chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Client presented to Wellness Center for booster.  She received a J&J in April.  She reports she was diagnosed with Covid in August and received monoclonal antibodies.  She has a reported hx of bilateral pulmonary emboli, initial diagnosis 2016. Reported hx of antiphospholipid syndrome, takes eliquis 2x/day.  She reported she was anxious and "about had a panic attack, thought you were going to tell me I couldn't get a vaccine...I'm a professional patient." This FNP reassured client and told her we were evaluating which vaccine would be best and which dose.  She states she "instantly felt better."  FNP reviewed pre-screening form to evaluate risks vs benefits, and to evaluate whether she should receive 0.25 ml or 0.5 ml.  Hx of antiphospholipid syndrome requiring methotrexate and sometimes high-dose steroids, "I was on 60 mg prednisone for a year about 2 years ago."  Decision was to administer Moderna 0.5 ml given severity of covid illness in August, and hx of immunocompromising medications and possibly needing additional dosing, either methotrexate or high dose prednisone.  Moderna 0.5 ml administered @ 1105 by OHA RN (we reviewed client's history together, as requested consult before giving the vaccine).  At 11:10, client reported SOB, with left sternal pressure and pain 3-4/10. Activated EMS.   11:12 121/70 98%RA  HR 78 RR 20 "difficult to tell what is anxiety or what is 'real.'"   11:15 Lightheaded, dizzy. Reclined chair. Skin warm/dry, color good.  116/64 100% RA RR20.  Pain in chest worsening 6/10.  11:20 Oxygen 2L/min via NC applied.  Felt hot/cold/nausea. 11:21 81 mg asa x 4  HR 78  RR22  BP 117/72 11:24 5/10 left chest wall pain\ 11:25 EMS & fire arrived 11:28  100% RA, RR20, HR 69  BP 110/64.  Pt stated, "something feels weird, I can't feel my legs but I can move my toes."  Pt able to walk to stretcher.  Pt left via gurney with staff.   Per staff report, pt got out of ambulance, walked up the hill, and left with her roommate.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood glucose increased, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Hospitalized 11/20/2021; COVID-19 positive 11/16/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider:  Admission Date: 11/20/2021 Discharge Date: Nov 24, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] COVID [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 70 y.o. male with past medical history significant for T2DM, CKD3, BPH, HTN and HLD who presented to the ED with a cough. Patient was found to have mild respiratory failure and sating well on 2L supplemental O2. COVID19 positive and started on decadron. Remdesivir was held for increased in creatinine. He was also found to have elevated glucose levels for which he was started on an insulin qtt and admitted to the hospital. Pt.'s sugars have done well over night and his SOB has improved, but still remained stable on 1L O2 at rest for several days prior to discharge. Patient required 3-6L O2 with ambulation. Pulm rehab was consulted and arranged for home O2. DGMS was consulted and adjusted insulin. Patient is comfortable with insulin at home as he wife previously used it as well and can assist. He was discharged on 5 days of decadron and was given instructions for how to adjust insulin once steroids are complete.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Insulin therapy, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/20/2021; COVID-19 positive 11/16/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider:  Primary Care Provider:  Admission Date: 11/20/2021 Discharge Date: Nov 24, 2021   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] COVID [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 70 y.o. male with past medical history significant for T2DM, CKD3, BPH, HTN and HLD who presented to the ED with a cough. Patient was found to have mild respiratory failure and sating well on 2L supplemental O2. COVID19 positive and started on decadron. Remdesivir was held for increased in creatinine. He was also found to have elevated glucose levels for which he was started on an insulin qtt and admitted to the hospital. Pt.'s sugars have done well over night and his SOB has improved, but still remained stable on 1L O2 at rest for several days prior to discharge. Patient required 3-6L O2 with ambulation. Pulm rehab was consulted and arranged for home O2. DGMS was consulted and adjusted insulin. Patient is comfortable with insulin at home as he wife previously used it as well and can assist. He was discharged on 5 days of decadron and was given instructions for how to adjust insulin once steroids are complete.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient had received his first Pfizer vaccine and was in the monitoring area for 15 minutes. During that monitoring period patient passed out. Patient was laid flat on floor from his seated position. Patient came to shortly after passing out (within seconds). Blood pressure was checked and it was 108/60. Patient was given water and snacks as he tolerated. Patient was kept in flat lying position for several minutes and had family wait for around 45 minutes total.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, No adverse event, Syringe issue
Clinical narrative: Child and 2 other siblings received Pfizer covid19 vaccination on 11/29.  Immunizer administered doses to 2 siblings, but accidentally left used recapped syringe on counter instead of disposing into sharps container.  The used syringe from sibling was administered to patient.  Patient was administered with proper syringe with vaccine in syringe.  No adverse reactions are reported as of 2;30pm on 11/30.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose, Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia, SARS-CoV-2 test, Vaccine positive rechallenge
Clinical narrative: Fevers up to 101.6 every day from the first shot on 10/11/2021 until 2 days before the second shot on 11/8/2021 Fevers started again on 11/8/2021 and continue through today, 11/30/2021. Headaches up to 101.6 every day from the first shot on 10/11/2021 until 2 days before the second shot on 11/8/2021 headaches started again on 11/8/2021 and continue through today, 11/30/2021.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea, Fatigue, Gait disturbance, Productive cough
Clinical narrative: Was feeling well up until 4 days ago.  Since then, he has developed progressive shortness of air and generalized weakness.  He does endorse cough productive of greenish sputum.  He has been taking his temperature at home and reports temp of 99-100, which are high per him.  He is also having generalized weakness, to the point where he cannot walk more than a few steps without feeling extremely fatigued.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: Was feeling well up until 4 days ago.  Since then, he has developed progressive shortness of air and generalized weakness.  He does endorse cough productive of greenish sputum.  He has been taking his temperature at home and reports temp of 99-100, which are high per him.  He is also having generalized weakness, to the point where he cannot walk more than a few steps without feeling extremely fatigued.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: diagnosed and hospitalized with COVID while fully vaccinated
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Presyncope
Clinical narrative: After receiving vaccination, patient had vaso-vagal episode. Continued to feel dizzy, nauseous, and hot afterwards. Was able to tell staff where she was and what her name was.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood fibrinogen, Computerised tomogram head, Disorientation, Dizziness, Dysarthria
Clinical narrative: Dizziness, vertigo, low extremities weakness, tingling and numbness of arms, fingers, legs and lips, disorientation, difficulty speaking, nausea, vomiting, sensitivity to light and extremely severe headache
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Hypoaesthesia oral, International normalised ratio, Magnetic resonance imaging head
Clinical narrative: Dizziness, vertigo, low extremities weakness, tingling and numbness of arms, fingers, legs and lips, disorientation, difficulty speaking, nausea, vomiting, sensitivity to light and extremely severe headache
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Nausea, Paraesthesia, Paraesthesia oral, Photophobia
Clinical narrative: Dizziness, vertigo, low extremities weakness, tingling and numbness of arms, fingers, legs and lips, disorientation, difficulty speaking, nausea, vomiting, sensitivity to light and extremely severe headache
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time, Vertigo, Vomiting
Clinical narrative: Dizziness, vertigo, low extremities weakness, tingling and numbness of arms, fingers, legs and lips, disorientation, difficulty speaking, nausea, vomiting, sensitivity to light and extremely severe headache
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Exposure to SARS-CoV-2, Laboratory test abnormal, SARS-CoV-2 test positive
Clinical narrative: Labs were unremarkable except for positive COVID-19 test.  Chest  X-ray was negative for findings of COVID pneumonia, he did not have any hypoxia.  Symptom onset date is unclear with positive SARS-CoV-2 testing on 11/24/2021.  He had been in contact with known COVID-19 positive individual(s) prior to being hospitalized.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Hypoaesthesia, Palpitations
Clinical narrative: Within  a few hours of receiving the vaccine, patient was experiencing severe  fatigue, headaches, tinnitus in both ears,, numbness and tingling on left side of face radiating down left arm, and 24 hours post dose began experiencing palpitations and shortness of breath. Symptoms have improved but still present after a week post dose.  No previous of these events prior to vaccine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Tinnitus
Clinical narrative: Within  a few hours of receiving the vaccine, patient was experiencing severe  fatigue, headaches, tinnitus in both ears,, numbness and tingling on left side of face radiating down left arm, and 24 hours post dose began experiencing palpitations and shortness of breath. Symptoms have improved but still present after a week post dose.  No previous of these events prior to vaccine.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Chest X-ray abnormal, Dizziness, Dyspnoea
Clinical narrative: BREAKTHROUGH INFECTION:  vaccinated 2/23/21 and 3/23/21 with Moderna. Went to ER via ambulance 11/25/21 with c/o dizziness x 1 week and shortness of breath. Was admitted to hospital that day.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Pneumonia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH INFECTION:  vaccinated 2/23/21 and 3/23/21 with Moderna. Went to ER via ambulance 11/25/21 with c/o dizziness x 1 week and shortness of breath. Was admitted to hospital that day.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Surgery
Clinical narrative: COVID-19 infection the patient is not hypoxic and does not have any respiratory symptoms however she does have history of COPD and ESRD.  In light of those comorbidities I think to be reasonable to treat her with a course of remdesivir.  Her COVID infection is in the setting of her recent hospitalization for surgery however she most likely got her infection from her apartment where 6 people tested positive for COVID
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: STERILE WATER FOR INJECTION MIXED IN AS DILUENT NO ADVERSE REACTION REPORTED AT TIME OF THIS REPORT
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Purpura, Rash
Clinical narrative: Rash, purpura, prolonged. Persisting. We are trying to decrease med list. Purpura B upper extremities >> trunk> lower extremities
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dysphagia, Dyspnoea, General physical health deterioration
Clinical narrative: presents the emergency department for evaluation of shortness of breath.  Patient received a diagnosis of COVID-19 infection 2 days ago.  Since that time, her condition has deteriorated resulting and difficulty with swallowing, progressive weakness and fluctuating mental status.  Patient also has a history of COPD and uses BiPAP at night and 2 L of oxygen during the day.  The patient is currently seeking care under hospice. We have escalated her respiratory support to now include high flow NC. It is effective and she is tolerating it well.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental status changes
Clinical narrative: presents the emergency department for evaluation of shortness of breath.  Patient received a diagnosis of COVID-19 infection 2 days ago.  Since that time, her condition has deteriorated resulting and difficulty with swallowing, progressive weakness and fluctuating mental status.  Patient also has a history of COPD and uses BiPAP at night and 2 L of oxygen during the day.  The patient is currently seeking care under hospice. We have escalated her respiratory support to now include high flow NC. It is effective and she is tolerating it well.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Pain, SARS-CoV-2 test positive
Clinical narrative: presents the emergency department for evaluation of shortness of breath.  Patient received a diagnosis of COVID-19 infection 2 days ago.  Since that time, her condition has deteriorated resulting and difficulty with swallowing, progressive weakness and fluctuating mental status.  Patient also has a history of COPD and uses BiPAP at night and 2 L of oxygen during the day.  The patient is currently seeking care under hospice. We have escalated her respiratory support to now include high flow NC. It is effective and she is tolerating it well.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Incorrect route of product administration, Injected limb mobility decreased, Magnetic resonance imaging, Pain in extremity
Clinical narrative: Upon administration I noted "I don't remember ever receiving a vaccine that high or that far back" and "that almost felt like it was given directly into my shoulder joint"  Within the first three days, I couldn't lift my arm or engage my shoulder in any capacity, and it was in excruciating pain-- although my deltoid mule (where the shot should have been administered) was fine.  I was seen on April 15 by my PCP and an injury was confirmed.  I was sent for an ultrasound to rule out clotting (J&J had been halted nationally days before).  I was then referred to orthopedics.  I have been under the care of a care taker since April. In her care I have been given prednisone, cortisone injection, multiple ultrasound guided steroid injections.  I have had XRAY, ultrasound, MRI, EMG.   I have also been in physical therapy for the duration of my treatment with care taker and Orthopedics.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, X-ray
Clinical narrative: Upon administration I noted "I don't remember ever receiving a vaccine that high or that far back" and "that almost felt like it was given directly into my shoulder joint"  Within the first three days, I couldn't lift my arm or engage my shoulder in any capacity, and it was in excruciating pain-- although my deltoid mule (where the shot should have been administered) was fine.  I was seen on April 15 by my PCP and an injury was confirmed.  I was sent for an ultrasound to rule out clotting (J&J had been halted nationally days before).  I was then referred to orthopedics.  I have been under the care of a care taker since April. In her care I have been given prednisone, cortisone injection, multiple ultrasound guided steroid injections.  I have had XRAY, ultrasound, MRI, EMG.   I have also been in physical therapy for the duration of my treatment with care taker and Orthopedics.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: In regards to her COVID-19 positivity, she took a home test on 11/07 when she noted a runny nose and sneezing.  She quarantine for 10 days and denies any continued symptoms.  Denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, headache, dizziness, fevers and chills.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Pain and swelling under right arm at lymph node upon waking.  Lasted 48 hours.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Headache, Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site discolouration, Injection site pain, Injection site swelling, Muscle spasms
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 3.0
Sex: M
Vaccine: MMR
Symptoms: Rash
Clinical narrative: Patient's mom called clinic w/concern of rash. She states that patient had his 1st MMR vaccine on 11/01/2021 and a bright pink rash started on 11/12/2021 to patient's chest, back, buttocks, and genital area. She also notes to top of patient's back approximately 5-7 "blood red" pinpoint areas. She reports patient has not been scratchy at rash area, per mom's report rash doesn't appear painful to patient, and patient has been acting normally. She does feel that rash has been improving since it began as it is less pink. She has not given anything OTC for rash as she feels that patient has been acting normally.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Dyspnoea, Myalgia, Oropharyngeal pain
Clinical narrative: evaluation of generalized weakness, myalgias, cough, shortness of breath, sore throat
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Exposure during pregnancy, Fatigue, Injection site pain, Pyrexia
Clinical narrative: - first time pregnancy with a male fetus - expected to deliver on April 8, 2022 - symptoms: besides the typical pain at injection site, fever, and fatigue, I experienced a new symptom with the booster, which was bad lower abdominal pain. After experiencing bad lower abdominal pain for 13 hours straight, I decided to visit the ER. They gave me tylenol pills, and I took them. But the pain continued well into the next day, though at a lower frequency. But when the pain hit, the level of pain was the same. I felt better on the 3rd day, and the pain was gone by the 4th day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: - first time pregnancy with a male fetus - expected to deliver on April 8, 2022 - symptoms: besides the typical pain at injection site, fever, and fatigue, I experienced a new symptom with the booster, which was bad lower abdominal pain. After experiencing bad lower abdominal pain for 13 hours straight, I decided to visit the ER. They gave me tylenol pills, and I took them. But the pain continued well into the next day, though at a lower frequency. But when the pain hit, the level of pain was the same. I felt better on the 3rd day, and the pain was gone by the 4th day.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoxia, Mechanical ventilation, SARS-CoV-2 test positive
Clinical narrative: emergency department at an outside hospital on November 24.  She was found to be hypoxic and to be positive for SARS-CoV-2.  She was started on nasal cannula oxygen with improvement in her hypoxia.  She was started on remdesivir and dexamethasone.  Respiratory status declined further and she required initiation of noninvasive ventilation and high-flow nasal cannula oxygen.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, SARS-CoV-2 test positive
Clinical narrative: emergency department at an outside hospital on November 24.  She was found to be hypoxic and to be positive for SARS-CoV-2.  She was started on nasal cannula oxygen with improvement in her hypoxia.  She was started on remdesivir and dexamethasone.  Respiratory status declined further and she required initiation of noninvasive ventilation and high-flow nasal cannula oxygen.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Condition aggravated, Cough, Eye pain
Clinical narrative: Pain in both eyes, light sensitivity, body aches, chills, fever, coughing. When looking at anything, if I moved my head at all, whatever I looked at seemed to pause for half a second. Like when your WiFi slightly pauses. Leg, arms and back pain severe headache. Pain and swelling in the area of injection . Trouble raising that arm above my head, really hurts.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site swelling, Mobility decreased, Pain
Clinical narrative: Pain in both eyes, light sensitivity, body aches, chills, fever, coughing. When looking at anything, if I moved my head at all, whatever I looked at seemed to pause for half a second. Like when your WiFi slightly pauses. Leg, arms and back pain severe headache. Pain and swelling in the area of injection . Trouble raising that arm above my head, really hurts.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Photophobia, Pyrexia, Visual impairment
Clinical narrative: Pain in both eyes, light sensitivity, body aches, chills, fever, coughing. When looking at anything, if I moved my head at all, whatever I looked at seemed to pause for half a second. Like when your WiFi slightly pauses. Leg, arms and back pain severe headache. Pain and swelling in the area of injection . Trouble raising that arm above my head, really hurts.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Eye swelling, Ophthalmological examination abnormal, Rosacea
Clinical narrative: Last Tuesday morning 11/23, I woke up and my left eye was irritated and closed. I made an appointment at the eye doctor, and he said that I had rosacea right at the base of my eyelashes. I received a prescription for eye drops, Neomycin / Polymyxin b / Dexamethasone. I am to start putting artificial tears in my eyes after my prescription is finished so it will hopefully help the infection fully go away. While taking care of my left eye, I noticed that my right eye was starting to feel/look the same way my left eye did.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Confusional state, Cough, Decreased appetite, Dyspnoea
Clinical narrative: presenting to the emergency department for evaluation of weakness, confusion, decreased appetite, cough and shortness of breath for the last 5 days
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Decreased appetite, Dyspnoea
Clinical narrative: Patient seen and examined this evening upon arrival to the hospital medicine service.  Patient in semi recumbent position on simple face mask at 4 liters/minute.  Patient states onset of symptoms was during the holiday and has continually gotten worse.  Patient reports chills, shortness of breath and decreased appetite.  Denies chest pain, abdominal pain, nausea, vomiting, headache, dizziness, diarrhea, fevers and chills.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Patient seen and examined this evening upon arrival to the hospital medicine service.  Patient in semi recumbent position on simple face mask at 4 liters/minute.  Patient states onset of symptoms was during the holiday and has continually gotten worse.  Patient reports chills, shortness of breath and decreased appetite.  Denies chest pain, abdominal pain, nausea, vomiting, headache, dizziness, diarrhea, fevers and chills.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, PNC13, VARCEL
Symptoms: Limb mass, Skin warm
Clinical narrative: Large lump on Right side leg. Warm to touch
Age: 96.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia
Clinical narrative: Pt was admitted for hypoxia and shortness of breath due to COVID-19.  He is a HCF resident.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Given 10mcg/0.2ml in error Give 0.4ml to bring to 30mcg total
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Productive cough
Clinical narrative: productive cough and fatigue that began 3 days prior.  Upon arrival, she was hemodynamically stable and saturating well on room air.   \Health authority who confirmed that she was not an appropriate candidate for monoclonal antibody infusion
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Hallucination, Headache, Magnetic resonance imaging, Migraine
Clinical narrative: patient forgot she had received her booster already and came in for her another one.  It was not caught until after the patient had went home.  migraine headache, hallucinations
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt had been mistakenly scheduled for Moderna COVID-19 vaccine 2nd dose, 4 weeks post 1st dose of Pfizer. Pt was administered dose of Moderna (0.5mL), and the error was discovered by the clinician after she went to complete his card. Records confirmed that he had received a 1st dose of Pfizer.  During the follow-up conversation about the error, did not appear to have recalled which vaccine he originally had received. Pt questions were addressed.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Oedema peripheral, Pleural effusion
Clinical narrative: Chest CT right pleural effusion, and COVID pneumonia, CRP 22. LE edema. RA oxygen saturation 82 % 15L oxy mask only 89% BiPap will be initiated.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy
Clinical narrative: Chest CT right pleural effusion, and COVID pneumonia, CRP 22. LE edema. RA oxygen saturation 82 % 15L oxy mask only 89% BiPap will be initiated.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Myalgia, Productive cough
Clinical narrative: HPI: 85 y.o. female with a PMH of osteopenia, DM, HLD, HTN, BPPV, CVA on plavix, anemia presents with fever, myalgias, cough x 9 days. Pt states her son and sister were also sick with similar symptoms. She is COVID vaccinated. She endorses white sputum production. Denies any loss of appetite. States has felt decreased energy. Temperature was highest earlier today at 101.7. Pt states she was visiting her husband, who is currently admitted for DKA, where staff noticed that she didn't look well. Her RA O2 was noted to be at 78%, she was placed on HFNC and sent to the ED.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: HPI: 85 y.o. female with a PMH of osteopenia, DM, HLD, HTN, BPPV, CVA on plavix, anemia presents with fever, myalgias, cough x 9 days. Pt states her son and sister were also sick with similar symptoms. She is COVID vaccinated. She endorses white sputum production. Denies any loss of appetite. States has felt decreased energy. Temperature was highest earlier today at 101.7. Pt states she was visiting her husband, who is currently admitted for DKA, where staff noticed that she didn't look well. Her RA O2 was noted to be at 78%, she was placed on HFNC and sent to the ED.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: November 26th with shortness of breath.  Was COVID positive.  Her vital signs were significant for blood pressure 153/96, heart rate of 76, temperature of 36.7°, respiratory rate of 24, oxygen saturation of 74% on room air required 4 L of oxygen to maintain saturation above 90%.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Pallor
Clinical narrative: Patient received pfizer covid vaccination approximately at 9:36 am on 11/30/21....approximately 15 minutes afterwards fell and felt faint.  Did not actually faint, rather had a fall and got right up.  He was slightly faint in color. I immediately had him sit and elevate legs.  Gave him a little snickers to help elevate sugar and water to help hydrate a bit.  He was fine. I asked him to sit for about another 15 minutes and be observed.  Front end associate, during this time that I was helping and assisting the patient, was contacting the paramedics to come.  I was busy helping the patient to make sure he was safe and ok.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Embolism arterial, Hypoaesthesia, Muscular weakness, Paraesthesia
Clinical narrative: Left arm suddenly went tingly, numb, weak.  EMT to Hospital.  Ultrasound imaging showed acute arterial embolus in left axillary and proximal brachial artery segments. Surgery to remove clot was performed within 3.5 hours of hospital admittance. Was discharged from Hospital next day (11/09/2021). Surgery site is healing.  Follow up treatment includes Warfarin blood thinner.  Determining correct dose is progressing.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral artery thrombosis, Thrombectomy, Ultrasound Doppler abnormal
Clinical narrative: Left arm suddenly went tingly, numb, weak.  EMT to Hospital.  Ultrasound imaging showed acute arterial embolus in left axillary and proximal brachial artery segments. Surgery to remove clot was performed within 3.5 hours of hospital admittance. Was discharged from Hospital next day (11/09/2021). Surgery site is healing.  Follow up treatment includes Warfarin blood thinner.  Determining correct dose is progressing.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Constipation, Fatigue, Hypertension, Proctalgia
Clinical narrative: rectal cancer s/p chemotherapy and radiation presenting with rectal pain and constipation.  On arrival, patient is mildly hypertensive but otherwise vitals are stable.  On exam, patient appears fatigued.  Immunocompromised Consulted ID regarding patient's immunocompromised state and new Covid diagnosis. They have recommended providing monoclonial antibodies, which have been ordered.
Age: 34.0
Sex: F
Vaccine: MMR
Symptoms: Dysphagia, Fatigue, Malaise, Pharyngeal swelling, Throat irritation
Clinical narrative: Around 7 pm I started to develop a scratchy throat that started to make it difficult to swallow and this led to subsequent swelling in the back of the throat. This continued overnight until morning when I took some Benadryl on top of my routine Xyzal that I take daily and that's when I started to notice some relief. I felt profound malaise and fatigue that is still lingering through the day today.  I reached out to my MD in the morning and I scheduled an appointment to be seen today.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cerebral infarction, Intensive care
Clinical narrative: admitted to the neurological ICU with R MCA territory infarct and was found to have COVID pneumonia
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination abnormal, Optic ischaemic neuropathy
Clinical narrative: I had a eye stroke in my right eye
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: evaluation and management of symptomatic COVID-19 infection with acute hypoxic respiratory failure.  Symptom onset occurred on 11/24/21 with positive SARS-CoV-2 testing on 11/24/21.  He had not been in contact with known COVID-19 positive individual(s) prior to being hospitalized.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Acute respiratory failure, Asthenia, C-reactive protein increased, COVID-19
Clinical narrative: Patient is a 71 yof who reported to the ED and stated she had been experiencing cough and shortness of breath for the past 8 days, with home COVID-19 test resulting positive 5 days ago.  Per report, the patient arrived to the ED on non-rebreather via EMS with associated oxygen saturation of 97%. She has been maintaining oxygen saturations above 95% on 4L NC and consistently hemodynamically stable and mildly febrile with T. Max 100.1F.  Constitutional: Positive for activity change, appetite change, fatigue and fever. Negative for chills and unexpected weight change.  HENT: Negative for ear pain, hearing loss, sinus pressure, sore throat and trouble swallowing.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea, nausea and vomiting.  Acute hypoxic respiratory failure due to low risk PE and COVID-19 pneumonia, causing deconditioning and weakness, improving - Pt initially presented with shortness of breath and hypoxia, initially thought to be secondary to COVID-19 pneumonia - Completed 5 day course of remdesivir on 11/20 and 10-day course of dexamethasone on 11/25 - CRP has been trending down, yet pt's hypoxia continued to get worse, prompting CT chest w/ contrast 11/24-- showed bilateral central, segmental, and subsegmental pulmonary emboli with large embolism lodged at the bifurcation of the interlobar pulmonary artery. No CT evidence of right heart strain, troponin <100, HR <110, SBP >90 hence classified as low-risk  PLAN - On day of discharge, the pt has been stable for more than 72 hours with oxygen requirements decreasing gradually from 5LPM to 2LPM - She denies shortness of breath and chest pain  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Computerised tomogram normal, Computerised tomogram thorax abnormal, Cough, Decreased appetite
Clinical narrative: Patient is a 71 yof who reported to the ED and stated she had been experiencing cough and shortness of breath for the past 8 days, with home COVID-19 test resulting positive 5 days ago.  Per report, the patient arrived to the ED on non-rebreather via EMS with associated oxygen saturation of 97%. She has been maintaining oxygen saturations above 95% on 4L NC and consistently hemodynamically stable and mildly febrile with T. Max 100.1F.  Constitutional: Positive for activity change, appetite change, fatigue and fever. Negative for chills and unexpected weight change.  HENT: Negative for ear pain, hearing loss, sinus pressure, sore throat and trouble swallowing.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea, nausea and vomiting.  Acute hypoxic respiratory failure due to low risk PE and COVID-19 pneumonia, causing deconditioning and weakness, improving - Pt initially presented with shortness of breath and hypoxia, initially thought to be secondary to COVID-19 pneumonia - Completed 5 day course of remdesivir on 11/20 and 10-day course of dexamethasone on 11/25 - CRP has been trending down, yet pt's hypoxia continued to get worse, prompting CT chest w/ contrast 11/24-- showed bilateral central, segmental, and subsegmental pulmonary emboli with large embolism lodged at the bifurcation of the interlobar pulmonary artery. No CT evidence of right heart strain, troponin <100, HR <110, SBP >90 hence classified as low-risk  PLAN - On day of discharge, the pt has been stable for more than 72 hours with oxygen requirements decreasing gradually from 5LPM to 2LPM - She denies shortness of breath and chest pain  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Fatigue, Nausea, Physical deconditioning
Clinical narrative: Patient is a 71 yof who reported to the ED and stated she had been experiencing cough and shortness of breath for the past 8 days, with home COVID-19 test resulting positive 5 days ago.  Per report, the patient arrived to the ED on non-rebreather via EMS with associated oxygen saturation of 97%. She has been maintaining oxygen saturations above 95% on 4L NC and consistently hemodynamically stable and mildly febrile with T. Max 100.1F.  Constitutional: Positive for activity change, appetite change, fatigue and fever. Negative for chills and unexpected weight change.  HENT: Negative for ear pain, hearing loss, sinus pressure, sore throat and trouble swallowing.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea, nausea and vomiting.  Acute hypoxic respiratory failure due to low risk PE and COVID-19 pneumonia, causing deconditioning and weakness, improving - Pt initially presented with shortness of breath and hypoxia, initially thought to be secondary to COVID-19 pneumonia - Completed 5 day course of remdesivir on 11/20 and 10-day course of dexamethasone on 11/25 - CRP has been trending down, yet pt's hypoxia continued to get worse, prompting CT chest w/ contrast 11/24-- showed bilateral central, segmental, and subsegmental pulmonary emboli with large embolism lodged at the bifurcation of the interlobar pulmonary artery. No CT evidence of right heart strain, troponin <100, HR <110, SBP >90 hence classified as low-risk  PLAN - On day of discharge, the pt has been stable for more than 72 hours with oxygen requirements decreasing gradually from 5LPM to 2LPM - She denies shortness of breath and chest pain  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Pyrexia, SARS-CoV-2 test positive, Scan with contrast abnormal, Troponin
Clinical narrative: Patient is a 71 yof who reported to the ED and stated she had been experiencing cough and shortness of breath for the past 8 days, with home COVID-19 test resulting positive 5 days ago.  Per report, the patient arrived to the ED on non-rebreather via EMS with associated oxygen saturation of 97%. She has been maintaining oxygen saturations above 95% on 4L NC and consistently hemodynamically stable and mildly febrile with T. Max 100.1F.  Constitutional: Positive for activity change, appetite change, fatigue and fever. Negative for chills and unexpected weight change.  HENT: Negative for ear pain, hearing loss, sinus pressure, sore throat and trouble swallowing.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea, nausea and vomiting.  Acute hypoxic respiratory failure due to low risk PE and COVID-19 pneumonia, causing deconditioning and weakness, improving - Pt initially presented with shortness of breath and hypoxia, initially thought to be secondary to COVID-19 pneumonia - Completed 5 day course of remdesivir on 11/20 and 10-day course of dexamethasone on 11/25 - CRP has been trending down, yet pt's hypoxia continued to get worse, prompting CT chest w/ contrast 11/24-- showed bilateral central, segmental, and subsegmental pulmonary emboli with large embolism lodged at the bifurcation of the interlobar pulmonary artery. No CT evidence of right heart strain, troponin <100, HR <110, SBP >90 hence classified as low-risk  PLAN - On day of discharge, the pt has been stable for more than 72 hours with oxygen requirements decreasing gradually from 5LPM to 2LPM - She denies shortness of breath and chest pain  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Patient is a 71 yof who reported to the ED and stated she had been experiencing cough and shortness of breath for the past 8 days, with home COVID-19 test resulting positive 5 days ago.  Per report, the patient arrived to the ED on non-rebreather via EMS with associated oxygen saturation of 97%. She has been maintaining oxygen saturations above 95% on 4L NC and consistently hemodynamically stable and mildly febrile with T. Max 100.1F.  Constitutional: Positive for activity change, appetite change, fatigue and fever. Negative for chills and unexpected weight change.  HENT: Negative for ear pain, hearing loss, sinus pressure, sore throat and trouble swallowing.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Positive for diarrhea, nausea and vomiting.  Acute hypoxic respiratory failure due to low risk PE and COVID-19 pneumonia, causing deconditioning and weakness, improving - Pt initially presented with shortness of breath and hypoxia, initially thought to be secondary to COVID-19 pneumonia - Completed 5 day course of remdesivir on 11/20 and 10-day course of dexamethasone on 11/25 - CRP has been trending down, yet pt's hypoxia continued to get worse, prompting CT chest w/ contrast 11/24-- showed bilateral central, segmental, and subsegmental pulmonary emboli with large embolism lodged at the bifurcation of the interlobar pulmonary artery. No CT evidence of right heart strain, troponin <100, HR <110, SBP >90 hence classified as low-risk  PLAN - On day of discharge, the pt has been stable for more than 72 hours with oxygen requirements decreasing gradually from 5LPM to 2LPM - She denies shortness of breath and chest pain  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, COVID-19 pneumonia, Chronic kidney disease, Condition aggravated
Clinical narrative: Hospitalized 11/18/2021; COVID-10 positive 11/18/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 11/18/2021 Discharge Date: Nov 23, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] AKI on CKD 3a   HOSPITAL COURSE: Patient is a 90-year-old woman with history of hypertension, hyperlipidemia and type 2 diabetes with vaccinated with Moderna in February/March this year but has not received a booster shot who present with a 2-3 days of severe body aches, fevers, cough and diarrhea.  She was found to be COVID-19 positive.  Patient was hypoxemic at 86% on room air and was placed on 2 L of oxygen.  Patient was admitted for COVID-19 pneumonia was placed on IV Decadron and remdesivir. She improved with a supportive treatment.   Patient was also found to have mild Aki likely prerenal in setting of GI lost and use of losartan and MAaxzide.  This medications were held and she was status post gentle IV fluid resuscitation which resulted the improving renal function but never back to her previous baseline of last year. I suspect this is likely her current baseline. She will need a follow up BMP in 3 days.   Patient was discharged in stable condition.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Hypoxia, Pain, Pyrexia
Clinical narrative: Hospitalized 11/18/2021; COVID-10 positive 11/18/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 11/18/2021 Discharge Date: Nov 23, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] AKI on CKD 3a   HOSPITAL COURSE: Patient is a 90-year-old woman with history of hypertension, hyperlipidemia and type 2 diabetes with vaccinated with Moderna in February/March this year but has not received a booster shot who present with a 2-3 days of severe body aches, fevers, cough and diarrhea.  She was found to be COVID-19 positive.  Patient was hypoxemic at 86% on room air and was placed on 2 L of oxygen.  Patient was admitted for COVID-19 pneumonia was placed on IV Decadron and remdesivir. She improved with a supportive treatment.   Patient was also found to have mild Aki likely prerenal in setting of GI lost and use of losartan and MAaxzide.  This medications were held and she was status post gentle IV fluid resuscitation which resulted the improving renal function but never back to her previous baseline of last year. I suspect this is likely her current baseline. She will need a follow up BMP in 3 days.   Patient was discharged in stable condition.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Hospitalized 11/18/2021; COVID-10 positive 11/18/2021; fully vaccinated  BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 11/18/2021 Discharge Date: Nov 23, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] AKI on CKD 3a   HOSPITAL COURSE: Patient is a 90-year-old woman with history of hypertension, hyperlipidemia and type 2 diabetes with vaccinated with Moderna in February/March this year but has not received a booster shot who present with a 2-3 days of severe body aches, fevers, cough and diarrhea.  She was found to be COVID-19 positive.  Patient was hypoxemic at 86% on room air and was placed on 2 L of oxygen.  Patient was admitted for COVID-19 pneumonia was placed on IV Decadron and remdesivir. She improved with a supportive treatment.   Patient was also found to have mild Aki likely prerenal in setting of GI lost and use of losartan and MAaxzide.  This medications were held and she was status post gentle IV fluid resuscitation which resulted the improving renal function but never back to her previous baseline of last year. I suspect this is likely her current baseline. She will need a follow up BMP in 3 days.   Patient was discharged in stable condition.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chills, Cough, Decreased appetite
Clinical narrative: fever of 103.6 for two days, chills, sweats, convulsions, intense headache, weak, no apatite for two days, intense kidney pain for four days, cough, runny nose
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Pyrexia, Renal pain, Rhinorrhoea
Clinical narrative: fever of 103.6 for two days, chills, sweats, convulsions, intense headache, weak, no apatite for two days, intense kidney pain for four days, cough, runny nose
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Urine analysis
Clinical narrative: fever of 103.6 for two days, chills, sweats, convulsions, intense headache, weak, no apatite for two days, intense kidney pain for four days, cough, runny nose
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 45 year old male with history of sleep apnea,  COVID positive past few days  with worsening SOB over past few days. Pt with O2 sats mid 80's on RA. CTA no PE. Pt requiring 4L O2, and no beds available locally.