chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal abscess, Asthenia, COVID-19, Clostridium test, Debridement
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA-C Admission Date: 9/18/2022 Discharge Date: Sep 25, 2022  PRESENTING PROBLEM: Intra-abdominal abscess  Enterocutaneous fistula  COVID-19    HOSPITAL COURSE:  54-year-old female with multiple intra-abdominal surgeries most recently an open enterocutaneous fistula takedown, repair of enterotomy, incision and drainage of right abdominal wall abscess and repair of duodenum on 7/21/2022 who is presenting with recurrence of her enterocutaneous fistula and intra-abdominal abscesses,  now s/p wound exploration and debridement on 9/20/2022 with Dr.     9/18: Admitted, bedside I&D of right abdominal abscess  9/19: febrile overnight, ID consulted, IR planning drain today, NPO, +BM, 1L bolus for hypotension 9/20: No drainable collection per IR. Dressing changes. Consider TPN. Wound explored in the OR on 9/20/2022 with placement of malecot drain in the right abdominal wall abscess. Wound manager on the superior aspect of the midline. 9/21:  Tolerating general diet.  Malecot drain in right side - minimal output.  Changed packing this morning near wound manager. 9/22: Tolerating general diet. Malecot drain in place with minimal output. Having BM and good UOP. Pain well controlled.  9/23: Dizziness/lightheadedness. Symptomatic. Nauseated. BM and voiding. Taking in PO intake. Still requiring IV dilaudid for dressing changes 9/24:  Still endorsing weakness and heaviness with no appetite though 2200 mL oral intake recorded.  Heart rate improved.  Still up ambulating.  Requiring IV Dilaudid for dressing changes.  IV pain meds discontinued.  Loose stools, C difficile pending 9/25:  Pain significantly improved with dressing changes.  Improved appetite without nausea or emesis.  Up ambulating frequently.  He feels comfortable doing dressing changes at home by herself.  Ongoing loose stools, C difficile pending.  Anticipate will initiate today really today and likely discharge home
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Discomfort, Dizziness, Drain placement
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA-C Admission Date: 9/18/2022 Discharge Date: Sep 25, 2022  PRESENTING PROBLEM: Intra-abdominal abscess  Enterocutaneous fistula  COVID-19    HOSPITAL COURSE:  54-year-old female with multiple intra-abdominal surgeries most recently an open enterocutaneous fistula takedown, repair of enterotomy, incision and drainage of right abdominal wall abscess and repair of duodenum on 7/21/2022 who is presenting with recurrence of her enterocutaneous fistula and intra-abdominal abscesses,  now s/p wound exploration and debridement on 9/20/2022 with Dr.     9/18: Admitted, bedside I&D of right abdominal abscess  9/19: febrile overnight, ID consulted, IR planning drain today, NPO, +BM, 1L bolus for hypotension 9/20: No drainable collection per IR. Dressing changes. Consider TPN. Wound explored in the OR on 9/20/2022 with placement of malecot drain in the right abdominal wall abscess. Wound manager on the superior aspect of the midline. 9/21:  Tolerating general diet.  Malecot drain in right side - minimal output.  Changed packing this morning near wound manager. 9/22: Tolerating general diet. Malecot drain in place with minimal output. Having BM and good UOP. Pain well controlled.  9/23: Dizziness/lightheadedness. Symptomatic. Nauseated. BM and voiding. Taking in PO intake. Still requiring IV dilaudid for dressing changes 9/24:  Still endorsing weakness and heaviness with no appetite though 2200 mL oral intake recorded.  Heart rate improved.  Still up ambulating.  Requiring IV Dilaudid for dressing changes.  IV pain meds discontinued.  Loose stools, C difficile pending 9/25:  Pain significantly improved with dressing changes.  Improved appetite without nausea or emesis.  Up ambulating frequently.  He feels comfortable doing dressing changes at home by herself.  Ongoing loose stools, C difficile pending.  Anticipate will initiate today really today and likely discharge home
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Duodenal operation, Enterocutaneous fistula, Hypotension, Incisional drainage, Nausea
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA-C Admission Date: 9/18/2022 Discharge Date: Sep 25, 2022  PRESENTING PROBLEM: Intra-abdominal abscess  Enterocutaneous fistula  COVID-19    HOSPITAL COURSE:  54-year-old female with multiple intra-abdominal surgeries most recently an open enterocutaneous fistula takedown, repair of enterotomy, incision and drainage of right abdominal wall abscess and repair of duodenum on 7/21/2022 who is presenting with recurrence of her enterocutaneous fistula and intra-abdominal abscesses,  now s/p wound exploration and debridement on 9/20/2022 with Dr.     9/18: Admitted, bedside I&D of right abdominal abscess  9/19: febrile overnight, ID consulted, IR planning drain today, NPO, +BM, 1L bolus for hypotension 9/20: No drainable collection per IR. Dressing changes. Consider TPN. Wound explored in the OR on 9/20/2022 with placement of malecot drain in the right abdominal wall abscess. Wound manager on the superior aspect of the midline. 9/21:  Tolerating general diet.  Malecot drain in right side - minimal output.  Changed packing this morning near wound manager. 9/22: Tolerating general diet. Malecot drain in place with minimal output. Having BM and good UOP. Pain well controlled.  9/23: Dizziness/lightheadedness. Symptomatic. Nauseated. BM and voiding. Taking in PO intake. Still requiring IV dilaudid for dressing changes 9/24:  Still endorsing weakness and heaviness with no appetite though 2200 mL oral intake recorded.  Heart rate improved.  Still up ambulating.  Requiring IV Dilaudid for dressing changes.  IV pain meds discontinued.  Loose stools, C difficile pending 9/25:  Pain significantly improved with dressing changes.  Improved appetite without nausea or emesis.  Up ambulating frequently.  He feels comfortable doing dressing changes at home by herself.  Ongoing loose stools, C difficile pending.  Anticipate will initiate today really today and likely discharge home
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nothing by mouth order, Pain, Pyrexia, Wound treatment
Clinical narrative: Discharge Provider: MD Primary Care Provider: PA-C Admission Date: 9/18/2022 Discharge Date: Sep 25, 2022  PRESENTING PROBLEM: Intra-abdominal abscess  Enterocutaneous fistula  COVID-19    HOSPITAL COURSE:  54-year-old female with multiple intra-abdominal surgeries most recently an open enterocutaneous fistula takedown, repair of enterotomy, incision and drainage of right abdominal wall abscess and repair of duodenum on 7/21/2022 who is presenting with recurrence of her enterocutaneous fistula and intra-abdominal abscesses,  now s/p wound exploration and debridement on 9/20/2022 with Dr.     9/18: Admitted, bedside I&D of right abdominal abscess  9/19: febrile overnight, ID consulted, IR planning drain today, NPO, +BM, 1L bolus for hypotension 9/20: No drainable collection per IR. Dressing changes. Consider TPN. Wound explored in the OR on 9/20/2022 with placement of malecot drain in the right abdominal wall abscess. Wound manager on the superior aspect of the midline. 9/21:  Tolerating general diet.  Malecot drain in right side - minimal output.  Changed packing this morning near wound manager. 9/22: Tolerating general diet. Malecot drain in place with minimal output. Having BM and good UOP. Pain well controlled.  9/23: Dizziness/lightheadedness. Symptomatic. Nauseated. BM and voiding. Taking in PO intake. Still requiring IV dilaudid for dressing changes 9/24:  Still endorsing weakness and heaviness with no appetite though 2200 mL oral intake recorded.  Heart rate improved.  Still up ambulating.  Requiring IV Dilaudid for dressing changes.  IV pain meds discontinued.  Loose stools, C difficile pending 9/25:  Pain significantly improved with dressing changes.  Improved appetite without nausea or emesis.  Up ambulating frequently.  He feels comfortable doing dressing changes at home by herself.  Ongoing loose stools, C difficile pending.  Anticipate will initiate today really today and likely discharge home
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with 2 boosters
Age: 80.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: PATIENT RECEIVED A SUBCUTANEOUS INJECTION TO HER LEFT ARM. NO ADVERSE EVENTS OCCURRED. PATIENT WAS UNABLE TO RECEIVE AN INTRADERMAL INJECTION, THEREFORE VACCINE WAS ADMINISTERED SUBCUTANEOUSLY.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron decreased, Blood test, Blood thyroid stimulating hormone decreased, Fatigue, Full blood count
Clinical narrative: The next day after receiving my vaccination, I felt fatigued. I wasn't concerned because I felt fatigued after all my vaccinations. However, this continued and got worse over the next week. I felt sluggish. My body was achy. That continued for a couple of months. I went to the doctor. She did routine bloodwork and checked my thyroid. My T4 was a little elevated and my iron was a little low. The doctor prescribed iron. I continue to feel fatigue most of the time. The body aches have gotten better, but the fatigue is ongoing.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sluggishness, Thyroid function test, Thyroxine increased
Clinical narrative: The next day after receiving my vaccination, I felt fatigued. I wasn't concerned because I felt fatigued after all my vaccinations. However, this continued and got worse over the next week. I felt sluggish. My body was achy. That continued for a couple of months. I went to the doctor. She did routine bloodwork and checked my thyroid. My T4 was a little elevated and my iron was a little low. The doctor prescribed iron. I continue to feel fatigue most of the time. The body aches have gotten better, but the fatigue is ongoing.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Bladder outlet obstruction, COVID-19, Death, Hypotension
Clinical narrative: Pt was staying in rehab facility after a hospital stay for bladder outlet obstruction - bilateral nephrotomy tubes placed, UTI, colon mass, A Fib, and hypotension; pt had a positive COVID test in the facility on 1/13/22 and was placed in isolation; pt was found deceased in the facility on 1/18/22.  The facility was Healthcare and Rehab
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Intestinal mass, Nephrostomy, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Pt was staying in rehab facility after a hospital stay for bladder outlet obstruction - bilateral nephrotomy tubes placed, UTI, colon mass, A Fib, and hypotension; pt had a positive COVID test in the facility on 1/13/22 and was placed in isolation; pt was found deceased in the facility on 1/18/22.  The facility was Healthcare and Rehab
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was inadvertently given 0.5 ml instead of 0.3 ml.  No adverse reaction occurred.
Age: 88.0
Sex: M
Vaccine: COVID19, PNC20
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray abnormal, Condition aggravated, Cough
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/17/2022 Discharge Date: Sep 21, 2022 PRESENTING PROBLEM: COVID-19 [U07.1] Acute respiratory failure due to COVID-19  [U07.1, J96.00]   HOSPITAL COURSE: 89F with  HTN, GERD, and breast cancer s/p resection on letrozole. She came to the ER for URI symptoms and fevers.   2 days ago, 9/15 she began to have upper respiratory symptoms including nonproductive cough, rhinorrhea and sore throat.  She developed subjective fevers.      She is vaccinated for COVID 19 and received 2 boosters, last on 5/16/22   In the ER she was hypoxic with ambulation down 89%. She was placed on 2lpm NC. COVID 19  +. CXR showed no consolidation but with accentuated interstitial markings. She declined remdesivir and was started on decadron plan to complete 10 days.  Subsequently she has been weaned off oxygen.   She was noted to have accelerated HTN. Renal US negative for RAS. She was continued on Cozaar, change hydrochlorothiazide to on amlodipine and started on Coreg 6.25 mg BID with good response.  She was then discharged home stable
Age: 88.0
Sex: M
Vaccine: COVID19, PNC20
Symptoms: Gastrooesophageal reflux disease, Hypertension, Hypoxia, Interstitial lung disease, Oropharyngeal pain
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/17/2022 Discharge Date: Sep 21, 2022 PRESENTING PROBLEM: COVID-19 [U07.1] Acute respiratory failure due to COVID-19  [U07.1, J96.00]   HOSPITAL COURSE: 89F with  HTN, GERD, and breast cancer s/p resection on letrozole. She came to the ER for URI symptoms and fevers.   2 days ago, 9/15 she began to have upper respiratory symptoms including nonproductive cough, rhinorrhea and sore throat.  She developed subjective fevers.      She is vaccinated for COVID 19 and received 2 boosters, last on 5/16/22   In the ER she was hypoxic with ambulation down 89%. She was placed on 2lpm NC. COVID 19  +. CXR showed no consolidation but with accentuated interstitial markings. She declined remdesivir and was started on decadron plan to complete 10 days.  Subsequently she has been weaned off oxygen.   She was noted to have accelerated HTN. Renal US negative for RAS. She was continued on Cozaar, change hydrochlorothiazide to on amlodipine and started on Coreg 6.25 mg BID with good response.  She was then discharged home stable
Age: 88.0
Sex: M
Vaccine: COVID19, PNC20
Symptoms: Pyrexia, Respiratory symptom, Rhinorrhoea, SARS-CoV-2 test positive, Ultrasound kidney normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/17/2022 Discharge Date: Sep 21, 2022 PRESENTING PROBLEM: COVID-19 [U07.1] Acute respiratory failure due to COVID-19  [U07.1, J96.00]   HOSPITAL COURSE: 89F with  HTN, GERD, and breast cancer s/p resection on letrozole. She came to the ER for URI symptoms and fevers.   2 days ago, 9/15 she began to have upper respiratory symptoms including nonproductive cough, rhinorrhea and sore throat.  She developed subjective fevers.      She is vaccinated for COVID 19 and received 2 boosters, last on 5/16/22   In the ER she was hypoxic with ambulation down 89%. She was placed on 2lpm NC. COVID 19  +. CXR showed no consolidation but with accentuated interstitial markings. She declined remdesivir and was started on decadron plan to complete 10 days.  Subsequently she has been weaned off oxygen.   She was noted to have accelerated HTN. Renal US negative for RAS. She was continued on Cozaar, change hydrochlorothiazide to on amlodipine and started on Coreg 6.25 mg BID with good response.  She was then discharged home stable
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Constant tinnitus that I first noticed within two weeks from second dose of the initial vaccine. It has not abated since it started. Does not affect hearing, but is omnipresent when other sounds do not drown it out.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest pain, Death, Mechanical ventilation, Pneumonia, Sepsis
Clinical narrative: 9/24/2022 1255 -Residents skin color noted to be ashen and resident is alert verbal and complains of chest pain. BP 79/66 p 120 02 sat 91%b. Resident placed on 02 at 2 lmp. via N/C . Ambulance service contacted to transport resident to ER. 02 sat % 85% at present. Resident remains alert and continues to complain of chest pain. 9/24/22- Resident admitted to Hospital with DX of pneumonia and sepsis, resident placed on vent. 9/25/2022 resident passed away
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin discolouration
Clinical narrative: 9/24/2022 1255 -Residents skin color noted to be ashen and resident is alert verbal and complains of chest pain. BP 79/66 p 120 02 sat 91%b. Resident placed on 02 at 2 lmp. via N/C . Ambulance service contacted to transport resident to ER. 02 sat % 85% at present. Resident remains alert and continues to complain of chest pain. 9/24/22- Resident admitted to Hospital with DX of pneumonia and sepsis, resident placed on vent. 9/25/2022 resident passed away
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Hypersomnia, Tremor, Vomiting
Clinical narrative: After receiving the booster shot, around 11:00am on Saturday, Sept. 24th, that evening Sept. 25th around 12:30am I had shaking severely, throw-up and diarrhea. And was very tired.  I slept pretty much the rest of the day on the 25th.  I feel fine today, September 26th
Age: 84.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: Patient received 0.5 ml instead of 0.3 ml.  No adverse reaction occurred.
Age: 74.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: PATIENT RECEIVED A SUBCUTANEOUS INJECTION TO HER RIGHT ARM. NO ADVERSE EVENTS OCCURRED . PATIENT WAS  UNABLE TO RECEIVE AN INTRADERMAL INJECTION, THEREFORE THE VACCINE WAS ADMINISTERED SUBCUTANEOUSLY.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Cardiac flutter, Cardiac monitoring abnormal, Differential white blood cell count abnormal
Clinical narrative: On 05/24/2022 around 01:00AM, I woke up to urinate and my heart was racing. I have pulsating tinnitus, so I can hear my heart rate regularly and I could hear it beating really fast and I had a vail of white over my vision. I went back to sleep and woke up at 04:00AM and it was still racing. I put on a cuff, and it read up in the 150 range and my blood pressure was down in the 90 over 50 something range. I didn't go to the hospital immediately but ended up there around 11:00AM the following day with my pulse still elevated and my blood pressure still low. They took me into the emergency room and attempted to bring my heart rate down to get a more effective idea of what was going on. They had me on a medication drip as well and were doing blood work along with prepping me for the possible need of an cardioversion. They admitted me for the night for continuing monitoring. Around 02:00AM my heart rate finally reached a normal level. They continued to check things in my blood and monitor things but eventually determined that I was experiencing a heart flutter and not A-fib. I was discharged in the afternoon of 05/25/2022. They prescribed Eliquis and Metoprolol. I no longer needed the Metoprolol after around 6 weeks and was off of the Eliquis after around 2 months. I wore a halter monitor for around a week around June 27th of 2022 and will have a follow up appointment with a cardiologist in October 2022.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Electrocardiogram ambulatory, Full blood count abnormal, Heart rate increased, Hypotension
Clinical narrative: On 05/24/2022 around 01:00AM, I woke up to urinate and my heart was racing. I have pulsating tinnitus, so I can hear my heart rate regularly and I could hear it beating really fast and I had a vail of white over my vision. I went back to sleep and woke up at 04:00AM and it was still racing. I put on a cuff, and it read up in the 150 range and my blood pressure was down in the 90 over 50 something range. I didn't go to the hospital immediately but ended up there around 11:00AM the following day with my pulse still elevated and my blood pressure still low. They took me into the emergency room and attempted to bring my heart rate down to get a more effective idea of what was going on. They had me on a medication drip as well and were doing blood work along with prepping me for the possible need of an cardioversion. They admitted me for the night for continuing monitoring. Around 02:00AM my heart rate finally reached a normal level. They continued to check things in my blood and monitor things but eventually determined that I was experiencing a heart flutter and not A-fib. I was discharged in the afternoon of 05/25/2022. They prescribed Eliquis and Metoprolol. I no longer needed the Metoprolol after around 6 weeks and was off of the Eliquis after around 2 months. I wore a halter monitor for around a week around June 27th of 2022 and will have a follow up appointment with a cardiologist in October 2022.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test abnormal, Palpitations, Tinnitus, Vision blurred
Clinical narrative: On 05/24/2022 around 01:00AM, I woke up to urinate and my heart was racing. I have pulsating tinnitus, so I can hear my heart rate regularly and I could hear it beating really fast and I had a vail of white over my vision. I went back to sleep and woke up at 04:00AM and it was still racing. I put on a cuff, and it read up in the 150 range and my blood pressure was down in the 90 over 50 something range. I didn't go to the hospital immediately but ended up there around 11:00AM the following day with my pulse still elevated and my blood pressure still low. They took me into the emergency room and attempted to bring my heart rate down to get a more effective idea of what was going on. They had me on a medication drip as well and were doing blood work along with prepping me for the possible need of an cardioversion. They admitted me for the night for continuing monitoring. Around 02:00AM my heart rate finally reached a normal level. They continued to check things in my blood and monitor things but eventually determined that I was experiencing a heart flutter and not A-fib. I was discharged in the afternoon of 05/25/2022. They prescribed Eliquis and Metoprolol. I no longer needed the Metoprolol after around 6 weeks and was off of the Eliquis after around 2 months. I wore a halter monitor for around a week around June 27th of 2022 and will have a follow up appointment with a cardiologist in October 2022.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 2 vaccines.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Rash, Rash erythematous
Clinical narrative: red localized rash
Age: 78.0
Sex: F
Vaccine: SMALLMNK
Symptoms: No adverse event
Clinical narrative: PATIENT RECEIVED A SUBCUTANEOU INJECTION TO HER LEFT ARM. NO ADVERSE EVENTS OCCURRED. PATIENT WAS UNABLE TO RECEIVE AN INTRADERMAL INJECTION, THEREFORE VACCINE WAS ADMINISTERED SUBCUTANEOUSLY.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Tinnitus
Clinical narrative: Tinnitus in left ear
Age: 67.0
Sex: F
Vaccine: COVID19, MMR
Symptoms: Angina pectoris, Catheterisation cardiac normal, Colitis ischaemic, Computerised tomogram thorax, Condition aggravated
Clinical narrative: Classic pericardial pain.  Admitted to Hosp. Cardiac enzymes up a little followed by negative heart cath.  Etiology of symptoms thought (by me) to be due to MCTD.  Settled down with colchicine/ibuprofen.  I assume 41 days between vaccine and onset means not due to vaccine.  But then she had another vaccine (#5) on 9/15/2022.  The following day she developed ischemic colits and admitted to same hospital for 6 days.  Still not able to eat real food.  Assume this was due to MCTD since surgeon says was not due to radiation.  It did not occur to me to mention vaccines to hospitalist and they were not considered to my knowledge on either hospitalization.  I could send pdf hospital summary if desired.
Age: 67.0
Sex: F
Vaccine: COVID19, MMR
Symptoms: Echocardiogram, Extra dose administered, Feeding disorder, Laboratory test, Mixed connective tissue disease
Clinical narrative: Classic pericardial pain.  Admitted to Hosp. Cardiac enzymes up a little followed by negative heart cath.  Etiology of symptoms thought (by me) to be due to MCTD.  Settled down with colchicine/ibuprofen.  I assume 41 days between vaccine and onset means not due to vaccine.  But then she had another vaccine (#5) on 9/15/2022.  The following day she developed ischemic colits and admitted to same hospital for 6 days.  Still not able to eat real food.  Assume this was due to MCTD since surgeon says was not due to radiation.  It did not occur to me to mention vaccines to hospitalist and they were not considered to my knowledge on either hospitalization.  I could send pdf hospital summary if desired.
Age: 67.0
Sex: F
Vaccine: COVID19, MMR
Symptoms: Myocardial necrosis marker increased
Clinical narrative: Classic pericardial pain.  Admitted to Hosp. Cardiac enzymes up a little followed by negative heart cath.  Etiology of symptoms thought (by me) to be due to MCTD.  Settled down with colchicine/ibuprofen.  I assume 41 days between vaccine and onset means not due to vaccine.  But then she had another vaccine (#5) on 9/15/2022.  The following day she developed ischemic colits and admitted to same hospital for 6 days.  Still not able to eat real food.  Assume this was due to MCTD since surgeon says was not due to radiation.  It did not occur to me to mention vaccines to hospitalist and they were not considered to my knowledge on either hospitalization.  I could send pdf hospital summary if desired.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 4/6/21 Lot# 007B21A;  Moderna 5/4/21 Lot# 043B21A;  Moderna 12/7/21 Lot# 030H21B;  Moderna 7/19/22 Lot# 017B22A
Age: 62.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Drainage, Injection site erythema, Injection site reaction, Oropharyngeal pain
Clinical narrative: Two Days after Vaccination (9/14) a large red oblong circle appeared on the patient's left Bicept/deltoid area.  Red in color.  Affected area was extremely sensitive to the touch and painful as well at times itchy.  This started to diminish daily, however, persisted through Tuesday the following week (9.20).  The patient reports slight periodic irritation/itching to date (9.26).  The patient also reported sore throat/drainage (9.14) as well as significant chest congestion/coughing  (9.16).  Although diminishing slightly each day Sinus Congestion and Chest congestion (coughing wakes the patient at night) remain to this day (9.26).  The patient reports this as a bad cold or Covid symptom.  The patient has tested 3 times in the last two weeks for Covid - all tests were negative.
Age: 62.0
Sex: M
Vaccine: UNK
Symptoms: Pain, Pruritus, Pulmonary congestion, SARS-CoV-2 test negative, Sensitive skin
Clinical narrative: Two Days after Vaccination (9/14) a large red oblong circle appeared on the patient's left Bicept/deltoid area.  Red in color.  Affected area was extremely sensitive to the touch and painful as well at times itchy.  This started to diminish daily, however, persisted through Tuesday the following week (9.20).  The patient reports slight periodic irritation/itching to date (9.26).  The patient also reported sore throat/drainage (9.14) as well as significant chest congestion/coughing  (9.16).  Although diminishing slightly each day Sinus Congestion and Chest congestion (coughing wakes the patient at night) remain to this day (9.26).  The patient reports this as a bad cold or Covid symptom.  The patient has tested 3 times in the last two weeks for Covid - all tests were negative.
Age: 62.0
Sex: M
Vaccine: UNK
Symptoms: Sinus congestion, Skin irritation, Sleep disorder
Clinical narrative: Two Days after Vaccination (9/14) a large red oblong circle appeared on the patient's left Bicept/deltoid area.  Red in color.  Affected area was extremely sensitive to the touch and painful as well at times itchy.  This started to diminish daily, however, persisted through Tuesday the following week (9.20).  The patient reports slight periodic irritation/itching to date (9.26).  The patient also reported sore throat/drainage (9.14) as well as significant chest congestion/coughing  (9.16).  Although diminishing slightly each day Sinus Congestion and Chest congestion (coughing wakes the patient at night) remain to this day (9.26).  The patient reports this as a bad cold or Covid symptom.  The patient has tested 3 times in the last two weeks for Covid - all tests were negative.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: BRIEF OVERVIEW: Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 9/13/2022 Discharge Date: 09/22/2022 Presenting Problem: COVID  DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 63 y.o. male with past and current medical history of ICM s/p HM3 implanted at facility 2016, currently listed status 4, CAD, hx CVA with slight residual right-sided deficits, hypertension, hx strep bacteremia, hx VT on amio and mexiletine, and iron deficiency anemia.    He presented to Facility 9/12/22 for evaluation of fatigue and abdominal pain. CT abd/pelvis showed intussusception. He was transferred to Facility 9/13 for evaluation and treatment by team. Incidentally, he tested positive for COVID. On admit, patient was seen by general surgery, no acute concerns and no indication for surgery or intervention. Concern that his symptoms were all from COVID. CXR concerning for pneumonia and he initially required supplemental oxygen. ID was consulted who treated COVID with decadron and remdesivir.    The patient also demonstrated evidence for fluid overload with acute on chronic combined CHF.  He responded well to IV diuresis he became euvolemic.  He was also quite constipated and this resolved with aggressive bowel regimen.  He had notable improvement in his general condition, although some lingering symptoms attributable to COVID-19 (primarily cough).  No issues with vaginal Shin appreciate during the hospitalization.   The patient's condition stabilized and he was started on routine/daily torsemide to continue at home.  He felt comfortable with the plan to  return home and was discharged on 09/22.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Constipation, Cough, Diuretic therapy, Fatigue, Hypervolaemia
Clinical narrative: BRIEF OVERVIEW: Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 9/13/2022 Discharge Date: 09/22/2022 Presenting Problem: COVID  DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 63 y.o. male with past and current medical history of ICM s/p HM3 implanted at facility 2016, currently listed status 4, CAD, hx CVA with slight residual right-sided deficits, hypertension, hx strep bacteremia, hx VT on amio and mexiletine, and iron deficiency anemia.    He presented to Facility 9/12/22 for evaluation of fatigue and abdominal pain. CT abd/pelvis showed intussusception. He was transferred to Facility 9/13 for evaluation and treatment by team. Incidentally, he tested positive for COVID. On admit, patient was seen by general surgery, no acute concerns and no indication for surgery or intervention. Concern that his symptoms were all from COVID. CXR concerning for pneumonia and he initially required supplemental oxygen. ID was consulted who treated COVID with decadron and remdesivir.    The patient also demonstrated evidence for fluid overload with acute on chronic combined CHF.  He responded well to IV diuresis he became euvolemic.  He was also quite constipated and this resolved with aggressive bowel regimen.  He had notable improvement in his general condition, although some lingering symptoms attributable to COVID-19 (primarily cough).  No issues with vaginal Shin appreciate during the hospitalization.   The patient's condition stabilized and he was started on routine/daily torsemide to continue at home.  He felt comfortable with the plan to  return home and was discharged on 09/22.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Intussusception, Malaise, SARS-CoV-2 test positive
Clinical narrative: BRIEF OVERVIEW: Discharge Provider:  MD Primary Care Provider:  MD Admission Date: 9/13/2022 Discharge Date: 09/22/2022 Presenting Problem: COVID  DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 63 y.o. male with past and current medical history of ICM s/p HM3 implanted at facility 2016, currently listed status 4, CAD, hx CVA with slight residual right-sided deficits, hypertension, hx strep bacteremia, hx VT on amio and mexiletine, and iron deficiency anemia.    He presented to Facility 9/12/22 for evaluation of fatigue and abdominal pain. CT abd/pelvis showed intussusception. He was transferred to Facility 9/13 for evaluation and treatment by team. Incidentally, he tested positive for COVID. On admit, patient was seen by general surgery, no acute concerns and no indication for surgery or intervention. Concern that his symptoms were all from COVID. CXR concerning for pneumonia and he initially required supplemental oxygen. ID was consulted who treated COVID with decadron and remdesivir.    The patient also demonstrated evidence for fluid overload with acute on chronic combined CHF.  He responded well to IV diuresis he became euvolemic.  He was also quite constipated and this resolved with aggressive bowel regimen.  He had notable improvement in his general condition, although some lingering symptoms attributable to COVID-19 (primarily cough).  No issues with vaginal Shin appreciate during the hospitalization.   The patient's condition stabilized and he was started on routine/daily torsemide to continue at home.  He felt comfortable with the plan to  return home and was discharged on 09/22.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, COVID-19, Cough, Headache, Oropharyngeal pain
Clinical narrative: I received the second Pfizer booster for COVID-19 on 5/16/2022. On 7/19/2022, I started having a burning sensation in the sinuses. I somehow instinctively knew it was COVID-19, but I took a home test just to be sure, and it confirmed my suspicion. I then developed a sore throat, a headache, and a fever, which reached 102 at its peak. My doctor prescribed me a five-day course of Paxlovid, which I began taking on the night of 7/19/2022. After I began taking the Paxlovid, my symptoms decreased. I felt much better and back to normal on 7/23/2022. However, on 7/25/2022, the symptoms returned. Again, I had a burning sensation in the sinuses, a sore throat, and a fever, which again reached 102 at its peak. I also developed a cough, which was never severe and lasted only a few days. By 7/29/2022 or 7/30/2022, the symptoms were finally gone for good.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I received the second Pfizer booster for COVID-19 on 5/16/2022. On 7/19/2022, I started having a burning sensation in the sinuses. I somehow instinctively knew it was COVID-19, but I took a home test just to be sure, and it confirmed my suspicion. I then developed a sore throat, a headache, and a fever, which reached 102 at its peak. My doctor prescribed me a five-day course of Paxlovid, which I began taking on the night of 7/19/2022. After I began taking the Paxlovid, my symptoms decreased. I felt much better and back to normal on 7/23/2022. However, on 7/25/2022, the symptoms returned. Again, I had a burning sensation in the sinuses, a sore throat, and a fever, which again reached 102 at its peak. I also developed a cough, which was never severe and lasted only a few days. By 7/29/2022 or 7/30/2022, the symptoms were finally gone for good.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after three vaccines Janssen 3/12/21  Lot#1802068;  Janssen 12/17/21 Lot# 211D21A;  Moderna 8/18/22 Lot# 052B22A
Age: 55.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Wrong technique in product usage process
Clinical narrative: Intradermal injection of vaccine given in forearm of left arm, but did not wheal. Repeat  subcutaneous injection given to back of left arm successfully.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Chest X-ray normal, Computerised tomogram, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Adverse event began on August 15, 2022 with sore throat, progressed to severe respiratory congestion, pneumonia and severe asthma on August 23-25. I do not believe the event was related to the vaccination booster, but rather a common virus.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pneumonia, Respiratory syncytial virus test negative, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: Adverse event began on August 15, 2022 with sore throat, progressed to severe respiratory congestion, pneumonia and severe asthma on August 23-25. I do not believe the event was related to the vaccination booster, but rather a common virus.
Age: 79.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: PATIENT RECEIVED A SUBCUTANEOUS INJECTION TO HER LEFT ARM. NO ADVERSE EVENTS OCCURRED. PT WAS UNABLE TO RECEIVE AN INTRADERMAL INJECTION, THEREFORE VACCINE WAS ADMINISTERED SUBCUTANEOUSLY.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Aortic valve incompetence, Atrial fibrillation, Blood sodium decreased, Bradycardia
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with complications from COVID and COVID detected PCR.  Provider d/c note:  "85-year-old female presenting to the emergency department with epigastric pain that radiates to her sternum.  This has been going on for 2 days.  She is COVID positive via home test and has been started on Paxlovid.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) See below note for details re: this current hospitalization.   Hospital Course: No notes on file  These were her acute medical issues addressed:   Covid infection - 19 infection  tested 9/11/22 - Holding paxlovid - No resp complaints, no hypoxia. - Vaccinated x 3 doses. Last booster dose 12/2021 - 10 days out from her first symptoms at discharge.   A Fib with slow ventricular response, rates in 40-60'ss Hx of HTN  Hx of PVC Diastolic heart failure Prolonged QTc - Echo 4/25/22: EF 70%, trace AR, mild - mod TR, RVSP 42mmHg - Held home Norvasc, chlorthalidone, Toprol, Valsartan given bradycardia and low normal BP on admission. - resume Norvasc, ARB at discharge. - continue to hold Chlorthalidone at DC. DC Toprol due to bradycardia. - Consult cardiology: Seen by Dr and Dr. She has declined PPM placement at this time. - on Pradaxa for chronic AF.   Anorexia, nausea, resolved  - General diet - Zofran prn, consider compazine if QTc prolonged. - may have contributed to hyponatremia.   Hyponatremia  - Sodium 108 on admission, corrected with IVF and salt tablets  - Poor PO intake (COVID) +/- chlorthalidone use likely the main mechanism. Also may have had a component of SIADH, given nausea the preceding days. - no encephalopathy. Mentation maintained. -- IV NS + NaCl tabs. -- Na 129 at discharge.   Hypomagnesemia  Hypokalemic Hypophosphatemia - replace as needed    DC home today with Home Health RN Will hold BB and Chlorthalidone at discharge."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Condition aggravated, Decreased appetite, Echocardiogram abnormal
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with complications from COVID and COVID detected PCR.  Provider d/c note:  "85-year-old female presenting to the emergency department with epigastric pain that radiates to her sternum.  This has been going on for 2 days.  She is COVID positive via home test and has been started on Paxlovid.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) See below note for details re: this current hospitalization.   Hospital Course: No notes on file  These were her acute medical issues addressed:   Covid infection - 19 infection  tested 9/11/22 - Holding paxlovid - No resp complaints, no hypoxia. - Vaccinated x 3 doses. Last booster dose 12/2021 - 10 days out from her first symptoms at discharge.   A Fib with slow ventricular response, rates in 40-60'ss Hx of HTN  Hx of PVC Diastolic heart failure Prolonged QTc - Echo 4/25/22: EF 70%, trace AR, mild - mod TR, RVSP 42mmHg - Held home Norvasc, chlorthalidone, Toprol, Valsartan given bradycardia and low normal BP on admission. - resume Norvasc, ARB at discharge. - continue to hold Chlorthalidone at DC. DC Toprol due to bradycardia. - Consult cardiology: Seen by Dr and Dr. She has declined PPM placement at this time. - on Pradaxa for chronic AF.   Anorexia, nausea, resolved  - General diet - Zofran prn, consider compazine if QTc prolonged. - may have contributed to hyponatremia.   Hyponatremia  - Sodium 108 on admission, corrected with IVF and salt tablets  - Poor PO intake (COVID) +/- chlorthalidone use likely the main mechanism. Also may have had a component of SIADH, given nausea the preceding days. - no encephalopathy. Mentation maintained. -- IV NS + NaCl tabs. -- Na 129 at discharge.   Hypomagnesemia  Hypokalemic Hypophosphatemia - replace as needed    DC home today with Home Health RN Will hold BB and Chlorthalidone at discharge."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ejection fraction normal, Electrocardiogram QT prolonged, Hypokalaemia, Hypomagnesaemia, Hyponatraemia
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with complications from COVID and COVID detected PCR.  Provider d/c note:  "85-year-old female presenting to the emergency department with epigastric pain that radiates to her sternum.  This has been going on for 2 days.  She is COVID positive via home test and has been started on Paxlovid.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) See below note for details re: this current hospitalization.   Hospital Course: No notes on file  These were her acute medical issues addressed:   Covid infection - 19 infection  tested 9/11/22 - Holding paxlovid - No resp complaints, no hypoxia. - Vaccinated x 3 doses. Last booster dose 12/2021 - 10 days out from her first symptoms at discharge.   A Fib with slow ventricular response, rates in 40-60'ss Hx of HTN  Hx of PVC Diastolic heart failure Prolonged QTc - Echo 4/25/22: EF 70%, trace AR, mild - mod TR, RVSP 42mmHg - Held home Norvasc, chlorthalidone, Toprol, Valsartan given bradycardia and low normal BP on admission. - resume Norvasc, ARB at discharge. - continue to hold Chlorthalidone at DC. DC Toprol due to bradycardia. - Consult cardiology: Seen by Dr and Dr. She has declined PPM placement at this time. - on Pradaxa for chronic AF.   Anorexia, nausea, resolved  - General diet - Zofran prn, consider compazine if QTc prolonged. - may have contributed to hyponatremia.   Hyponatremia  - Sodium 108 on admission, corrected with IVF and salt tablets  - Poor PO intake (COVID) +/- chlorthalidone use likely the main mechanism. Also may have had a component of SIADH, given nausea the preceding days. - no encephalopathy. Mentation maintained. -- IV NS + NaCl tabs. -- Na 129 at discharge.   Hypomagnesemia  Hypokalemic Hypophosphatemia - replace as needed    DC home today with Home Health RN Will hold BB and Chlorthalidone at discharge."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypophagia, Hypophosphataemia, Nausea, Pain, Right ventricular systolic pressure
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with complications from COVID and COVID detected PCR.  Provider d/c note:  "85-year-old female presenting to the emergency department with epigastric pain that radiates to her sternum.  This has been going on for 2 days.  She is COVID positive via home test and has been started on Paxlovid.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) See below note for details re: this current hospitalization.   Hospital Course: No notes on file  These were her acute medical issues addressed:   Covid infection - 19 infection  tested 9/11/22 - Holding paxlovid - No resp complaints, no hypoxia. - Vaccinated x 3 doses. Last booster dose 12/2021 - 10 days out from her first symptoms at discharge.   A Fib with slow ventricular response, rates in 40-60'ss Hx of HTN  Hx of PVC Diastolic heart failure Prolonged QTc - Echo 4/25/22: EF 70%, trace AR, mild - mod TR, RVSP 42mmHg - Held home Norvasc, chlorthalidone, Toprol, Valsartan given bradycardia and low normal BP on admission. - resume Norvasc, ARB at discharge. - continue to hold Chlorthalidone at DC. DC Toprol due to bradycardia. - Consult cardiology: Seen by Dr and Dr. She has declined PPM placement at this time. - on Pradaxa for chronic AF.   Anorexia, nausea, resolved  - General diet - Zofran prn, consider compazine if QTc prolonged. - may have contributed to hyponatremia.   Hyponatremia  - Sodium 108 on admission, corrected with IVF and salt tablets  - Poor PO intake (COVID) +/- chlorthalidone use likely the main mechanism. Also may have had a component of SIADH, given nausea the preceding days. - no encephalopathy. Mentation maintained. -- IV NS + NaCl tabs. -- Na 129 at discharge.   Hypomagnesemia  Hypokalemic Hypophosphatemia - replace as needed    DC home today with Home Health RN Will hold BB and Chlorthalidone at discharge."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tricuspid valve incompetence
Clinical narrative: Patient with 3 COVID vaccines who admitted to hospital with complications from COVID and COVID detected PCR.  Provider d/c note:  "85-year-old female presenting to the emergency department with epigastric pain that radiates to her sternum.  This has been going on for 2 days.  She is COVID positive via home test and has been started on Paxlovid.    Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) See below note for details re: this current hospitalization.   Hospital Course: No notes on file  These were her acute medical issues addressed:   Covid infection - 19 infection  tested 9/11/22 - Holding paxlovid - No resp complaints, no hypoxia. - Vaccinated x 3 doses. Last booster dose 12/2021 - 10 days out from her first symptoms at discharge.   A Fib with slow ventricular response, rates in 40-60'ss Hx of HTN  Hx of PVC Diastolic heart failure Prolonged QTc - Echo 4/25/22: EF 70%, trace AR, mild - mod TR, RVSP 42mmHg - Held home Norvasc, chlorthalidone, Toprol, Valsartan given bradycardia and low normal BP on admission. - resume Norvasc, ARB at discharge. - continue to hold Chlorthalidone at DC. DC Toprol due to bradycardia. - Consult cardiology: Seen by Dr and Dr. She has declined PPM placement at this time. - on Pradaxa for chronic AF.   Anorexia, nausea, resolved  - General diet - Zofran prn, consider compazine if QTc prolonged. - may have contributed to hyponatremia.   Hyponatremia  - Sodium 108 on admission, corrected with IVF and salt tablets  - Poor PO intake (COVID) +/- chlorthalidone use likely the main mechanism. Also may have had a component of SIADH, given nausea the preceding days. - no encephalopathy. Mentation maintained. -- IV NS + NaCl tabs. -- Na 129 at discharge.   Hypomagnesemia  Hypokalemic Hypophosphatemia - replace as needed    DC home today with Home Health RN Will hold BB and Chlorthalidone at discharge."
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient came in for flu shot and was given Moderna shot instead
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Body temperature decreased, Chills, Feeling abnormal, Feeling cold, Pain
Clinical narrative: My body temperature dropped to 95F according to a thermal home thermometer. Although cool when I went to bed, I wasn't freezing. However, I woke up in the middle of the night with chills. The thermometer read 96.4F at that time.  I took a hot shower. An hour later. I was still shivering with long johns, two sweatshirts, socks, two blankets, and a cup of hot tea but the thermometer said 95.6F.  After another hour, it dropped to 95F, when I stripped and crawled in bed next to my husband for body warmth. My temperature then started to rise and I was able to go back to sleep. When I awoke, I was "foggy", sore and cold for the whole day but my temperature had normalized. I had a very similar experience with my last Moderna booster (7/19/22) but hadn't thought to take my temperature.