chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Death, Fibrin D dimer increased, Pneumonia, Septic shock
Clinical narrative: Narrative: 82yo male patient died on 11/28/2021 at non clinic from per notes "Acute respiratory failure with hypoxia (11/27/2021) Unknown septic shock 2/2 PNA Elevated D-dimer, cannot rule out PE". Pt had Hx of PMH: Chronic venous insufficiency Vitamin D deficiency Empty sella syndrome History of transurethral resection of prostate Benign Prostatic Hypertrophy With Outflo Prostate Cancer Bladder cancer History of bilateral cataract extraction Neurocognitive Disorder OA - Osteoarthritis History of recurrent urinary tract infec Retention of Urine, unspecified Hyperlipidemia Pt had received covid vaccines on 2/9/21 & 3/12/21. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dedifferentiated liposarcoma, Myxoid liposarcoma
Clinical narrative: Narrative:  72yo patient with cancer diagnosis of right thigh dedifferentiated myxoid liposarcoma in hospice died on 11/20/21. Pt had received covid vaccines on 2/4/21 & 3/10/21. This death is not related to vaccines.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Rheumatoid arthritis
Clinical narrative: Narrative: one week after he got Moderna vaccine #1 on 1.29.2021/2.26.2021 he developed morning stiffness that was progressively getting worse. seen at ER and was DX with RA and currenlty on Presdnosine 10 daily
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative: 79 yo patient who has never received any care at clinic died on 11/12/2021. It was reported pt received one covid vaccine (pfizer) on 2/10/2021. NO info available to assess if vaccine is related to pt's death; likely is not given pt's advanced age & length of time from vaccine administration.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Death, General physical health deterioration, Unresponsive to stimuli
Clinical narrative: Narrative:  Patient received her Moderna COVID booster on 11/3/21 and on 11/4/21 had a temperature of 102.3 that was treated with acetaminophen. She continued to decline and on 11/5/21 became unresponsive and ultimately passed away at 2130 that evening. Noted she was on hospice care and had been under hospice care since 10/26/21. Two days elapsed from time of booster to time of death. No adverse reactions noted to first and second vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Erythema, Injection site swelling, Pain
Clinical narrative: Narrative:  11/1/2021 Patient states "I had my Moderna booster shot on Thursday the 28th. My left arm had been swollen form the elbow to the shoulder since then. There's a lump in the armpit too. It's getting bigger. This didn't happen for the other two shots. I've been putting ice on it to soothe it. I need to get something else." TEDP assessment completed. Patient reports the above symptoms with redness and pain at level 4/10 on pain scale. Patient denies coughing blood, shortness of breath, chest pain, nausea, vomiting, and diarrhea. Patient has not obtained temperature and reports she does not feel like she has a fever. Seen by urgent care; prescribed ibuprofen. 11/15/21 follow up Patient here today for lymph node she noticed in her left armpit after getting COVID-19 booster. She has a family h/o Breast CA and she has had prior lumpectomies. Her last Mammogram was 02/2021 and normal. Patient denies any ingrown hairs or other infectious processes. She does state she feels like the lymph node has gotten smaller. Patient is doing well otherwise and denies SI, SI, HI, or any other complaints.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Myalgia, Fever, chills, myalgia Narrative:
Age: 77.0
Sex: M
Vaccine: VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Pain, Rash, Rash pruritic, Tenderness
Clinical narrative: Narrative:  Right elbow swelling after second COVID vaccine on July 7. Had  rash on his back after second vaccine. Rash comes and goes since that time. Rash does itch Referred to dermatology Right hand tender with motion and left hand multiple ares of small areas of rash on back small area on stomach
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Nerve injury, Neuralgic amyotrophy, Pain, Pruritus
Clinical narrative: Narrative: 8/20/21 patient states: I got the Moderna Covid shots back in March/April. After the first shot I had pain that went away after some time but I then developed long lasting side effect like nerve damage pain burning itching in  my right arm from my shoulder to my hand. 11/14/21: per patient -Parsonage Turner Syndrome Brachial Neuritis This is concerning my chronic shoulder pain and arm nerve damage since getting the COVID shot#1 in my right arm. I am doing the Occupation Therapy appointments 11/17/2 per provider: ordered Nerve condition test and an RT shoulder Xray done on that arm Patient states he is still chronically having pain 7 months after vaccination
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Radiculitis brachial
Clinical narrative: Narrative: 8/20/21 patient states: I got the Moderna Covid shots back in March/April. After the first shot I had pain that went away after some time but I then developed long lasting side effect like nerve damage pain burning itching in  my right arm from my shoulder to my hand. 11/14/21: per patient -Parsonage Turner Syndrome Brachial Neuritis This is concerning my chronic shoulder pain and arm nerve damage since getting the COVID shot#1 in my right arm. I am doing the Occupation Therapy appointments 11/17/2 per provider: ordered Nerve condition test and an RT shoulder Xray done on that arm Patient states he is still chronically having pain 7 months after vaccination
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Pyrexia
Clinical narrative: Headache, Fever & Diarrhea Narrative:
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Pyrexia
Clinical narrative: Narrative: Per PCP note 4/20/21: Received COVID-19 vaccine #2 yesterday. Mild feverishness chills shortness of breath last night for several hours. Vital signs stable today. No acute distress. Patient alert and conversant.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  94yo male patient who resided at nursing home facility died on 11/17/2021. Place and cause of death not given. Pt with hx of with a h/o HTN, CKD, A. Fib, self-reported CVA, CAD, BPH, hypothyroidism, OSA, cataracts, R ankle pain. Pt had received covid vaccines on 1/20/2021 & 2/12/21. This death is likely not related to the vaccinations due to patient's comorbidities, advanced age, and length of time from vaccine administration.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Feeling abnormal, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: COVID infection following COVID vaccine series 03/05 COVID  vaccine dose #1 03/24 COVID vaccine dose #2 05/14 pt seen in ED c/o right  abdominal pain, discharged to home with treatment for UTI 12/16 pt seen in ED  c/o sore throat, rhinorrhea; COVID positive, no treatment given 12/17 pt declines  daily calls, then calls agency to report feeling "terrible" and states going to pursue  monoclonal antibody treatment 12/20 pt denies calling agency on 12/17, states  completely asymptomatic and feels well, unclear if error or pt forgot
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: COVID infection following COVID vaccine series 03/05 COVID  vaccine dose #1 03/24 COVID vaccine dose #2 05/14 pt seen in ED c/o right  abdominal pain, discharged to home with treatment for UTI 12/16 pt seen in ED  c/o sore throat, rhinorrhea; COVID positive, no treatment given 12/17 pt declines  daily calls, then calls agency to report feeling "terrible" and states going to pursue  monoclonal antibody treatment 12/20 pt denies calling agency on 12/17, states  completely asymptomatic and feels well, unclear if error or pt forgot
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Fever & NauseaVomiting Narrative:
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Narrative: Headache, Myalgia, Fatigue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, SARS-CoV-2 test positive
Clinical narrative: NARRATIVE:
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Agitation, Back pain, Blood creatinine increased, Blood urea increased
Clinical narrative: Narrative: ADMISSION DATE: 27OCT2021 DISCHARGE DATE: 07NOV2021 DISCHARGE TYPE: Death PRINCIPAL DIAGNOSIS (Reason for admission after study): COVID 19 pneumonia ADDITIONAL DIAGNOSES: Acute hypoxic respiratory failure Cytokine release syndrome grade III Hypercoagulable DIC COVID-19 encephalopathy Diabetes mellitus type 2 Diabetic retinopathy History of colostomy Chronic kidney disease stage IV with acute kidney injury, prerenal History of bowel obstruction Currently with ileus History of hepatitis B History of hypertension Anemia of chronic disease Hypernatremia Moderate protein calorie malnutrition Possible superimposed bacterial pneumonia, organism unknown HISTORY OF PRESENT ILLNESS: (per H&P) Presented to the ED for the second time in 5 days complaining of nonproductive cough and mid back pain. He had multiple back surgeries. On evaluation in the ED, T = 101.5, COVID-19 positive, BUn = 69, creatinine = 5.3, Hgb = 9.7 and admission was requested. The patient was noted to have worsening mental status and respiratory status, with agitation and requiring continuous BiPAP. He was transferred to the intensive care unit 05NOV: Overnight the patient has had no improvement in his mental status, he is responsive only to nausea stimuli. We had increase his FiO2 this morning for hypoxia to the 80s. His renal function has continued to decline despite IV fluids. 07NOV: The patient began to quickly decline around 0800. HIs family was informed. The patient passed at 0822.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, COVID-19 pneumonia, Chronic kidney disease, Cough
Clinical narrative: Narrative: ADMISSION DATE: 27OCT2021 DISCHARGE DATE: 07NOV2021 DISCHARGE TYPE: Death PRINCIPAL DIAGNOSIS (Reason for admission after study): COVID 19 pneumonia ADDITIONAL DIAGNOSES: Acute hypoxic respiratory failure Cytokine release syndrome grade III Hypercoagulable DIC COVID-19 encephalopathy Diabetes mellitus type 2 Diabetic retinopathy History of colostomy Chronic kidney disease stage IV with acute kidney injury, prerenal History of bowel obstruction Currently with ileus History of hepatitis B History of hypertension Anemia of chronic disease Hypernatremia Moderate protein calorie malnutrition Possible superimposed bacterial pneumonia, organism unknown HISTORY OF PRESENT ILLNESS: (per H&P) Presented to the ED for the second time in 5 days complaining of nonproductive cough and mid back pain. He had multiple back surgeries. On evaluation in the ED, T = 101.5, COVID-19 positive, BUn = 69, creatinine = 5.3, Hgb = 9.7 and admission was requested. The patient was noted to have worsening mental status and respiratory status, with agitation and requiring continuous BiPAP. He was transferred to the intensive care unit 05NOV: Overnight the patient has had no improvement in his mental status, he is responsive only to nausea stimuli. We had increase his FiO2 this morning for hypoxia to the 80s. His renal function has continued to decline despite IV fluids. 07NOV: The patient began to quickly decline around 0800. HIs family was informed. The patient passed at 0822.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cytokine release syndrome, Death, Diabetic retinopathy, Encephalopathy, Fraction of inspired oxygen
Clinical narrative: Narrative: ADMISSION DATE: 27OCT2021 DISCHARGE DATE: 07NOV2021 DISCHARGE TYPE: Death PRINCIPAL DIAGNOSIS (Reason for admission after study): COVID 19 pneumonia ADDITIONAL DIAGNOSES: Acute hypoxic respiratory failure Cytokine release syndrome grade III Hypercoagulable DIC COVID-19 encephalopathy Diabetes mellitus type 2 Diabetic retinopathy History of colostomy Chronic kidney disease stage IV with acute kidney injury, prerenal History of bowel obstruction Currently with ileus History of hepatitis B History of hypertension Anemia of chronic disease Hypernatremia Moderate protein calorie malnutrition Possible superimposed bacterial pneumonia, organism unknown HISTORY OF PRESENT ILLNESS: (per H&P) Presented to the ED for the second time in 5 days complaining of nonproductive cough and mid back pain. He had multiple back surgeries. On evaluation in the ED, T = 101.5, COVID-19 positive, BUn = 69, creatinine = 5.3, Hgb = 9.7 and admission was requested. The patient was noted to have worsening mental status and respiratory status, with agitation and requiring continuous BiPAP. He was transferred to the intensive care unit 05NOV: Overnight the patient has had no improvement in his mental status, he is responsive only to nausea stimuli. We had increase his FiO2 this morning for hypoxia to the 80s. His renal function has continued to decline despite IV fluids. 07NOV: The patient began to quickly decline around 0800. HIs family was informed. The patient passed at 0822.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Haemoglobin decreased, Hypercoagulation, Hyporesponsive to stimuli, Hypoxia
Clinical narrative: Narrative: ADMISSION DATE: 27OCT2021 DISCHARGE DATE: 07NOV2021 DISCHARGE TYPE: Death PRINCIPAL DIAGNOSIS (Reason for admission after study): COVID 19 pneumonia ADDITIONAL DIAGNOSES: Acute hypoxic respiratory failure Cytokine release syndrome grade III Hypercoagulable DIC COVID-19 encephalopathy Diabetes mellitus type 2 Diabetic retinopathy History of colostomy Chronic kidney disease stage IV with acute kidney injury, prerenal History of bowel obstruction Currently with ileus History of hepatitis B History of hypertension Anemia of chronic disease Hypernatremia Moderate protein calorie malnutrition Possible superimposed bacterial pneumonia, organism unknown HISTORY OF PRESENT ILLNESS: (per H&P) Presented to the ED for the second time in 5 days complaining of nonproductive cough and mid back pain. He had multiple back surgeries. On evaluation in the ED, T = 101.5, COVID-19 positive, BUn = 69, creatinine = 5.3, Hgb = 9.7 and admission was requested. The patient was noted to have worsening mental status and respiratory status, with agitation and requiring continuous BiPAP. He was transferred to the intensive care unit 05NOV: Overnight the patient has had no improvement in his mental status, he is responsive only to nausea stimuli. We had increase his FiO2 this morning for hypoxia to the 80s. His renal function has continued to decline despite IV fluids. 07NOV: The patient began to quickly decline around 0800. HIs family was informed. The patient passed at 0822.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Mental status changes, Positive airway pressure therapy, Renal impairment, Respiratory disorder
Clinical narrative: Narrative: ADMISSION DATE: 27OCT2021 DISCHARGE DATE: 07NOV2021 DISCHARGE TYPE: Death PRINCIPAL DIAGNOSIS (Reason for admission after study): COVID 19 pneumonia ADDITIONAL DIAGNOSES: Acute hypoxic respiratory failure Cytokine release syndrome grade III Hypercoagulable DIC COVID-19 encephalopathy Diabetes mellitus type 2 Diabetic retinopathy History of colostomy Chronic kidney disease stage IV with acute kidney injury, prerenal History of bowel obstruction Currently with ileus History of hepatitis B History of hypertension Anemia of chronic disease Hypernatremia Moderate protein calorie malnutrition Possible superimposed bacterial pneumonia, organism unknown HISTORY OF PRESENT ILLNESS: (per H&P) Presented to the ED for the second time in 5 days complaining of nonproductive cough and mid back pain. He had multiple back surgeries. On evaluation in the ED, T = 101.5, COVID-19 positive, BUn = 69, creatinine = 5.3, Hgb = 9.7 and admission was requested. The patient was noted to have worsening mental status and respiratory status, with agitation and requiring continuous BiPAP. He was transferred to the intensive care unit 05NOV: Overnight the patient has had no improvement in his mental status, he is responsive only to nausea stimuli. We had increase his FiO2 this morning for hypoxia to the 80s. His renal function has continued to decline despite IV fluids. 07NOV: The patient began to quickly decline around 0800. HIs family was informed. The patient passed at 0822.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Type 2 diabetes mellitus
Clinical narrative: Narrative: ADMISSION DATE: 27OCT2021 DISCHARGE DATE: 07NOV2021 DISCHARGE TYPE: Death PRINCIPAL DIAGNOSIS (Reason for admission after study): COVID 19 pneumonia ADDITIONAL DIAGNOSES: Acute hypoxic respiratory failure Cytokine release syndrome grade III Hypercoagulable DIC COVID-19 encephalopathy Diabetes mellitus type 2 Diabetic retinopathy History of colostomy Chronic kidney disease stage IV with acute kidney injury, prerenal History of bowel obstruction Currently with ileus History of hepatitis B History of hypertension Anemia of chronic disease Hypernatremia Moderate protein calorie malnutrition Possible superimposed bacterial pneumonia, organism unknown HISTORY OF PRESENT ILLNESS: (per H&P) Presented to the ED for the second time in 5 days complaining of nonproductive cough and mid back pain. He had multiple back surgeries. On evaluation in the ED, T = 101.5, COVID-19 positive, BUn = 69, creatinine = 5.3, Hgb = 9.7 and admission was requested. The patient was noted to have worsening mental status and respiratory status, with agitation and requiring continuous BiPAP. He was transferred to the intensive care unit 05NOV: Overnight the patient has had no improvement in his mental status, he is responsive only to nausea stimuli. We had increase his FiO2 this morning for hypoxia to the 80s. His renal function has continued to decline despite IV fluids. 07NOV: The patient began to quickly decline around 0800. HIs family was informed. The patient passed at 0822.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Tachycardia, Tachypnoea
Clinical narrative: Tachypnea, HYPERtension & Tachycardia
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Narrative:  PATIENT RECEIVED BOOSTER VACCINE FOR COVID-19 AND PROCEEDED TO DEVELOP COVID-19 WITHIN 30 DAYS OF ADMINISTRATION.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Pain in extremity, Rhinorrhoea
Clinical narrative: Narrative: Chills, feeling "off, several sore arm, runny nose
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Headache, Myalgia, Pyrexia
Clinical narrative: Headache, Myalgia, Arthralgia, Fever & Diarrhea Narrative:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anal squamous cell carcinoma, Death
Clinical narrative: Narrative:  60yo male pt died on 11/28/21 from metastatic anal squamous cell carcinoma. Pt had received covid vaccines on 1/28, 3/9, & 10/12 (2021). Death is not related to vaccines.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Vomiting
Clinical narrative: Narrative: Headache & Nausea Vomiting.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Vomiting
Clinical narrative: Headache, Myalgia & NauseaVomiting
Age: 59.0
Sex: M
Vaccine: FLUX
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin discolouration, Sleep disorder
Clinical narrative: UrticariaPruiritus see next section Narrative: On 12/24/20 9p, day 4, experienced itching torso, chest up to clavicle area, and back, continued for a week, emp used OTC cortisone 10 cream, which did not help. Emp states that he ignored itching for over a month, but it woke them at night, and you took a shower to relieve itching. Itching increased over time. After Dose #2, no change in itching. In April, coworker remarked about a rash. Employees states the they awoke twice per night over several months due to itching. Went to ER 4/23/21 because of itching, skin discoloration, rash moving toward face, was given PO cortisone and topical cortisone cream. Itching decreased, rash still present ,sleep is not disrupted at this time. Saw PCP first week of May, rx for ketoconazole 200 mg po.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Rash
Clinical narrative: Had 1st dose of Moderna COVID-19 vaccine at outside  facility. Patient reported he had a rash/flushing with 1st shot and CDC  advised him not to take the second shot.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Narrative:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Respiration abnormal
Clinical narrative: Narrative:  Pt went to her car to pick up her thing and went back to the observation. Reported of feeling lightheadedness and dizziness and shortness of breath. noted pt is breathing faster like 25. Sat down and @1505 vs: BP 120/56 HR:90 O2 sat: 96 %. Pt said she hasnt ate lunch yet and she took 2 tablets of loratidine this morning before going to work which makes her sleepy. Offered some snacks, chocolates, verified she doesn't have any food allergies. Drink more fluids and ate some food and pt said she was feeling better. @1520 VS: HR:80 BP 116/73, o2: 98% - looks more comfortable said not feeling lightheaded anymore. At 60min observation checked her VS: HR-83, BP- 119/65, o2- 98%. Pt said she called her son and will picked her up in 30 min. Called transport and wheelchair to go to cafeteria and have waited for her son to pick her up VS are WNL.
Age: 61.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Narrative:  46yo male pt who had received a covid vaccine on 3/18/2021 (J&J) at unknown place died on 8/20/21 of unknown causes. Pt had NEVER been seen at clinic. No information on patient medical hx. Not able to assess if covid vaccine is related to pt's death. Likely death is not related to covid vaccines given death was past 90 days since vaccine admin date.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angina pectoris, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia
Clinical narrative: Narrative: ADMISSION DATE: 12/08/2021 DISCHARGE DATE: 12/14/2021 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study):1) Acute-on-chronic hypoxic respiratory failure with COVID-19 viral pneumonia. 2) Acute SARS-CoV-2 pneumonia: Tested positive for COVID-19 on 12/08/21. signficant medical problems including CAD, chronic PVD, lung cancer s/p resected brain metastases, chronic hoarseness, tubular adenomas, history of seizures, Type II DM, HTN, HLD, COPD, left shoulder pain, IDA, OA, and GERD who presents to the ER c/o sob/productive cough/DOE for a week. He reports assoc nasal congestion and coughing up BRB. No reported fever. He had COVID-19 vaccines in March/April 2021. Patient reports ongoing dyspnea even prior to recent coronary stent placement but reports increased dyspnea on exertion and shortness of breath at rest for the last week associated with cough and cold symptoms. Of note, the patient reports undergoing 6-7 stents and the last stent placement was 3 weeks ago at Hospital. He is pain free now, but reports angina symptoms. In ER Triage reports, Patient reports increasing SOB, chills at night, cough, headache, congestion. COVID Tent assessment showed he was hypoxic at 86-89% on room air. ER work-up showed O2 sat was 93% on 3L/NC, CXR presented with SOB, Coughing, and hypoxia. He tested (+)for COVID- 19 with Viral Pneumonia. He received 5 day course of Remdesivir and ongoing tapering dose of IV, now PO Dexamethasone. He has qualified for home O2 2L/NC with activity and with activity. He is stable and anxious to get out of the hospital. His blood sugars were elevated due to the steroids. He will f/up with his PCP after 10 days of DH isolation guidelines.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Coronary arterial stent insertion, Dyspnoea, Dyspnoea at rest
Clinical narrative: Narrative: ADMISSION DATE: 12/08/2021 DISCHARGE DATE: 12/14/2021 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study):1) Acute-on-chronic hypoxic respiratory failure with COVID-19 viral pneumonia. 2) Acute SARS-CoV-2 pneumonia: Tested positive for COVID-19 on 12/08/21. signficant medical problems including CAD, chronic PVD, lung cancer s/p resected brain metastases, chronic hoarseness, tubular adenomas, history of seizures, Type II DM, HTN, HLD, COPD, left shoulder pain, IDA, OA, and GERD who presents to the ER c/o sob/productive cough/DOE for a week. He reports assoc nasal congestion and coughing up BRB. No reported fever. He had COVID-19 vaccines in March/April 2021. Patient reports ongoing dyspnea even prior to recent coronary stent placement but reports increased dyspnea on exertion and shortness of breath at rest for the last week associated with cough and cold symptoms. Of note, the patient reports undergoing 6-7 stents and the last stent placement was 3 weeks ago at Hospital. He is pain free now, but reports angina symptoms. In ER Triage reports, Patient reports increasing SOB, chills at night, cough, headache, congestion. COVID Tent assessment showed he was hypoxic at 86-89% on room air. ER work-up showed O2 sat was 93% on 3L/NC, CXR presented with SOB, Coughing, and hypoxia. He tested (+)for COVID- 19 with Viral Pneumonia. He received 5 day course of Remdesivir and ongoing tapering dose of IV, now PO Dexamethasone. He has qualified for home O2 2L/NC with activity and with activity. He is stable and anxious to get out of the hospital. His blood sugars were elevated due to the steroids. He will f/up with his PCP after 10 days of DH isolation guidelines.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Haemoptysis, Headache, Hypoxia, Lung opacity
Clinical narrative: Narrative: ADMISSION DATE: 12/08/2021 DISCHARGE DATE: 12/14/2021 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study):1) Acute-on-chronic hypoxic respiratory failure with COVID-19 viral pneumonia. 2) Acute SARS-CoV-2 pneumonia: Tested positive for COVID-19 on 12/08/21. signficant medical problems including CAD, chronic PVD, lung cancer s/p resected brain metastases, chronic hoarseness, tubular adenomas, history of seizures, Type II DM, HTN, HLD, COPD, left shoulder pain, IDA, OA, and GERD who presents to the ER c/o sob/productive cough/DOE for a week. He reports assoc nasal congestion and coughing up BRB. No reported fever. He had COVID-19 vaccines in March/April 2021. Patient reports ongoing dyspnea even prior to recent coronary stent placement but reports increased dyspnea on exertion and shortness of breath at rest for the last week associated with cough and cold symptoms. Of note, the patient reports undergoing 6-7 stents and the last stent placement was 3 weeks ago at Hospital. He is pain free now, but reports angina symptoms. In ER Triage reports, Patient reports increasing SOB, chills at night, cough, headache, congestion. COVID Tent assessment showed he was hypoxic at 86-89% on room air. ER work-up showed O2 sat was 93% on 3L/NC, CXR presented with SOB, Coughing, and hypoxia. He tested (+)for COVID- 19 with Viral Pneumonia. He received 5 day course of Remdesivir and ongoing tapering dose of IV, now PO Dexamethasone. He has qualified for home O2 2L/NC with activity and with activity. He is stable and anxious to get out of the hospital. His blood sugars were elevated due to the steroids. He will f/up with his PCP after 10 days of DH isolation guidelines.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Pneumonia viral, Productive cough, Respiratory failure
Clinical narrative: Narrative: ADMISSION DATE: 12/08/2021 DISCHARGE DATE: 12/14/2021 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study):1) Acute-on-chronic hypoxic respiratory failure with COVID-19 viral pneumonia. 2) Acute SARS-CoV-2 pneumonia: Tested positive for COVID-19 on 12/08/21. signficant medical problems including CAD, chronic PVD, lung cancer s/p resected brain metastases, chronic hoarseness, tubular adenomas, history of seizures, Type II DM, HTN, HLD, COPD, left shoulder pain, IDA, OA, and GERD who presents to the ER c/o sob/productive cough/DOE for a week. He reports assoc nasal congestion and coughing up BRB. No reported fever. He had COVID-19 vaccines in March/April 2021. Patient reports ongoing dyspnea even prior to recent coronary stent placement but reports increased dyspnea on exertion and shortness of breath at rest for the last week associated with cough and cold symptoms. Of note, the patient reports undergoing 6-7 stents and the last stent placement was 3 weeks ago at Hospital. He is pain free now, but reports angina symptoms. In ER Triage reports, Patient reports increasing SOB, chills at night, cough, headache, congestion. COVID Tent assessment showed he was hypoxic at 86-89% on room air. ER work-up showed O2 sat was 93% on 3L/NC, CXR presented with SOB, Coughing, and hypoxia. He tested (+)for COVID- 19 with Viral Pneumonia. He received 5 day course of Remdesivir and ongoing tapering dose of IV, now PO Dexamethasone. He has qualified for home O2 2L/NC with activity and with activity. He is stable and anxious to get out of the hospital. His blood sugars were elevated due to the steroids. He will f/up with his PCP after 10 days of DH isolation guidelines.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Narrative: ADMISSION DATE: 12/08/2021 DISCHARGE DATE: 12/14/2021 DISCHARGE TYPE: Regular PRINCIPAL DIAGNOSIS (Reason for admission after study):1) Acute-on-chronic hypoxic respiratory failure with COVID-19 viral pneumonia. 2) Acute SARS-CoV-2 pneumonia: Tested positive for COVID-19 on 12/08/21. signficant medical problems including CAD, chronic PVD, lung cancer s/p resected brain metastases, chronic hoarseness, tubular adenomas, history of seizures, Type II DM, HTN, HLD, COPD, left shoulder pain, IDA, OA, and GERD who presents to the ER c/o sob/productive cough/DOE for a week. He reports assoc nasal congestion and coughing up BRB. No reported fever. He had COVID-19 vaccines in March/April 2021. Patient reports ongoing dyspnea even prior to recent coronary stent placement but reports increased dyspnea on exertion and shortness of breath at rest for the last week associated with cough and cold symptoms. Of note, the patient reports undergoing 6-7 stents and the last stent placement was 3 weeks ago at Hospital. He is pain free now, but reports angina symptoms. In ER Triage reports, Patient reports increasing SOB, chills at night, cough, headache, congestion. COVID Tent assessment showed he was hypoxic at 86-89% on room air. ER work-up showed O2 sat was 93% on 3L/NC, CXR presented with SOB, Coughing, and hypoxia. He tested (+)for COVID- 19 with Viral Pneumonia. He received 5 day course of Remdesivir and ongoing tapering dose of IV, now PO Dexamethasone. He has qualified for home O2 2L/NC with activity and with activity. He is stable and anxious to get out of the hospital. His blood sugars were elevated due to the steroids. He will f/up with his PCP after 10 days of DH isolation guidelines.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase increased, Aspartate aminotransferase increased, Body temperature increased, COVID-19
Clinical narrative: Narrative:  HISTORY OF PRESENT ILLNESS: The patient is a 49 y/o male with a PMH of HLD, HTN, and DM who presented to ED complaining of cough. The patient states that he began to feel unwell 2 days ago. He developed a day cough at that time with minimal SOB. He reports associated fatigue. He denies fever, N/V/D, chest pain. The patinet states he received two doses of Moderna covid vaccine Tmax in ED was 103.6F. No elevations in heart rate noted. Intermittent low normal oxygen saturations were observed but patient did not require oxygen. The patient was noted to be COVID positive. ALT 199 nd AST 170. CXR showed Mild cadiomegaly and pulmonary vascular congestion. HOSPITAL COURSE: patient was admitted to the hospital for acute hypoxic respiratory failure. He was started on steroids due to his hypoxia and elevated LFTs. Patient did well overnight and was able to wean off oxygen. Given brisk improvement, patient was deemed appropriate for discharge. DC plan was discussed with patient and he was deemed stable for DC. He was discharhrged on 12/14/21 in stable condition with a short course of steroids to go home on.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: Narrative:  HISTORY OF PRESENT ILLNESS: The patient is a 49 y/o male with a PMH of HLD, HTN, and DM who presented to ED complaining of cough. The patient states that he began to feel unwell 2 days ago. He developed a day cough at that time with minimal SOB. He reports associated fatigue. He denies fever, N/V/D, chest pain. The patinet states he received two doses of Moderna covid vaccine Tmax in ED was 103.6F. No elevations in heart rate noted. Intermittent low normal oxygen saturations were observed but patient did not require oxygen. The patient was noted to be COVID positive. ALT 199 nd AST 170. CXR showed Mild cadiomegaly and pulmonary vascular congestion. HOSPITAL COURSE: patient was admitted to the hospital for acute hypoxic respiratory failure. He was started on steroids due to his hypoxia and elevated LFTs. Patient did well overnight and was able to wean off oxygen. Given brisk improvement, patient was deemed appropriate for discharge. DC plan was discussed with patient and he was deemed stable for DC. He was discharhrged on 12/14/21 in stable condition with a short course of steroids to go home on.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Liver function test increased, Malaise, Pulmonary congestion, SARS-CoV-2 test positive
Clinical narrative: Narrative:  HISTORY OF PRESENT ILLNESS: The patient is a 49 y/o male with a PMH of HLD, HTN, and DM who presented to ED complaining of cough. The patient states that he began to feel unwell 2 days ago. He developed a day cough at that time with minimal SOB. He reports associated fatigue. He denies fever, N/V/D, chest pain. The patinet states he received two doses of Moderna covid vaccine Tmax in ED was 103.6F. No elevations in heart rate noted. Intermittent low normal oxygen saturations were observed but patient did not require oxygen. The patient was noted to be COVID positive. ALT 199 nd AST 170. CXR showed Mild cadiomegaly and pulmonary vascular congestion. HOSPITAL COURSE: patient was admitted to the hospital for acute hypoxic respiratory failure. He was started on steroids due to his hypoxia and elevated LFTs. Patient did well overnight and was able to wean off oxygen. Given brisk improvement, patient was deemed appropriate for discharge. DC plan was discussed with patient and he was deemed stable for DC. He was discharhrged on 12/14/21 in stable condition with a short course of steroids to go home on.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: Narrative:  HISTORY OF PRESENT ILLNESS:  63-year-old male with a past medical history of severe COPD and morbid obesity who presented to the hospital with a chief complaint of cough and shortness of breath. Patient states his symptoms started about a week ago and have gotten progressively worse since that time. Patient also endorses a mild fever and chills. Patient was tested for Covid yesterday and was positive. Patient was supposed to get monoclonal antibodies but was never called to get these. Patient states he has gotten worse and feels like he needs oxygen now. Patient states he has done some belly breathing at home. ER work-up which is included routine labs was fairly unremarkable. Chest x-ray shows bilateral infiltrates. Given the patient's severe COPD and the belly breathing, we were consulted for admission. HOSPITAL COURSE: 1. COVID PNA 2. Mild transaminitis 3. Hyponatremia 4. Morbid obesity with a BMI of 30 5. Severe COPD The patient stated he started feeling bad about a week ago and then was diagnosed with Covid on the day prior to admission. Patient was supposed to get the monoclonal antibodies on the day prior to admission but was never called to get these. The patient states at home he has gotten worse but his oxygen sat had never dropped below 92% but the patient stated he felt like he needed oxygen. The patient was really more anxious than anything. On the day of discharge the patient was noted to be satting 95% on room air and this was checked by myself at the bedside. Patient stated he took a shower that morning without oxygen and his oxygen saturation never dropped below 93%. Patient is stable for discharge and will continue steroids on the outpatient setting. The patient was having continued chills and is told to take Tylenol or ibuprofen as needed for this. Patient was also prescribed a PPI to take while on the steroid
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Feeling abnormal, Hypertransaminasaemia, Hyponatraemia
Clinical narrative: Narrative:  HISTORY OF PRESENT ILLNESS:  63-year-old male with a past medical history of severe COPD and morbid obesity who presented to the hospital with a chief complaint of cough and shortness of breath. Patient states his symptoms started about a week ago and have gotten progressively worse since that time. Patient also endorses a mild fever and chills. Patient was tested for Covid yesterday and was positive. Patient was supposed to get monoclonal antibodies but was never called to get these. Patient states he has gotten worse and feels like he needs oxygen now. Patient states he has done some belly breathing at home. ER work-up which is included routine labs was fairly unremarkable. Chest x-ray shows bilateral infiltrates. Given the patient's severe COPD and the belly breathing, we were consulted for admission. HOSPITAL COURSE: 1. COVID PNA 2. Mild transaminitis 3. Hyponatremia 4. Morbid obesity with a BMI of 30 5. Severe COPD The patient stated he started feeling bad about a week ago and then was diagnosed with Covid on the day prior to admission. Patient was supposed to get the monoclonal antibodies on the day prior to admission but was never called to get these. The patient states at home he has gotten worse but his oxygen sat had never dropped below 92% but the patient stated he felt like he needed oxygen. The patient was really more anxious than anything. On the day of discharge the patient was noted to be satting 95% on room air and this was checked by myself at the bedside. Patient stated he took a shower that morning without oxygen and his oxygen saturation never dropped below 93%. Patient is stable for discharge and will continue steroids on the outpatient setting. The patient was having continued chills and is told to take Tylenol or ibuprofen as needed for this. Patient was also prescribed a PPI to take while on the steroid
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Narrative:  HISTORY OF PRESENT ILLNESS:  63-year-old male with a past medical history of severe COPD and morbid obesity who presented to the hospital with a chief complaint of cough and shortness of breath. Patient states his symptoms started about a week ago and have gotten progressively worse since that time. Patient also endorses a mild fever and chills. Patient was tested for Covid yesterday and was positive. Patient was supposed to get monoclonal antibodies but was never called to get these. Patient states he has gotten worse and feels like he needs oxygen now. Patient states he has done some belly breathing at home. ER work-up which is included routine labs was fairly unremarkable. Chest x-ray shows bilateral infiltrates. Given the patient's severe COPD and the belly breathing, we were consulted for admission. HOSPITAL COURSE: 1. COVID PNA 2. Mild transaminitis 3. Hyponatremia 4. Morbid obesity with a BMI of 30 5. Severe COPD The patient stated he started feeling bad about a week ago and then was diagnosed with Covid on the day prior to admission. Patient was supposed to get the monoclonal antibodies on the day prior to admission but was never called to get these. The patient states at home he has gotten worse but his oxygen sat had never dropped below 92% but the patient stated he felt like he needed oxygen. The patient was really more anxious than anything. On the day of discharge the patient was noted to be satting 95% on room air and this was checked by myself at the bedside. Patient stated he took a shower that morning without oxygen and his oxygen saturation never dropped below 93%. Patient is stable for discharge and will continue steroids on the outpatient setting. The patient was having continued chills and is told to take Tylenol or ibuprofen as needed for this. Patient was also prescribed a PPI to take while on the steroid
Sex: U
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient first received 1st Covid vaccine in an adjacent County, receiving Moderna on X/XX/2021. At our vaccination clinic, patient received Pfizer vaccine on X/XX/2021 (27 days after). There were no known side-effects.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Lip dry, Pruritus, Rash
Clinical narrative: MOOD SWINGS; NOT SLEEPING; THRUSH; INFLAMMATION; VASCULITIS; ITCHING; RASH ALL OVER; HIVES; DIARRHEA; VOMITING/THROWING UP; SLIGHT MEMORY LOSS; This spontaneous report received from a patient concerned a 61 year old female. The patient's height, and weight were not reported. The patient's past medical history included: back injury, and concurrent conditions included: fibromyalgia, high cholesterol, food allergy, penicillin allergy, drug allergy, smoker, and alcohol user, and other pre-existing medical conditions included: Patient had reported allergies to egg (severe stomach pain), crab (tingling of tongue), penicillin (tongue tingling and swollen) and Advil Liqui gel only. No drug abuse or illicit drug usage was reported. The patient consumes alcohol once in a great while because of all the medication. The patient is a smoker and smokes half a pack to 3/4 in a day. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 043A21A, expiry: 19/SEP/2021) dose was not reported, 1 total administered on 02-APR-2021 to Left Arm for prophylactic vaccination (dose series number 1). No concomitant medications were reported.  On 02-APR-2021, the patient experienced slight memory loss, diarrhea, and vomiting/throwing up. On 04-APR-2021, the patient experienced itching, rash all over, and hives. On 21-APR-2021, Laboratory data included: Biopsy (NR: not provided) Abnormal. On MAY-2021, the patient experienced vasculitis. On 19-OCT-2021, Laboratory data included: Complete blood count (NR: not provided) Normal. On an unspecified date, the patient experienced mood swings, not sleeping, thrush, and inflammation. Treatment medications (dates unspecified) included: famotidine, hydroxyzine hydrochloride, triamcinolone, clotrimazole, diphenhydramine hydrochloride, cetirizine hydrochloride, montelukast sodium, doxycycline, fexofenadine hydrochloride, hydrocortisone, cortisone, and prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from itching, rash all over, and hives, and the outcome of diarrhea, vomiting/throwing up, slight memory loss, mood swings, not sleeping, thrush, vasculitis and inflammation was not reported. This report was non-serious.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat irritation, Tongue discomfort, Urticaria, Vomiting
Clinical narrative: MOOD SWINGS; NOT SLEEPING; THRUSH; INFLAMMATION; VASCULITIS; ITCHING; RASH ALL OVER; HIVES; DIARRHEA; VOMITING/THROWING UP; SLIGHT MEMORY LOSS; This spontaneous report received from a patient concerned a 61 year old female. The patient's height, and weight were not reported. The patient's past medical history included: back injury, and concurrent conditions included: fibromyalgia, high cholesterol, food allergy, penicillin allergy, drug allergy, smoker, and alcohol user, and other pre-existing medical conditions included: Patient had reported allergies to egg (severe stomach pain), crab (tingling of tongue), penicillin (tongue tingling and swollen) and Advil Liqui gel only. No drug abuse or illicit drug usage was reported. The patient consumes alcohol once in a great while because of all the medication. The patient is a smoker and smokes half a pack to 3/4 in a day. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 043A21A, expiry: 19/SEP/2021) dose was not reported, 1 total administered on 02-APR-2021 to Left Arm for prophylactic vaccination (dose series number 1). No concomitant medications were reported.  On 02-APR-2021, the patient experienced slight memory loss, diarrhea, and vomiting/throwing up. On 04-APR-2021, the patient experienced itching, rash all over, and hives. On 21-APR-2021, Laboratory data included: Biopsy (NR: not provided) Abnormal. On MAY-2021, the patient experienced vasculitis. On 19-OCT-2021, Laboratory data included: Complete blood count (NR: not provided) Normal. On an unspecified date, the patient experienced mood swings, not sleeping, thrush, and inflammation. Treatment medications (dates unspecified) included: famotidine, hydroxyzine hydrochloride, triamcinolone, clotrimazole, diphenhydramine hydrochloride, cetirizine hydrochloride, montelukast sodium, doxycycline, fexofenadine hydrochloride, hydrocortisone, cortisone, and prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from itching, rash all over, and hives, and the outcome of diarrhea, vomiting/throwing up, slight memory loss, mood swings, not sleeping, thrush, vasculitis and inflammation was not reported. This report was non-serious.