chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary, Ankle fracture, Anticoagulant therapy, COVID-19, Cast application
Clinical narrative: 93 y.o.    Admit Date:  7/24/2022   Discharge Date:   7/28/2022   Discharge Diagnosis:  Principal Problem:   Acute metabolic encephalopathy Active Problems:   COVID-19 virus infection   Closed left ankle fracture   Falls frequently   Dementia   HTN (hypertension)     Hospital Course:  93 year old female resident of assisted living facility was admitted after she fell and suffered from distal tibia and fibula fractures in the left ankle. She was splinted and placed on cast. She also was treated for Covid-19 infection with Remdesivir. She has been on Lovenox and will be continued after discharge due to elevated d dimer. She has been accepted at a rehab facility and will be transferred today. Follow up with ortho.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.1 °F (36.7 °C) Pulse: 85 BP: 131/83 Respirations: 18 SpO2: 95 % O2 Flow Rate (l/min): 0 l/min     Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   BLE venous US, CTA chest   Operations: none   Disposition:  Nursing facility   Discharge Condition:  Fair    Discharge Medications:   Current Discharge Medication List   START taking these medications   Details enoxaparin (LOVENOX) 40 mg/0.4 mL injection Administer 0.4 mL subcutaneously Twice a day for 7 days. Refills: 0   Associated Diagnoses: COVID-19 virus infection     CONTINUE these medications which have NOT CHANGED   Details Famotidine 40 mg tablet Take 40 mg by mouth Once Daily.   levocetirizine (XYZAL) 5 mg tablet Take 5 mg by mouth At bedtime.   pantoprazole (PROTONIX) 40 mg DR tablet Take 40 mg by mouth Once Daily.   aspirin 81 mg chewable tablet Take 81 mg by mouth Daily.   oxymetazoline (AFRIN) 0.05 % nasal spray Spray 2 Sprays in nose Twice a day. Takes mucinex nasal spray   calcium-cholecalciferol (CALCARB+D) 600 mg(1,500mg) -200 unit tablet Take 2 Tabs by mouth Daily.   multivitamin,tx-minerals (THERAGRAN M) Take 1 Tab by mouth Daily.   amLODIPine (NORVASC) 5 mg tablet Take 5 mg by mouth Daily.   Benazepril 20 mg tablet Take 20 mg by mouth Twice a day.   chlorpheniramine (CHLOR-TRIMETRON) 4 mg tablet Take 4 mg by mouth Every 6 hours as needed.   fluticasone-salmeterol (ADVAIR) 250-50 mcg/Dose inhaler Take 1 Puff by inhalation Twice a day.     STOP taking these medications     potassium chloride (KLOR-CON) 10 mEq tab Comments:  Reason for Stopping:        ondansetron HCL (ZOFRAN) 4 mg tablet Comments:  Reason for Stopping:        traMADoL (ULTRAM) 50 mg tablet Comments:  Reason for Stopping:
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Dementia, Fall, Fibrin D dimer increased, Fibula fracture, Hypertension
Clinical narrative: 93 y.o.    Admit Date:  7/24/2022   Discharge Date:   7/28/2022   Discharge Diagnosis:  Principal Problem:   Acute metabolic encephalopathy Active Problems:   COVID-19 virus infection   Closed left ankle fracture   Falls frequently   Dementia   HTN (hypertension)     Hospital Course:  93 year old female resident of assisted living facility was admitted after she fell and suffered from distal tibia and fibula fractures in the left ankle. She was splinted and placed on cast. She also was treated for Covid-19 infection with Remdesivir. She has been on Lovenox and will be continued after discharge due to elevated d dimer. She has been accepted at a rehab facility and will be transferred today. Follow up with ortho.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.1 °F (36.7 °C) Pulse: 85 BP: 131/83 Respirations: 18 SpO2: 95 % O2 Flow Rate (l/min): 0 l/min     Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   BLE venous US, CTA chest   Operations: none   Disposition:  Nursing facility   Discharge Condition:  Fair    Discharge Medications:   Current Discharge Medication List   START taking these medications   Details enoxaparin (LOVENOX) 40 mg/0.4 mL injection Administer 0.4 mL subcutaneously Twice a day for 7 days. Refills: 0   Associated Diagnoses: COVID-19 virus infection     CONTINUE these medications which have NOT CHANGED   Details Famotidine 40 mg tablet Take 40 mg by mouth Once Daily.   levocetirizine (XYZAL) 5 mg tablet Take 5 mg by mouth At bedtime.   pantoprazole (PROTONIX) 40 mg DR tablet Take 40 mg by mouth Once Daily.   aspirin 81 mg chewable tablet Take 81 mg by mouth Daily.   oxymetazoline (AFRIN) 0.05 % nasal spray Spray 2 Sprays in nose Twice a day. Takes mucinex nasal spray   calcium-cholecalciferol (CALCARB+D) 600 mg(1,500mg) -200 unit tablet Take 2 Tabs by mouth Daily.   multivitamin,tx-minerals (THERAGRAN M) Take 1 Tab by mouth Daily.   amLODIPine (NORVASC) 5 mg tablet Take 5 mg by mouth Daily.   Benazepril 20 mg tablet Take 20 mg by mouth Twice a day.   chlorpheniramine (CHLOR-TRIMETRON) 4 mg tablet Take 4 mg by mouth Every 6 hours as needed.   fluticasone-salmeterol (ADVAIR) 250-50 mcg/Dose inhaler Take 1 Puff by inhalation Twice a day.     STOP taking these medications     potassium chloride (KLOR-CON) 10 mEq tab Comments:  Reason for Stopping:        ondansetron HCL (ZOFRAN) 4 mg tablet Comments:  Reason for Stopping:        traMADoL (ULTRAM) 50 mg tablet Comments:  Reason for Stopping:
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, Splint application, Tibia fracture, Ultrasound Doppler
Clinical narrative: 93 y.o.    Admit Date:  7/24/2022   Discharge Date:   7/28/2022   Discharge Diagnosis:  Principal Problem:   Acute metabolic encephalopathy Active Problems:   COVID-19 virus infection   Closed left ankle fracture   Falls frequently   Dementia   HTN (hypertension)     Hospital Course:  93 year old female resident of assisted living facility was admitted after she fell and suffered from distal tibia and fibula fractures in the left ankle. She was splinted and placed on cast. She also was treated for Covid-19 infection with Remdesivir. She has been on Lovenox and will be continued after discharge due to elevated d dimer. She has been accepted at a rehab facility and will be transferred today. Follow up with ortho.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.1 °F (36.7 °C) Pulse: 85 BP: 131/83 Respirations: 18 SpO2: 95 % O2 Flow Rate (l/min): 0 l/min     Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   BLE venous US, CTA chest   Operations: none   Disposition:  Nursing facility   Discharge Condition:  Fair    Discharge Medications:   Current Discharge Medication List   START taking these medications   Details enoxaparin (LOVENOX) 40 mg/0.4 mL injection Administer 0.4 mL subcutaneously Twice a day for 7 days. Refills: 0   Associated Diagnoses: COVID-19 virus infection     CONTINUE these medications which have NOT CHANGED   Details Famotidine 40 mg tablet Take 40 mg by mouth Once Daily.   levocetirizine (XYZAL) 5 mg tablet Take 5 mg by mouth At bedtime.   pantoprazole (PROTONIX) 40 mg DR tablet Take 40 mg by mouth Once Daily.   aspirin 81 mg chewable tablet Take 81 mg by mouth Daily.   oxymetazoline (AFRIN) 0.05 % nasal spray Spray 2 Sprays in nose Twice a day. Takes mucinex nasal spray   calcium-cholecalciferol (CALCARB+D) 600 mg(1,500mg) -200 unit tablet Take 2 Tabs by mouth Daily.   multivitamin,tx-minerals (THERAGRAN M) Take 1 Tab by mouth Daily.   amLODIPine (NORVASC) 5 mg tablet Take 5 mg by mouth Daily.   Benazepril 20 mg tablet Take 20 mg by mouth Twice a day.   chlorpheniramine (CHLOR-TRIMETRON) 4 mg tablet Take 4 mg by mouth Every 6 hours as needed.   fluticasone-salmeterol (ADVAIR) 250-50 mcg/Dose inhaler Take 1 Puff by inhalation Twice a day.     STOP taking these medications     potassium chloride (KLOR-CON) 10 mEq tab Comments:  Reason for Stopping:        ondansetron HCL (ZOFRAN) 4 mg tablet Comments:  Reason for Stopping:        traMADoL (ULTRAM) 50 mg tablet Comments:  Reason for Stopping:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient started itching and broke-out in welts/hives all over her back. She saw her PCP to get a steroid shot, which finally helped.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: vaccine given too early for booster - no know reaction
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: 72 y.o. 3/6/1950   Admit Date:  7/24/2022   Discharge Date:   7/27/2022   Discharge Diagnosis:  Principal Problem:   Pneumonia due to COVID-19 virus Active Problems:   Syncope   Essential hypertension     Hospital Course:  72 year old vaccinated female was admitted for Covid-19 pneumonia. She was started on decongestant and Remdesivir therapy. She responded well and did not require O2. D dimer was normal. She was discharged home in stable condition after 3 doses of Remdesivir were given. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 98.2 °F (36.8 °C) Heart Rate (Monitor): 86 Pulse: 88 BP: 136/76 Respirations: 18 SpO2: 96 % O2 Flow Rate (l/min): 0 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm,  Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   TTE, CXR   Operations: none   Disposition:  Home    Discharge Condition:  Fair    Discharge Medications:   Discharge Medication List as of 7/27/2022  1:15 PM   CONTINUE these medications which have NOT CHANGED   Details oxybutynin (DITROPAN) 5 mg tablet TAKE 1 TABLET BY MOUTH TWICE DAILY, Historical Med   pantoprazole (PROTONIX) 20 mg DR tablet Take 40 mg by mouth Daily., Historical Med   albuterol (VENTOLIN HFA) 90 mcg/Actuation inhaler Take 2 Puffs by inhalation Every 6 hours as needed., Disp-1 Inhaler, R-0, Normal   MULTIVIT &MINERALS/FERROUS FUM (MULTI VITAMIN PO) Take  by mouth Daily. SUPPLEMENT, Historical Med   Ascorbic Acid 1,000 mg Tab Take 1,000 mg by mouth Twice a day. daily, Historical Med   aspirin 325 mg tablet Take 325 mg by mouth DAILY., Historical Med   CHOLECALCIFEROL, VITAMIN D3, (VITAMIN D3 PO) Take  by mouth Daily., Historical Med     STOP taking these medications     LORazepam (ATIVAN) 1 mg tablet Comments:  Reason for Stopping:        benzonatate (TESSALON PERLES) 100 mg capsule Comments:  Reason for Stopping:        ipratropium (ATROVENT) 0.06 % nasal spray Comments:  Reason for Stopping:        diltiazem (CARDIZEM CD) 240 mg capsule Comments:  Reason for Stopping:        Fexofenadine (ALLEGRA) 60 mg tablet Comments:  Reason for Stopping:        ZINC PO Comments:  Reason for Stopping:        Glucosamine-Chondroitin 250-200 mg Tab Comments:  Reason for Stopping:        diclofenac (VOLTAREN) 75 mg DR tablet Comments:  Reason for Stopping:        methocarbamoL (ROBAXIN) 500 mg tablet Comments:  Reason for Stopping:        montelukast (SINGULAIR) 10 mg tablet Comments:  Reason for Stopping:        losartan (COZAAR) 50 mg tablet Comments:  Reason for Stopping:        promethazine (PHENERGAN) 25 mg tablet Comments:  Reason for Stopping:        CALCIUM PO Comments:  Reason for Stopping:        BETA-CAROTENE,A, W-C & E/MIN (OCUVITE PO) Comments:  Reason for Stopping:
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Disease complication, Dyspnoea, Hypoxia, Oropharyngeal pain
Clinical narrative: Patient with 3 COVID vaccinations who admitted with complications from COVID. Provider d/c note: "69-year-old female with a past medical history significant for diabetes, hypertension, sleep apnea, CVA, rheumatoid arthritis, SVT and GERD. She presented to the emergency department on 08/01/2022 with a chief complaint of shortness of breath and sore throat. On arrival she was diagnosed with acute onset hypoxia with COVID infection and possible asthma exacerbation. She was started on steroids, remdesivir as well as supportive care. Her symptoms continued to improve over the course of her stay and she was weaned down oxygen. On day of discharge oxygen walk test was performed and patient did desaturation with exercise so she will be going home with supplemental oxygen. On day of discharge she was ready to go home and felt in improved and stable condition. We discussed her insulin requirements while on steroids, she states that she already does a sliding scale based on her blood sugars at home and is comfortable continuing to do so and will follow-up with her endocrinologist further for any recommendations.  Patient was given strict return precautions to which she verbalized understanding".
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive, Walking distance test abnormal
Clinical narrative: Patient with 3 COVID vaccinations who admitted with complications from COVID. Provider d/c note: "69-year-old female with a past medical history significant for diabetes, hypertension, sleep apnea, CVA, rheumatoid arthritis, SVT and GERD. She presented to the emergency department on 08/01/2022 with a chief complaint of shortness of breath and sore throat. On arrival she was diagnosed with acute onset hypoxia with COVID infection and possible asthma exacerbation. She was started on steroids, remdesivir as well as supportive care. Her symptoms continued to improve over the course of her stay and she was weaned down oxygen. On day of discharge oxygen walk test was performed and patient did desaturation with exercise so she will be going home with supplemental oxygen. On day of discharge she was ready to go home and felt in improved and stable condition. We discussed her insulin requirements while on steroids, she states that she already does a sliding scale based on her blood sugars at home and is comfortable continuing to do so and will follow-up with her endocrinologist further for any recommendations.  Patient was given strict return precautions to which she verbalized understanding".
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash, Rash vesicular
Clinical narrative: Per mother's report patient developed fever and rash on 8/24.  Vesicular rash to hands, torso, face.  No fever when pt evaluated in PCP office on 9/1.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, COVID-19, Cardiac arrest, Chronic kidney disease, Death
Clinical narrative: 270202; 79 y.o.; 7/1/1943; Admit Date:  7/25/2022; Discharge Date: 7/26/22; Principal Dx/ Final Dx: Closed 2-part intertrochanteric fracture of proximal end of right femur; Relevant Inpt Dx: Principal Problem: Closed 2-part intertrochanteric fracture of proximal end of right femur; Active Problems: Primary hypertension; COVID-19 virus infection; Stage 4 chronic kidney disease; Mixed hyperlipidemia; Diabetes mellitus; Chronic anemia; HPI: Hospital Course: This 79 year old man was admitted with hip fracture.  He was taken to OR and had surgical repair by orthopedics. He became hypoxic and suffered a cardiac arrest.  They were not able to resuscitate him. TOD1919 Consults:  IP CONSULT TO ORTHOPEDIC; Signed: MD; 8/4/2022; 2:47 PM.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus, Essential hypertension, Femur fracture, Fracture treatment, Hip fracture
Clinical narrative: 270202; 79 y.o.; 7/1/1943; Admit Date:  7/25/2022; Discharge Date: 7/26/22; Principal Dx/ Final Dx: Closed 2-part intertrochanteric fracture of proximal end of right femur; Relevant Inpt Dx: Principal Problem: Closed 2-part intertrochanteric fracture of proximal end of right femur; Active Problems: Primary hypertension; COVID-19 virus infection; Stage 4 chronic kidney disease; Mixed hyperlipidemia; Diabetes mellitus; Chronic anemia; HPI: Hospital Course: This 79 year old man was admitted with hip fracture.  He was taken to OR and had surgical repair by orthopedics. He became hypoxic and suffered a cardiac arrest.  They were not able to resuscitate him. TOD1919 Consults:  IP CONSULT TO ORTHOPEDIC; Signed: MD; 8/4/2022; 2:47 PM.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Resuscitation, Type V hyperlipidaemia
Clinical narrative: 270202; 79 y.o.; 7/1/1943; Admit Date:  7/25/2022; Discharge Date: 7/26/22; Principal Dx/ Final Dx: Closed 2-part intertrochanteric fracture of proximal end of right femur; Relevant Inpt Dx: Principal Problem: Closed 2-part intertrochanteric fracture of proximal end of right femur; Active Problems: Primary hypertension; COVID-19 virus infection; Stage 4 chronic kidney disease; Mixed hyperlipidemia; Diabetes mellitus; Chronic anemia; HPI: Hospital Course: This 79 year old man was admitted with hip fracture.  He was taken to OR and had surgical repair by orthopedics. He became hypoxic and suffered a cardiac arrest.  They were not able to resuscitate him. TOD1919 Consults:  IP CONSULT TO ORTHOPEDIC; Signed: MD; 8/4/2022; 2:47 PM.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Chest discomfort, Condition aggravated, Haemodialysis
Clinical narrative: Patient up to date on COVID vaccinations who admitted with complications related to COVID.  Provider d/c note:  "79 yo F with a PMH of HFpEF, ESRD on HD (MWF), CAD, CAS, AAA who presented to the ED with complaints of chest discomfort noted at dialysis. She was able to "run" for 3 hours. On arrival she was found to be tachycardic in setting atrial fibrillation with rapid ventricular response. She was initiated on IV diltiazem and converted to NSR. She was also found to be COVID + and was initially hypoxic and placed on 2L NC. She was not started on treatment as she had previously had COVID and was weaned off of supplemental oxygen without intervention. She was seen by Cardiology and Nephrology. Nephrology recommended continuing her MWF HD schedule and no needs for urgent HD. She was transitioned to PO Cardizem and her home Procardia was discontinued. HR and BP remained stable during admission. She was discharged home in stable condition with strict return precautions. "
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Patient up to date on COVID vaccinations who admitted with complications related to COVID.  Provider d/c note:  "79 yo F with a PMH of HFpEF, ESRD on HD (MWF), CAD, CAS, AAA who presented to the ED with complaints of chest discomfort noted at dialysis. She was able to "run" for 3 hours. On arrival she was found to be tachycardic in setting atrial fibrillation with rapid ventricular response. She was initiated on IV diltiazem and converted to NSR. She was also found to be COVID + and was initially hypoxic and placed on 2L NC. She was not started on treatment as she had previously had COVID and was weaned off of supplemental oxygen without intervention. She was seen by Cardiology and Nephrology. Nephrology recommended continuing her MWF HD schedule and no needs for urgent HD. She was transitioned to PO Cardizem and her home Procardia was discontinued. HR and BP remained stable during admission. She was discharged home in stable condition with strict return precautions. "
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Diarrhoea, Fall, Fatigue, Headache
Clinical narrative: At 1:00am on 8/26, I was woken with severe stomach pains.  I got up to go to the bathroom, and lost consciousness, fainting on my bathroom floor. My spouse revived me, and when I stood up I vomited. I then had diarrhea and my entire body broke out in a heavy sweat. The following morning, I experienced headaches and neck pain from falling, and felt very tired.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Hyperhidrosis, Laboratory test, Loss of consciousness, Neck pain, Syncope
Clinical narrative: At 1:00am on 8/26, I was woken with severe stomach pains.  I got up to go to the bathroom, and lost consciousness, fainting on my bathroom floor. My spouse revived me, and when I stood up I vomited. I then had diarrhea and my entire body broke out in a heavy sweat. The following morning, I experienced headaches and neck pain from falling, and felt very tired.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Vomiting
Clinical narrative: At 1:00am on 8/26, I was woken with severe stomach pains.  I got up to go to the bathroom, and lost consciousness, fainting on my bathroom floor. My spouse revived me, and when I stood up I vomited. I then had diarrhea and my entire body broke out in a heavy sweat. The following morning, I experienced headaches and neck pain from falling, and felt very tired.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Vaccine given too early for booster. No known reaction.
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Chest discomfort, Cough, Feeling cold, Headache
Clinical narrative: 08/30/2022: Runny/congested nose, sore throat 08/31/2022: Runny/congested nose, sore throat, coughing, muscle/joint pain 08/01/2022: Runny/congested nose, sore throat, coughing, headache 08/02/2022: Runny/congested nose, sore throat, coughing, throat tightness/coldness, chest tightness/coldness All days: DayQuil
Age: 18.0
Sex: F
Vaccine: UNK
Symptoms: Myalgia, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, Throat tightness
Clinical narrative: 08/30/2022: Runny/congested nose, sore throat 08/31/2022: Runny/congested nose, sore throat, coughing, muscle/joint pain 08/01/2022: Runny/congested nose, sore throat, coughing, headache 08/02/2022: Runny/congested nose, sore throat, coughing, throat tightness/coldness, chest tightness/coldness All days: DayQuil
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Anticoagulant therapy, Bradycardia, COVID-19, Catheterisation cardiac
Clinical narrative: MD Physician Specialty:  Cardiology Consults     Signed Date of Service:  07/27/22 0722         Hide copied text  Hover for details  1.  Accelerating angina 2.  Tobacco abuse 3.  Essential hypertension- uncontrolled  4.  Normal troponin 5.  COVID   Pe  cv  rrr no m/g/r  Lung clear to a and p abd soft nontender Ext no c/c/e   Plan --  Start heparin GTT.   Smoking cessation encouraged.   Continue asa, norvasc..   No b blocker due to bradycardia.   Increase lisinopril.   LHC in am  Patient left AMA after heart cath.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Essential hypertension, Tobacco abuse, Troponin normal
Clinical narrative: MD Physician Specialty:  Cardiology Consults     Signed Date of Service:  07/27/22 0722         Hide copied text  Hover for details  1.  Accelerating angina 2.  Tobacco abuse 3.  Essential hypertension- uncontrolled  4.  Normal troponin 5.  COVID   Pe  cv  rrr no m/g/r  Lung clear to a and p abd soft nontender Ext no c/c/e   Plan --  Start heparin GTT.   Smoking cessation encouraged.   Continue asa, norvasc..   No b blocker due to bradycardia.   Increase lisinopril.   LHC in am  Patient left AMA after heart cath.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Given after FDA emergency use authorization was removed for boosters. Submitting after instruction on CDC meeting, 9/1/22.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Body temperature increased, COVID-19, Dyspnoea, Oropharyngeal pain
Clinical narrative: Arrived at ER 8/15/2022, tested Covid+ with home test 8/14/2022, reported 7 days history of sore throat, increased SOB. Upon arrival at ER SpO2 76% RA. Placed on 5L O2/NC. Temp 100.5. Also found to be in Afib with RVR. Covid PCR + on 8/15/2022.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Arrived at ER 8/15/2022, tested Covid+ with home test 8/14/2022, reported 7 days history of sore throat, increased SOB. Upon arrival at ER SpO2 76% RA. Placed on 5L O2/NC. Temp 100.5. Also found to be in Afib with RVR. Covid PCR + on 8/15/2022.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Heart rate increased, Heart rate irregular, SARS-CoV-2 test negative
Clinical narrative: On 09/03/02021 around 12:00PM my heart rate went up to 220 per minutes. I called paramedics they gave me 3 shots adenosine. It brought my heart rate down. They took me to the hospital. They did blood test to make sure I wasn't haven't heart attack. They monitored me for 45 minutes to an hour. They released me and they told me to see my cardiologist. After that happened I started to irregular heart beat which continued till this day. I went to 1 and 2 electrophysiologist. I was told that the vaccine triggered birth defects which is called AVNRT. It requires an abrasion. I haven't done the abrasion yet. The irregular heart heart can not be fixed it might had come from adenosine. I have irregular heart beat ongoing. I had a first follow up in the hospital 09/10/2021, Cardiologist. I went to Electrophysiologist on 09/28/2021. Second appointment 11/15/2021 Electrophysiologist.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Supraventricular tachycardia
Clinical narrative: On 09/03/02021 around 12:00PM my heart rate went up to 220 per minutes. I called paramedics they gave me 3 shots adenosine. It brought my heart rate down. They took me to the hospital. They did blood test to make sure I wasn't haven't heart attack. They monitored me for 45 minutes to an hour. They released me and they told me to see my cardiologist. After that happened I started to irregular heart beat which continued till this day. I went to 1 and 2 electrophysiologist. I was told that the vaccine triggered birth defects which is called AVNRT. It requires an abrasion. I haven't done the abrasion yet. The irregular heart heart can not be fixed it might had come from adenosine. I have irregular heart beat ongoing. I had a first follow up in the hospital 09/10/2021, Cardiologist. I went to Electrophysiologist on 09/28/2021. Second appointment 11/15/2021 Electrophysiologist.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Given after FDA emergency use authorization was removed for boosters. Submitting as recommended from CDC meeting, 9/1/22
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Abnormal behaviour, Ammonia normal, Antinuclear antibody negative, Asthenia, Blood bilirubin increased
Clinical narrative: Presented to office on 3/7/22 with father for complaint of that 24 hours after receiving the MenB booster last Wednesday (6 days ago) father found him lying prone on the ground with his head to side; hardly responsive/ not very coherent (he could give dad a thumbs up though) and in a puddle of  his own drool; his eyes were rolled up. No abnormal body or extremity movements. He later became more responsive and went to the pool to rinse his face off of snot; he felt hot- temp 99.6F at that time; father thought this behavior was strange. Father wasn't sure if he was overreacting to not doing homework. Mother normally helps him and she has been away. Today, patient says  he remembers the episode and it was because of a "mental breakdown" due to an "overload of work"  However, father is now bringing him to medical attention because since then has continued to be lethargic, no appetite, doesn't want to drink, laying in bed and sometimes can't sit up.   He is weak. Uses his arms to lift/move his leg to get out of the car. Speaking slowly and seemingly confused. Mental status is not consistent with his baseline.   Patient referred to ED.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Blood creatine phosphokinase normal, Blood electrolytes normal, Blood folate, Blood thyroid stimulating hormone increased, Ceruloplasmin normal
Clinical narrative: Presented to office on 3/7/22 with father for complaint of that 24 hours after receiving the MenB booster last Wednesday (6 days ago) father found him lying prone on the ground with his head to side; hardly responsive/ not very coherent (he could give dad a thumbs up though) and in a puddle of  his own drool; his eyes were rolled up. No abnormal body or extremity movements. He later became more responsive and went to the pool to rinse his face off of snot; he felt hot- temp 99.6F at that time; father thought this behavior was strange. Father wasn't sure if he was overreacting to not doing homework. Mother normally helps him and she has been away. Today, patient says  he remembers the episode and it was because of a "mental breakdown" due to an "overload of work"  However, father is now bringing him to medical attention because since then has continued to be lethargic, no appetite, doesn't want to drink, laying in bed and sometimes can't sit up.   He is weak. Uses his arms to lift/move his leg to get out of the car. Speaking slowly and seemingly confused. Mental status is not consistent with his baseline.   Patient referred to ED.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Computerised tomogram head normal, Confusional state, Conversion disorder, Decreased appetite, Drooling
Clinical narrative: Presented to office on 3/7/22 with father for complaint of that 24 hours after receiving the MenB booster last Wednesday (6 days ago) father found him lying prone on the ground with his head to side; hardly responsive/ not very coherent (he could give dad a thumbs up though) and in a puddle of  his own drool; his eyes were rolled up. No abnormal body or extremity movements. He later became more responsive and went to the pool to rinse his face off of snot; he felt hot- temp 99.6F at that time; father thought this behavior was strange. Father wasn't sure if he was overreacting to not doing homework. Mother normally helps him and she has been away. Today, patient says  he remembers the episode and it was because of a "mental breakdown" due to an "overload of work"  However, father is now bringing him to medical attention because since then has continued to be lethargic, no appetite, doesn't want to drink, laying in bed and sometimes can't sit up.   He is weak. Uses his arms to lift/move his leg to get out of the car. Speaking slowly and seemingly confused. Mental status is not consistent with his baseline.   Patient referred to ED.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Drug screen negative, Electroencephalogram normal, Eye movement disorder, Feeling hot, Fluid intake reduced
Clinical narrative: Presented to office on 3/7/22 with father for complaint of that 24 hours after receiving the MenB booster last Wednesday (6 days ago) father found him lying prone on the ground with his head to side; hardly responsive/ not very coherent (he could give dad a thumbs up though) and in a puddle of  his own drool; his eyes were rolled up. No abnormal body or extremity movements. He later became more responsive and went to the pool to rinse his face off of snot; he felt hot- temp 99.6F at that time; father thought this behavior was strange. Father wasn't sure if he was overreacting to not doing homework. Mother normally helps him and she has been away. Today, patient says  he remembers the episode and it was because of a "mental breakdown" due to an "overload of work"  However, father is now bringing him to medical attention because since then has continued to be lethargic, no appetite, doesn't want to drink, laying in bed and sometimes can't sit up.   He is weak. Uses his arms to lift/move his leg to get out of the car. Speaking slowly and seemingly confused. Mental status is not consistent with his baseline.   Patient referred to ED.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Hyporesponsive to stimuli, Incoherent, Laboratory test normal, Lethargy, Magnetic resonance imaging head normal
Clinical narrative: Presented to office on 3/7/22 with father for complaint of that 24 hours after receiving the MenB booster last Wednesday (6 days ago) father found him lying prone on the ground with his head to side; hardly responsive/ not very coherent (he could give dad a thumbs up though) and in a puddle of  his own drool; his eyes were rolled up. No abnormal body or extremity movements. He later became more responsive and went to the pool to rinse his face off of snot; he felt hot- temp 99.6F at that time; father thought this behavior was strange. Father wasn't sure if he was overreacting to not doing homework. Mother normally helps him and she has been away. Today, patient says  he remembers the episode and it was because of a "mental breakdown" due to an "overload of work"  However, father is now bringing him to medical attention because since then has continued to be lethargic, no appetite, doesn't want to drink, laying in bed and sometimes can't sit up.   He is weak. Uses his arms to lift/move his leg to get out of the car. Speaking slowly and seemingly confused. Mental status is not consistent with his baseline.   Patient referred to ED.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Mental status changes, Mobility decreased, Muscular weakness, Red blood cell sedimentation rate normal, Sitting disability
Clinical narrative: Presented to office on 3/7/22 with father for complaint of that 24 hours after receiving the MenB booster last Wednesday (6 days ago) father found him lying prone on the ground with his head to side; hardly responsive/ not very coherent (he could give dad a thumbs up though) and in a puddle of  his own drool; his eyes were rolled up. No abnormal body or extremity movements. He later became more responsive and went to the pool to rinse his face off of snot; he felt hot- temp 99.6F at that time; father thought this behavior was strange. Father wasn't sure if he was overreacting to not doing homework. Mother normally helps him and she has been away. Today, patient says  he remembers the episode and it was because of a "mental breakdown" due to an "overload of work"  However, father is now bringing him to medical attention because since then has continued to be lethargic, no appetite, doesn't want to drink, laying in bed and sometimes can't sit up.   He is weak. Uses his arms to lift/move his leg to get out of the car. Speaking slowly and seemingly confused. Mental status is not consistent with his baseline.   Patient referred to ED.
Age: 16.0
Sex: M
Vaccine: MENB
Symptoms: Slow speech, Streptococcus test, Thyroxine normal, Vitamin B12 normal
Clinical narrative: Presented to office on 3/7/22 with father for complaint of that 24 hours after receiving the MenB booster last Wednesday (6 days ago) father found him lying prone on the ground with his head to side; hardly responsive/ not very coherent (he could give dad a thumbs up though) and in a puddle of  his own drool; his eyes were rolled up. No abnormal body or extremity movements. He later became more responsive and went to the pool to rinse his face off of snot; he felt hot- temp 99.6F at that time; father thought this behavior was strange. Father wasn't sure if he was overreacting to not doing homework. Mother normally helps him and she has been away. Today, patient says  he remembers the episode and it was because of a "mental breakdown" due to an "overload of work"  However, father is now bringing him to medical attention because since then has continued to be lethargic, no appetite, doesn't want to drink, laying in bed and sometimes can't sit up.   He is weak. Uses his arms to lift/move his leg to get out of the car. Speaking slowly and seemingly confused. Mental status is not consistent with his baseline.   Patient referred to ED.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Administered after FDA removed the emergency use authorization for monovalent boosters. Submitting as directed via CDC meeting on 9/1/22.
Age: 4.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Rash, Urticaria
Clinical narrative: Patient had vaccines administered and left the office  and returned 10-15 minutes later with rash/hives all over his body.   Benadryl was given PO and an Epi Pen was ready for administrating if needed.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Administered after FDA removed the emergency use authorization for monovalent boosters. Submitting as directed via CDC meeting on 9/1/22.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMINSTERED MONOVALENT VACCINE PER PATIENT REQUEST
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Administered after FDA removed the emergency use authorization for monovalent boosters. Submitting as directed via CDC meeting on 9/1/22.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Administered after FDA removed the emergency use authorization for monovalent boosters. Submitting as directed via CDC meeting on 9/1/22.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Periorbital swelling
Clinical narrative: reports that noticed swelling around eyes approximately 4 hours after 1st dose of the Pfizer toddler dose vaccine. NO known allergies in the past. She had been well otherwise. No lip swelling, she denies any other discomfort. Parents gave 12.5mg of chewable Benadryl and swelling has gotten better over the last hour. Advise given to monitor for worsening swelling especially oral symptoms, cough. To ED if present. Benadryl 12.5mg ATC for the next 24 hours. Will f/u in the AM
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Generalised tonic-clonic seizure, Loss of consciousness, Maternal exposure before pregnancy, Morning sickness
Clinical narrative: (F) - 34 y.o. Note Creation:7/26/2022 Encounter Date:7/26/2022      History   Chief Complaint Patient presents with ? Vomiting During Pregnancy ? Generalized Body Aches ? Seizures     HPI  The patient is a 34 y.o. female G1 P0 at 21  w 4 d gestation, patient of Dr c/o having a grand mal seizure this am witnessed by FOB. Pt was unconscious for 20 seconds and was post-ictal afterwards. She has had a know seizure d/o since 2010 and sees Dr of Neurology. Her last seizure was 1 yr ago. When she became pregnant, she was not comfortable taking her medication (Keppra and Topamax) so she stopped it despite recommendations to continue with her medication. Pt states she has had N/V and body aches today. She denies vaginal bleeding or contractions. She reports good fetal movement. She denies fevers/chills, sore throat, nasal congestion, coughing or shortness of breath.     Past Medical History: Diagnosis Date ? Asthma   ? Seizure       Past Surgical History: Procedure Laterality Date ? HX CHOLECYSTECTOMY
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Postictal state, Seizure
Clinical narrative: (F) - 34 y.o. Note Creation:7/26/2022 Encounter Date:7/26/2022      History   Chief Complaint Patient presents with ? Vomiting During Pregnancy ? Generalized Body Aches ? Seizures     HPI  The patient is a 34 y.o. female G1 P0 at 21  w 4 d gestation, patient of Dr c/o having a grand mal seizure this am witnessed by FOB. Pt was unconscious for 20 seconds and was post-ictal afterwards. She has had a know seizure d/o since 2010 and sees Dr of Neurology. Her last seizure was 1 yr ago. When she became pregnant, she was not comfortable taking her medication (Keppra and Topamax) so she stopped it despite recommendations to continue with her medication. Pt states she has had N/V and body aches today. She denies vaginal bleeding or contractions. She reports good fetal movement. She denies fevers/chills, sore throat, nasal congestion, coughing or shortness of breath.     Past Medical History: Diagnosis Date ? Asthma   ? Seizure       Past Surgical History: Procedure Laterality Date ? HX CHOLECYSTECTOMY
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Dysarthria, Dysphagia, Electromyogram abnormal, Gait disturbance
Clinical narrative: First there were nasal issues, then slurring of speech, then difficulty swallowing, dry mouth which then turned into excessive saliva. Weakness on My left side (leg and arm) difficulty walking without support.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Muscular weakness, Nasal disorder, Progressive bulbar palsy, Salivary hypersecretion
Clinical narrative: First there were nasal issues, then slurring of speech, then difficulty swallowing, dry mouth which then turned into excessive saliva. Weakness on My left side (leg and arm) difficulty walking without support.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Administered after FDA removed the emergency use authorization for monovalent boosters. Submitting as directed via CDC meeting on 9/1/22.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Mental status changes
Clinical narrative: The patient presented to hospital, l on 06/29/2022 and was found to have Covid-19 PNA.  The patient did not improve and was enrolled in hospice care on 07/01/2022.  The patient expired on 07/05/2022.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain oedema, COVID-19, CSF protein increased, Condition aggravated, Confusional state
Clinical narrative: Patient up to date with COVID vaccinations who admitted with positive COVID test.  Provider d/c note:  "42 YO male with history of meduloblastoma (resection 1991 with VP shunt placement) admitted with acute intermittent confusion and blurred vision in setting of covid infection without hypoxia.  Patient placed on empiric levetiracitam for suspected complex partial seizures.  MRI showed meningeal enhancement on the left and cortical edema in the right occipital lobe (no recent MRI for comparison).  LP showed elevated protein only, with no nucleated cells.  No clinical or lab evidence of meningitis.  Neurology and ID consulted, considered high-dose IV steroid for covid cerebritis, though elected 60mg daily 5-day course given mild and improving symptoms.  No confusion episodes since starting Keppra. Problem list: Suspected partial complex seizure              -continue levetiracetam, follow-up with Neurology             -EEG negative, though no events during study Acute encephalopathy, blurred vision (chronic left visual field loss)             -consider Covid cerebritis, though with no lab evidence of acute inflammation             -prednisone 60mg daily to complete 5d course             -Follow with Neurology locally, will discuss follow-up MRI COVID infection             -respiratory and constitutional symptoms resolved, not requiring any specific treatment Chronic hearing loss History of medulloblastoma s/p resection and VP shunt             -shunt study unremarkable, case reviewed with Neurosurgery".
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electroencephalogram normal, Encephalitis, Encephalopathy, Focal dyscognitive seizures, Lumbar puncture abnormal
Clinical narrative: Patient up to date with COVID vaccinations who admitted with positive COVID test.  Provider d/c note:  "42 YO male with history of meduloblastoma (resection 1991 with VP shunt placement) admitted with acute intermittent confusion and blurred vision in setting of covid infection without hypoxia.  Patient placed on empiric levetiracitam for suspected complex partial seizures.  MRI showed meningeal enhancement on the left and cortical edema in the right occipital lobe (no recent MRI for comparison).  LP showed elevated protein only, with no nucleated cells.  No clinical or lab evidence of meningitis.  Neurology and ID consulted, considered high-dose IV steroid for covid cerebritis, though elected 60mg daily 5-day course given mild and improving symptoms.  No confusion episodes since starting Keppra. Problem list: Suspected partial complex seizure              -continue levetiracetam, follow-up with Neurology             -EEG negative, though no events during study Acute encephalopathy, blurred vision (chronic left visual field loss)             -consider Covid cerebritis, though with no lab evidence of acute inflammation             -prednisone 60mg daily to complete 5d course             -Follow with Neurology locally, will discuss follow-up MRI COVID infection             -respiratory and constitutional symptoms resolved, not requiring any specific treatment Chronic hearing loss History of medulloblastoma s/p resection and VP shunt             -shunt study unremarkable, case reviewed with Neurosurgery".
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, SARS-CoV-2 test positive, Vision blurred
Clinical narrative: Patient up to date with COVID vaccinations who admitted with positive COVID test.  Provider d/c note:  "42 YO male with history of meduloblastoma (resection 1991 with VP shunt placement) admitted with acute intermittent confusion and blurred vision in setting of covid infection without hypoxia.  Patient placed on empiric levetiracitam for suspected complex partial seizures.  MRI showed meningeal enhancement on the left and cortical edema in the right occipital lobe (no recent MRI for comparison).  LP showed elevated protein only, with no nucleated cells.  No clinical or lab evidence of meningitis.  Neurology and ID consulted, considered high-dose IV steroid for covid cerebritis, though elected 60mg daily 5-day course given mild and improving symptoms.  No confusion episodes since starting Keppra. Problem list: Suspected partial complex seizure              -continue levetiracetam, follow-up with Neurology             -EEG negative, though no events during study Acute encephalopathy, blurred vision (chronic left visual field loss)             -consider Covid cerebritis, though with no lab evidence of acute inflammation             -prednisone 60mg daily to complete 5d course             -Follow with Neurology locally, will discuss follow-up MRI COVID infection             -respiratory and constitutional symptoms resolved, not requiring any specific treatment Chronic hearing loss History of medulloblastoma s/p resection and VP shunt             -shunt study unremarkable, case reviewed with Neurosurgery".
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: In database the patient received the second dose on Pfizer Covid 19 vaccine on 4/27/21. In database the date was manually changed to reflect to dose given on 4/30/21. At that time there was no grace period for early vaccinations. The vaccinator on 4/27/21 in database was, RN. When the date was manually changed to 4/30/21 in database the vaccinator was changed to, RN.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Administered after FDA removed the emergency use authorization for monovalent boosters. Submitting as directed via CDC meeting on 9/1/22.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Computerised tomogram abnormal, Duodenal ulcer, Duodenitis, Faeces discoloured
Clinical narrative: Patient up to date on COVID vaccines who admitted with an incidental COVID test.  Asymtpomatic for COVID.  Provider d/c note:  "90 year old male with a history of CKD stage III, anemia, BPH, hypertension, and osteoarthritis admitted with COVID and black stools. CT two weeks ago revealed proximal duodenal wall thickening, surrounding fat stranding, and a couple areas of suspected ulcer is in the duodenal bulb suspicious for peptic ulcer disease with neoplastic or other duodenitis. He was incidentally found to have COVID.    Hospital Course:  Pt was seen by GI who offered endoscopy. The pt declined endoscopy in favor of medical treatment. A full and detailed discussion of the risks and benefits of this course of action was held. Spouse and other family member (daughter or grandaughter) made aware of this decision as well and they agree. They understand it could be from cancer.  His hemoglobin has stabilized with PPI therapy, which will continue.    He remained asymptomatic in regards to COVID, in fact today he states, ""I feel great."" He has been instructed on quarantine measures. "