chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Supraventricular extrasystoles, White blood cell count increased
Clinical narrative: This is a pleasant 72-year-old man with recent bioprosthetic aortic valve replacement May 2021, diastolic CHF, cardiac amyloidosis, CKD stage 3, diabetes, OSA and narcolepsy, paroxysmal atrial fibrillation.  He presents today with increasing shortness of breath found to be COVID positive and diastolic heart failure exacerbation.   He reports feeling well, recovered after his aortic valve replacement, had history of hypotension was added on midodrine and Adderall.  Over the course of the last 10 days, has been feeling ill with cough, nasal congestion, shortness of breath, increasing lower extremity edema bilaterally.  He presents emergency department, was found to be hypoxic requiring non-rebreather, blood pressure 139/78, 95 beats per minute, afebrile 37.3.  WBC is 10.5, hemoglobin 11.5.  Lactic acid normal.  Creatinine at baseline 1.8.  Chest x-ray showed bilateral infiltrates.  BNP is elevated to 7000 up from 4000 earlier this month.  He denies any chest pain or chest pressure at this time, no pain in his legs but he does have significantly increased bilateral pedal edema.  He is agreeable to treatment with steroids and remdesivir.  He is previously vaccinated for COVID and got his booster about 1 month ago.   Review of Systems Constitutional:  Positive for activity change, appetite change, diaphoresis and fatigue. Negative for chills and fever.  HENT: Negative for trouble swallowing.  Eyes: Negative for visual disturbance.  Respiratory:  Positive for cough, shortness of breath and sputum production. Negative for wheezing and chest tightness.   Cardiovascular:  Negative for chest pain.  Gastrointestinal:  Negative for nausea and trouble swallowing.  Genitourinary:  Negative for dysuria.  Musculoskeletal:  Negative for joint swelling.  Neurological:  Negative for dizziness.  Skin:  Negative for rash.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORAGE  IN REFRIGERATOR ( 2°C -8°C ) UP TO 30 DAYS. ( VACCINE USED AFTER 10-16-2021 )
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site pain
Clinical narrative: Patient later complained that he felt pain soreness and numbness to muscle after receiving the injection. Patient did not report any discomfort to vaccinator immediately after receiving vaccine. Patient was observed for 15 minutes without adverse effect.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: The patient was given a booster dose (0.25ml) of Moderna when she had checked the box under the "Yes" column for question 3 (Have you ever had and allergic reaction to: A previous dose of a COVID-19 vaccine) on the CDC Prevaccination Checklist for Covid-19 Vaccines. Also, the dose of Moderna given was from a vial that was punctured 1030am 11/2/2021, which was the date prior. The dose was given on 11/3/2021 at 4:23pm, beyond the 12 hours after first puncture. The opened Moderna vial  was labeled with the date, time and amount of doses after first puncture and placed in a ziplock bag  in the Medication Fridge (kept between 2degC to 8degC). The nurse on site drew up the dose from this vial and gave it to the medical assistant to dose the patient with. The medical assistant who gave the dose was in charge of reviewing the CDC prevaccination checklist with the patient prior to administering the dose.  The patient did not have any signs or symptoms after the adverse event while on site. The patient did not receive any treatment on site after the event.
Age: 40.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site hypoaesthesia, Injection site pain, Mobility decreased, Pain in extremity
Clinical narrative: Reported 11/9/21:  soreness in the arm beginning day of injection 10/22/21, but the first couple days thought it was just normal post-injection soreness. Pain began to be intermittently and progressively worse. Pain is in the anterior left upper arm from bicep/deltoid to about elbow area. Reports left upper arm numbness upon waking and states there is now decreased ROM. EE reports it is painful to open doors, lift arm away from body, pull up pants, do patient care.  Ice not helpful. Heat helps briefly. OTC Tylenol and ibuprofen didn't help. Plans to be seen at Clinic on 11/10/2021.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Site of injection on left arm has remained swollen and "red" since the injection 11/3/21.  Patient has applied ice topically and taken acetaminophen and diphenhydramine.  Swelling is isolated to the left arm at injection site.
Age: 11.0
Sex: U
Vaccine: COVID19, VARCEL
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: minimum recommended age for COVID19(Pfizer-BioNTech) is 12 11years 9months at date of vaccination  Has been requested to enter all COVID vaccines into system. The teams responsible for screening and administering vaccines to the refugees at the Vaccine site were/are all on duty staff. Staff is assisting with entering information into database and VAERS.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient reported constant headache following 2 weeks after vaccination. No prior history of headaches or migraines.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Confusional state
Clinical narrative: confusion
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Paraesthesia
Clinical narrative: Redness, numbness, tingling in arm
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19.
Age: 46.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Asthenia, Chills, Extra dose administered, Fatigue, Headache
Clinical narrative: Approximately five hours after receiving the COVID-19 Modern booster and flu shot, I noticed hives on both arms; however, they did not itch or bother me. As expected, my arm had some soreness at the injection spot and I was tired. During the night (10-12 hours after receiving the vaccines, I woke up with a bad case of the chills and presumably a fever. When I got up in the morning, I had a fever but most of the hives had gone away. I took OTC acetaminophen and my fever went away as well. That day (after the vaccine), I had full body aches, was tired and weak, and had a dull headache.
Age: 46.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Inappropriate schedule of product administration, Injection site pain, Pain, Pyrexia, Urticaria
Clinical narrative: Approximately five hours after receiving the COVID-19 Modern booster and flu shot, I noticed hives on both arms; however, they did not itch or bother me. As expected, my arm had some soreness at the injection spot and I was tired. During the night (10-12 hours after receiving the vaccines, I woke up with a bad case of the chills and presumably a fever. When I got up in the morning, I had a fever but most of the hives had gone away. I took OTC acetaminophen and my fever went away as well. That day (after the vaccine), I had full body aches, was tired and weak, and had a dull headache.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Vaccine positive rechallenge
Clinical narrative: Migraine x6 days, not improving
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: generalizedc weakness, fatigue and shortness of breath.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Exposure during pregnancy, Fatigue, Haemorrhage
Clinical narrative: It started around 2 am the next day. I woke up in the middle of night, feeling dizzy and nauseous and body aches all over. My left arm was numb and tingly. I overall felt like I had the flu, but as if I was having an allergic reaction. It felt similar to the past reaction to a medicine I'm allergic to. I felt fatigue, and unable to do anything. I had a migraine and lower back pain.  This lasted about 2 to 4 days. It was very similar to the Sectrum medicine I mentioned under my allergies.  I had a couple of doctor appointments. No lab test just the doctors thought I had nerve damage. They put me in a vitamin called alphalypoticacid. This has been helping me. I'm still experiencing the numbness in my arm but most of the symptoms have gone away. This was my first pregnancy, I found out on October 30th that I was pregnant.  I was about six weeks pregnant. I had cramping on Nov 1st. My htg levels were going down and being monitored by my doctor and with bleeding on Nov 5th
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Injection site paraesthesia, Loss of personal independence in daily activities, Migraine, Nausea
Clinical narrative: It started around 2 am the next day. I woke up in the middle of night, feeling dizzy and nauseous and body aches all over. My left arm was numb and tingly. I overall felt like I had the flu, but as if I was having an allergic reaction. It felt similar to the past reaction to a medicine I'm allergic to. I felt fatigue, and unable to do anything. I had a migraine and lower back pain.  This lasted about 2 to 4 days. It was very similar to the Sectrum medicine I mentioned under my allergies.  I had a couple of doctor appointments. No lab test just the doctors thought I had nerve damage. They put me in a vitamin called alphalypoticacid. This has been helping me. I'm still experiencing the numbness in my arm but most of the symptoms have gone away. This was my first pregnancy, I found out on October 30th that I was pregnant.  I was about six weeks pregnant. I had cramping on Nov 1st. My htg levels were going down and being monitored by my doctor and with bleeding on Nov 5th
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sleep disorder
Clinical narrative: It started around 2 am the next day. I woke up in the middle of night, feeling dizzy and nauseous and body aches all over. My left arm was numb and tingly. I overall felt like I had the flu, but as if I was having an allergic reaction. It felt similar to the past reaction to a medicine I'm allergic to. I felt fatigue, and unable to do anything. I had a migraine and lower back pain.  This lasted about 2 to 4 days. It was very similar to the Sectrum medicine I mentioned under my allergies.  I had a couple of doctor appointments. No lab test just the doctors thought I had nerve damage. They put me in a vitamin called alphalypoticacid. This has been helping me. I'm still experiencing the numbness in my arm but most of the symptoms have gone away. This was my first pregnancy, I found out on October 30th that I was pregnant.  I was about six weeks pregnant. I had cramping on Nov 1st. My htg levels were going down and being monitored by my doctor and with bleeding on Nov 5th
Age: 72.0
Sex: M
Vaccine: MNQ
Symptoms: Pain
Clinical narrative: Body ache for about 24 hours starting about nine hours after vaccination.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: STORAGE IN REFRIGERATOR (2°C-8°C) UP TO 30 DAYS. ( VACCINE USED AFTER 10/16/2021 )
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anal hypoaesthesia, Chiropractic, Sleep disorder
Clinical narrative: Anal Nerve Numbness to comes and goes about 5 secs every 10 minutes or so. It started during the middle of the night about 12 hours after receiving the Pfizer vaccine booster shot. 1st dose on 4/1/21, 2nd dose on 4/22/21, booster on 11/04/21. I visited my primary care physician on 11/8/21 and she encouraged me to report it and said it sounded similar to facial nerve palsy that she has seen reported as covid vaccine side effects. It is still occurring no matter what position I am in, I have also been to my chiropractor for treatment with no relief.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Inappropriate schedule of product administration
Clinical narrative: Severe arthralgias and myalgias describes as severe as the Chikunguya the patient had on 2014, fever (range from 37.3 to 38), nauseas, headache, chills, tireness that lasted 48 hrs
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Severe arthralgias and myalgias describes as severe as the Chikunguya the patient had on 2014, fever (range from 37.3 to 38), nauseas, headache, chills, tireness that lasted 48 hrs
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORAGE IN REFRIGERATOR (2 GRADE C - 8 GRADE C) UP TO 30 DAYS.  (VACCINE USED AFTER 10/16/2021)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Movement disorder, Pain, Pain in extremity
Clinical narrative: I had severe pain in my left arm.  It radiated from my shoulder blade all the way down to my fingers.  I had no strength in my thumb or my index finger.  I can't grab anything.  I lost the movement in my hand.  These symptoms have been going on for 2 weeks and 2 days now.  They are getting worse.  I went to the ER.  They gave me a shot and referred me to a neurologist.  I have not seen the neurologist yet.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives  w/"itchiness" approx. 15 minutes after administration; resolved after Pt took Benadril
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site erythema
Clinical narrative: After 1st dose - high fever of 102.5 for 24 hours after shot with headache, joint pain, and chills  1. High fever off and on for 4 days 2. Extreme chills off and on for 4 days 2. Headache for 4 days 3. Fatigue for 4 days 4. Aches/Joint Pain for 4 days 5. Redness and swelling at injection site for more than 2 weeks (looked like a bee sting and hot to the touch) 5. Extreme shift in menstrual cycle - cycle dates/length have continued to be irregular since after receiving 2nd shot. It has been 8 months and my cycles are still not normal
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling, Menstruation irregular, Pain, Pyrexia
Clinical narrative: After 1st dose - high fever of 102.5 for 24 hours after shot with headache, joint pain, and chills  1. High fever off and on for 4 days 2. Extreme chills off and on for 4 days 2. Headache for 4 days 3. Fatigue for 4 days 4. Aches/Joint Pain for 4 days 5. Redness and swelling at injection site for more than 2 weeks (looked like a bee sting and hot to the touch) 5. Extreme shift in menstrual cycle - cycle dates/length have continued to be irregular since after receiving 2nd shot. It has been 8 months and my cycles are still not normal
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica
Clinical narrative: Polymyalgia rheumatica
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram, Confusional state, Intensive care, Lethargy
Clinical narrative: In 24 hours the resident became confused, lethargic and in respiratory distress. Saturations could not be kept above 90 on 5 liters. She subsequently ended up in the ICU on a ventilator and was diagnosed with 2 large pulmonary embolisms
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical ventilation, Oxygen saturation decreased, Pulmonary embolism, Respiratory distress
Clinical narrative: In 24 hours the resident became confused, lethargic and in respiratory distress. Saturations could not be kept above 90 on 5 liters. She subsequently ended up in the ICU on a ventilator and was diagnosed with 2 large pulmonary embolisms
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Underdose
Clinical narrative: At the moment of injection on Oct. 15, 2021, Patient verbalized he felt liquid dropping down to his elbow and rested there at the elbow and didn't go past there. On the 18, he woke up in the morning and could not lift his hand and bring his arm/hand to his chest or lift his arm up.  Had to support his elbow with his other hand in order to support his left arm upwards.  Reports sharp pain 8/10 states constant even while resting slipping. Any little movement triggers the pain. States pain is relieved by gradually bending arm over across chest and bending elbow. States he also has to guide his arm to an extended position when on his back.  Reports that he is unable to lift an object up from the ground nor is he able to hold an object with his arm extended, such as a bag , etc.  States as he is speaking to me, the pain is a stinging pain, constant.  He has to lean in to the left side to hold the car's steering wheel.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adverse event, Rash, Rash macular, Urticaria
Clinical narrative: hives/rash in welts across forehead from left ear to left eye, hives/rash in splotches on left arm at elbow,  hives/rash in splotches on left arm at top of forearm, hives/rash in welts on left arm at bottom of forearm,  hives/rash in splotches on right arm at back of arm opposite of bicep.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Debridement, Laboratory test abnormal, Leukocytosis, Limb injury
Clinical narrative: Wound care,  right leg wound at home.  He has a history of a right AKA and on September 18 he had a debridement of that leg he was discharged from the hospital to ECF and then discharged home.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Peripheral coldness
Clinical narrative: Dizziness after about 5 minutes of the booster  (3rd dose), Cold extremities, wanting to vomit (DID NOT VOMIT), Blood pressure 93/67 HR 58 at 10:15a. Patient lie flat on the floor and got better after 15 minutes. EMS came and checked patient blood pressure and blood sugar.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Injection site pain, Pyrexia
Clinical narrative: Significant injection site pain. Fever and chills began approximately 12am 11/9/2021. Loss of appetite associated with fever and loss of energy.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site rash
Clinical narrative: Pt reports a localized rash above and below the vaccination site. Offered Benadryl PO. Patient refused. Notified and here at table. Patient will be observed for 30 mins in Observation . Patient remained in observation for 30 min with no other complaints. Rash seems to be subsiding @ 1645. At 0510 - patient walks out. No further complaints.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: Lower Back Pain
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Chest pain, Immediate post-injection reaction, Impaired driving ability, Joint noise
Clinical narrative: Extreme left shoulder pain radiating throughout left arm and left chest a few minutes after receiving the vaccine, so bad it brought me to tears and my husband had to drive me home (I could not drive, I tried but did not get far due to the pain). When I got home I observed the bandage placed on my arm was much much higher than any previous injection I received. It was in my shoulder, not my arm/deltoid. I was unable to move my arm freely without extreme pain. In the days since, pain is persistent both while at rest and in motion, and remains in the same intensity when performing certain normal range motions (reaching across my chest, reaching behind my back). My shoulder also now frequently "pops" audibly and painfully multiple times a day when raising my left arm, when that has only occurred a handful of times before in my entire life. I had no existing shoulder pain or injury prior to receiving this vaccine. Simple tasks such as dressing and showering are painful, which is directly affecting my quality of life. I am planning to schedule a doctor's appointment in the next week if symptoms do not improve.
Age: 34.0
Sex: F
Vaccine: FLUC4
Symptoms: Lacrimation increased, Loss of personal independence in daily activities, Pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Extreme left shoulder pain radiating throughout left arm and left chest a few minutes after receiving the vaccine, so bad it brought me to tears and my husband had to drive me home (I could not drive, I tried but did not get far due to the pain). When I got home I observed the bandage placed on my arm was much much higher than any previous injection I received. It was in my shoulder, not my arm/deltoid. I was unable to move my arm freely without extreme pain. In the days since, pain is persistent both while at rest and in motion, and remains in the same intensity when performing certain normal range motions (reaching across my chest, reaching behind my back). My shoulder also now frequently "pops" audibly and painfully multiple times a day when raising my left arm, when that has only occurred a handful of times before in my entire life. I had no existing shoulder pain or injury prior to receiving this vaccine. Simple tasks such as dressing and showering are painful, which is directly affecting my quality of life. I am planning to schedule a doctor's appointment in the next week if symptoms do not improve.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: ADMINISTRATION ERROR : Pt. received 1st dose of Moderna 10/08/2021 UNDERAGE ADMINISTRATION
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site urticaria
Clinical narrative: Some hives showed up at the injection site about 4-5 minutes after the injection. The nurse there gave him a childrens' dose of Benadryl and in a few minutes they started clearing up and within 10 minutes the hives were all gone.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORAGE IN REFRIGERATOR (2°C-8°C) UP TO 30 DAYS. ( VACCINE USED AFTER 10/16/2021 )
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: malaise
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity
Clinical narrative: I had a very sore arm for 3 days. For over 24 hours, I had the worst full body pain that I have had in my life. I didn't feel feverish, but felt the aches like having a fever would induce. The headache that came along with the day could not be helped with medication. The body "aches" were horrendous.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORAGE  IN REFRIGERATOR ( 2°C -8°C ) UP TO 30 DAYS. ( VACCINE USED AFTER 10-16-2021 )
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Band sensation, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: redness, swollen arm at injection site about 3x it's normal size/ hot and red raised band at bottom of injection site
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Interchange of vaccine products, Oral herpes
Clinical narrative: I got a cold sore inside the right nostril of my nose. The same thing happened after the second dose of the Moderna vaccine. Although I get cold sores, they are always on my top lip, never inside my nostril. I noticed it after the Moderna vaccine as well. When it happened again with the Pfizer vaccine, I decided to report it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: STORAGE IN REFRIGERATOR (2°C-8°C) UP TO 30 DAYS. ( VACCINE USED AFTER 10/16/2021 )
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Medical Assistant vaccinated using a dose that had been out of the refrigerator more than 6 hours as indicated by Manufacturer.  We have been in contact with family and child feels completely fine. We did contact Pfizer to find out how soon he would need to be revaccinated if at all. Still awaiting their recommendation.
Age: 47.0
Sex: F
Vaccine: HEPAB
Symptoms: Fatigue, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: Fatigue, runny nose, congestion
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Back pain, Blood test, Computerised tomogram, Gait disturbance
Clinical narrative: Started with back pain that increased until I went to the ER. I was told I had a kidney infection but no UTI. The pain continued at increasing levels (it was too painful to even sit up). I was diagnosed with an Acute Kidney Injury. Was given antibiotics. I was unable to work or even walk properly for 3 months. My lower back was in an extreme amount of pain. Narcotics didn't even take the pain away.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Kidney infection, Ultrasound scan, Urine analysis
Clinical narrative: Started with back pain that increased until I went to the ER. I was told I had a kidney infection but no UTI. The pain continued at increasing levels (it was too painful to even sit up). I was diagnosed with an Acute Kidney Injury. Was given antibiotics. I was unable to work or even walk properly for 3 months. My lower back was in an extreme amount of pain. Narcotics didn't even take the pain away.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 19 11/9/21 - Symptoms started 11/3/21
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORAGE IN REFRIGERATOR (2 GRADE C - 8 GRADE C) UP TO 30 DAYS.  (VACCINE USED AFTER 10/16/2021)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Full body urticaria, symmetric  mostly extremities, 48 hours after injection ( 2 previous doses were Pfizer, this was the 3rd but first Moderna, no previous reactions to Pfizer) Rash continues for 4 days, Patient self treated with Zyrtec and Benadryl. This is limited to skin and highly pruritic and clearly visibly resembling urticaria.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abscess drainage, Acute kidney injury, Acute myocardial infarction, Anticoagulant therapy, Antiplatelet therapy
Clinical narrative: Hospitalized 10/29/2021; COVID-19 positive 10/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 10/29/2021 Discharge Date: 11/3/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dehydration [E86.0] Hypokalemia [E87.6] Transaminitis [R74.01] Severe sepsis [A41.9, R65.20] AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Sepsis [A41.9]   HOSPITAL COURSE:   75 yo male with history of CAD, PE/DVT, prostate CA, and Gilbert's syndrome.  He presented to Hospital on 10/29 with symptoms of dyspnea cough, fever, weakness.  His code PCR was positive on 10/26.  In the emergency department the patient was found to be hypoxemic requiring 3 L of oxygen, hypotensive despite 3 L of fluids and therefore was started on norepinephrine and admitted to intensive care unit for further management of septic shock.  Other labs are notable for an acute kidney injury, elevated troponin and elevated procalcitonin.  Patient was started on IV antibiotics.  Infectious Disease were consulted.  Blood cultures were drawn.  Epinephrine was able to be weaned down by the following day.  CT imaging revealed a hepatic abscess for which Interventional Radiology were consulted and patient underwent image guided drain placement on 10/31.  Cultures from the drain did not grow any bacteria.  Her blood cultures did return positive for fusobacterium nucleatum.  Antibiotics were adjusted to ceftriaxone and Flagyl while in the hospital.  Infectious Disease recommended a 4 week course of levofloxacin and Flagyl on discharge. They will follow up with patient in 3 weeks in their clinic.  Of note, patient's blood cultures were not back yet at the time of discharge, however telephone discussion with Infectious Disease Service today felt to be okay to discharge on above regimen and will follow up on susceptibilities, notify patient if any changes need to be made.   Regarding his covid diagnosis, patient was treated with the severe and will complete a ten-day course of Decadron at home.  He was able to wean off of oxygen and remained comfortable on room air without additional COVID-like symptoms during the last days of his hospitalization.   Cardiology were consulted for NSTEMI, recommended heparin drip with transition to dual anti-platelet therapy for 1 year with possible outpatient stress testing on follow-up appointment.   Patient is being discharged home in stable and improved condition.  He has been instructed to follow up with interventional Radiology for drain removal in the next couple of weeks.  He will follow up with primary care physician for regular health maintenance.  His losartan was held on discharge due to lower blood pressures, this could be resumed in the outpatient setting if tolerable.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Bacterial test negative, Blood culture positive, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized 10/29/2021; COVID-19 positive 10/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 10/29/2021 Discharge Date: 11/3/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dehydration [E86.0] Hypokalemia [E87.6] Transaminitis [R74.01] Severe sepsis [A41.9, R65.20] AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Sepsis [A41.9]   HOSPITAL COURSE:   75 yo male with history of CAD, PE/DVT, prostate CA, and Gilbert's syndrome.  He presented to Hospital on 10/29 with symptoms of dyspnea cough, fever, weakness.  His code PCR was positive on 10/26.  In the emergency department the patient was found to be hypoxemic requiring 3 L of oxygen, hypotensive despite 3 L of fluids and therefore was started on norepinephrine and admitted to intensive care unit for further management of septic shock.  Other labs are notable for an acute kidney injury, elevated troponin and elevated procalcitonin.  Patient was started on IV antibiotics.  Infectious Disease were consulted.  Blood cultures were drawn.  Epinephrine was able to be weaned down by the following day.  CT imaging revealed a hepatic abscess for which Interventional Radiology were consulted and patient underwent image guided drain placement on 10/31.  Cultures from the drain did not grow any bacteria.  Her blood cultures did return positive for fusobacterium nucleatum.  Antibiotics were adjusted to ceftriaxone and Flagyl while in the hospital.  Infectious Disease recommended a 4 week course of levofloxacin and Flagyl on discharge. They will follow up with patient in 3 weeks in their clinic.  Of note, patient's blood cultures were not back yet at the time of discharge, however telephone discussion with Infectious Disease Service today felt to be okay to discharge on above regimen and will follow up on susceptibilities, notify patient if any changes need to be made.   Regarding his covid diagnosis, patient was treated with the severe and will complete a ten-day course of Decadron at home.  He was able to wean off of oxygen and remained comfortable on room air without additional COVID-like symptoms during the last days of his hospitalization.   Cardiology were consulted for NSTEMI, recommended heparin drip with transition to dual anti-platelet therapy for 1 year with possible outpatient stress testing on follow-up appointment.   Patient is being discharged home in stable and improved condition.  He has been instructed to follow up with interventional Radiology for drain removal in the next couple of weeks.  He will follow up with primary care physician for regular health maintenance.  His losartan was held on discharge due to lower blood pressures, this could be resumed in the outpatient setting if tolerable.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Computerised tomogram abdomen abnormal, Condition aggravated, Cough, Dehydration
Clinical narrative: Hospitalized 10/29/2021; COVID-19 positive 10/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 10/29/2021 Discharge Date: 11/3/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dehydration [E86.0] Hypokalemia [E87.6] Transaminitis [R74.01] Severe sepsis [A41.9, R65.20] AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Sepsis [A41.9]   HOSPITAL COURSE:   75 yo male with history of CAD, PE/DVT, prostate CA, and Gilbert's syndrome.  He presented to Hospital on 10/29 with symptoms of dyspnea cough, fever, weakness.  His code PCR was positive on 10/26.  In the emergency department the patient was found to be hypoxemic requiring 3 L of oxygen, hypotensive despite 3 L of fluids and therefore was started on norepinephrine and admitted to intensive care unit for further management of septic shock.  Other labs are notable for an acute kidney injury, elevated troponin and elevated procalcitonin.  Patient was started on IV antibiotics.  Infectious Disease were consulted.  Blood cultures were drawn.  Epinephrine was able to be weaned down by the following day.  CT imaging revealed a hepatic abscess for which Interventional Radiology were consulted and patient underwent image guided drain placement on 10/31.  Cultures from the drain did not grow any bacteria.  Her blood cultures did return positive for fusobacterium nucleatum.  Antibiotics were adjusted to ceftriaxone and Flagyl while in the hospital.  Infectious Disease recommended a 4 week course of levofloxacin and Flagyl on discharge. They will follow up with patient in 3 weeks in their clinic.  Of note, patient's blood cultures were not back yet at the time of discharge, however telephone discussion with Infectious Disease Service today felt to be okay to discharge on above regimen and will follow up on susceptibilities, notify patient if any changes need to be made.   Regarding his covid diagnosis, patient was treated with the severe and will complete a ten-day course of Decadron at home.  He was able to wean off of oxygen and remained comfortable on room air without additional COVID-like symptoms during the last days of his hospitalization.   Cardiology were consulted for NSTEMI, recommended heparin drip with transition to dual anti-platelet therapy for 1 year with possible outpatient stress testing on follow-up appointment.   Patient is being discharged home in stable and improved condition.  He has been instructed to follow up with interventional Radiology for drain removal in the next couple of weeks.  He will follow up with primary care physician for regular health maintenance.  His losartan was held on discharge due to lower blood pressures, this could be resumed in the outpatient setting if tolerable.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Diarrhoea, Drain placement, Dyspnoea, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: Hospitalized 10/29/2021; COVID-19 positive 10/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 10/29/2021 Discharge Date: 11/3/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dehydration [E86.0] Hypokalemia [E87.6] Transaminitis [R74.01] Severe sepsis [A41.9, R65.20] AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Sepsis [A41.9]   HOSPITAL COURSE:   75 yo male with history of CAD, PE/DVT, prostate CA, and Gilbert's syndrome.  He presented to Hospital on 10/29 with symptoms of dyspnea cough, fever, weakness.  His code PCR was positive on 10/26.  In the emergency department the patient was found to be hypoxemic requiring 3 L of oxygen, hypotensive despite 3 L of fluids and therefore was started on norepinephrine and admitted to intensive care unit for further management of septic shock.  Other labs are notable for an acute kidney injury, elevated troponin and elevated procalcitonin.  Patient was started on IV antibiotics.  Infectious Disease were consulted.  Blood cultures were drawn.  Epinephrine was able to be weaned down by the following day.  CT imaging revealed a hepatic abscess for which Interventional Radiology were consulted and patient underwent image guided drain placement on 10/31.  Cultures from the drain did not grow any bacteria.  Her blood cultures did return positive for fusobacterium nucleatum.  Antibiotics were adjusted to ceftriaxone and Flagyl while in the hospital.  Infectious Disease recommended a 4 week course of levofloxacin and Flagyl on discharge. They will follow up with patient in 3 weeks in their clinic.  Of note, patient's blood cultures were not back yet at the time of discharge, however telephone discussion with Infectious Disease Service today felt to be okay to discharge on above regimen and will follow up on susceptibilities, notify patient if any changes need to be made.   Regarding his covid diagnosis, patient was treated with the severe and will complete a ten-day course of Decadron at home.  He was able to wean off of oxygen and remained comfortable on room air without additional COVID-like symptoms during the last days of his hospitalization.   Cardiology were consulted for NSTEMI, recommended heparin drip with transition to dual anti-platelet therapy for 1 year with possible outpatient stress testing on follow-up appointment.   Patient is being discharged home in stable and improved condition.  He has been instructed to follow up with interventional Radiology for drain removal in the next couple of weeks.  He will follow up with primary care physician for regular health maintenance.  His losartan was held on discharge due to lower blood pressures, this could be resumed in the outpatient setting if tolerable.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypokalaemia, Hypotension, Hypoxia, Intensive care, Laboratory test abnormal
Clinical narrative: Hospitalized 10/29/2021; COVID-19 positive 10/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 10/29/2021 Discharge Date: 11/3/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dehydration [E86.0] Hypokalemia [E87.6] Transaminitis [R74.01] Severe sepsis [A41.9, R65.20] AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Sepsis [A41.9]   HOSPITAL COURSE:   75 yo male with history of CAD, PE/DVT, prostate CA, and Gilbert's syndrome.  He presented to Hospital on 10/29 with symptoms of dyspnea cough, fever, weakness.  His code PCR was positive on 10/26.  In the emergency department the patient was found to be hypoxemic requiring 3 L of oxygen, hypotensive despite 3 L of fluids and therefore was started on norepinephrine and admitted to intensive care unit for further management of septic shock.  Other labs are notable for an acute kidney injury, elevated troponin and elevated procalcitonin.  Patient was started on IV antibiotics.  Infectious Disease were consulted.  Blood cultures were drawn.  Epinephrine was able to be weaned down by the following day.  CT imaging revealed a hepatic abscess for which Interventional Radiology were consulted and patient underwent image guided drain placement on 10/31.  Cultures from the drain did not grow any bacteria.  Her blood cultures did return positive for fusobacterium nucleatum.  Antibiotics were adjusted to ceftriaxone and Flagyl while in the hospital.  Infectious Disease recommended a 4 week course of levofloxacin and Flagyl on discharge. They will follow up with patient in 3 weeks in their clinic.  Of note, patient's blood cultures were not back yet at the time of discharge, however telephone discussion with Infectious Disease Service today felt to be okay to discharge on above regimen and will follow up on susceptibilities, notify patient if any changes need to be made.   Regarding his covid diagnosis, patient was treated with the severe and will complete a ten-day course of Decadron at home.  He was able to wean off of oxygen and remained comfortable on room air without additional COVID-like symptoms during the last days of his hospitalization.   Cardiology were consulted for NSTEMI, recommended heparin drip with transition to dual anti-platelet therapy for 1 year with possible outpatient stress testing on follow-up appointment.   Patient is being discharged home in stable and improved condition.  He has been instructed to follow up with interventional Radiology for drain removal in the next couple of weeks.  He will follow up with primary care physician for regular health maintenance.  His losartan was held on discharge due to lower blood pressures, this could be resumed in the outpatient setting if tolerable.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Liver abscess, Malaise, Procalcitonin increased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 10/29/2021; COVID-19 positive 10/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 10/29/2021 Discharge Date: 11/3/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dehydration [E86.0] Hypokalemia [E87.6] Transaminitis [R74.01] Severe sepsis [A41.9, R65.20] AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Sepsis [A41.9]   HOSPITAL COURSE:   75 yo male with history of CAD, PE/DVT, prostate CA, and Gilbert's syndrome.  He presented to Hospital on 10/29 with symptoms of dyspnea cough, fever, weakness.  His code PCR was positive on 10/26.  In the emergency department the patient was found to be hypoxemic requiring 3 L of oxygen, hypotensive despite 3 L of fluids and therefore was started on norepinephrine and admitted to intensive care unit for further management of septic shock.  Other labs are notable for an acute kidney injury, elevated troponin and elevated procalcitonin.  Patient was started on IV antibiotics.  Infectious Disease were consulted.  Blood cultures were drawn.  Epinephrine was able to be weaned down by the following day.  CT imaging revealed a hepatic abscess for which Interventional Radiology were consulted and patient underwent image guided drain placement on 10/31.  Cultures from the drain did not grow any bacteria.  Her blood cultures did return positive for fusobacterium nucleatum.  Antibiotics were adjusted to ceftriaxone and Flagyl while in the hospital.  Infectious Disease recommended a 4 week course of levofloxacin and Flagyl on discharge. They will follow up with patient in 3 weeks in their clinic.  Of note, patient's blood cultures were not back yet at the time of discharge, however telephone discussion with Infectious Disease Service today felt to be okay to discharge on above regimen and will follow up on susceptibilities, notify patient if any changes need to be made.   Regarding his covid diagnosis, patient was treated with the severe and will complete a ten-day course of Decadron at home.  He was able to wean off of oxygen and remained comfortable on room air without additional COVID-like symptoms during the last days of his hospitalization.   Cardiology were consulted for NSTEMI, recommended heparin drip with transition to dual anti-platelet therapy for 1 year with possible outpatient stress testing on follow-up appointment.   Patient is being discharged home in stable and improved condition.  He has been instructed to follow up with interventional Radiology for drain removal in the next couple of weeks.  He will follow up with primary care physician for regular health maintenance.  His losartan was held on discharge due to lower blood pressures, this could be resumed in the outpatient setting if tolerable.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sepsis, Septic shock, Transaminases increased, Troponin increased
Clinical narrative: Hospitalized 10/29/2021; COVID-19 positive 10/26/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: DO Admission Date: 10/29/2021 Discharge Date: 11/3/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dehydration [E86.0] Hypokalemia [E87.6] Transaminitis [R74.01] Severe sepsis [A41.9, R65.20] AKI (acute kidney injury) [N17.9] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] Sepsis [A41.9]   HOSPITAL COURSE:   75 yo male with history of CAD, PE/DVT, prostate CA, and Gilbert's syndrome.  He presented to Hospital on 10/29 with symptoms of dyspnea cough, fever, weakness.  His code PCR was positive on 10/26.  In the emergency department the patient was found to be hypoxemic requiring 3 L of oxygen, hypotensive despite 3 L of fluids and therefore was started on norepinephrine and admitted to intensive care unit for further management of septic shock.  Other labs are notable for an acute kidney injury, elevated troponin and elevated procalcitonin.  Patient was started on IV antibiotics.  Infectious Disease were consulted.  Blood cultures were drawn.  Epinephrine was able to be weaned down by the following day.  CT imaging revealed a hepatic abscess for which Interventional Radiology were consulted and patient underwent image guided drain placement on 10/31.  Cultures from the drain did not grow any bacteria.  Her blood cultures did return positive for fusobacterium nucleatum.  Antibiotics were adjusted to ceftriaxone and Flagyl while in the hospital.  Infectious Disease recommended a 4 week course of levofloxacin and Flagyl on discharge. They will follow up with patient in 3 weeks in their clinic.  Of note, patient's blood cultures were not back yet at the time of discharge, however telephone discussion with Infectious Disease Service today felt to be okay to discharge on above regimen and will follow up on susceptibilities, notify patient if any changes need to be made.   Regarding his covid diagnosis, patient was treated with the severe and will complete a ten-day course of Decadron at home.  He was able to wean off of oxygen and remained comfortable on room air without additional COVID-like symptoms during the last days of his hospitalization.   Cardiology were consulted for NSTEMI, recommended heparin drip with transition to dual anti-platelet therapy for 1 year with possible outpatient stress testing on follow-up appointment.   Patient is being discharged home in stable and improved condition.  He has been instructed to follow up with interventional Radiology for drain removal in the next couple of weeks.  He will follow up with primary care physician for regular health maintenance.  His losartan was held on discharge due to lower blood pressures, this could be resumed in the outpatient setting if tolerable.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Pain at injection site only; received 0.5mL dose versus 0.25mL dose.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: cold symptoms, loss of taste and smell.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: STORAGE IN REFRIGERATOR (2°C-8°C) UP TO 30 DAYS. ( VACCINE USED AFTER 10/16/2021 )
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Fatigue, Injection site pain, Muscle discomfort
Clinical narrative: Vaccine was administered November 7th at 11:00 am. November 8th had mild arm soreness around injection site, mild muscle discomfort, and fatigue. November 9th upon waking had bilateral soreness along the cheekbone, patient has Allergan filler in this location. Other filler locations, chin (same filler type) and lips (softer type of filler) are not sore. There is no associated swelling of the face. Mild arm soreness around injection site, mild muscle discomfort, and fatigue has continued through the 9th.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, COVID-19, Injection site pain, Lethargy
Clinical narrative: 10/20/2021 ? Received first shot of the Pfizer BioNTech vaccine.   Symptoms: ? Low grade fever (up to 99.5), Pain at injection sight (right arm), Back tension, Tension in neck  10/21/2021 Symptoms: ? Injection sight pain decreased, No fever, Back and neck tension came and went  10/22/2021 Symptoms: ? Injection sight pain decreased, No fever, Back and neck tension came and went  10/23/2021 Symptoms: ? Cramping, Tight muscles, Pain in right shoulder, Right arm throbbing  10/24/2021 Symptoms: ? Cramping, Lethargy, Throbbing pain in right shoulder, Pain in calves, neck, lower back, ribs, hip flexors, New rash on back of neck, Food tasted weird ? Took Epsom Salts bath to help with cramping  10/25/2021 Symptoms: ? All cramping was gone after the Epsom Salts bath the night before, Food still tasted weird  10/26/2021 ? Rash continued  10/27/2021 ? Took another Epsom salts bath, Rash finally cleared up  11/2/2021 - Confirmed with a positive case of Covid-19, 12 days post vaccine