chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Computerised tomogram abdomen abnormal, Condition aggravated, Cough, Decreased appetite
Clinical narrative: a 62 y.o. female with a history of shortness of breath and cough has been present for about the last week. Patient states she's felt that for approximately 2 years atrophy diagnosis stage IV lung cancer she states over last week she's had an increased amount of cough congestion short of breath normally wears 2 L at home but has had to turn it up due to shortness of breath has had a lot of wheezing using breathing treatments at home without success cough will not clear she's had no nausea no vomiting but appetite and decreased she has had about a 60 pound weight loss over last 6 months. Denies chest pain bowels have moved without diarrhea patient seen in emergency room noted have bacterial pneumonia as well as Covid pneumonia. Patient follows with oncology for stage IV lung cancer on immunotherapy.  Patient requests dnr code status".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute on chronic respiratory failure with hypoxia Description of the Problem/Progression:  Plan:  o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir course D5/5.  Continues on IV Solu-Medrol, transitioned to PO tapering course of Prednisone. Weaned oxygen back to oxygen baseline at 2 L. Will taper Decadron to ONCE DAILY. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab.  o Strep pneumonia bacteremia. Followed by infectious diseases, consult appreciated. Remains on Rocephin. Repeat blood cultures remained no growth at 96 hours. Sputum culture is pending, patient is unable to produce. Status post pleural tap with only 4 cc retrieved. o COPD with acute exacerbation. Improved. Continue nebs, and inhalers, and weaned off IV Solu-Medrol per above. o Pleural effusion. Interventional radiology consulted for possible pleural tap. o Elevated d-dimer. Repeat CTA of the chest shows no pulmonary embolus. However there is evidence of possible spleen hematoma versus other etiologies. Patient is also anemic. Concern about possible splenic hemorrhage versus infarct. Holding anticoagulation. Switched to SCDs for DVT prophylaxis. General surgery consulted. CT of the abdomen and pelvis ordered with IV contrast showing splenic infarct in addition to worsening omental metastasis. Pulmonary consulted palliative care. Patient requested hospice evaluation. She requested discharge home with hospice.   o Anemia with positive occult blood. Workup otherwise is unremarkable for any B12, iron or folate deficiencies. GI consulted. Endoscopy only with overt bleeding. Continue to monitor H&H which remain stable.  o Stage IV lung CVA. On immunotherapy outpatient. Per above.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endoscopy abnormal, Fibrin D dimer increased, Haematocrit normal, Haemoglobin normal
Clinical narrative: a 62 y.o. female with a history of shortness of breath and cough has been present for about the last week. Patient states she's felt that for approximately 2 years atrophy diagnosis stage IV lung cancer she states over last week she's had an increased amount of cough congestion short of breath normally wears 2 L at home but has had to turn it up due to shortness of breath has had a lot of wheezing using breathing treatments at home without success cough will not clear she's had no nausea no vomiting but appetite and decreased she has had about a 60 pound weight loss over last 6 months. Denies chest pain bowels have moved without diarrhea patient seen in emergency room noted have bacterial pneumonia as well as Covid pneumonia. Patient follows with oncology for stage IV lung cancer on immunotherapy.  Patient requests dnr code status".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute on chronic respiratory failure with hypoxia Description of the Problem/Progression:  Plan:  o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir course D5/5.  Continues on IV Solu-Medrol, transitioned to PO tapering course of Prednisone. Weaned oxygen back to oxygen baseline at 2 L. Will taper Decadron to ONCE DAILY. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab.  o Strep pneumonia bacteremia. Followed by infectious diseases, consult appreciated. Remains on Rocephin. Repeat blood cultures remained no growth at 96 hours. Sputum culture is pending, patient is unable to produce. Status post pleural tap with only 4 cc retrieved. o COPD with acute exacerbation. Improved. Continue nebs, and inhalers, and weaned off IV Solu-Medrol per above. o Pleural effusion. Interventional radiology consulted for possible pleural tap. o Elevated d-dimer. Repeat CTA of the chest shows no pulmonary embolus. However there is evidence of possible spleen hematoma versus other etiologies. Patient is also anemic. Concern about possible splenic hemorrhage versus infarct. Holding anticoagulation. Switched to SCDs for DVT prophylaxis. General surgery consulted. CT of the abdomen and pelvis ordered with IV contrast showing splenic infarct in addition to worsening omental metastasis. Pulmonary consulted palliative care. Patient requested hospice evaluation. She requested discharge home with hospice.   o Anemia with positive occult blood. Workup otherwise is unremarkable for any B12, iron or folate deficiencies. GI consulted. Endoscopy only with overt bleeding. Continue to monitor H&H which remain stable.  o Stage IV lung CVA. On immunotherapy outpatient. Per above.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Immunosuppressant drug therapy, Inflammatory marker test, Lung carcinoma cell type unspecified stage IV, Mesenteric neoplasm
Clinical narrative: a 62 y.o. female with a history of shortness of breath and cough has been present for about the last week. Patient states she's felt that for approximately 2 years atrophy diagnosis stage IV lung cancer she states over last week she's had an increased amount of cough congestion short of breath normally wears 2 L at home but has had to turn it up due to shortness of breath has had a lot of wheezing using breathing treatments at home without success cough will not clear she's had no nausea no vomiting but appetite and decreased she has had about a 60 pound weight loss over last 6 months. Denies chest pain bowels have moved without diarrhea patient seen in emergency room noted have bacterial pneumonia as well as Covid pneumonia. Patient follows with oncology for stage IV lung cancer on immunotherapy.  Patient requests dnr code status".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute on chronic respiratory failure with hypoxia Description of the Problem/Progression:  Plan:  o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir course D5/5.  Continues on IV Solu-Medrol, transitioned to PO tapering course of Prednisone. Weaned oxygen back to oxygen baseline at 2 L. Will taper Decadron to ONCE DAILY. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab.  o Strep pneumonia bacteremia. Followed by infectious diseases, consult appreciated. Remains on Rocephin. Repeat blood cultures remained no growth at 96 hours. Sputum culture is pending, patient is unable to produce. Status post pleural tap with only 4 cc retrieved. o COPD with acute exacerbation. Improved. Continue nebs, and inhalers, and weaned off IV Solu-Medrol per above. o Pleural effusion. Interventional radiology consulted for possible pleural tap. o Elevated d-dimer. Repeat CTA of the chest shows no pulmonary embolus. However there is evidence of possible spleen hematoma versus other etiologies. Patient is also anemic. Concern about possible splenic hemorrhage versus infarct. Holding anticoagulation. Switched to SCDs for DVT prophylaxis. General surgery consulted. CT of the abdomen and pelvis ordered with IV contrast showing splenic infarct in addition to worsening omental metastasis. Pulmonary consulted palliative care. Patient requested hospice evaluation. She requested discharge home with hospice.   o Anemia with positive occult blood. Workup otherwise is unremarkable for any B12, iron or folate deficiencies. GI consulted. Endoscopy only with overt bleeding. Continue to monitor H&H which remain stable.  o Stage IV lung CVA. On immunotherapy outpatient. Per above.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Metastasis, Occult blood positive, Pleural effusion, Pneumonia bacterial, Respiratory tract congestion
Clinical narrative: a 62 y.o. female with a history of shortness of breath and cough has been present for about the last week. Patient states she's felt that for approximately 2 years atrophy diagnosis stage IV lung cancer she states over last week she's had an increased amount of cough congestion short of breath normally wears 2 L at home but has had to turn it up due to shortness of breath has had a lot of wheezing using breathing treatments at home without success cough will not clear she's had no nausea no vomiting but appetite and decreased she has had about a 60 pound weight loss over last 6 months. Denies chest pain bowels have moved without diarrhea patient seen in emergency room noted have bacterial pneumonia as well as Covid pneumonia. Patient follows with oncology for stage IV lung cancer on immunotherapy.  Patient requests dnr code status".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute on chronic respiratory failure with hypoxia Description of the Problem/Progression:  Plan:  o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir course D5/5.  Continues on IV Solu-Medrol, transitioned to PO tapering course of Prednisone. Weaned oxygen back to oxygen baseline at 2 L. Will taper Decadron to ONCE DAILY. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab.  o Strep pneumonia bacteremia. Followed by infectious diseases, consult appreciated. Remains on Rocephin. Repeat blood cultures remained no growth at 96 hours. Sputum culture is pending, patient is unable to produce. Status post pleural tap with only 4 cc retrieved. o COPD with acute exacerbation. Improved. Continue nebs, and inhalers, and weaned off IV Solu-Medrol per above. o Pleural effusion. Interventional radiology consulted for possible pleural tap. o Elevated d-dimer. Repeat CTA of the chest shows no pulmonary embolus. However there is evidence of possible spleen hematoma versus other etiologies. Patient is also anemic. Concern about possible splenic hemorrhage versus infarct. Holding anticoagulation. Switched to SCDs for DVT prophylaxis. General surgery consulted. CT of the abdomen and pelvis ordered with IV contrast showing splenic infarct in addition to worsening omental metastasis. Pulmonary consulted palliative care. Patient requested hospice evaluation. She requested discharge home with hospice.   o Anemia with positive occult blood. Workup otherwise is unremarkable for any B12, iron or folate deficiencies. GI consulted. Endoscopy only with overt bleeding. Continue to monitor H&H which remain stable.  o Stage IV lung CVA. On immunotherapy outpatient. Per above.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Splenic haematoma, Splenic haemorrhage, Splenic infarction, Sputum culture
Clinical narrative: a 62 y.o. female with a history of shortness of breath and cough has been present for about the last week. Patient states she's felt that for approximately 2 years atrophy diagnosis stage IV lung cancer she states over last week she's had an increased amount of cough congestion short of breath normally wears 2 L at home but has had to turn it up due to shortness of breath has had a lot of wheezing using breathing treatments at home without success cough will not clear she's had no nausea no vomiting but appetite and decreased she has had about a 60 pound weight loss over last 6 months. Denies chest pain bowels have moved without diarrhea patient seen in emergency room noted have bacterial pneumonia as well as Covid pneumonia. Patient follows with oncology for stage IV lung cancer on immunotherapy.  Patient requests dnr code status".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute on chronic respiratory failure with hypoxia Description of the Problem/Progression:  Plan:  o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir course D5/5.  Continues on IV Solu-Medrol, transitioned to PO tapering course of Prednisone. Weaned oxygen back to oxygen baseline at 2 L. Will taper Decadron to ONCE DAILY. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab.  o Strep pneumonia bacteremia. Followed by infectious diseases, consult appreciated. Remains on Rocephin. Repeat blood cultures remained no growth at 96 hours. Sputum culture is pending, patient is unable to produce. Status post pleural tap with only 4 cc retrieved. o COPD with acute exacerbation. Improved. Continue nebs, and inhalers, and weaned off IV Solu-Medrol per above. o Pleural effusion. Interventional radiology consulted for possible pleural tap. o Elevated d-dimer. Repeat CTA of the chest shows no pulmonary embolus. However there is evidence of possible spleen hematoma versus other etiologies. Patient is also anemic. Concern about possible splenic hemorrhage versus infarct. Holding anticoagulation. Switched to SCDs for DVT prophylaxis. General surgery consulted. CT of the abdomen and pelvis ordered with IV contrast showing splenic infarct in addition to worsening omental metastasis. Pulmonary consulted palliative care. Patient requested hospice evaluation. She requested discharge home with hospice.   o Anemia with positive occult blood. Workup otherwise is unremarkable for any B12, iron or folate deficiencies. GI consulted. Endoscopy only with overt bleeding. Continue to monitor H&H which remain stable.  o Stage IV lung CVA. On immunotherapy outpatient. Per above.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum decreased, Streptococcal bacteraemia, Vitamin B12 normal, Weight decreased, Wheezing
Clinical narrative: a 62 y.o. female with a history of shortness of breath and cough has been present for about the last week. Patient states she's felt that for approximately 2 years atrophy diagnosis stage IV lung cancer she states over last week she's had an increased amount of cough congestion short of breath normally wears 2 L at home but has had to turn it up due to shortness of breath has had a lot of wheezing using breathing treatments at home without success cough will not clear she's had no nausea no vomiting but appetite and decreased she has had about a 60 pound weight loss over last 6 months. Denies chest pain bowels have moved without diarrhea patient seen in emergency room noted have bacterial pneumonia as well as Covid pneumonia. Patient follows with oncology for stage IV lung cancer on immunotherapy.  Patient requests dnr code status".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute on chronic respiratory failure with hypoxia Description of the Problem/Progression:  Plan:  o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir course D5/5.  Continues on IV Solu-Medrol, transitioned to PO tapering course of Prednisone. Weaned oxygen back to oxygen baseline at 2 L. Will taper Decadron to ONCE DAILY. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab.  o Strep pneumonia bacteremia. Followed by infectious diseases, consult appreciated. Remains on Rocephin. Repeat blood cultures remained no growth at 96 hours. Sputum culture is pending, patient is unable to produce. Status post pleural tap with only 4 cc retrieved. o COPD with acute exacerbation. Improved. Continue nebs, and inhalers, and weaned off IV Solu-Medrol per above. o Pleural effusion. Interventional radiology consulted for possible pleural tap. o Elevated d-dimer. Repeat CTA of the chest shows no pulmonary embolus. However there is evidence of possible spleen hematoma versus other etiologies. Patient is also anemic. Concern about possible splenic hemorrhage versus infarct. Holding anticoagulation. Switched to SCDs for DVT prophylaxis. General surgery consulted. CT of the abdomen and pelvis ordered with IV contrast showing splenic infarct in addition to worsening omental metastasis. Pulmonary consulted palliative care. Patient requested hospice evaluation. She requested discharge home with hospice.   o Anemia with positive occult blood. Workup otherwise is unremarkable for any B12, iron or folate deficiencies. GI consulted. Endoscopy only with overt bleeding. Continue to monitor H&H which remain stable.  o Stage IV lung CVA. On immunotherapy outpatient. Per above.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Feeling hot, Malaise, Syncope, Vomiting
Clinical narrative: Patient received vaccine and was advised to wait 10 minutes after appointment to monitor for adverse reaction. The patient exited the room with mother to go to the bathroom because he was not feeling well. Patient fainted without hitting his head while in the bathroom. Mother caught the patient in the fall. He proceeded to regain consciousness and vomited. Doctor assessed immediately and ensured he was okay before leaving. Following incident, mother stated this happens when he gets too warm. It was a warmer day and was warmer than usual in the office.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm, Hypoaesthesia, Muscle twitching
Clinical narrative: Saturday patient started having twitching in eyes and lips and numbness in left leg.  Comes and goes intermittently since then.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Pain
Clinical narrative: Patient developed a swollen lymph node, pain head, pain shoulder to hip
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac stress test abnormal, Cardiomyopathy, Echocardiogram abnormal, Headache
Clinical narrative: I have rapid heart beat, high blood pressure, weakened heart muscle, loss of energy.   Feels like my head wants to explode.  On 2 meds now to keep blood pressure down.   metoprolol and losartan    Always ran around 100/70 to 110/70   After this second shot I went up to 198/100, 168/98 etc etc...
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertension
Clinical narrative: I have rapid heart beat, high blood pressure, weakened heart muscle, loss of energy.   Feels like my head wants to explode.  On 2 meds now to keep blood pressure down.   metoprolol and losartan    Always ran around 100/70 to 110/70   After this second shot I went up to 198/100, 168/98 etc etc...
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was stored in freezer too long resulting in a temperature excursion.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted and tested positive for covid
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Decubitus ulcer, Echocardiogram, Hypoglycaemia, Troponin increased
Clinical narrative: This 80 year old woman was admitted with covid pneumonia.  She was treated with remdesivir and steroids and is improved.  She will taper steroids.  There was concern about possible secondary infection and she is completing oral antibiotics for this.   She did have hypoglycemia on admission.  This has resolved.  However would monitor glucose as steroids weaned.   She did have mild elevation of troponin on admission.  This was felt to be type 2 MI.  Echo showed LVEF 56%.  She was seen by cardiology.     She was seen here for a stage III pressure ulcer to left buttock.  Wound care directed by wound care nurse.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted to inpatient facility with covid infection
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram abnormal, Deep vein thrombosis, Electrocardiogram, Magnetic resonance imaging abnormal
Clinical narrative: MIGRAINES 24/7-FROM TIME OF INJECTION TO CURRENT. -ON AIMOVIG 140MG AND MAXALT 10MG FOR IT. DVT BLOOD CLOTS IN LOWER LEFT LEG -FOUND SEPTEMBER 20TH, 2021. ON XARELTO FOR 3 MONTHS. HAD MRI'S, CT SCAN,EKG, AND ULTRASOUND.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Ultrasound Doppler abnormal
Clinical narrative: MIGRAINES 24/7-FROM TIME OF INJECTION TO CURRENT. -ON AIMOVIG 140MG AND MAXALT 10MG FOR IT. DVT BLOOD CLOTS IN LOWER LEFT LEG -FOUND SEPTEMBER 20TH, 2021. ON XARELTO FOR 3 MONTHS. HAD MRI'S, CT SCAN,EKG, AND ULTRASOUND.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Dizziness, Fatigue, Pain, Pruritus
Clinical narrative: Chicken pox blister appeared on my chest and was very itchy. Also had the usual symptoms of overly tired, achy, dizziness.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Varicella
Clinical narrative: Chicken pox blister appeared on my chest and was very itchy. Also had the usual symptoms of overly tired, achy, dizziness.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Lymph node pain, Lymphadenopathy
Clinical narrative: On 2/3/2022 patient woke with blisters on R breast and bilateral painful and sswollen lymph nodes
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Agitation, COVID-19, Campylobacter gastroenteritis, Diarrhoea
Clinical narrative: This 40 year old woman was admitted with diarrhea.  She was found to have campylobacter enteritis.  She was treated with antibiotics and diarrhea has resolved.      she also had covid and was treated with remdesivir.  She is not hypoxic and her lungs are clear   She did have an elevated troponin on admission and was seen by cardiology.   This was felt to be type 2 MI.  Echo showed normal LVEF   She did have some agitation.  She denied alcohol use but coworkers and her mother told staff that she did .  She did improve with prn meds and has not required anything since bedtime last night.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Ejection fraction, Troponin increased
Clinical narrative: This 40 year old woman was admitted with diarrhea.  She was found to have campylobacter enteritis.  She was treated with antibiotics and diarrhea has resolved.      she also had covid and was treated with remdesivir.  She is not hypoxic and her lungs are clear   She did have an elevated troponin on admission and was seen by cardiology.   This was felt to be type 2 MI.  Echo showed normal LVEF   She did have some agitation.  She denied alcohol use but coworkers and her mother told staff that she did .  She did improve with prn meds and has not required anything since bedtime last night.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Swelling
Clinical narrative: Patient states that he experienced lip swelling at 0700 on 2/20/22. He did not take anything for this. He states that the swelling went away by 1300 that same day.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal uterine bleeding, Breast pain, Constipation, Depression, Lymphadenopathy
Clinical narrative: Tingling in lips, constipation, and ongoing uterine bleeding.  The uterine bleeding is post menopausal and occurred 5 months after last menstruation 9/15/2021.  Uterine bleeding has lasted for 5 days  since 2/17/2022.  Soreness of breasts and swollen lymph nodes are present as well.  Constipation since second dose. No bowel movements for 5 days either since 2/17/2022.  Also severe depression and thoughts of suicide since first shot on 1/17/2022 that has not abated.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Postmenopausal haemorrhage, Suicidal ideation
Clinical narrative: Tingling in lips, constipation, and ongoing uterine bleeding.  The uterine bleeding is post menopausal and occurred 5 months after last menstruation 9/15/2021.  Uterine bleeding has lasted for 5 days  since 2/17/2022.  Soreness of breasts and swollen lymph nodes are present as well.  Constipation since second dose. No bowel movements for 5 days either since 2/17/2022.  Also severe depression and thoughts of suicide since first shot on 1/17/2022 that has not abated.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headaches that have lasted >5 days
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy bone marrow, Blood test, Plasma cell myeloma
Clinical narrative: Diagnosed with Multiple Myeloma
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Computerised tomogram, Gait inability, Injected limb mobility decreased
Clinical narrative: -03-22-2021-severe pain in right nostril. inability to make facial expressions without pain due to location of sinus pain. -08-28-2021 awoke in middle of night, severe pain in lower back.  lvl 10 pain- ER VISIT  -09-20-2021 awoke in middle of night, severe pain in left shoulder. lvl 10 pain- ER VISIT. Shoulder "locked" unable to move it. -11-20-2021 stood out of bed, unable to walk. severe pain in right achilles. ER VISIT/Dr Visit  -01-15-2022 awoke in middle of night, sever pain in right wrist/hand. lvl 10 pain ER VISIT. Hand was "locked" unable to move it.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Magnetic resonance imaging, Mobility decreased, Pain, Pain in extremity
Clinical narrative: -03-22-2021-severe pain in right nostril. inability to make facial expressions without pain due to location of sinus pain. -08-28-2021 awoke in middle of night, severe pain in lower back.  lvl 10 pain- ER VISIT  -09-20-2021 awoke in middle of night, severe pain in left shoulder. lvl 10 pain- ER VISIT. Shoulder "locked" unable to move it. -11-20-2021 stood out of bed, unable to walk. severe pain in right achilles. ER VISIT/Dr Visit  -01-15-2022 awoke in middle of night, sever pain in right wrist/hand. lvl 10 pain ER VISIT. Hand was "locked" unable to move it.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinalgia, Sinus pain, Sleep disorder, Tendon pain
Clinical narrative: -03-22-2021-severe pain in right nostril. inability to make facial expressions without pain due to location of sinus pain. -08-28-2021 awoke in middle of night, severe pain in lower back.  lvl 10 pain- ER VISIT  -09-20-2021 awoke in middle of night, severe pain in left shoulder. lvl 10 pain- ER VISIT. Shoulder "locked" unable to move it. -11-20-2021 stood out of bed, unable to walk. severe pain in right achilles. ER VISIT/Dr Visit  -01-15-2022 awoke in middle of night, sever pain in right wrist/hand. lvl 10 pain ER VISIT. Hand was "locked" unable to move it.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Feeling abnormal, SARS-CoV-2 test positive
Clinical narrative: Moderna Dose 3-  11/05/2021. 01/07/2022 was not feeling good. Look for COVID-19 test location 01/09/2022- COVID-19 tested positive. 01/10/2022 positive for COVID-19 omicron, asthma breathing was an issue, went to Urgent care, they did diagnose for COVID-19 Omicron. Went to hospital, difficulty breathing, quarantine for 12 days, tired very easily all condition. Went to Pulmonologist. 02/17/2022 Prednisone for a week and 95-98% better. Check temp and x-ray, diagnosed and provided directive to stay home quarantine and drink lots of liquids.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Moderna Dose 3-  11/05/2021. 01/07/2022 was not feeling good. Look for COVID-19 test location 01/09/2022- COVID-19 tested positive. 01/10/2022 positive for COVID-19 omicron, asthma breathing was an issue, went to Urgent care, they did diagnose for COVID-19 Omicron. Went to hospital, difficulty breathing, quarantine for 12 days, tired very easily all condition. Went to Pulmonologist. 02/17/2022 Prednisone for a week and 95-98% better. Check temp and x-ray, diagnosed and provided directive to stay home quarantine and drink lots of liquids.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Chest pain, Dyspnoea, Fatigue, Injection site erythema
Clinical narrative: Covid Booster on 02/16/2022 approx 15 mins after started having SOB/chest pain/palpation. Later that day sharp stabbing pain from arm to right armpit area. Still having same symptoms that has not improved.  Patient received her booster on Feb 16th. A short time after receiving injection she began having symptoms are reported above. Employee did not report to work on Feb 17th and 18th due to symptoms. On Feb 21st, she entered a verge and reported of continued symptoms to nurse manager.  Notes: 2/21/2022-1312- EE called and reported that she was having a reaction from the Covid booster she received 6 days ago.  She reports SOB, fever, heart palpitations, pain at site, redness at site and swelling at site.  This nurse asked if she had been covid tested.  EE reports 3 negative covid tests that she took at home.  This nurse explained that we cannot accept a home test and that we would need to know that she was negative for covid before we could set her up to be seen.  EE did not agree that she needed to be tested but agreed to be transferred to hotline.  This nurse explained to her that if the test is negative we can get her a appointment at Work care and if her test is positive then we would go through the covid positive process then she can be seen after completion of a isolation period.  EE will call Employee Health once she receives her covid results.  EE then transferred to covid hotline.  LPN 2/21/2022-1517- Email from Dr. asking someone to call her regarding testing.  This nurse called her and Dr. asked why Patient was sent for testing.  This nurse explained that her symptoms of SOB and fever that she reported was the reasoning for her to tested.  Dr. stated that Patient did not report fever she reported fatigue and that she reported SOB with heart palpitations only.  This nurse explained that based off of Patient's symptoms on the call earlier she had reported fever, SOB, heart palpitations, pain, redness and swelling at injection site.  Dr. reported that Patient had 3 negative home test and this was a vaccine reaction.  This nurse explained that we do not accept home test and in order for Patient to be seen we needed her to be tested based off of her symptoms.  This nurse stated that if the hotline did not feel testing was recommended Patient could call Employee Health back and get guidance at that time.  Dr. stated Patient was covid tested.  LPN 2/21/2022-1530- Patient called and reported her negative test and would like to get her Work Care appointment scheduled.  This nurse explained she would get the appointment scheduled and let Patient know when it is.  LPN   2/21/2022-1538- This nurse spoke with staff at Work Care and she scheduled EE for 10am on 2/22/2022 with staff.   LPN 2/21/2022-1542- LVM for EE regarding appointment.  LPN
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pain in extremity, Palpitations, Pyrexia
Clinical narrative: Covid Booster on 02/16/2022 approx 15 mins after started having SOB/chest pain/palpation. Later that day sharp stabbing pain from arm to right armpit area. Still having same symptoms that has not improved.  Patient received her booster on Feb 16th. A short time after receiving injection she began having symptoms are reported above. Employee did not report to work on Feb 17th and 18th due to symptoms. On Feb 21st, she entered a verge and reported of continued symptoms to nurse manager.  Notes: 2/21/2022-1312- EE called and reported that she was having a reaction from the Covid booster she received 6 days ago.  She reports SOB, fever, heart palpitations, pain at site, redness at site and swelling at site.  This nurse asked if she had been covid tested.  EE reports 3 negative covid tests that she took at home.  This nurse explained that we cannot accept a home test and that we would need to know that she was negative for covid before we could set her up to be seen.  EE did not agree that she needed to be tested but agreed to be transferred to hotline.  This nurse explained to her that if the test is negative we can get her a appointment at Work care and if her test is positive then we would go through the covid positive process then she can be seen after completion of a isolation period.  EE will call Employee Health once she receives her covid results.  EE then transferred to covid hotline.  LPN 2/21/2022-1517- Email from Dr. asking someone to call her regarding testing.  This nurse called her and Dr. asked why Patient was sent for testing.  This nurse explained that her symptoms of SOB and fever that she reported was the reasoning for her to tested.  Dr. stated that Patient did not report fever she reported fatigue and that she reported SOB with heart palpitations only.  This nurse explained that based off of Patient's symptoms on the call earlier she had reported fever, SOB, heart palpitations, pain, redness and swelling at injection site.  Dr. reported that Patient had 3 negative home test and this was a vaccine reaction.  This nurse explained that we do not accept home test and in order for Patient to be seen we needed her to be tested based off of her symptoms.  This nurse stated that if the hotline did not feel testing was recommended Patient could call Employee Health back and get guidance at that time.  Dr. stated Patient was covid tested.  LPN 2/21/2022-1530- Patient called and reported her negative test and would like to get her Work Care appointment scheduled.  This nurse explained she would get the appointment scheduled and let Patient know when it is.  LPN   2/21/2022-1538- This nurse spoke with staff at Work Care and she scheduled EE for 10am on 2/22/2022 with staff.   LPN 2/21/2022-1542- LVM for EE regarding appointment.  LPN
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Covid Booster on 02/16/2022 approx 15 mins after started having SOB/chest pain/palpation. Later that day sharp stabbing pain from arm to right armpit area. Still having same symptoms that has not improved.  Patient received her booster on Feb 16th. A short time after receiving injection she began having symptoms are reported above. Employee did not report to work on Feb 17th and 18th due to symptoms. On Feb 21st, she entered a verge and reported of continued symptoms to nurse manager.  Notes: 2/21/2022-1312- EE called and reported that she was having a reaction from the Covid booster she received 6 days ago.  She reports SOB, fever, heart palpitations, pain at site, redness at site and swelling at site.  This nurse asked if she had been covid tested.  EE reports 3 negative covid tests that she took at home.  This nurse explained that we cannot accept a home test and that we would need to know that she was negative for covid before we could set her up to be seen.  EE did not agree that she needed to be tested but agreed to be transferred to hotline.  This nurse explained to her that if the test is negative we can get her a appointment at Work care and if her test is positive then we would go through the covid positive process then she can be seen after completion of a isolation period.  EE will call Employee Health once she receives her covid results.  EE then transferred to covid hotline.  LPN 2/21/2022-1517- Email from Dr. asking someone to call her regarding testing.  This nurse called her and Dr. asked why Patient was sent for testing.  This nurse explained that her symptoms of SOB and fever that she reported was the reasoning for her to tested.  Dr. stated that Patient did not report fever she reported fatigue and that she reported SOB with heart palpitations only.  This nurse explained that based off of Patient's symptoms on the call earlier she had reported fever, SOB, heart palpitations, pain, redness and swelling at injection site.  Dr. reported that Patient had 3 negative home test and this was a vaccine reaction.  This nurse explained that we do not accept home test and in order for Patient to be seen we needed her to be tested based off of her symptoms.  This nurse stated that if the hotline did not feel testing was recommended Patient could call Employee Health back and get guidance at that time.  Dr. stated Patient was covid tested.  LPN 2/21/2022-1530- Patient called and reported her negative test and would like to get her Work Care appointment scheduled.  This nurse explained she would get the appointment scheduled and let Patient know when it is.  LPN   2/21/2022-1538- This nurse spoke with staff at Work Care and she scheduled EE for 10am on 2/22/2022 with staff.   LPN 2/21/2022-1542- LVM for EE regarding appointment.  LPN
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Computerised tomogram abnormal, Condition aggravated, Disease progression, Pancreatic carcinoma
Clinical narrative: This 72 year old man with stage 4 pancreatic cancer was admitted with covid pneumonia.  He did not require remdesivir but did receive steroids.Today he is not hypoxic.  He has advanced disease with last CT showing progression of disease.  He is doing poorly and wishes to go home with hospice care.  He will go home this evening.  Hospice involved He will complete empiric antibiotics
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Alcoholic, COVID-19, Condition aggravated, Gastrointestinal haemorrhage, Hepatic cirrhosis
Clinical narrative: Hospitalized with GI bleed probably due to cirrhosis and continuing to drink heavily, was COVID + on screening for inpatient ETOH treatment was quarantining in hotel when GI bleed started.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalized with GI bleed probably due to cirrhosis and continuing to drink heavily, was COVID + on screening for inpatient ETOH treatment was quarantining in hotel when GI bleed started.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Headache, Miliaria, Myalgia
Clinical narrative: My first vaccine -(2021) I had side effect symptoms such as- headaches , fever,  muscle pains, nausea and diarrhea. Lasted  1 day- thereafter just had stomach issue with diarrhea. Second Dose of Vaccine-(2021- 3 weeks) the side effects and symptoms were worse- had all from headaches, high fever, chills, muscle aches, and vomiting's occurred with the second dose along with diarrhea.  Vomiting's lasted a few hours but the diarrhea was steady with stomach aches lasted about a week.   Booster Shot--(2022) Now this was by far the worse of the worse vaccines I 've ever experience in my life! Effects started about 10 hours after receiving the vaccine.  All symptoms from  headaches , high-fever- over 100--my face broke in heat rash --plus muscle pains, vomiting's- was 1-4 hours lasting heaving vomitted about 6-7 times within 1-4 hours the following day. Along with  with diarrhea on and off with in the 24- 48 hours- subsided but still has diarrhea for about 1-2 weeks.  Finally had shortness of breath with in the 24 hours period of having these HORRIBLE SIDE EFFECTS!!!!
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pyrexia, Rash, Vomiting
Clinical narrative: My first vaccine -(2021) I had side effect symptoms such as- headaches , fever,  muscle pains, nausea and diarrhea. Lasted  1 day- thereafter just had stomach issue with diarrhea. Second Dose of Vaccine-(2021- 3 weeks) the side effects and symptoms were worse- had all from headaches, high fever, chills, muscle aches, and vomiting's occurred with the second dose along with diarrhea.  Vomiting's lasted a few hours but the diarrhea was steady with stomach aches lasted about a week.   Booster Shot--(2022) Now this was by far the worse of the worse vaccines I 've ever experience in my life! Effects started about 10 hours after receiving the vaccine.  All symptoms from  headaches , high-fever- over 100--my face broke in heat rash --plus muscle pains, vomiting's- was 1-4 hours lasting heaving vomitted about 6-7 times within 1-4 hours the following day. Along with  with diarrhea on and off with in the 24- 48 hours- subsided but still has diarrhea for about 1-2 weeks.  Finally had shortness of breath with in the 24 hours period of having these HORRIBLE SIDE EFFECTS!!!!
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Cardioversion, Condition aggravated, Echocardiogram
Clinical narrative: Developed swollen lymph nodes on left side of neck and left armpit on 11/1/2021.  Developed tendon pain in bilateral feet, right knee, left hip, right elbow and right shoulder approximately 1 week later.  Placed on round of oral steroids by primary care physician in November and referred to orthopedic doctors for continued left foot and right elbow tendon pain that did not resolve.  Received cortisone injections in left foot on 12/9/2021, and right elbow on 1/5/2022.   Placed on another round of oral steroids in January 2022.  Admitted to hospital on 1/18/2022 overnight due to new onset episode of SVT with need to heart conversion with adenosine.  Continued tendon pain in right elbow and left foot with referral to outpatient PT in January 2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Lymphadenopathy, Supraventricular tachycardia, Tendon pain, Ultrasound scan
Clinical narrative: Developed swollen lymph nodes on left side of neck and left armpit on 11/1/2021.  Developed tendon pain in bilateral feet, right knee, left hip, right elbow and right shoulder approximately 1 week later.  Placed on round of oral steroids by primary care physician in November and referred to orthopedic doctors for continued left foot and right elbow tendon pain that did not resolve.  Received cortisone injections in left foot on 12/9/2021, and right elbow on 1/5/2022.   Placed on another round of oral steroids in January 2022.  Admitted to hospital on 1/18/2022 overnight due to new onset episode of SVT with need to heart conversion with adenosine.  Continued tendon pain in right elbow and left foot with referral to outpatient PT in January 2022.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Chapped lips, Immunoglobulin therapy, Multisystem inflammatory syndrome in children, Periorbital oedema, Pyrexia
Clinical narrative: Hospitalized with MIS C. 2/21  fever for approximately one week along with rash, cracked lips, periorbital edema 2/22 no improvement so hospitalized given with marked improvement.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Hospitalized with MIS C. 2/21  fever for approximately one week along with rash, cracked lips, periorbital edema 2/22 no improvement so hospitalized given with marked improvement.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The Moderna vaccine was inadvertently given too early. It was given at 21 days.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administration Error: 83 year old female patient receives half the dose (0.25ml) of Moderna as the first dose. The remaining dose (0.25ml) of Moderna is completed on February 24,2022.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, Bradycardia, Hypotension
Clinical narrative: 59 y.o presented with  weakness, hypotension and bradycardia about 10 mins post covid vaccination. patient transient and unable to easily access medical care or obtain meds for pre-existing conditions. Pt would brady down in the upper 30's lower 40's. 10:31 62/39 p 41 r 16 glucose 252 10:34 76/51 p 51 r 16 10:44 91/58 p 52 r 16 10:48 99/64 p 50 r 16 10:54 108/68 p 56 r 16 Pt transported to Hospital.
Age: 1.0
Sex: F
Vaccine: MMR
Symptoms: Injection site urticaria
Clinical narrative: Three hives at injection site, zyrtec 2.5 ml administered
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: ADMINISTRATION ERROR. Patient was under age for the Moderna BOOSTER vaccine. No adverse reaction.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Cardiac telemetry
Clinical narrative: a 56 y.o. female with a history of nausea, vomiting, diarrhea. Started getting sick about 4 days ago, tested + for COVID then. Started getting short of breath a couple days ago related to above, worse with exertion, nothing makes it better. Fever and chills with this. To ED, has PE on CVA."   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Pulmonary embolism associated with COVID-19 o Pulmonary embolism associated with covid-19 virus. Continue to monitor on telemetry. Echocardiogram showed no right heart strain. Treated initially with IV heparin drip transitioned to PO Eliquis with continued improvement. Continue to monitor closely. Discharged home on oral anticoagulation to follow up outpatient with primary care provider. o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Continue Remdesivir D3/5. Nebs and inhalers as ordered. Continue to follow up daily inflammatory markers and d-dimer. Patient was Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Followed up daily lab. Home oxygen to use as needed. o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. Advance diet to a diabetic. A1c ordered. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.