chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Transfusion, Weight increased
Clinical narrative: 89-year-old female with past medical history of HFpEF, severe tricuspid regurgitation with pulmonary hypertension and right-sided heart failure, atrial fibrillation on Coumadin, iron deficiency anemia, chronic kidney disease stage 3a, liver cirrhosis, hypertension, recent admission 1/10/2023 to 1/19/2023 for  Fall s/p left femur fracture and had intramedullary rod placement on 1/11/2023.  Her course was complicated by hyponatremia and postoperative blood loss for which she required blood transfusions.  Her hyponatremia was thought to be due to hypovolemic hyponatremia with component of SIADH from postoperative pain and she was on salt tablets which were stopped on 1/17/2023.  Coumadin resumed.  Patient was sent to rehab facility. Patient's sodium was being monitored outpatient and  She had Na of 126 on 1/30/23 and repeat sodium yesterday 121.  She was therefore transferred to ED for dyspnea on exertion and LE edema and 30# weight gain. Weight of 150 lbs on 1/11/23 and 184 lbs on 1/30/2023.   She tested positive for Covid but no cough and no hypoxia. Started on Remdesivit 2/3-2/7 last dose12:30 pm. Admitted for diuresis on lasix gtt. Much improved, renal function stable. 12L urine output from admission to 2/6. Change to oral lasix 80 mg BID 2/6 to see if will continue to respond well on orals. She could probably go home on 40 mg BID with extra 0.5 tablet of 80 mg lasix if shortness of breath, LE edema, 2# weight gain.  Patient hoping to go home 2/7/2023.  Isolation through 2/12/2023
Age: 8.0
Sex: M
Vaccine: HEP
Symptoms: Rash, Urticaria
Clinical narrative: per school health aide and guardian - patient experienced a rash/hives approximately 30 after receiving vaccine. per parent/guardian - hives was noted to the trunk, face, arms and legs on 02/09/2023. Health department notified on 02/10/2023 - per client, symptoms improved.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Injection site muscle weakness, Injection site pain, Injection site paraesthesia, Muscular weakness
Clinical narrative: Tingling, burning, pain, and weakness in right arm from shoulder to fingers.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Tingling, burning, pain, and weakness in right arm from shoulder to fingers.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid increased, COVID-19, Confusional state, Fall, Headache
Clinical narrative: 68-year-old woman with history of DM2, fatty liver disease with dyslipidemia, HTN, colonic polyposis, and pancreatic insufficiency, who presented to ED late 02/02/2023 status post fall in her bathroom and emesis with associated confusion. Earlier in the day she had episodes of headache which has since resolved.  There was a question of her left upper extremity weakness.  She is diagnosed with severe sepsis (organ dysfunctions included abnormal LFT and metabolic encephalopathy plus elevated lactic acid) secondary to urinary tract infection with associated COVID.  With respect to her COVID infection she was vaccinated against the virus and did not have respiratory symptoms.  She was given remdesivir given the abnormality of her mental status and abnormal LFTs x 3 doses only
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Liver function test abnormal, Mental status changes, Metabolic encephalopathy, Muscular weakness
Clinical narrative: 68-year-old woman with history of DM2, fatty liver disease with dyslipidemia, HTN, colonic polyposis, and pancreatic insufficiency, who presented to ED late 02/02/2023 status post fall in her bathroom and emesis with associated confusion. Earlier in the day she had episodes of headache which has since resolved.  There was a question of her left upper extremity weakness.  She is diagnosed with severe sepsis (organ dysfunctions included abnormal LFT and metabolic encephalopathy plus elevated lactic acid) secondary to urinary tract infection with associated COVID.  With respect to her COVID infection she was vaccinated against the virus and did not have respiratory symptoms.  She was given remdesivir given the abnormality of her mental status and abnormal LFTs x 3 doses only
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, Urinary tract infection, Vomiting
Clinical narrative: 68-year-old woman with history of DM2, fatty liver disease with dyslipidemia, HTN, colonic polyposis, and pancreatic insufficiency, who presented to ED late 02/02/2023 status post fall in her bathroom and emesis with associated confusion. Earlier in the day she had episodes of headache which has since resolved.  There was a question of her left upper extremity weakness.  She is diagnosed with severe sepsis (organ dysfunctions included abnormal LFT and metabolic encephalopathy plus elevated lactic acid) secondary to urinary tract infection with associated COVID.  With respect to her COVID infection she was vaccinated against the virus and did not have respiratory symptoms.  She was given remdesivir given the abnormality of her mental status and abnormal LFTs x 3 doses only
Age: 85.0
Sex: F
Vaccine: COVID19-2, FLUR4, PNC20
Symptoms: Chest discomfort, Chest pain, Sleep disorder
Clinical narrative: Patient said that she woke up in the middle of the night because she had severe chest pain and tightness.  Her blood pressure was 196/100 and pulse 81 at 1:20am 2/8/23.  She felt chest pain for the rest of the day and it went away on its own without medical treatment.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Biopsy liver, Blood test, Bone disorder, Cerebral disorder
Clinical narrative: May 17 2022 called primary doctor reporting coughing, short breath, chest pain May 22 2022 coughed with blood, visited ER result diagnosed with pulmonary embolism and found 2 nodules in lung. started blood thinner.  June 10 2022 PetCT showed abnormal disease in lung, brain, bone, liver and lymphatic system. June  15-18 2022 stayed in hospital, took liver biopsy, MRI, ultrasound and all the other tests. lab results showed Lung Adenocarcinoma. implanted IVC filter. July 2 2022 started brain radiation treatment and chemotherapy July 15 2022 started targeted medicine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chemotherapy, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Haemoptysis
Clinical narrative: May 17 2022 called primary doctor reporting coughing, short breath, chest pain May 22 2022 coughed with blood, visited ER result diagnosed with pulmonary embolism and found 2 nodules in lung. started blood thinner.  June 10 2022 PetCT showed abnormal disease in lung, brain, bone, liver and lymphatic system. June  15-18 2022 stayed in hospital, took liver biopsy, MRI, ultrasound and all the other tests. lab results showed Lung Adenocarcinoma. implanted IVC filter. July 2 2022 started brain radiation treatment and chemotherapy July 15 2022 started targeted medicine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Liver disorder, Lung adenocarcinoma, Lung disorder, Lymphatic disorder
Clinical narrative: May 17 2022 called primary doctor reporting coughing, short breath, chest pain May 22 2022 coughed with blood, visited ER result diagnosed with pulmonary embolism and found 2 nodules in lung. started blood thinner.  June 10 2022 PetCT showed abnormal disease in lung, brain, bone, liver and lymphatic system. June  15-18 2022 stayed in hospital, took liver biopsy, MRI, ultrasound and all the other tests. lab results showed Lung Adenocarcinoma. implanted IVC filter. July 2 2022 started brain radiation treatment and chemotherapy July 15 2022 started targeted medicine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Positron emission tomogram abnormal, Pulmonary embolism, Pulmonary mass, Radiotherapy
Clinical narrative: May 17 2022 called primary doctor reporting coughing, short breath, chest pain May 22 2022 coughed with blood, visited ER result diagnosed with pulmonary embolism and found 2 nodules in lung. started blood thinner.  June 10 2022 PetCT showed abnormal disease in lung, brain, bone, liver and lymphatic system. June  15-18 2022 stayed in hospital, took liver biopsy, MRI, ultrasound and all the other tests. lab results showed Lung Adenocarcinoma. implanted IVC filter. July 2 2022 started brain radiation treatment and chemotherapy July 15 2022 started targeted medicine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, Vena cava filter insertion
Clinical narrative: May 17 2022 called primary doctor reporting coughing, short breath, chest pain May 22 2022 coughed with blood, visited ER result diagnosed with pulmonary embolism and found 2 nodules in lung. started blood thinner.  June 10 2022 PetCT showed abnormal disease in lung, brain, bone, liver and lymphatic system. June  15-18 2022 stayed in hospital, took liver biopsy, MRI, ultrasound and all the other tests. lab results showed Lung Adenocarcinoma. implanted IVC filter. July 2 2022 started brain radiation treatment and chemotherapy July 15 2022 started targeted medicine
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Electrocardiogram abnormal, Heart rate increased, Injection site pain, Palpitations
Clinical narrative: Took a vaccine nothing happened, soreness at injection site, In March I started having heart palpitations. One day had palpitations and I check my heart rate and my rate was 130 BPM. Later that night after my shower I almost fainted, went to ER. Requested my heart rate received EKG. Heart rate elevated, thyroid was scanned. Monitored me for 3 days prescribed heart medicine and thyroid medicine. Endocrinologist diagnosed me with Graves disease.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Scan thyroid gland
Clinical narrative: Took a vaccine nothing happened, soreness at injection site, In March I started having heart palpitations. One day had palpitations and I check my heart rate and my rate was 130 BPM. Later that night after my shower I almost fainted, went to ER. Requested my heart rate received EKG. Heart rate elevated, thyroid was scanned. Monitored me for 3 days prescribed heart medicine and thyroid medicine. Endocrinologist diagnosed me with Graves disease.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Condition aggravated, Cough, Haemodilution
Clinical narrative: 29 year old male with a PMHx of sickle cell disease, chr hyperbilirubinemia, tobacco dependence, THC use , reactive airway disease, chronic hepatitis C, , Hx pylori positive( Tx with triple antibiotic regimen ) . He has a Hx of multiple hospitalization. He was recently admitted to hospital 1/21-1/25/2023 for Sickle cell pain crisis, Tx with IVF , analgesic and narcotics.  Pt's hemoglobin remained in 8's, retic count improved/down trended from 16.8 to 10.49% on the day of discharge. Presented to ED with generalized body aches , similar to his previous pain crisis. Also reported  fever, chills, myalgia , sore throat and dry cough from last 3 days.  His friend also had cold symptoms from last few days. Admitted with diagnosis of sickle cell crisis and COVID -19 infection. Not hypoxic , placed on Remdesivir for 5 days course and now afebrile from last almost >48 hours . Also received IVF, analgesic and narcotic for pain management. Patient was given IVF hydration from last 5 days, Hb dropped to 6.9 due to hemodilution , no indication for transfusion, before discharge rechecked and it was 7.3. Outpatient CBC ordered.  Patient will be discharged home today.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Myalgia, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: 29 year old male with a PMHx of sickle cell disease, chr hyperbilirubinemia, tobacco dependence, THC use , reactive airway disease, chronic hepatitis C, , Hx pylori positive( Tx with triple antibiotic regimen ) . He has a Hx of multiple hospitalization. He was recently admitted to hospital 1/21-1/25/2023 for Sickle cell pain crisis, Tx with IVF , analgesic and narcotics.  Pt's hemoglobin remained in 8's, retic count improved/down trended from 16.8 to 10.49% on the day of discharge. Presented to ED with generalized body aches , similar to his previous pain crisis. Also reported  fever, chills, myalgia , sore throat and dry cough from last 3 days.  His friend also had cold symptoms from last few days. Admitted with diagnosis of sickle cell crisis and COVID -19 infection. Not hypoxic , placed on Remdesivir for 5 days course and now afebrile from last almost >48 hours . Also received IVF, analgesic and narcotic for pain management. Patient was given IVF hydration from last 5 days, Hb dropped to 6.9 due to hemodilution , no indication for transfusion, before discharge rechecked and it was 7.3. Outpatient CBC ordered.  Patient will be discharged home today.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Reticulocyte count increased, Sickle cell anaemia with crisis
Clinical narrative: 29 year old male with a PMHx of sickle cell disease, chr hyperbilirubinemia, tobacco dependence, THC use , reactive airway disease, chronic hepatitis C, , Hx pylori positive( Tx with triple antibiotic regimen ) . He has a Hx of multiple hospitalization. He was recently admitted to hospital 1/21-1/25/2023 for Sickle cell pain crisis, Tx with IVF , analgesic and narcotics.  Pt's hemoglobin remained in 8's, retic count improved/down trended from 16.8 to 10.49% on the day of discharge. Presented to ED with generalized body aches , similar to his previous pain crisis. Also reported  fever, chills, myalgia , sore throat and dry cough from last 3 days.  His friend also had cold symptoms from last few days. Admitted with diagnosis of sickle cell crisis and COVID -19 infection. Not hypoxic , placed on Remdesivir for 5 days course and now afebrile from last almost >48 hours . Also received IVF, analgesic and narcotic for pain management. Patient was given IVF hydration from last 5 days, Hb dropped to 6.9 due to hemodilution , no indication for transfusion, before discharge rechecked and it was 7.3. Outpatient CBC ordered.  Patient will be discharged home today.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram normal, COVID-19, Culture negative, Haematemesis, Haematocrit normal
Clinical narrative: Hospital Course and Significant Findings: 72 year old man with duodenal cancer on chemotherapy, chronic respiratory failure on 2L home O2, COPD, HTN, admitted 1/30/23 with hematemesis. Also with leukocytosis and COVID. EGD 1/30 no active bleeding seen but unable to advance scope into bulb due to compression of the lumen. Suspect that duodenal tumor is the source of bleeding. No active bleeding seen on CT angio. Case discussed w/ IR for possible tumor embolization but was contraindicated due to risk of developing adjacent small bowel ischemia. Has received 3u PRBC this admission.  The pt's diet was slowly advanced to a full diet and his H&H remained stable. Patient seen by palliative care, discussed hospice but patient not interested in pursuing hospice at this time.  Found to be COVID positive on admission, had no worsening of chronic respiratory symptoms, was kept on isolation to continue through 2/5. Had leukocytosis on admission and started empirically on rocephin.  Cultures came back negative and leukocytosis resolved, abx were stopped.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Leukocytosis, Oesophageal disorder, Oesophagogastroduodenoscopy abnormal, Red blood cell transfusion
Clinical narrative: Hospital Course and Significant Findings: 72 year old man with duodenal cancer on chemotherapy, chronic respiratory failure on 2L home O2, COPD, HTN, admitted 1/30/23 with hematemesis. Also with leukocytosis and COVID. EGD 1/30 no active bleeding seen but unable to advance scope into bulb due to compression of the lumen. Suspect that duodenal tumor is the source of bleeding. No active bleeding seen on CT angio. Case discussed w/ IR for possible tumor embolization but was contraindicated due to risk of developing adjacent small bowel ischemia. Has received 3u PRBC this admission.  The pt's diet was slowly advanced to a full diet and his H&H remained stable. Patient seen by palliative care, discussed hospice but patient not interested in pursuing hospice at this time.  Found to be COVID positive on admission, had no worsening of chronic respiratory symptoms, was kept on isolation to continue through 2/5. Had leukocytosis on admission and started empirically on rocephin.  Cultures came back negative and leukocytosis resolved, abx were stopped.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tumour haemorrhage
Clinical narrative: Hospital Course and Significant Findings: 72 year old man with duodenal cancer on chemotherapy, chronic respiratory failure on 2L home O2, COPD, HTN, admitted 1/30/23 with hematemesis. Also with leukocytosis and COVID. EGD 1/30 no active bleeding seen but unable to advance scope into bulb due to compression of the lumen. Suspect that duodenal tumor is the source of bleeding. No active bleeding seen on CT angio. Case discussed w/ IR for possible tumor embolization but was contraindicated due to risk of developing adjacent small bowel ischemia. Has received 3u PRBC this admission.  The pt's diet was slowly advanced to a full diet and his H&H remained stable. Patient seen by palliative care, discussed hospice but patient not interested in pursuing hospice at this time.  Found to be COVID positive on admission, had no worsening of chronic respiratory symptoms, was kept on isolation to continue through 2/5. Had leukocytosis on admission and started empirically on rocephin.  Cultures came back negative and leukocytosis resolved, abx were stopped.
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia
Clinical narrative: I'm not sure that it's connected to the vaccine at all, but I developed left hip pain in December 2022 or January 2023. I don't know what caused it, and neither does my chiropractor. My doctor has suggested stretches and exercises to me, but they aren't helping much. The thing that helps the most is a massage. I have not seen my PCP about my hip pain, though.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac operation, Computerised tomogram, Dizziness, Magnetic resonance imaging
Clinical narrative: dizziness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: dizziness
Age: 68.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Started getting really congested and run down. Took home COVID-19 test and was positive. Was prescribed PAXLOVID and took EMERGEN-C dietary supplement. Took another home COVID-19 test and was negative 1 week later.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Ammonia increased, Asthenia, Blood lactic acid increased, Blood sodium decreased
Clinical narrative: 53 y/o M w/ known cirrhosis, ETOH abuse, chronic leukopenia and thrombocytopenia, hx of HE, psoriasis on Tremfya injections, HTN, HL, reflux esophagitis - presents to the ER d/t generalized malaise, subjective feeling of fevers, fatigue and weakness. States that symptoms just started this AM and woke up with these symptoms. He also felt nauseated and vomited 3x while in the ER. He denies any actual SOB and has no cough, but reports that today felt like his breathing is labored primarily because of fatigue. He also is complaining of soreness in the RUQ though this is somewhat chronic and intermittently occurs.    In the ER, pt was found to be febrile, and met sepsis criteria by way of his chronic thrombocytopenia. He also had an elevated lactic acid of 3.4. COVID test was positive. He is not hypoxic. CXR negative. UA pending (pt denies any symptoms related to UTI). Na level at 129 and NH4 is 84 (though pt is not confused).    Pt covid positive.  Symptom onset 1/30/23 Pt completed remdesivir.  No decadron as no hypoxemia.   Stable thrombocytopenia and leukopenia.  Appreciate heme/onc consult.  Psych consulted for meds for PTSD and felt meds precluded due to plt interaction and bleeding risk.  Pt with intermittent headache, will give small amount of roxicodone (avoiding tylenol due to cirrhosis and nsaids due to bleeding risk).   Pt knows his life depends on complete etoh cessation. Pt stable for dicharge to home or to inpatient rehab facility
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Condition aggravated, Dyspnoea, Fatigue
Clinical narrative: 53 y/o M w/ known cirrhosis, ETOH abuse, chronic leukopenia and thrombocytopenia, hx of HE, psoriasis on Tremfya injections, HTN, HL, reflux esophagitis - presents to the ER d/t generalized malaise, subjective feeling of fevers, fatigue and weakness. States that symptoms just started this AM and woke up with these symptoms. He also felt nauseated and vomited 3x while in the ER. He denies any actual SOB and has no cough, but reports that today felt like his breathing is labored primarily because of fatigue. He also is complaining of soreness in the RUQ though this is somewhat chronic and intermittently occurs.    In the ER, pt was found to be febrile, and met sepsis criteria by way of his chronic thrombocytopenia. He also had an elevated lactic acid of 3.4. COVID test was positive. He is not hypoxic. CXR negative. UA pending (pt denies any symptoms related to UTI). Na level at 129 and NH4 is 84 (though pt is not confused).    Pt covid positive.  Symptom onset 1/30/23 Pt completed remdesivir.  No decadron as no hypoxemia.   Stable thrombocytopenia and leukopenia.  Appreciate heme/onc consult.  Psych consulted for meds for PTSD and felt meds precluded due to plt interaction and bleeding risk.  Pt with intermittent headache, will give small amount of roxicodone (avoiding tylenol due to cirrhosis and nsaids due to bleeding risk).   Pt knows his life depends on complete etoh cessation. Pt stable for dicharge to home or to inpatient rehab facility
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Leukopenia, Malaise, Nausea, Pyrexia
Clinical narrative: 53 y/o M w/ known cirrhosis, ETOH abuse, chronic leukopenia and thrombocytopenia, hx of HE, psoriasis on Tremfya injections, HTN, HL, reflux esophagitis - presents to the ER d/t generalized malaise, subjective feeling of fevers, fatigue and weakness. States that symptoms just started this AM and woke up with these symptoms. He also felt nauseated and vomited 3x while in the ER. He denies any actual SOB and has no cough, but reports that today felt like his breathing is labored primarily because of fatigue. He also is complaining of soreness in the RUQ though this is somewhat chronic and intermittently occurs.    In the ER, pt was found to be febrile, and met sepsis criteria by way of his chronic thrombocytopenia. He also had an elevated lactic acid of 3.4. COVID test was positive. He is not hypoxic. CXR negative. UA pending (pt denies any symptoms related to UTI). Na level at 129 and NH4 is 84 (though pt is not confused).    Pt covid positive.  Symptom onset 1/30/23 Pt completed remdesivir.  No decadron as no hypoxemia.   Stable thrombocytopenia and leukopenia.  Appreciate heme/onc consult.  Psych consulted for meds for PTSD and felt meds precluded due to plt interaction and bleeding risk.  Pt with intermittent headache, will give small amount of roxicodone (avoiding tylenol due to cirrhosis and nsaids due to bleeding risk).   Pt knows his life depends on complete etoh cessation. Pt stable for dicharge to home or to inpatient rehab facility
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Thrombocytopenia, Urine analysis, Vomiting
Clinical narrative: 53 y/o M w/ known cirrhosis, ETOH abuse, chronic leukopenia and thrombocytopenia, hx of HE, psoriasis on Tremfya injections, HTN, HL, reflux esophagitis - presents to the ER d/t generalized malaise, subjective feeling of fevers, fatigue and weakness. States that symptoms just started this AM and woke up with these symptoms. He also felt nauseated and vomited 3x while in the ER. He denies any actual SOB and has no cough, but reports that today felt like his breathing is labored primarily because of fatigue. He also is complaining of soreness in the RUQ though this is somewhat chronic and intermittently occurs.    In the ER, pt was found to be febrile, and met sepsis criteria by way of his chronic thrombocytopenia. He also had an elevated lactic acid of 3.4. COVID test was positive. He is not hypoxic. CXR negative. UA pending (pt denies any symptoms related to UTI). Na level at 129 and NH4 is 84 (though pt is not confused).    Pt covid positive.  Symptom onset 1/30/23 Pt completed remdesivir.  No decadron as no hypoxemia.   Stable thrombocytopenia and leukopenia.  Appreciate heme/onc consult.  Psych consulted for meds for PTSD and felt meds precluded due to plt interaction and bleeding risk.  Pt with intermittent headache, will give small amount of roxicodone (avoiding tylenol due to cirrhosis and nsaids due to bleeding risk).   Pt knows his life depends on complete etoh cessation. Pt stable for dicharge to home or to inpatient rehab facility
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Foreign travel, Inappropriate schedule of product administration, Palpitations, Sleep disorder, Therapy change
Clinical narrative: Starting about one month after the bivalent booster, I started having heart palpitations, mostly at night. The palpitations would wake me up, and usually would subside on their own after 3-5 mins. However, after about a week the palpitations were lasting longer, so I lowered my thyroid medicine dose from 30 mg/day to 22.5 mg/day.  After lowering my thyroid dose, the heart palpitations happened less frequently, but are still happening one to two times per week. I stopped taking the multi-vitamin and the digestive enzymes in case there was something in there that was making my heart sensitive.  But, that did not seem to improve the issue. My estrogen and progesterone levels are monitored regularly with lab tests, so figure that's unlikely to be the problem. My thyroid levels are also monitored regularly, and if anything, showed that my levels were a little low when tested in September. So, should not be experiencing HYPER-thyroid symptoms now.  Was looking at everything else I was ingesting in my life, wondering if something accidentally had iodine in it that was making me hyperthyroid, but didn't find anything. Then, yesterday, I read that the covid vaccines have been reported to occasionally cause irregular heart beats. So, I decided to report this in case it is related to the vaccination.  One other thing that might be relevant, when I got this booster, it had only been 3 months since my 4th booster, which was also a Moderna booster. I had some foreign travel coming up, so I got the bivalent booster even though it hadn't been the recommended six months in between.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Computerised tomogram, Laboratory test, Nausea, Seizure like phenomena
Clinical narrative: Seizure-like activity, tremors, nausea, vomiting, bradycardia
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: Seizure-like activity, tremors, nausea, vomiting, bradycardia
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received a Pfizer Monovalent booster instead of a bivalent booster.  Patient informed of the immunization error.
Age: 87.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: On 9/24/22 patient was seen at Primary Health location; "According to the CDC, if a monovalent booster is incorrectly used instead of a bivalent booster, the dose does not need to be repeated. If a repeat dose is desired based on clinical judgment or patient preference, it should be given at least two months after the dose given in error".  Monovalent boosters were approved with this vaccine at one point but are no longer approved as of 8/31/22.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hyperhidrosis, Immediate post-injection reaction, Nausea, Pallor
Clinical narrative: Patient reported having difficulty swallowing at approximately 1600, approximately 2-3 min after vaccine administered. MD notified, patient brought into exam room. Benadryl 25 mg administered PO at 1605 with little effect. Patient continued to report difficulty swallowing, diaphoresis visible, pale, reported nausea. Epinephrine administered 1616 by Dr. Paramedics called. Vital signs: 118/78 Left arm laying down, Temp 98.1, Pulse 94 BPM, RR 20, O2 99%. Patient taken via ambulance to hospital at approximately 1640.
Age: 70.0
Sex: M
Vaccine: COVID19-2, FLUA4, VARZOS
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Patient got redness & swelling below injection site in left arm below the elbow approximately 2.5" x4". Patient states no pain or itching.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Confusional state, Fall, Myocarditis
Clinical narrative: Hospitalized 5/7/22-5/17/22 Fall, confusion, weakness, tachycardia, afib, rib fx, myocarditis,
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Rib fracture, Tachycardia
Clinical narrative: Hospitalized 5/7/22-5/17/22 Fall, confusion, weakness, tachycardia, afib, rib fx, myocarditis,
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest tube insertion, Chest tube removal, Computerised tomogram thorax abnormal, Cystic lung disease
Clinical narrative: Hospital Course and Significant Findings: Patient is a 18 yo male, non-smoker who was admitted on 1/30 for first episode of spontaneous right pneumothorax. A pigtail chest tube was placed; post-procedure CXR showed a small apical PTX. CXR continued to demonstrate a persistent small stable right PTX. No air leaks demonstrated on Pleurovac. Placed on water seal on 2/1.    Psychiatry consulted for suicidal ideation; patient does not require 5150 hold.    Chest tube removed 2/2. Post-pull CXR showed a slightly larger PTX. CT chest obtained which shows relatively small apical PTX and tiny bulla in each lung apex. Repeat CXR 2/3 shows a stable PTX suggesting that patient does not have an active air leak. Patient is doing well clinically. Pleuritic chest pain has resolved and he feels better after removal of chest tube. He is stable for discharge to home. Follow up TAV arranged in Surgery Clinic. Referral sent to arrange follow up with Thoracic Surgery.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Pleuritic pain, Pneumothorax spontaneous, Suicidal ideation
Clinical narrative: Hospital Course and Significant Findings: Patient is a 18 yo male, non-smoker who was admitted on 1/30 for first episode of spontaneous right pneumothorax. A pigtail chest tube was placed; post-procedure CXR showed a small apical PTX. CXR continued to demonstrate a persistent small stable right PTX. No air leaks demonstrated on Pleurovac. Placed on water seal on 2/1.    Psychiatry consulted for suicidal ideation; patient does not require 5150 hold.    Chest tube removed 2/2. Post-pull CXR showed a slightly larger PTX. CT chest obtained which shows relatively small apical PTX and tiny bulla in each lung apex. Repeat CXR 2/3 shows a stable PTX suggesting that patient does not have an active air leak. Patient is doing well clinically. Pleuritic chest pain has resolved and he feels better after removal of chest tube. He is stable for discharge to home. Follow up TAV arranged in Surgery Clinic. Referral sent to arrange follow up with Thoracic Surgery.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Laboratory test normal, Myalgia, X-ray limb normal
Clinical narrative: Muscle pain. The whole upper arm and the left side of my back. The pain has not gone away. I put icepack, Tylenol, Aleve and hasn't gone way.   ER Room information- they took an xray. of the spine. No fracture or dislocation. Normal. Xray of left shoulder- Normal results.
Age: 17.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received Moderna Bivalent Booster for his second primary COVID vaccine instead of Moderna Monovalent.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received a Pfizer Monovalent booster instead of a bivalent booster. Patient has been notified of the vaccine administration error.
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Pt received bivalent covid vaccine in the absence of a primary series.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Glycosylated haemoglobin increased, Hyperglycaemia, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Hospital Course and Significant Findings: 65 year old woman with renovascular HTN, prediabetes, tested positive for COVID 1/18/23, admitted 1/29/23 with hypoxia.  Receiving remdesivir, dexamethasone, ceftriaxone, doxycycline. Initially required 3L O2.    Able to wean off of oxygen and felt ready to discharge home on 2/2/23. We discussed option to stay for final remdesivir, but given that she was feeling better and on room air she opted to go home which I agree is reasonable. She will complete additional 3 days of antibiotics. No dexamethasone at discharge as no longer hypoxic.  Rechecked A1C and it is slightly elevated 6.1 . She will work on diet/exercise. She did require insulin while admitted but this was likely steroid-induced hyperglycemia.    At the time of hospital discharge Patient is feeling well and she is eager to go home. Return precautions given for hypoxia (given pulse ox prior to discharge), chest pain, shortness of breath. She is in agreement with the discharge plan.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 3rd dose Moderna COVID Vaccine given 1/20/22, lot #016j21-2a; pt had a positive COVID test 7/22/22; ordering provider was: Unknown; no other records obtained on this patient
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cholecystectomy, Drain placement, Haematocrit normal, Haemoglobin normal, Laparoscopic surgery
Clinical narrative: Hospital Course and Significant Findings: Patient was admitted and taken to the operating room where she underwent a laparoscopic cholecystectomy with drain placement.  She was admitted and placed on ceftriaxone and Flagyl.  She was started on multimodal pain regimen and her requested Relafen and percocet. Was transfused 1 unit of blood. WBC improved. Pt threatened to leave hospital on 1/27. Insisted on being discharged on 1/28. Her H&H was stable post transfusion with improved WBC and tolerated diet. Discharged with oral abs.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Transfusion, White blood cell disorder
Clinical narrative: Hospital Course and Significant Findings: Patient was admitted and taken to the operating room where she underwent a laparoscopic cholecystectomy with drain placement.  She was admitted and placed on ceftriaxone and Flagyl.  She was started on multimodal pain regimen and her requested Relafen and percocet. Was transfused 1 unit of blood. WBC improved. Pt threatened to leave hospital on 1/27. Insisted on being discharged on 1/28. Her H&H was stable post transfusion with improved WBC and tolerated diet. Discharged with oral abs.
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscle contusion, Skin discolouration
Clinical narrative: Bruised deltoid muscle, purple in color. It has gotten better in less than 24 hours according to patient.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Localised infection
Clinical narrative: Per Dr. discharge summary: "Patient is a 76 Y male with DM, HTN, CAD, CVA, recent hospitalization 12/29-1/6 for R foot ischemia/ulcer s/p R femoral endarterectomy/angioplatsy, s/p TMA, discharged to SNF, here for R foot infection. - S/p AKA 1/22/23.  abx stopped 1/25/23. Tolerated well. Pain controlled. Afebrile, HDS, VSS. Will need SNF to recover"   I assumed care of the patient on 1/30/23 at which time he was medically ready for discharge and remains in the hospital while awaiting bed at care center.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, COVID-19, Chest X-ray normal, Colectomy, Cough
Clinical narrative: My brother had his last COVID 19 shot in March 2022.  By May/June he began feeling bad. Tired, fatigued.  On 11 July 2022 he woke up in severe pain in the stomach and called my mom.  She took him to the ER and they said he had a blockage in his intestine and sent him to his kidney hospital.  The doctors operated the next morning and found a tumor mass that had ruptured.  A few days later found out it was small cell cancer; which the doctors were in shock as it is extremely rare to find small cell cancer in the colon.  Medical care was horrible after that and no one would give us any answers.  During the surgery the cancer had spread to his pancreas which they removed with half of his colon.  He had an illiotamy.  The doctors never called in hospice or even told us a prognosis.  They sent him home and he was back in the hospital in a few days.  He went back to the hospital 3 times before he passed 5 weeks later on 16 Aug 2022.  The last visit to the ER; about 5 days before he passed.  He tested positive for COVID. The isolated him and did not allow him to go to dialysis.  They sent him home and of course listed COVID as one of the causes of death.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death, Fatigue, Feeling abnormal, Ileostomy, Intestinal obstruction
Clinical narrative: My brother had his last COVID 19 shot in March 2022.  By May/June he began feeling bad. Tired, fatigued.  On 11 July 2022 he woke up in severe pain in the stomach and called my mom.  She took him to the ER and they said he had a blockage in his intestine and sent him to his kidney hospital.  The doctors operated the next morning and found a tumor mass that had ruptured.  A few days later found out it was small cell cancer; which the doctors were in shock as it is extremely rare to find small cell cancer in the colon.  Medical care was horrible after that and no one would give us any answers.  During the surgery the cancer had spread to his pancreas which they removed with half of his colon.  He had an illiotamy.  The doctors never called in hospice or even told us a prognosis.  They sent him home and he was back in the hospital in a few days.  He went back to the hospital 3 times before he passed 5 weeks later on 16 Aug 2022.  The last visit to the ER; about 5 days before he passed.  He tested positive for COVID. The isolated him and did not allow him to go to dialysis.  They sent him home and of course listed COVID as one of the causes of death.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neoplasm, Pancreatectomy, SARS-CoV-2 test positive, Sleep disorder, Small cell carcinoma
Clinical narrative: My brother had his last COVID 19 shot in March 2022.  By May/June he began feeling bad. Tired, fatigued.  On 11 July 2022 he woke up in severe pain in the stomach and called my mom.  She took him to the ER and they said he had a blockage in his intestine and sent him to his kidney hospital.  The doctors operated the next morning and found a tumor mass that had ruptured.  A few days later found out it was small cell cancer; which the doctors were in shock as it is extremely rare to find small cell cancer in the colon.  Medical care was horrible after that and no one would give us any answers.  During the surgery the cancer had spread to his pancreas which they removed with half of his colon.  He had an illiotamy.  The doctors never called in hospice or even told us a prognosis.  They sent him home and he was back in the hospital in a few days.  He went back to the hospital 3 times before he passed 5 weeks later on 16 Aug 2022.  The last visit to the ER; about 5 days before he passed.  He tested positive for COVID. The isolated him and did not allow him to go to dialysis.  They sent him home and of course listed COVID as one of the causes of death.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Surgery, Tumour rupture
Clinical narrative: My brother had his last COVID 19 shot in March 2022.  By May/June he began feeling bad. Tired, fatigued.  On 11 July 2022 he woke up in severe pain in the stomach and called my mom.  She took him to the ER and they said he had a blockage in his intestine and sent him to his kidney hospital.  The doctors operated the next morning and found a tumor mass that had ruptured.  A few days later found out it was small cell cancer; which the doctors were in shock as it is extremely rare to find small cell cancer in the colon.  Medical care was horrible after that and no one would give us any answers.  During the surgery the cancer had spread to his pancreas which they removed with half of his colon.  He had an illiotamy.  The doctors never called in hospice or even told us a prognosis.  They sent him home and he was back in the hospital in a few days.  He went back to the hospital 3 times before he passed 5 weeks later on 16 Aug 2022.  The last visit to the ER; about 5 days before he passed.  He tested positive for COVID. The isolated him and did not allow him to go to dialysis.  They sent him home and of course listed COVID as one of the causes of death.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Decreased appetite, Oropharyngeal pain, Pneumonia
Clinical narrative: Hospitalized 5/10/22-5/13/22 sore throat, cough, fever, chills, PNA, decreased appetite,
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Hospitalized 5/10/22-5/13/22 sore throat, cough, fever, chills, PNA, decreased appetite,
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cholecystitis acute, Gallbladder enlargement, SARS-CoV-2 test positive
Clinical narrative: Hospital Course and Significant Findings: Patient is a 65 Y male with acute cholecystitis (with thickened gallbladder wall) and COVID+ managed non-operatively. Resolved with antibiotics and being discharged in good condition to complete 2 weeks course of antibiotics - vantin/flagyl for home. Advised to stick to low fat diet. Will need plans for interval lap chole in about 6-8 weeks.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Colonoscopy normal, Computerised tomogram intestine, Fatigue, Haematochezia
Clinical narrative: Hospital Course and Significant Findings: 66 yo F with history of atrial flutter status post ablation 2018 currently on Pradaxa, anemia, HTN, psoriatic arthritis, OSA without the use of CPAP, prior breast cancer with bilateral mastectomy who has been experiencing 1 to 2 months of weakness and tiredness and intermittent blood in stool.  She had lab drawn as an outpatient yesterday and found to have hemoglobin of 6.1 so referred to the ER for further evaluation.  Patient had a blood transfusion and hemoglobin has been stable.  EGD, colonoscopy, and CT enterography did not show any gross abnormality revealing culprit for GI bleed.  At this time, GI recommends holding Pradaxa and may likely need further follow-up with Facility for capsule endoscopy and/or push enterography.  E consult will be placed by Dr. at discharge.  Patient was instructed to get repeat labs in 1 week.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Laboratory test abnormal, Oesophagogastroduodenoscopy normal, Transfusion
Clinical narrative: Hospital Course and Significant Findings: 66 yo F with history of atrial flutter status post ablation 2018 currently on Pradaxa, anemia, HTN, psoriatic arthritis, OSA without the use of CPAP, prior breast cancer with bilateral mastectomy who has been experiencing 1 to 2 months of weakness and tiredness and intermittent blood in stool.  She had lab drawn as an outpatient yesterday and found to have hemoglobin of 6.1 so referred to the ER for further evaluation.  Patient had a blood transfusion and hemoglobin has been stable.  EGD, colonoscopy, and CT enterography did not show any gross abnormality revealing culprit for GI bleed.  At this time, GI recommends holding Pradaxa and may likely need further follow-up with Facility for capsule endoscopy and/or push enterography.  E consult will be placed by Dr. at discharge.  Patient was instructed to get repeat labs in 1 week.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Injection site rash, Rash, Rash erythematous, Skin warm
Clinical narrative: Patient called the clinic today (2/10/2023) reporting a rash on her arm near injection site the day after it was given. It is red and warm. Today a friend noticed it had spread up to the left side of her face. Patient indicates it is the same rash, face feels swollen and warm. Advised her to see her provider or a walk in clinic to have the rash evaluated. She asked about next vaccine (2nd in series), advised could be completed with a different COVID primary vaccine if provider indicates.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Patient called the clinic today (2/10/2023) reporting a rash on her arm near injection site the day after it was given. It is red and warm. Today a friend noticed it had spread up to the left side of her face. Patient indicates it is the same rash, face feels swollen and warm. Advised her to see her provider or a walk in clinic to have the rash evaluated. She asked about next vaccine (2nd in series), advised could be completed with a different COVID primary vaccine if provider indicates.
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Arthralgia, COVID-19, Cough, Dizziness, Headache
Clinical narrative: After the vaccination in November, I started having bad pain in my left hip that lasted about two weeks. After the hip pain subsided, the pain moved to my left wrist. It was swollen and sore. I couldn't even touch it. The wrist pain lasted about three weeks. After that, the same thing happened to my right wrist. The pain in my right wrist lasted about three weeks. Then, it moved to the muscle between my neck and shoulder blade on the right side. The pain there lasted about a week and a half. The pain moved to my right bicep. It was sore to the touch and lasted about two weeks. All these episodes happened consecutively. I also tested positive for COVID-19 on January 26, 2023. I was prescribed Paxlovid. I took it for five days. The symptoms went away, and I tested negative for COVID-19 on January 31, 2023. On February 5, 2023, I rebounded and tested positive for COVID-19 again. As of today, I am still testing positive for COVID-19. My COVOD-19 symptoms included congestion, sore throat, fever between 99.7-degrees and 101-degrees, nausea, a slight cough, headache, and dizziness.
Age: 57.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Joint swelling, Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: After the vaccination in November, I started having bad pain in my left hip that lasted about two weeks. After the hip pain subsided, the pain moved to my left wrist. It was swollen and sore. I couldn't even touch it. The wrist pain lasted about three weeks. After that, the same thing happened to my right wrist. The pain in my right wrist lasted about three weeks. Then, it moved to the muscle between my neck and shoulder blade on the right side. The pain there lasted about a week and a half. The pain moved to my right bicep. It was sore to the touch and lasted about two weeks. All these episodes happened consecutively. I also tested positive for COVID-19 on January 26, 2023. I was prescribed Paxlovid. I took it for five days. The symptoms went away, and I tested negative for COVID-19 on January 31, 2023. On February 5, 2023, I rebounded and tested positive for COVID-19 again. As of today, I am still testing positive for COVID-19. My COVOD-19 symptoms included congestion, sore throat, fever between 99.7-degrees and 101-degrees, nausea, a slight cough, headache, and dizziness.