chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Blood creatine phosphokinase increased, Blood gases normal, Blood test
Clinical narrative: Pfizer Dose 1 2/8/21 (EL1283) Pfizer Dose 2 3/2/21 (EN6203) Pfizer Dose 3 10/4/21 (lot NA) COVID Positive 1/27/22  1/27/22: Patient is a 79-year-old male with past medical history of advanced Parkinson's disease with intermittent hallucinations, history of frequent falls, hypertension presented to the emergency department for multiple falls. Patient is a poor historian history primarily obtained from ED provider sign-out on chart review.  Reportedly wife is caretaker patient at home has had Parkinson's for 19 years and over the last 3 years has had increased confusion/hallucinations.  Reportedly had close contact/exposure with possible COVID-19 positive case earlier this week and was noted over last 3 days patient was more restless had not slept as well, had multiple falls this week.  Has had history of reported "brain bleed" reportedly was seen restless and writing in chair so was brought into the emergency department today for further evaluation.  Blood work demonstrated no significant abnormality in Chem panel, mild CK elevation blood gases without acute derangement, no significant leukocytosis or anemia, UA with elevated spec graft.  D-dimer was elevated and rapid COVID was positive.  CT head and CT PA were done in ED and initial results reportedly were negative. Patient was reoriented in ED and did not require any medication for agitation or confusion.  However with recurrent falls request was made to admit to medical service for further evaluation therapy evaluation and possible placement.  At bedside patient is lying comfortably in bed he is awake however cannot provide history, social history or medication history.  He denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain.  Family history could not be obtained.  2/9/22: Pt w severe Parkinson's disease presented with delirium, acute hypoxic respiratory failure secondary to COVID-19 pneumonitis and aspiration pneumonia.  Pt condition continued to decline and family elected hospice, patient remained in the hospital due to poor condition he remains in the hospital until he passed away in February 9th at 00:20.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram head normal, Death, Delirium
Clinical narrative: Pfizer Dose 1 2/8/21 (EL1283) Pfizer Dose 2 3/2/21 (EN6203) Pfizer Dose 3 10/4/21 (lot NA) COVID Positive 1/27/22  1/27/22: Patient is a 79-year-old male with past medical history of advanced Parkinson's disease with intermittent hallucinations, history of frequent falls, hypertension presented to the emergency department for multiple falls. Patient is a poor historian history primarily obtained from ED provider sign-out on chart review.  Reportedly wife is caretaker patient at home has had Parkinson's for 19 years and over the last 3 years has had increased confusion/hallucinations.  Reportedly had close contact/exposure with possible COVID-19 positive case earlier this week and was noted over last 3 days patient was more restless had not slept as well, had multiple falls this week.  Has had history of reported "brain bleed" reportedly was seen restless and writing in chair so was brought into the emergency department today for further evaluation.  Blood work demonstrated no significant abnormality in Chem panel, mild CK elevation blood gases without acute derangement, no significant leukocytosis or anemia, UA with elevated spec graft.  D-dimer was elevated and rapid COVID was positive.  CT head and CT PA were done in ED and initial results reportedly were negative. Patient was reoriented in ED and did not require any medication for agitation or confusion.  However with recurrent falls request was made to admit to medical service for further evaluation therapy evaluation and possible placement.  At bedside patient is lying comfortably in bed he is awake however cannot provide history, social history or medication history.  He denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain.  Family history could not be obtained.  2/9/22: Pt w severe Parkinson's disease presented with delirium, acute hypoxic respiratory failure secondary to COVID-19 pneumonitis and aspiration pneumonia.  Pt condition continued to decline and family elected hospice, patient remained in the hospital due to poor condition he remains in the hospital until he passed away in February 9th at 00:20.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Exposure to SARS-CoV-2, Fall, Fibrin D dimer increased, General physical health deterioration
Clinical narrative: Pfizer Dose 1 2/8/21 (EL1283) Pfizer Dose 2 3/2/21 (EN6203) Pfizer Dose 3 10/4/21 (lot NA) COVID Positive 1/27/22  1/27/22: Patient is a 79-year-old male with past medical history of advanced Parkinson's disease with intermittent hallucinations, history of frequent falls, hypertension presented to the emergency department for multiple falls. Patient is a poor historian history primarily obtained from ED provider sign-out on chart review.  Reportedly wife is caretaker patient at home has had Parkinson's for 19 years and over the last 3 years has had increased confusion/hallucinations.  Reportedly had close contact/exposure with possible COVID-19 positive case earlier this week and was noted over last 3 days patient was more restless had not slept as well, had multiple falls this week.  Has had history of reported "brain bleed" reportedly was seen restless and writing in chair so was brought into the emergency department today for further evaluation.  Blood work demonstrated no significant abnormality in Chem panel, mild CK elevation blood gases without acute derangement, no significant leukocytosis or anemia, UA with elevated spec graft.  D-dimer was elevated and rapid COVID was positive.  CT head and CT PA were done in ED and initial results reportedly were negative. Patient was reoriented in ED and did not require any medication for agitation or confusion.  However with recurrent falls request was made to admit to medical service for further evaluation therapy evaluation and possible placement.  At bedside patient is lying comfortably in bed he is awake however cannot provide history, social history or medication history.  He denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain.  Family history could not be obtained.  2/9/22: Pt w severe Parkinson's disease presented with delirium, acute hypoxic respiratory failure secondary to COVID-19 pneumonitis and aspiration pneumonia.  Pt condition continued to decline and family elected hospice, patient remained in the hospital due to poor condition he remains in the hospital until he passed away in February 9th at 00:20.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Laboratory test normal, Pneumonia aspiration, Poor quality sleep, Restlessness
Clinical narrative: Pfizer Dose 1 2/8/21 (EL1283) Pfizer Dose 2 3/2/21 (EN6203) Pfizer Dose 3 10/4/21 (lot NA) COVID Positive 1/27/22  1/27/22: Patient is a 79-year-old male with past medical history of advanced Parkinson's disease with intermittent hallucinations, history of frequent falls, hypertension presented to the emergency department for multiple falls. Patient is a poor historian history primarily obtained from ED provider sign-out on chart review.  Reportedly wife is caretaker patient at home has had Parkinson's for 19 years and over the last 3 years has had increased confusion/hallucinations.  Reportedly had close contact/exposure with possible COVID-19 positive case earlier this week and was noted over last 3 days patient was more restless had not slept as well, had multiple falls this week.  Has had history of reported "brain bleed" reportedly was seen restless and writing in chair so was brought into the emergency department today for further evaluation.  Blood work demonstrated no significant abnormality in Chem panel, mild CK elevation blood gases without acute derangement, no significant leukocytosis or anemia, UA with elevated spec graft.  D-dimer was elevated and rapid COVID was positive.  CT head and CT PA were done in ED and initial results reportedly were negative. Patient was reoriented in ED and did not require any medication for agitation or confusion.  However with recurrent falls request was made to admit to medical service for further evaluation therapy evaluation and possible placement.  At bedside patient is lying comfortably in bed he is awake however cannot provide history, social history or medication history.  He denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain.  Family history could not be obtained.  2/9/22: Pt w severe Parkinson's disease presented with delirium, acute hypoxic respiratory failure secondary to COVID-19 pneumonitis and aspiration pneumonia.  Pt condition continued to decline and family elected hospice, patient remained in the hospital due to poor condition he remains in the hospital until he passed away in February 9th at 00:20.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Specific gravity urine increased, Urine analysis
Clinical narrative: Pfizer Dose 1 2/8/21 (EL1283) Pfizer Dose 2 3/2/21 (EN6203) Pfizer Dose 3 10/4/21 (lot NA) COVID Positive 1/27/22  1/27/22: Patient is a 79-year-old male with past medical history of advanced Parkinson's disease with intermittent hallucinations, history of frequent falls, hypertension presented to the emergency department for multiple falls. Patient is a poor historian history primarily obtained from ED provider sign-out on chart review.  Reportedly wife is caretaker patient at home has had Parkinson's for 19 years and over the last 3 years has had increased confusion/hallucinations.  Reportedly had close contact/exposure with possible COVID-19 positive case earlier this week and was noted over last 3 days patient was more restless had not slept as well, had multiple falls this week.  Has had history of reported "brain bleed" reportedly was seen restless and writing in chair so was brought into the emergency department today for further evaluation.  Blood work demonstrated no significant abnormality in Chem panel, mild CK elevation blood gases without acute derangement, no significant leukocytosis or anemia, UA with elevated spec graft.  D-dimer was elevated and rapid COVID was positive.  CT head and CT PA were done in ED and initial results reportedly were negative. Patient was reoriented in ED and did not require any medication for agitation or confusion.  However with recurrent falls request was made to admit to medical service for further evaluation therapy evaluation and possible placement.  At bedside patient is lying comfortably in bed he is awake however cannot provide history, social history or medication history.  He denies any lightheadedness, dizziness, chills, fever, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain.  Family history could not be obtained.  2/9/22: Pt w severe Parkinson's disease presented with delirium, acute hypoxic respiratory failure secondary to COVID-19 pneumonitis and aspiration pneumonia.  Pt condition continued to decline and family elected hospice, patient remained in the hospital due to poor condition he remains in the hospital until he passed away in February 9th at 00:20.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: Three months after getting 4th dose of Pfizer, developed COVID-19. Took home test. Breakthrough.
Age: 66.0
Sex: F
Vaccine: PPV, TDAP, VARZOS
Symptoms: Expired product administered
Clinical narrative: vaccine was expired
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 6/23/2022 Administration Error/Adult Does given instead of a child does.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Abstains from alcohol, Abstains from recreational drugs, Asthenia, Blood albumin decreased, Blood creatinine increased
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) Pfizer Dose 3 10/20/21 (ff2593) COVID Positive 2/14/22  2/14/22: Patient patient is an 84-year-old male with past medical history significant for type 2 diabetes, COPD, hypertension, CKD stage 3, CAD s/p stent placement, pulmonary mycobacterium avium complex infection, and right upper lobe pulmonary nodule.  The patient presents to the ED via EMS from home today with complaints of weakness that has been ongoing for the last several weeks with worsening symptoms over the last week.  The patient states he has been suffering from frequent falls at home with minor injuries such as bruising and abrasions.  The patient also complains of shortness of breath, productive cough, fatigue, and body aches that has been ongoing for one week. He denies any known ill contacts.  The patient states he has been experiencing frequent falling at home especially with change in position. He states he becomes dizzy and feels as if he is going to pass out when he falls. He denies losing consciousness or hitting his head. He is not on any anticoagulation.  He is vaccinated and boosted against COVID-19 infection. He denies any alcohol abuse, illicit drug abuse or tobacco use.   Upon arrival to the ED the patient's temperature is 100.0, heart rate is 82, respirations 20, pulse ox 91% on room air, blood pressure 124/63.  Patient had an episode of desaturation to 89% and was subsequently placed on 2 liters oxygen via NC to maintain O2 saturations greater than 90%. Chest X-Ray reveals no acute cardiopulmonary process. CT chest reveals no pulmonary emboli, right lower lobe pneumonia stable when compared to prior CT, emphysema, 2 CM right upper lobe spiculated mass with hilar and mediastinal adenopathy, unchanged.  Patient's laboratory findings are significant for potassium 6.3, 5.3, glucose 152, BUN 30, creatinine 1.71, albumin 3.3, ESR 29, d-dimer 3.30, CRP 1.90.  Patient tested positive for COVID-19 infection in ED.  Blood cultures were obtained x2. Patient received 1 gm PO tylenol, duoneb x1, levaquin 750 mg IV, solu-medrol 125 mg IV, kayexelate 15 gm, and 2 liters IV normal saline in ED.  2/17/22: Pt was admited and given iv abx, iv steroids with subsequent improvement and resolution of hypoxia  He is to undergo O2 walk test prior to discharge  Echocardiogram noted HFrEF. Pt notified and will f/u with cardiologist  Pt is aware of lung mass and the importance to f/u with Dr. was stressed  Pt voiced readiness for discharge. He is discharged in stable conditions  Total time spent on d/c 45 min
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Blood glucose normal, Blood potassium increased, Blood urea increased, C-reactive protein increased
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) Pfizer Dose 3 10/20/21 (ff2593) COVID Positive 2/14/22  2/14/22: Patient patient is an 84-year-old male with past medical history significant for type 2 diabetes, COPD, hypertension, CKD stage 3, CAD s/p stent placement, pulmonary mycobacterium avium complex infection, and right upper lobe pulmonary nodule.  The patient presents to the ED via EMS from home today with complaints of weakness that has been ongoing for the last several weeks with worsening symptoms over the last week.  The patient states he has been suffering from frequent falls at home with minor injuries such as bruising and abrasions.  The patient also complains of shortness of breath, productive cough, fatigue, and body aches that has been ongoing for one week. He denies any known ill contacts.  The patient states he has been experiencing frequent falling at home especially with change in position. He states he becomes dizzy and feels as if he is going to pass out when he falls. He denies losing consciousness or hitting his head. He is not on any anticoagulation.  He is vaccinated and boosted against COVID-19 infection. He denies any alcohol abuse, illicit drug abuse or tobacco use.   Upon arrival to the ED the patient's temperature is 100.0, heart rate is 82, respirations 20, pulse ox 91% on room air, blood pressure 124/63.  Patient had an episode of desaturation to 89% and was subsequently placed on 2 liters oxygen via NC to maintain O2 saturations greater than 90%. Chest X-Ray reveals no acute cardiopulmonary process. CT chest reveals no pulmonary emboli, right lower lobe pneumonia stable when compared to prior CT, emphysema, 2 CM right upper lobe spiculated mass with hilar and mediastinal adenopathy, unchanged.  Patient's laboratory findings are significant for potassium 6.3, 5.3, glucose 152, BUN 30, creatinine 1.71, albumin 3.3, ESR 29, d-dimer 3.30, CRP 1.90.  Patient tested positive for COVID-19 infection in ED.  Blood cultures were obtained x2. Patient received 1 gm PO tylenol, duoneb x1, levaquin 750 mg IV, solu-medrol 125 mg IV, kayexelate 15 gm, and 2 liters IV normal saline in ED.  2/17/22: Pt was admited and given iv abx, iv steroids with subsequent improvement and resolution of hypoxia  He is to undergo O2 walk test prior to discharge  Echocardiogram noted HFrEF. Pt notified and will f/u with cardiologist  Pt is aware of lung mass and the importance to f/u with Dr. was stressed  Pt voiced readiness for discharge. He is discharged in stable conditions  Total time spent on d/c 45 min
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Contusion
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) Pfizer Dose 3 10/20/21 (ff2593) COVID Positive 2/14/22  2/14/22: Patient patient is an 84-year-old male with past medical history significant for type 2 diabetes, COPD, hypertension, CKD stage 3, CAD s/p stent placement, pulmonary mycobacterium avium complex infection, and right upper lobe pulmonary nodule.  The patient presents to the ED via EMS from home today with complaints of weakness that has been ongoing for the last several weeks with worsening symptoms over the last week.  The patient states he has been suffering from frequent falls at home with minor injuries such as bruising and abrasions.  The patient also complains of shortness of breath, productive cough, fatigue, and body aches that has been ongoing for one week. He denies any known ill contacts.  The patient states he has been experiencing frequent falling at home especially with change in position. He states he becomes dizzy and feels as if he is going to pass out when he falls. He denies losing consciousness or hitting his head. He is not on any anticoagulation.  He is vaccinated and boosted against COVID-19 infection. He denies any alcohol abuse, illicit drug abuse or tobacco use.   Upon arrival to the ED the patient's temperature is 100.0, heart rate is 82, respirations 20, pulse ox 91% on room air, blood pressure 124/63.  Patient had an episode of desaturation to 89% and was subsequently placed on 2 liters oxygen via NC to maintain O2 saturations greater than 90%. Chest X-Ray reveals no acute cardiopulmonary process. CT chest reveals no pulmonary emboli, right lower lobe pneumonia stable when compared to prior CT, emphysema, 2 CM right upper lobe spiculated mass with hilar and mediastinal adenopathy, unchanged.  Patient's laboratory findings are significant for potassium 6.3, 5.3, glucose 152, BUN 30, creatinine 1.71, albumin 3.3, ESR 29, d-dimer 3.30, CRP 1.90.  Patient tested positive for COVID-19 infection in ED.  Blood cultures were obtained x2. Patient received 1 gm PO tylenol, duoneb x1, levaquin 750 mg IV, solu-medrol 125 mg IV, kayexelate 15 gm, and 2 liters IV normal saline in ED.  2/17/22: Pt was admited and given iv abx, iv steroids with subsequent improvement and resolution of hypoxia  He is to undergo O2 walk test prior to discharge  Echocardiogram noted HFrEF. Pt notified and will f/u with cardiologist  Pt is aware of lung mass and the importance to f/u with Dr. was stressed  Pt voiced readiness for discharge. He is discharged in stable conditions  Total time spent on d/c 45 min
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Echocardiogram abnormal, Emphysema, Fall
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) Pfizer Dose 3 10/20/21 (ff2593) COVID Positive 2/14/22  2/14/22: Patient patient is an 84-year-old male with past medical history significant for type 2 diabetes, COPD, hypertension, CKD stage 3, CAD s/p stent placement, pulmonary mycobacterium avium complex infection, and right upper lobe pulmonary nodule.  The patient presents to the ED via EMS from home today with complaints of weakness that has been ongoing for the last several weeks with worsening symptoms over the last week.  The patient states he has been suffering from frequent falls at home with minor injuries such as bruising and abrasions.  The patient also complains of shortness of breath, productive cough, fatigue, and body aches that has been ongoing for one week. He denies any known ill contacts.  The patient states he has been experiencing frequent falling at home especially with change in position. He states he becomes dizzy and feels as if he is going to pass out when he falls. He denies losing consciousness or hitting his head. He is not on any anticoagulation.  He is vaccinated and boosted against COVID-19 infection. He denies any alcohol abuse, illicit drug abuse or tobacco use.   Upon arrival to the ED the patient's temperature is 100.0, heart rate is 82, respirations 20, pulse ox 91% on room air, blood pressure 124/63.  Patient had an episode of desaturation to 89% and was subsequently placed on 2 liters oxygen via NC to maintain O2 saturations greater than 90%. Chest X-Ray reveals no acute cardiopulmonary process. CT chest reveals no pulmonary emboli, right lower lobe pneumonia stable when compared to prior CT, emphysema, 2 CM right upper lobe spiculated mass with hilar and mediastinal adenopathy, unchanged.  Patient's laboratory findings are significant for potassium 6.3, 5.3, glucose 152, BUN 30, creatinine 1.71, albumin 3.3, ESR 29, d-dimer 3.30, CRP 1.90.  Patient tested positive for COVID-19 infection in ED.  Blood cultures were obtained x2. Patient received 1 gm PO tylenol, duoneb x1, levaquin 750 mg IV, solu-medrol 125 mg IV, kayexelate 15 gm, and 2 liters IV normal saline in ED.  2/17/22: Pt was admited and given iv abx, iv steroids with subsequent improvement and resolution of hypoxia  He is to undergo O2 walk test prior to discharge  Echocardiogram noted HFrEF. Pt notified and will f/u with cardiologist  Pt is aware of lung mass and the importance to f/u with Dr. was stressed  Pt voiced readiness for discharge. He is discharged in stable conditions  Total time spent on d/c 45 min
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer, Hilar lymphadenopathy, Hypoxia, Inappropriate schedule of product administration
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) Pfizer Dose 3 10/20/21 (ff2593) COVID Positive 2/14/22  2/14/22: Patient patient is an 84-year-old male with past medical history significant for type 2 diabetes, COPD, hypertension, CKD stage 3, CAD s/p stent placement, pulmonary mycobacterium avium complex infection, and right upper lobe pulmonary nodule.  The patient presents to the ED via EMS from home today with complaints of weakness that has been ongoing for the last several weeks with worsening symptoms over the last week.  The patient states he has been suffering from frequent falls at home with minor injuries such as bruising and abrasions.  The patient also complains of shortness of breath, productive cough, fatigue, and body aches that has been ongoing for one week. He denies any known ill contacts.  The patient states he has been experiencing frequent falling at home especially with change in position. He states he becomes dizzy and feels as if he is going to pass out when he falls. He denies losing consciousness or hitting his head. He is not on any anticoagulation.  He is vaccinated and boosted against COVID-19 infection. He denies any alcohol abuse, illicit drug abuse or tobacco use.   Upon arrival to the ED the patient's temperature is 100.0, heart rate is 82, respirations 20, pulse ox 91% on room air, blood pressure 124/63.  Patient had an episode of desaturation to 89% and was subsequently placed on 2 liters oxygen via NC to maintain O2 saturations greater than 90%. Chest X-Ray reveals no acute cardiopulmonary process. CT chest reveals no pulmonary emboli, right lower lobe pneumonia stable when compared to prior CT, emphysema, 2 CM right upper lobe spiculated mass with hilar and mediastinal adenopathy, unchanged.  Patient's laboratory findings are significant for potassium 6.3, 5.3, glucose 152, BUN 30, creatinine 1.71, albumin 3.3, ESR 29, d-dimer 3.30, CRP 1.90.  Patient tested positive for COVID-19 infection in ED.  Blood cultures were obtained x2. Patient received 1 gm PO tylenol, duoneb x1, levaquin 750 mg IV, solu-medrol 125 mg IV, kayexelate 15 gm, and 2 liters IV normal saline in ED.  2/17/22: Pt was admited and given iv abx, iv steroids with subsequent improvement and resolution of hypoxia  He is to undergo O2 walk test prior to discharge  Echocardiogram noted HFrEF. Pt notified and will f/u with cardiologist  Pt is aware of lung mass and the importance to f/u with Dr. was stressed  Pt voiced readiness for discharge. He is discharged in stable conditions  Total time spent on d/c 45 min
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy mediastinal, Oxygen saturation decreased, Pain, Pneumonia, Productive cough
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) Pfizer Dose 3 10/20/21 (ff2593) COVID Positive 2/14/22  2/14/22: Patient patient is an 84-year-old male with past medical history significant for type 2 diabetes, COPD, hypertension, CKD stage 3, CAD s/p stent placement, pulmonary mycobacterium avium complex infection, and right upper lobe pulmonary nodule.  The patient presents to the ED via EMS from home today with complaints of weakness that has been ongoing for the last several weeks with worsening symptoms over the last week.  The patient states he has been suffering from frequent falls at home with minor injuries such as bruising and abrasions.  The patient also complains of shortness of breath, productive cough, fatigue, and body aches that has been ongoing for one week. He denies any known ill contacts.  The patient states he has been experiencing frequent falling at home especially with change in position. He states he becomes dizzy and feels as if he is going to pass out when he falls. He denies losing consciousness or hitting his head. He is not on any anticoagulation.  He is vaccinated and boosted against COVID-19 infection. He denies any alcohol abuse, illicit drug abuse or tobacco use.   Upon arrival to the ED the patient's temperature is 100.0, heart rate is 82, respirations 20, pulse ox 91% on room air, blood pressure 124/63.  Patient had an episode of desaturation to 89% and was subsequently placed on 2 liters oxygen via NC to maintain O2 saturations greater than 90%. Chest X-Ray reveals no acute cardiopulmonary process. CT chest reveals no pulmonary emboli, right lower lobe pneumonia stable when compared to prior CT, emphysema, 2 CM right upper lobe spiculated mass with hilar and mediastinal adenopathy, unchanged.  Patient's laboratory findings are significant for potassium 6.3, 5.3, glucose 152, BUN 30, creatinine 1.71, albumin 3.3, ESR 29, d-dimer 3.30, CRP 1.90.  Patient tested positive for COVID-19 infection in ED.  Blood cultures were obtained x2. Patient received 1 gm PO tylenol, duoneb x1, levaquin 750 mg IV, solu-medrol 125 mg IV, kayexelate 15 gm, and 2 liters IV normal saline in ED.  2/17/22: Pt was admited and given iv abx, iv steroids with subsequent improvement and resolution of hypoxia  He is to undergo O2 walk test prior to discharge  Echocardiogram noted HFrEF. Pt notified and will f/u with cardiologist  Pt is aware of lung mass and the importance to f/u with Dr. was stressed  Pt voiced readiness for discharge. He is discharged in stable conditions  Total time spent on d/c 45 min
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary mass, Red blood cell sedimentation rate increased, SARS-CoV-2 test positive, Skin abrasion, Walking distance test
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6199) Pfizer Dose 2 4/2/21 (EN6198) Pfizer Dose 3 10/20/21 (ff2593) COVID Positive 2/14/22  2/14/22: Patient patient is an 84-year-old male with past medical history significant for type 2 diabetes, COPD, hypertension, CKD stage 3, CAD s/p stent placement, pulmonary mycobacterium avium complex infection, and right upper lobe pulmonary nodule.  The patient presents to the ED via EMS from home today with complaints of weakness that has been ongoing for the last several weeks with worsening symptoms over the last week.  The patient states he has been suffering from frequent falls at home with minor injuries such as bruising and abrasions.  The patient also complains of shortness of breath, productive cough, fatigue, and body aches that has been ongoing for one week. He denies any known ill contacts.  The patient states he has been experiencing frequent falling at home especially with change in position. He states he becomes dizzy and feels as if he is going to pass out when he falls. He denies losing consciousness or hitting his head. He is not on any anticoagulation.  He is vaccinated and boosted against COVID-19 infection. He denies any alcohol abuse, illicit drug abuse or tobacco use.   Upon arrival to the ED the patient's temperature is 100.0, heart rate is 82, respirations 20, pulse ox 91% on room air, blood pressure 124/63.  Patient had an episode of desaturation to 89% and was subsequently placed on 2 liters oxygen via NC to maintain O2 saturations greater than 90%. Chest X-Ray reveals no acute cardiopulmonary process. CT chest reveals no pulmonary emboli, right lower lobe pneumonia stable when compared to prior CT, emphysema, 2 CM right upper lobe spiculated mass with hilar and mediastinal adenopathy, unchanged.  Patient's laboratory findings are significant for potassium 6.3, 5.3, glucose 152, BUN 30, creatinine 1.71, albumin 3.3, ESR 29, d-dimer 3.30, CRP 1.90.  Patient tested positive for COVID-19 infection in ED.  Blood cultures were obtained x2. Patient received 1 gm PO tylenol, duoneb x1, levaquin 750 mg IV, solu-medrol 125 mg IV, kayexelate 15 gm, and 2 liters IV normal saline in ED.  2/17/22: Pt was admited and given iv abx, iv steroids with subsequent improvement and resolution of hypoxia  He is to undergo O2 walk test prior to discharge  Echocardiogram noted HFrEF. Pt notified and will f/u with cardiologist  Pt is aware of lung mass and the importance to f/u with Dr. was stressed  Pt voiced readiness for discharge. He is discharged in stable conditions  Total time spent on d/c 45 min
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Chest X-ray normal, Computerised tomogram normal, Ear discomfort
Clinical narrative: I thought that I had allergies due to extreme sinus headache, sinus pressure and my right ear felt like it would burst. I was also tired. This went on for 3 days and I called my doctor on the 4th day to check my ear. Her assistant came out to the car and gave me a PCR COVID-19 Test which I tested positive for. They had me go home and isolate. I took Tylenol Cold and Sinus and isolated at home for the next 5 days and wore a mask for 5 days. The symptoms went away temporarily but I then developed Vertigo with Migraines. The most recent occurrence was this morning. I was prescribed medication for Vertigo but once the spinning is over I develop a migraine headache with extreme sensitivity to light. The doctor is having me chart how often it happens to determine whether I need to be on an additional medication to treat the migraines. I was driving when the Vertigo hit in the middle of a thunder storm. I had to drive 27 miles. I went to the hospital and had a CT Scan, Chest X-Ray, and a blood panel. I was given medications for the vertigo and nausea and headache. This has happened at least 3 times in the last 7 days.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Nausea, Paranasal sinus discomfort, Photophobia
Clinical narrative: I thought that I had allergies due to extreme sinus headache, sinus pressure and my right ear felt like it would burst. I was also tired. This went on for 3 days and I called my doctor on the 4th day to check my ear. Her assistant came out to the car and gave me a PCR COVID-19 Test which I tested positive for. They had me go home and isolate. I took Tylenol Cold and Sinus and isolated at home for the next 5 days and wore a mask for 5 days. The symptoms went away temporarily but I then developed Vertigo with Migraines. The most recent occurrence was this morning. I was prescribed medication for Vertigo but once the spinning is over I develop a migraine headache with extreme sensitivity to light. The doctor is having me chart how often it happens to determine whether I need to be on an additional medication to treat the migraines. I was driving when the Vertigo hit in the middle of a thunder storm. I had to drive 27 miles. I went to the hospital and had a CT Scan, Chest X-Ray, and a blood panel. I was given medications for the vertigo and nausea and headache. This has happened at least 3 times in the last 7 days.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus headache, Vertigo
Clinical narrative: I thought that I had allergies due to extreme sinus headache, sinus pressure and my right ear felt like it would burst. I was also tired. This went on for 3 days and I called my doctor on the 4th day to check my ear. Her assistant came out to the car and gave me a PCR COVID-19 Test which I tested positive for. They had me go home and isolate. I took Tylenol Cold and Sinus and isolated at home for the next 5 days and wore a mask for 5 days. The symptoms went away temporarily but I then developed Vertigo with Migraines. The most recent occurrence was this morning. I was prescribed medication for Vertigo but once the spinning is over I develop a migraine headache with extreme sensitivity to light. The doctor is having me chart how often it happens to determine whether I need to be on an additional medication to treat the migraines. I was driving when the Vertigo hit in the middle of a thunder storm. I had to drive 27 miles. I went to the hospital and had a CT Scan, Chest X-Ray, and a blood panel. I was given medications for the vertigo and nausea and headache. This has happened at least 3 times in the last 7 days.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Medical device removal
Clinical narrative: As I was giving the vaccine I put the needle in the right deltoid before I was able to push the plunger to administer the dose the patient's brother pulled out the needle from the arm before I could stop him. As a result I alerted the team lead and wasted a dose. The patient was unharmed and we were able to successfully administer another dose.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fall, Hyporesponsive to stimuli, Loss of consciousness, Pallor
Clinical narrative: Pfizer 6mo-4yo EUA, health surveillance program, and screening form reviewed with mother, no concerns. Mother requesting client to be vaccinated in vastus lateralis instead of deltoid. Issued immunization record card. Began 15 minute observation after administration. Five minutes after administration, client fell. RN observed client brace with arms and knees, did not hit head. Client slow to respond to mother calling client's name. Client stood up unassisted and mother picked up into lap, then client's eyes became unfocused, lip color paled, skin paled, and client became unresponsive. After five seconds, client spontaneously became alert and went to sit up. Mother and RN encouraged client to remain lying down. Water and graham crackers provided; client able to tolerate. Mother stated client has passed out before with vaccines; mother also admitted personal history of passing out with vaccines, blood draws, and medical procedures. Client answers questions appropriately and engaging with mother and RN. After five minutes, mother encouraged client to try sitting up. Client able to tolerate sitting up. Lip color pink and skin color returned to normal. After five minutes of sitting, mother asked client if client feels okay. Client stated feeling okay. RN escorted mother and client from clinic to private vehicle.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vision blurred
Clinical narrative: Pfizer 6mo-4yo EUA, health surveillance program, and screening form reviewed with mother, no concerns. Mother requesting client to be vaccinated in vastus lateralis instead of deltoid. Issued immunization record card. Began 15 minute observation after administration. Five minutes after administration, client fell. RN observed client brace with arms and knees, did not hit head. Client slow to respond to mother calling client's name. Client stood up unassisted and mother picked up into lap, then client's eyes became unfocused, lip color paled, skin paled, and client became unresponsive. After five seconds, client spontaneously became alert and went to sit up. Mother and RN encouraged client to remain lying down. Water and graham crackers provided; client able to tolerate. Mother stated client has passed out before with vaccines; mother also admitted personal history of passing out with vaccines, blood draws, and medical procedures. Client answers questions appropriately and engaging with mother and RN. After five minutes, mother encouraged client to try sitting up. Client able to tolerate sitting up. Lip color pink and skin color returned to normal. After five minutes of sitting, mother asked client if client feels okay. Client stated feeling okay. RN escorted mother and client from clinic to private vehicle.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chills, Diarrhoea
Clinical narrative: J&J Dose 5/15/21 (lot NA) COVID Positive 1/10/22  1/10/22: The patient is a 64 year old male with past history of hyperlipidemia, obesity, depression, and obstructive sleep apnea who was admitted with hypoxia secondary to suspected COVID-19 pneumonia.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient has a history of sleep apnea although he has not uses CPAP in some time.  He has received 2 COVID-19 vaccinations.  Started feeling poorly approximately 1 week ago.  Has had a productive cough as well as shortness of breath, fatigue, and diarrhea.  Has had some nausea but no vomiting.  He presented to the ER today and O2 saturations on room air were noted to be 79%.  He is currently on 2.5 L of oxygen. He has had some fevers and chills during the 1st part of his illness but none the last few days.  He denies any chest pain, abdominal pain.  He does not smoke or have a history of lung disease.  1/14/22: Patient is a 64-year-old male admitted to hospital for acute hypoxic respiratory failure due to COVID-19 pneumonia, patient was treated with supplemental oxygen medical therapy including antibiotic Decadron and remdesivir, as time progressed patient clinically improved. Patient will be discharged to home with supplemental oxygen 4 L at rest and 6 L with activity, Decadron and antibiotics for completion.  Patient also referred to program at home.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Feeling abnormal, Hypoxia, Illness
Clinical narrative: J&J Dose 5/15/21 (lot NA) COVID Positive 1/10/22  1/10/22: The patient is a 64 year old male with past history of hyperlipidemia, obesity, depression, and obstructive sleep apnea who was admitted with hypoxia secondary to suspected COVID-19 pneumonia.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient has a history of sleep apnea although he has not uses CPAP in some time.  He has received 2 COVID-19 vaccinations.  Started feeling poorly approximately 1 week ago.  Has had a productive cough as well as shortness of breath, fatigue, and diarrhea.  Has had some nausea but no vomiting.  He presented to the ER today and O2 saturations on room air were noted to be 79%.  He is currently on 2.5 L of oxygen. He has had some fevers and chills during the 1st part of his illness but none the last few days.  He denies any chest pain, abdominal pain.  He does not smoke or have a history of lung disease.  1/14/22: Patient is a 64-year-old male admitted to hospital for acute hypoxic respiratory failure due to COVID-19 pneumonia, patient was treated with supplemental oxygen medical therapy including antibiotic Decadron and remdesivir, as time progressed patient clinically improved. Patient will be discharged to home with supplemental oxygen 4 L at rest and 6 L with activity, Decadron and antibiotics for completion.  Patient also referred to program at home.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Productive cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: J&J Dose 5/15/21 (lot NA) COVID Positive 1/10/22  1/10/22: The patient is a 64 year old male with past history of hyperlipidemia, obesity, depression, and obstructive sleep apnea who was admitted with hypoxia secondary to suspected COVID-19 pneumonia.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient has a history of sleep apnea although he has not uses CPAP in some time.  He has received 2 COVID-19 vaccinations.  Started feeling poorly approximately 1 week ago.  Has had a productive cough as well as shortness of breath, fatigue, and diarrhea.  Has had some nausea but no vomiting.  He presented to the ER today and O2 saturations on room air were noted to be 79%.  He is currently on 2.5 L of oxygen. He has had some fevers and chills during the 1st part of his illness but none the last few days.  He denies any chest pain, abdominal pain.  He does not smoke or have a history of lung disease.  1/14/22: Patient is a 64-year-old male admitted to hospital for acute hypoxic respiratory failure due to COVID-19 pneumonia, patient was treated with supplemental oxygen medical therapy including antibiotic Decadron and remdesivir, as time progressed patient clinically improved. Patient will be discharged to home with supplemental oxygen 4 L at rest and 6 L with activity, Decadron and antibiotics for completion.  Patient also referred to program at home.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Chills, Cough, Hyperhidrosis
Clinical narrative: 6/8/2022 tested positive with an at home rapid COVID 19 test.  Chills; body aches; sore throat.  Only sore throat after 6/8, with occasional hot sweats corresponding to physical activity.    6/23 visited Urgent Care.  Diagnosed with bronchitis, prescribed Z-Pack.  Still coughing as of 7/1.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, SARS-CoV-2 test positive
Clinical narrative: 6/8/2022 tested positive with an at home rapid COVID 19 test.  Chills; body aches; sore throat.  Only sore throat after 6/8, with occasional hot sweats corresponding to physical activity.    6/23 visited Urgent Care.  Diagnosed with bronchitis, prescribed Z-Pack.  Still coughing as of 7/1.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Labour pain, Maternal exposure before pregnancy
Clinical narrative: Patient hospitalized 6/21/22 - 6/23/22 for labor/delivery (OB)
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated
Clinical narrative: It was about a week I started noticing arthritis problem. I took ALEVE and more than often I would take CBD capsule and cream. I did this for a while and saw my doctor on 01/07/2022 and I was given a cortisone shot. I have had arthritis for years but since getting the vaccine it has gotten so much worst.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphonia, Head discomfort, Malaise
Clinical narrative: On 3/31/2022, I received my second dose of the Pfizer booster for COVID-19. On 6/21/2022, I began experiencing sore throat, stuffy head, slight fever, and a little bit of coughing. I took an at-home test for COVID-19, and the result was negative. On 6/22/2022, I still had the same symptoms and wasn't feeling well, so I called my doctor's office, and I was referred to an urgent care clinic for a PCR test. On 6/23/2022, I got the result back, and it was positive. The NP who treated me just advised me to watch for difficulty breathing, chest pain, or a fever of over 101. In the meantime, I was just to rest and drink plenty of fluids. He didn't prescribe me any medications. He just told me I could use OTC medications like Claritin, Mucinex, or Delsym to treat the symptoms. I have since then used Claritin and Mucinex, which I have found helpful. I never developed any symptoms other than the abovementioned ones. At the time of this writing, I only have a little bit of a stuffy head and hoarseness (without pain). I have only taken Claritin today; I haven't needed the Mucinex, as my cough has greatly improved.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On 3/31/2022, I received my second dose of the Pfizer booster for COVID-19. On 6/21/2022, I began experiencing sore throat, stuffy head, slight fever, and a little bit of coughing. I took an at-home test for COVID-19, and the result was negative. On 6/22/2022, I still had the same symptoms and wasn't feeling well, so I called my doctor's office, and I was referred to an urgent care clinic for a PCR test. On 6/23/2022, I got the result back, and it was positive. The NP who treated me just advised me to watch for difficulty breathing, chest pain, or a fever of over 101. In the meantime, I was just to rest and drink plenty of fluids. He didn't prescribe me any medications. He just told me I could use OTC medications like Claritin, Mucinex, or Delsym to treat the symptoms. I have since then used Claritin and Mucinex, which I have found helpful. I never developed any symptoms other than the abovementioned ones. At the time of this writing, I only have a little bit of a stuffy head and hoarseness (without pain). I have only taken Claritin today; I haven't needed the Mucinex, as my cough has greatly improved.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Impaired work ability
Clinical narrative: I was exposed to COVID-19 at a high school graduation. The next day after returning from the graduation I had congestion, no fever but felt off so I tested and it was positive. I called the telehealth and the told me to quarantine. The next day I had fatigue and a cough that lasted for a couple days. I tested negative on May 25, 2022, I called the telehealth who then cleared me to go back to work.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I was exposed to COVID-19 at a high school graduation. The next day after returning from the graduation I had congestion, no fever but felt off so I tested and it was positive. I called the telehealth and the told me to quarantine. The next day I had fatigue and a cough that lasted for a couple days. I tested negative on May 25, 2022, I called the telehealth who then cleared me to go back to work.
Age: 61.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Post-traumatic stress disorder
Clinical narrative: 3 weeks after vaccination developed bilateral achy hip pain.  She did not present to healthcare provider at that time.  She had trouble walking due to pain.  Slowly resolved over the course of 2 months
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: patient received a 5th dose/ patient obtained 4th dose at a local pharmacy and did not make my staff aware of that info.  She did not present us with her vaccine card.  It was after her vaccine that the staff realized she had a 4 th dose 2 months earlier. patient was monitored for any side effects