chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Delirium, Dyspnoea, Dyspnoea exertional, Haematemesis, Haemoptysis
Clinical narrative: Patient with 3 Moderna COVID vaccinations who admitted to the hospital with hypoxia and COVID detected PCR.  Provider d/c note below:  "93-year-old female with history of peripheral artery disease, osteoporosis, anxiety, who presented to the emergency department on 07/01/2022 with intractable nausea and vomiting.  There were also some concerns hemoptysis/hematemesis at home, which was about the size of a half-dollar.  In the emergency department, vital signs were stable.  Lab workup was reassuring.  Chest x-ray and CT abdomen pelvis were all reassuring.  She was initially admitted to the emergency department under observation status for nausea.  On the emergency department, patient developed hypoxia on ambulation requiring 2 L of oxygen.  She tested positive for COVID, she was noted to have some shortness of breath and productive cough.  She was admitted to inpatient status for further evaluation.   Patient was started on remdesivir and Decadron for treatment of COVID pneumonia.  Patient became agitated with altered mental status a few days into her treatment.  This was thought to be secondary to steroid induced delirium, Decadron was stopped and she was continued on remdesivir.  Patient's mental status and agitation improved 1-2 days after stopping steroids.  Patient's highest oxygen requirement was 4 L, and she continue to wean down with time and remdesivir treatment.  PT/OT recommended skilled nursing facility.  Patient was accepted at a Hospital for continue rehabilitation.  On day of discharge, patient was at her baseline level of mentation and was satting well on 2 L nasal cannula.  She was discharged in stable medical condition and transported out of facility."
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Laboratory test normal, Mental status changes, Nausea, Productive cough
Clinical narrative: Patient with 3 Moderna COVID vaccinations who admitted to the hospital with hypoxia and COVID detected PCR.  Provider d/c note below:  "93-year-old female with history of peripheral artery disease, osteoporosis, anxiety, who presented to the emergency department on 07/01/2022 with intractable nausea and vomiting.  There were also some concerns hemoptysis/hematemesis at home, which was about the size of a half-dollar.  In the emergency department, vital signs were stable.  Lab workup was reassuring.  Chest x-ray and CT abdomen pelvis were all reassuring.  She was initially admitted to the emergency department under observation status for nausea.  On the emergency department, patient developed hypoxia on ambulation requiring 2 L of oxygen.  She tested positive for COVID, she was noted to have some shortness of breath and productive cough.  She was admitted to inpatient status for further evaluation.   Patient was started on remdesivir and Decadron for treatment of COVID pneumonia.  Patient became agitated with altered mental status a few days into her treatment.  This was thought to be secondary to steroid induced delirium, Decadron was stopped and she was continued on remdesivir.  Patient's mental status and agitation improved 1-2 days after stopping steroids.  Patient's highest oxygen requirement was 4 L, and she continue to wean down with time and remdesivir treatment.  PT/OT recommended skilled nursing facility.  Patient was accepted at a Hospital for continue rehabilitation.  On day of discharge, patient was at her baseline level of mentation and was satting well on 2 L nasal cannula.  She was discharged in stable medical condition and transported out of facility."
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient with 3 Moderna COVID vaccinations who admitted to the hospital with hypoxia and COVID detected PCR.  Provider d/c note below:  "93-year-old female with history of peripheral artery disease, osteoporosis, anxiety, who presented to the emergency department on 07/01/2022 with intractable nausea and vomiting.  There were also some concerns hemoptysis/hematemesis at home, which was about the size of a half-dollar.  In the emergency department, vital signs were stable.  Lab workup was reassuring.  Chest x-ray and CT abdomen pelvis were all reassuring.  She was initially admitted to the emergency department under observation status for nausea.  On the emergency department, patient developed hypoxia on ambulation requiring 2 L of oxygen.  She tested positive for COVID, she was noted to have some shortness of breath and productive cough.  She was admitted to inpatient status for further evaluation.   Patient was started on remdesivir and Decadron for treatment of COVID pneumonia.  Patient became agitated with altered mental status a few days into her treatment.  This was thought to be secondary to steroid induced delirium, Decadron was stopped and she was continued on remdesivir.  Patient's mental status and agitation improved 1-2 days after stopping steroids.  Patient's highest oxygen requirement was 4 L, and she continue to wean down with time and remdesivir treatment.  PT/OT recommended skilled nursing facility.  Patient was accepted at a Hospital for continue rehabilitation.  On day of discharge, patient was at her baseline level of mentation and was satting well on 2 L nasal cannula.  She was discharged in stable medical condition and transported out of facility."
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Malaise, Oropharyngeal pain, Respiratory symptom
Clinical narrative: COVID-19 symptoms started on 07/18/22; tested positive the same day. I had woke up with a terrible sore throat and then my head felt like I had a bad sinus infection. I felt lousy in like my muscles but I didn't have fever that I know of. It's mostly upper respiratory and I've had worse things in my life. I called my doctor and he sent me a Z-PAK to help with the body not overreacting so I am taking that. My pulse ox level is fine and I'm not feeling worse or better but yesterday I felt better than I did Monday and today is about the same. The sore throat went away.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinusitis
Clinical narrative: COVID-19 symptoms started on 07/18/22; tested positive the same day. I had woke up with a terrible sore throat and then my head felt like I had a bad sinus infection. I felt lousy in like my muscles but I didn't have fever that I know of. It's mostly upper respiratory and I've had worse things in my life. I called my doctor and he sent me a Z-PAK to help with the body not overreacting so I am taking that. My pulse ox level is fine and I'm not feeling worse or better but yesterday I felt better than I did Monday and today is about the same. The sore throat went away.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Compression garment application, Factor V Leiden mutation, Oedema, Thrombosis
Clinical narrative: I never had pain in my left leg. Six weeks prior I had pitting edema in my right leg. On June 10, 2022 I developed a blood clot behind my knee on my left leg. Once I received my diagnosis I was instructed to come into the emergency room hospital to be treated and released. I left with a prescription of ELIQUIS and told to continue wearing my compression hose. I have been told I have Factor V Leiden mutation that predisposes me to thrombotic abnormalities.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: I never had pain in my left leg. Six weeks prior I had pitting edema in my right leg. On June 10, 2022 I developed a blood clot behind my knee on my left leg. Once I received my diagnosis I was instructed to come into the emergency room hospital to be treated and released. I left with a prescription of ELIQUIS and told to continue wearing my compression hose. I have been told I have Factor V Leiden mutation that predisposes me to thrombotic abnormalities.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Accidental overdose, COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 Pfizer vaccinations who admitted with positive COVID test.  Provider d/c note below:  "79 yo retired RN who has been battling metastatic cancer and recently became ill with Covid. She inadvertently took too much robitussin with codeine which caused her to pass out and fall. She improved as the meds metabolized out of her system. Daughters were able to do inventory of meds in the home. The meds found included various supplements and herbal otc sleep aids, including CBD gummies and a Nuleaf CBD drops.  Meds were reviewed with patient and daughters. Going forward they will be organizing a med box, pitching out old meds including sedating meds, and working with patient as she will allow. Daughters want to take her to travel for a few weeks before next chemo. Patient is not agreeable to that at this point"" we will consider it.""  Ok to continue appetite stimulant megestrol acetate as needed.    Regarding covid, minimally symptomatic at this point. Eupoxic. PT evaluated and deemed independent. "
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Received Moderna and requested Pfizer. Monitored post 15 minutes no adverse reaction
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Malaise
Clinical narrative: On July 8th I had plane travel, I went to a conference. I will say I wear my mask generally more than 95 percent of others. I noticed somewhere around the 11th I started noticing mild symptoms. The first thing I noticed was not being able to sleep well, tossing and turning. I took a rapid COVID-19 test that was negative. I tested positive on Tuesday the 12th. I talked to the doctor the 14th and got a PAXLOVID prescription that is now finished. Symptoms have been relatively minor. I have had loss of appetite, trouble sleeping, malaise, post nasal drip. I also had a small dry cough and slight sore throat. I am still testing positive and the only symptom remaining is slight fatigue.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Restlessness, SARS-CoV-2 test positive, Sleep disorder, Upper-airway cough syndrome
Clinical narrative: On July 8th I had plane travel, I went to a conference. I will say I wear my mask generally more than 95 percent of others. I noticed somewhere around the 11th I started noticing mild symptoms. The first thing I noticed was not being able to sleep well, tossing and turning. I took a rapid COVID-19 test that was negative. I tested positive on Tuesday the 12th. I talked to the doctor the 14th and got a PAXLOVID prescription that is now finished. Symptoms have been relatively minor. I have had loss of appetite, trouble sleeping, malaise, post nasal drip. I also had a small dry cough and slight sore throat. I am still testing positive and the only symptom remaining is slight fatigue.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Aortic valve replacement, Asymptomatic COVID-19, Craniotomy
Clinical narrative: 9/8/21 pt had a positive COVID test in Hospital; pt asymptomatic for COVID, no treatment required; was transferred to another Hospital for SDH; developed mechanical aortic valve requiring anticoagulation; developed worsening SDH on right side; had an emergent decompression craniotomy; developed seizure activity; intubated; sputum cultures grew Klebsiella pneumoniae; suffered refractory shock; acute renal failure; developed pulseless ventricular arrhythmia; CPR performed without good results; pt expired in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Decompressive craniectomy, Endotracheal intubation, Klebsiella test positive, Pulse absent
Clinical narrative: 9/8/21 pt had a positive COVID test in Hospital; pt asymptomatic for COVID, no treatment required; was transferred to another Hospital for SDH; developed mechanical aortic valve requiring anticoagulation; developed worsening SDH on right side; had an emergent decompression craniotomy; developed seizure activity; intubated; sputum cultures grew Klebsiella pneumoniae; suffered refractory shock; acute renal failure; developed pulseless ventricular arrhythmia; CPR performed without good results; pt expired in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Seizure like phenomena, Shock, Sputum culture positive
Clinical narrative: 9/8/21 pt had a positive COVID test in Hospital; pt asymptomatic for COVID, no treatment required; was transferred to another Hospital for SDH; developed mechanical aortic valve requiring anticoagulation; developed worsening SDH on right side; had an emergent decompression craniotomy; developed seizure activity; intubated; sputum cultures grew Klebsiella pneumoniae; suffered refractory shock; acute renal failure; developed pulseless ventricular arrhythmia; CPR performed without good results; pt expired in the hospital
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Subdural haematoma, Ventricular arrhythmia
Clinical narrative: 9/8/21 pt had a positive COVID test in Hospital; pt asymptomatic for COVID, no treatment required; was transferred to another Hospital for SDH; developed mechanical aortic valve requiring anticoagulation; developed worsening SDH on right side; had an emergent decompression craniotomy; developed seizure activity; intubated; sputum cultures grew Klebsiella pneumoniae; suffered refractory shock; acute renal failure; developed pulseless ventricular arrhythmia; CPR performed without good results; pt expired in the hospital
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Asthenia, COVID-19, Fatigue, Feeling abnormal, Headache
Clinical narrative: I felt like was getting a cold. I had body aches fatigue, headache, mild sore throat. Around noon I found out from my aunt that she had COVID-19. So I thought that my symptoms were COVID-19 , I test at home and it was negative and I realized that I was getting brain fog. The next day I tested positive for COVID-19. I called my doctor on Wednesday and they told me I needed a positive test for PAXLOVID. I still had body ache, congestion, brain fog, fatigue with bad congestion. I cancelled my PCR test because I had a positive test at home. On Friday I talked to my doctor and got the PAXLOVID. From that point forward I was really weak and tired and could barely sit up for a week. There was no sign of improvement for a while and around 6/30 I started to feel better. I was feeling better 7/3. I was fatigue and little congested after but feeling better. I was really out of it for about 10 days. But there was a progression starting on day 9.
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Mobility decreased, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory tract congestion
Clinical narrative: I felt like was getting a cold. I had body aches fatigue, headache, mild sore throat. Around noon I found out from my aunt that she had COVID-19. So I thought that my symptoms were COVID-19 , I test at home and it was negative and I realized that I was getting brain fog. The next day I tested positive for COVID-19. I called my doctor on Wednesday and they told me I needed a positive test for PAXLOVID. I still had body ache, congestion, brain fog, fatigue with bad congestion. I cancelled my PCR test because I had a positive test at home. On Friday I talked to my doctor and got the PAXLOVID. From that point forward I was really weak and tired and could barely sit up for a week. There was no sign of improvement for a while and around 6/30 I started to feel better. I was feeling better 7/3. I was fatigue and little congested after but feeling better. I was really out of it for about 10 days. But there was a progression starting on day 9.
Age: 50.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I felt like was getting a cold. I had body aches fatigue, headache, mild sore throat. Around noon I found out from my aunt that she had COVID-19. So I thought that my symptoms were COVID-19 , I test at home and it was negative and I realized that I was getting brain fog. The next day I tested positive for COVID-19. I called my doctor on Wednesday and they told me I needed a positive test for PAXLOVID. I still had body ache, congestion, brain fog, fatigue with bad congestion. I cancelled my PCR test because I had a positive test at home. On Friday I talked to my doctor and got the PAXLOVID. From that point forward I was really weak and tired and could barely sit up for a week. There was no sign of improvement for a while and around 6/30 I started to feel better. I was feeling better 7/3. I was fatigue and little congested after but feeling better. I was really out of it for about 10 days. But there was a progression starting on day 9.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dysphagia, Influenza A virus test negative, Influenza B virus test, Odynophagia
Clinical narrative: Starting 06/08/2022, I woke up with a very sore throat and as the day progressed it became hard to swallow/hurt to swallow. I tested myself that day with an at-home COVID-19 test which was negative. On 06/09/2022, I felt it in my upper sinuses. I did not have a fever or headache, just was congested and had a sore throat. So, I went to urgent care thinking I had strep throat but it turned out I tested positive for COVID-19. I was tested for Influenza A and B but both came back negative. They said to treat the symptoms with ibuprofen/TYLENOL and possibly ZYRTEC. If it got worse, I was informed to go to the ER. At one point I think I had a fever but it was low grade. It took about 6 days for symptoms to resolve and I'm feeling fine today.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus disorder, Streptococcus test negative
Clinical narrative: Starting 06/08/2022, I woke up with a very sore throat and as the day progressed it became hard to swallow/hurt to swallow. I tested myself that day with an at-home COVID-19 test which was negative. On 06/09/2022, I felt it in my upper sinuses. I did not have a fever or headache, just was congested and had a sore throat. So, I went to urgent care thinking I had strep throat but it turned out I tested positive for COVID-19. I was tested for Influenza A and B but both came back negative. They said to treat the symptoms with ibuprofen/TYLENOL and possibly ZYRTEC. If it got worse, I was informed to go to the ER. At one point I think I had a fever but it was low grade. It took about 6 days for symptoms to resolve and I'm feeling fine today.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, C-reactive protein, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pneumonia due to 2019 novel coronavirus.  Acute respiratory failure with hypoxia  Bacteremia due to methicillin susceptible Staphylococcus aureus (MSSA) continue current support with O2 Device: Nasal cannula at Oxygen Delivery - Labs: Daily COVID labs ordered x4 days (CBC, BMP, D-dimer, CRP).  Continue to trend after 4 days as needed.  - Imaging: Chest x-ray 7/16/22 showed Right basilar pneumonia.COVID-Focused Medications:  Dexamethasone 6 mg x 10 days or until hospital discharge, started on 7/16/2022  Remdesivir x 5 days or until hospital discharge DAUGHTER DECLINED on admissionE  - DVT Prophylaxis:  PROPHYLACTIC dosing: lovenox 40mg daily..
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Metabolic function test, Staphylococcal bacteraemia
Clinical narrative: Pneumonia due to 2019 novel coronavirus.  Acute respiratory failure with hypoxia  Bacteremia due to methicillin susceptible Staphylococcus aureus (MSSA) continue current support with O2 Device: Nasal cannula at Oxygen Delivery - Labs: Daily COVID labs ordered x4 days (CBC, BMP, D-dimer, CRP).  Continue to trend after 4 days as needed.  - Imaging: Chest x-ray 7/16/22 showed Right basilar pneumonia.COVID-Focused Medications:  Dexamethasone 6 mg x 10 days or until hospital discharge, started on 7/16/2022  Remdesivir x 5 days or until hospital discharge DAUGHTER DECLINED on admissionE  - DVT Prophylaxis:  PROPHYLACTIC dosing: lovenox 40mg daily..
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Musculoskeletal stiffness, Pain
Clinical narrative: The day after dose 1 vaccine, I started having my muscles lock up, making it hard to move. It started in my arm then moved to my limbs and back. I started having a fever of 102.0 and chills. This lasted for about 2 weeks. I also had fatigue, body aches and a poor appetite. I did not seek care from a doctor. I had searched online and these symptoms were expected. I started noticing 2 weeks after the vaccine that I started gradually feeling better.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The day after dose 1 vaccine, I started having my muscles lock up, making it hard to move. It started in my arm then moved to my limbs and back. I started having a fever of 102.0 and chills. This lasted for about 2 weeks. I also had fatigue, body aches and a poor appetite. I did not seek care from a doctor. I had searched online and these symptoms were expected. I started noticing 2 weeks after the vaccine that I started gradually feeling better.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I received my vaccine on 04/05/2022. On July 13/2022 I started feeling ill during the day. Persistent cough and sneezing.  on 07/17/2022 I went to the doctor after testing positive for Covid-19. I was prescribed Paxlovid. Started feeling better same day after taking medication.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Diarrhoea, Dizziness, Fatigue
Clinical narrative: I contracted COVID-19 on 06/15/2022 with symptoms of fatigue, myalgia, nausea, dizziness. abdominal pain, and diarrhea. I was not prescribed any medications. I was ill for 6 days before my symptoms began to resolve. I did have lingering symptoms of nausea and dizziness with persisted for 2 to 3 weeks, I am fully recovered with no lingering symptoms now.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nausea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/15/2022 with symptoms of fatigue, myalgia, nausea, dizziness. abdominal pain, and diarrhea. I was not prescribed any medications. I was ill for 6 days before my symptoms began to resolve. I did have lingering symptoms of nausea and dizziness with persisted for 2 to 3 weeks, I am fully recovered with no lingering symptoms now.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: Headache, Chills, Sore Arm, slight fever.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Extra dose administered, Pain in extremity
Clinical narrative: On 6/28/22 Patient received her 4th Pfizer vaccine at 12:24 pm. According to the daughter 4 hours later her arm was hurting. Patient took advil. Her  blood pressure went up to 180 systolic. Pt. was taken to hospital and they recommended her to take tylenol.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 9/2/21; lives in a nursing home; family declined ABX treatment for pt's COVID; requested comfort care; pt expired in the nursing home
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Bladder disorder, Computerised tomogram, Computerised tomogram abdomen
Clinical narrative: Week of  April 24, 2022 I had severe back pain, 4/27- the end of May shoulder, left leg and could barely walk due to pain. May 23rd went to hospital ER could no longer tolerate pain. June 1st went to OB/GYN, bladder was enlarged. Hospitalized from 6/1- 6/4. Also, shingles in right eye. 7/5-7/6  went to ER for right side face pain. Was given eye drops.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Gait disturbance, Ophthalmic herpes zoster, Pain in extremity
Clinical narrative: Week of  April 24, 2022 I had severe back pain, 4/27- the end of May shoulder, left leg and could barely walk due to pain. May 23rd went to hospital ER could no longer tolerate pain. June 1st went to OB/GYN, bladder was enlarged. Hospitalized from 6/1- 6/4. Also, shingles in right eye. 7/5-7/6  went to ER for right side face pain. Was given eye drops.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Penis disorder
Clinical narrative: penis swelling
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bicarbonate decreased, Blood lactic acid, Blood potassium decreased, Blood sodium, COVID-19
Clinical narrative: Patient with J+J on 07/17/2022 who admitted to hospital with failure to thrive who died on comfort care services.  Provider d/c note below:  "87-year-old female with a past medical history significant for Alzheimer's dementia, hypertension, recurring DVTs, left parietal meningioma, CKD stage 3, diverticulitis who presented with severe hypernatremia in failure to thrive secondary to refusal for any oral intake.  It was noted on admission that the patient was nonverbal and responsive to noxious stimuli but refusing to eat or drink anything over the past week or longer.  The son had visited the patient at Facility and the patient was not doing well and would likely be a hospice candidate in the coming week.  When the patient got to the hospital sodium was notable for at 4:29 p.m., potassium 3.1, bicarb 21, WBC 20.1, lactate 4.0 CT head was negative excluding history of meningioma, CT abdomen pelvis had pancreatic lesions concerning for IPMN.  Patient was evaluated in hospital by speech and patient is still refusing to eat anything.  With the recent CT findings and patient refusal for oral intake with severe failure to thrive and severe dementia, with conversation with son patient was deemed to be comfort care by the son.    Unfortunately, prior to discharge the patient was COVID(+). Patient remained at hospital as the patient was unable to discharge due to COVID status. The patient continued comfort directed care until expiration on 7/11/22 at 21:20. "
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Computerised tomogram head normal, Death, Failure to thrive, Hypernatraemia
Clinical narrative: Patient with J+J on 07/17/2022 who admitted to hospital with failure to thrive who died on comfort care services.  Provider d/c note below:  "87-year-old female with a past medical history significant for Alzheimer's dementia, hypertension, recurring DVTs, left parietal meningioma, CKD stage 3, diverticulitis who presented with severe hypernatremia in failure to thrive secondary to refusal for any oral intake.  It was noted on admission that the patient was nonverbal and responsive to noxious stimuli but refusing to eat or drink anything over the past week or longer.  The son had visited the patient at Facility and the patient was not doing well and would likely be a hospice candidate in the coming week.  When the patient got to the hospital sodium was notable for at 4:29 p.m., potassium 3.1, bicarb 21, WBC 20.1, lactate 4.0 CT head was negative excluding history of meningioma, CT abdomen pelvis had pancreatic lesions concerning for IPMN.  Patient was evaluated in hospital by speech and patient is still refusing to eat anything.  With the recent CT findings and patient refusal for oral intake with severe failure to thrive and severe dementia, with conversation with son patient was deemed to be comfort care by the son.    Unfortunately, prior to discharge the patient was COVID(+). Patient remained at hospital as the patient was unable to discharge due to COVID status. The patient continued comfort directed care until expiration on 7/11/22 at 21:20. "
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Pancreatic disorder, SARS-CoV-2 test positive, Speech disorder, White blood cell count increased
Clinical narrative: Patient with J+J on 07/17/2022 who admitted to hospital with failure to thrive who died on comfort care services.  Provider d/c note below:  "87-year-old female with a past medical history significant for Alzheimer's dementia, hypertension, recurring DVTs, left parietal meningioma, CKD stage 3, diverticulitis who presented with severe hypernatremia in failure to thrive secondary to refusal for any oral intake.  It was noted on admission that the patient was nonverbal and responsive to noxious stimuli but refusing to eat or drink anything over the past week or longer.  The son had visited the patient at Facility and the patient was not doing well and would likely be a hospice candidate in the coming week.  When the patient got to the hospital sodium was notable for at 4:29 p.m., potassium 3.1, bicarb 21, WBC 20.1, lactate 4.0 CT head was negative excluding history of meningioma, CT abdomen pelvis had pancreatic lesions concerning for IPMN.  Patient was evaluated in hospital by speech and patient is still refusing to eat anything.  With the recent CT findings and patient refusal for oral intake with severe failure to thrive and severe dementia, with conversation with son patient was deemed to be comfort care by the son.    Unfortunately, prior to discharge the patient was COVID(+). Patient remained at hospital as the patient was unable to discharge due to COVID status. The patient continued comfort directed care until expiration on 7/11/22 at 21:20. "
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Contracted COVID-19.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: I started getting symptoms of sore throat and was taking cough drops and TYLENOL. I tested positive for COVID-19 on a home test. I contacted my doctor and prescribed PAXLOVID. I had weakness and fatigue as well as a cough. My symptoms lasted for a total of 4 days. The weakness lasted for longer.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of sore throat and was taking cough drops and TYLENOL. I tested positive for COVID-19 on a home test. I contacted my doctor and prescribed PAXLOVID. I had weakness and fatigue as well as a cough. My symptoms lasted for a total of 4 days. The weakness lasted for longer.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: It was a really bad cold that came out of no where. I had a fever. Never had a loss of smell and taste. I took a at home COVID-19 test and it all came back negative. It lasted about a week and a half.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Injection site erythema, Injection site induration, Pruritus
Clinical narrative: Patient came in after receiving MMRV in the right leg on 7/18 with an area of induration and redness at sight of injection: redness 4 1/2 cm by 4 1/2 cm, induration: 6 cm by 5 cm.  Patient describes only itching. No pain/drainage/fever/other rash.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: fatigue, cough, SOB, headaches
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test, Influenza B virus test, SARS-CoV-2 test positive
Clinical narrative: fatigue, cough, SOB, headaches
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Anticoagulant therapy, Aphasia, Arteriogram carotid normal, Asthenia
Clinical narrative: Patient with single J+J COVID vaccination 08/12/2021 who admitted to hospital with positive COVID test.  Provider discharge note below:  "90 YO male with h/o dementia, HTN, DM2, HFpEF, who was initially admitted with acute multifocal stroke in setting of COVID-19 infection. He was quite debilitated on admission with generalized weakness, inability to eat, left gaze preference and expressive aphasia. MRI brain showed multiple small acute infarcts in the frontal lobes, parietal lobes, and in the left temporal occipital lobe. TTE and U/S Carotids unremarkable.  He was started on aspirin per stroke protocol. A couple days into his hospitalization he enrolled in hospice due to failure to improve and severe persistent neurologic deficits.  Due to COVID-19 infection, his hospitalization was prolonged while waiting for bed availability and clearance of COVID.  Surprisingly, during this time he had significant improvement in mental status and will returned nearly to baseline.  Given the dramatic improvement in mental status and he was unenrolled from hospice enrolled in hospice.    After revoking hospice, he was noted to not have completed a full stroke workup. He subsequently had CTA head/neck which was negative for atherosclerotic disease. Telemetry had been discontinued when he enrolled in hospice, and he refused for it to be replaced.  He also refused any repeat labs.  Discussed TEE with him and his wife and they deferred at this time.  I was able to discuss his case with a neurologist.  Given multifocal embolic appearing stroke the strongest suspicion is for either hypercoagulability due to COVID-19 infection or paroxysmal atrial fibrillation that was not captured during the hospitalization.  Discussed risks and benefits of anticoagulation with patient and his wife.  They are amenable to starting anticoagulation with Eliquis.  Will order Zio patch monitor on discharge for further evaluation of atrial fibrillation.  If this is negative for atrial fibrillation would consider stopping Eliquis in treating with anti-platelet therapy alone.  He will follow-up with neurology on discharge for further evaluation.  Discharged to SNF in good condition. "
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac telemetry, Cerebral infarction, Cerebrovascular accident, Echocardiogram
Clinical narrative: Patient with single J+J COVID vaccination 08/12/2021 who admitted to hospital with positive COVID test.  Provider discharge note below:  "90 YO male with h/o dementia, HTN, DM2, HFpEF, who was initially admitted with acute multifocal stroke in setting of COVID-19 infection. He was quite debilitated on admission with generalized weakness, inability to eat, left gaze preference and expressive aphasia. MRI brain showed multiple small acute infarcts in the frontal lobes, parietal lobes, and in the left temporal occipital lobe. TTE and U/S Carotids unremarkable.  He was started on aspirin per stroke protocol. A couple days into his hospitalization he enrolled in hospice due to failure to improve and severe persistent neurologic deficits.  Due to COVID-19 infection, his hospitalization was prolonged while waiting for bed availability and clearance of COVID.  Surprisingly, during this time he had significant improvement in mental status and will returned nearly to baseline.  Given the dramatic improvement in mental status and he was unenrolled from hospice enrolled in hospice.    After revoking hospice, he was noted to not have completed a full stroke workup. He subsequently had CTA head/neck which was negative for atherosclerotic disease. Telemetry had been discontinued when he enrolled in hospice, and he refused for it to be replaced.  He also refused any repeat labs.  Discussed TEE with him and his wife and they deferred at this time.  I was able to discuss his case with a neurologist.  Given multifocal embolic appearing stroke the strongest suspicion is for either hypercoagulability due to COVID-19 infection or paroxysmal atrial fibrillation that was not captured during the hospitalization.  Discussed risks and benefits of anticoagulation with patient and his wife.  They are amenable to starting anticoagulation with Eliquis.  Will order Zio patch monitor on discharge for further evaluation of atrial fibrillation.  If this is negative for atrial fibrillation would consider stopping Eliquis in treating with anti-platelet therapy alone.  He will follow-up with neurology on discharge for further evaluation.  Discharged to SNF in good condition. "
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Feeding disorder, Gaze palsy, Hypercoagulation, Magnetic resonance imaging head abnormal, Mental status changes
Clinical narrative: Patient with single J+J COVID vaccination 08/12/2021 who admitted to hospital with positive COVID test.  Provider discharge note below:  "90 YO male with h/o dementia, HTN, DM2, HFpEF, who was initially admitted with acute multifocal stroke in setting of COVID-19 infection. He was quite debilitated on admission with generalized weakness, inability to eat, left gaze preference and expressive aphasia. MRI brain showed multiple small acute infarcts in the frontal lobes, parietal lobes, and in the left temporal occipital lobe. TTE and U/S Carotids unremarkable.  He was started on aspirin per stroke protocol. A couple days into his hospitalization he enrolled in hospice due to failure to improve and severe persistent neurologic deficits.  Due to COVID-19 infection, his hospitalization was prolonged while waiting for bed availability and clearance of COVID.  Surprisingly, during this time he had significant improvement in mental status and will returned nearly to baseline.  Given the dramatic improvement in mental status and he was unenrolled from hospice enrolled in hospice.    After revoking hospice, he was noted to not have completed a full stroke workup. He subsequently had CTA head/neck which was negative for atherosclerotic disease. Telemetry had been discontinued when he enrolled in hospice, and he refused for it to be replaced.  He also refused any repeat labs.  Discussed TEE with him and his wife and they deferred at this time.  I was able to discuss his case with a neurologist.  Given multifocal embolic appearing stroke the strongest suspicion is for either hypercoagulability due to COVID-19 infection or paroxysmal atrial fibrillation that was not captured during the hospitalization.  Discussed risks and benefits of anticoagulation with patient and his wife.  They are amenable to starting anticoagulation with Eliquis.  Will order Zio patch monitor on discharge for further evaluation of atrial fibrillation.  If this is negative for atrial fibrillation would consider stopping Eliquis in treating with anti-platelet therapy alone.  He will follow-up with neurology on discharge for further evaluation.  Discharged to SNF in good condition. "
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Neurological symptom, SARS-CoV-2 test positive, Ultrasound Doppler
Clinical narrative: Patient with single J+J COVID vaccination 08/12/2021 who admitted to hospital with positive COVID test.  Provider discharge note below:  "90 YO male with h/o dementia, HTN, DM2, HFpEF, who was initially admitted with acute multifocal stroke in setting of COVID-19 infection. He was quite debilitated on admission with generalized weakness, inability to eat, left gaze preference and expressive aphasia. MRI brain showed multiple small acute infarcts in the frontal lobes, parietal lobes, and in the left temporal occipital lobe. TTE and U/S Carotids unremarkable.  He was started on aspirin per stroke protocol. A couple days into his hospitalization he enrolled in hospice due to failure to improve and severe persistent neurologic deficits.  Due to COVID-19 infection, his hospitalization was prolonged while waiting for bed availability and clearance of COVID.  Surprisingly, during this time he had significant improvement in mental status and will returned nearly to baseline.  Given the dramatic improvement in mental status and he was unenrolled from hospice enrolled in hospice.    After revoking hospice, he was noted to not have completed a full stroke workup. He subsequently had CTA head/neck which was negative for atherosclerotic disease. Telemetry had been discontinued when he enrolled in hospice, and he refused for it to be replaced.  He also refused any repeat labs.  Discussed TEE with him and his wife and they deferred at this time.  I was able to discuss his case with a neurologist.  Given multifocal embolic appearing stroke the strongest suspicion is for either hypercoagulability due to COVID-19 infection or paroxysmal atrial fibrillation that was not captured during the hospitalization.  Discussed risks and benefits of anticoagulation with patient and his wife.  They are amenable to starting anticoagulation with Eliquis.  Will order Zio patch monitor on discharge for further evaluation of atrial fibrillation.  If this is negative for atrial fibrillation would consider stopping Eliquis in treating with anti-platelet therapy alone.  He will follow-up with neurology on discharge for further evaluation.  Discharged to SNF in good condition. "
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Agonal respiration, COVID-19, Death, Endotracheal intubation, Hypotension
Clinical narrative: 8/31/21 pt tested positive for COVID; lives in nursing home;  9/5/21 EMS called to nursing home due to pt being unresponsive; found to have agonal respirations, hypotension; was intubated and brought to hospital; given IV ABX; pt was to come out of quarantine today; family decided on comfort measures only; pt extubated and she expired in the hospital
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: 8/31/21 pt tested positive for COVID; lives in nursing home;  9/5/21 EMS called to nursing home due to pt being unresponsive; found to have agonal respirations, hypotension; was intubated and brought to hospital; given IV ABX; pt was to come out of quarantine today; family decided on comfort measures only; pt extubated and she expired in the hospital
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Hypoaesthesia, Injection site pain
Clinical narrative: severe pain in upper left arm, numbness down to fingertips
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Sudden onset of vomiting at 23 hours post vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abscess, Blood pressure decreased, Laboratory test, Mobility decreased, Muscle atrophy
Clinical narrative: Vaccine 12/4. On 12/7 swelling in back at L5-S1. Cascade of events included full body skin infection, abscesses, lesions, fevers, mouth sores, decrease in blood pressure, complete muscle atrophy in right glutes, immobility. Seen at urgent care 2x, PCP 2x, rheumatology 1x, ER 2x, dermatology 2x. Required 3 months of heavy dose NSAIDs, 3 weeks antibiotics. Am now in physical therapy and awaiting MRI 8/1.   Unclear if it's related to the vaccine because I haven't had a diagnosis or received adequate health care.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Skin infection, Skin lesion, Stomatitis, Swelling
Clinical narrative: Vaccine 12/4. On 12/7 swelling in back at L5-S1. Cascade of events included full body skin infection, abscesses, lesions, fevers, mouth sores, decrease in blood pressure, complete muscle atrophy in right glutes, immobility. Seen at urgent care 2x, PCP 2x, rheumatology 1x, ER 2x, dermatology 2x. Required 3 months of heavy dose NSAIDs, 3 weeks antibiotics. Am now in physical therapy and awaiting MRI 8/1.   Unclear if it's related to the vaccine because I haven't had a diagnosis or received adequate health care.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: X-ray
Clinical narrative: Vaccine 12/4. On 12/7 swelling in back at L5-S1. Cascade of events included full body skin infection, abscesses, lesions, fevers, mouth sores, decrease in blood pressure, complete muscle atrophy in right glutes, immobility. Seen at urgent care 2x, PCP 2x, rheumatology 1x, ER 2x, dermatology 2x. Required 3 months of heavy dose NSAIDs, 3 weeks antibiotics. Am now in physical therapy and awaiting MRI 8/1.   Unclear if it's related to the vaccine because I haven't had a diagnosis or received adequate health care.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state
Clinical narrative: weakness, confusion
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthma, Body temperature increased, COVID-19
Clinical narrative: Difficulty breathing; continuous asthma attacks; constant coughing with heavy mucus; chest pain and discomfort; very hoarse along with sore throat; extreme headaches and body aches; loss of appetite, smell and taste; temp between 99.2 to 102.2 for 3 straight days; chills and stuffiness. Negative test reveal on 6/20/2022, then positive test on 6/21/2022. No work for days. I stayed home per employer's instruction. Began isolation immediately at home but also infected family members as well. All members fully vaccinated myself as well, came in contact with co-workers who later admitted having virus. Made visit to urgent care after returning back to work. Still was not well. They prescribed medications for me to aide with my symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Decreased appetite, Dysphonia
Clinical narrative: Difficulty breathing; continuous asthma attacks; constant coughing with heavy mucus; chest pain and discomfort; very hoarse along with sore throat; extreme headaches and body aches; loss of appetite, smell and taste; temp between 99.2 to 102.2 for 3 straight days; chills and stuffiness. Negative test reveal on 6/20/2022, then positive test on 6/21/2022. No work for days. I stayed home per employer's instruction. Began isolation immediately at home but also infected family members as well. All members fully vaccinated myself as well, came in contact with co-workers who later admitted having virus. Made visit to urgent care after returning back to work. Still was not well. They prescribed medications for me to aide with my symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Headache, Impaired work ability, Malaise
Clinical narrative: Difficulty breathing; continuous asthma attacks; constant coughing with heavy mucus; chest pain and discomfort; very hoarse along with sore throat; extreme headaches and body aches; loss of appetite, smell and taste; temp between 99.2 to 102.2 for 3 straight days; chills and stuffiness. Negative test reveal on 6/20/2022, then positive test on 6/21/2022. No work for days. I stayed home per employer's instruction. Began isolation immediately at home but also infected family members as well. All members fully vaccinated myself as well, came in contact with co-workers who later admitted having virus. Made visit to urgent care after returning back to work. Still was not well. They prescribed medications for me to aide with my symptoms.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Pain, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Difficulty breathing; continuous asthma attacks; constant coughing with heavy mucus; chest pain and discomfort; very hoarse along with sore throat; extreme headaches and body aches; loss of appetite, smell and taste; temp between 99.2 to 102.2 for 3 straight days; chills and stuffiness. Negative test reveal on 6/20/2022, then positive test on 6/21/2022. No work for days. I stayed home per employer's instruction. Began isolation immediately at home but also infected family members as well. All members fully vaccinated myself as well, came in contact with co-workers who later admitted having virus. Made visit to urgent care after returning back to work. Still was not well. They prescribed medications for me to aide with my symptoms.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Migraine, Rash, Rash erythematous, Rash macular
Clinical narrative: Red, macular, pruritic rash bilateral lower extremities and bilateral forearms; mild shortness of breath; migraine headache; scattered urticaria like lesions.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Red, macular, pruritic rash bilateral lower extremities and bilateral forearms; mild shortness of breath; migraine headache; scattered urticaria like lesions.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Fatigue
Clinical narrative: I took a home test on June 16, 2022 and I tested positive. I experienced diarrhea, extreme fatigue, head cold, high fever, sneezing, coughing, chills, I was prescribed PAXLOVID for my symptoms.