chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Loss of consciousness, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: 68y.o. female with a PMH of bipolar affective disorder, HTN, HLD, anxiety, and depression who was transferred to (Privacy) from (Privacy) after concern for an episode of transient loss of consciousness it was felt that her symptoms were likely related to hypotension associated with Seroquel.  Medication was adjusted.  Symptoms resolved.  She did have intermittent bradycardia which was asymptomatic.  Echocardiogram did not show any significant findings.  She did test positive for COVID-19 virus on 1/4/2022.  She was asymptomatic.  She was accepted back to the general psychiatric unit for further management of her emotional/behavioral disorder. Time spent in care, counseling and discharge on date of discharge-33 minutes
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient received an additional booster dose approximately one month after initial booster. Patient received first booster at a retail pharmacy. Patient went to doctor's appointment one month later, MA reports checking the Immunization Registry and did not see previous booster vaccination. Additional dose of booster given during appointment.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Aphonia, Cognitive disorder, Conversion disorder, Dyskinesia, Fine motor skill dysfunction
Clinical narrative: He collapsed and was hyperventilating. When he came around, he had all over paralysis. When his voice and upper body returned, his legs remained paralyzed. He was released from ER
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperventilation, Laboratory test normal, Memory impairment, Neurological examination abnormal, Paralysis
Clinical narrative: He collapsed and was hyperventilating. When he came around, he had all over paralysis. When his voice and upper body returned, his legs remained paralyzed. He was released from ER
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: He collapsed and was hyperventilating. When he came around, he had all over paralysis. When his voice and upper body returned, his legs remained paralyzed. He was released from ER
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Noe should have received the Pediatric Pfizer vaccine for his second dose but he was given the adult Pfizer for 12&up.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 12/29/20, 1/26/21. Positive on 1/30/22
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Chest pain, Exposure during pregnancy, Feeling abnormal
Clinical narrative: Currently 7 weeks pregnant, had healthy ultrasound Feb 10, the day prior to vaccination. I have had on and off low grade fever, body aches-unable to get out of bed, numbness of arm where injection was received. Pain in arm where injection occurred, pain has spread to back/underarm/chest. Also have had fogginess and headache as well and pain throughout back. Symptoms have gotten better but I'm on day 3 and still sluggish and have low mobility in my arm.  My husband also experienced a similar reaction to the vaccine. Had similar reaction to 2nd dose- lasted shorter but more intense.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site hypoaesthesia, Injection site pain, Mobility decreased, Pain
Clinical narrative: Currently 7 weeks pregnant, had healthy ultrasound Feb 10, the day prior to vaccination. I have had on and off low grade fever, body aches-unable to get out of bed, numbness of arm where injection was received. Pain in arm where injection occurred, pain has spread to back/underarm/chest. Also have had fogginess and headache as well and pain throughout back. Symptoms have gotten better but I'm on day 3 and still sluggish and have low mobility in my arm.  My husband also experienced a similar reaction to the vaccine. Had similar reaction to 2nd dose- lasted shorter but more intense.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sluggishness
Clinical narrative: Currently 7 weeks pregnant, had healthy ultrasound Feb 10, the day prior to vaccination. I have had on and off low grade fever, body aches-unable to get out of bed, numbness of arm where injection was received. Pain in arm where injection occurred, pain has spread to back/underarm/chest. Also have had fogginess and headache as well and pain throughout back. Symptoms have gotten better but I'm on day 3 and still sluggish and have low mobility in my arm.  My husband also experienced a similar reaction to the vaccine. Had similar reaction to 2nd dose- lasted shorter but more intense.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Angiogram pulmonary normal, Atrial fibrillation, Blood creatinine normal
Clinical narrative: HPI: "Patient is a 65 y.o. female with a history of shortness of breath and cough has been present for the last couple weeks she states she's felt better overall for about 6 months has had progressive weight loss over this time but over last week or so she's felt more short of breath increased cough or sputum production low-grade temperature at home has had nausea with decreased appetite denies sick contacts she does have a history of COPD she has a history of smoking quit 6 months ago has been using inhalers at home.  Has felt very sob with ambulation and speaking at times".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute respiratory failure due to COVID-19 o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir D5/5 course. Continue tapering PO prednisone. Nebs and inhalers as ordered. Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab. Ambulatory care manager referral given on discharge. Follow-up with primary care provider and pulmonary. o MRSA pneumonia. Possible septic emboli with cavitary-type pneumonia. TEE done showing no vegetations. Infectious diseases following and advised IV antibiotic therapy with vancomycin on discharge. PICC line inserted. Follow-up with infectious disease and pulmonary on outpatient basis. o New onset A. fib with RVR. Started on Cardizem drip, converted back to sinus rhythm. Serial troponin remained negative and serum magnesium low, treated with improved level. Cardiology consulted. Advised cardiac stress test and initiation of oral anticoagulation. Eliquis was ordered. Patient refused to have a cardiac stress test done during this hospitalization and requested for it to be done on outpatient basis. She was discharged home accordingly to follow up on the patient with cardiology. Stress test ordered. o Acute kidney injury. Serum creatinine back to baseline at 0.9. Continue to monitor with daily lab. \ o Hypomagnesemia. Treated. Continue to monitor lab closely and treat as needed with IV/oral Mag replacement until normalized. o Elevated d-dimer. CTA of the chest shows no PE and venous ultrasound of the lower extremities shows no DVT. Continue to monitor.  o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood magnesium decreased, COVID-19, COVID-19 pneumonia, Central venous catheterisation, Cough
Clinical narrative: HPI: "Patient is a 65 y.o. female with a history of shortness of breath and cough has been present for the last couple weeks she states she's felt better overall for about 6 months has had progressive weight loss over this time but over last week or so she's felt more short of breath increased cough or sputum production low-grade temperature at home has had nausea with decreased appetite denies sick contacts she does have a history of COPD she has a history of smoking quit 6 months ago has been using inhalers at home.  Has felt very sob with ambulation and speaking at times".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute respiratory failure due to COVID-19 o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir D5/5 course. Continue tapering PO prednisone. Nebs and inhalers as ordered. Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab. Ambulatory care manager referral given on discharge. Follow-up with primary care provider and pulmonary. o MRSA pneumonia. Possible septic emboli with cavitary-type pneumonia. TEE done showing no vegetations. Infectious diseases following and advised IV antibiotic therapy with vancomycin on discharge. PICC line inserted. Follow-up with infectious disease and pulmonary on outpatient basis. o New onset A. fib with RVR. Started on Cardizem drip, converted back to sinus rhythm. Serial troponin remained negative and serum magnesium low, treated with improved level. Cardiology consulted. Advised cardiac stress test and initiation of oral anticoagulation. Eliquis was ordered. Patient refused to have a cardiac stress test done during this hospitalization and requested for it to be done on outpatient basis. She was discharged home accordingly to follow up on the patient with cardiology. Stress test ordered. o Acute kidney injury. Serum creatinine back to baseline at 0.9. Continue to monitor with daily lab. \ o Hypomagnesemia. Treated. Continue to monitor lab closely and treat as needed with IV/oral Mag replacement until normalized. o Elevated d-dimer. CTA of the chest shows no PE and venous ultrasound of the lower extremities shows no DVT. Continue to monitor.  o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Dyspnoea, Dyspnoea exertional, Echocardiogram normal, Fibrin D dimer increased
Clinical narrative: HPI: "Patient is a 65 y.o. female with a history of shortness of breath and cough has been present for the last couple weeks she states she's felt better overall for about 6 months has had progressive weight loss over this time but over last week or so she's felt more short of breath increased cough or sputum production low-grade temperature at home has had nausea with decreased appetite denies sick contacts she does have a history of COPD she has a history of smoking quit 6 months ago has been using inhalers at home.  Has felt very sob with ambulation and speaking at times".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute respiratory failure due to COVID-19 o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir D5/5 course. Continue tapering PO prednisone. Nebs and inhalers as ordered. Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab. Ambulatory care manager referral given on discharge. Follow-up with primary care provider and pulmonary. o MRSA pneumonia. Possible septic emboli with cavitary-type pneumonia. TEE done showing no vegetations. Infectious diseases following and advised IV antibiotic therapy with vancomycin on discharge. PICC line inserted. Follow-up with infectious disease and pulmonary on outpatient basis. o New onset A. fib with RVR. Started on Cardizem drip, converted back to sinus rhythm. Serial troponin remained negative and serum magnesium low, treated with improved level. Cardiology consulted. Advised cardiac stress test and initiation of oral anticoagulation. Eliquis was ordered. Patient refused to have a cardiac stress test done during this hospitalization and requested for it to be done on outpatient basis. She was discharged home accordingly to follow up on the patient with cardiology. Stress test ordered. o Acute kidney injury. Serum creatinine back to baseline at 0.9. Continue to monitor with daily lab. \ o Hypomagnesemia. Treated. Continue to monitor lab closely and treat as needed with IV/oral Mag replacement until normalized. o Elevated d-dimer. CTA of the chest shows no PE and venous ultrasound of the lower extremities shows no DVT. Continue to monitor.  o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypomagnesaemia, Nausea, Pneumonia staphylococcal, Productive cough, Pyrexia
Clinical narrative: HPI: "Patient is a 65 y.o. female with a history of shortness of breath and cough has been present for the last couple weeks she states she's felt better overall for about 6 months has had progressive weight loss over this time but over last week or so she's felt more short of breath increased cough or sputum production low-grade temperature at home has had nausea with decreased appetite denies sick contacts she does have a history of COPD she has a history of smoking quit 6 months ago has been using inhalers at home.  Has felt very sob with ambulation and speaking at times".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute respiratory failure due to COVID-19 o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir D5/5 course. Continue tapering PO prednisone. Nebs and inhalers as ordered. Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab. Ambulatory care manager referral given on discharge. Follow-up with primary care provider and pulmonary. o MRSA pneumonia. Possible septic emboli with cavitary-type pneumonia. TEE done showing no vegetations. Infectious diseases following and advised IV antibiotic therapy with vancomycin on discharge. PICC line inserted. Follow-up with infectious disease and pulmonary on outpatient basis. o New onset A. fib with RVR. Started on Cardizem drip, converted back to sinus rhythm. Serial troponin remained negative and serum magnesium low, treated with improved level. Cardiology consulted. Advised cardiac stress test and initiation of oral anticoagulation. Eliquis was ordered. Patient refused to have a cardiac stress test done during this hospitalization and requested for it to be done on outpatient basis. She was discharged home accordingly to follow up on the patient with cardiology. Stress test ordered. o Acute kidney injury. Serum creatinine back to baseline at 0.9. Continue to monitor with daily lab. \ o Hypomagnesemia. Treated. Continue to monitor lab closely and treat as needed with IV/oral Mag replacement until normalized. o Elevated d-dimer. CTA of the chest shows no PE and venous ultrasound of the lower extremities shows no DVT. Continue to monitor.  o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin normal, Ultrasound Doppler normal, Weight decreased
Clinical narrative: HPI: "Patient is a 65 y.o. female with a history of shortness of breath and cough has been present for the last couple weeks she states she's felt better overall for about 6 months has had progressive weight loss over this time but over last week or so she's felt more short of breath increased cough or sputum production low-grade temperature at home has had nausea with decreased appetite denies sick contacts she does have a history of COPD she has a history of smoking quit 6 months ago has been using inhalers at home.  Has felt very sob with ambulation and speaking at times".   Hospital Course:  The patient was admitted to the hospital and was evaluated and treated per below.      * Acute respiratory failure due to COVID-19 o Pneumonia due to Covid 19 virus with acute respiratory failure with hypoxia. Improving on current treatment. Completed Remdesivir D5/5 course. Continue tapering PO prednisone. Nebs and inhalers as ordered. Weaned off oxygen to RA. Continue nebs and inhalers. Encourage incentive spirometry use and pronating. Continue supportive/symptomatic treatment and supplements as ordered per COVID protocol. Follow up daily lab. Ambulatory care manager referral given on discharge. Follow-up with primary care provider and pulmonary. o MRSA pneumonia. Possible septic emboli with cavitary-type pneumonia. TEE done showing no vegetations. Infectious diseases following and advised IV antibiotic therapy with vancomycin on discharge. PICC line inserted. Follow-up with infectious disease and pulmonary on outpatient basis. o New onset A. fib with RVR. Started on Cardizem drip, converted back to sinus rhythm. Serial troponin remained negative and serum magnesium low, treated with improved level. Cardiology consulted. Advised cardiac stress test and initiation of oral anticoagulation. Eliquis was ordered. Patient refused to have a cardiac stress test done during this hospitalization and requested for it to be done on outpatient basis. She was discharged home accordingly to follow up on the patient with cardiology. Stress test ordered. o Acute kidney injury. Serum creatinine back to baseline at 0.9. Continue to monitor with daily lab. \ o Hypomagnesemia. Treated. Continue to monitor lab closely and treat as needed with IV/oral Mag replacement until normalized. o Elevated d-dimer. CTA of the chest shows no PE and venous ultrasound of the lower extremities shows no DVT. Continue to monitor.  o Diabetes mellitus type 2. Continue with same home regimen/equivalent. Monitor blood sugar and cover with insulin sliding scale. o Hypertension. Controlled. Continue same treatment. Follow up daily labs.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Urticaria
Clinical narrative: I received the Moderna booster vaccine, and 10 days after I noticed itching a hives on my body. After the hives got very bad and spread all over my body, I made an allergist appointment. I also was experiencing swelling in my hands She said I am the 5th person to come in around 2 weeks after the Moderna booster with the same symptoms. She told me to take Xyzal every night and it helped only a tiny bit. Since it did not go away, I went to the ER and they gave me prednisone to take for about 3 days. Although it slowed it down, the hives were still there. It is almost a month later and I am having the exact same symptoms. After going to the dermatologist, I was told to do a specific routine for 2 weeks and if it is not better to go get an allergy test.  I have been on Xyzal, Allegra, Zyrtec, and steroid cream for about 5 days now and there is no change.  *I did not change anything in my routine- therefore I do not think it is an allergy issue.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen 5/11/21. Positive on 2/13/22
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen 4/8/21. Positive on 1/24/22
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Deep vein thrombosis, Hypertensive urgency
Clinical narrative: Hospitalized for acute new DVT, hypertensive urgency. Patient states had COVID before admission. Treated with vitamin D, vancomycin IV, doxycycline PO, cefepime IV. DVT treated with Eliquis.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial flutter, Blood gases, Chest X-ray, Computerised tomogram thorax normal
Clinical narrative: 8:30- I received booster COVID-19 vaccine; 8:45- after post vaccine wait- felt wobbly legged and faint as she stood to exit clinic; 9am- after 15 more minutes of waiting still felt light headed. BP taken was 110/46; 9:15- was able to go to restroom and felt better, was allowed to return to her work department. 9:15- upon arriving back to work dept. she sat down and coworker noticed she was pale and asked her if she felt ok, stated she was lightheaded and dizzy and felt faint. BP was taken 58/41; pulse 163. Supervisor took her to the ED. There she was worked up and at 9pm was admitted to ICU. Had Atrial flutter and on an adenosine drip, alter amiodarone and Cardizem drip. No cardio version occurred and by 8:30am 2/10 was in a normal sinus rhythm. Was discharged to home 2/10 after 5pm. Started on 2 new meds- Cardizem 120 ER daily and Eliquis twice daily.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Full blood count, Intensive care, Metabolic function test
Clinical narrative: 8:30- I received booster COVID-19 vaccine; 8:45- after post vaccine wait- felt wobbly legged and faint as she stood to exit clinic; 9am- after 15 more minutes of waiting still felt light headed. BP taken was 110/46; 9:15- was able to go to restroom and felt better, was allowed to return to her work department. 9:15- upon arriving back to work dept. she sat down and coworker noticed she was pale and asked her if she felt ok, stated she was lightheaded and dizzy and felt faint. BP was taken 58/41; pulse 163. Supervisor took her to the ED. There she was worked up and at 9pm was admitted to ICU. Had Atrial flutter and on an adenosine drip, alter amiodarone and Cardizem drip. No cardio version occurred and by 8:30am 2/10 was in a normal sinus rhythm. Was discharged to home 2/10 after 5pm. Started on 2 new meds- Cardizem 120 ER daily and Eliquis twice daily.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pallor, Prothrombin level, Prothrombin time, Thyroid function test
Clinical narrative: 8:30- I received booster COVID-19 vaccine; 8:45- after post vaccine wait- felt wobbly legged and faint as she stood to exit clinic; 9am- after 15 more minutes of waiting still felt light headed. BP taken was 110/46; 9:15- was able to go to restroom and felt better, was allowed to return to her work department. 9:15- upon arriving back to work dept. she sat down and coworker noticed she was pale and asked her if she felt ok, stated she was lightheaded and dizzy and felt faint. BP was taken 58/41; pulse 163. Supervisor took her to the ED. There she was worked up and at 9pm was admitted to ICU. Had Atrial flutter and on an adenosine drip, alter amiodarone and Cardizem drip. No cardio version occurred and by 8:30am 2/10 was in a normal sinus rhythm. Was discharged to home 2/10 after 5pm. Started on 2 new meds- Cardizem 120 ER daily and Eliquis twice daily.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: 8:30- I received booster COVID-19 vaccine; 8:45- after post vaccine wait- felt wobbly legged and faint as she stood to exit clinic; 9am- after 15 more minutes of waiting still felt light headed. BP taken was 110/46; 9:15- was able to go to restroom and felt better, was allowed to return to her work department. 9:15- upon arriving back to work dept. she sat down and coworker noticed she was pale and asked her if she felt ok, stated she was lightheaded and dizzy and felt faint. BP was taken 58/41; pulse 163. Supervisor took her to the ED. There she was worked up and at 9pm was admitted to ICU. Had Atrial flutter and on an adenosine drip, alter amiodarone and Cardizem drip. No cardio version occurred and by 8:30am 2/10 was in a normal sinus rhythm. Was discharged to home 2/10 after 5pm. Started on 2 new meds- Cardizem 120 ER daily and Eliquis twice daily.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood culture negative, COVID-19, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Transferred from facility by EMS on 1/19 with worsening cough, congestion and shortness of breath after COVID + on 1/8. O2 sats in 80s and hemodynamically unstable. Started levophed. Given amiodarone, metoprolol and diltiazem for a fib. Placed on BIPAP . Respiratory panel resulted + for rhinovirus/enterovirus, RSV and Covid 19.  CT showed no embolism but concern for pneumonia. Intubated with noted respiratory distress. Started on zyvox, zosyn, and doxycycline for sepsis. Extubated on 1/23. Reintubated on 1/28 due to encephalopathy and increased O2 requirements. Blood cultures no growth. Continued with increasing O2 requirements and persistnet hypotension requiring vasopressors. Daughter arrived from out of state and met with critical care and pallative care. Decided to transition to comfort care and extubated with pressors turned off.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Encephalopathy, Endotracheal intubation, Enterovirus test positive
Clinical narrative: Transferred from facility by EMS on 1/19 with worsening cough, congestion and shortness of breath after COVID + on 1/8. O2 sats in 80s and hemodynamically unstable. Started levophed. Given amiodarone, metoprolol and diltiazem for a fib. Placed on BIPAP . Respiratory panel resulted + for rhinovirus/enterovirus, RSV and Covid 19.  CT showed no embolism but concern for pneumonia. Intubated with noted respiratory distress. Started on zyvox, zosyn, and doxycycline for sepsis. Extubated on 1/23. Reintubated on 1/28 due to encephalopathy and increased O2 requirements. Blood cultures no growth. Continued with increasing O2 requirements and persistnet hypotension requiring vasopressors. Daughter arrived from out of state and met with critical care and pallative care. Decided to transition to comfort care and extubated with pressors turned off.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Human rhinovirus test positive, Hypotension, Positive airway pressure therapy, Respiratory distress, Respiratory syncytial virus test positive
Clinical narrative: Transferred from facility by EMS on 1/19 with worsening cough, congestion and shortness of breath after COVID + on 1/8. O2 sats in 80s and hemodynamically unstable. Started levophed. Given amiodarone, metoprolol and diltiazem for a fib. Placed on BIPAP . Respiratory panel resulted + for rhinovirus/enterovirus, RSV and Covid 19.  CT showed no embolism but concern for pneumonia. Intubated with noted respiratory distress. Started on zyvox, zosyn, and doxycycline for sepsis. Extubated on 1/23. Reintubated on 1/28 due to encephalopathy and increased O2 requirements. Blood cultures no growth. Continued with increasing O2 requirements and persistnet hypotension requiring vasopressors. Daughter arrived from out of state and met with critical care and pallative care. Decided to transition to comfort care and extubated with pressors turned off.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Respiratory viral panel, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Transferred from facility by EMS on 1/19 with worsening cough, congestion and shortness of breath after COVID + on 1/8. O2 sats in 80s and hemodynamically unstable. Started levophed. Given amiodarone, metoprolol and diltiazem for a fib. Placed on BIPAP . Respiratory panel resulted + for rhinovirus/enterovirus, RSV and Covid 19.  CT showed no embolism but concern for pneumonia. Intubated with noted respiratory distress. Started on zyvox, zosyn, and doxycycline for sepsis. Extubated on 1/23. Reintubated on 1/28 due to encephalopathy and increased O2 requirements. Blood cultures no growth. Continued with increasing O2 requirements and persistnet hypotension requiring vasopressors. Daughter arrived from out of state and met with critical care and pallative care. Decided to transition to comfort care and extubated with pressors turned off.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Gangrene, Peripheral arterial occlusive disease, Surgery
Clinical narrative: ER visit for gangrenous toe. Patient was admitted 10 days later with peripheral artery disease, had surgery and passed away. These visits were within 6 weeks of receiving the COVID vaccine.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with three doses of Pfizer. Admitted to the Medical Center on 01/14/2022. Tested positive for COVID 19 on 01/14/2022. Patient expired on 01/20/2022 while still admitted to the Medical Center.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Biliary dilatation, Blood albumin decreased, COVID-19, Chest X-ray abnormal
Clinical narrative: History of Present Illness:  This is a 66y.o. female with a PMH of scleroderma,raynaud's with gangrenous changes,hypothyroid ,sarcopenia ,severe pcm,GERD,hypertension presented to the ED sent by retirement facility for c/o coronavirus concern. Symptoms began about 4 days ago with cough with clear sputum production, SOB and fatigue. Pt is reported to have tested positive today for covid-19 while she was at retirement facility and sent to ED for evaluation. Pt states she is under palliative care 2/2 sarcopenia and would like to remain DNR/DNI. Pt states she has many chronic wounds, most extensively on her bilateral feet. Pt states she was told her right foot is gangrenous however she has opted for comfort management. Pt c/o chronic pain from her wounds. Pt denies fever, chills, chest pain, palpitations, purulent sputum production, abdominal pain, N/V, constipation or dysuria.  In the ED, pt was afebrile and normotensive, pulse ox stable on room air. Albumin 3.3. Troponin 0.01. WBC 14.2. Hgb 10.0. D-dimer 1,984. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Trace bilateral pleural effusions, left greater than right along with bibasilar hazy groundglass and reticular opacities most likely relating to atypical infectious process. 3. Partially visualized biliary and pancreatic ductal dilatation with common bile duct up to 1.9 cm, incompletely evaluated on this exam. Follow-up CT abdomen with IV contrast recommended. 4. Age-indeterminate T10 compression fracture 5. Patulous esophagus with layering fluid in its distal third, likely related to reflux. 6. Postsurgical changes at the right upper lobe. Chest xray - 1. Trace pleural effusions and increased hazy and reticular opacities bilaterally primarily at the lung bases, overall suspicious for underlying infectious process, better seen on CT exam today. 2. Postsurgical changes at the right upper lobe 3. Very subtle T10 age-indeterminate compression deformity, better seen on CT. CT abd/pelvis - 1. Marked dilation of the common bile duct and intrahepatic biliary ducts. Without evidence for discrete obstructing lesion or choledocholithiasis. Recommend further evaluation with nonemergent MRCP. 2. Dilation of the main pancreatic duct, attention on MRCP examination. 3. Trace bilateral pleural effusions. Partially visualized ground glass airspace opacities concerning for acute atypical infection. 4. Moderate colonic stool burden without evidence for obstruction. In the ED, pt was given albuterol NMT and norco 7.5mg
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Cough, Dyspnoea, Fatigue, Fibrin D dimer
Clinical narrative: History of Present Illness:  This is a 66y.o. female with a PMH of scleroderma,raynaud's with gangrenous changes,hypothyroid ,sarcopenia ,severe pcm,GERD,hypertension presented to the ED sent by retirement facility for c/o coronavirus concern. Symptoms began about 4 days ago with cough with clear sputum production, SOB and fatigue. Pt is reported to have tested positive today for covid-19 while she was at retirement facility and sent to ED for evaluation. Pt states she is under palliative care 2/2 sarcopenia and would like to remain DNR/DNI. Pt states she has many chronic wounds, most extensively on her bilateral feet. Pt states she was told her right foot is gangrenous however she has opted for comfort management. Pt c/o chronic pain from her wounds. Pt denies fever, chills, chest pain, palpitations, purulent sputum production, abdominal pain, N/V, constipation or dysuria.  In the ED, pt was afebrile and normotensive, pulse ox stable on room air. Albumin 3.3. Troponin 0.01. WBC 14.2. Hgb 10.0. D-dimer 1,984. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Trace bilateral pleural effusions, left greater than right along with bibasilar hazy groundglass and reticular opacities most likely relating to atypical infectious process. 3. Partially visualized biliary and pancreatic ductal dilatation with common bile duct up to 1.9 cm, incompletely evaluated on this exam. Follow-up CT abdomen with IV contrast recommended. 4. Age-indeterminate T10 compression fracture 5. Patulous esophagus with layering fluid in its distal third, likely related to reflux. 6. Postsurgical changes at the right upper lobe. Chest xray - 1. Trace pleural effusions and increased hazy and reticular opacities bilaterally primarily at the lung bases, overall suspicious for underlying infectious process, better seen on CT exam today. 2. Postsurgical changes at the right upper lobe 3. Very subtle T10 age-indeterminate compression deformity, better seen on CT. CT abd/pelvis - 1. Marked dilation of the common bile duct and intrahepatic biliary ducts. Without evidence for discrete obstructing lesion or choledocholithiasis. Recommend further evaluation with nonemergent MRCP. 2. Dilation of the main pancreatic duct, attention on MRCP examination. 3. Trace bilateral pleural effusions. Partially visualized ground glass airspace opacities concerning for acute atypical infection. 4. Moderate colonic stool burden without evidence for obstruction. In the ED, pt was given albuterol NMT and norco 7.5mg
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Gangrene, Haemoglobin decreased, Limb injury, Lung opacity, Malaise
Clinical narrative: History of Present Illness:  This is a 66y.o. female with a PMH of scleroderma,raynaud's with gangrenous changes,hypothyroid ,sarcopenia ,severe pcm,GERD,hypertension presented to the ED sent by retirement facility for c/o coronavirus concern. Symptoms began about 4 days ago with cough with clear sputum production, SOB and fatigue. Pt is reported to have tested positive today for covid-19 while she was at retirement facility and sent to ED for evaluation. Pt states she is under palliative care 2/2 sarcopenia and would like to remain DNR/DNI. Pt states she has many chronic wounds, most extensively on her bilateral feet. Pt states she was told her right foot is gangrenous however she has opted for comfort management. Pt c/o chronic pain from her wounds. Pt denies fever, chills, chest pain, palpitations, purulent sputum production, abdominal pain, N/V, constipation or dysuria.  In the ED, pt was afebrile and normotensive, pulse ox stable on room air. Albumin 3.3. Troponin 0.01. WBC 14.2. Hgb 10.0. D-dimer 1,984. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Trace bilateral pleural effusions, left greater than right along with bibasilar hazy groundglass and reticular opacities most likely relating to atypical infectious process. 3. Partially visualized biliary and pancreatic ductal dilatation with common bile duct up to 1.9 cm, incompletely evaluated on this exam. Follow-up CT abdomen with IV contrast recommended. 4. Age-indeterminate T10 compression fracture 5. Patulous esophagus with layering fluid in its distal third, likely related to reflux. 6. Postsurgical changes at the right upper lobe. Chest xray - 1. Trace pleural effusions and increased hazy and reticular opacities bilaterally primarily at the lung bases, overall suspicious for underlying infectious process, better seen on CT exam today. 2. Postsurgical changes at the right upper lobe 3. Very subtle T10 age-indeterminate compression deformity, better seen on CT. CT abd/pelvis - 1. Marked dilation of the common bile duct and intrahepatic biliary ducts. Without evidence for discrete obstructing lesion or choledocholithiasis. Recommend further evaluation with nonemergent MRCP. 2. Dilation of the main pancreatic duct, attention on MRCP examination. 3. Trace bilateral pleural effusions. Partially visualized ground glass airspace opacities concerning for acute atypical infection. 4. Moderate colonic stool burden without evidence for obstruction. In the ED, pt was given albuterol NMT and norco 7.5mg
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pancreatic duct dilatation, Pleural effusion, Productive cough, SARS-CoV-2 test positive, Spinal compression fracture
Clinical narrative: History of Present Illness:  This is a 66y.o. female with a PMH of scleroderma,raynaud's with gangrenous changes,hypothyroid ,sarcopenia ,severe pcm,GERD,hypertension presented to the ED sent by retirement facility for c/o coronavirus concern. Symptoms began about 4 days ago with cough with clear sputum production, SOB and fatigue. Pt is reported to have tested positive today for covid-19 while she was at retirement facility and sent to ED for evaluation. Pt states she is under palliative care 2/2 sarcopenia and would like to remain DNR/DNI. Pt states she has many chronic wounds, most extensively on her bilateral feet. Pt states she was told her right foot is gangrenous however she has opted for comfort management. Pt c/o chronic pain from her wounds. Pt denies fever, chills, chest pain, palpitations, purulent sputum production, abdominal pain, N/V, constipation or dysuria.  In the ED, pt was afebrile and normotensive, pulse ox stable on room air. Albumin 3.3. Troponin 0.01. WBC 14.2. Hgb 10.0. D-dimer 1,984. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Trace bilateral pleural effusions, left greater than right along with bibasilar hazy groundglass and reticular opacities most likely relating to atypical infectious process. 3. Partially visualized biliary and pancreatic ductal dilatation with common bile duct up to 1.9 cm, incompletely evaluated on this exam. Follow-up CT abdomen with IV contrast recommended. 4. Age-indeterminate T10 compression fracture 5. Patulous esophagus with layering fluid in its distal third, likely related to reflux. 6. Postsurgical changes at the right upper lobe. Chest xray - 1. Trace pleural effusions and increased hazy and reticular opacities bilaterally primarily at the lung bases, overall suspicious for underlying infectious process, better seen on CT exam today. 2. Postsurgical changes at the right upper lobe 3. Very subtle T10 age-indeterminate compression deformity, better seen on CT. CT abd/pelvis - 1. Marked dilation of the common bile duct and intrahepatic biliary ducts. Without evidence for discrete obstructing lesion or choledocholithiasis. Recommend further evaluation with nonemergent MRCP. 2. Dilation of the main pancreatic duct, attention on MRCP examination. 3. Trace bilateral pleural effusions. Partially visualized ground glass airspace opacities concerning for acute atypical infection. 4. Moderate colonic stool burden without evidence for obstruction. In the ED, pt was given albuterol NMT and norco 7.5mg
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, White blood cell count increased, Wound complication
Clinical narrative: History of Present Illness:  This is a 66y.o. female with a PMH of scleroderma,raynaud's with gangrenous changes,hypothyroid ,sarcopenia ,severe pcm,GERD,hypertension presented to the ED sent by retirement facility for c/o coronavirus concern. Symptoms began about 4 days ago with cough with clear sputum production, SOB and fatigue. Pt is reported to have tested positive today for covid-19 while she was at retirement facility and sent to ED for evaluation. Pt states she is under palliative care 2/2 sarcopenia and would like to remain DNR/DNI. Pt states she has many chronic wounds, most extensively on her bilateral feet. Pt states she was told her right foot is gangrenous however she has opted for comfort management. Pt c/o chronic pain from her wounds. Pt denies fever, chills, chest pain, palpitations, purulent sputum production, abdominal pain, N/V, constipation or dysuria.  In the ED, pt was afebrile and normotensive, pulse ox stable on room air. Albumin 3.3. Troponin 0.01. WBC 14.2. Hgb 10.0. D-dimer 1,984. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Trace bilateral pleural effusions, left greater than right along with bibasilar hazy groundglass and reticular opacities most likely relating to atypical infectious process. 3. Partially visualized biliary and pancreatic ductal dilatation with common bile duct up to 1.9 cm, incompletely evaluated on this exam. Follow-up CT abdomen with IV contrast recommended. 4. Age-indeterminate T10 compression fracture 5. Patulous esophagus with layering fluid in its distal third, likely related to reflux. 6. Postsurgical changes at the right upper lobe. Chest xray - 1. Trace pleural effusions and increased hazy and reticular opacities bilaterally primarily at the lung bases, overall suspicious for underlying infectious process, better seen on CT exam today. 2. Postsurgical changes at the right upper lobe 3. Very subtle T10 age-indeterminate compression deformity, better seen on CT. CT abd/pelvis - 1. Marked dilation of the common bile duct and intrahepatic biliary ducts. Without evidence for discrete obstructing lesion or choledocholithiasis. Recommend further evaluation with nonemergent MRCP. 2. Dilation of the main pancreatic duct, attention on MRCP examination. 3. Trace bilateral pleural effusions. Partially visualized ground glass airspace opacities concerning for acute atypical infection. 4. Moderate colonic stool burden without evidence for obstruction. In the ED, pt was given albuterol NMT and norco 7.5mg
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chorioretinopathy, Retinal degeneration
Clinical narrative: Diagnosed with Central Serous Retinopathy on 2/1/2022 and thinning retina.   I honestly don't think this is related to the vaccine, but was told to fill out this form.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Staff member was noted after vaccination to have received initial dose of series as Pfizer on 8/20/2021, received Moderna vaccine at clinic held at nursing facility due to availability of vaccine.  No adverse event noted at the time of vaccination or within 24 hours of vaccination
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized 01/21/22 for distended abdomen. Tested positive for COVID19 1/22/22, asymptomatic-no evidence of hypoxemia. No COVID treatment required during hospitalization.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular
Clinical narrative: Diffuse red papular rash on chest and back of neck.   Recommended mom administer Benadryl prn for managment of rash along with adequate hydration, symptom monitoring, and temperature checks. If rash persists for >48 hours return for further evaluation.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Bacterial infection, COVID-19 pneumonia, Dysuria
Clinical narrative: a 70 y.o. male admitted with pna due to covid-19 / acute resp failure with hypoxemia. Pt completed 5 days of treatment. Also appears to have had a bacterial infection and met Regulatory Authority criteria on admission. Unfortunately, unable to isolate an organism. Possibly due to uti that was not tested for initially as pt described dysuria several days into hospital stay. Will complete extended course abx. Procal downtrending suggesting improvement. Also found to have a PE on admission. Subsegmental, unilateral. Gave pt options of different anticoagulation strategies. Pt electing to receive free month of eliquis and attempt to search for alternative meds or cost reducing programs outpatient with pcp. Currently eliquis after first month would cost >$500 and pt is aware of this issue.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin abnormal, Systemic inflammatory response syndrome, Urinary tract infection
Clinical narrative: a 70 y.o. male admitted with pna due to covid-19 / acute resp failure with hypoxemia. Pt completed 5 days of treatment. Also appears to have had a bacterial infection and met Regulatory Authority criteria on admission. Unfortunately, unable to isolate an organism. Possibly due to uti that was not tested for initially as pt described dysuria several days into hospital stay. Will complete extended course abx. Procal downtrending suggesting improvement. Also found to have a PE on admission. Subsegmental, unilateral. Gave pt options of different anticoagulation strategies. Pt electing to receive free month of eliquis and attempt to search for alternative meds or cost reducing programs outpatient with pcp. Currently eliquis after first month would cost >$500 and pt is aware of this issue.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood gases, Blood pH increased, COVID-19
Clinical narrative: Update to date on COVID vaccines, admitted through ED for sepsis with multiple infection sites who tested detected for COVID.  Provider discharge summary below:  "Patient admitted for sepsis secondary to urinary tract infection, C difficile, and diverticulitis, on Zosyn and oral Vancocin.  Patient also presented with altered mental status thought to be secondary to sepsis.  Unfortunately throughout his stay this not improve. At  times his eyes were open and he showed recognition of his wife but other than being able to state his name and that his leg hurt he was not able to communicate further.  Kidney function was monitored throughout this day.  Unfortunately his creatinine continued to increase despite gentle rehydration with D5 W.  At one point his hemoglobin dropped below 7, the patient was given a unit of blood. HGB was stable after infusion.  Patient also thought to have aspiration pneumonia as seen with chest x-ray which showed bilateral hazy infiltrates, and felt that this Zosyn which he was already on a would be able to treat that.  He began having worsened difficulty breathing, ABG performed showed O2 sat 75%, pH 7.46, patient started on BiPAP.  On BiPAP his O2 stabilized.  Respiratory therapy tried several times to wean him off BiPAP but was unsuccessful.  Altered mental status and AKI continued to worsen despite our medical care.  Patient's family discussed with attending physician and they decided at that time that it would be in the patient's best interest to switch to comfort care and consult with hospice.  Comfort care initiated, antibiotics stopped, labs stopped, gentle fluids continued with morphine 3 mg PRN.  Hospice consulted and they took over care."