chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Infected bunion, International normalised ratio increased, Intertrigo, Laboratory test
Clinical narrative: 90yr old female presents to the Ed with complaints of an infected bunion on her left foot.  Her nurse that does the dressing change was thinking that it needs lanced.  She states she's had it for a week and she has no pain.  She also has a surgical site on her left leg that Dr. removed a hematoma.  She has drainage on the bandages on her leg and bunion. 1. Cellulitis of lower extremity, unspecified laterality    2. Abscess of left foot    3. Open wounds involving multiple regions of lower extremity    4. History of MRSA infection  Patient was brought from her group home to the ED with concerns for left foot pain. Provider states that he has concerns based on the xray that the patient might be developing an osteomyelitis.   Diagnosis:     ICD-10-CM   1. Venous stasis  I87.8   2. Cellulitis of right lower extremity  L03.115   Acute Problems 1.Purulent cellulitis of left foot, with osteomyelitis 2. Non-oliguric AKI   ASSESSMENT/PLAN Left lower extremity foot wound (suspected osteomyelitis) with associated cellulitis             - Continue cefepime and vancomycin             - Podiatry would like INR of 1.5 for surgery. Discussed case this morning with Dr.  I did note that FFP is transient but can be given to reduce INR if procedure is planned for today. He noted he will check with OR but procedure maybe done tomorrow. I did note transient nature of FFP and he did request that we give FFP incase procedure done today. FFP given while he performed beside debridement today but will plan formal I&D. Given this will give Vit K 2.5mg PO x 1 so INR will hopefully be ~1.5 tomorrow             - Discussed with patient need for reversal as Podiatry would like procedure done more urgently.    Acute kidney injury -this is improved with gentle hydration and holding home lisinopril and Lasix.  Resolved.   Hypertension -continue metoprolol.  Holding lisinopril and Lasix. Chronic atrial fibrillation -warfarin held for possible procedure.  INR is 2.02.  Continue metoprolol Venous stasis dermatitis -holding Lasix due to AKI. Left groin intertrigo -continue ketoconazole cream twice daily   - DVT prophylaxis -INR is therapeutic
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Osteomyelitis, Pain in extremity, Peripheral venous disease, Post procedural drainage, Purulent discharge
Clinical narrative: 90yr old female presents to the Ed with complaints of an infected bunion on her left foot.  Her nurse that does the dressing change was thinking that it needs lanced.  She states she's had it for a week and she has no pain.  She also has a surgical site on her left leg that Dr. removed a hematoma.  She has drainage on the bandages on her leg and bunion. 1. Cellulitis of lower extremity, unspecified laterality    2. Abscess of left foot    3. Open wounds involving multiple regions of lower extremity    4. History of MRSA infection  Patient was brought from her group home to the ED with concerns for left foot pain. Provider states that he has concerns based on the xray that the patient might be developing an osteomyelitis.   Diagnosis:     ICD-10-CM   1. Venous stasis  I87.8   2. Cellulitis of right lower extremity  L03.115   Acute Problems 1.Purulent cellulitis of left foot, with osteomyelitis 2. Non-oliguric AKI   ASSESSMENT/PLAN Left lower extremity foot wound (suspected osteomyelitis) with associated cellulitis             - Continue cefepime and vancomycin             - Podiatry would like INR of 1.5 for surgery. Discussed case this morning with Dr.  I did note that FFP is transient but can be given to reduce INR if procedure is planned for today. He noted he will check with OR but procedure maybe done tomorrow. I did note transient nature of FFP and he did request that we give FFP incase procedure done today. FFP given while he performed beside debridement today but will plan formal I&D. Given this will give Vit K 2.5mg PO x 1 so INR will hopefully be ~1.5 tomorrow             - Discussed with patient need for reversal as Podiatry would like procedure done more urgently.    Acute kidney injury -this is improved with gentle hydration and holding home lisinopril and Lasix.  Resolved.   Hypertension -continue metoprolol.  Holding lisinopril and Lasix. Chronic atrial fibrillation -warfarin held for possible procedure.  INR is 2.02.  Continue metoprolol Venous stasis dermatitis -holding Lasix due to AKI. Left groin intertrigo -continue ketoconazole cream twice daily   - DVT prophylaxis -INR is therapeutic
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Stasis dermatitis, Wound, X-ray abnormal
Clinical narrative: 90yr old female presents to the Ed with complaints of an infected bunion on her left foot.  Her nurse that does the dressing change was thinking that it needs lanced.  She states she's had it for a week and she has no pain.  She also has a surgical site on her left leg that Dr. removed a hematoma.  She has drainage on the bandages on her leg and bunion. 1. Cellulitis of lower extremity, unspecified laterality    2. Abscess of left foot    3. Open wounds involving multiple regions of lower extremity    4. History of MRSA infection  Patient was brought from her group home to the ED with concerns for left foot pain. Provider states that he has concerns based on the xray that the patient might be developing an osteomyelitis.   Diagnosis:     ICD-10-CM   1. Venous stasis  I87.8   2. Cellulitis of right lower extremity  L03.115   Acute Problems 1.Purulent cellulitis of left foot, with osteomyelitis 2. Non-oliguric AKI   ASSESSMENT/PLAN Left lower extremity foot wound (suspected osteomyelitis) with associated cellulitis             - Continue cefepime and vancomycin             - Podiatry would like INR of 1.5 for surgery. Discussed case this morning with Dr.  I did note that FFP is transient but can be given to reduce INR if procedure is planned for today. He noted he will check with OR but procedure maybe done tomorrow. I did note transient nature of FFP and he did request that we give FFP incase procedure done today. FFP given while he performed beside debridement today but will plan formal I&D. Given this will give Vit K 2.5mg PO x 1 so INR will hopefully be ~1.5 tomorrow             - Discussed with patient need for reversal as Podiatry would like procedure done more urgently.    Acute kidney injury -this is improved with gentle hydration and holding home lisinopril and Lasix.  Resolved.   Hypertension -continue metoprolol.  Holding lisinopril and Lasix. Chronic atrial fibrillation -warfarin held for possible procedure.  INR is 2.02.  Continue metoprolol Venous stasis dermatitis -holding Lasix due to AKI. Left groin intertrigo -continue ketoconazole cream twice daily   - DVT prophylaxis -INR is therapeutic
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient received Moderna 3rd dose at 0.5mL
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blood urine present, Condition aggravated, Full blood count, Infection
Clinical narrative: COVID-19 twice May2020, mild symptoms and tired and slept for week and 5th of Nov2020 , 2nd one long haul symptoms severely sick loss taste and smell and fever, brain fog and tachycardia, 80 percent loss of hair and lethargy meds for nalcalyse. Have lethargic. Only have one kidney after vaccine, sick 28Oct2021, UTI and still going on now for 30days. Aug 2021  Kidney infection with UTI. UTI right kidney pain, had UTI before but this time was really bad with fever to 102.4, 3 specific infection, nausea and urine frequency, cloudy, blood. Went to doctor today. When stopped taking antibiotics, the UTI returned and still have symptoms and not back to normal. I am not peeing a lot although I was drinking water.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Nausea, Pollakiuria, Pyrexia, Renal pain
Clinical narrative: COVID-19 twice May2020, mild symptoms and tired and slept for week and 5th of Nov2020 , 2nd one long haul symptoms severely sick loss taste and smell and fever, brain fog and tachycardia, 80 percent loss of hair and lethargy meds for nalcalyse. Have lethargic. Only have one kidney after vaccine, sick 28Oct2021, UTI and still going on now for 30days. Aug 2021  Kidney infection with UTI. UTI right kidney pain, had UTI before but this time was really bad with fever to 102.4, 3 specific infection, nausea and urine frequency, cloudy, blood. Went to doctor today. When stopped taking antibiotics, the UTI returned and still have symptoms and not back to normal. I am not peeing a lot although I was drinking water.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine abnormality, Urine analysis abnormal
Clinical narrative: COVID-19 twice May2020, mild symptoms and tired and slept for week and 5th of Nov2020 , 2nd one long haul symptoms severely sick loss taste and smell and fever, brain fog and tachycardia, 80 percent loss of hair and lethargy meds for nalcalyse. Have lethargic. Only have one kidney after vaccine, sick 28Oct2021, UTI and still going on now for 30days. Aug 2021  Kidney infection with UTI. UTI right kidney pain, had UTI before but this time was really bad with fever to 102.4, 3 specific infection, nausea and urine frequency, cloudy, blood. Went to doctor today. When stopped taking antibiotics, the UTI returned and still have symptoms and not back to normal. I am not peeing a lot although I was drinking water.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Sinus congestion
Clinical narrative: Sinus congestion with initial sore throat with cough
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient received the Moderna 3rd dose @ 0.5 ml
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Blood test, Cardiovascular symptom, Decreased appetite
Clinical narrative: On the 21st around 05:30pm I was having heart attack symptom. I was sweating, couldn't breathe, increase in heart rate, numbness and tingling, hot, very tired, dizzy. I couldn't stand up too fast without feeling like I was going to pass out. I was very weak. 2 days later I had to go back to the ER, I was admitted. Upset stomach not eating. I'm out of work and have to see and neurologist. I can't walk too much.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue
Clinical narrative: On the 21st around 05:30pm I was having heart attack symptom. I was sweating, couldn't breathe, increase in heart rate, numbness and tingling, hot, very tired, dizzy. I couldn't stand up too fast without feeling like I was going to pass out. I was very weak. 2 days later I had to go back to the ER, I was admitted. Upset stomach not eating. I'm out of work and have to see and neurologist. I can't walk too much.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Gait disturbance, Heart rate increased, Hyperhidrosis, Hypoaesthesia
Clinical narrative: On the 21st around 05:30pm I was having heart attack symptom. I was sweating, couldn't breathe, increase in heart rate, numbness and tingling, hot, very tired, dizzy. I couldn't stand up too fast without feeling like I was going to pass out. I was very weak. 2 days later I had to go back to the ER, I was admitted. Upset stomach not eating. I'm out of work and have to see and neurologist. I can't walk too much.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Paraesthesia, Presyncope
Clinical narrative: On the 21st around 05:30pm I was having heart attack symptom. I was sweating, couldn't breathe, increase in heart rate, numbness and tingling, hot, very tired, dizzy. I couldn't stand up too fast without feeling like I was going to pass out. I was very weak. 2 days later I had to go back to the ER, I was admitted. Upset stomach not eating. I'm out of work and have to see and neurologist. I can't walk too much.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, SARS-CoV-2 test positive
Clinical narrative: SHORTNESS OF BREATH, FATIGUE,
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Shortness of breath, extreme generalized weakness on 11/21. Loss of appetite.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Booster given prior to recommended due date
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Injection site pain, Joint range of motion decreased, Limb discomfort
Clinical narrative: Possible adhesive capsulitis s/p COVID vaccination.  Had her second COVID vaccine on 5/13.  She had more pain with the second dose than the first injection.  C/o persistent pain in her left arm since. Started as pain at the area of injection--no redness or swelling. Immediately after her vaccine, she had a lot of body aches in her knees. That improved after about 1 week, but arm continued to feel sore. She felt like the shot went very deep on the second vaccine.  For a while, her tricep was painful. ROM is impaired.  She has been able to go about her normal activity. Over the last 1 month, the pain has migrated into her deltoid muscle -- worse with sudden movements or reaching for something or catching herself.  Hard to even run due to pain with running motions so it is now interfering with her daily life.  Mostly bothered by aching pain. She has a sensation of numbness into her left wrist.  No neck pain, back pain. She does have some left shoulder pain if she sleeps on her left side. She started using heat and ice over the last week. Using arnica and performing exercise.   Is moving arm differently. Dorsal wrist is numb and tingly, sleeping differently. Fingers feel cooler.  Is right handed, but also using left arm less due to discomfort.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain, Pain in extremity, Paraesthesia, Peripheral coldness
Clinical narrative: Possible adhesive capsulitis s/p COVID vaccination.  Had her second COVID vaccine on 5/13.  She had more pain with the second dose than the first injection.  C/o persistent pain in her left arm since. Started as pain at the area of injection--no redness or swelling. Immediately after her vaccine, she had a lot of body aches in her knees. That improved after about 1 week, but arm continued to feel sore. She felt like the shot went very deep on the second vaccine.  For a while, her tricep was painful. ROM is impaired.  She has been able to go about her normal activity. Over the last 1 month, the pain has migrated into her deltoid muscle -- worse with sudden movements or reaching for something or catching herself.  Hard to even run due to pain with running motions so it is now interfering with her daily life.  Mostly bothered by aching pain. She has a sensation of numbness into her left wrist.  No neck pain, back pain. She does have some left shoulder pain if she sleeps on her left side. She started using heat and ice over the last week. Using arnica and performing exercise.   Is moving arm differently. Dorsal wrist is numb and tingly, sleeping differently. Fingers feel cooler.  Is right handed, but also using left arm less due to discomfort.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Possible adhesive capsulitis s/p COVID vaccination.  Had her second COVID vaccine on 5/13.  She had more pain with the second dose than the first injection.  C/o persistent pain in her left arm since. Started as pain at the area of injection--no redness or swelling. Immediately after her vaccine, she had a lot of body aches in her knees. That improved after about 1 week, but arm continued to feel sore. She felt like the shot went very deep on the second vaccine.  For a while, her tricep was painful. ROM is impaired.  She has been able to go about her normal activity. Over the last 1 month, the pain has migrated into her deltoid muscle -- worse with sudden movements or reaching for something or catching herself.  Hard to even run due to pain with running motions so it is now interfering with her daily life.  Mostly bothered by aching pain. She has a sensation of numbness into her left wrist.  No neck pain, back pain. She does have some left shoulder pain if she sleeps on her left side. She started using heat and ice over the last week. Using arnica and performing exercise.   Is moving arm differently. Dorsal wrist is numb and tingly, sleeping differently. Fingers feel cooler.  Is right handed, but also using left arm less due to discomfort.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Menstrual disorder, Thrombosis
Clinical narrative: My period is clotted. The clumps fall out when I'm getting into the tub and I can feel them sliding out when at work. Never had this issue before taking  that stupid shot
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient had one dose of Janssen and was presenting for a Moderna booster. Vaccinator gave a full 0.5 mL dose of  Moderna on accident, instead of the 0.25 mL booster dose. Client aware of mistake.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache
Clinical narrative: headache, weak,
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Gynaecological examination, Heavy menstrual bleeding, Intermenstrual bleeding, Intra-uterine contraceptive device removal
Clinical narrative: Starting 03/2021 I had my first period cycle since becoming fully vaccinated. My normal cycle lasted with my IUD for about 3-5 days using light tampons and panty liners. I noticed more cramping and  a heavy period in March resulting in having my IUD removed in April. My period would last about 3 weeks with 1 week of spotting/blood clots and no flow.  I started Lostrin 24 birth control pills in May to alleviate cramping and stop bleeding. My period did not "stop" or regulate until November 2021.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Smear cervix, Ultrasound scan
Clinical narrative: Starting 03/2021 I had my first period cycle since becoming fully vaccinated. My normal cycle lasted with my IUD for about 3-5 days using light tampons and panty liners. I noticed more cramping and  a heavy period in March resulting in having my IUD removed in April. My period would last about 3 weeks with 1 week of spotting/blood clots and no flow.  I started Lostrin 24 birth control pills in May to alleviate cramping and stop bleeding. My period did not "stop" or regulate until November 2021.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Confusional state, Gait disturbance, Nausea, Nervousness
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 09/08/2021, started experiencing symptoms 11/08/2021 of nausea, nervousness, confusion, balance issue, vertigo-feeling, and difficulty walking. Scheduled Primary visit 11/30/2021, still continuing to experience symptoms.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 09/08/2021, started experiencing symptoms 11/08/2021 of nausea, nervousness, confusion, balance issue, vertigo-feeling, and difficulty walking. Scheduled Primary visit 11/30/2021, still continuing to experience symptoms.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being fully vaccinated
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID 19 infection not requiring hospitalization
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Paraesthesia oral, Throat tightness
Clinical narrative: flushing, tongue tingling, sensation of throat closing
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Tinnitus
Clinical narrative: Severe headache, body aches, fever, chills and extreme tinnitus.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pallor, Unresponsive to stimuli
Clinical narrative: Patient received 2nd dose of Pfizer. Patient waited 15 minutes after receiving the vaccine and left. Patient returned after leaving stating she did not feel good and felt like she may have a seizure. Patient then became  pale and unresponsive from 1:31-1:34. EMS called and patient responsive again. Patient has history of seizures.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: I have a swollen and painful lymph node on the left arm, where i received the vaccine shot.  Even though it has gotten a bit better, it is now the 5th day since the vaccine and i still have some discomfort.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE STORED AT IMPROPER TEMPERATURE
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase increased, Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bilirubin increased, Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose increased
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium normal, Blood sodium normal, Blood urea normal, C-reactive protein, COVID-19
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide normal, Chest X-ray abnormal, Cough, Eosinophil percentage decreased, Exposure to SARS-CoV-2
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Glomerular filtration rate normal, Granulocyte percentage, Haematocrit normal, Haemoglobin increased
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Illness, Interstitial lung disease, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte percentage, Myalgia, Platelet count decreased
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Protein total normal, Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test positive, Troponin I decreased
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Presented to ER on 11/26/21: 81-year-old female with history as listed below presented to the emergency  department with cough, myalgias, fatigue after exposure to Covid positive  individual approximate 5-6 days ago.   Day 1 of illness = monday 11/22.  Cough is nonproductive, no chest pain. Now feels generally fatigued.  Admitted for remdesivir, O2 and monitoring on 11/26/21.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date
Age: 61.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given a high dose influenza at the age of 61 years old. No symptoms or adverse reaction.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Pain in extremity, X-ray
Clinical narrative: Within a few days, I noticed increased pain in my left hip joint. Initially it was only when I was lying down and when I was active. It gradually changed to where it hurts all of the time. It feels like it's getting worse. It's particularly difficult to go up my stairs or a steep incline has become quite painful. I started taking meloxicam, but it really hasn't helped much. I have also noticed that I have had strains and pains in my arms and hands. They don't impact me as much, but I noticed the pain.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 11/28/21 after being fully vaccinated.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in ears, severe ringing in right ear
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, SARS-CoV-2 test positive
Clinical narrative: covid symptoms including cough on 11/21, tested positive
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: Beginning in Sept. 2021 I experienced a minor sinus infection that resisted treatment. Because I have had severe  Asthma all of my life I had it checked by my regular dr. and she gave me two nose swab tests, one deeper than the other. Both we negative. The MILD sinus infection has persisted despite several courses of antibiotics.   I do not believe that this is in anyway related to any form of the 'covid' virus but is just another fun aspect of my asthma and my age. Which is 68 despite what your auto generated logic form states. 2021 minus 1953 equals 68.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Blood test, Chest X-ray, Computerised tomogram head, Echocardiogram
Clinical narrative: Head pain, arrhythmia and muscle pain.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Headache, Myalgia
Clinical narrative: Head pain, arrhythmia and muscle pain.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date
Age: 7.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered
Clinical narrative: Client was administered the adult dosage of hepatitis A. Nurse called and spoke to mom, and advised her to watch for extra soreness in arm. Mom verbalized understanding.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea
Clinical narrative: Pt reported feeling nauseous and tired.  She had missed school breakfast.  Offered water and snack, symptoms resolved.  Returned to class at 1050am.  Parent was notified .
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date.
Age: 61.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Back pain, Electrocardiogram, Injection site pain, Nausea, Neck pain
Clinical narrative: Patient came in to receive her first dose of shingrix. She then decided she would like to add a dose of pneumovax. She received both shots in the left deltoid muscle on 11/17/2021. Patient came to the pharmacy today, 11/29/2021, to report that following her vaccinations she had severe pain. She had radiating pain up through her neck and down her back and said it continued to get worse until it was "greater than a 10" at which point she went to the ER. She reports it was painful to move her arm and she also had some nausea. She reports about a four hour window here. Patient said she was concerned because she thought the shots were given in her back. I confirmed with administering pharmacist and told the patient they were administered in her arm. She continued to dispute this, however, ER note from physician confirms vaccines were given in left deltoid so there was no administration error. Patient had an EKG done at the ER to rule out any chest pain or heart issues. She was given pain medications and nausea medications and instructed to report the adverse reaction to the pharmacy. Patient states she is still having some pain and soreness in neck, arm and shoulder though it has improved.
Age: 61.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Pain
Clinical narrative: Patient came in to receive her first dose of shingrix. She then decided she would like to add a dose of pneumovax. She received both shots in the left deltoid muscle on 11/17/2021. Patient came to the pharmacy today, 11/29/2021, to report that following her vaccinations she had severe pain. She had radiating pain up through her neck and down her back and said it continued to get worse until it was "greater than a 10" at which point she went to the ER. She reports it was painful to move her arm and she also had some nausea. She reports about a four hour window here. Patient said she was concerned because she thought the shots were given in her back. I confirmed with administering pharmacist and told the patient they were administered in her arm. She continued to dispute this, however, ER note from physician confirms vaccines were given in left deltoid so there was no administration error. Patient had an EKG done at the ER to rule out any chest pain or heart issues. She was given pain medications and nausea medications and instructed to report the adverse reaction to the pharmacy. Patient states she is still having some pain and soreness in neck, arm and shoulder though it has improved.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash, nonspecific skin erruption beginning on right hip, spreading to lower back and abdomen. Symtpoms began one day after vaccination and have been spreading for 4 days. Patient prescribed Zyrtec and Prednisone.
Age: 68.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Ear pain, Facial pain, Facial paralysis, Rhinalgia
Clinical narrative: Pt states she had drooping on right side of face, pain on right side of nose, right cheek and into right ear.  She did not report initially, and came into our office today, no visible signs of palsy.  She did not see her doctor, but states it was classic Bell's Palsy.  At this point it is subjective complaints.
Age: 68.0
Sex: F
Vaccine: FLUA4, FLUA4
Symptoms: Bell's palsy, Dental discomfort, Hypoaesthesia, Oral pain, Tongue biting
Clinical narrative: Pt states she had drooping on right side of face, pain on right side of nose, right cheek and into right ear.  She did not report initially, and came into our office today, no visible signs of palsy.  She did not see her doctor, but states it was classic Bell's Palsy.  At this point it is subjective complaints.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: patient became nauseated light headed approximately 8 minutes after vaccine administratioin.   Patient was provided water and and a granola bar.  Patient said she was better,  She was able to stand up and walk on her own
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE HELD AT IMPROPER TEMPERATURE
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster given prior to recommended due date
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse event was reported. There was a vaccine administration error. The patient intended to receive Janssen; however, Pfizer was administered.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Lethargy, Pallor, Urticaria
Clinical narrative: Developed pallor/lethargy/hives/"stomach ache"  Given Benadryl and epinephrine, transported by ambulance to ER.  watched for 4 hours and sent home without symptoms
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 11/28/21 after being fully vaccinated.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthma, Atrial fibrillation, Basophil percentage
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride increased, Blood creatinine normal
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Blood potassium decreased, Blood sodium increased, Blood urea decreased, COVID-19
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide normal, Chest X-ray normal, Condition aggravated, Cough, Dysphonia
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram, Electrocardiogram QT interval, Eosinophil percentage decreased, Glomerular filtration rate normal
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Hypoxia, Immature granulocyte count
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte percentage increased, Nasal congestion, Oxygen saturation decreased
Clinical narrative: Presented to ER on 11/25/21: 46F h/o severe persistent asthma, HTN here with wheezing and SOB that started  this morning. pt reports she was in a substance use treatment program  until 8 days ago. she came back and she thinks the cold weather  prompted her asthma to act up. she ran out of her albuterol 2 days ago. has  been coughing. no fever/chills. hoarse voice and nasal congestion. denies CP,  leg swelling. denies any substance use since leaving treatment program.  noted to be 81% on RA when EMS arrived. pt given 1 duoneb and was 93% on RA on  arrival.  ER COURSE:  duoneb decadron 12mg mag 2g  ___________________________________________________________ CLINICAL IMPRESSION/PLAN: 46F h/o severe persistent asthma here with wheezing, SOB and cough x2 days  after running out of her meds. reported to be hypoxic to 81% on RA at home. sig improvement with duoneb and  was 93% here on RA. mildly tachy, AF. still with sig wheezing but moving air well, no accessory mm use, speaking in  full sentences. second duoneb, decadron, mag labs, CXR, covid swab reassess after second duoneb  1226pm reassessment after second neb- pt breathing comfortably. still with diffuse  bilateral wheezes. SaO2 97% on RA but drops to low 90s at times and when  sleeping to 88-89%. CXR clear will start 1hr cont albuterol neb given ongoing diffuse wheezes  1311 covid test positive patient well appearing, moving air well covid explains hypoxia despite good air movement and no accessory mm use start remdesivir will require admission to Hospital.