chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dry skin, Fungaemia, Gastric atony, Gastrostomy, Haemoglobin decreased
Clinical narrative: Brief history and medical decision making:  57M with complicated past medical history including Lynch syndrome with nonpolyposis colon cancer diagnosed 2007 s/p colectomy; as well as, a more recent diagnosis of stage III duodenal adenocarcinoma in October 2021 s/p whipple and undergoing chemotherapy. To note, recent hospitalization from 2/5 to 2/25 at hospital for atonic stomach and bilateral hydronephrosis s/p PEG and bilateral PCN placements.  Presented to ED 2/28 with low blood pressure and dizziness. Admitted for AKI and dehydration. Further work up discovered fungemia with candida followed by ID.     Today, the patient developed tachycardia and transient hypotension.   Hg at that time was 5.7.   Transferred to the ICU for concern of hemorrhagic shock.   Once arrived was awake and alert, clinically very pale and dry. Otherwise, mildly tachycardic and otherwise hemodynamically stable. CT scan of the abdomen and pelvic concerning for active hemorrhage of the spleen. Also, concern for ischemia/hemorrahge of the stomach and free peritoneal air.   Case reviewed with surgical oncology.  Plan at this time is to transfusion 2 units of PRBCs, check coags and coordinate IR intervention. Remainder of plan as other detailed below.  Patient w/ 1/3 cultures positive for candida, recent completion of ertapenem course for ESBL w/ negative repeat cultures. Was found to be covid positive 2/22, asymptomatic, now out of isolation precautions. Broadened to Vanc/zosyn in the setting of new hemodynamic instability at time of transfer to ICU.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Hydronephrosis, Hypotension, Intensive care, Nephrostomy, Packed red blood cell transfusion
Clinical narrative: Brief history and medical decision making:  57M with complicated past medical history including Lynch syndrome with nonpolyposis colon cancer diagnosed 2007 s/p colectomy; as well as, a more recent diagnosis of stage III duodenal adenocarcinoma in October 2021 s/p whipple and undergoing chemotherapy. To note, recent hospitalization from 2/5 to 2/25 at hospital for atonic stomach and bilateral hydronephrosis s/p PEG and bilateral PCN placements.  Presented to ED 2/28 with low blood pressure and dizziness. Admitted for AKI and dehydration. Further work up discovered fungemia with candida followed by ID.     Today, the patient developed tachycardia and transient hypotension.   Hg at that time was 5.7.   Transferred to the ICU for concern of hemorrhagic shock.   Once arrived was awake and alert, clinically very pale and dry. Otherwise, mildly tachycardic and otherwise hemodynamically stable. CT scan of the abdomen and pelvic concerning for active hemorrhage of the spleen. Also, concern for ischemia/hemorrahge of the stomach and free peritoneal air.   Case reviewed with surgical oncology.  Plan at this time is to transfusion 2 units of PRBCs, check coags and coordinate IR intervention. Remainder of plan as other detailed below.  Patient w/ 1/3 cultures positive for candida, recent completion of ertapenem course for ESBL w/ negative repeat cultures. Was found to be covid positive 2/22, asymptomatic, now out of isolation precautions. Broadened to Vanc/zosyn in the setting of new hemodynamic instability at time of transfer to ICU.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Pancreaticoduodenectomy, Pathogen resistance, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Brief history and medical decision making:  57M with complicated past medical history including Lynch syndrome with nonpolyposis colon cancer diagnosed 2007 s/p colectomy; as well as, a more recent diagnosis of stage III duodenal adenocarcinoma in October 2021 s/p whipple and undergoing chemotherapy. To note, recent hospitalization from 2/5 to 2/25 at hospital for atonic stomach and bilateral hydronephrosis s/p PEG and bilateral PCN placements.  Presented to ED 2/28 with low blood pressure and dizziness. Admitted for AKI and dehydration. Further work up discovered fungemia with candida followed by ID.     Today, the patient developed tachycardia and transient hypotension.   Hg at that time was 5.7.   Transferred to the ICU for concern of hemorrhagic shock.   Once arrived was awake and alert, clinically very pale and dry. Otherwise, mildly tachycardic and otherwise hemodynamically stable. CT scan of the abdomen and pelvic concerning for active hemorrhage of the spleen. Also, concern for ischemia/hemorrahge of the stomach and free peritoneal air.   Case reviewed with surgical oncology.  Plan at this time is to transfusion 2 units of PRBCs, check coags and coordinate IR intervention. Remainder of plan as other detailed below.  Patient w/ 1/3 cultures positive for candida, recent completion of ertapenem course for ESBL w/ negative repeat cultures. Was found to be covid positive 2/22, asymptomatic, now out of isolation precautions. Broadened to Vanc/zosyn in the setting of new hemodynamic instability at time of transfer to ICU.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid-19 on 12/29/21 after being admitted to the hospital on 12/27/21. Patient developed pneumonia and died on  1/12/22
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema
Clinical narrative: severe redness back of both hands, blisters
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased
Clinical narrative: Shortness of breath, elevated heart rate, discomfort in chest
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Mobility decreased, Muscle spasms, Muscle tightness, X-ray normal
Clinical narrative: Weeks later, I woke up with cramps in my wrist and it went up to my shoulder, through my back making it very difficult to lift and move. I took Tylenol and practice stretching but nothing worked. Now as days go on, I'm having trouble walking.  A month later I finally decided to call my doctor and went in, she took X rays and said muscles in my neck and back were really tight. She only recommended me to physical therapy as the X rays came back ok.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Oropharyngeal pain, Pain, SARS-CoV-2 test
Clinical narrative: I had cough, body ache, and sore throat. These lasted for about 5 or 6 days. I have fatigue and it's still ongoing. On Feb 24th, I tested for COVID 19.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was given the incorrect vaccine (pediatric Pfizer instead of Pfizer 12+) at the clinic. The clinic was a majority of pediatric patients and the nurse did not double check with the patient for the age and requested vaccine before vaccinating the patient. The accident was quickly realized, and the patient was notified. At that time the clinic manager claimed that this was not a reportable error and would be an acceptable 2nd dose. The patient was informed of this and left the clinic without the correct 2nd dose. No adverse effects were experienced by the patient
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pallor, Somnolence
Clinical narrative: 10:22 Approximately 2 minutes after injection patient became diaphoretic, pale. patient was asked if she was ok, she responded by stating she felt faint. Patient laid her head down on desk, became more lethargic but was still able to answer questions appropriately but quietly and slow. Skin very pale, patient acted very sleepy. Patient was assisted with two RN's to floor to supine position, legs elevated. Ice packs placed to back of neck and vital signs taken with BP 90/70, pulse 97, respirations 12, unlabored and SP02 was 99%. patient remained slow to respond but did respond appropriately when aroused. Appeared very weak, grips equals, answered questioned appropriately but slow. Pupils reactive and equal. 10:45 Continued to monitor without much change, responded to voice commands, remained pale and sleepy. BP 104/70, HR 95, SP02 9%. 10:32 Continued to monitor, remained diaphoretic and pale. Tried to assist to sit and patient would not sit upon her own.  Respirations remained unlabored and skin pale. Would not open eyes without repeated demands. 10:35 Continue to monitor, no changes noted BP 108/74 HR 88 and SPO2 99%. 10:40 Notified 911 by Site Manager. No changes in patient condition.  Patients friend was notified by RN due to no family locally. 10:47 BP 102/76  HR 85 SPO2 99%.  Patient remained pale, arouses slowly, answers questions but slow and quietly. Ambulance personnel arrived.  report given to ambulance crew.  Patient was triaged by ambulance staff, placed on cot and taken to Hospital.  All patient belongings jacket, hone, keys and cup were given to ambulance crew.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Fall, Joint injury, X-ray
Clinical narrative: I slipped on the ice and fell in January 2022, a year after my first Moderna dose, and injured my right knee. X-rays were normal, but I have had a lot of pain since then, probably due to a pulled hamstring followed by increased sharp pain on her anteromedial R knee. I received physical therapy for these problems and am scheduled to see an orthopedist on 03/15/22.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness transitory, Pain in extremity
Clinical narrative: Morning deafness in the right for 24hrs. Sore Arm after shot.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and sore lymph node adjacent to and above right collar bone. The condition lasted for approximately 10 days.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test positive, Hypoaesthesia, Laboratory test, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal
Clinical narrative: My wife had booster vaccination on Feb 07, 2022. Next day she felt numbness in her toes and then next day the numbness was in her both feet, which next day travel towards her legs and the abdomen and then chest. Now power of her left leg is 0/5 and right 2/5. The diagnosis at first was transverse myelitis, which after MRI confirmed as Longitudinally extensive transverse myelitis (LETM). And after positiove AQ4 anti bodies test it is diagnosed as Neuromyelitis optica Spectrum Disorder(NMOSD). As per doctors It is very likely due to Pfizer Covid 19 booster. And I am sure it is due to Pfizer Covid 19 booster vaccination. Please help us to treat the disease which is occurred as result of Pfizer Covid Booster.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myelitis transverse, Neuromyelitis optica spectrum disorder
Clinical narrative: My wife had booster vaccination on Feb 07, 2022. Next day she felt numbness in her toes and then next day the numbness was in her both feet, which next day travel towards her legs and the abdomen and then chest. Now power of her left leg is 0/5 and right 2/5. The diagnosis at first was transverse myelitis, which after MRI confirmed as Longitudinally extensive transverse myelitis (LETM). And after positiove AQ4 anti bodies test it is diagnosed as Neuromyelitis optica Spectrum Disorder(NMOSD). As per doctors It is very likely due to Pfizer Covid 19 booster. And I am sure it is due to Pfizer Covid 19 booster vaccination. Please help us to treat the disease which is occurred as result of Pfizer Covid Booster.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Dizziness, Dyspnoea exertional, Electrocardiogram
Clinical narrative: Patient developed numbness, tingling, weakness and discoloration of left upper extremity 6 hours after receiving this vaccine. He also developed dizziness, lightheadedness and dyspnea on exertion associated with these symptoms.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Electromyogram, Hypoaesthesia, Magnetic resonance imaging, Nerve conduction studies
Clinical narrative: Patient developed numbness, tingling, weakness and discoloration of left upper extremity 6 hours after receiving this vaccine. He also developed dizziness, lightheadedness and dyspnea on exertion associated with these symptoms.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Skin discolouration, Ultrasound Doppler
Clinical narrative: Patient developed numbness, tingling, weakness and discoloration of left upper extremity 6 hours after receiving this vaccine. He also developed dizziness, lightheadedness and dyspnea on exertion associated with these symptoms.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Coronavirus test positive, Cough, Dizziness, Headache
Clinical narrative: Patient tested positive for covid on 01/12/2022.  Was admitted to hospital on 01/14/2022 with symptoms of muscle aches, cough, nausea/vomiting, headache and dizziness.  There is no pre-existing conditions listed.    No discharge from hospital date given.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Patient tested positive for covid on 01/12/2022.  Was admitted to hospital on 01/14/2022 with symptoms of muscle aches, cough, nausea/vomiting, headache and dizziness.  There is no pre-existing conditions listed.    No discharge from hospital date given.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity, Paraesthesia
Clinical narrative: I still have the arm pain (Left) the second day I had lower back pain and tingling on my legs at the same time. The tingling it is still ongoing. my back is better now and occasionally I have the tingling in my arms but not all the time. I feel the tingling mostly on right leg. as I'm speaking to you I'm feeling the tingling.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Burning sensation, Pain in extremity, Sciatica
Clinical narrative: About a month after my vaccination with the booster Moderna vaccine, I started to feel some random sharp pain and burning sensation by the lower back on the side of my lower hip area, It would be down the leg all the way to the toes however it is not always in the same spot. A little bit of pain and burning that feels like pressing on a bruise. This was affecting my ability to sleep on my side, went to the doctor, and suspected that it was sciatica. After doing light stretching I kept doing stretches that assisted in sciatica related pain. I was not given any scans, however, the doctor stated that I should continue improving if I continue to stretch. I am still continuing to feel the pain and debating on going to physical therapy.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder due to a general medical condition
Clinical narrative: About a month after my vaccination with the booster Moderna vaccine, I started to feel some random sharp pain and burning sensation by the lower back on the side of my lower hip area, It would be down the leg all the way to the toes however it is not always in the same spot. A little bit of pain and burning that feels like pressing on a bruise. This was affecting my ability to sleep on my side, went to the doctor, and suspected that it was sciatica. After doing light stretching I kept doing stretches that assisted in sciatica related pain. I was not given any scans, however, the doctor stated that I should continue improving if I continue to stretch. I am still continuing to feel the pain and debating on going to physical therapy.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Peripheral swelling, Swelling face
Clinical narrative: Allergic.. Swelling of face, hands, and feet. Benadryl corrected reaction.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest, Cough, Death, Endotracheal intubation
Clinical narrative: EMS brought pt to hosp after pt being unresponsive and in cardiac arrest; CPR initiated; Patient intubated and sedated in the field; achieved and pt transported to hosp; family states pt has been fatigued x 2wks, sleeping more, up at night coughing; test positive for COVID in ED; pt's condition continued to decline; renal failure worsened; pt was extubated and died in the hospital
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, General physical health deterioration, Hypersomnia, Renal failure, Resuscitation
Clinical narrative: EMS brought pt to hosp after pt being unresponsive and in cardiac arrest; CPR initiated; Patient intubated and sedated in the field; achieved and pt transported to hosp; family states pt has been fatigued x 2wks, sleeping more, up at night coughing; test positive for COVID in ED; pt's condition continued to decline; renal failure worsened; pt was extubated and died in the hospital
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: EMS brought pt to hosp after pt being unresponsive and in cardiac arrest; CPR initiated; Patient intubated and sedated in the field; achieved and pt transported to hosp; family states pt has been fatigued x 2wks, sleeping more, up at night coughing; test positive for COVID in ED; pt's condition continued to decline; renal failure worsened; pt was extubated and died in the hospital
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atypical pneumonia, COVID-19, Cardiac arrest, Computerised tomogram thorax abnormal
Clinical narrative: Hospital course: hx of significant chronic kidney disease, diastolic congestive heart failure, hypertension, hyperlipdemia, hypothyroidism, dermatomyositis with respiratory involvement/restrictive lung disease on home oxygen prn, prior PE/DVT on Eliquis; presented to the ER with dyspnea, hypoxia, COVID infection. Dx'd with COVID on 09/03; associated headache, fever, cough, weakness/fatigue, diarrhea, nausea/vomiting since dx. Received monoclonal antibody infusion; sob became significantlu worse after infusion; found to be hypoxic in the 70s on room air, placed on nrb and transferred to to higher level of care center. CT negative for PE, atypical pneumonia patter consistent with COVID diagnosis. Pt received breathing treatments, dexamethasone, remdesivir. Pt subsequently intubated, sedated, and paralysed, broad spectrum iv abx, aggressive pulmonary toileting and ventilator management and seroquel.pt continued to require aggressive ventilator support but unsuccessfully. Prognosis deemed poor. PEG tube placed for nutrition. ICU care continued, remained on PEEP of 10 FiO2 of 60%. 10/17 pt found to have asystole; pronounced at 7:40 am by intensivist.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Diarrhoea, Dyspnoea, Endotracheal intubation
Clinical narrative: Hospital course: hx of significant chronic kidney disease, diastolic congestive heart failure, hypertension, hyperlipdemia, hypothyroidism, dermatomyositis with respiratory involvement/restrictive lung disease on home oxygen prn, prior PE/DVT on Eliquis; presented to the ER with dyspnea, hypoxia, COVID infection. Dx'd with COVID on 09/03; associated headache, fever, cough, weakness/fatigue, diarrhea, nausea/vomiting since dx. Received monoclonal antibody infusion; sob became significantlu worse after infusion; found to be hypoxic in the 70s on room air, placed on nrb and transferred to to higher level of care center. CT negative for PE, atypical pneumonia patter consistent with COVID diagnosis. Pt received breathing treatments, dexamethasone, remdesivir. Pt subsequently intubated, sedated, and paralysed, broad spectrum iv abx, aggressive pulmonary toileting and ventilator management and seroquel.pt continued to require aggressive ventilator support but unsuccessfully. Prognosis deemed poor. PEG tube placed for nutrition. ICU care continued, remained on PEEP of 10 FiO2 of 60%. 10/17 pt found to have asystole; pronounced at 7:40 am by intensivist.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastrostomy, Headache, Hypoxia, Intensive care
Clinical narrative: Hospital course: hx of significant chronic kidney disease, diastolic congestive heart failure, hypertension, hyperlipdemia, hypothyroidism, dermatomyositis with respiratory involvement/restrictive lung disease on home oxygen prn, prior PE/DVT on Eliquis; presented to the ER with dyspnea, hypoxia, COVID infection. Dx'd with COVID on 09/03; associated headache, fever, cough, weakness/fatigue, diarrhea, nausea/vomiting since dx. Received monoclonal antibody infusion; sob became significantlu worse after infusion; found to be hypoxic in the 70s on room air, placed on nrb and transferred to to higher level of care center. CT negative for PE, atypical pneumonia patter consistent with COVID diagnosis. Pt received breathing treatments, dexamethasone, remdesivir. Pt subsequently intubated, sedated, and paralysed, broad spectrum iv abx, aggressive pulmonary toileting and ventilator management and seroquel.pt continued to require aggressive ventilator support but unsuccessfully. Prognosis deemed poor. PEG tube placed for nutrition. ICU care continued, remained on PEEP of 10 FiO2 of 60%. 10/17 pt found to have asystole; pronounced at 7:40 am by intensivist.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical ventilation, Nausea, Pyrexia, Vomiting
Clinical narrative: Hospital course: hx of significant chronic kidney disease, diastolic congestive heart failure, hypertension, hyperlipdemia, hypothyroidism, dermatomyositis with respiratory involvement/restrictive lung disease on home oxygen prn, prior PE/DVT on Eliquis; presented to the ER with dyspnea, hypoxia, COVID infection. Dx'd with COVID on 09/03; associated headache, fever, cough, weakness/fatigue, diarrhea, nausea/vomiting since dx. Received monoclonal antibody infusion; sob became significantlu worse after infusion; found to be hypoxic in the 70s on room air, placed on nrb and transferred to to higher level of care center. CT negative for PE, atypical pneumonia patter consistent with COVID diagnosis. Pt received breathing treatments, dexamethasone, remdesivir. Pt subsequently intubated, sedated, and paralysed, broad spectrum iv abx, aggressive pulmonary toileting and ventilator management and seroquel.pt continued to require aggressive ventilator support but unsuccessfully. Prognosis deemed poor. PEG tube placed for nutrition. ICU care continued, remained on PEEP of 10 FiO2 of 60%. 10/17 pt found to have asystole; pronounced at 7:40 am by intensivist.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Chronic hives
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Symptoms - cough, congestion, fatigue, fever, and body aches on 3/5/22
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Symptoms - cough, congestion, fatigue, fever, and body aches on 3/5/22
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Asthenia, Blood creatinine increased, Blood magnesium decreased
Clinical narrative: Hospitalized (02.28.2022-03.02.2022); COVID-19 positive (02.28.2022); fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 2/28/2022 Discharge Date: 03/02/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia Hypomagnesemia  Sigmoid diverticulitis  Acute kidney injury superimposed on chronic kidney disease  COVID-19 virus infection     HOSPITAL COURSE: Patient is an 86-year-old male initially presenting to the emergency department with chief complaint decreased oral intake and progressive weakness.  Patient also reported abdominal pain with associated diarrhea ongoing for the last 4-5 weeks. Chest x-ray with no evidence pneumonia.  CT of abdomen and pelvis with evidence of acute sigmoid diverticulitis and urethral thickening of the left renal pelvis with associated inflammatory changes in the left peripelvic and perirenal fat.  The patient was hemodynamically stable but did require 1 L of oxygen for oxygen saturation down to 88% on room air.  Admission labs with evidence of acute kidney injury with BUN of 46, creatinine of 2.45, magnesium of 1.1, WBC count of 6.8, hemoglobin 8.3.  Urinalysis with no evidence of nitrites or leukocytes with minimal wbc's.  Patient was admitted to the medical floor for further management.  Patient was initially started on Decadron, treated with IV fluids, Rocephin and Flagyl for mild diverticulitis and possible pyelitis.  Lasix and potassium was discontinued for AKI and volume depletion.  Patient improved with above measures.  Patient did have a recent admission for left frontal subdural hematoma/subarachnoid hemorrhage for which aspirin was discontinued.  Patient also had a recent admission for GI bleed and it was felt that patient did not need Decadron given no respiratory symptoms on day 2. On the day of discharge, patient was hemodynamically stable, tolerating a general diet, abdominal pain significantly improved.  Patient was not on any oxygen.  Patient reported that he was no longer taking Zoloft or BuSpar upon admission which will have to be addressed with PCP upon hospital follow-up.  Lasix and potassium was held upon discharge would swell need to be reviewed and possibly resumed upon next follow-up appointment with PCP.   Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, COVID-19, Chest X-ray normal, Chronic kidney disease, Computerised tomogram abdomen abnormal
Clinical narrative: Hospitalized (02.28.2022-03.02.2022); COVID-19 positive (02.28.2022); fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 2/28/2022 Discharge Date: 03/02/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia Hypomagnesemia  Sigmoid diverticulitis  Acute kidney injury superimposed on chronic kidney disease  COVID-19 virus infection     HOSPITAL COURSE: Patient is an 86-year-old male initially presenting to the emergency department with chief complaint decreased oral intake and progressive weakness.  Patient also reported abdominal pain with associated diarrhea ongoing for the last 4-5 weeks. Chest x-ray with no evidence pneumonia.  CT of abdomen and pelvis with evidence of acute sigmoid diverticulitis and urethral thickening of the left renal pelvis with associated inflammatory changes in the left peripelvic and perirenal fat.  The patient was hemodynamically stable but did require 1 L of oxygen for oxygen saturation down to 88% on room air.  Admission labs with evidence of acute kidney injury with BUN of 46, creatinine of 2.45, magnesium of 1.1, WBC count of 6.8, hemoglobin 8.3.  Urinalysis with no evidence of nitrites or leukocytes with minimal wbc's.  Patient was admitted to the medical floor for further management.  Patient was initially started on Decadron, treated with IV fluids, Rocephin and Flagyl for mild diverticulitis and possible pyelitis.  Lasix and potassium was discontinued for AKI and volume depletion.  Patient improved with above measures.  Patient did have a recent admission for left frontal subdural hematoma/subarachnoid hemorrhage for which aspirin was discontinued.  Patient also had a recent admission for GI bleed and it was felt that patient did not need Decadron given no respiratory symptoms on day 2. On the day of discharge, patient was hemodynamically stable, tolerating a general diet, abdominal pain significantly improved.  Patient was not on any oxygen.  Patient reported that he was no longer taking Zoloft or BuSpar upon admission which will have to be addressed with PCP upon hospital follow-up.  Lasix and potassium was held upon discharge would swell need to be reviewed and possibly resumed upon next follow-up appointment with PCP.   Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Diverticulitis, Gastrointestinal haemorrhage, Haemoglobin decreased
Clinical narrative: Hospitalized (02.28.2022-03.02.2022); COVID-19 positive (02.28.2022); fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 2/28/2022 Discharge Date: 03/02/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia Hypomagnesemia  Sigmoid diverticulitis  Acute kidney injury superimposed on chronic kidney disease  COVID-19 virus infection     HOSPITAL COURSE: Patient is an 86-year-old male initially presenting to the emergency department with chief complaint decreased oral intake and progressive weakness.  Patient also reported abdominal pain with associated diarrhea ongoing for the last 4-5 weeks. Chest x-ray with no evidence pneumonia.  CT of abdomen and pelvis with evidence of acute sigmoid diverticulitis and urethral thickening of the left renal pelvis with associated inflammatory changes in the left peripelvic and perirenal fat.  The patient was hemodynamically stable but did require 1 L of oxygen for oxygen saturation down to 88% on room air.  Admission labs with evidence of acute kidney injury with BUN of 46, creatinine of 2.45, magnesium of 1.1, WBC count of 6.8, hemoglobin 8.3.  Urinalysis with no evidence of nitrites or leukocytes with minimal wbc's.  Patient was admitted to the medical floor for further management.  Patient was initially started on Decadron, treated with IV fluids, Rocephin and Flagyl for mild diverticulitis and possible pyelitis.  Lasix and potassium was discontinued for AKI and volume depletion.  Patient improved with above measures.  Patient did have a recent admission for left frontal subdural hematoma/subarachnoid hemorrhage for which aspirin was discontinued.  Patient also had a recent admission for GI bleed and it was felt that patient did not need Decadron given no respiratory symptoms on day 2. On the day of discharge, patient was hemodynamically stable, tolerating a general diet, abdominal pain significantly improved.  Patient was not on any oxygen.  Patient reported that he was no longer taking Zoloft or BuSpar upon admission which will have to be addressed with PCP upon hospital follow-up.  Lasix and potassium was held upon discharge would swell need to be reviewed and possibly resumed upon next follow-up appointment with PCP.   Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Hypokalaemia, Hypomagnesaemia, Hypophagia, Hypovolaemia, Inflammation
Clinical narrative: Hospitalized (02.28.2022-03.02.2022); COVID-19 positive (02.28.2022); fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 2/28/2022 Discharge Date: 03/02/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia Hypomagnesemia  Sigmoid diverticulitis  Acute kidney injury superimposed on chronic kidney disease  COVID-19 virus infection     HOSPITAL COURSE: Patient is an 86-year-old male initially presenting to the emergency department with chief complaint decreased oral intake and progressive weakness.  Patient also reported abdominal pain with associated diarrhea ongoing for the last 4-5 weeks. Chest x-ray with no evidence pneumonia.  CT of abdomen and pelvis with evidence of acute sigmoid diverticulitis and urethral thickening of the left renal pelvis with associated inflammatory changes in the left peripelvic and perirenal fat.  The patient was hemodynamically stable but did require 1 L of oxygen for oxygen saturation down to 88% on room air.  Admission labs with evidence of acute kidney injury with BUN of 46, creatinine of 2.45, magnesium of 1.1, WBC count of 6.8, hemoglobin 8.3.  Urinalysis with no evidence of nitrites or leukocytes with minimal wbc's.  Patient was admitted to the medical floor for further management.  Patient was initially started on Decadron, treated with IV fluids, Rocephin and Flagyl for mild diverticulitis and possible pyelitis.  Lasix and potassium was discontinued for AKI and volume depletion.  Patient improved with above measures.  Patient did have a recent admission for left frontal subdural hematoma/subarachnoid hemorrhage for which aspirin was discontinued.  Patient also had a recent admission for GI bleed and it was felt that patient did not need Decadron given no respiratory symptoms on day 2. On the day of discharge, patient was hemodynamically stable, tolerating a general diet, abdominal pain significantly improved.  Patient was not on any oxygen.  Patient reported that he was no longer taking Zoloft or BuSpar upon admission which will have to be addressed with PCP upon hospital follow-up.  Lasix and potassium was held upon discharge would swell need to be reviewed and possibly resumed upon next follow-up appointment with PCP.   Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Nitrite urine absent, Oxygen saturation decreased, SARS-CoV-2 test positive, Subarachnoid haemorrhage
Clinical narrative: Hospitalized (02.28.2022-03.02.2022); COVID-19 positive (02.28.2022); fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 2/28/2022 Discharge Date: 03/02/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia Hypomagnesemia  Sigmoid diverticulitis  Acute kidney injury superimposed on chronic kidney disease  COVID-19 virus infection     HOSPITAL COURSE: Patient is an 86-year-old male initially presenting to the emergency department with chief complaint decreased oral intake and progressive weakness.  Patient also reported abdominal pain with associated diarrhea ongoing for the last 4-5 weeks. Chest x-ray with no evidence pneumonia.  CT of abdomen and pelvis with evidence of acute sigmoid diverticulitis and urethral thickening of the left renal pelvis with associated inflammatory changes in the left peripelvic and perirenal fat.  The patient was hemodynamically stable but did require 1 L of oxygen for oxygen saturation down to 88% on room air.  Admission labs with evidence of acute kidney injury with BUN of 46, creatinine of 2.45, magnesium of 1.1, WBC count of 6.8, hemoglobin 8.3.  Urinalysis with no evidence of nitrites or leukocytes with minimal wbc's.  Patient was admitted to the medical floor for further management.  Patient was initially started on Decadron, treated with IV fluids, Rocephin and Flagyl for mild diverticulitis and possible pyelitis.  Lasix and potassium was discontinued for AKI and volume depletion.  Patient improved with above measures.  Patient did have a recent admission for left frontal subdural hematoma/subarachnoid hemorrhage for which aspirin was discontinued.  Patient also had a recent admission for GI bleed and it was felt that patient did not need Decadron given no respiratory symptoms on day 2. On the day of discharge, patient was hemodynamically stable, tolerating a general diet, abdominal pain significantly improved.  Patient was not on any oxygen.  Patient reported that he was no longer taking Zoloft or BuSpar upon admission which will have to be addressed with PCP upon hospital follow-up.  Lasix and potassium was held upon discharge would swell need to be reviewed and possibly resumed upon next follow-up appointment with PCP.   Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Subdural haematoma, Ureteral wall thickening, Urine analysis, Urine leukocyte esterase, White blood cell count decreased
Clinical narrative: Hospitalized (02.28.2022-03.02.2022); COVID-19 positive (02.28.2022); fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 2/28/2022 Discharge Date: 03/02/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia Hypomagnesemia  Sigmoid diverticulitis  Acute kidney injury superimposed on chronic kidney disease  COVID-19 virus infection     HOSPITAL COURSE: Patient is an 86-year-old male initially presenting to the emergency department with chief complaint decreased oral intake and progressive weakness.  Patient also reported abdominal pain with associated diarrhea ongoing for the last 4-5 weeks. Chest x-ray with no evidence pneumonia.  CT of abdomen and pelvis with evidence of acute sigmoid diverticulitis and urethral thickening of the left renal pelvis with associated inflammatory changes in the left peripelvic and perirenal fat.  The patient was hemodynamically stable but did require 1 L of oxygen for oxygen saturation down to 88% on room air.  Admission labs with evidence of acute kidney injury with BUN of 46, creatinine of 2.45, magnesium of 1.1, WBC count of 6.8, hemoglobin 8.3.  Urinalysis with no evidence of nitrites or leukocytes with minimal wbc's.  Patient was admitted to the medical floor for further management.  Patient was initially started on Decadron, treated with IV fluids, Rocephin and Flagyl for mild diverticulitis and possible pyelitis.  Lasix and potassium was discontinued for AKI and volume depletion.  Patient improved with above measures.  Patient did have a recent admission for left frontal subdural hematoma/subarachnoid hemorrhage for which aspirin was discontinued.  Patient also had a recent admission for GI bleed and it was felt that patient did not need Decadron given no respiratory symptoms on day 2. On the day of discharge, patient was hemodynamically stable, tolerating a general diet, abdominal pain significantly improved.  Patient was not on any oxygen.  Patient reported that he was no longer taking Zoloft or BuSpar upon admission which will have to be addressed with PCP upon hospital follow-up.  Lasix and potassium was held upon discharge would swell need to be reviewed and possibly resumed upon next follow-up appointment with PCP.   Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cells urine
Clinical narrative: Hospitalized (02.28.2022-03.02.2022); COVID-19 positive (02.28.2022); fully vaccinated plus booster  BRIEF OVERVIEW:  Admission Date: 2/28/2022 Discharge Date: 03/02/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypokalemia Hypomagnesemia  Sigmoid diverticulitis  Acute kidney injury superimposed on chronic kidney disease  COVID-19 virus infection     HOSPITAL COURSE: Patient is an 86-year-old male initially presenting to the emergency department with chief complaint decreased oral intake and progressive weakness.  Patient also reported abdominal pain with associated diarrhea ongoing for the last 4-5 weeks. Chest x-ray with no evidence pneumonia.  CT of abdomen and pelvis with evidence of acute sigmoid diverticulitis and urethral thickening of the left renal pelvis with associated inflammatory changes in the left peripelvic and perirenal fat.  The patient was hemodynamically stable but did require 1 L of oxygen for oxygen saturation down to 88% on room air.  Admission labs with evidence of acute kidney injury with BUN of 46, creatinine of 2.45, magnesium of 1.1, WBC count of 6.8, hemoglobin 8.3.  Urinalysis with no evidence of nitrites or leukocytes with minimal wbc's.  Patient was admitted to the medical floor for further management.  Patient was initially started on Decadron, treated with IV fluids, Rocephin and Flagyl for mild diverticulitis and possible pyelitis.  Lasix and potassium was discontinued for AKI and volume depletion.  Patient improved with above measures.  Patient did have a recent admission for left frontal subdural hematoma/subarachnoid hemorrhage for which aspirin was discontinued.  Patient also had a recent admission for GI bleed and it was felt that patient did not need Decadron given no respiratory symptoms on day 2. On the day of discharge, patient was hemodynamically stable, tolerating a general diet, abdominal pain significantly improved.  Patient was not on any oxygen.  Patient reported that he was no longer taking Zoloft or BuSpar upon admission which will have to be addressed with PCP upon hospital follow-up.  Lasix and potassium was held upon discharge would swell need to be reviewed and possibly resumed upon next follow-up appointment with PCP.   Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 18.0
Sex: M
Vaccine: FLU4, HEPA, HPV9, MENB
Symptoms: Epistaxis
Clinical narrative: Approximately 45 minutes after being discharged back to class from school based health clinic, patient returned back to health suite with nose bleed. His face mask and hands were covered with blood. The bleeding stopped spontaneously after about 5 minutes.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Pain
Clinical narrative: The night of my vaccine I felt super achy all over and I tasted metal for 24 hours. It went away on its own so I didn't seek medical attention.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Cough, Dyspnoea, Myalgia
Clinical narrative: Patient tested positive for Covid-19 on 1/12/22 with onset of symptoms on  1/11/22. Symptoms included fever, muscle ache, cough and SOB. Patient was hospitalized on 1/12/22 for 4 days and developed pneumonia and ARDS.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid-19 on 1/12/22 with onset of symptoms on  1/11/22. Symptoms included fever, muscle ache, cough and SOB. Patient was hospitalized on 1/12/22 for 4 days and developed pneumonia and ARDS.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Product storage error, Pyrexia
Clinical narrative: Vaccine was at room temperature of 72 degrees F and administrated past 12 hour post puncture time.   Patient had similar reactions to booster as first and second Pfizer vaccine including  fever, headache, chills and fatigue 12 hours after vaccine and lasting 16 hours then resolving.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID hospitalization
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic kidney disease, Condition aggravated, Death
Clinical narrative: very little information from Healthcare; states pt had a history of post-COVID; per death certificate, pt died in the nursing home of CKD with COVID being a contributing factor to cause of death
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Electrocardiogram abnormal, Heart disease congenital, Laboratory test, Magnetic resonance imaging
Clinical narrative: I had a TIA/mini stroke on 12/29. I went to the ER that same day and received a bunch of tests. They determined there was no neurological damage or visible cause for the TIA. The only thing they found was a congenital heart defect. I was in the ER for 2 days and was discharged with a blood thinner. Soon after that I started taking a high cholesterol.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack, Ultrasound scan
Clinical narrative: I had a TIA/mini stroke on 12/29. I went to the ER that same day and received a bunch of tests. They determined there was no neurological damage or visible cause for the TIA. The only thing they found was a congenital heart defect. I was in the ER for 2 days and was discharged with a blood thinner. Soon after that I started taking a high cholesterol.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Asthenia, Headache, Lymph node pain
Clinical narrative: Severe headache, painful inflamed left lymph nodes, painful inflamed joints specially fingers and knees, body aches throughout, legs? skin painful when clothes rubbed and lack of energy. Today is the 3rd after the booster and I still woke up with an headache which I rarely get and lymph nodes are still very sore and inflamed.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenitis, Pain, Pain in extremity, Pain of skin, Sensitive skin
Clinical narrative: Severe headache, painful inflamed left lymph nodes, painful inflamed joints specially fingers and knees, body aches throughout, legs? skin painful when clothes rubbed and lack of energy. Today is the 3rd after the booster and I still woke up with an headache which I rarely get and lymph nodes are still very sore and inflamed.
Age: 16.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered
Clinical narrative: Error in vaccine. Vaccine expired on Jan 28, 2022
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Dysstasia, Fall, Influenza A virus test negative
Clinical narrative: Date of Evaluation: 1/24/2022                                  Date of Injury: 1/24/2022 Time of Trauma page: 1434                                     time of Evaluation: 1455 Trauma Code: Level 3   Chief Complaint:  Trauma, fall   Source of Information:  Patient   Mechanism of Injury/Details of Event:  This is a 75y.o. female with a past medical history of hepatitis A, measles, pancreatitis, and GERD that presented to the ER with the chief complaint of RLE pain following a mechanical fall at home. She was outside shoveling snow when she accidentally slipped and landed on her right side. She did not hit her head or lose consciousness. She was unable to stand on her own and required assistance from her neighbors. She is currently resting in bed and appears uncomfortable. She is complaining of severe pain in her right hip. She denies any other injuries. She denies taking blood thinners. She has not eaten anything since dinner last night.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Injury, Nucleic acid test, Pain in extremity, Respiratory syncytial virus test negative
Clinical narrative: Date of Evaluation: 1/24/2022                                  Date of Injury: 1/24/2022 Time of Trauma page: 1434                                     time of Evaluation: 1455 Trauma Code: Level 3   Chief Complaint:  Trauma, fall   Source of Information:  Patient   Mechanism of Injury/Details of Event:  This is a 75y.o. female with a past medical history of hepatitis A, measles, pancreatitis, and GERD that presented to the ER with the chief complaint of RLE pain following a mechanical fall at home. She was outside shoveling snow when she accidentally slipped and landed on her right side. She did not hit her head or lose consciousness. She was unable to stand on her own and required assistance from her neighbors. She is currently resting in bed and appears uncomfortable. She is complaining of severe pain in her right hip. She denies any other injuries. She denies taking blood thinners. She has not eaten anything since dinner last night.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Date of Evaluation: 1/24/2022                                  Date of Injury: 1/24/2022 Time of Trauma page: 1434                                     time of Evaluation: 1455 Trauma Code: Level 3   Chief Complaint:  Trauma, fall   Source of Information:  Patient   Mechanism of Injury/Details of Event:  This is a 75y.o. female with a past medical history of hepatitis A, measles, pancreatitis, and GERD that presented to the ER with the chief complaint of RLE pain following a mechanical fall at home. She was outside shoveling snow when she accidentally slipped and landed on her right side. She did not hit her head or lose consciousness. She was unable to stand on her own and required assistance from her neighbors. She is currently resting in bed and appears uncomfortable. She is complaining of severe pain in her right hip. She denies any other injuries. She denies taking blood thinners. She has not eaten anything since dinner last night.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was administered after 12hours  post puncture. Vaccine was at 72 degrees F.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion missed, Abortion spontaneous, Ageusia, Anosmia, COVID-19
Clinical narrative: I started to develop symptoms of cough and runny nose. I lost some loss of taste or smell. I got a positive COVID test on 1/2/2022. My symptoms lasted for approximately 1 week. I found out that I had a miscarriage in January. It seems like the miscarriage was unrelated to COVID due it being a missed abortion. The baby had stopped growing mid Dec.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started to develop symptoms of cough and runny nose. I lost some loss of taste or smell. I got a positive COVID test on 1/2/2022. My symptoms lasted for approximately 1 week. I found out that I had a miscarriage in January. It seems like the miscarriage was unrelated to COVID due it being a missed abortion. The baby had stopped growing mid Dec.