chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Micturition urgency, SARS-CoV-2 test positive, Seizure, Tobacco user, Urinary incontinence
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Urinary tract infection, Urine odour abnormal, X-ray limb
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Areflexia, Asthenia, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Computerised tomogram spine, Condition aggravated, Confusional state, Cough, Culture urine positive
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Electroencephalogram abnormal, Electromyogram, Fall, Immunoglobulin therapy, Lumbar puncture normal
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Lung infiltration, Mental status changes, Muscular weakness, Plasmapheresis, Postictal state
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Procalcitonin normal, SARS-CoV-2 test positive, Seizure, Spinal osteoarthritis, Staphylococcus test positive
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Tachycardia, Tachypnoea, Urinary tract infection
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, Immunisation reaction
Clinical narrative: No adverse effect from vaccinations other than usual side effects. But, had two vaccinations, plus two boosters. The second booster was April 23rd, 2022.   Tested positive for COVID on July 10th, 2022.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Fall, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 77 year old gentleman who presented to the emergency room with altered mental status; he was found on the floor at home; his stepsister found him after he did not show up for an appointment with a client yesterday; he also missed several other appointments so his family went to check on him; he says that he took a medication but cannot tell me which one; he is not able to answer questions;  He tested positive for COVID on admission screening.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Echocardiogram abnormal, Ejection fraction decreased, Left ventricular failure, Troponin increased
Clinical narrative: Patient had Major MI on 11/25/2022. No family history of heart issues. Troponin level 324 on 11/262021. ECHO revealed EF 15-20% during this hospitalization. Patient died 5/2/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye pain, Head discomfort, Headache, Injection site pain
Clinical narrative: The following events occurred after receiving the second booster of Pfizer on 7/19/2022. I was very sleepy on the first day.  On the morning of the second day, my head felt very heavy (congested); nagging headache; injection site pain for a couple of days (eventually went away); nausea 7/19 - 22/2022; fever beginning 7/24/2022 - 100.2, 99.9, 101.7; chills during the fever; my eyes also hurt to move during the fever period;
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Sinus congestion, Somnolence
Clinical narrative: The following events occurred after receiving the second booster of Pfizer on 7/19/2022. I was very sleepy on the first day.  On the morning of the second day, my head felt very heavy (congested); nagging headache; injection site pain for a couple of days (eventually went away); nausea 7/19 - 22/2022; fever beginning 7/24/2022 - 100.2, 99.9, 101.7; chills during the fever; my eyes also hurt to move during the fever period;
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pre-vaccination - the pt. reported experiencing dizziness immediately following her last dose of Pfizer.  Pt was agreeable to observation period following today's vaccination.  5 mins post vaccination, the pt. reported mild dizziness, lightheadedness, (confirmed it was similar to the symptoms she previously experienced with her last dose).  Fluids provided.  VSS - BP-128/74, 02-99%, HR-75.  NKA, Med regimen includes OTC Vitamins.  Pt also has h/o anxiety.  Pt reported only having coffee this morning before coming to clinic to be vaccinated.  After being observed for 20 mins, she verbalized feeling better and requested to leave.  The pt appeared stable when she left.
Age: 32.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: 5mmx5mm redness around injection site that lasted a week before getting better. Area was red and itchy. a day after vaccine was administered. Patient came back a week after vaccination and requested assistance to submit a VAERS report on her behalf and area looks like fading away and healing properly. No signs of infection.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given an expired vaccine, patient did not report any side effects.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Patient with 2 Moderna vaccinations admitted with COVID detected test and complications.  Provider d/c note below:  "90-year-old the female presented to emergency room with worsening shortness of breath for 1 day, she was found to have AFib with RVR, blood pressure of 215 systolic, pulmonary edema.  She had nitroprusside and responded well, also responded to Lasix.  Upon discharge her medications will include not only metoprolol but also Lasix 40 and lisinopril 10 daily.  Patient had echocardiogram this admission that showed bioprosthetic aortic valve stenosis with area of less than 0.6 cm.  Cardiology evaluated patient during the hospital stay and recommended follow-up as an outpatient.  Atrial fibrillation rate was controlled with metoprolol.  Patient is taking Eliquis.  On admission patient also was found to have COVID and had 5 day course of remdesivir and dexamethasone.  On the 2nd day of admission, patient was weaned of oxygen.  During the hospital stay patient also was noted to have significant leukocytosis, that increased to 21. CT scan of the chest abdomen and pelvis was done that showed right-sided effusion/infiltrate but no other significant abscesses.  Patient did have borderline lymph nodes in the chest.  leukocytosis decreased to 11 on the day of discharge.  During the hospital stay patient was found to be deconditioned and there was suggestion for rehab/SNF, however patient refused and wanted to go home."
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Echocardiogram abnormal, Leukocytosis, Lung infiltration
Clinical narrative: Patient with 2 Moderna vaccinations admitted with COVID detected test and complications.  Provider d/c note below:  "90-year-old the female presented to emergency room with worsening shortness of breath for 1 day, she was found to have AFib with RVR, blood pressure of 215 systolic, pulmonary edema.  She had nitroprusside and responded well, also responded to Lasix.  Upon discharge her medications will include not only metoprolol but also Lasix 40 and lisinopril 10 daily.  Patient had echocardiogram this admission that showed bioprosthetic aortic valve stenosis with area of less than 0.6 cm.  Cardiology evaluated patient during the hospital stay and recommended follow-up as an outpatient.  Atrial fibrillation rate was controlled with metoprolol.  Patient is taking Eliquis.  On admission patient also was found to have COVID and had 5 day course of remdesivir and dexamethasone.  On the 2nd day of admission, patient was weaned of oxygen.  During the hospital stay patient also was noted to have significant leukocytosis, that increased to 21. CT scan of the chest abdomen and pelvis was done that showed right-sided effusion/infiltrate but no other significant abscesses.  Patient did have borderline lymph nodes in the chest.  leukocytosis decreased to 11 on the day of discharge.  During the hospital stay patient was found to be deconditioned and there was suggestion for rehab/SNF, however patient refused and wanted to go home."
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Pleural effusion, Prosthetic cardiac valve stenosis, Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: Patient with 2 Moderna vaccinations admitted with COVID detected test and complications.  Provider d/c note below:  "90-year-old the female presented to emergency room with worsening shortness of breath for 1 day, she was found to have AFib with RVR, blood pressure of 215 systolic, pulmonary edema.  She had nitroprusside and responded well, also responded to Lasix.  Upon discharge her medications will include not only metoprolol but also Lasix 40 and lisinopril 10 daily.  Patient had echocardiogram this admission that showed bioprosthetic aortic valve stenosis with area of less than 0.6 cm.  Cardiology evaluated patient during the hospital stay and recommended follow-up as an outpatient.  Atrial fibrillation rate was controlled with metoprolol.  Patient is taking Eliquis.  On admission patient also was found to have COVID and had 5 day course of remdesivir and dexamethasone.  On the 2nd day of admission, patient was weaned of oxygen.  During the hospital stay patient also was noted to have significant leukocytosis, that increased to 21. CT scan of the chest abdomen and pelvis was done that showed right-sided effusion/infiltrate but no other significant abscesses.  Patient did have borderline lymph nodes in the chest.  leukocytosis decreased to 11 on the day of discharge.  During the hospital stay patient was found to be deconditioned and there was suggestion for rehab/SNF, however patient refused and wanted to go home."
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient with 2 Moderna vaccinations admitted with COVID detected test and complications.  Provider d/c note below:  "90-year-old the female presented to emergency room with worsening shortness of breath for 1 day, she was found to have AFib with RVR, blood pressure of 215 systolic, pulmonary edema.  She had nitroprusside and responded well, also responded to Lasix.  Upon discharge her medications will include not only metoprolol but also Lasix 40 and lisinopril 10 daily.  Patient had echocardiogram this admission that showed bioprosthetic aortic valve stenosis with area of less than 0.6 cm.  Cardiology evaluated patient during the hospital stay and recommended follow-up as an outpatient.  Atrial fibrillation rate was controlled with metoprolol.  Patient is taking Eliquis.  On admission patient also was found to have COVID and had 5 day course of remdesivir and dexamethasone.  On the 2nd day of admission, patient was weaned of oxygen.  During the hospital stay patient also was noted to have significant leukocytosis, that increased to 21. CT scan of the chest abdomen and pelvis was done that showed right-sided effusion/infiltrate but no other significant abscesses.  Patient did have borderline lymph nodes in the chest.  leukocytosis decreased to 11 on the day of discharge.  During the hospital stay patient was found to be deconditioned and there was suggestion for rehab/SNF, however patient refused and wanted to go home."
Age: 26.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Chills, Fatigue, Feeling cold, Headache, Hot flush
Clinical narrative: The first night I had chills and couldn't get warm with a sore arm The next day chills with hot flashes, fatigue, sore arm, body aches, and headache Presently, sore arm, swollen, slightly discolored, and solid where the vaccine was administered
Age: 26.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site discolouration, Injection site induration, Injection site pain, Injection site swelling, Pain
Clinical narrative: The first night I had chills and couldn't get warm with a sore arm The next day chills with hot flashes, fatigue, sore arm, body aches, and headache Presently, sore arm, swollen, slightly discolored, and solid where the vaccine was administered
Age: 26.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Pain in extremity
Clinical narrative: The first night I had chills and couldn't get warm with a sore arm The next day chills with hot flashes, fatigue, sore arm, body aches, and headache Presently, sore arm, swollen, slightly discolored, and solid where the vaccine was administered
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given an expired vaccine, patient did not report any side effects.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Cardio-respiratory arrest, Cardioversion, Cerebral haemorrhage
Clinical narrative: pt to ED unconscious and unresponsive; required intubation; found to be positive for COVID; CXR with multifocal PNA; Head CT showed acute bleed; CT of abdomen and pelvis showed cirrhosis and portal HTN; pt had fever; transferred to ICU; given Decadron, ABX, Remdesivir; extubation a success; sudden change in mentation; code called; cardiac arrest; ACLS, chest compressions, rescue  meds, shocked several times without success; pt passed away in the hospital
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram head abnormal, Death, Endotracheal intubation
Clinical narrative: pt to ED unconscious and unresponsive; required intubation; found to be positive for COVID; CXR with multifocal PNA; Head CT showed acute bleed; CT of abdomen and pelvis showed cirrhosis and portal HTN; pt had fever; transferred to ICU; given Decadron, ABX, Remdesivir; extubation a success; sudden change in mentation; code called; cardiac arrest; ACLS, chest compressions, rescue  meds, shocked several times without success; pt passed away in the hospital
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic cirrhosis, Intensive care, Life support, Loss of consciousness, Mental status changes
Clinical narrative: pt to ED unconscious and unresponsive; required intubation; found to be positive for COVID; CXR with multifocal PNA; Head CT showed acute bleed; CT of abdomen and pelvis showed cirrhosis and portal HTN; pt had fever; transferred to ICU; given Decadron, ABX, Remdesivir; extubation a success; sudden change in mentation; code called; cardiac arrest; ACLS, chest compressions, rescue  meds, shocked several times without success; pt passed away in the hospital
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Portal hypertension, Pyrexia, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: pt to ED unconscious and unresponsive; required intubation; found to be positive for COVID; CXR with multifocal PNA; Head CT showed acute bleed; CT of abdomen and pelvis showed cirrhosis and portal HTN; pt had fever; transferred to ICU; given Decadron, ABX, Remdesivir; extubation a success; sudden change in mentation; code called; cardiac arrest; ACLS, chest compressions, rescue  meds, shocked several times without success; pt passed away in the hospital
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: pt to ED unconscious and unresponsive; required intubation; found to be positive for COVID; CXR with multifocal PNA; Head CT showed acute bleed; CT of abdomen and pelvis showed cirrhosis and portal HTN; pt had fever; transferred to ICU; given Decadron, ABX, Remdesivir; extubation a success; sudden change in mentation; code called; cardiac arrest; ACLS, chest compressions, rescue  meds, shocked several times without success; pt passed away in the hospital
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: fully vaccinated with one booster.   COVID breakthrough infection
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Lip swelling, Peripheral swelling, Swelling face
Clinical narrative: The patient is reporting that she has had allergic type reactions since her vaccination on and off for the last year.  She experiences bumps from her forehead to the soles of her feet, including swelling of the lips.  She was referred to her primary care physician who elected not to treat her with any medications despite her requesting a steroid to relieve her symptoms.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Body temperature fluctuation, COVID-19, Chills, Discomfort
Clinical narrative: I went on Paxlovid the same day on June 19th that I started to feel COVID-19 symptoms. I did not have any fever but I did have chills, I was feeling better after about 24- hours after taking prescription. After about 6-8 days I started to develop a sinus infection, but I also started testing positive for COVID-19. I was treated for it by my physician. Since COVID-19 I have had a really hard time regulating my body temperature and it typically takes me about a half an hour to an hour to be comfortable. I also seem to have an issue with my feet and it seems that my arthritis may have flared up due to the COVID-19 infection however unsure.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I went on Paxlovid the same day on June 19th that I started to feel COVID-19 symptoms. I did not have any fever but I did have chills, I was feeling better after about 24- hours after taking prescription. After about 6-8 days I started to develop a sinus infection, but I also started testing positive for COVID-19. I was treated for it by my physician. Since COVID-19 I have had a really hard time regulating my body temperature and it typically takes me about a half an hour to an hour to be comfortable. I also seem to have an issue with my feet and it seems that my arthritis may have flared up due to the COVID-19 infection however unsure.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Loss of consciousness, Nausea, Syncope
Clinical narrative: Syncope 15 hours after administration of COVID-19 vaccine. Started with nausea, chills, sweating for several minutes. Sat for several minutes until thought I was better. Stood up and walked a few steps, then passed-out.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Blood test, Dizziness, Echocardiogram, Electrocardiogram
Clinical narrative: PATIENT DID NOT FEEL GOOD AND WAS DIZZY 30 MINUTES AFTER VACCINATION. PATIENT STARTED TO FEEL WORSE AND NEED HELP TO GET TO BED THAT EVENING.  PATIENT WOKE UP IN MIDDLE OF NIGHT AND FELL AT 2AM. AT 5AM PATIENT COLLAPSED AND WAS UNCONSCIOUS FOR 1 MINUTE. WIFE CALLED 911 FOR PATIENT TO GO TO ER.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Feeling abnormal, Loss of consciousness, SARS-CoV-2 test, Sleep disorder
Clinical narrative: PATIENT DID NOT FEEL GOOD AND WAS DIZZY 30 MINUTES AFTER VACCINATION. PATIENT STARTED TO FEEL WORSE AND NEED HELP TO GET TO BED THAT EVENING.  PATIENT WOKE UP IN MIDDLE OF NIGHT AND FELL AT 2AM. AT 5AM PATIENT COLLAPSED AND WAS UNCONSCIOUS FOR 1 MINUTE. WIFE CALLED 911 FOR PATIENT TO GO TO ER.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: PATIENT DID NOT FEEL GOOD AND WAS DIZZY 30 MINUTES AFTER VACCINATION. PATIENT STARTED TO FEEL WORSE AND NEED HELP TO GET TO BED THAT EVENING.  PATIENT WOKE UP IN MIDDLE OF NIGHT AND FELL AT 2AM. AT 5AM PATIENT COLLAPSED AND WAS UNCONSCIOUS FOR 1 MINUTE. WIFE CALLED 911 FOR PATIENT TO GO TO ER.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: second dose in primary series given 21 days apart, no adverse events noted
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated with one booster.   COVID breakthrough infection
Age: 77.0
Sex: M
Vaccine: COVID19, FLUA4, PNC13
Symptoms: Acute pulmonary oedema, Anticoagulant therapy, Atrial fibrillation, COVID-19, Catheterisation cardiac abnormal
Clinical narrative: Admission Date: 7/17/2022 Discharge Date: Jul 22, 2022  PRESENTING PROBLEM: Elevated troponin [R77.8] COVID-19 [U07.1] Takotsubo cardiomyopathy [I51.81]   HOSPITAL COURSE: Patient is a 78 y.o. male with past medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus, GERD who is admitted for COVID 19, elevated troponins, fluid overload. General medicine is consulted for acute hypoxia, concern for CAP. At 2030 7/18 pt was noted to be tachypneic with RR 36 and required increased O2 needs, satting 90% on 4L. Patient was given IV Lasix 40mg to treat flash pulmonary edema. Patient has a new wet-sounding cough. Had fever of 37.8 yesterday evening that resolved with acetaminophen. New focal consolidation appreciated on CXR. WBC 11.6 -> 9.5 -> 14.5. He has also noted to have worsening mental status throughout admission, at times requiring prn haldol.    Initially the patient was admitted under Cardiology and had 2 elevated troponin patient was taken for left heart catheterization cardiomyopathy that was nonobstructive.  Patient was started on ceftriaxone and doxycycline for treatment of community-acquired pneumonia.  In addition he was receiving Lasix.  Patient respiratory status improved and he was off of oxygen.   The patient had delirium psych was consulted for medication adjustments and patient has slept well, the next day the patient was awake alert oriented and felt much better.   Cardiology was knee imaging patient's medications for the cardiomyopathy.  He was initially started on Eliquis for the paroxysmal atrial fibrillation and he will follow-up within at least 3 weeks.  The patient was discharged on beta blockers, losartan, Lasix, and he will be started on spironolactone and SGLT2 outpatient.   During his stay the patient was found to be hypernatremic that improved after diuretics.  Patient hydrochlorothiazide was discontinued given that it could cause hyponatremia.   PT/OT did evaluate the patient and initially had recommended subacute rehab however the patient was adamant about going home therefore he was sent home with a walker and advised a 24 hours supervision by his spouse and/daughter.  Additionally home health care is being scheduled for him.  The patient was instructed to follow up with primary care doctor within few days and to follow up with Cardiology within 3 weeks.  The patient was discharged home in a stable condition.
Age: 77.0
Sex: M
Vaccine: COVID19, FLUA4, PNC13
Symptoms: Chest X-ray abnormal, Condition aggravated, Cough, Delirium, Hypernatraemia
Clinical narrative: Admission Date: 7/17/2022 Discharge Date: Jul 22, 2022  PRESENTING PROBLEM: Elevated troponin [R77.8] COVID-19 [U07.1] Takotsubo cardiomyopathy [I51.81]   HOSPITAL COURSE: Patient is a 78 y.o. male with past medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus, GERD who is admitted for COVID 19, elevated troponins, fluid overload. General medicine is consulted for acute hypoxia, concern for CAP. At 2030 7/18 pt was noted to be tachypneic with RR 36 and required increased O2 needs, satting 90% on 4L. Patient was given IV Lasix 40mg to treat flash pulmonary edema. Patient has a new wet-sounding cough. Had fever of 37.8 yesterday evening that resolved with acetaminophen. New focal consolidation appreciated on CXR. WBC 11.6 -> 9.5 -> 14.5. He has also noted to have worsening mental status throughout admission, at times requiring prn haldol.    Initially the patient was admitted under Cardiology and had 2 elevated troponin patient was taken for left heart catheterization cardiomyopathy that was nonobstructive.  Patient was started on ceftriaxone and doxycycline for treatment of community-acquired pneumonia.  In addition he was receiving Lasix.  Patient respiratory status improved and he was off of oxygen.   The patient had delirium psych was consulted for medication adjustments and patient has slept well, the next day the patient was awake alert oriented and felt much better.   Cardiology was knee imaging patient's medications for the cardiomyopathy.  He was initially started on Eliquis for the paroxysmal atrial fibrillation and he will follow-up within at least 3 weeks.  The patient was discharged on beta blockers, losartan, Lasix, and he will be started on spironolactone and SGLT2 outpatient.   During his stay the patient was found to be hypernatremic that improved after diuretics.  Patient hydrochlorothiazide was discontinued given that it could cause hyponatremia.   PT/OT did evaluate the patient and initially had recommended subacute rehab however the patient was adamant about going home therefore he was sent home with a walker and advised a 24 hours supervision by his spouse and/daughter.  Additionally home health care is being scheduled for him.  The patient was instructed to follow up with primary care doctor within few days and to follow up with Cardiology within 3 weeks.  The patient was discharged home in a stable condition.