chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Faeces discoloured, Gastrointestinal haemorrhage, Oesophagogastroduodenoscopy
Clinical narrative: 63 year old female with history of Hereditary Hemorrhagic Telangiectasia with multiple gastrointestinal AVM's with recurrent blood loss anemia who presented to the hospital with GI bleed. She was unsure of the color of stool at the time of admission. She also was noted to have history of chronic hepatitis C with cirrhosis, seizure disorder on gabapentin and phenobarbital. GI was consulted and recommended outpatient follow-up for EGD as bleed had stabilized. Hematology recommended outpatient evaluation for starting Sandostatin. She was continued on her home medication and PPI. She was positive for COVID but on room air and relatively asymptomatic with only cough and mild wheezing and she was treated with azithromycin for 3 days. She was treated with Bactrim for UTI as well. Pain medicine was consulted however later fired by patient and then re-consulted. Disposition was difficult in terms of finding placement as over 200 home healthcare agencies were contacted by social work and all declined. She refused SAR. She was discharged hemodynamically stable with no further bleeding and medically cleared with plan to setup home health care as an outpatient.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Refusal of treatment by patient, SARS-CoV-2 test positive, Urinary tract infection, Wheezing
Clinical narrative: 63 year old female with history of Hereditary Hemorrhagic Telangiectasia with multiple gastrointestinal AVM's with recurrent blood loss anemia who presented to the hospital with GI bleed. She was unsure of the color of stool at the time of admission. She also was noted to have history of chronic hepatitis C with cirrhosis, seizure disorder on gabapentin and phenobarbital. GI was consulted and recommended outpatient follow-up for EGD as bleed had stabilized. Hematology recommended outpatient evaluation for starting Sandostatin. She was continued on her home medication and PPI. She was positive for COVID but on room air and relatively asymptomatic with only cough and mild wheezing and she was treated with azithromycin for 3 days. She was treated with Bactrim for UTI as well. Pain medicine was consulted however later fired by patient and then re-consulted. Disposition was difficult in terms of finding placement as over 200 home healthcare agencies were contacted by social work and all declined. She refused SAR. She was discharged hemodynamically stable with no further bleeding and medically cleared with plan to setup home health care as an outpatient.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Defect conduction intraventricular, Dyspnoea, Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: 52y.o. male presenting with acute dyspnea and progressive lower extremity edema. Upon presentation he was found to be acutely volume overloaded. He was additionally COVID-positive, however his cycle threshold was very high, greater than 33, and this was thought to represent residual positive from previous exposure. Repeat COVID testing was negative and isolation precautions were removed. Patient was seen by cardiology, EP, nephrology. He was begun on IV Lasix with good fluid output. His creatinine was stable throughout the process. Repeat 2D echo was performed which demonstrated LVEF 10%, consistent with known previous severe systolic heart failure. Patient was eventually transitioned to oral Bumex, Zaroxolyn. He then stable for discharge home. He was instructed to follow-up for repeat lab draw with expedient cardiology follow-up shortly thereafter. Additionally, he will need to follow-up with EP for ICD placement due to persistently low ejection fraction.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Exposure to SARS-CoV-2
Clinical narrative: 52y.o. male presenting with acute dyspnea and progressive lower extremity edema. Upon presentation he was found to be acutely volume overloaded. He was additionally COVID-positive, however his cycle threshold was very high, greater than 33, and this was thought to represent residual positive from previous exposure. Repeat COVID testing was negative and isolation precautions were removed. Patient was seen by cardiology, EP, nephrology. He was begun on IV Lasix with good fluid output. His creatinine was stable throughout the process. Repeat 2D echo was performed which demonstrated LVEF 10%, consistent with known previous severe systolic heart failure. Patient was eventually transitioned to oral Bumex, Zaroxolyn. He then stable for discharge home. He was instructed to follow-up for repeat lab draw with expedient cardiology follow-up shortly thereafter. Additionally, he will need to follow-up with EP for ICD placement due to persistently low ejection fraction.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypervolaemia, Left ventricular failure, Oedema peripheral, Polymerase chain reaction, SARS-CoV-2 test positive
Clinical narrative: 52y.o. male presenting with acute dyspnea and progressive lower extremity edema. Upon presentation he was found to be acutely volume overloaded. He was additionally COVID-positive, however his cycle threshold was very high, greater than 33, and this was thought to represent residual positive from previous exposure. Repeat COVID testing was negative and isolation precautions were removed. Patient was seen by cardiology, EP, nephrology. He was begun on IV Lasix with good fluid output. His creatinine was stable throughout the process. Repeat 2D echo was performed which demonstrated LVEF 10%, consistent with known previous severe systolic heart failure. Patient was eventually transitioned to oral Bumex, Zaroxolyn. He then stable for discharge home. He was instructed to follow-up for repeat lab draw with expedient cardiology follow-up shortly thereafter. Additionally, he will need to follow-up with EP for ICD placement due to persistently low ejection fraction.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Angiogram pulmonary abnormal, Arthralgia, Back pain, Blood creatinine normal
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide normal, COVID-19, Cardiac stress test normal, Chest pain, Coronary artery disease
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction, Haemoglobin normal, Pain, Pericardial effusion
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet count normal, Renal function test normal, SARS-CoV-2 test positive, Scan myocardial perfusion, Subclavian artery occlusion
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Troponin normal, Urine electrolytes normal, Vascular calcification
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood electrolytes normal, Brain natriuretic peptide normal, COVID-19, Chest pain, Echocardiogram abnormal
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Ejection fraction normal, Haemoglobin normal, Pain, Pericardial effusion, Platelet count normal
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Renal function test normal, SARS-CoV-2 test positive, Scan myocardial perfusion, Troponin normal, Vascular calcification
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Vascular stent occlusion
Clinical narrative: 78 yo female w/ hx of recent COVID, HTN, HLP, PVD, Carotid artery dz, GERD, H pylori, asthma,hypothyroidism who presented to ED secondary to CP.  Recent hospitalization for COVID and NSTEMI. 2D echo w/ EF 60%, no WMA, small pericardial effusion w/o compromise. Completed hep gtt x 48h. Recommended OP ischemic work up. Pt overall did well and was discharged home. Pt w/ intermittent L sided burning chest pain w/ radiation to her back and shoulder over the past 1.5 weeks. Chest pain did get worse therefore she came to ED for further evaluation. Upon arrival to ED, 159/95, HR 93, afebrile, no hypoxia. No leukocytosis, Hgb 12.4, plts 157k. Lytes/renal function WNL. Cr 0.95. Trops WNL, BNP 43.COVID remains positive. CTA PE w/o thrombus , 3-vessel dz noted. Noted Extensive vascular calcifications and complete occlusion of the proximal left subclavian artery with a patent shunt through left carotid artery. Pt admitted for further care with cardio consult. Stress MPI done - no ischemia. Pt feeling well and agreeable for DC on 8/4. Pt notes she cannot tolerate statin.   Pt was feeling well on day of discharge and medically stable for discharge. Pt was present during discharge planning and agreeable to plan.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abnormal, Dyspnoea, Fatigue, Fibrin D dimer increased, Pulmonary embolism
Clinical narrative: Acute pulmonary embolus with hypoxia developed 48 hours after vaccine. Diagnosed on chest CTA 5 days after vaccine. She had the COVID-19 vaccine x 4 and had prior COVID-19 illness.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Hypoxia, Pulmonary embolism
Clinical narrative: Acute pulmonary embolus with hypoxia developed 48 hours after vaccine. Diagnosed on chest CTA 5 days after vaccine. She had the COVID-19 vaccine x 4 and had prior COVID-19 illness.
Age: 32.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Anxiety, Vaccination site erythema, Vaccination site pain, Vaccination site swelling
Clinical narrative: Significant redness, swelling, pain in forearm at vaccination site Started ~36 hours after vaccination Possibly normal vaccine reaction, but is large area of redness, pt anxious, and do not have familiarity with this vaccine
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Asthenia, Blood test, Chest X-ray normal
Clinical narrative: Onset of panic disorder less than two months after second dose. No past phycological disorders.  Went to ER multiple times thinking I was having heart problems. Chest x ray and EKG normal. Symptoms: radiating nerve pain down wrists, increased heart rate,  feeling of impending doom,  dizziness, nausea, loss of appetite, being woken by panic attacks, shaking, uncontrollably crying, fear of death, constant and uncontrollable worry.  I was close to admitting myself out of fear that I may snap and do something unlike me. I saw a psychiatrist and was diagnosed with general anxiety and panic disorder. I was put on Zoloft 25-50mg it did work but after stopping medication all the symptoms are back. It?s debilitating.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Crying, Decreased appetite, Dizziness, Electrocardiogram normal
Clinical narrative: Onset of panic disorder less than two months after second dose. No past phycological disorders.  Went to ER multiple times thinking I was having heart problems. Chest x ray and EKG normal. Symptoms: radiating nerve pain down wrists, increased heart rate,  feeling of impending doom,  dizziness, nausea, loss of appetite, being woken by panic attacks, shaking, uncontrollably crying, fear of death, constant and uncontrollable worry.  I was close to admitting myself out of fear that I may snap and do something unlike me. I saw a psychiatrist and was diagnosed with general anxiety and panic disorder. I was put on Zoloft 25-50mg it did work but after stopping medication all the symptoms are back. It?s debilitating.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Fear of death, Generalised anxiety disorder, Heart rate increased, Nausea
Clinical narrative: Onset of panic disorder less than two months after second dose. No past phycological disorders.  Went to ER multiple times thinking I was having heart problems. Chest x ray and EKG normal. Symptoms: radiating nerve pain down wrists, increased heart rate,  feeling of impending doom,  dizziness, nausea, loss of appetite, being woken by panic attacks, shaking, uncontrollably crying, fear of death, constant and uncontrollable worry.  I was close to admitting myself out of fear that I may snap and do something unlike me. I saw a psychiatrist and was diagnosed with general anxiety and panic disorder. I was put on Zoloft 25-50mg it did work but after stopping medication all the symptoms are back. It?s debilitating.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Panic attack, Panic disorder, Sleep disorder
Clinical narrative: Onset of panic disorder less than two months after second dose. No past phycological disorders.  Went to ER multiple times thinking I was having heart problems. Chest x ray and EKG normal. Symptoms: radiating nerve pain down wrists, increased heart rate,  feeling of impending doom,  dizziness, nausea, loss of appetite, being woken by panic attacks, shaking, uncontrollably crying, fear of death, constant and uncontrollable worry.  I was close to admitting myself out of fear that I may snap and do something unlike me. I saw a psychiatrist and was diagnosed with general anxiety and panic disorder. I was put on Zoloft 25-50mg it did work but after stopping medication all the symptoms are back. It?s debilitating.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Onset of panic disorder less than two months after second dose. No past phycological disorders.  Went to ER multiple times thinking I was having heart problems. Chest x ray and EKG normal. Symptoms: radiating nerve pain down wrists, increased heart rate,  feeling of impending doom,  dizziness, nausea, loss of appetite, being woken by panic attacks, shaking, uncontrollably crying, fear of death, constant and uncontrollable worry.  I was close to admitting myself out of fear that I may snap and do something unlike me. I saw a psychiatrist and was diagnosed with general anxiety and panic disorder. I was put on Zoloft 25-50mg it did work but after stopping medication all the symptoms are back. It?s debilitating.
Age: 41.0
Sex: M
Vaccine: UNK
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: 2nd shot, Left Arm swelled with pain.  Went to PCP and diagnose with Cellulitis so I thought it was.  3rd shot, same symptom so I thought it was "normal" but swelling and pain continued and still going on until 9 Sep 2022.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Mild, Additional Details: Pt received Fluzone HD 2022-23 and Pneumovax 23 on 9/1/22 at 9am. Began experiencing fever-like symptoms (low grade fever, slight body aches) that night around 6-7pm. Woke up in morning on 9/2 and had bruising at injection site and redness/swelling on bicep/deltoid area. Area was hot to the touch, swollen and moderately painful. Adverse effects are resolving on 9/3/22, pt doesn't request follow up with MD.
Age: 72.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Skin warm
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Mild, Additional Details: Pt received Fluzone HD 2022-23 and Pneumovax 23 on 9/1/22 at 9am. Began experiencing fever-like symptoms (low grade fever, slight body aches) that night around 6-7pm. Woke up in morning on 9/2 and had bruising at injection site and redness/swelling on bicep/deltoid area. Area was hot to the touch, swollen and moderately painful. Adverse effects are resolving on 9/3/22, pt doesn't request follow up with MD.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema
Clinical narrative: Site: Redness at Injection Site-Medium, Additional Details: slight redness of arm. pt advised to see a doctor if symptoms progress
Age: 41.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Chest discomfort, Chest pain, Dizziness, Fatigue
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Mild
Age: 41.0
Sex: F
Vaccine: FLUC4
Symptoms: Flushing, Headache, Hyperhidrosis, Injection site erythema, Lethargy
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Mild
Age: 41.0
Sex: F
Vaccine: FLUC4
Symptoms: Tachycardia
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Mild
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Wrong Vaccine/Product Administered-
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, COVID-19, Decreased appetite, Food intolerance
Clinical narrative: Patient ID: MRN:  Name:  Age: 54 y.o. Birthday:   Admit Date: 8/1/2022  1:29 AM Discharge Date:  8/2/22 Unit:  Admitting Physician:  Discharge Physician:  DO   Discharge Diagnosis: Principal Problem:   Abdominal pain       HPI: Patient is a 54 y.o. female with a history of DM, HTN, HLD, and anxiety presents to the ED from home with complaints of worsening epigastric abdominal pain for 2 days. Pt states she has not been able to tolerate foods for approximately 5 days. Pt reports this pain is similar to the pain that she had in the past when she was diagnosed with gastroparesis but worse. Pt reports she follows with Dr. Pt tested postive for COVID 19 on 7/25 but states "this pain has nothing to do with the virus, I've had this before". Pt denies n/v, chest pain, or shortness of breath.      Hospital Course: Pt. Is a 54 year old female who was admitted to a HCF for severe abdominal pain/Epigastric pain.  She hadn't eaten well in severe days and felt that this was similar to when she had gastroparesis in the past.  Upon arrival, she received a CT abdomen and pelvis that showed only a mild hydronephrosis and signs of previous cystectomy as well as a an ileal loop diversion with the stoma of the ileal loop present within the right lower quadrant.  The patient felt much improved after IV fluid.. she is now hungry and ready to eat.  She states the GI doctor told her that all of her further workup would be done outpatient.  She is now stable at this time for DC with close F/U with PCP.                Physical Exam on the Date of Discharge: Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Nose: Nose normal.  Eyes:     Extraocular Movements: Extraocular movements intact.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     Palpations: Abdomen is soft.  Musculoskeletal:        General: Normal range of motion.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert.  Psychiatric:        Mood and Affect: Mood normal.        Behavior: Behavior normal.              Consults:   IP CONSULT TO GASTROENTEROLOGY       Disposition:  home   Discharge Condition:  good
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hydronephrosis, Urostomy
Clinical narrative: Patient ID: MRN:  Name:  Age: 54 y.o. Birthday:   Admit Date: 8/1/2022  1:29 AM Discharge Date:  8/2/22 Unit:  Admitting Physician:  Discharge Physician:  DO   Discharge Diagnosis: Principal Problem:   Abdominal pain       HPI: Patient is a 54 y.o. female with a history of DM, HTN, HLD, and anxiety presents to the ED from home with complaints of worsening epigastric abdominal pain for 2 days. Pt states she has not been able to tolerate foods for approximately 5 days. Pt reports this pain is similar to the pain that she had in the past when she was diagnosed with gastroparesis but worse. Pt reports she follows with Dr. Pt tested postive for COVID 19 on 7/25 but states "this pain has nothing to do with the virus, I've had this before". Pt denies n/v, chest pain, or shortness of breath.      Hospital Course: Pt. Is a 54 year old female who was admitted to a HCF for severe abdominal pain/Epigastric pain.  She hadn't eaten well in severe days and felt that this was similar to when she had gastroparesis in the past.  Upon arrival, she received a CT abdomen and pelvis that showed only a mild hydronephrosis and signs of previous cystectomy as well as a an ileal loop diversion with the stoma of the ileal loop present within the right lower quadrant.  The patient felt much improved after IV fluid.. she is now hungry and ready to eat.  She states the GI doctor told her that all of her further workup would be done outpatient.  She is now stable at this time for DC with close F/U with PCP.                Physical Exam on the Date of Discharge: Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic.     Nose: Nose normal.  Eyes:     Extraocular Movements: Extraocular movements intact.     Pupils: Pupils are equal, round, and reactive to light.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.     Pulses: Normal pulses.     Heart sounds: Normal heart sounds.  Pulmonary:     Effort: Pulmonary effort is normal.     Breath sounds: Normal breath sounds.  Abdominal:     Palpations: Abdomen is soft.  Musculoskeletal:        General: Normal range of motion.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert.  Psychiatric:        Mood and Affect: Mood normal.        Behavior: Behavior normal.              Consults:   IP CONSULT TO GASTROENTEROLOGY       Disposition:  home   Discharge Condition:  good
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case    dose 1 3/26/21 Moderna 030A21A
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: blood clots
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Employee tested positive for Covid-19 and was hospitalized despite full vaccination of Pfizer 1 and 2 plus two boosters (booster 1 on 8/8/2021 and booster 2 on 3/11/2022).
Age: 55.0
Sex: M
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 81.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Alanine aminotransferase increased, Analgesic drug level therapeutic, Aspartate aminotransferase increased, Hepatitis B test negative, Hepatitis C test negative
Clinical narrative: Narrative:  requiring 2 ED visits and hospitalization
Age: 81.0
Sex: M
Vaccine: COVID19, PPV
Symptoms: Hepatitis viral test negative, Laboratory test normal
Clinical narrative: Narrative:  requiring 2 ED visits and hospitalization
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Migraine, Nausea, Peripheral swelling
Clinical narrative: Migraine, dizziness, swollen left arm, nausea
Age: 50.0
Sex: M
Vaccine: SMALLMNK
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: No Adverse event witnessed or reported; however, no wheal achieved when vaccine administered initially intradermally, therefore 2nd dose of 0.1 ml, ID administered and wheal achieved.
Age: 33.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Urticaria
Clinical narrative: Received called that the area of injection site was red, small whelps noted below injection site that looked like "ant bites" .  Called health department medical director, she recommended he be seen by primary care provider for evaluation, if unable to be seen for evaluation, try Benadryl if rash is itchy or looks to him like hives.  I called and spoke with "friend" patient's language is okay,  Explained and friend states "he is at work".  I called today at 7:30 to check on him again.  VAERS form filled out.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 3/25/21, 4/22/21. Positive on 9/6/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 3/17/21, 4/14/21, 12/2/21. Positive on 8/30
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/18/21, 5/6/21. Positive on 8/31
Age: 57.0
Sex: M
Vaccine: SMALLMNK
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: NO ADVERSE EVENT REPORTED OR OBSERVED; however wheal not achieved when 0.1 ml Jynneos administered ID initially, therefore 2nd dose of vaccine administered ID with wheal achieved.
Age: 4.0
Sex: F
Vaccine: VARCEL
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt received MMRV and Varicella on the same day
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myeloid leukaemia, Acute respiratory failure, Asthenia, Atrial fibrillation, Atrial flutter
Clinical narrative: DATE OF ADMISSION:  08/26/2022 DATE OF DISCHARGE:  08/31/2022   Attending physician, Dr.  covering for Dr.   DISCHARGE DIAGNOSES 1. COVID-19 infection with COVID pneumonia. 2. Weakness with fall. 3. Relapsed acute myeloid leukemia. 4. Pancytopenia. 5. Paroxysmal atrial fibrillation with bradycardia episode of atrial flutter. 6. Vasogenic edema with history of encephalopathy, resolved last admission. 7. Recent febrile neutropenia with recent acute hypoxemic respiratory failure. 8. Transfusion-related iron overload. 9. History of dysuria, hematuria, urinary frequency. 10. Recent rectal bleeding. 11. Hypertension. 12. Diabetes type 2 with steroid-induced hyperglycemia. 13. Chronic low back pain. 14. History of left lower extremity deep vein thrombosis. 15. History of prostate cancer.   HOSPITAL COURSE The patient is a very pleasant 80-year-old male with past medical history as listed above including relapsed AML, who was recently admitted for relapsed AML and treated with azacitidine and venetoclax, who presented today after discharge for weakness and fall off the toilet.  Initial laboratory studies and imaging can be found per Epic review.  Of note, routine COVID-19 screening was positive and chest x-ray showed right upper lobe pneumonia.  The patient was started on cefepime and Zithromax was added.  Each was treated with a 5-day course of remdesivir and dexamethasone taper.  His MRSA was negative.  He was stable on room air.  Procalcitonin 2.54.  PT, OT were consulted and recommended home PT and OT.  The patient received transfusions as needed.  His other medical conditions stay stable. Endocrinology was consulted to assist with steroid-induced hyperglycemia.  He was felt medically stable for discharge following his last dose of remdesivir on 08/31/2022
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Bradycardia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: DATE OF ADMISSION:  08/26/2022 DATE OF DISCHARGE:  08/31/2022   Attending physician, Dr.  covering for Dr.   DISCHARGE DIAGNOSES 1. COVID-19 infection with COVID pneumonia. 2. Weakness with fall. 3. Relapsed acute myeloid leukemia. 4. Pancytopenia. 5. Paroxysmal atrial fibrillation with bradycardia episode of atrial flutter. 6. Vasogenic edema with history of encephalopathy, resolved last admission. 7. Recent febrile neutropenia with recent acute hypoxemic respiratory failure. 8. Transfusion-related iron overload. 9. History of dysuria, hematuria, urinary frequency. 10. Recent rectal bleeding. 11. Hypertension. 12. Diabetes type 2 with steroid-induced hyperglycemia. 13. Chronic low back pain. 14. History of left lower extremity deep vein thrombosis. 15. History of prostate cancer.   HOSPITAL COURSE The patient is a very pleasant 80-year-old male with past medical history as listed above including relapsed AML, who was recently admitted for relapsed AML and treated with azacitidine and venetoclax, who presented today after discharge for weakness and fall off the toilet.  Initial laboratory studies and imaging can be found per Epic review.  Of note, routine COVID-19 screening was positive and chest x-ray showed right upper lobe pneumonia.  The patient was started on cefepime and Zithromax was added.  Each was treated with a 5-day course of remdesivir and dexamethasone taper.  His MRSA was negative.  He was stable on room air.  Procalcitonin 2.54.  PT, OT were consulted and recommended home PT and OT.  The patient received transfusions as needed.  His other medical conditions stay stable. Endocrinology was consulted to assist with steroid-induced hyperglycemia.  He was felt medically stable for discharge following his last dose of remdesivir on 08/31/2022
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Fall, Febrile neutropenia, Hyperglycaemia, Hypertension
Clinical narrative: DATE OF ADMISSION:  08/26/2022 DATE OF DISCHARGE:  08/31/2022   Attending physician, Dr.  covering for Dr.   DISCHARGE DIAGNOSES 1. COVID-19 infection with COVID pneumonia. 2. Weakness with fall. 3. Relapsed acute myeloid leukemia. 4. Pancytopenia. 5. Paroxysmal atrial fibrillation with bradycardia episode of atrial flutter. 6. Vasogenic edema with history of encephalopathy, resolved last admission. 7. Recent febrile neutropenia with recent acute hypoxemic respiratory failure. 8. Transfusion-related iron overload. 9. History of dysuria, hematuria, urinary frequency. 10. Recent rectal bleeding. 11. Hypertension. 12. Diabetes type 2 with steroid-induced hyperglycemia. 13. Chronic low back pain. 14. History of left lower extremity deep vein thrombosis. 15. History of prostate cancer.   HOSPITAL COURSE The patient is a very pleasant 80-year-old male with past medical history as listed above including relapsed AML, who was recently admitted for relapsed AML and treated with azacitidine and venetoclax, who presented today after discharge for weakness and fall off the toilet.  Initial laboratory studies and imaging can be found per Epic review.  Of note, routine COVID-19 screening was positive and chest x-ray showed right upper lobe pneumonia.  The patient was started on cefepime and Zithromax was added.  Each was treated with a 5-day course of remdesivir and dexamethasone taper.  His MRSA was negative.  He was stable on room air.  Procalcitonin 2.54.  PT, OT were consulted and recommended home PT and OT.  The patient received transfusions as needed.  His other medical conditions stay stable. Endocrinology was consulted to assist with steroid-induced hyperglycemia.  He was felt medically stable for discharge following his last dose of remdesivir on 08/31/2022
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Imaging procedure, Iron overload, Laboratory test, Pancytopenia, Pneumonia
Clinical narrative: DATE OF ADMISSION:  08/26/2022 DATE OF DISCHARGE:  08/31/2022   Attending physician, Dr.  covering for Dr.   DISCHARGE DIAGNOSES 1. COVID-19 infection with COVID pneumonia. 2. Weakness with fall. 3. Relapsed acute myeloid leukemia. 4. Pancytopenia. 5. Paroxysmal atrial fibrillation with bradycardia episode of atrial flutter. 6. Vasogenic edema with history of encephalopathy, resolved last admission. 7. Recent febrile neutropenia with recent acute hypoxemic respiratory failure. 8. Transfusion-related iron overload. 9. History of dysuria, hematuria, urinary frequency. 10. Recent rectal bleeding. 11. Hypertension. 12. Diabetes type 2 with steroid-induced hyperglycemia. 13. Chronic low back pain. 14. History of left lower extremity deep vein thrombosis. 15. History of prostate cancer.   HOSPITAL COURSE The patient is a very pleasant 80-year-old male with past medical history as listed above including relapsed AML, who was recently admitted for relapsed AML and treated with azacitidine and venetoclax, who presented today after discharge for weakness and fall off the toilet.  Initial laboratory studies and imaging can be found per Epic review.  Of note, routine COVID-19 screening was positive and chest x-ray showed right upper lobe pneumonia.  The patient was started on cefepime and Zithromax was added.  Each was treated with a 5-day course of remdesivir and dexamethasone taper.  His MRSA was negative.  He was stable on room air.  Procalcitonin 2.54.  PT, OT were consulted and recommended home PT and OT.  The patient received transfusions as needed.  His other medical conditions stay stable. Endocrinology was consulted to assist with steroid-induced hyperglycemia.  He was felt medically stable for discharge following his last dose of remdesivir on 08/31/2022
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin, Rectal haemorrhage, SARS-CoV-2 test positive, Staphylococcus test negative, Transfusion
Clinical narrative: DATE OF ADMISSION:  08/26/2022 DATE OF DISCHARGE:  08/31/2022   Attending physician, Dr.  covering for Dr.   DISCHARGE DIAGNOSES 1. COVID-19 infection with COVID pneumonia. 2. Weakness with fall. 3. Relapsed acute myeloid leukemia. 4. Pancytopenia. 5. Paroxysmal atrial fibrillation with bradycardia episode of atrial flutter. 6. Vasogenic edema with history of encephalopathy, resolved last admission. 7. Recent febrile neutropenia with recent acute hypoxemic respiratory failure. 8. Transfusion-related iron overload. 9. History of dysuria, hematuria, urinary frequency. 10. Recent rectal bleeding. 11. Hypertension. 12. Diabetes type 2 with steroid-induced hyperglycemia. 13. Chronic low back pain. 14. History of left lower extremity deep vein thrombosis. 15. History of prostate cancer.   HOSPITAL COURSE The patient is a very pleasant 80-year-old male with past medical history as listed above including relapsed AML, who was recently admitted for relapsed AML and treated with azacitidine and venetoclax, who presented today after discharge for weakness and fall off the toilet.  Initial laboratory studies and imaging can be found per Epic review.  Of note, routine COVID-19 screening was positive and chest x-ray showed right upper lobe pneumonia.  The patient was started on cefepime and Zithromax was added.  Each was treated with a 5-day course of remdesivir and dexamethasone taper.  His MRSA was negative.  He was stable on room air.  Procalcitonin 2.54.  PT, OT were consulted and recommended home PT and OT.  The patient received transfusions as needed.  His other medical conditions stay stable. Endocrinology was consulted to assist with steroid-induced hyperglycemia.  He was felt medically stable for discharge following his last dose of remdesivir on 08/31/2022
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Type 2 diabetes mellitus, Vasogenic cerebral oedema
Clinical narrative: DATE OF ADMISSION:  08/26/2022 DATE OF DISCHARGE:  08/31/2022   Attending physician, Dr.  covering for Dr.   DISCHARGE DIAGNOSES 1. COVID-19 infection with COVID pneumonia. 2. Weakness with fall. 3. Relapsed acute myeloid leukemia. 4. Pancytopenia. 5. Paroxysmal atrial fibrillation with bradycardia episode of atrial flutter. 6. Vasogenic edema with history of encephalopathy, resolved last admission. 7. Recent febrile neutropenia with recent acute hypoxemic respiratory failure. 8. Transfusion-related iron overload. 9. History of dysuria, hematuria, urinary frequency. 10. Recent rectal bleeding. 11. Hypertension. 12. Diabetes type 2 with steroid-induced hyperglycemia. 13. Chronic low back pain. 14. History of left lower extremity deep vein thrombosis. 15. History of prostate cancer.   HOSPITAL COURSE The patient is a very pleasant 80-year-old male with past medical history as listed above including relapsed AML, who was recently admitted for relapsed AML and treated with azacitidine and venetoclax, who presented today after discharge for weakness and fall off the toilet.  Initial laboratory studies and imaging can be found per Epic review.  Of note, routine COVID-19 screening was positive and chest x-ray showed right upper lobe pneumonia.  The patient was started on cefepime and Zithromax was added.  Each was treated with a 5-day course of remdesivir and dexamethasone taper.  His MRSA was negative.  He was stable on room air.  Procalcitonin 2.54.  PT, OT were consulted and recommended home PT and OT.  The patient received transfusions as needed.  His other medical conditions stay stable. Endocrinology was consulted to assist with steroid-induced hyperglycemia.  He was felt medically stable for discharge following his last dose of remdesivir on 08/31/2022
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pelvic pain, SARS-CoV-2 test positive
Clinical narrative: Tested positivev 8/10/22 and then tested positive again 9/5/22 prior to admission for post partum pelvic pain. Current hospitalization not related to COVID.