chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Recently admitted 11/27-11/28/21 for COVID-19 infection while neutropenic (s/p Pfizer vaccine 10/7/21 and 10/28/21). Sx started ~11/22 and tested positive for COVID-19 on 11/27/21. Started on remdesivir, but stable on RA, so dc'd on Levaquin x6 days and received Regeneron 11/29.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Delivery, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: Tested positive for covid upon routine admission testing for Labor and Delivery at our hospital per department policy. Patient is asymptomatic for COVID.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Bone pain, Chills, Feeling of body temperature change, Joint stiffness
Clinical narrative: fever, chill, hot and cold flashes, migraine, muscle pain and joint stiffness, bone pain, extreme soreness in left armpit, swollen lymph nodes for 5-7 days
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Migraine, Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: fever, chill, hot and cold flashes, migraine, muscle pain and joint stiffness, bone pain, extreme soreness in left armpit, swollen lymph nodes for 5-7 days
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Electrocardiogram, Extra dose administered
Clinical narrative: 2.5 days after receiving the Moderna Booster dose, I woke up with severe and sharp chest pains on the left side of my chest. Went to the Emergency Room within 2 hours and was diagnosed with pericarditis.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pericarditis, Ultrasound scan
Clinical narrative: 2.5 days after receiving the Moderna Booster dose, I woke up with severe and sharp chest pains on the left side of my chest. Went to the Emergency Room within 2 hours and was diagnosed with pericarditis.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pain, Pyrexia
Clinical narrative: Patient presented to the hospital on 12/6/21 with symptoms ongoing for several days (unclear which exact date symptoms started). The patient was experiencing fever of up to 102.8 in the hospital with shortness of breath, cough, and body aches. She tested positive for COVID on 12/6/2021 and has been on 6L of Oxygen.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient presented to the hospital on 12/6/21 with symptoms ongoing for several days (unclear which exact date symptoms started). The patient was experiencing fever of up to 102.8 in the hospital with shortness of breath, cough, and body aches. She tested positive for COVID on 12/6/2021 and has been on 6L of Oxygen.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19 pneumonia, Condition aggravated, Leukocytosis
Clinical narrative: Hospitalized 11/26/2021-still admitted currently; COVID-19 positive 11/26/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 79 y.o. male with a past medical history of atrial fibrillation who is admitted with COVID-19 pneumonia.  Symptoms started on 11/21/2021, patient started outpatient dexamethasone on 11/23/2021.  Patient has had 2 doses of Pfizer vaccine, last in March.  Admitted on 5 L nasal cannula. Acute hypoxic respiratory failure COVID-19 pneumonia Plan - currently on 5 L nasal cannula - dexamethasone to complete 10 day course (12/2), remdesivir to complete 5 day course (end 11/30) - strict I&Os, daily weights - no current indication patient needs diuresis at this time.  Appears euvolemic on exam. - no need for additional cap coverage at this time, would not hesitate to start this with further workup if there is concerns for clinical worsening  - Lovenox for DVT prophylaxis - wean oxygen as able 12/4/2021 note: Acute hypoxic respiratory failure COVID-19 pneumonia Leukocytosis  Leukocytosis likely secondary to steroids.  No indication for diuresis at this time. No indication for CAP coverage at this time, with Procal wnl. Decreased from HFNC 50% to 45% at 40 L, without increased work of breathing. Plan - dexamethasone 6mg / day, x 10 day (end 12/2) - remdesivir x 5 day, (end 11/30) - the patient has completed both dexamethasone and remdesivir and has had no significant improvement.  Will trial high-dose Solu-Medrol per recent studies demonstrating benefit with Solu-Medrol 250 mg daily for 3 days followed by 14 day course of prednisone 40 mg daily. Pepcid for GI ppx - Oxygen therapy               - wean high-flow nasal cannula, as tolerated  - strict I&Os, daily weights - encourage self proning  - Sputum culture, pending Dispo:  Patient likely to be inpatient for multiple in-patient days secondary to COVID-19 pneumonia Care Management note 11/6/2021: Discharge Coordination/Progress: RA completed. Wife is in agreement with Mission Point Cedar Springs referral for SAR. MP is unable to take patient until patient is using 4L or less of oxygen. Using HFNC 50%, 40L.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sputum culture
Clinical narrative: Hospitalized 11/26/2021-still admitted currently; COVID-19 positive 11/26/2021; fully vaccinated  ASSESSMENT / PLAN: Patient is a 79 y.o. male with a past medical history of atrial fibrillation who is admitted with COVID-19 pneumonia.  Symptoms started on 11/21/2021, patient started outpatient dexamethasone on 11/23/2021.  Patient has had 2 doses of Pfizer vaccine, last in March.  Admitted on 5 L nasal cannula. Acute hypoxic respiratory failure COVID-19 pneumonia Plan - currently on 5 L nasal cannula - dexamethasone to complete 10 day course (12/2), remdesivir to complete 5 day course (end 11/30) - strict I&Os, daily weights - no current indication patient needs diuresis at this time.  Appears euvolemic on exam. - no need for additional cap coverage at this time, would not hesitate to start this with further workup if there is concerns for clinical worsening  - Lovenox for DVT prophylaxis - wean oxygen as able 12/4/2021 note: Acute hypoxic respiratory failure COVID-19 pneumonia Leukocytosis  Leukocytosis likely secondary to steroids.  No indication for diuresis at this time. No indication for CAP coverage at this time, with Procal wnl. Decreased from HFNC 50% to 45% at 40 L, without increased work of breathing. Plan - dexamethasone 6mg / day, x 10 day (end 12/2) - remdesivir x 5 day, (end 11/30) - the patient has completed both dexamethasone and remdesivir and has had no significant improvement.  Will trial high-dose Solu-Medrol per recent studies demonstrating benefit with Solu-Medrol 250 mg daily for 3 days followed by 14 day course of prednisone 40 mg daily. Pepcid for GI ppx - Oxygen therapy               - wean high-flow nasal cannula, as tolerated  - strict I&Os, daily weights - encourage self proning  - Sputum culture, pending Dispo:  Patient likely to be inpatient for multiple in-patient days secondary to COVID-19 pneumonia Care Management note 11/6/2021: Discharge Coordination/Progress: RA completed. Wife is in agreement with Mission Point Cedar Springs referral for SAR. MP is unable to take patient until patient is using 4L or less of oxygen. Using HFNC 50%, 40L.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: Possible incorrect dose was administered to the patient. The undiluted vial of Pfizer vaccine was mixed with possibly 1.3ml of diluent and only 5 doses were obtained from mixed vial. Patient was contacted immediately upon discovery of the possible mistake, and reported no side effects/adverse events(within 24 hours of administration). Patient was counseled on watching any further complications and will be followed up in next 48 hours and 72 hours.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Complication associated with device, Cough, Respiratory tract congestion
Clinical narrative: developed cough and congestion 11/30/2021. Tested at an urgent care on 12/03/2021. Admitted to Hospital on 12/03/2021. having issues with pacemaker and on oxygen currently. Currently still hospitalized as of 12/07/2021.
Age: 0.17
Sex: M
Vaccine: MMR
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MMR vaccine given to 2 month old.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Patient was given Pfizer Covid booster that was drawn up on Friday 12/3/2021 (more than 6 hours after drawn up), no symptoms noted
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Condition aggravated, Fatigue, Headache
Clinical narrative: Muscle weakness, fatigue, joint pain. My shoulder that I had surgery on is in a lot of pain. Hot flashes then chilled. And a a headache.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Muscular weakness
Clinical narrative: Muscle weakness, fatigue, joint pain. My shoulder that I had surgery on is in a lot of pain. Hot flashes then chilled. And a a headache.
Age: 73.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient came to drive through flu and covid clinic with family (daughter and son in law). Family did not know that she already had her flu vaccine for the year. She was signed up to get both flu and covid vaccine. During Drive-thrus we do not have time to check Immunization Registry prior to each vaccination. Patient was given flu and covid vaccine. Upon entering vaccine into Immunization Registry it was noted that patient already received a flu vaccine for the 2021-2022 flu season. Spoke with son in law. He states that patient is feeling fine and has no concerns. He was already aware that she received 2 doses and stated when he brought her to the drive-thru he did not realize she already received it through her doctor.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Flank pain, Laboratory test, Nephrolithiasis, Tremor
Clinical narrative: I woke up around 3:00 a.m. the morning of March 20, 2021, shaking and with pain in my lower right side.  My wife called 911 to be safe because I couldn't stop shaking. I was transported to a nearby hospital where they ran some tests and determined I had a kidney stone. According to the doctor, I passed the stone while I was there. I left the hospital at around 6:00 a.m. following various tests. I expelled the kidney stone at home that morning. I have not had another kidney stone since.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Dyspnoea, Fatigue, Feeding disorder
Clinical narrative: 6:30 pm 12/3 sore arm 3:44 am 12/4 chills, fever 99.8F, muscle aches, headache, nausea, body pain took 2 regular strength Tylenol 12/4 all day same symptoms and noticed swollen lymph nodes under left arm, fatigue, stayed in bed all day 12/ 5 same symptoms as 12/4 but noticed a red patch at the injection site (didn't look at it on 12/4), by mid afternoon I noticed i had trouble catching my breath and felt chest heaviness, this cleared up 12/5 night 12/6 went to work for 2 1/2 hours and saw my dr at 2 pm 12/6 I was concerned about my bodies reaction to the booster After 1st Moderna dose I had a headache the next day. After 2nd Moderna dose I was in bed for a day and 1/2 with the same symptoms After booster by reaction was much more severe than after my 2nd dose.  My reaction scared me enough to seek medical advice. I'm afraid if I need another dose of how my body will react. I was told the booster was 1/2 a dose and any reaction would be the same or less severe than what I had after the 2nd dose. This was not the case for me.  I was very sick with it. 12/ 7 all symptoms are gone except the arm is still tender at the injection site.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Illness, Injection site erythema, Injection site pain, Lymphadenopathy
Clinical narrative: 6:30 pm 12/3 sore arm 3:44 am 12/4 chills, fever 99.8F, muscle aches, headache, nausea, body pain took 2 regular strength Tylenol 12/4 all day same symptoms and noticed swollen lymph nodes under left arm, fatigue, stayed in bed all day 12/ 5 same symptoms as 12/4 but noticed a red patch at the injection site (didn't look at it on 12/4), by mid afternoon I noticed i had trouble catching my breath and felt chest heaviness, this cleared up 12/5 night 12/6 went to work for 2 1/2 hours and saw my dr at 2 pm 12/6 I was concerned about my bodies reaction to the booster After 1st Moderna dose I had a headache the next day. After 2nd Moderna dose I was in bed for a day and 1/2 with the same symptoms After booster by reaction was much more severe than after my 2nd dose.  My reaction scared me enough to seek medical advice. I'm afraid if I need another dose of how my body will react. I was told the booster was 1/2 a dose and any reaction would be the same or less severe than what I had after the 2nd dose. This was not the case for me.  I was very sick with it. 12/ 7 all symptoms are gone except the arm is still tender at the injection site.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: 6:30 pm 12/3 sore arm 3:44 am 12/4 chills, fever 99.8F, muscle aches, headache, nausea, body pain took 2 regular strength Tylenol 12/4 all day same symptoms and noticed swollen lymph nodes under left arm, fatigue, stayed in bed all day 12/ 5 same symptoms as 12/4 but noticed a red patch at the injection site (didn't look at it on 12/4), by mid afternoon I noticed i had trouble catching my breath and felt chest heaviness, this cleared up 12/5 night 12/6 went to work for 2 1/2 hours and saw my dr at 2 pm 12/6 I was concerned about my bodies reaction to the booster After 1st Moderna dose I had a headache the next day. After 2nd Moderna dose I was in bed for a day and 1/2 with the same symptoms After booster by reaction was much more severe than after my 2nd dose.  My reaction scared me enough to seek medical advice. I'm afraid if I need another dose of how my body will react. I was told the booster was 1/2 a dose and any reaction would be the same or less severe than what I had after the 2nd dose. This was not the case for me.  I was very sick with it. 12/ 7 all symptoms are gone except the arm is still tender at the injection site.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: Client was first given a Moderna booster dose (half dose).   Ensuing discussion about scheduling highlighted the error, that client had wanted a first dose.   Client was informed and offered a second half dose , she accepted and was given the remainder of the dose expected.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccine administered at half dose.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Possible incorrect dose was administered to the patient. The undiluted vial of Pfizer vaccine was mixed with possibly 1.3ml of diluent and only 5 doses were obtained from mixed vial. Patient was contacted immediately upon discovery of the possible mistake, and reported no side effects/adverse events (within 24 hours of administration). Patient was counseled on watching any further complications and will be followed up in next 48 hours and 72 hours.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Dose 1 given  12/28/2020 Lot # Unknown  Patient was hospitalized with Covid 19 and PE, discharged to home
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Illness, Pain, Pyrexia
Clinical narrative: Aprox 20 hours later i became sick, body aches, so tired i couldn't function normally. 101 fever that lasted 48 hours.  Elevated resting heart rate even now months later.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Heart rate increased, Pain in extremity
Clinical narrative: At the time of injecting the dose, I felt strong pain in my entire arm. After spending 1 hour the pain increased and I began to feel rapid heart rate and chest pain. The next day the pain in my arm was stronger and I felt pain in my back, right side and chest. Occasionally I have a rapid heartbeat and chest pain. If symptoms persist outside of arm pain, I will be visiting Hospital.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, Blood lactate dehydrogenase increased, C-reactive protein increased, COVID-19
Clinical narrative: Shortness of Breath      per EMS, x 1 week. Pt had COVID pt last week     HPI 45 year old female with no significant past medical history presents for SOB. Pt exposed to COVID pt at work 1 week ago and has since progressively developed many COVID symptoms incluiding fevers, chills, nausea, vomiting, diarrhea, shortness of breath. SOB worsened today so EMS was called. Pt was placed on 15L NRB by EMS satting in the 90s. On arrival pt is in the 90s on room air. Pt complaining of generalized pain. Pt is very anxious as mother died in this hospital a year ago. Pt received first dose of Pfizer vaccine 3 weeks ago. Pt feels this is a result of the vaccine.    Review of Systems  Constitutional: Positive for chills and fever.  HENT: Positive for congestion. Negative for ear pain and sore throat.   Eyes: Negative for photophobia and visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for abdominal pain and nausea. Negative for constipation, diarrhea and vomiting.  Genitourinary: Positive for dysuria. Negative for flank pain and hematuria.  Musculoskeletal: Negative for arthralgias, back pain and myalgias.  Skin: Negative for pallor and rash.  Neurological: Negative for dizziness, syncope, light-headedness and headaches.  Psychiatric/Behavioral: Negative for agitation and confusion. The patient is not nervous/anxious.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Dyspnoea, Dysuria
Clinical narrative: Shortness of Breath      per EMS, x 1 week. Pt had COVID pt last week     HPI 45 year old female with no significant past medical history presents for SOB. Pt exposed to COVID pt at work 1 week ago and has since progressively developed many COVID symptoms incluiding fevers, chills, nausea, vomiting, diarrhea, shortness of breath. SOB worsened today so EMS was called. Pt was placed on 15L NRB by EMS satting in the 90s. On arrival pt is in the 90s on room air. Pt complaining of generalized pain. Pt is very anxious as mother died in this hospital a year ago. Pt received first dose of Pfizer vaccine 3 weeks ago. Pt feels this is a result of the vaccine.    Review of Systems  Constitutional: Positive for chills and fever.  HENT: Positive for congestion. Negative for ear pain and sore throat.   Eyes: Negative for photophobia and visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for abdominal pain and nausea. Negative for constipation, diarrhea and vomiting.  Genitourinary: Positive for dysuria. Negative for flank pain and hematuria.  Musculoskeletal: Negative for arthralgias, back pain and myalgias.  Skin: Negative for pallor and rash.  Neurological: Negative for dizziness, syncope, light-headedness and headaches.  Psychiatric/Behavioral: Negative for agitation and confusion. The patient is not nervous/anxious.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Fibrin D dimer increased, Inflammatory marker increased, Nausea
Clinical narrative: Shortness of Breath      per EMS, x 1 week. Pt had COVID pt last week     HPI 45 year old female with no significant past medical history presents for SOB. Pt exposed to COVID pt at work 1 week ago and has since progressively developed many COVID symptoms incluiding fevers, chills, nausea, vomiting, diarrhea, shortness of breath. SOB worsened today so EMS was called. Pt was placed on 15L NRB by EMS satting in the 90s. On arrival pt is in the 90s on room air. Pt complaining of generalized pain. Pt is very anxious as mother died in this hospital a year ago. Pt received first dose of Pfizer vaccine 3 weeks ago. Pt feels this is a result of the vaccine.    Review of Systems  Constitutional: Positive for chills and fever.  HENT: Positive for congestion. Negative for ear pain and sore throat.   Eyes: Negative for photophobia and visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for abdominal pain and nausea. Negative for constipation, diarrhea and vomiting.  Genitourinary: Positive for dysuria. Negative for flank pain and hematuria.  Musculoskeletal: Negative for arthralgias, back pain and myalgias.  Skin: Negative for pallor and rash.  Neurological: Negative for dizziness, syncope, light-headedness and headaches.  Psychiatric/Behavioral: Negative for agitation and confusion. The patient is not nervous/anxious.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Shortness of Breath      per EMS, x 1 week. Pt had COVID pt last week     HPI 45 year old female with no significant past medical history presents for SOB. Pt exposed to COVID pt at work 1 week ago and has since progressively developed many COVID symptoms incluiding fevers, chills, nausea, vomiting, diarrhea, shortness of breath. SOB worsened today so EMS was called. Pt was placed on 15L NRB by EMS satting in the 90s. On arrival pt is in the 90s on room air. Pt complaining of generalized pain. Pt is very anxious as mother died in this hospital a year ago. Pt received first dose of Pfizer vaccine 3 weeks ago. Pt feels this is a result of the vaccine.    Review of Systems  Constitutional: Positive for chills and fever.  HENT: Positive for congestion. Negative for ear pain and sore throat.   Eyes: Negative for photophobia and visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Positive for abdominal pain and nausea. Negative for constipation, diarrhea and vomiting.  Genitourinary: Positive for dysuria. Negative for flank pain and hematuria.  Musculoskeletal: Negative for arthralgias, back pain and myalgias.  Skin: Negative for pallor and rash.  Neurological: Negative for dizziness, syncope, light-headedness and headaches.  Psychiatric/Behavioral: Negative for agitation and confusion. The patient is not nervous/anxious.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema nodosum
Clinical narrative: Diagnosed with erythema nodosum. Symptoms began appearing on 12/1 and got worse through 12/6
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Adult failure to thrive, Anticoagulant therapy, COVID-19, COVID-19 pneumonia
Clinical narrative: Fully vaccinated patient who admitted through ED with COVID.  Provider d/c note:  "Patient is a 90 YO female with h/o hypertension, dm 2, HFrEF with pacemaker, morbid obesity admitted for failure to thrive secondary to COVID-19 pneumonia along with hypoxia and acute kidney injury.  Patient was treated with full course of Decadron and remdesivir with resolution of hypoxia. CT PE had shown pulmonary embolism involving the segmental pulmonary artery branch of the left lower lung for which patient was started on Eliquis twice a day and would recommend patient be maintained on this for 3 months has suspect this was likely provoked in setting of COVID infection.  Acute kidney injury had resolved by time of discharge.  Patient with failure to thrive and decreased mobility and will be discharged to skilled nursing facility to increase strength."
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Hypoxia, Mobility decreased, Pulmonary embolism
Clinical narrative: Fully vaccinated patient who admitted through ED with COVID.  Provider d/c note:  "Patient is a 90 YO female with h/o hypertension, dm 2, HFrEF with pacemaker, morbid obesity admitted for failure to thrive secondary to COVID-19 pneumonia along with hypoxia and acute kidney injury.  Patient was treated with full course of Decadron and remdesivir with resolution of hypoxia. CT PE had shown pulmonary embolism involving the segmental pulmonary artery branch of the left lower lung for which patient was started on Eliquis twice a day and would recommend patient be maintained on this for 3 months has suspect this was likely provoked in setting of COVID infection.  Acute kidney injury had resolved by time of discharge.  Patient with failure to thrive and decreased mobility and will be discharged to skilled nursing facility to increase strength."
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient who admitted through ED with COVID.  Provider d/c note:  "Patient is a 90 YO female with h/o hypertension, dm 2, HFrEF with pacemaker, morbid obesity admitted for failure to thrive secondary to COVID-19 pneumonia along with hypoxia and acute kidney injury.  Patient was treated with full course of Decadron and remdesivir with resolution of hypoxia. CT PE had shown pulmonary embolism involving the segmental pulmonary artery branch of the left lower lung for which patient was started on Eliquis twice a day and would recommend patient be maintained on this for 3 months has suspect this was likely provoked in setting of COVID infection.  Acute kidney injury had resolved by time of discharge.  Patient with failure to thrive and decreased mobility and will be discharged to skilled nursing facility to increase strength."
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Fall, Injection site swelling, Loss of consciousness
Clinical narrative: My temperature went to 103 and I drank lots of fluids. When I got up during the night I was peeing and felt like I was going to black out and I grabbed the towel rack and pulled it out of the wall and blacked out in between the toilet and counter. I was like a pretzel. It was rough to get out and now I have a bathroom with 3 handicap bars. After, my temperature went back to normal. I'm not sure how long I blacked out for but I woke up to my dogs licking and barking at me. I have since put in a smaller cabinet so I can't get wedged in. After that everything was good. Next day there was no temperature and a little bump where vaccination was but it wasn't red or sore and unfortunately we are going to get boosters forever so I guess that's how life is going to be. I know now to drink lots of water the day of the vaccine and life will be fine. When I went to see Dr. I told him about it and he checked my oxygen and it was fine but I did buy a concentrator and my heart surgeon neighbor left a 2 liter bottle if I ever need it. I do exercise more than I did with my other doses. I weighed 275 with the first shot and in August, just after flu vaccine, I couldn't fit in any of my dress up clothes and I now weigh 228. I walk every day and it's currently 28 degrees out and I walk for 3 miles. I do that every day now and I think I'm healthier now when I got my first two shots.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac murmur, Electrocardiogram normal, Headache, Pyrexia
Clinical narrative: Created temporary heart murmurs, 3 separate events, slight fever, headache
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: Pain at injection site after vaccinations. Slowly started to swell that evening.  Fever, COVID like symptoms over the weekend.  Today at examination, injection site swelling, heat, redness.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Syncope
Clinical narrative: Patient presented to the hospital on 12/6/21 with syncope. Otherwise, the patient is asymptomatic. Tested positive for COVID on 12/6/2021.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Possible incorrect dose was administered to the patient. The undiluted vial of Pfizer vaccine was mixed with possibly 1.3ml of diluent and only 5 doses were obtained from mixed vial. Patient was contacted immediately upon discovery of the possible mistake, and reported no side effects/adverse events(within 24 hours of administration). Patient was counseled on watching any further complications and will be followed up in next 48 hours and 72 hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, Blood sodium decreased, COVID-19, Chest X-ray normal, Headache
Clinical narrative: 48F with PMH of cystic fibrosis s/p BLTx 2012, HTN, chronic sinusitis, and transaminitis, who presents with low grade fever, nausea, vomiting, unable to tolerate PO x1 day. Found to have +COVID, given monoclonal antibodies and symptoms resolved by discharge  #Fever, nausea, vomiting, headache Patient reported nausea/vomiting x1 day, tried to eat crackers and minimal liquids, unable to tolerate PO and was nervous about not being able to keep down transplant medications, therefore presented to ED. Also with associated headache and noted fever with Tmax 100.3F, improved with tylenol. On admission, nausea improving with PO zofran and continued home PPI. Hyponatremic (Na 129). Given NS 500 cc bolus for hydration. Empirically given IV Ceftaz 2g x1 for immunocompromised with fever. Blood cultures x2 with NGTD. Found to be +COVID as noted below, GI sxs likely related to viral infection. Improved at discharge, given Rx for PO zofran to use at home.   #COVID Found to be COVID+ on admission. Afebrile, no URI symptoms, satting well on RA. CXR with no acute findings. She had COVID last year (no symptoms, tested due to exposure to coworker) and was also vaccinated x2 (Pfizer) but had not yet gotten booster due to significant reaction after both vaccines and wanted to test antibody level first. Given mAb (12/1) for prevention of worsening infection, tolerated well without complication. Did not meet criteria/require dexamethasone or Remdesivir.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypophagia, Immunisation reaction, Immunodeficiency, Infection
Clinical narrative: 48F with PMH of cystic fibrosis s/p BLTx 2012, HTN, chronic sinusitis, and transaminitis, who presents with low grade fever, nausea, vomiting, unable to tolerate PO x1 day. Found to have +COVID, given monoclonal antibodies and symptoms resolved by discharge  #Fever, nausea, vomiting, headache Patient reported nausea/vomiting x1 day, tried to eat crackers and minimal liquids, unable to tolerate PO and was nervous about not being able to keep down transplant medications, therefore presented to ED. Also with associated headache and noted fever with Tmax 100.3F, improved with tylenol. On admission, nausea improving with PO zofran and continued home PPI. Hyponatremic (Na 129). Given NS 500 cc bolus for hydration. Empirically given IV Ceftaz 2g x1 for immunocompromised with fever. Blood cultures x2 with NGTD. Found to be +COVID as noted below, GI sxs likely related to viral infection. Improved at discharge, given Rx for PO zofran to use at home.   #COVID Found to be COVID+ on admission. Afebrile, no URI symptoms, satting well on RA. CXR with no acute findings. She had COVID last year (no symptoms, tested due to exposure to coworker) and was also vaccinated x2 (Pfizer) but had not yet gotten booster due to significant reaction after both vaccines and wanted to test antibody level first. Given mAb (12/1) for prevention of worsening infection, tolerated well without complication. Did not meet criteria/require dexamethasone or Remdesivir.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Nervousness, Pyrexia, SARS-CoV-2 test positive, Viral infection
Clinical narrative: 48F with PMH of cystic fibrosis s/p BLTx 2012, HTN, chronic sinusitis, and transaminitis, who presents with low grade fever, nausea, vomiting, unable to tolerate PO x1 day. Found to have +COVID, given monoclonal antibodies and symptoms resolved by discharge  #Fever, nausea, vomiting, headache Patient reported nausea/vomiting x1 day, tried to eat crackers and minimal liquids, unable to tolerate PO and was nervous about not being able to keep down transplant medications, therefore presented to ED. Also with associated headache and noted fever with Tmax 100.3F, improved with tylenol. On admission, nausea improving with PO zofran and continued home PPI. Hyponatremic (Na 129). Given NS 500 cc bolus for hydration. Empirically given IV Ceftaz 2g x1 for immunocompromised with fever. Blood cultures x2 with NGTD. Found to be +COVID as noted below, GI sxs likely related to viral infection. Improved at discharge, given Rx for PO zofran to use at home.   #COVID Found to be COVID+ on admission. Afebrile, no URI symptoms, satting well on RA. CXR with no acute findings. She had COVID last year (no symptoms, tested due to exposure to coworker) and was also vaccinated x2 (Pfizer) but had not yet gotten booster due to significant reaction after both vaccines and wanted to test antibody level first. Given mAb (12/1) for prevention of worsening infection, tolerated well without complication. Did not meet criteria/require dexamethasone or Remdesivir.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 48F with PMH of cystic fibrosis s/p BLTx 2012, HTN, chronic sinusitis, and transaminitis, who presents with low grade fever, nausea, vomiting, unable to tolerate PO x1 day. Found to have +COVID, given monoclonal antibodies and symptoms resolved by discharge  #Fever, nausea, vomiting, headache Patient reported nausea/vomiting x1 day, tried to eat crackers and minimal liquids, unable to tolerate PO and was nervous about not being able to keep down transplant medications, therefore presented to ED. Also with associated headache and noted fever with Tmax 100.3F, improved with tylenol. On admission, nausea improving with PO zofran and continued home PPI. Hyponatremic (Na 129). Given NS 500 cc bolus for hydration. Empirically given IV Ceftaz 2g x1 for immunocompromised with fever. Blood cultures x2 with NGTD. Found to be +COVID as noted below, GI sxs likely related to viral infection. Improved at discharge, given Rx for PO zofran to use at home.   #COVID Found to be COVID+ on admission. Afebrile, no URI symptoms, satting well on RA. CXR with no acute findings. She had COVID last year (no symptoms, tested due to exposure to coworker) and was also vaccinated x2 (Pfizer) but had not yet gotten booster due to significant reaction after both vaccines and wanted to test antibody level first. Given mAb (12/1) for prevention of worsening infection, tolerated well without complication. Did not meet criteria/require dexamethasone or Remdesivir.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site erythema, Injection site nodule, Oedema peripheral
Clinical narrative: knot and redness at injection site with swelling in armpit of site arm with pain in armpit
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Cough, Fatigue, Pain
Clinical narrative: After the vaccine I started coughing on that day but was mild. I developed a pain in the arm ad radiating from my shoulder to wrist, The next day I was fatigue and the arm pain continued. The cough came and sent over the month. Last week it was getting worst and I am not sure why and I am trying to make a doctors appt. My concern is that when I inhaled there was some irritation in my chest and even when I breathe.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Respiratory tract irritation
Clinical narrative: After the vaccine I started coughing on that day but was mild. I developed a pain in the arm ad radiating from my shoulder to wrist, The next day I was fatigue and the arm pain continued. The cough came and sent over the month. Last week it was getting worst and I am not sure why and I am trying to make a doctors appt. My concern is that when I inhaled there was some irritation in my chest and even when I breathe.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Butterfly rash, Systemic lupus erythematosus
Clinical narrative: Macular rash; new onset; POS ANA nucleolar pattern; homogenous; 1:320 titer. Final diagnosis: Systemic lupus; vaccine reaction.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: ON 12/02/2021 4 HOURS AFTER RECEIVING THE VACCINE I DEVELOPED BELLS PALSY ON THE LEFT SIDE OF MY FACE. I CALLED 911 AND PARAMEDICS CAME AND ASSESSED ME. THEY SAID THEY DID NOT THINIK IT WAS A STOKE AND A POSSIBLE REACTION THE THE COVID VACCINE (PFIZER). AND TO TAKE SOME BENYADRL. WHICH I DID. THEY DIDNT THINK IT WAS VERY SERIOUS AND DIDNT REQUIRE HOSPITAL TREATMENT. SINCE ALL HOSPITAL IN MY AREA ARE IN A CODE RED SITUATION.  THEY LEFT AND SAID IF I FELT LIKE I NEED TO GO THE HOSPITAL I COULD CALL BACK AND THEY WOULD TRANSPORT ME. THE NEXT MORNING  12/03/2021 I WENT TO THE URGENT CARE/EMERGENCY ROOM NEAR MY HOUSE AND GOT REAVALUATED BY A DR AND HE DIAGNOSED ME WITH BELLS PALSY STATED HE THOUGHT IT WAS CAUSED BY THE  COVID VACCINE (PFIZER) AND PRESCRIBED AND ANTIVIRAL AND STERIROID MEDICATION.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph gland under left armpit/upper arm No treatment, subsided within 3 days
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine drawn up 12/3/2021 (more than 6 hours since it was drawn up) given to the patient.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Possible incorrect dose was administered to the patient. The undiluted vial of Pfizer vaccine was mixed with possibly 1.3ml of diluent and only 5 doses were obtained from mixed vial. Patient was contacted immediately upon discovery of the possible mistake, and reported no side effects/adverse events(within 24 hours of administration). Patient was counseled on watching any further complications and will be followed up in next 48 hours and 72 hours.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Bronchiectasis, C-reactive protein increased, COVID-19
Clinical narrative: Fully vaccinated patient admitted through ED with COVID.  Provider d/c note:    "63 year old vaccinated female with past medical history significant for longstanding nicotine dependence (at least 40 pack years) in remission (quit 4 years ago), severe COPD with bronchiectasis and generalized anxiety presented with worsening cough and shortness of breath found to have acute respiratory failure with lung exam consistent with a COPD exacerbation in setting of COVID viral infection and possible RLL community acquired pneumonia.  She also had a leukocytosis and tachycardia with tachypnea consistent with sepsis due to COVID 19 pneumonia.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute Hypercapnic Hypoxic Respiratory Failure with sepsis - the respiratory failure was likely multifactorial due to COVID 19 pneumonia superimposed on severe COPD with bronchiectasis with exacerbation,  there was some concern for aspiration.  The sepsis was likely due to COVID 19 pneumonia with possible superimposed bacterial pneumonia. She was transferred to ICU on 11/12 due to worsening hypercapneic respiratory failure and CO2 narcosis - improved on bipap, steroids, antibiotics and aggressive pulm hygiene, did not require intubation. She was transferred back to the progressive care unit and showed steady improvement weaning high flow NC (initially at 40 liters with 45% FiO2 down to 4 liters nasal cannula by time of discharge).  CRP decreased from 12 to 0.3 by time of discharge. D-dimer decreased from high of 6420 to 1020 by time of discharge.  There was no evidence of PE on CT Angio of Chest.  She was originally on Decadron but was transitioned to Solumedrol in the ICU.  She completed 5 day Remdesivir protocol, was on Lovenox subq, encouraged to prone position, Doxycycline/Ceftriaxone for 5 days, then Doxycycline/Unasyn for 6 days with some concern for aspiration when she was encephalopathic.   Pulmonology a one week taper of steroids on discharge "
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Fully vaccinated patient admitted through ED with COVID.  Provider d/c note:    "63 year old vaccinated female with past medical history significant for longstanding nicotine dependence (at least 40 pack years) in remission (quit 4 years ago), severe COPD with bronchiectasis and generalized anxiety presented with worsening cough and shortness of breath found to have acute respiratory failure with lung exam consistent with a COPD exacerbation in setting of COVID viral infection and possible RLL community acquired pneumonia.  She also had a leukocytosis and tachycardia with tachypnea consistent with sepsis due to COVID 19 pneumonia.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute Hypercapnic Hypoxic Respiratory Failure with sepsis - the respiratory failure was likely multifactorial due to COVID 19 pneumonia superimposed on severe COPD with bronchiectasis with exacerbation,  there was some concern for aspiration.  The sepsis was likely due to COVID 19 pneumonia with possible superimposed bacterial pneumonia. She was transferred to ICU on 11/12 due to worsening hypercapneic respiratory failure and CO2 narcosis - improved on bipap, steroids, antibiotics and aggressive pulm hygiene, did not require intubation. She was transferred back to the progressive care unit and showed steady improvement weaning high flow NC (initially at 40 liters with 45% FiO2 down to 4 liters nasal cannula by time of discharge).  CRP decreased from 12 to 0.3 by time of discharge. D-dimer decreased from high of 6420 to 1020 by time of discharge.  There was no evidence of PE on CT Angio of Chest.  She was originally on Decadron but was transitioned to Solumedrol in the ICU.  She completed 5 day Remdesivir protocol, was on Lovenox subq, encouraged to prone position, Doxycycline/Ceftriaxone for 5 days, then Doxycycline/Unasyn for 6 days with some concern for aspiration when she was encephalopathic.   Pulmonology a one week taper of steroids on discharge "
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer increased, Hypercapnia, Intensive care, Leukocytosis, Positive airway pressure therapy
Clinical narrative: Fully vaccinated patient admitted through ED with COVID.  Provider d/c note:    "63 year old vaccinated female with past medical history significant for longstanding nicotine dependence (at least 40 pack years) in remission (quit 4 years ago), severe COPD with bronchiectasis and generalized anxiety presented with worsening cough and shortness of breath found to have acute respiratory failure with lung exam consistent with a COPD exacerbation in setting of COVID viral infection and possible RLL community acquired pneumonia.  She also had a leukocytosis and tachycardia with tachypnea consistent with sepsis due to COVID 19 pneumonia.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute Hypercapnic Hypoxic Respiratory Failure with sepsis - the respiratory failure was likely multifactorial due to COVID 19 pneumonia superimposed on severe COPD with bronchiectasis with exacerbation,  there was some concern for aspiration.  The sepsis was likely due to COVID 19 pneumonia with possible superimposed bacterial pneumonia. She was transferred to ICU on 11/12 due to worsening hypercapneic respiratory failure and CO2 narcosis - improved on bipap, steroids, antibiotics and aggressive pulm hygiene, did not require intubation. She was transferred back to the progressive care unit and showed steady improvement weaning high flow NC (initially at 40 liters with 45% FiO2 down to 4 liters nasal cannula by time of discharge).  CRP decreased from 12 to 0.3 by time of discharge. D-dimer decreased from high of 6420 to 1020 by time of discharge.  There was no evidence of PE on CT Angio of Chest.  She was originally on Decadron but was transitioned to Solumedrol in the ICU.  She completed 5 day Remdesivir protocol, was on Lovenox subq, encouraged to prone position, Doxycycline/Ceftriaxone for 5 days, then Doxycycline/Unasyn for 6 days with some concern for aspiration when she was encephalopathic.   Pulmonology a one week taper of steroids on discharge "
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Sepsis, Superinfection, Tachycardia
Clinical narrative: Fully vaccinated patient admitted through ED with COVID.  Provider d/c note:    "63 year old vaccinated female with past medical history significant for longstanding nicotine dependence (at least 40 pack years) in remission (quit 4 years ago), severe COPD with bronchiectasis and generalized anxiety presented with worsening cough and shortness of breath found to have acute respiratory failure with lung exam consistent with a COPD exacerbation in setting of COVID viral infection and possible RLL community acquired pneumonia.  She also had a leukocytosis and tachycardia with tachypnea consistent with sepsis due to COVID 19 pneumonia.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Acute Hypercapnic Hypoxic Respiratory Failure with sepsis - the respiratory failure was likely multifactorial due to COVID 19 pneumonia superimposed on severe COPD with bronchiectasis with exacerbation,  there was some concern for aspiration.  The sepsis was likely due to COVID 19 pneumonia with possible superimposed bacterial pneumonia. She was transferred to ICU on 11/12 due to worsening hypercapneic respiratory failure and CO2 narcosis - improved on bipap, steroids, antibiotics and aggressive pulm hygiene, did not require intubation. She was transferred back to the progressive care unit and showed steady improvement weaning high flow NC (initially at 40 liters with 45% FiO2 down to 4 liters nasal cannula by time of discharge).  CRP decreased from 12 to 0.3 by time of discharge. D-dimer decreased from high of 6420 to 1020 by time of discharge.  There was no evidence of PE on CT Angio of Chest.  She was originally on Decadron but was transitioned to Solumedrol in the ICU.  She completed 5 day Remdesivir protocol, was on Lovenox subq, encouraged to prone position, Doxycycline/Ceftriaxone for 5 days, then Doxycycline/Unasyn for 6 days with some concern for aspiration when she was encephalopathic.   Pulmonology a one week taper of steroids on discharge "