chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Abdominal tenderness, Activated partial thromboplastin time normal, Alanine aminotransferase normal, Albumin globulin ratio normal
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Aspartate aminotransferase normal, Bacterial test negative, Basophil count normal, Basophil percentage
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood potassium decreased
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, Brain natriuretic peptide, COVID-19
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chills, Computerised tomogram thorax normal, Cough, Diarrhoea
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count abnormal, Dyspnoea, Eosinophil count normal, Eosinophil percentage, Full blood count abnormal
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Globulin, Glomerular filtration rate, Glucose urine absent, Haematocrit normal, Haemoglobin normal
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Human chorionic gonadotropin normal, Illness, International normalised ratio, Lymphocyte count normal, Lymphocyte percentage
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count normal, Monocyte percentage, Neutrophil count decreased, Neutrophil percentage decreased, Nitrite urine absent
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Platelet count normal, Protein total normal, Protein urine absent, Prothrombin time normal
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell count normal, Red blood cells urine positive, Red cell distribution width normal, SARS-CoV-2 test positive
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Specific gravity urine increased, Troponin increased, Urinary occult blood negative, Urinary sediment present, Urine analysis normal
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count decreased, White blood cells urine negative
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: pH urine normal
Clinical narrative: 1/8/22 44 yr/o female who presents with a 7-day history of illness.  She states 7 days ago she developed initially a sore throat which has since nearly resolved.  This was followed by chills, fever with a T-max of 101 and coughing.  She states since her illness began she is also experience right-sided lower abdominal pain along with diarrhea.  The abdominal pain is intermittent and last for several minutes.  She denies aggravating or relieving factors.  She denies difficulty swallowing, syncope, recent fall or injury, vomiting, headache, chest pain.  She does report some mild dyspnea. PE Constitutional - Non toxic appearing AT, no gross conjunctival injection Neck is supple Heart - no murmur, gallop or rub 1/8/22  Lungs -no wheeze, good air movement, no resp distress Abdomen - Positive bowel sounds, soft, positive right lower quadrant tenderness, no rebound, no guard, non-distended Extremities - No edema, intact pulses Skinno visible rash Neuroalert, appropriate, speech intact Psych normal behavior   1/10/22 Discharge note  44-year-old female with a past medical history of metastatic breast cancer who was admitted to the hospital for COVID-19 infection.  Upon hospitalization, COVID-19 test came back positive.  A CT chest was ordered which did not reveal any evidence of pulmonary embolism or groundglass opacities.  Over the course of her hospital stay, patient's condition improved.  Since she remained stable on room air, patient was medically stable for discharge.  Patient was discharged home and will continue to quarantine until her symptoms have resolved.  She is currently vaccinated against COVID-19 but did not get the booster.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Death
Clinical narrative: Patient received moderna COVID19 vaccine on 03/18/21 and 04/15/21. Presented to ER on 1/4/22 and admitted. Positive for COVID 1/4/22. history of colon cancer with Mets to the lung and liver, not on chemotherapy, PE on Xarelto presented with shortness of breath.   she was vaccinated in April and had not received a booster.  Patient found to be in respiratory distress due to COVID and COPD exacerbation.  She was unable to tolerate BiPAP.  She was treated with remdesivir and Decadron.  Oncology was consulted and recommended hospice.  Patient decided on comfort measures.  She was pronounced dead at 1/10 at 5:55 a.m.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Disease progression, Dyspnoea, Metastatic neoplasm, Pulmonary mass, Respiratory distress
Clinical narrative: Patient received moderna COVID19 vaccine on 03/18/21 and 04/15/21. Presented to ER on 1/4/22 and admitted. Positive for COVID 1/4/22. history of colon cancer with Mets to the lung and liver, not on chemotherapy, PE on Xarelto presented with shortness of breath.   she was vaccinated in April and had not received a booster.  Patient found to be in respiratory distress due to COVID and COPD exacerbation.  She was unable to tolerate BiPAP.  She was treated with remdesivir and Decadron.  Oncology was consulted and recommended hospice.  Patient decided on comfort measures.  She was pronounced dead at 1/10 at 5:55 a.m.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient received moderna COVID19 vaccine on 03/18/21 and 04/15/21. Presented to ER on 1/4/22 and admitted. Positive for COVID 1/4/22. history of colon cancer with Mets to the lung and liver, not on chemotherapy, PE on Xarelto presented with shortness of breath.   she was vaccinated in April and had not received a booster.  Patient found to be in respiratory distress due to COVID and COPD exacerbation.  She was unable to tolerate BiPAP.  She was treated with remdesivir and Decadron.  Oncology was consulted and recommended hospice.  Patient decided on comfort measures.  She was pronounced dead at 1/10 at 5:55 a.m.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Migraine, Nausea
Clinical narrative: Headache (migraine), vomiting, low grade fever (99.7), nausea, tired, chills, decreased appetite.  Treated migraine with Sumatriptan and cold cloths on forehead.  Vomited only a few times.  Treated fever with Tylenol.  Slept most all day Sunday and Sunday night (day after booster) and half of Monday.  Appetite slowly returned by Wednesday.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Headache (migraine), vomiting, low grade fever (99.7), nausea, tired, chills, decreased appetite.  Treated migraine with Sumatriptan and cold cloths on forehead.  Vomited only a few times.  Treated fever with Tylenol.  Slept most all day Sunday and Sunday night (day after booster) and half of Monday.  Appetite slowly returned by Wednesday.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Blood cholesterol increased, Blood test abnormal, Glucose tolerance impaired, Hypertension
Clinical narrative: After two weeks from shot (01/27/2021), I had back pain and neck issue. Doctor issued blood work and found High blood pressure, prediabetes, and High cholesterol. I now take medicine for it. Back issue and neck pain subsided and feel much better.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: After two weeks from shot (01/27/2021), I had back pain and neck issue. Doctor issued blood work and found High blood pressure, prediabetes, and High cholesterol. I now take medicine for it. Back issue and neck pain subsided and feel much better.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Polymerase chain reaction
Clinical narrative: Acute hypoxic respiratory failure 2/2 COVID
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the  Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received COVID - 19 booster dose too early. Notified patient of early dose, not having any symptoms.  She will contact her doctor if she started having any side effects.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Patient received vaccine and a couple hours later her arm site became really red and itchy and tender to touch and it is about 2 inches below injection site.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fall, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: Patient received moderna COVID19 vaccine on 2/4/21, 03/04/21, and 11/11/21. Presented to ER on 1/2/22 and was admitted. Positive by nucleic acid amplificationon 1/2/22, negative on 1/4/22 with the cepheid test. Came to ER due to fall earlier that day. Did not receive covid treatment. Discharged on 1/5/22
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received first dose of Pfizer COVID vaccine 0.3 mL at our facility at 5:06PM on 1/13/22. The LOT number for the vaccine is FJ1620. The vaccine label states it expires 02/2022. However, the vaccine is only usable for 30 days after it has been in our vaccine fridge. The vaccine has been in our fridge for 40 days, meaning it expired on 01/03/2022.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspepsia
Clinical narrative: Stomach burning sensation
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Polymerase chain reaction
Clinical narrative: COVID-19 infection leading to hospitalization
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Heart rate irregular, Palpitations
Clinical narrative: Heart pounding, rapid /irregular beating Difficult to control breathing /short of breath
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site nodule, Injection site pain
Clinical narrative: Started with soreness at injection site and right arm within 6 hrs of vaccine, injection site was slight itchy so took band aid off thought that was causing it, started generalized not feeling well. My right shoulder felt like i had been hit from the front and back so I took Tylenol. Next morning woke up with headache, right shoulder area pain, injection site had redness and tender, warm not hot. Was traveling when I noticed increased itching on my right deltoid with increase soreness in the shoulder and arm. Thought I left the band aid on checked no band aid, area was red, with a raised rash, swelling with a hard irregular shaped knot approximately 18 cm in length and 6 cm in width. I am a nurse. I started having a scratchy throat which resolved with the 50 mg of Benadryl within 30 minutes. I took my Zyrtec 10 mg daily and 50 mg of Benadryl every 8 hrs for 48 hours. The itching and the redness resolved after 48 hrs, the knot in the upper right arm started to get smaller. At day 8 arm is clear, now just continued fatigue now.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth, Malaise
Clinical narrative: Started with soreness at injection site and right arm within 6 hrs of vaccine, injection site was slight itchy so took band aid off thought that was causing it, started generalized not feeling well. My right shoulder felt like i had been hit from the front and back so I took Tylenol. Next morning woke up with headache, right shoulder area pain, injection site had redness and tender, warm not hot. Was traveling when I noticed increased itching on my right deltoid with increase soreness in the shoulder and arm. Thought I left the band aid on checked no band aid, area was red, with a raised rash, swelling with a hard irregular shaped knot approximately 18 cm in length and 6 cm in width. I am a nurse. I started having a scratchy throat which resolved with the 50 mg of Benadryl within 30 minutes. I took my Zyrtec 10 mg daily and 50 mg of Benadryl every 8 hrs for 48 hours. The itching and the redness resolved after 48 hrs, the knot in the upper right arm started to get smaller. At day 8 arm is clear, now just continued fatigue now.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain
Clinical narrative: Started with soreness at injection site and right arm within 6 hrs of vaccine, injection site was slight itchy so took band aid off thought that was causing it, started generalized not feeling well. My right shoulder felt like i had been hit from the front and back so I took Tylenol. Next morning woke up with headache, right shoulder area pain, injection site had redness and tender, warm not hot. Was traveling when I noticed increased itching on my right deltoid with increase soreness in the shoulder and arm. Thought I left the band aid on checked no band aid, area was red, with a raised rash, swelling with a hard irregular shaped knot approximately 18 cm in length and 6 cm in width. I am a nurse. I started having a scratchy throat which resolved with the 50 mg of Benadryl within 30 minutes. I took my Zyrtec 10 mg daily and 50 mg of Benadryl every 8 hrs for 48 hours. The itching and the redness resolved after 48 hrs, the knot in the upper right arm started to get smaller. At day 8 arm is clear, now just continued fatigue now.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Client received the 1st COVID vaccine (Pfizer for ages 5-11 Lot #FL0007 expiration 3-1-2022 at 1419). Client arrived to observation area at 1430. At 1435, clients mother alerted EMT, LPN of clients headache. LPN escorted client and her mother to gravity chair, and client sat down. PHN and PHN responded at 1438. Client reports dizziness and headache. Clients vital signs at 1438: BP 108/63, HR 78, o2 99% and respirations 16. Pt was given water and then was reclined on chair by PHN. At this time, clients mother stated that client has had a headache for weeks and currently has a covid test pending. Clients mother further states that she fainted recently, and her pediatrician is aware. Per pediatrician, client is to limit exercise and hydrate. At 1445, client states her headache is down to a 2/10 on pain scale. At this time, PHN is already on the phone with EMS for a different client and PHN informs client mother of the need for EMS. Clients mother states that she will be refusing EMS for client. Client states that her dizziness and headache have both resolved at 1503. PHN reviewed ER precautions with clients mother and recommended to follow up with pediatrician as soon as possible. Client left with mother at 1505 in stable condition with stable gait prior to EMS arriving.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Janssen instead of adult Pfizer
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cellulitis, Chest X-ray normal, Cough, Feeling abnormal
Clinical narrative: Received pfizer COVID19 vaccine on  12/18/20 and 01/08/21. Presented to ER on 12/31/21 and admitted for cellulitis. Was admitted for hand cellulitis, NOT COVID19. Treated for COVID19 at another facility. He  has a second home in another state and was there over the holidays and developed a  respiratory infection, which prompted an ER visit to a local hospital in the  area.  He was noted to be desaturating into the mid 80% range,  although he was told he had no acute pneumonia on x-ray.  He had 1 chest x-ray  done.  He was admitted to the hospital, was given 5 days of remdesivir and  Decadron per protocol and sent home just 2 days ago.  He has had a persistent  cough and he decided to come back to the city last evening and brought a  red-eye flight home to the city and on the flight, he was just absolutely  miserable with an uncontrollable generally nonproductive cough.  He got back  to another city about 11 or 12 last night and went home, but because of the  persistent cough, eventually showed up in the emergency room this morning,  more concerned about the cough than his leg. Dishcarged on 1/5/22
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Respiratory tract infection, SARS-CoV-2 test positive
Clinical narrative: Received pfizer COVID19 vaccine on  12/18/20 and 01/08/21. Presented to ER on 12/31/21 and admitted for cellulitis. Was admitted for hand cellulitis, NOT COVID19. Treated for COVID19 at another facility. He  has a second home in another state and was there over the holidays and developed a  respiratory infection, which prompted an ER visit to a local hospital in the  area.  He was noted to be desaturating into the mid 80% range,  although he was told he had no acute pneumonia on x-ray.  He had 1 chest x-ray  done.  He was admitted to the hospital, was given 5 days of remdesivir and  Decadron per protocol and sent home just 2 days ago.  He has had a persistent  cough and he decided to come back to the city last evening and brought a  red-eye flight home to the city and on the flight, he was just absolutely  miserable with an uncontrollable generally nonproductive cough.  He got back  to another city about 11 or 12 last night and went home, but because of the  persistent cough, eventually showed up in the emergency room this morning,  more concerned about the cough than his leg. Dishcarged on 1/5/22
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pyrexia
Clinical narrative: Low grade fever, joint pain, headache behind eyes
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient had received second dose of Pfizer on 9/14/2021. I healthcare professional administered the booster shot on 1/13/2022. One month earlier than the CDC recommendation of 5 months after the second shot. I administered the booster shot 4 months after the second dose.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Headache, Pyrexia
Clinical narrative: High fever, reaching nearly 103° everyday for about 10 days. About a week after the shot I had chest pains in the center of my chest and difficulty breathing that day. I also had a headache nearly every day for a week.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was intended to get age appropriate vaccine, patient was inadvertently given the Pfizer 12 and up, no symptoms at this time.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Polymerase chain reaction
Clinical narrative: COVID-19 infection requiring hospitalization
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Client presented  to receive Pfizer Booster. After receiving vaccine Client informed vaccinator, she was feeling a little ?woozy?. Client stated this happens to her after getting a vaccine. Client moved to zero gravity chair. A bottled water was given. Client had some sips of water. Client rested in chair. At 1715 client was asked by Nurse how she was feeling. Client stated she ?felt fine?. Client declined to have her vitals taken by EMT. Client had no Shortness of breath. Client was AAOx3. Client stood out of zero gravity chair without assistance and sat in chair while waiting in observation area. Before leaving vaccination, client was asked by nurse how she was feeling, and client said she felt good. Client left vaccination area at  with a steady gait.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Consciousness fluctuating, Seizure
Clinical narrative: Patient with previously undisclosed MDHx epilepsy/narcolepsy complex experienced temporary adverse reaction after injection with Pfizer COVID-19 vaccine. Strike Team RN telephoned me to report that they could not conclude home visit because patient was fading in and out of consciousness. Moderate convulsions on whole body. No loss of pulse nor respirations during whole time. BP and RR WNL. Family insisted that this was normal for patient after other vaccinations. I advised RN to call EMS for paramedic assessment and assistance. RN tried to call EMS, but patient and family were adamant in their refusal for further assistance. RN had Legal Guardian handwrite a statement of refusal and AMA on a blank piece of paper. Both Legal Guardian and RN signed. Strike Team remained with patient for about 1 hour. Before Strike Team left, patient was A/O and VS WNL. RN advised patient and family to call EMS if same S/S recur and to consult with PCP. RN discovered after further interview with patient and Legal Guardian that patient has a long MDHx of neurological conditions involving epilepsy, narcolepsy, and syncope. MDHx was never disclosed to our Homebound Coordinator nor during RN assessment.  VS @ 11:45 = BP 110/80 HR 68 RR 16 Heart Sounds S1/S2 Only @ 11:55 = BP 104/80 HR 68 RR 16 Heart Sounds S1/S2 Only  F/U Legal Guardian was telephoned on 01/13/2022. Guardian stated that patient was doing well the next day and all days after Strike Team's vaccination. No recurrence of S/S. No visit to UC/ED.
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Tinnitus
Clinical narrative: Patient had told me while checking PCQF with him that he has a history of passing out and gets extremely anxious when he gets shots. I tried to have everything ready for him to give the shot as quickly as possible and had a technician ready with a cold pack and a water bottle. About 1 minute after I administered he got very hot and started having some ringing in the ears. He laid down on the floor and we elevated his feet on a chair. Technician called the code white and helped assist me.  We gave him a cold water and cold pack. We fanned him and got him some candy. We kept an eye on his pulse. Manager filled out the code white form. I will  call patient tomorrow to check on him. He stayed in the pharmacy area for about 55 min total.