worse the next day. I was prescribed PAXLOVID. I started that Friday. I took 3 doses and stopped due to the steroid inhaler I am taking. I was told it could affect my heart. I then had the monoclonal antibody infusion. Symptoms were fatigue, congestion, extreme headache, cough. After first two doses of PAXLOVID I did start to feel significantly better. I am significantly better today and sleeping well.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: patient hospitalized
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Feeling abnormal
Clinical narrative: COVID-19, I received my 3rd dose on 01/07/2022 and my COVID symptoms started on 01/09/20222 with stuffy nose; itchy throat; cough; fever; I went to my doctor and he prescribed me prednisone and Z-PAK I took it for about a week. Am not fully recovered yet but I've noticed that after the vaccines I get tired more often. If I sit I can't even get up. I don't feel the way I use to feel. Vaccine made me more weaker than before.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Nasal congestion, Pyrexia, SARS-CoV-2 test
Clinical narrative: COVID-19, I received my 3rd dose on 01/07/2022 and my COVID symptoms started on 01/09/20222 with stuffy nose; itchy throat; cough; fever; I went to my doctor and he prescribed me prednisone and Z-PAK I took it for about a week. Am not fully recovered yet but I've noticed that after the vaccines I get tired more often. If I sit I can't even get up. I don't feel the way I use to feel. Vaccine made me more weaker than before.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: COVID-19, I received my 3rd dose on 01/07/2022 and my COVID symptoms started on 01/09/20222 with stuffy nose; itchy throat; cough; fever; I went to my doctor and he prescribed me prednisone and Z-PAK I took it for about a week. Am not fully recovered yet but I've noticed that after the vaccines I get tired more often. If I sit I can't even get up. I don't feel the way I use to feel. Vaccine made me more weaker than before.
Age: 73.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt diagnosed with Covid.  Pt received the Covid Vaccine.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose Administered beyond-use date
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, COVID-19, Coeliac disease, Cough, Exposure to SARS-CoV-2
Clinical narrative: The first COVID-19 case my heart was spiking on Thursday; then on Friday my heart rate consistently was spiking to the 120's 130's. I was really really tired. It was mild and I spent the weekend resting. I had a worse reaction with the Jansen vaccine than I did with COVID-19. I didn't have issues breathing or anything like that and recovered relatively quickly. My heart has taken a toll, it's not right. The second COVID-19 case my husband came down with it and my exposure to him was a lot and was admitted to the hospital with TIA. The week prior I had developed a full-on body rash. I was negative the first time they tested me with the antigen. Then on Tuesday the June 7th I was still negative but symptomatic. Coughing, throwing up, tired and not feeling well, by Friday my body was exhausted and completely wiped out. I was taken to the hospital on the June 10th where I was diagnosed with COVID-19. I still had cough but no respiratory issues; and I had brain fog and my heart rate continued to spike to the 140s while sedentary. Another issue I've been having is that ever since the vaccine I've had highly irregular period. And two weeks after the previous dose and it went for 7 days.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Heart rate increased, Malaise, Menstruation irregular
Clinical narrative: The first COVID-19 case my heart was spiking on Thursday; then on Friday my heart rate consistently was spiking to the 120's 130's. I was really really tired. It was mild and I spent the weekend resting. I had a worse reaction with the Jansen vaccine than I did with COVID-19. I didn't have issues breathing or anything like that and recovered relatively quickly. My heart has taken a toll, it's not right. The second COVID-19 case my husband came down with it and my exposure to him was a lot and was admitted to the hospital with TIA. The week prior I had developed a full-on body rash. I was negative the first time they tested me with the antigen. Then on Tuesday the June 7th I was still negative but symptomatic. Coughing, throwing up, tired and not feeling well, by Friday my body was exhausted and completely wiped out. I was taken to the hospital on the June 10th where I was diagnosed with COVID-19. I still had cough but no respiratory issues; and I had brain fog and my heart rate continued to spike to the 140s while sedentary. Another issue I've been having is that ever since the vaccine I've had highly irregular period. And two weeks after the previous dose and it went for 7 days.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Rash, Transient ischaemic attack, Vomiting
Clinical narrative: The first COVID-19 case my heart was spiking on Thursday; then on Friday my heart rate consistently was spiking to the 120's 130's. I was really really tired. It was mild and I spent the weekend resting. I had a worse reaction with the Jansen vaccine than I did with COVID-19. I didn't have issues breathing or anything like that and recovered relatively quickly. My heart has taken a toll, it's not right. The second COVID-19 case my husband came down with it and my exposure to him was a lot and was admitted to the hospital with TIA. The week prior I had developed a full-on body rash. I was negative the first time they tested me with the antigen. Then on Tuesday the June 7th I was still negative but symptomatic. Coughing, throwing up, tired and not feeling well, by Friday my body was exhausted and completely wiped out. I was taken to the hospital on the June 10th where I was diagnosed with COVID-19. I still had cough but no respiratory issues; and I had brain fog and my heart rate continued to spike to the 140s while sedentary. Another issue I've been having is that ever since the vaccine I've had highly irregular period. And two weeks after the previous dose and it went for 7 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Headache
Clinical narrative: I had a known exposure to COVID-19 on June 24, 2022 I had a sore throat. I tested negative until June 26, 2022. Once I tested positive I continued using my Albuterol Inhaler and contacted my Primary Care Physician on June 29, 2022. I had congestion, cough, sore throat, headache, wheezing. I am feeling better with mild shortness of breath.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Wheezing
Clinical narrative: I had a known exposure to COVID-19 on June 24, 2022 I had a sore throat. I tested negative until June 26, 2022. Once I tested positive I continued using my Albuterol Inhaler and contacted my Primary Care Physician on June 29, 2022. I had congestion, cough, sore throat, headache, wheezing. I am feeling better with mild shortness of breath.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea
Clinical narrative: COVID-19 symptoms started at end of July 2021. I woke up not feeling well and couldn't breathe very good. As day progressed, I got worse and by the next morning I was really sick and running fever and hurting all over. I was very congested with a bad headache. I called PCP and they told me where to get tested and I was so tired I wasn't sure if I could drive myself there but I made it and tested positive immediately. They sent me out the back door of that clinic and the doctor said to call her to let her know so I did. They called me in oral steroids and antibiotics to take and prescribed me to take 1 TYLENOL and 1 ADVIL to keep fever down. My fever got up to 102. They also called me the hospital and I got antibodies but that was 2-3 days later. I developed COVID-19 pneumonia from it but didn't have to go to hospital but did do chest x-ray and continued on steroids. Main reason I didn't have to stay in hospital is because I have a home nebulizer to keep my breathing good and that helped. I didn't get released from COVID-19 pneumonia until the first of October and I had long COVID-19 and was so tired and didn't feel good. I continued to hurt until finally in April I decided to call my doctor because something was wrong. I went to see her and she ordered blood tests and it came back that I had rheumatoid arthritis so she referred me to a rheumatoid arthritis doctor and now I'm on methotrexate for that. I still get winded and can't walk long distances and I am much slower that I used to be and get very easily winded now and I am a very active person. I truly believe the rheumatoid arthritis came from COVID-19. That was the first thing that happened was I was hurting all over with aches and joint pain. I do have scar tissue from pneumonia and will always have to see a pulmonologist and have permanent scar tissue at the base of both lungs.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Laboratory test abnormal, Malaise
Clinical narrative: COVID-19 symptoms started at end of July 2021. I woke up not feeling well and couldn't breathe very good. As day progressed, I got worse and by the next morning I was really sick and running fever and hurting all over. I was very congested with a bad headache. I called PCP and they told me where to get tested and I was so tired I wasn't sure if I could drive myself there but I made it and tested positive immediately. They sent me out the back door of that clinic and the doctor said to call her to let her know so I did. They called me in oral steroids and antibiotics to take and prescribed me to take 1 TYLENOL and 1 ADVIL to keep fever down. My fever got up to 102. They also called me the hospital and I got antibodies but that was 2-3 days later. I developed COVID-19 pneumonia from it but didn't have to go to hospital but did do chest x-ray and continued on steroids. Main reason I didn't have to stay in hospital is because I have a home nebulizer to keep my breathing good and that helped. I didn't get released from COVID-19 pneumonia until the first of October and I had long COVID-19 and was so tired and didn't feel good. I continued to hurt until finally in April I decided to call my doctor because something was wrong. I went to see her and she ordered blood tests and it came back that I had rheumatoid arthritis so she referred me to a rheumatoid arthritis doctor and now I'm on methotrexate for that. I still get winded and can't walk long distances and I am much slower that I used to be and get very easily winded now and I am a very active person. I truly believe the rheumatoid arthritis came from COVID-19. That was the first thing that happened was I was hurting all over with aches and joint pain. I do have scar tissue from pneumonia and will always have to see a pulmonologist and have permanent scar tissue at the base of both lungs.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Post-acute COVID-19 syndrome, Pyrexia, Respiratory tract congestion, Rheumatoid arthritis
Clinical narrative: COVID-19 symptoms started at end of July 2021. I woke up not feeling well and couldn't breathe very good. As day progressed, I got worse and by the next morning I was really sick and running fever and hurting all over. I was very congested with a bad headache. I called PCP and they told me where to get tested and I was so tired I wasn't sure if I could drive myself there but I made it and tested positive immediately. They sent me out the back door of that clinic and the doctor said to call her to let her know so I did. They called me in oral steroids and antibiotics to take and prescribed me to take 1 TYLENOL and 1 ADVIL to keep fever down. My fever got up to 102. They also called me the hospital and I got antibodies but that was 2-3 days later. I developed COVID-19 pneumonia from it but didn't have to go to hospital but did do chest x-ray and continued on steroids. Main reason I didn't have to stay in hospital is because I have a home nebulizer to keep my breathing good and that helped. I didn't get released from COVID-19 pneumonia until the first of October and I had long COVID-19 and was so tired and didn't feel good. I continued to hurt until finally in April I decided to call my doctor because something was wrong. I went to see her and she ordered blood tests and it came back that I had rheumatoid arthritis so she referred me to a rheumatoid arthritis doctor and now I'm on methotrexate for that. I still get winded and can't walk long distances and I am much slower that I used to be and get very easily winded now and I am a very active person. I truly believe the rheumatoid arthritis came from COVID-19. That was the first thing that happened was I was hurting all over with aches and joint pain. I do have scar tissue from pneumonia and will always have to see a pulmonologist and have permanent scar tissue at the base of both lungs.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started at end of July 2021. I woke up not feeling well and couldn't breathe very good. As day progressed, I got worse and by the next morning I was really sick and running fever and hurting all over. I was very congested with a bad headache. I called PCP and they told me where to get tested and I was so tired I wasn't sure if I could drive myself there but I made it and tested positive immediately. They sent me out the back door of that clinic and the doctor said to call her to let her know so I did. They called me in oral steroids and antibiotics to take and prescribed me to take 1 TYLENOL and 1 ADVIL to keep fever down. My fever got up to 102. They also called me the hospital and I got antibodies but that was 2-3 days later. I developed COVID-19 pneumonia from it but didn't have to go to hospital but did do chest x-ray and continued on steroids. Main reason I didn't have to stay in hospital is because I have a home nebulizer to keep my breathing good and that helped. I didn't get released from COVID-19 pneumonia until the first of October and I had long COVID-19 and was so tired and didn't feel good. I continued to hurt until finally in April I decided to call my doctor because something was wrong. I went to see her and she ordered blood tests and it came back that I had rheumatoid arthritis so she referred me to a rheumatoid arthritis doctor and now I'm on methotrexate for that. I still get winded and can't walk long distances and I am much slower that I used to be and get very easily winded now and I am a very active person. I truly believe the rheumatoid arthritis came from COVID-19. That was the first thing that happened was I was hurting all over with aches and joint pain. I do have scar tissue from pneumonia and will always have to see a pulmonologist and have permanent scar tissue at the base of both lungs.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder catheterisation, Blood urine present, COVID-19, Cerebrovascular accident, Cognitive disorder
Clinical narrative: Pfizer Dose 1 1/7/21 (EL0142); Pfizer Dose 2 10/13/21 (FD0809); COVID Positive 2/14/22. 2/14/22: 81-year-old male patient with a history of type 2 diabetes, depression, COPD, CAD, BPH, hypertension lives at a local nursing home where he was moved recently from another nursing home.  Over the last couple of days, the patient was visited by his family members who noticed slurred speech becoming worse this morning.  When the family spoke with him on 02/13 over the phone, they noticed some difference in his communication and the nursing staff at the nursing home mentioned that the patient could be having some infection and is daily reassess.  But this morning when the patient was seen by the family, he had significant slurred speech which concerned them and hence he was brought to the hospital for further evaluation.  The noticed that his left-sided facial droop which became more evident this morning.  Patient is also scheduled for a neuro psychological evaluation at the Administration in May of this year as the family wanted clear diagnoses for his cognitive dysfunction. Neurology consultation was obtained from the emergency room for evaluation of his slurred speech.  CT of the head was negative and the patient is admitted for further evaluation and treatment. A Foley catheter was placed in the emergency room which is draining the noon tinged with blood.  The patient denies any abdominal pain.  He does have urinary incontinence and wears depends but the family has not noticed any blood in the urine and the nursing staff at the nursing home did not inform them of any new onset of hematuria. 2/24/22: 2019 novel coronavirus detected. Acute cerebrovascular accident (CVA), Acute cerebrovascular accident (CVA). Dysarthria, Dysarthria
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Communication disorder, Computerised tomogram head normal, Dysarthria, Facial paralysis, Inappropriate schedule of product administration
Clinical narrative: Pfizer Dose 1 1/7/21 (EL0142); Pfizer Dose 2 10/13/21 (FD0809); COVID Positive 2/14/22. 2/14/22: 81-year-old male patient with a history of type 2 diabetes, depression, COPD, CAD, BPH, hypertension lives at a local nursing home where he was moved recently from another nursing home.  Over the last couple of days, the patient was visited by his family members who noticed slurred speech becoming worse this morning.  When the family spoke with him on 02/13 over the phone, they noticed some difference in his communication and the nursing staff at the nursing home mentioned that the patient could be having some infection and is daily reassess.  But this morning when the patient was seen by the family, he had significant slurred speech which concerned them and hence he was brought to the hospital for further evaluation.  The noticed that his left-sided facial droop which became more evident this morning.  Patient is also scheduled for a neuro psychological evaluation at the Administration in May of this year as the family wanted clear diagnoses for his cognitive dysfunction. Neurology consultation was obtained from the emergency room for evaluation of his slurred speech.  CT of the head was negative and the patient is admitted for further evaluation and treatment. A Foley catheter was placed in the emergency room which is draining the noon tinged with blood.  The patient denies any abdominal pain.  He does have urinary incontinence and wears depends but the family has not noticed any blood in the urine and the nursing staff at the nursing home did not inform them of any new onset of hematuria. 2/24/22: 2019 novel coronavirus detected. Acute cerebrovascular accident (CVA), Acute cerebrovascular accident (CVA). Dysarthria, Dysarthria
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary incontinence
Clinical narrative: Pfizer Dose 1 1/7/21 (EL0142); Pfizer Dose 2 10/13/21 (FD0809); COVID Positive 2/14/22. 2/14/22: 81-year-old male patient with a history of type 2 diabetes, depression, COPD, CAD, BPH, hypertension lives at a local nursing home where he was moved recently from another nursing home.  Over the last couple of days, the patient was visited by his family members who noticed slurred speech becoming worse this morning.  When the family spoke with him on 02/13 over the phone, they noticed some difference in his communication and the nursing staff at the nursing home mentioned that the patient could be having some infection and is daily reassess.  But this morning when the patient was seen by the family, he had significant slurred speech which concerned them and hence he was brought to the hospital for further evaluation.  The noticed that his left-sided facial droop which became more evident this morning.  Patient is also scheduled for a neuro psychological evaluation at the Administration in May of this year as the family wanted clear diagnoses for his cognitive dysfunction. Neurology consultation was obtained from the emergency room for evaluation of his slurred speech.  CT of the head was negative and the patient is admitted for further evaluation and treatment. A Foley catheter was placed in the emergency room which is draining the noon tinged with blood.  The patient denies any abdominal pain.  He does have urinary incontinence and wears depends but the family has not noticed any blood in the urine and the nursing staff at the nursing home did not inform them of any new onset of hematuria. 2/24/22: 2019 novel coronavirus detected. Acute cerebrovascular accident (CVA), Acute cerebrovascular accident (CVA). Dysarthria, Dysarthria
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Vaccine invalid due to a possible temperature issue. Recommendation to repeat vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatomegaly
Clinical narrative: I don't drink and I don't smoke so I'm not sure why I have an enlarged liver now. I don't really do anything to effect my liver. I don't do any drugs, smoking or drinking. On 05/11/2022 my doctor told me I had an enlarged liver.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: dose administered beyond use date
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered to patient
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: 04/11/2022 vaccination. 06/17/2022 Left to go on trip. 06/21/2022 started to experience really bad sore throat (up to tubes to ears, 'felt like glass'), trouble breathing / shallow breathing. I could not take a full deep breath. We had chills and muscle aches. COVID-19 positive. We quarantined. Unable to get PAXLOVID. Drove to hospital. They would not allow us out of car and that is when we tried online to no avail. We quarantined till we tested negative and then moved to the next destination site on trip. Still experiencing cough, lung and mucous clearing and lots of fatigue.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypopnoea, Myalgia, Oropharyngeal pain, SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: 04/11/2022 vaccination. 06/17/2022 Left to go on trip. 06/21/2022 started to experience really bad sore throat (up to tubes to ears, 'felt like glass'), trouble breathing / shallow breathing. I could not take a full deep breath. We had chills and muscle aches. COVID-19 positive. We quarantined. Unable to get PAXLOVID. Drove to hospital. They would not allow us out of car and that is when we tried online to no avail. We quarantined till we tested negative and then moved to the next destination site on trip. Still experiencing cough, lung and mucous clearing and lots of fatigue.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Discomfort, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: I had discomfort the first few days with the booster. Then on July 7th, 2022 I started feeling like I had a bad cold. I took a home test for COVID and it came back positive. I went to the pharmacy and did a test there through the drive through, and it came back the next day positive. I was sneezing, coughing, headache, and it felt like a huge head cold. I did not have trouble with my lungs or coughing. When I started to feel better, then around 2 days after that I started having stomach problems, heavy fatigue, and coughing began. Today, July 12, I feel much better. So in total the symptoms lasted around 10 days.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: I had discomfort the first few days with the booster. Then on July 7th, 2022 I started feeling like I had a bad cold. I took a home test for COVID and it came back positive. I went to the pharmacy and did a test there through the drive through, and it came back the next day positive. I was sneezing, coughing, headache, and it felt like a huge head cold. I did not have trouble with my lungs or coughing. When I started to feel better, then around 2 days after that I started having stomach problems, heavy fatigue, and coughing began. Today, July 12, I feel much better. So in total the symptoms lasted around 10 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Auditory disorder, Cognitive disorder, Deafness unilateral, Dizziness
Clinical narrative: Sudden loss of hearing in the right ear with associated pain. Vertigo, Tinnitus, gait disturbance due to vertigo, light headedness.   Hearing test x 3. MRI with contrast, Oral Prednisone, then intertympanic injection with steroids. F/u visit with  audio - neurologist. Currently going to cognitive therapy once weekly  due to auditory dysfunction  Profound, permanent hearing loss in the right ear. resulting in cognitive impairment
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Gait disturbance, Intratympanic injection, Magnetic resonance imaging, Scan with contrast
Clinical narrative: Sudden loss of hearing in the right ear with associated pain. Vertigo, Tinnitus, gait disturbance due to vertigo, light headedness.   Hearing test x 3. MRI with contrast, Oral Prednisone, then intertympanic injection with steroids. F/u visit with  audio - neurologist. Currently going to cognitive therapy once weekly  due to auditory dysfunction  Profound, permanent hearing loss in the right ear. resulting in cognitive impairment
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sudden hearing loss, Tinnitus, Vertigo
Clinical narrative: Sudden loss of hearing in the right ear with associated pain. Vertigo, Tinnitus, gait disturbance due to vertigo, light headedness.   Hearing test x 3. MRI with contrast, Oral Prednisone, then intertympanic injection with steroids. F/u visit with  audio - neurologist. Currently going to cognitive therapy once weekly  due to auditory dysfunction  Profound, permanent hearing loss in the right ear. resulting in cognitive impairment
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Diarrhoea, Gastrointestinal disorder, Oropharyngeal pain
Clinical narrative: Low grade temperature, minor runny nose and sore throat, not a big deal. Major gastrointestinal stuff; 12 hours of vomiting and I'm on day 7 of diarrhea. I started to feel it in my chest yesterday and called my doctor, it feels like the Valley Fever. I was given PAXLOVID last night.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Low grade temperature, minor runny nose and sore throat, not a big deal. Major gastrointestinal stuff; 12 hours of vomiting and I'm on day 7 of diarrhea. I started to feel it in my chest yesterday and called my doctor, it feels like the Valley Fever. I was given PAXLOVID last night.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac arrest, Death, Dyspnoea
Clinical narrative: pt admitted to Medical Center on 12/30/21 and dx with COVID and AHRF; dc'd to home on 1/12/22; 1/17/22 became increasingly SOB, EMS called; O2 saturation in 70s; brought to ED and placed on BiPAP; no evidence of PE; placed on steroids and ABX; transferred to ICU; sepsis; worsening respiratory status requiring intubation and mechanical ventilation; continued to decompensate; given vasopressors; went into cardiac arrest; CPR performed; didn't achieve ROSC; pt expired in the hospital
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Intensive care, Mechanical ventilation, Positive airway pressure therapy
Clinical narrative: pt admitted to Medical Center on 12/30/21 and dx with COVID and AHRF; dc'd to home on 1/12/22; 1/17/22 became increasingly SOB, EMS called; O2 saturation in 70s; brought to ED and placed on BiPAP; no evidence of PE; placed on steroids and ABX; transferred to ICU; sepsis; worsening respiratory status requiring intubation and mechanical ventilation; continued to decompensate; given vasopressors; went into cardiac arrest; CPR performed; didn't achieve ROSC; pt expired in the hospital
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, Sepsis
Clinical narrative: pt admitted to Medical Center on 12/30/21 and dx with COVID and AHRF; dc'd to home on 1/12/22; 1/17/22 became increasingly SOB, EMS called; O2 saturation in 70s; brought to ED and placed on BiPAP; no evidence of PE; placed on steroids and ABX; transferred to ICU; sepsis; worsening respiratory status requiring intubation and mechanical ventilation; continued to decompensate; given vasopressors; went into cardiac arrest; CPR performed; didn't achieve ROSC; pt expired in the hospital
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema, Rash, Rash macular, Skin irritation
Clinical narrative: April 7, or around this time, I noticed an area around me under arm and back. Little red irritations spots 6-7 hives. I tried to use creams daily to reduce the irritation. I have eczema but I haven't had any issues for years until the very first one. I did reach out at a point to ask my doctor for triamcinolone actinodin cream to reduce the irritation.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: None stated.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient received a sub-optimal COVID-19 vaccine due to a storage and handling error. Vaccine was stored in a regular freezer prior to being refrigerated and then administered. The local authority requested that a VAERS form be submitted for this patient.
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a sub-optimal COVID-19 vaccine due to a storage and handling error. Vaccine was stored in a regular freezer prior to being refrigerated and then administered. The local authority requested that a VAERS form be submitted for this patient.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Anxiety, Atrial fibrillation, Blood test normal
Clinical narrative: Moderna Dose 1 2/16/21 (lot NA) Moderna Dose 2 3/19/21 (lot NA) Moderna Dose 3 11/4/21 (077C21B) COVID Positive 1/6/22  1/6/22: The patient is 75-year-old female with a past medical history of O2 dependent COPD and follows with Dr., HTN, severe anxiety and follows with a psychologist on Prozac and Xanax, hypothyroid, and RA. She presents to the ER with c/o increasing shortness of breath for last 3 days. Patient is fully vaccinated against COVID-19 and has received her booster.  X-ray showing bilateral pneumonia and has a pending COVID-19 test. Patient was treated with Rocephin, DuoNeb, Solu-Medrol and IV fluid. She also reported increased anxiety and was treated with Xanax in ER.   During my examination in ER patient was resting comfortably in her bed and denies fevers, chills, nausea, vomiting, chest pain, headaches, abdominal pain, palpitation, headaches numbness and tingling. She is from home with her husband who is her primary caretaker. Patient uses 2 L at rest and 3 L activities and sleep. ED blood work unremarkable and she is currently 4 L O2 with sats around 91%. Patient will be admitted into the medical unit will be treated for community-acquired pneumonia. Explained plan of care with the patient she is agreeable to stay in hospital for further management. Per patient's request will call her husband for updates.  1/11/22: Patient is a 75-year-old female with history of severe anxiety, hypertension, rheumatoid arthritis, and chronic hypoxic respiratory failure secondary to advanced COPD who was admitted on 1/6/2022 with bilateral COVID pneumonia and acute on chronic hypoxic respiratory failure. She was also noted to have intermittent AFib RVR which quickly transitioned back to sinus rhythm.  The patient was admitted to the medical floor and was started on Remdesivir, Azithromycin, Rocephin, and dexamethasone.  She has slowly improved over the last several days.  She is back to her home oxygen need which is 3 L at rest and with activity.  The patient was evaluated by Physical therapy and they felt as though she would be able to safely go home with VNA services.  The patient was agreeable to palliative care and an Alternatives referral for extra help at home. These were both sent yesterday.  The patient this morning reports that she is feeling much better.  She is a little nervous about going home, but after discussing it, she will take it slow and steady.  She denies shortness of breath at rest, but does still report some dyspnea on exertion.  She denies chest pain or palpitations.  She is currently in sinus rhythm.  The patient was started on Toprol XL and Eliquis for her AFib.  She should follow-up with her cardiologist in 1-2 weeks and we have discussed this.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated, Dyspnoea
Clinical narrative: Moderna Dose 1 2/16/21 (lot NA) Moderna Dose 2 3/19/21 (lot NA) Moderna Dose 3 11/4/21 (077C21B) COVID Positive 1/6/22  1/6/22: The patient is 75-year-old female with a past medical history of O2 dependent COPD and follows with Dr., HTN, severe anxiety and follows with a psychologist on Prozac and Xanax, hypothyroid, and RA. She presents to the ER with c/o increasing shortness of breath for last 3 days. Patient is fully vaccinated against COVID-19 and has received her booster.  X-ray showing bilateral pneumonia and has a pending COVID-19 test. Patient was treated with Rocephin, DuoNeb, Solu-Medrol and IV fluid. She also reported increased anxiety and was treated with Xanax in ER.   During my examination in ER patient was resting comfortably in her bed and denies fevers, chills, nausea, vomiting, chest pain, headaches, abdominal pain, palpitation, headaches numbness and tingling. She is from home with her husband who is her primary caretaker. Patient uses 2 L at rest and 3 L activities and sleep. ED blood work unremarkable and she is currently 4 L O2 with sats around 91%. Patient will be admitted into the medical unit will be treated for community-acquired pneumonia. Explained plan of care with the patient she is agreeable to stay in hospital for further management. Per patient's request will call her husband for updates.  1/11/22: Patient is a 75-year-old female with history of severe anxiety, hypertension, rheumatoid arthritis, and chronic hypoxic respiratory failure secondary to advanced COPD who was admitted on 1/6/2022 with bilateral COVID pneumonia and acute on chronic hypoxic respiratory failure. She was also noted to have intermittent AFib RVR which quickly transitioned back to sinus rhythm.  The patient was admitted to the medical floor and was started on Remdesivir, Azithromycin, Rocephin, and dexamethasone.  She has slowly improved over the last several days.  She is back to her home oxygen need which is 3 L at rest and with activity.  The patient was evaluated by Physical therapy and they felt as though she would be able to safely go home with VNA services.  The patient was agreeable to palliative care and an Alternatives referral for extra help at home. These were both sent yesterday.  The patient this morning reports that she is feeling much better.  She is a little nervous about going home, but after discussing it, she will take it slow and steady.  She denies shortness of breath at rest, but does still report some dyspnea on exertion.  She denies chest pain or palpitations.  She is currently in sinus rhythm.  The patient was started on Toprol XL and Eliquis for her AFib.  She should follow-up with her cardiologist in 1-2 weeks and we have discussed this.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Nervousness, Pneumonia, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Moderna Dose 1 2/16/21 (lot NA) Moderna Dose 2 3/19/21 (lot NA) Moderna Dose 3 11/4/21 (077C21B) COVID Positive 1/6/22  1/6/22: The patient is 75-year-old female with a past medical history of O2 dependent COPD and follows with Dr., HTN, severe anxiety and follows with a psychologist on Prozac and Xanax, hypothyroid, and RA. She presents to the ER with c/o increasing shortness of breath for last 3 days. Patient is fully vaccinated against COVID-19 and has received her booster.  X-ray showing bilateral pneumonia and has a pending COVID-19 test. Patient was treated with Rocephin, DuoNeb, Solu-Medrol and IV fluid. She also reported increased anxiety and was treated with Xanax in ER.   During my examination in ER patient was resting comfortably in her bed and denies fevers, chills, nausea, vomiting, chest pain, headaches, abdominal pain, palpitation, headaches numbness and tingling. She is from home with her husband who is her primary caretaker. Patient uses 2 L at rest and 3 L activities and sleep. ED blood work unremarkable and she is currently 4 L O2 with sats around 91%. Patient will be admitted into the medical unit will be treated for community-acquired pneumonia. Explained plan of care with the patient she is agreeable to stay in hospital for further management. Per patient's request will call her husband for updates.  1/11/22: Patient is a 75-year-old female with history of severe anxiety, hypertension, rheumatoid arthritis, and chronic hypoxic respiratory failure secondary to advanced COPD who was admitted on 1/6/2022 with bilateral COVID pneumonia and acute on chronic hypoxic respiratory failure. She was also noted to have intermittent AFib RVR which quickly transitioned back to sinus rhythm.  The patient was admitted to the medical floor and was started on Remdesivir, Azithromycin, Rocephin, and dexamethasone.  She has slowly improved over the last several days.  She is back to her home oxygen need which is 3 L at rest and with activity.  The patient was evaluated by Physical therapy and they felt as though she would be able to safely go home with VNA services.  The patient was agreeable to palliative care and an Alternatives referral for extra help at home. These were both sent yesterday.  The patient this morning reports that she is feeling much better.  She is a little nervous about going home, but after discussing it, she will take it slow and steady.  She denies shortness of breath at rest, but does still report some dyspnea on exertion.  She denies chest pain or palpitations.  She is currently in sinus rhythm.  The patient was started on Toprol XL and Eliquis for her AFib.  She should follow-up with her cardiologist in 1-2 weeks and we have discussed this.