chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Recieved 2nd Dose of Moderna Vaccine Morning of 11/24/21, later that evening around 10:30pm I was feeling what i thought might be heartburn.  I took one pepcid AC, went to bed. Around 3am on 11/25/21 I woke up out of sleep with crushing and burning feeling in my chest hard to breathe.  Around 5am I realized it was getting worse and went to the ER.  EKG was performed, Blood Work,chest xray, was given asprin, morphine, and shot of Toradal.  Physician MD. I was told to follow up with Cardiologist and sent home.  I returned to ER  on the morning of 11/26/21 approximately 7am with same conditions as day before.  EKG,Chest Xray, and more blood wblood work was done.  I was only given asprin this time.  I was then released and told once again to follow up with Cardiologist.  I then was able to pick up prescritions from pharmacy as it was now open.  I was prescribed Norco 325mg-5, and Naproxen 500mg from Abrazo ER was unable to fill that prescription on the 25th  due to holiday.  I was told I could take Motrin instead of Naproxen which I had at my house.  I was told by the Doctor DO from ER to continue to take Motrin and dont mix with Naproxen.  I made appt with Cardioligist first thing Monday morning the 11/29/21.  My appt date was made for the 12/01/21 with Dr .  I was unable to attend work from 11/29/2021 thru 12/01/2021 as my symptoms of chest pain continued to persist.  During my appt with Dr  I recieved another EKG, I explained the situation and what led up to my visit with Dr , he told me this was a known side effect from taking the vaccine and that it should go away in time and he confirmed it was pericarditis.  He told me to take my medications and schedule an ECO gram on the 12/23/2021.  He also wanted me to get up and move around but not to over excert myself.  He also gave me a release to return to work.  I returned to work on 12/02/2021, still in discomfort but my symptoms seem to be lessoning as time goes by.  It is the morning of 12/03/2021 and I am at work with slight tightness still in my chest but I am able to push through the discomfort and work primarly Admin related work as not to over do it.  Respectfully  Patient
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse event
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Confusional state, Death, Mental disorder
Clinical narrative: pt to ED with confusion/altered mental state; hx of recurrent UTIs; found to be positive for COVID; UTI; started on antibiotics and O2 High flow 15L; pt's condition worsened over his stay; found unresponsive in bed; pt died inhouse hospice.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli, Urinary tract infection
Clinical narrative: pt to ED with confusion/altered mental state; hx of recurrent UTIs; found to be positive for COVID; UTI; started on antibiotics and O2 High flow 15L; pt's condition worsened over his stay; found unresponsive in bed; pt died inhouse hospice.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reaction noted.  Guardian notified that patient should not have received  booster.  Instructed  to monitor kid and call for any problems. Supervisor notified of situation.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itching started on bilateral deltoids, scalp and nose at 15 min post administration - ice packs provided. at 30 minutes, advanced to ankle - medicated with PO Benadryl per mother.  At 45 min, no improvement itching - send to ED for evaluation.  Allergist  also notified.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Not sure when it started, as I slept most of Sunday, but Monday morning noticed a rash (non-itchy) over nearly 50% of torso - reported to my physician, who said it certainly looked like a drug reaction- said I could take Zyrtec or something similar for itching if needed - but I took nothing as it did not itch.  Went away on its own within 48 hours.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, achiness, nausea, vomiting Sought treatment for nausea and received medication
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: USING A BD INTEGRA 3ML 1 INCH 25 G SYRINGE A JANSSEN VACCINE (0.5ML BOOSTER) WAS GIVEN TO PT IN HER RIGHT ARM, VACCINE LEAKED OUT IMMEDIATELY OUT OF SYRINGE ONCE PLACED IN PT'S ARM WITH VACCINE DRIPPING DOWN PT'S ARM AND ON HER SWEATSHIRT WAS A BIG WET MARK, VACCINE WAS THEN REDOSED IN PT'S LEFT ARM WITH NO ISSUE AT ALL
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Echocardiogram, Electrocardiogram, Palpitations
Clinical narrative: Light headed, weakness, heart palpitations, fainting,  Has been 2 months and continues
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Light headed, weakness, heart palpitations, fainting,  Has been 2 months and continues
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Mammogram, Pain, Ultrasound breast
Clinical narrative: Increased menstrual bleeding. Heavy flow for 3 wks out of the month, ongoing for 8 months Left breast burning pain
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: PATIENT STATED ABOUT 20 MINUTES POST VACCINATION HER TONGUE WAS TINGLE AND FELT LIKE IT WAS SWELLING. THERE WAS NO CHANGES IN HER BREATHING OR THROAT SWELLING.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Biopsy, Blood test, Cardiomegaly
Clinical narrative: Same day he received the 2nd dose he felt very weak and had stiffness and arm pain, sleeping a lot. Occasional cold sweats; PT states hes not eating normally due to feeling sick feeling when eating. On 9/6/2021 PT became short of breath and had cold sweats and collapsed. Went to ER on 9/7/2021, PT states he has no memory from 9/7/2021 to 9/9/2021, PT left hospital on 9/13/2021 and went to a different ER until October. ER said PT had a viral infection and was being treated with antibiotics; Pt developed abcess in nerves  and is paralyzed in left arm. PT says his heart has become swollen and heart beat is faster now.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Central nervous system abscess, Cold sweat, Decreased appetite, Dyspnoea, Heart rate increased
Clinical narrative: Same day he received the 2nd dose he felt very weak and had stiffness and arm pain, sleeping a lot. Occasional cold sweats; PT states hes not eating normally due to feeling sick feeling when eating. On 9/6/2021 PT became short of breath and had cold sweats and collapsed. Went to ER on 9/7/2021, PT states he has no memory from 9/7/2021 to 9/9/2021, PT left hospital on 9/13/2021 and went to a different ER until October. ER said PT had a viral infection and was being treated with antibiotics; Pt developed abcess in nerves  and is paralyzed in left arm. PT says his heart has become swollen and heart beat is faster now.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersomnia, Magnetic resonance imaging, Malaise, Monoplegia, Musculoskeletal stiffness
Clinical narrative: Same day he received the 2nd dose he felt very weak and had stiffness and arm pain, sleeping a lot. Occasional cold sweats; PT states hes not eating normally due to feeling sick feeling when eating. On 9/6/2021 PT became short of breath and had cold sweats and collapsed. Went to ER on 9/7/2021, PT states he has no memory from 9/7/2021 to 9/9/2021, PT left hospital on 9/13/2021 and went to a different ER until October. ER said PT had a viral infection and was being treated with antibiotics; Pt developed abcess in nerves  and is paralyzed in left arm. PT says his heart has become swollen and heart beat is faster now.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Syncope, Ultrasound scan, Viral infection
Clinical narrative: Same day he received the 2nd dose he felt very weak and had stiffness and arm pain, sleeping a lot. Occasional cold sweats; PT states hes not eating normally due to feeling sick feeling when eating. On 9/6/2021 PT became short of breath and had cold sweats and collapsed. Went to ER on 9/7/2021, PT states he has no memory from 9/7/2021 to 9/9/2021, PT left hospital on 9/13/2021 and went to a different ER until October. ER said PT had a viral infection and was being treated with antibiotics; Pt developed abcess in nerves  and is paralyzed in left arm. PT says his heart has become swollen and heart beat is faster now.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Laboratory test, Mental status changes, Syncope
Clinical narrative: syncope and altered mental status requiring hospitalization 8 days after receiving vaccine.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Vomiting
Clinical narrative: Fever of 101.5, headache and threw up this morning around 9am
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was an 11 year 6 month old child who received a covid-19 vaccine from the incorrect vial, was given the 12+ vaccine instead of the 5-11 vaccine. Family was made aware following discovery of this incorrect administration, advised of potential for increased side effects and to followup in our office if any occur. As of this reporting no side effects have been made aware to our office. Public health department also contacted for advise regarding this incorrect administration.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Eczema, Pruritus
Clinical narrative: Right arm, shoulder and neck eczema  patches. Itchy and dry skin
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-thyroid antibody increased, Atrial fibrillation, Blood electrolytes normal, Blood thyroid stimulating hormone increased, Echocardiogram normal
Clinical narrative: Also received influenza vaccine in right deltoid at same time (no vaccine information supplied).  Five hours after COVID vaccine, developed palpitations and tachycardia. Went to ER and found to be in A-fib with RVR. No prior cardiac issues. Spontaneously converted back to sinus rhythm at 0830 11/30/21 in hospital. Complete cardiac work-up found to be normal, no ACS. Of note, markedly elevated Thyroid peroxidase antibody and slightly elevated TSH noted, prior thyroid testing normal. Normal CBC and CMP including electrolytes. No instigating factor identified by Cardiology.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Metabolic function test, Metabolic function test normal, Myocardial necrosis marker normal, Palpitations
Clinical narrative: Also received influenza vaccine in right deltoid at same time (no vaccine information supplied).  Five hours after COVID vaccine, developed palpitations and tachycardia. Went to ER and found to be in A-fib with RVR. No prior cardiac issues. Spontaneously converted back to sinus rhythm at 0830 11/30/21 in hospital. Complete cardiac work-up found to be normal, no ACS. Of note, markedly elevated Thyroid peroxidase antibody and slightly elevated TSH noted, prior thyroid testing normal. Normal CBC and CMP including electrolytes. No instigating factor identified by Cardiology.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus rhythm, Tachycardia
Clinical narrative: Also received influenza vaccine in right deltoid at same time (no vaccine information supplied).  Five hours after COVID vaccine, developed palpitations and tachycardia. Went to ER and found to be in A-fib with RVR. No prior cardiac issues. Spontaneously converted back to sinus rhythm at 0830 11/30/21 in hospital. Complete cardiac work-up found to be normal, no ACS. Of note, markedly elevated Thyroid peroxidase antibody and slightly elevated TSH noted, prior thyroid testing normal. Normal CBC and CMP including electrolytes. No instigating factor identified by Cardiology.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: Administration error: Dose administered 6 days after the expiry date.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatine phosphokinase increased, Blood creatinine increased, Blood magnesium decreased, Blood potassium decreased
Clinical narrative: Hospitalized (11.28.21);  COVID-19 positive (11.28.21); fully vaccinated  Admission Date: 11/28/2021 Discharge Date:  12/02/2021 Admission Diagnosis: AKI (acute kidney injury) Non-traumatic rhabdomyolysis Pneumonia due to COVID-19 virus Discharge Diagnosis:  AKI (acute kidney injury) Non-traumatic rhabdomyolysis  Pneumonia due to COVID-19 virus  Hospital Course: Patient is a 62 y.o. female with pmhx relevant for hypothyroidism, hyperlipidemia, obesity and arthritis who presented secondary to a chief complaint of severe fatigue.  She was vaccinated for COVID-19 and had no sick contacts.  She complained of worsening fatigue for 2 weeks prior to admission.  She was unable to get up from the floor after a fall.  She laid on the ground for 22 hours without moving.  Family brought her to the emergency department.  She admitted to decreased intake prior to admission.  In the emergency department, she was positive for COVID-19.  She had mild hypoxia and was placed on 2 L nasal cannula.  Chest x-ray showed left lower lobe opacity.  BMP showed a creatinine of 1.39 which was AKI.  She had an elevated CPK of 4300 from immobilization.  White count was 12000. Procalcitonin was mildly elevated.  She was treated with IV Rocephin and azithromycin for a 5 day course due to community-acquired pneumonia on top of COVID-19.  She was treated with fluids initially.  Her CPK and creatinine improved. She did receive dexamethasone for five days, discontinued at discharge. She is not a candidate for remdesivir due to time from onset of symptoms. PT/OT recommended skilled nursing facility at discharge however patient is adamant in her refusal to consider this despite discussion of risks/benefits. Husband works from home and is able to help care for her. Evaluated by pulmonary rehab and discharged with home oxygen 2L with exertion as well as home healthcare services.  Initial UA with RBC's however repeat one day prior to discharge without any hematuria.  Recommendations: CT head was performed due to a fall with possible head trauma.  There was no bleed or stroke noted.  There was concern for ventriculomegaly that was asymmetric.  MRI of the brain was ordered to further evaluate this which showed prominent lateral and third ventriculomegaly concerning for possible obstructing web / aqueductal stenosis vs hydrocephalus. She had no associated neurologic symptoms and this should be further evaluated as outpatient.   She had fairly significant hypokalemia which was repleted and I recommend repeat BMP in 1-2 weeks. Magnesium was also repleted.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cerebral ventricle dilatation, Chest X-ray abnormal, Computerised tomogram head abnormal
Clinical narrative: Hospitalized (11.28.21);  COVID-19 positive (11.28.21); fully vaccinated  Admission Date: 11/28/2021 Discharge Date:  12/02/2021 Admission Diagnosis: AKI (acute kidney injury) Non-traumatic rhabdomyolysis Pneumonia due to COVID-19 virus Discharge Diagnosis:  AKI (acute kidney injury) Non-traumatic rhabdomyolysis  Pneumonia due to COVID-19 virus  Hospital Course: Patient is a 62 y.o. female with pmhx relevant for hypothyroidism, hyperlipidemia, obesity and arthritis who presented secondary to a chief complaint of severe fatigue.  She was vaccinated for COVID-19 and had no sick contacts.  She complained of worsening fatigue for 2 weeks prior to admission.  She was unable to get up from the floor after a fall.  She laid on the ground for 22 hours without moving.  Family brought her to the emergency department.  She admitted to decreased intake prior to admission.  In the emergency department, she was positive for COVID-19.  She had mild hypoxia and was placed on 2 L nasal cannula.  Chest x-ray showed left lower lobe opacity.  BMP showed a creatinine of 1.39 which was AKI.  She had an elevated CPK of 4300 from immobilization.  White count was 12000. Procalcitonin was mildly elevated.  She was treated with IV Rocephin and azithromycin for a 5 day course due to community-acquired pneumonia on top of COVID-19.  She was treated with fluids initially.  Her CPK and creatinine improved. She did receive dexamethasone for five days, discontinued at discharge. She is not a candidate for remdesivir due to time from onset of symptoms. PT/OT recommended skilled nursing facility at discharge however patient is adamant in her refusal to consider this despite discussion of risks/benefits. Husband works from home and is able to help care for her. Evaluated by pulmonary rehab and discharged with home oxygen 2L with exertion as well as home healthcare services.  Initial UA with RBC's however repeat one day prior to discharge without any hematuria.  Recommendations: CT head was performed due to a fall with possible head trauma.  There was no bleed or stroke noted.  There was concern for ventriculomegaly that was asymmetric.  MRI of the brain was ordered to further evaluate this which showed prominent lateral and third ventriculomegaly concerning for possible obstructing web / aqueductal stenosis vs hydrocephalus. She had no associated neurologic symptoms and this should be further evaluated as outpatient.   She had fairly significant hypokalemia which was repleted and I recommend repeat BMP in 1-2 weeks. Magnesium was also repleted.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Fatigue, Hypokalaemia, Hypophagia, Hypoxia
Clinical narrative: Hospitalized (11.28.21);  COVID-19 positive (11.28.21); fully vaccinated  Admission Date: 11/28/2021 Discharge Date:  12/02/2021 Admission Diagnosis: AKI (acute kidney injury) Non-traumatic rhabdomyolysis Pneumonia due to COVID-19 virus Discharge Diagnosis:  AKI (acute kidney injury) Non-traumatic rhabdomyolysis  Pneumonia due to COVID-19 virus  Hospital Course: Patient is a 62 y.o. female with pmhx relevant for hypothyroidism, hyperlipidemia, obesity and arthritis who presented secondary to a chief complaint of severe fatigue.  She was vaccinated for COVID-19 and had no sick contacts.  She complained of worsening fatigue for 2 weeks prior to admission.  She was unable to get up from the floor after a fall.  She laid on the ground for 22 hours without moving.  Family brought her to the emergency department.  She admitted to decreased intake prior to admission.  In the emergency department, she was positive for COVID-19.  She had mild hypoxia and was placed on 2 L nasal cannula.  Chest x-ray showed left lower lobe opacity.  BMP showed a creatinine of 1.39 which was AKI.  She had an elevated CPK of 4300 from immobilization.  White count was 12000. Procalcitonin was mildly elevated.  She was treated with IV Rocephin and azithromycin for a 5 day course due to community-acquired pneumonia on top of COVID-19.  She was treated with fluids initially.  Her CPK and creatinine improved. She did receive dexamethasone for five days, discontinued at discharge. She is not a candidate for remdesivir due to time from onset of symptoms. PT/OT recommended skilled nursing facility at discharge however patient is adamant in her refusal to consider this despite discussion of risks/benefits. Husband works from home and is able to help care for her. Evaluated by pulmonary rehab and discharged with home oxygen 2L with exertion as well as home healthcare services.  Initial UA with RBC's however repeat one day prior to discharge without any hematuria.  Recommendations: CT head was performed due to a fall with possible head trauma.  There was no bleed or stroke noted.  There was concern for ventriculomegaly that was asymmetric.  MRI of the brain was ordered to further evaluate this which showed prominent lateral and third ventriculomegaly concerning for possible obstructing web / aqueductal stenosis vs hydrocephalus. She had no associated neurologic symptoms and this should be further evaluated as outpatient.   She had fairly significant hypokalemia which was repleted and I recommend repeat BMP in 1-2 weeks. Magnesium was also repleted.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immobile, Lung opacity, Magnetic resonance imaging head abnormal, Metabolic function test, Mobility decreased
Clinical narrative: Hospitalized (11.28.21);  COVID-19 positive (11.28.21); fully vaccinated  Admission Date: 11/28/2021 Discharge Date:  12/02/2021 Admission Diagnosis: AKI (acute kidney injury) Non-traumatic rhabdomyolysis Pneumonia due to COVID-19 virus Discharge Diagnosis:  AKI (acute kidney injury) Non-traumatic rhabdomyolysis  Pneumonia due to COVID-19 virus  Hospital Course: Patient is a 62 y.o. female with pmhx relevant for hypothyroidism, hyperlipidemia, obesity and arthritis who presented secondary to a chief complaint of severe fatigue.  She was vaccinated for COVID-19 and had no sick contacts.  She complained of worsening fatigue for 2 weeks prior to admission.  She was unable to get up from the floor after a fall.  She laid on the ground for 22 hours without moving.  Family brought her to the emergency department.  She admitted to decreased intake prior to admission.  In the emergency department, she was positive for COVID-19.  She had mild hypoxia and was placed on 2 L nasal cannula.  Chest x-ray showed left lower lobe opacity.  BMP showed a creatinine of 1.39 which was AKI.  She had an elevated CPK of 4300 from immobilization.  White count was 12000. Procalcitonin was mildly elevated.  She was treated with IV Rocephin and azithromycin for a 5 day course due to community-acquired pneumonia on top of COVID-19.  She was treated with fluids initially.  Her CPK and creatinine improved. She did receive dexamethasone for five days, discontinued at discharge. She is not a candidate for remdesivir due to time from onset of symptoms. PT/OT recommended skilled nursing facility at discharge however patient is adamant in her refusal to consider this despite discussion of risks/benefits. Husband works from home and is able to help care for her. Evaluated by pulmonary rehab and discharged with home oxygen 2L with exertion as well as home healthcare services.  Initial UA with RBC's however repeat one day prior to discharge without any hematuria.  Recommendations: CT head was performed due to a fall with possible head trauma.  There was no bleed or stroke noted.  There was concern for ventriculomegaly that was asymmetric.  MRI of the brain was ordered to further evaluate this which showed prominent lateral and third ventriculomegaly concerning for possible obstructing web / aqueductal stenosis vs hydrocephalus. She had no associated neurologic symptoms and this should be further evaluated as outpatient.   She had fairly significant hypokalemia which was repleted and I recommend repeat BMP in 1-2 weeks. Magnesium was also repleted.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Procalcitonin increased, Red blood cells urine, Rhabdomyolysis, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (11.28.21);  COVID-19 positive (11.28.21); fully vaccinated  Admission Date: 11/28/2021 Discharge Date:  12/02/2021 Admission Diagnosis: AKI (acute kidney injury) Non-traumatic rhabdomyolysis Pneumonia due to COVID-19 virus Discharge Diagnosis:  AKI (acute kidney injury) Non-traumatic rhabdomyolysis  Pneumonia due to COVID-19 virus  Hospital Course: Patient is a 62 y.o. female with pmhx relevant for hypothyroidism, hyperlipidemia, obesity and arthritis who presented secondary to a chief complaint of severe fatigue.  She was vaccinated for COVID-19 and had no sick contacts.  She complained of worsening fatigue for 2 weeks prior to admission.  She was unable to get up from the floor after a fall.  She laid on the ground for 22 hours without moving.  Family brought her to the emergency department.  She admitted to decreased intake prior to admission.  In the emergency department, she was positive for COVID-19.  She had mild hypoxia and was placed on 2 L nasal cannula.  Chest x-ray showed left lower lobe opacity.  BMP showed a creatinine of 1.39 which was AKI.  She had an elevated CPK of 4300 from immobilization.  White count was 12000. Procalcitonin was mildly elevated.  She was treated with IV Rocephin and azithromycin for a 5 day course due to community-acquired pneumonia on top of COVID-19.  She was treated with fluids initially.  Her CPK and creatinine improved. She did receive dexamethasone for five days, discontinued at discharge. She is not a candidate for remdesivir due to time from onset of symptoms. PT/OT recommended skilled nursing facility at discharge however patient is adamant in her refusal to consider this despite discussion of risks/benefits. Husband works from home and is able to help care for her. Evaluated by pulmonary rehab and discharged with home oxygen 2L with exertion as well as home healthcare services.  Initial UA with RBC's however repeat one day prior to discharge without any hematuria.  Recommendations: CT head was performed due to a fall with possible head trauma.  There was no bleed or stroke noted.  There was concern for ventriculomegaly that was asymmetric.  MRI of the brain was ordered to further evaluate this which showed prominent lateral and third ventriculomegaly concerning for possible obstructing web / aqueductal stenosis vs hydrocephalus. She had no associated neurologic symptoms and this should be further evaluated as outpatient.   She had fairly significant hypokalemia which was repleted and I recommend repeat BMP in 1-2 weeks. Magnesium was also repleted.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Hospitalized (11.28.21);  COVID-19 positive (11.28.21); fully vaccinated  Admission Date: 11/28/2021 Discharge Date:  12/02/2021 Admission Diagnosis: AKI (acute kidney injury) Non-traumatic rhabdomyolysis Pneumonia due to COVID-19 virus Discharge Diagnosis:  AKI (acute kidney injury) Non-traumatic rhabdomyolysis  Pneumonia due to COVID-19 virus  Hospital Course: Patient is a 62 y.o. female with pmhx relevant for hypothyroidism, hyperlipidemia, obesity and arthritis who presented secondary to a chief complaint of severe fatigue.  She was vaccinated for COVID-19 and had no sick contacts.  She complained of worsening fatigue for 2 weeks prior to admission.  She was unable to get up from the floor after a fall.  She laid on the ground for 22 hours without moving.  Family brought her to the emergency department.  She admitted to decreased intake prior to admission.  In the emergency department, she was positive for COVID-19.  She had mild hypoxia and was placed on 2 L nasal cannula.  Chest x-ray showed left lower lobe opacity.  BMP showed a creatinine of 1.39 which was AKI.  She had an elevated CPK of 4300 from immobilization.  White count was 12000. Procalcitonin was mildly elevated.  She was treated with IV Rocephin and azithromycin for a 5 day course due to community-acquired pneumonia on top of COVID-19.  She was treated with fluids initially.  Her CPK and creatinine improved. She did receive dexamethasone for five days, discontinued at discharge. She is not a candidate for remdesivir due to time from onset of symptoms. PT/OT recommended skilled nursing facility at discharge however patient is adamant in her refusal to consider this despite discussion of risks/benefits. Husband works from home and is able to help care for her. Evaluated by pulmonary rehab and discharged with home oxygen 2L with exertion as well as home healthcare services.  Initial UA with RBC's however repeat one day prior to discharge without any hematuria.  Recommendations: CT head was performed due to a fall with possible head trauma.  There was no bleed or stroke noted.  There was concern for ventriculomegaly that was asymmetric.  MRI of the brain was ordered to further evaluate this which showed prominent lateral and third ventriculomegaly concerning for possible obstructing web / aqueductal stenosis vs hydrocephalus. She had no associated neurologic symptoms and this should be further evaluated as outpatient.   She had fairly significant hypokalemia which was repleted and I recommend repeat BMP in 1-2 weeks. Magnesium was also repleted.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain in extremity
Clinical narrative: I had sore arm and swollen lymph nodes. It was for a few days and then it got better.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ear discomfort, Feeling abnormal, Headache, Pyrexia
Clinical narrative: The day I had the booster I felt bad and under the weather. I didn't feel good at all. Then when I traveled, I started to have a scratchy throat. Then I head a headache and then a high fever. I was extremely congested and had ear problems. I had a cough that would not stop. I was coughing all night. That lasted for 4 days with fever. I went to the doctor on 10/27/2021. They checked my ear, throat, and heart. They said they did find some fluid behind my ears. They put me on an antibiotic and then 3 days after that I felt bad but got to feeling better.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Throat irritation
Clinical narrative: The day I had the booster I felt bad and under the weather. I didn't feel good at all. Then when I traveled, I started to have a scratchy throat. Then I head a headache and then a high fever. I was extremely congested and had ear problems. I had a cough that would not stop. I was coughing all night. That lasted for 4 days with fever. I went to the doctor on 10/27/2021. They checked my ear, throat, and heart. They said they did find some fluid behind my ears. They put me on an antibiotic and then 3 days after that I felt bad but got to feeling better.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthma, Blood loss anaemia, COVID-19, Computerised tomogram thorax normal
Clinical narrative: Chief Complaint: Shortness of Breath Additional Medical History:  History ofThis is a 43-year-old female of sarcoidosis on prednisone and methotrexate who presents to the emergency department with several days of dyspnea.  Patient was diagnosed with COVID-19 on 11/11/2021.  She had some transient improvement now is having worsening of her symptoms that she is extremely short of breath with nonproductive cough she is having some wheezing she describes severe exertional dyspnea gets out of breath if she tries to walk across the room.  Her sarcoidosis is treated by a pulmonologist.  She says she also has a cardiologist as she has had a rapid heart rate in the past and she thinks possibly congestive heart failure she is uncertain of the exact tachyarrhythmia.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Culture positive, Culture urine positive, Dyspnoea
Clinical narrative: Chief Complaint: Shortness of Breath Additional Medical History:  History ofThis is a 43-year-old female of sarcoidosis on prednisone and methotrexate who presents to the emergency department with several days of dyspnea.  Patient was diagnosed with COVID-19 on 11/11/2021.  She had some transient improvement now is having worsening of her symptoms that she is extremely short of breath with nonproductive cough she is having some wheezing she describes severe exertional dyspnea gets out of breath if she tries to walk across the room.  Her sarcoidosis is treated by a pulmonologist.  She says she also has a cardiologist as she has had a rapid heart rate in the past and she thinks possibly congestive heart failure she is uncertain of the exact tachyarrhythmia.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Haemoglobin decreased, Normocytic anaemia, Oral herpes, Pulmonary arterial hypertension
Clinical narrative: Chief Complaint: Shortness of Breath Additional Medical History:  History ofThis is a 43-year-old female of sarcoidosis on prednisone and methotrexate who presents to the emergency department with several days of dyspnea.  Patient was diagnosed with COVID-19 on 11/11/2021.  She had some transient improvement now is having worsening of her symptoms that she is extremely short of breath with nonproductive cough she is having some wheezing she describes severe exertional dyspnea gets out of breath if she tries to walk across the room.  Her sarcoidosis is treated by a pulmonologist.  She says she also has a cardiologist as she has had a rapid heart rate in the past and she thinks possibly congestive heart failure she is uncertain of the exact tachyarrhythmia.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary sarcoidosis, SARS-CoV-2 test positive, Sarcoidosis, Stomatitis, Tachyarrhythmia
Clinical narrative: Chief Complaint: Shortness of Breath Additional Medical History:  History ofThis is a 43-year-old female of sarcoidosis on prednisone and methotrexate who presents to the emergency department with several days of dyspnea.  Patient was diagnosed with COVID-19 on 11/11/2021.  She had some transient improvement now is having worsening of her symptoms that she is extremely short of breath with nonproductive cough she is having some wheezing she describes severe exertional dyspnea gets out of breath if she tries to walk across the room.  Her sarcoidosis is treated by a pulmonologist.  She says she also has a cardiologist as she has had a rapid heart rate in the past and she thinks possibly congestive heart failure she is uncertain of the exact tachyarrhythmia.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Transfusion, Type 2 diabetes mellitus, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Chief Complaint: Shortness of Breath Additional Medical History:  History ofThis is a 43-year-old female of sarcoidosis on prednisone and methotrexate who presents to the emergency department with several days of dyspnea.  Patient was diagnosed with COVID-19 on 11/11/2021.  She had some transient improvement now is having worsening of her symptoms that she is extremely short of breath with nonproductive cough she is having some wheezing she describes severe exertional dyspnea gets out of breath if she tries to walk across the room.  Her sarcoidosis is treated by a pulmonologist.  She says she also has a cardiologist as she has had a rapid heart rate in the past and she thinks possibly congestive heart failure she is uncertain of the exact tachyarrhythmia.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Viraemia, Wheezing
Clinical narrative: Chief Complaint: Shortness of Breath Additional Medical History:  History ofThis is a 43-year-old female of sarcoidosis on prednisone and methotrexate who presents to the emergency department with several days of dyspnea.  Patient was diagnosed with COVID-19 on 11/11/2021.  She had some transient improvement now is having worsening of her symptoms that she is extremely short of breath with nonproductive cough she is having some wheezing she describes severe exertional dyspnea gets out of breath if she tries to walk across the room.  Her sarcoidosis is treated by a pulmonologist.  She says she also has a cardiologist as she has had a rapid heart rate in the past and she thinks possibly congestive heart failure she is uncertain of the exact tachyarrhythmia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse events. Second booster dose given. Adult day care facility provided incomplete vaccination card with only the first 2 COVID-19 vaccines listed. Pharmacy administered the Moderna booster based on the dates of the vaccine card provided (2/25 and 3/25).
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: larger red circle at injection site
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills, Dizziness, Dysstasia
Clinical narrative: Dizziness, nausea, vomiting, 100.6 temp, chills, arm pain, neck and shoulder pain, difficulty going from laying to sitting and sitting to standing
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Neck pain, Pain in extremity, Vomiting
Clinical narrative: Dizziness, nausea, vomiting, 100.6 temp, chills, arm pain, neck and shoulder pain, difficulty going from laying to sitting and sitting to standing
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Dyspnoea, Hypophagia
Clinical narrative: Patient is fully vaccinated against COVID (Pfizer-BioNTech): Dose 1 given 2/17/21, Dose 2 given 3/10/21, and Dose 3 given 10/14/21.  Patient subsequently admitted to Health System for COVID-19 & related symptoms ( onset of productive cough, dyspnea, and decreased appetite with decreased p.o. intake, generalized weakness)
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated against COVID (Pfizer-BioNTech): Dose 1 given 2/17/21, Dose 2 given 3/10/21, and Dose 3 given 10/14/21.  Patient subsequently admitted to Health System for COVID-19 & related symptoms ( onset of productive cough, dyspnea, and decreased appetite with decreased p.o. intake, generalized weakness)
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Musculoskeletal stiffness, Peripheral swelling, Swelling, Trigger finger
Clinical narrative: 2 weeks after taking the vaccine, the top knuckle her of left hand started swelling. Then it shifted from finger to finger. She has a hard lump on her joints, which she developed on her knuckles. She went to the doctor who stated it was unusual. Her fingers are stiff, very hard to bend and they are red.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: None Administration Error ? dose administered 6 days after the QR code expiry date
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymph node pain, Lymphadenopathy, Nasopharyngitis
Clinical narrative: No issues at the time of vaccination. The day after the vaccine I experienced mild typical symptoms associated with vaccination (chills, cold-like); that night I noticed moderate lymphedema to the left axilla only which is painful. It hasn't resolved yet. Note- I'm not concerned about the symptoms but for statistical purposes wanted to report.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: Tingling to tongue and left side of face
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Hyperhidrosis, Injection site pain
Clinical narrative: Fever, arm pain at sight, armpit swelling and pain in left arm, excessive fatigue, body chills and sweats
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain in extremity, Pyrexia
Clinical narrative: Fever, arm pain at sight, armpit swelling and pain in left arm, excessive fatigue, body chills and sweats
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Muscle spasms, Myalgia
Clinical narrative: Intense muscle spasming in arm that received injection. Severe pain in the underarm, and pectoral and deltoid muscles. Not getting better as days go by. Seems to be spreading as it started in the deltoid muscle and pectoral muscle; and now is in the underarm muscle ( sorry forget my anatomy). Have given Tylenol and Motrin which slightly help. Patient says "muscle feels torn". Spoke with nurse at pediatrician's office, waiting for follow-up from doctor. Most likely will go in for office visit.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Confusional state, Cough, Fall
Clinical narrative: Hospitalized (11.29.21);  COVID-19 positive (11.29.21);  Fully vaccinated PLUS BOOSTER Admission Date: 11/29/2021 Discharge Date: 12/1/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion [R41.0] Hypotension due to medication [I95.2] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: No notes on file The patient is a 77 y.o. male who presented with a fever and fall at home.  He tested positive for COVID-19 in the emergency department on November 29th.    Patient is improving daily..  His blood pressures have normalized. He remain on room air.  Afebrile times 24 hours, cough-resolved;   no cough at this time.   He has been running fevers this morning.  No nausea or vomiting or diarrhea. PT/OT had recommended subacute rehab initially.  He does not want to do that.  He states he does have a daughter who will assist him at home.  We will set up home nursing/PT/OT for him. Patient has not required any oxygen since admission.  He has not used albuterol since admission.  Transition to oral Decadron.  Will continue this for total of 10 days.  Discontinue remdesivir upon discharge.  Patient will be discharged home.  Advised to maintain quarantine until December 8th which will be 10 days from the date he tested positive. Advised follow-up with his physician in the next week.  He will be discharged in stable medical condition. December 1st:  Patient has not required any oxygen since admission.  He has not used albuterol since admission.  Transition to oral Decadron.  Will continue this for total of 10 days.  Discontinue remdesivir upon discharge.  Patient will be discharged home.  Advised to maintain quarantine until December 8th which will be 10 days from the date he tested positive.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (11.29.21);  COVID-19 positive (11.29.21);  Fully vaccinated PLUS BOOSTER Admission Date: 11/29/2021 Discharge Date: 12/1/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Confusion [R41.0] Hypotension due to medication [I95.2] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: No notes on file The patient is a 77 y.o. male who presented with a fever and fall at home.  He tested positive for COVID-19 in the emergency department on November 29th.    Patient is improving daily..  His blood pressures have normalized. He remain on room air.  Afebrile times 24 hours, cough-resolved;   no cough at this time.   He has been running fevers this morning.  No nausea or vomiting or diarrhea. PT/OT had recommended subacute rehab initially.  He does not want to do that.  He states he does have a daughter who will assist him at home.  We will set up home nursing/PT/OT for him. Patient has not required any oxygen since admission.  He has not used albuterol since admission.  Transition to oral Decadron.  Will continue this for total of 10 days.  Discontinue remdesivir upon discharge.  Patient will be discharged home.  Advised to maintain quarantine until December 8th which will be 10 days from the date he tested positive. Advised follow-up with his physician in the next week.  He will be discharged in stable medical condition. December 1st:  Patient has not required any oxygen since admission.  He has not used albuterol since admission.  Transition to oral Decadron.  Will continue this for total of 10 days.  Discontinue remdesivir upon discharge.  Patient will be discharged home.  Advised to maintain quarantine until December 8th which will be 10 days from the date he tested positive.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: None. Administration Error - dose administered 6 days after the QR code expiry date
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lymphadenopathy, Lymphoedema, Pruritus, Ultrasound scan abnormal
Clinical narrative: After the booster, left arm was numb in 5mins and was given an ice pack and sat there for total 30minutes, Tuesday itching mild and swelling lymph notes left and sonography showed lymph notes were swollen from the booster.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Fever and headache
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient given 5-11 year old vaccine and not the 12+ vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Candida infection, Pain, Tongue discomfort
Clinical narrative: Thrush infection.  Tongue has off white coating.  Burns and stings.  Began Tuesday night 4 days after my booster shot.
Age: 29.0
Sex: M
Vaccine: FLUC4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received the Flu vaccine for the previous season 2020-2021 by mistake. Patient was contacted to come back to the pharmacy to receive the vaccine for the current season 2021-2022. No adverse events reported.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal cavity drainage, Abdominal distension, Abdominal pain, COVID-19, Coronavirus test positive
Clinical narrative: Patient here for evaluation of abdominal pain and distention.  Patient states that he routinely needs to have ascites drained.  Patient currently with fullness, abdominal distention, and abdominal pain.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient deceased on 11/28/2021. Patient fully vaccinated against covid-19 with booster dose administered on 11/12/2021.  Janssen vaccine, Lot # 1822811.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Had bright red menstrual bleeding start the day after the vaccine and it continued for 6 days.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 17 year old - accidentally gave a 3rd dose booster to. No adverse reactions.