chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pleural effusion, Pneumonia, Positive airway pressure therapy, Prohormone brain natriuretic peptide increased
Clinical narrative: J&J Dose 11/23/22 COVID Positive 2/20/22  2/20/22: The patient is a 92-year-old gentleman who has past medical history significant for vertebral fractures, diabetes, coronary disease, atrial fibrillation and recent COVID-19.  It seems that he having problems at home and not doing well due to which he was admitted to a Medical Center.  It seems he had a fall and possibly heart attack. It seems that he was at the Medical Center for 5 to 6 days and was sent to a nursing facility.  He was admitted over that yesterday.  Today morning it seems that he was confused and getting agitated.  His pulse ox was also low at 89%.  It seems that his lungs are crackly.  He was subsequently sent to emergency room by ambulance for further evaluation.   The patient is unable to give any history due to his current condition.  He would wake up a little bit to verbal and pain stimuli but then go back to state of drowsiness.   In the emergency room patient had chest x-ray that showed right-side effusion with bilateral areas of airspace disease.  CT scan of the head showed no acute process.  CT of the chest showed moderate to large side effusion with small left effusion with bibasilar consolidation.  There is also left upper lobe airspace disease most likely consistent with pneumonia.  His proBNP is elevated and his troponin at 10274 and 0.3 respectively.  His INR is 1.3 and on Eliquis.  His lactate was 2.1.  His glucose was 213. His white count was 11.23.  His heart rate was fast and have requested the ER to give some IV metoprolol.  He also got Lasix 40 mg IV along with IV Levaquin.  It seems that he was placed on BiPAP.   Per the son he has lost some weight but he is not sure how much.  2/20/22: The patient was admitted with acute hypoxic respiratory failure, on BiPAP.  Subsequently, weaned off the oxygen. The patient's family was in the process of transitioning him to Hospice as an outpatient.  He was admitted, put on IV antibiotics and IV fluids for supportive treatment.  Subsequently, the patient was accepted to Hospice, and he will be discharged over there today.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Rales, SARS-CoV-2 test positive, Somnolence, Troponin increased, Weight decreased
Clinical narrative: J&J Dose 11/23/22 COVID Positive 2/20/22  2/20/22: The patient is a 92-year-old gentleman who has past medical history significant for vertebral fractures, diabetes, coronary disease, atrial fibrillation and recent COVID-19.  It seems that he having problems at home and not doing well due to which he was admitted to a Medical Center.  It seems he had a fall and possibly heart attack. It seems that he was at the Medical Center for 5 to 6 days and was sent to a nursing facility.  He was admitted over that yesterday.  Today morning it seems that he was confused and getting agitated.  His pulse ox was also low at 89%.  It seems that his lungs are crackly.  He was subsequently sent to emergency room by ambulance for further evaluation.   The patient is unable to give any history due to his current condition.  He would wake up a little bit to verbal and pain stimuli but then go back to state of drowsiness.   In the emergency room patient had chest x-ray that showed right-side effusion with bilateral areas of airspace disease.  CT scan of the head showed no acute process.  CT of the chest showed moderate to large side effusion with small left effusion with bibasilar consolidation.  There is also left upper lobe airspace disease most likely consistent with pneumonia.  His proBNP is elevated and his troponin at 10274 and 0.3 respectively.  His INR is 1.3 and on Eliquis.  His lactate was 2.1.  His glucose was 213. His white count was 11.23.  His heart rate was fast and have requested the ER to give some IV metoprolol.  He also got Lasix 40 mg IV along with IV Levaquin.  It seems that he was placed on BiPAP.   Per the son he has lost some weight but he is not sure how much.  2/20/22: The patient was admitted with acute hypoxic respiratory failure, on BiPAP.  Subsequently, weaned off the oxygen. The patient's family was in the process of transitioning him to Hospice as an outpatient.  He was admitted, put on IV antibiotics and IV fluids for supportive treatment.  Subsequently, the patient was accepted to Hospice, and he will be discharged over there today.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: J&J Dose 11/23/22 COVID Positive 2/20/22  2/20/22: The patient is a 92-year-old gentleman who has past medical history significant for vertebral fractures, diabetes, coronary disease, atrial fibrillation and recent COVID-19.  It seems that he having problems at home and not doing well due to which he was admitted to a Medical Center.  It seems he had a fall and possibly heart attack. It seems that he was at the Medical Center for 5 to 6 days and was sent to a nursing facility.  He was admitted over that yesterday.  Today morning it seems that he was confused and getting agitated.  His pulse ox was also low at 89%.  It seems that his lungs are crackly.  He was subsequently sent to emergency room by ambulance for further evaluation.   The patient is unable to give any history due to his current condition.  He would wake up a little bit to verbal and pain stimuli but then go back to state of drowsiness.   In the emergency room patient had chest x-ray that showed right-side effusion with bilateral areas of airspace disease.  CT scan of the head showed no acute process.  CT of the chest showed moderate to large side effusion with small left effusion with bibasilar consolidation.  There is also left upper lobe airspace disease most likely consistent with pneumonia.  His proBNP is elevated and his troponin at 10274 and 0.3 respectively.  His INR is 1.3 and on Eliquis.  His lactate was 2.1.  His glucose was 213. His white count was 11.23.  His heart rate was fast and have requested the ER to give some IV metoprolol.  He also got Lasix 40 mg IV along with IV Levaquin.  It seems that he was placed on BiPAP.   Per the son he has lost some weight but he is not sure how much.  2/20/22: The patient was admitted with acute hypoxic respiratory failure, on BiPAP.  Subsequently, weaned off the oxygen. The patient's family was in the process of transitioning him to Hospice as an outpatient.  He was admitted, put on IV antibiotics and IV fluids for supportive treatment.  Subsequently, the patient was accepted to Hospice, and he will be discharged over there today.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No adverse event. Vaccine given after manufacturer exp date
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Inflammation, Limb mass, Magnetic resonance imaging abnormal, Oedema
Clinical narrative: Lump appeared on right side of right ankle. Lumps have continued to appear, some have disappeared over time. One is still on right achilles tendon, under foot on a tendon, and tendon near ankle bone.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor negative, Scan with contrast
Clinical narrative: Lump appeared on right side of right ankle. Lumps have continued to appear, some have disappeared over time. One is still on right achilles tendon, under foot on a tendon, and tendon near ankle bone.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, Coagulopathy, Death, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 8/11/21 from a local Medical Center; pt died at home ; natural death; causes of death:  Acute CVA, coagulopathy with thromobocytopenia, COVID 19
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenia
Clinical narrative: pt had a positive COVID test on 8/11/21 from a local Medical Center; pt died at home ; natural death; causes of death:  Acute CVA, coagulopathy with thromobocytopenia, COVID 19
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Choking, Fatigue, Nasal congestion, Pain
Clinical narrative: I woke up in the morning choking and I thought it may have been allergies. The next day I took an at home COVID-19 test that came back unknown. The next night I started to have nasal congestion, and fatigue. I took another COVID-19 test that came back positive. Over the next few days I felt extremely tired, body aches, and would still waking up choking because of the congestion. I had a telephone appointment with my doctor, and she just told me to monitor my oxygen level and if it drops too low I should go to the emergency room. I monitored my oxygen levels and they were within range. After 10 days my symptoms subsided.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I woke up in the morning choking and I thought it may have been allergies. The next day I took an at home COVID-19 test that came back unknown. The next night I started to have nasal congestion, and fatigue. I took another COVID-19 test that came back positive. Over the next few days I felt extremely tired, body aches, and would still waking up choking because of the congestion. I had a telephone appointment with my doctor, and she just told me to monitor my oxygen level and if it drops too low I should go to the emergency room. I monitored my oxygen levels and they were within range. After 10 days my symptoms subsided.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Diarrhoea, Fatigue
Clinical narrative: On the same day of vaccination I had sore throat later that day and pain at injection site. On Saturday was really intense all day joint pain  in the afternoon, I got severe diarrhea and nausea. Then I started coughing intermittently , it wasn't bad. Saturday night I actually slept better and the joint pain died down. On Sunday the cough was worse and it felt like I had sinus pressure and infection and fatigue. I broke out in a rash on my trunk front and back. Its typical for me when I get a significant illness, its an indicator that I have getting better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Infection, Injection site pain, Nausea, Oropharyngeal pain, Paranasal sinus discomfort
Clinical narrative: On the same day of vaccination I had sore throat later that day and pain at injection site. On Saturday was really intense all day joint pain  in the afternoon, I got severe diarrhea and nausea. Then I started coughing intermittently , it wasn't bad. Saturday night I actually slept better and the joint pain died down. On Sunday the cough was worse and it felt like I had sinus pressure and infection and fatigue. I broke out in a rash on my trunk front and back. Its typical for me when I get a significant illness, its an indicator that I have getting better.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test positive
Clinical narrative: On the same day of vaccination I had sore throat later that day and pain at injection site. On Saturday was really intense all day joint pain  in the afternoon, I got severe diarrhea and nausea. Then I started coughing intermittently , it wasn't bad. Saturday night I actually slept better and the joint pain died down. On Sunday the cough was worse and it felt like I had sinus pressure and infection and fatigue. I broke out in a rash on my trunk front and back. Its typical for me when I get a significant illness, its an indicator that I have getting better.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Rash, Rash erythematous, Speech disorder
Clinical narrative: Tongue swelling, facial swelling, .  Varies in severity but is constant.  When swelling is severe experiences shortness of breath, difficulty swallowing, difficulty speaking, difficulty swallowing ,facial swelling from beneath eyes to chin . notes no aggravating factors.  Does have a red rash On arms and back.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue
Clinical narrative: Tongue swelling, facial swelling, .  Varies in severity but is constant.  When swelling is severe experiences shortness of breath, difficulty swallowing, difficulty speaking, difficulty swallowing ,facial swelling from beneath eyes to chin . notes no aggravating factors.  Does have a red rash On arms and back.
Age: 62.0
Sex: F
Vaccine: COVID19, PNC20, PNC20
Symptoms: Diarrhoea, Nausea, Pain in extremity, Pyrexia
Clinical narrative: diarrhea, arm soreness, fever of 101.7, naseau,
Age: 62.0
Sex: F
Vaccine: COVID19, PNC20, PNC20
Symptoms: Dizziness, Dyspnoea, Pyrexia
Clinical narrative: diarrhea, arm soreness, fever of 101.7, naseau,
Age: 92.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt vaccinated.  Pt admitted to the hospital with COVID related diagnosis.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Insomnia, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I had a sore throat, hard time sleeping, sinuses were sore and coughing, this is how it started out in the evening on the 3rd. I took a test on the 4th and it was negative. Symptoms got worse and I took a test on the 6th and it was positive. Symptoms lasted until the 9/10th but I still have a cough. I took the antiviral medication for 5 days 2x day.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus pain
Clinical narrative: I had a sore throat, hard time sleeping, sinuses were sore and coughing, this is how it started out in the evening on the 3rd. I took a test on the 4th and it was negative. Symptoms got worse and I took a test on the 6th and it was positive. Symptoms lasted until the 9/10th but I still have a cough. I took the antiviral medication for 5 days 2x day.
Age: 66.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt admitted with Covid.  Pt had COVID vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID-19 on 7/8/22. I developed a scratchy throat on 7/3/22 and developed sore throat on 7/6/22. Started experiencing congestion and sinuses w/ a few body aches. I spoke to doctor on 7/9/22.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Throat irritation
Clinical narrative: I tested positive for COVID-19 on 7/8/22. I developed a scratchy throat on 7/3/22 and developed sore throat on 7/6/22. Started experiencing congestion and sinuses w/ a few body aches. I spoke to doctor on 7/9/22.
Age: 15.0
Sex: M
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Adult publicly funded dose (1 mL) administered mistakenly instead of pediatric publicly funded dose (0.5 mL). No adverse reaction observed in clinic  or reported by child or parents upon notification via telephone approximately 1 hour later. Parents and child notified. Primary care physician of patient notified.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash all over my body.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise
Clinical narrative: patient symptomatic with COVID infection and admitted to hospital.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema, Pain, Swelling, Tenderness
Clinical narrative: Edematous swelling in the right armpit extending into the right chest/peculiars area. Also noted swelling in the right posterior side of the chest. Tender to touch and tender with right arm movement.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Nausea, Oropharyngeal discomfort
Clinical narrative: I contracted COVID-19 on 06/20/2022 with symptoms of nausea, vomiting, sore throat, cough, runny nose, and low grade fever of 100.5. I was not prescribed any medications. I was ill for 3 days before my symptoms began to resolve. I have had a lingering symptoms of tickle in the back of my throat and occasional cough.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: I contracted COVID-19 on 06/20/2022 with symptoms of nausea, vomiting, sore throat, cough, runny nose, and low grade fever of 100.5. I was not prescribed any medications. I was ill for 3 days before my symptoms began to resolve. I have had a lingering symptoms of tickle in the back of my throat and occasional cough.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal tenderness, Anticoagulant therapy, Atrial fibrillation, Bladder catheterisation
Clinical narrative: Pfizer Dose 1 4/6/21 (EM9810) Pfizer Dose 2 5/11/21 (EM9810) Pfizer Dose 3 1/5/22 (FL3197) COVID Positive 1/8/22 COVID Positive 1/13/22  1/13/22: Patient has vascular dementia, altered mental status and is not a reliable historian.  Most of the history is obtained by personal review of records.  He is 68-year-old resident at nursing home. Past history of stroke, hemiplegia, dysphagia, aphasia, diabetes mellitus, status post craniotomy,  status post PEG tube placement, neurogenic bladder and other medical problems.  He also has atrial fibrillation and is on chronic Xarelto therapy.    Is not known when he was last seen normal.  He reportedly was more somnolent.  Diagnosed with COVID on 1/8/2022.  CT scan of chest shows bilateral pneumonia.  He was on 2 L oxygen at the time of my examination.  No witnessed seizures as per records.  He has atrial fibrillation and is on Xarelto.  CT scan of abdomen showed distended gallbladder with surrounding inflammatory changes.  1/22/22: Patient is a 68-year-old male with history of unspecified neurological injury, status post craniectomy, IDDM, neurogenic bladder with chronic Foley catheter, and chronic dysphagia who was admitted on 1/13/2022 with complicated UTI, bilateral COVID pneumonia, acute metabolic encephalopathy, and acute cholecystitis.  He was admitted to the medical floor and was started on IV antibiotics, remdesivir, and dexamethasone.  His Foley catheter was changed at that time.  The general surgeon was consulted. On 1/17/2022 the patient had a CT-guided percutaneous cholecystostomy drain placed.  His abdominal pain has essentially resolved since that time.  The patient was noted to have some leukocytosis.  He had a follow-up abdominal CT which did not show any acute processes.  His urine culture grew E coli.  He has completed an antibiotic regimen.  The patient today is resting in bed and reports that he is feeling much better.  He denies shortness of breath at rest, chest pain, palpitations.  Still has mild tenderness to the right upper quadrant, but this has been associated to the site of the cystostomy tube.  His tube feedings were resumed and he has been tolerating those well.  His Xarelto was resumed and his hemoglobin has been stable.  He was cleared by surgery for discharge this morning.  The patient will be discharged back to long-term care center.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cholecystitis, Cholecystitis acute, Cholecystostomy
Clinical narrative: Pfizer Dose 1 4/6/21 (EM9810) Pfizer Dose 2 5/11/21 (EM9810) Pfizer Dose 3 1/5/22 (FL3197) COVID Positive 1/8/22 COVID Positive 1/13/22  1/13/22: Patient has vascular dementia, altered mental status and is not a reliable historian.  Most of the history is obtained by personal review of records.  He is 68-year-old resident at nursing home. Past history of stroke, hemiplegia, dysphagia, aphasia, diabetes mellitus, status post craniotomy,  status post PEG tube placement, neurogenic bladder and other medical problems.  He also has atrial fibrillation and is on chronic Xarelto therapy.    Is not known when he was last seen normal.  He reportedly was more somnolent.  Diagnosed with COVID on 1/8/2022.  CT scan of chest shows bilateral pneumonia.  He was on 2 L oxygen at the time of my examination.  No witnessed seizures as per records.  He has atrial fibrillation and is on Xarelto.  CT scan of abdomen showed distended gallbladder with surrounding inflammatory changes.  1/22/22: Patient is a 68-year-old male with history of unspecified neurological injury, status post craniectomy, IDDM, neurogenic bladder with chronic Foley catheter, and chronic dysphagia who was admitted on 1/13/2022 with complicated UTI, bilateral COVID pneumonia, acute metabolic encephalopathy, and acute cholecystitis.  He was admitted to the medical floor and was started on IV antibiotics, remdesivir, and dexamethasone.  His Foley catheter was changed at that time.  The general surgeon was consulted. On 1/17/2022 the patient had a CT-guided percutaneous cholecystostomy drain placed.  His abdominal pain has essentially resolved since that time.  The patient was noted to have some leukocytosis.  He had a follow-up abdominal CT which did not show any acute processes.  His urine culture grew E coli.  He has completed an antibiotic regimen.  The patient today is resting in bed and reports that he is feeling much better.  He denies shortness of breath at rest, chest pain, palpitations.  Still has mild tenderness to the right upper quadrant, but this has been associated to the site of the cystostomy tube.  His tube feedings were resumed and he has been tolerating those well.  His Xarelto was resumed and his hemoglobin has been stable.  He was cleared by surgery for discharge this morning.  The patient will be discharged back to long-term care center.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Culture urine positive, Drain placement, Escherichia test positive
Clinical narrative: Pfizer Dose 1 4/6/21 (EM9810) Pfizer Dose 2 5/11/21 (EM9810) Pfizer Dose 3 1/5/22 (FL3197) COVID Positive 1/8/22 COVID Positive 1/13/22  1/13/22: Patient has vascular dementia, altered mental status and is not a reliable historian.  Most of the history is obtained by personal review of records.  He is 68-year-old resident at nursing home. Past history of stroke, hemiplegia, dysphagia, aphasia, diabetes mellitus, status post craniotomy,  status post PEG tube placement, neurogenic bladder and other medical problems.  He also has atrial fibrillation and is on chronic Xarelto therapy.    Is not known when he was last seen normal.  He reportedly was more somnolent.  Diagnosed with COVID on 1/8/2022.  CT scan of chest shows bilateral pneumonia.  He was on 2 L oxygen at the time of my examination.  No witnessed seizures as per records.  He has atrial fibrillation and is on Xarelto.  CT scan of abdomen showed distended gallbladder with surrounding inflammatory changes.  1/22/22: Patient is a 68-year-old male with history of unspecified neurological injury, status post craniectomy, IDDM, neurogenic bladder with chronic Foley catheter, and chronic dysphagia who was admitted on 1/13/2022 with complicated UTI, bilateral COVID pneumonia, acute metabolic encephalopathy, and acute cholecystitis.  He was admitted to the medical floor and was started on IV antibiotics, remdesivir, and dexamethasone.  His Foley catheter was changed at that time.  The general surgeon was consulted. On 1/17/2022 the patient had a CT-guided percutaneous cholecystostomy drain placed.  His abdominal pain has essentially resolved since that time.  The patient was noted to have some leukocytosis.  He had a follow-up abdominal CT which did not show any acute processes.  His urine culture grew E coli.  He has completed an antibiotic regimen.  The patient today is resting in bed and reports that he is feeling much better.  He denies shortness of breath at rest, chest pain, palpitations.  Still has mild tenderness to the right upper quadrant, but this has been associated to the site of the cystostomy tube.  His tube feedings were resumed and he has been tolerating those well.  His Xarelto was resumed and his hemoglobin has been stable.  He was cleared by surgery for discharge this morning.  The patient will be discharged back to long-term care center.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Gallbladder disorder, Gastrointestinal tube insertion, Haemoglobin normal, Inappropriate schedule of product administration, Leukocytosis
Clinical narrative: Pfizer Dose 1 4/6/21 (EM9810) Pfizer Dose 2 5/11/21 (EM9810) Pfizer Dose 3 1/5/22 (FL3197) COVID Positive 1/8/22 COVID Positive 1/13/22  1/13/22: Patient has vascular dementia, altered mental status and is not a reliable historian.  Most of the history is obtained by personal review of records.  He is 68-year-old resident at nursing home. Past history of stroke, hemiplegia, dysphagia, aphasia, diabetes mellitus, status post craniotomy,  status post PEG tube placement, neurogenic bladder and other medical problems.  He also has atrial fibrillation and is on chronic Xarelto therapy.    Is not known when he was last seen normal.  He reportedly was more somnolent.  Diagnosed with COVID on 1/8/2022.  CT scan of chest shows bilateral pneumonia.  He was on 2 L oxygen at the time of my examination.  No witnessed seizures as per records.  He has atrial fibrillation and is on Xarelto.  CT scan of abdomen showed distended gallbladder with surrounding inflammatory changes.  1/22/22: Patient is a 68-year-old male with history of unspecified neurological injury, status post craniectomy, IDDM, neurogenic bladder with chronic Foley catheter, and chronic dysphagia who was admitted on 1/13/2022 with complicated UTI, bilateral COVID pneumonia, acute metabolic encephalopathy, and acute cholecystitis.  He was admitted to the medical floor and was started on IV antibiotics, remdesivir, and dexamethasone.  His Foley catheter was changed at that time.  The general surgeon was consulted. On 1/17/2022 the patient had a CT-guided percutaneous cholecystostomy drain placed.  His abdominal pain has essentially resolved since that time.  The patient was noted to have some leukocytosis.  He had a follow-up abdominal CT which did not show any acute processes.  His urine culture grew E coli.  He has completed an antibiotic regimen.  The patient today is resting in bed and reports that he is feeling much better.  He denies shortness of breath at rest, chest pain, palpitations.  Still has mild tenderness to the right upper quadrant, but this has been associated to the site of the cystostomy tube.  His tube feedings were resumed and he has been tolerating those well.  His Xarelto was resumed and his hemoglobin has been stable.  He was cleared by surgery for discharge this morning.  The patient will be discharged back to long-term care center.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic encephalopathy, Pneumonia, SARS-CoV-2 test positive, Somnolence
Clinical narrative: Pfizer Dose 1 4/6/21 (EM9810) Pfizer Dose 2 5/11/21 (EM9810) Pfizer Dose 3 1/5/22 (FL3197) COVID Positive 1/8/22 COVID Positive 1/13/22  1/13/22: Patient has vascular dementia, altered mental status and is not a reliable historian.  Most of the history is obtained by personal review of records.  He is 68-year-old resident at nursing home. Past history of stroke, hemiplegia, dysphagia, aphasia, diabetes mellitus, status post craniotomy,  status post PEG tube placement, neurogenic bladder and other medical problems.  He also has atrial fibrillation and is on chronic Xarelto therapy.    Is not known when he was last seen normal.  He reportedly was more somnolent.  Diagnosed with COVID on 1/8/2022.  CT scan of chest shows bilateral pneumonia.  He was on 2 L oxygen at the time of my examination.  No witnessed seizures as per records.  He has atrial fibrillation and is on Xarelto.  CT scan of abdomen showed distended gallbladder with surrounding inflammatory changes.  1/22/22: Patient is a 68-year-old male with history of unspecified neurological injury, status post craniectomy, IDDM, neurogenic bladder with chronic Foley catheter, and chronic dysphagia who was admitted on 1/13/2022 with complicated UTI, bilateral COVID pneumonia, acute metabolic encephalopathy, and acute cholecystitis.  He was admitted to the medical floor and was started on IV antibiotics, remdesivir, and dexamethasone.  His Foley catheter was changed at that time.  The general surgeon was consulted. On 1/17/2022 the patient had a CT-guided percutaneous cholecystostomy drain placed.  His abdominal pain has essentially resolved since that time.  The patient was noted to have some leukocytosis.  He had a follow-up abdominal CT which did not show any acute processes.  His urine culture grew E coli.  He has completed an antibiotic regimen.  The patient today is resting in bed and reports that he is feeling much better.  He denies shortness of breath at rest, chest pain, palpitations.  Still has mild tenderness to the right upper quadrant, but this has been associated to the site of the cystostomy tube.  His tube feedings were resumed and he has been tolerating those well.  His Xarelto was resumed and his hemoglobin has been stable.  He was cleared by surgery for discharge this morning.  The patient will be discharged back to long-term care center.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection, Vascular dementia
Clinical narrative: Pfizer Dose 1 4/6/21 (EM9810) Pfizer Dose 2 5/11/21 (EM9810) Pfizer Dose 3 1/5/22 (FL3197) COVID Positive 1/8/22 COVID Positive 1/13/22  1/13/22: Patient has vascular dementia, altered mental status and is not a reliable historian.  Most of the history is obtained by personal review of records.  He is 68-year-old resident at nursing home. Past history of stroke, hemiplegia, dysphagia, aphasia, diabetes mellitus, status post craniotomy,  status post PEG tube placement, neurogenic bladder and other medical problems.  He also has atrial fibrillation and is on chronic Xarelto therapy.    Is not known when he was last seen normal.  He reportedly was more somnolent.  Diagnosed with COVID on 1/8/2022.  CT scan of chest shows bilateral pneumonia.  He was on 2 L oxygen at the time of my examination.  No witnessed seizures as per records.  He has atrial fibrillation and is on Xarelto.  CT scan of abdomen showed distended gallbladder with surrounding inflammatory changes.  1/22/22: Patient is a 68-year-old male with history of unspecified neurological injury, status post craniectomy, IDDM, neurogenic bladder with chronic Foley catheter, and chronic dysphagia who was admitted on 1/13/2022 with complicated UTI, bilateral COVID pneumonia, acute metabolic encephalopathy, and acute cholecystitis.  He was admitted to the medical floor and was started on IV antibiotics, remdesivir, and dexamethasone.  His Foley catheter was changed at that time.  The general surgeon was consulted. On 1/17/2022 the patient had a CT-guided percutaneous cholecystostomy drain placed.  His abdominal pain has essentially resolved since that time.  The patient was noted to have some leukocytosis.  He had a follow-up abdominal CT which did not show any acute processes.  His urine culture grew E coli.  He has completed an antibiotic regimen.  The patient today is resting in bed and reports that he is feeling much better.  He denies shortness of breath at rest, chest pain, palpitations.  Still has mild tenderness to the right upper quadrant, but this has been associated to the site of the cystostomy tube.  His tube feedings were resumed and he has been tolerating those well.  His Xarelto was resumed and his hemoglobin has been stable.  He was cleared by surgery for discharge this morning.  The patient will be discharged back to long-term care center.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Incorrect dose administered, Nausea
Clinical narrative: Child was injected with adult dosage of covid 19 pfizer booster shot. Experienced chest pain, shortness of breath, dizziness, nausea and vomiting. Arm pain.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vomiting
Clinical narrative: Child was injected with adult dosage of covid 19 pfizer booster shot. Experienced chest pain, shortness of breath, dizziness, nausea and vomiting. Arm pain.
Age: 53.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt admitted with COVID.  Pt had COVID vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dysgeusia, Fatigue, Feeling abnormal, Headache
Clinical narrative: On July 3rd I had a sore throat and my fever was 101.  I was very tired and had a terrible headache.  I began to feel a foggy brain on day 2.  I had a metallic taste in my mouth.  I called my doctor's office on July 5th and was prescribed Paxlovid.  I did not take this medication because I was advised by the doctor's office that it may react adversely to my current medication.  On day 3 I had sore throat and bad taste in my mouth and fever.   By day 4 I still had a fever and very fatigued.  The sore throat didn't go away until about the 8th of July.  Saturday the 9th my sore throat was gone.  As of today, my symptoms are just a head cold with a nasal congestion.  The nasal congestion has been continuous throughout.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On July 3rd I had a sore throat and my fever was 101.  I was very tired and had a terrible headache.  I began to feel a foggy brain on day 2.  I had a metallic taste in my mouth.  I called my doctor's office on July 5th and was prescribed Paxlovid.  I did not take this medication because I was advised by the doctor's office that it may react adversely to my current medication.  On day 3 I had sore throat and bad taste in my mouth and fever.   By day 4 I still had a fever and very fatigued.  The sore throat didn't go away until about the 8th of July.  Saturday the 9th my sore throat was gone.  As of today, my symptoms are just a head cold with a nasal congestion.  The nasal congestion has been continuous throughout.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: On July 3rd I had a sore throat and my fever was 101.  I was very tired and had a terrible headache.  I began to feel a foggy brain on day 2.  I had a metallic taste in my mouth.  I called my doctor's office on July 5th and was prescribed Paxlovid.  I did not take this medication because I was advised by the doctor's office that it may react adversely to my current medication.  On day 3 I had sore throat and bad taste in my mouth and fever.   By day 4 I still had a fever and very fatigued.  The sore throat didn't go away until about the 8th of July.  Saturday the 9th my sore throat was gone.  As of today, my symptoms are just a head cold with a nasal congestion.  The nasal congestion has been continuous throughout.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Dyspnoea, Enteral nutrition, Hypoxia
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6205 Pfizer Dose 2 4/7/21 (EN6208) COVID Positive 1/29/22  1/29/22: Patient is a 68-year-old female who presents from the nursing home with increasing shortness of breath, hypoxia and COVID positive.  A full history of present illness could not be had as the patient is nonverbal since having a hemorrhagic stroke with resultant left-sided hemiplegia and the past patient also is NPO and has a G-tube.  Patient was found to be having hypoxia at the nursing home with O2 saturations in the 80% range, it is believed that the patient is chronically on supplemental O2 via nasal cannula.  EMS were notified who did give the patient a nebulizer treatment and increased her oxygen which improved her saturations into the low 90s.  No further information could be had from the patient.  The patient's medical history, current medications, imaging studies, vital signs, laboratory studies and agency room records were personally reviewed.  Case was also discussed directly with the emergency room provider.  2/2/22: Patient is a 68-year-old female who presents from the nursing home with increasing shortness of breath, hypoxia and COVID positive.  A full history of present illness could not be had as the patient is nonverbal since having a hemorrhagic stroke with resultant left-sided hemiplegia and the past patient also is NPO and has a G-tube.  Patient was found to be having hypoxia at the nursing home with O2 saturations in the 80% range, it is believed that the patient is chronically on supplemental O2 via nasal cannula.  EMS were notified who did give the patient a nebulizer treatment and increased her oxygen which improved her saturations into the low 90s.  No further information could be had from the patient.  The patient's medical history, current medications, imaging studies, vital signs, laboratory studies and agency room records were personally reviewed.  Case was also discussed directly with the emergency room provider.   Patient is mostly nonverbal as above.  She had a new PE, currently was on Xarelto past.  She was initially started on a IV heparin, subsequently Lovenox.  Will change her to Eliquis at discharge.  Patient was also continued on Decadron Levaquin.  The she will be continued on tube feeds as instructed.  Accu-Cheks q.6 hours with basal Lantus and a sliding scale insulin coverage with Humalog.  Patient was weaned off of oxygen.  She is hemodynamically stable, medically stable to be discharged back to skilled nursing facility today.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Oxygen saturation decreased, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 3/10/21 (EN6205 Pfizer Dose 2 4/7/21 (EN6208) COVID Positive 1/29/22  1/29/22: Patient is a 68-year-old female who presents from the nursing home with increasing shortness of breath, hypoxia and COVID positive.  A full history of present illness could not be had as the patient is nonverbal since having a hemorrhagic stroke with resultant left-sided hemiplegia and the past patient also is NPO and has a G-tube.  Patient was found to be having hypoxia at the nursing home with O2 saturations in the 80% range, it is believed that the patient is chronically on supplemental O2 via nasal cannula.  EMS were notified who did give the patient a nebulizer treatment and increased her oxygen which improved her saturations into the low 90s.  No further information could be had from the patient.  The patient's medical history, current medications, imaging studies, vital signs, laboratory studies and agency room records were personally reviewed.  Case was also discussed directly with the emergency room provider.  2/2/22: Patient is a 68-year-old female who presents from the nursing home with increasing shortness of breath, hypoxia and COVID positive.  A full history of present illness could not be had as the patient is nonverbal since having a hemorrhagic stroke with resultant left-sided hemiplegia and the past patient also is NPO and has a G-tube.  Patient was found to be having hypoxia at the nursing home with O2 saturations in the 80% range, it is believed that the patient is chronically on supplemental O2 via nasal cannula.  EMS were notified who did give the patient a nebulizer treatment and increased her oxygen which improved her saturations into the low 90s.  No further information could be had from the patient.  The patient's medical history, current medications, imaging studies, vital signs, laboratory studies and agency room records were personally reviewed.  Case was also discussed directly with the emergency room provider.   Patient is mostly nonverbal as above.  She had a new PE, currently was on Xarelto past.  She was initially started on a IV heparin, subsequently Lovenox.  Will change her to Eliquis at discharge.  Patient was also continued on Decadron Levaquin.  The she will be continued on tube feeds as instructed.  Accu-Cheks q.6 hours with basal Lantus and a sliding scale insulin coverage with Humalog.  Patient was weaned off of oxygen.  She is hemodynamically stable, medically stable to be discharged back to skilled nursing facility today.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral
Clinical narrative: Hearing loss in left ear
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chills, Cough, Dyspnoea
Clinical narrative: Sometime after the vaccine, I had a headache that was so bad, that was in the center of my forehead. It was so intense that it would wake me up in the middle of the night. Body aches, sore throat, and then I started having difficulty breathing. I went to the clinic and tested positive for COVID. I took PAXLOVID and was feeling a lot better. Then when I was off of that, it came back. The headache, the chills, I also had stomach problems this time around and the trouble breathing was more intense that I had to use my stronger inhaler. I also had severe fatigue. Nothing was as bad as the headache. The second time around I did start coughing and so I went to the urgent care that sent me to get an X ray to see if I had pneumonia but luckily that came back negative.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gastric disorder, Headache, Oropharyngeal pain, Pain
Clinical narrative: Sometime after the vaccine, I had a headache that was so bad, that was in the center of my forehead. It was so intense that it would wake me up in the middle of the night. Body aches, sore throat, and then I started having difficulty breathing. I went to the clinic and tested positive for COVID. I took PAXLOVID and was feeling a lot better. Then when I was off of that, it came back. The headache, the chills, I also had stomach problems this time around and the trouble breathing was more intense that I had to use my stronger inhaler. I also had severe fatigue. Nothing was as bad as the headache. The second time around I did start coughing and so I went to the urgent care that sent me to get an X ray to see if I had pneumonia but luckily that came back negative.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sleep disorder, Symptom recurrence
Clinical narrative: Sometime after the vaccine, I had a headache that was so bad, that was in the center of my forehead. It was so intense that it would wake me up in the middle of the night. Body aches, sore throat, and then I started having difficulty breathing. I went to the clinic and tested positive for COVID. I took PAXLOVID and was feeling a lot better. Then when I was off of that, it came back. The headache, the chills, I also had stomach problems this time around and the trouble breathing was more intense that I had to use my stronger inhaler. I also had severe fatigue. Nothing was as bad as the headache. The second time around I did start coughing and so I went to the urgent care that sent me to get an X ray to see if I had pneumonia but luckily that came back negative.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: The evening of the shot, fatigue headache muscle and joint paint chills nausea fever (100 degrees F) all occurred. rash began next day after shot along with inject site pain and swelling, swelling at lymph nodes. initial symptoms that began evening of the shot did not resolve until 7/11 AM. arm is still swollen/painful at injection site.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia, Nausea, Pyrexia, Rash
Clinical narrative: The evening of the shot, fatigue headache muscle and joint paint chills nausea fever (100 degrees F) all occurred. rash began next day after shot along with inject site pain and swelling, swelling at lymph nodes. initial symptoms that began evening of the shot did not resolve until 7/11 AM. arm is still swollen/painful at injection site.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: The evening of the shot, fatigue headache muscle and joint paint chills nausea fever (100 degrees F) all occurred. rash began next day after shot along with inject site pain and swelling, swelling at lymph nodes. initial symptoms that began evening of the shot did not resolve until 7/11 AM. arm is still swollen/painful at injection site.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Somnolence
Clinical narrative: I was just a little sleepy that morning and that was about it on side effects but it didn't last but maybe an hour or so.  We- test weekly at work and I was tested due to my partners 92 year old mother visits a lot and I wanted to be safe and that is when I tested positive for COVID-19 at home and another test that was PCR and they were both positive.  I went to the emergency room on the 4th and received the MAB therapy infusion.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: There were no adverse events from the vaccine. Vaccine was administered after printed manufacturer exp date
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysgeusia, Fatigue, Pain in extremity
Clinical narrative: I had a little bit of sore arm for two days after receiving the vaccine. Test positive for COVID-19 07/02/2022. I tested with the COVID-19 home test. Symptoms where: coughing, fatigue and I felt like I had a fever but never did. I had a telehealth visit with a COVID-19 center and they prescribed PAXLOVID. After the second day of taking it, I started to feel better. It tasted like metal. I have been symptom free for three days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had a little bit of sore arm for two days after receiving the vaccine. Test positive for COVID-19 07/02/2022. I tested with the COVID-19 home test. Symptoms where: coughing, fatigue and I felt like I had a fever but never did. I had a telehealth visit with a COVID-19 center and they prescribed PAXLOVID. After the second day of taking it, I started to feel better. It tasted like metal. I have been symptom free for three days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dizziness, Exposure to SARS-CoV-2
Clinical narrative: I received my second Moderna booster for COVID-19 on 4/10/2022. On the evening of 6/29/2022, I ran a fever. I sort of thought it was a hot flash, but since it lasted for 6 hours, I eventually realized that wasn't the case. On the morning of the 6/30/2022, the fever was gone, but I had a pressure headache in the back of my head. I felt off, but I didn't know if it was just because of the headache. On 7/1/2022, I started to get a ticklish sensation in the back of my throat; I thought it might be allergies and that the sensation was caused by drainage. On either 7/1/2022 or 7/2/2022, I started to feel lightheaded and nauseous. It wasn't severe, but I would just get little waves of queasiness. This lasted until 7/4/2022 or 7/5/2022. At the time of this writing, I still occasionally get that sensation if I'm exerting myself too much, but it's not nearly as bad as it was before. I developed  a dry cough on 7/1/2022, and it just gradually intensified. It was so frequent that I could barely finish a sentence or catch a breath without coughing. My throat also became raw and sore as a result of the coughing. At the time of this writing, the cough continues, but it's not as severe as it was before. It's annoying, but tolerable. I took a home test for COVID-19 on 6/30/2022, and the result was negative. I took a home test every day for 9 days straight; the result was negative for 7 days in a row. However on 7/7/2022 and 7/8/2022, the result was positive. On the 7/5/2022, I had had a virtual visit with my doctor after my husband had tested positive for COVID-19. Even though I hadn't yet at that point gotten a positive test result, the doctor gave me a 5-day supply of PAXLOVID, Z-PAK, and cough syrup with codeine. The doctor decided to give me the Z-PAK, because I had developed a fever for the second time on 7/4/2022, and he was concerned that I might have developed a secondary respiratory infection. I began taking the medicine on the evening of 7/5/2022. I was still pretty sick at that point; I still had a nagging cough and extreme fatigue. However, on 7/7/2022, I began to feel that my condition was improving. On that day, I felt slightly more energetic and less fatigued. I was able to get a little bit of housework done. My cough also seemed to improve. I still have fatigue at the time of this writing, though it is gradually diminishing. Sometimes simple tasks like showering and putting in laundry will take too much out of me, and I will have to rest for a while afterwards, but my ability to get things done is slowly but surely improving.