chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rib fracture, Right ventricular dilatation, SARS-CoV-2 test positive, Skin discolouration, Tobacco abuse
Clinical narrative: 1/31/22 The patient presents for shortness of breath.  He tested positive for Covid yesterday.  EMS reported O2 sats in the 70s when they transported the patient today.  The patient tells me his shortness of breath has been chronic but worse over the last 3 weeks.  He has had a cough but no fever and no chest pain.  On my assessment, he is awake and alert.  Skin color is normal.  There is no scleral icterus.  He is nontoxic-appearing Pt states he is always short of breath but has worsen since fall on Saturday. Pt has hx of falling for unknown reasons. Pt has been worked up for this. Pt fell Saturday where he broke ribs on his right side. Pt was seen at local hospital. Pt went home and had home health nurse do a covid swab on him which was positive. Pt has had vaccine but not booster. Pt has had a cough. Pt denies fever, sore throat, HA, sneezing/tearing from eyes, body aches, V/D, dysuria, or rash. Pt does bruise easily due to being on aspirin. Pt does smoke. Pt has hx of COPD. No home oxygen. Pt denies hitting head or other injuries from fall. Review of Systems  Constitutional: Negative for fever.  HENT: Negative for sore throat and sneezing.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain (ribs).  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria.  Musculoskeletal: Positive for back pain (posterior ribs).  Skin: Positive for color change.  Neurological: Negative for headaches.  Hematological: Bruises/bleeds easily.  2/2/22  Hospital Course:   From admission HPI: "85 y/o male with hx of COPD/emphysema, DM II, HTN, and a recent fall causing right sided rib fractures, presents to ED for evaluation of increasing SOB and cough.  Of note, patient is vaccinated and boostered, but did test + for COVID-19 last week.  He doesn't wear oxygen at home.  Denies fevers or chills. He still has pain in right lateral chest wall."   The following issues were addressed:   1) Acute hypoxic respiratory failure 2/2 community-acquired PNA: - COVID-19 positive but infiltrates on CT chest appear more consistent with bacterial PNA that what we typically see with COVID-19.  - s/p IV abx, discharge on PO to complete course - s/p IV dexamethasone for COVID, home on PO to complete 10 day total course - weaned off oxygen, does not qualify for home O2 per 6 min walk - WBC chronically elevated.   2) Prior R rib fractures: - pain seems to be improving   3) Uncontrolled T2DM with steroid-induced hyperglycemia: - resume metformin - A1c 6.0 so typically well controlled at home   4) Groin lesions: - appear consistent with condyloma acuminata, unclear chronicity - can f/u with PCP after discharge, she can pursue biopsy or removal if desired   5) Tobacco abuse: - requests Rx for nicotine patch
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin, White blood cell count increased
Clinical narrative: 1/31/22 The patient presents for shortness of breath.  He tested positive for Covid yesterday.  EMS reported O2 sats in the 70s when they transported the patient today.  The patient tells me his shortness of breath has been chronic but worse over the last 3 weeks.  He has had a cough but no fever and no chest pain.  On my assessment, he is awake and alert.  Skin color is normal.  There is no scleral icterus.  He is nontoxic-appearing Pt states he is always short of breath but has worsen since fall on Saturday. Pt has hx of falling for unknown reasons. Pt has been worked up for this. Pt fell Saturday where he broke ribs on his right side. Pt was seen at local hospital. Pt went home and had home health nurse do a covid swab on him which was positive. Pt has had vaccine but not booster. Pt has had a cough. Pt denies fever, sore throat, HA, sneezing/tearing from eyes, body aches, V/D, dysuria, or rash. Pt does bruise easily due to being on aspirin. Pt does smoke. Pt has hx of COPD. No home oxygen. Pt denies hitting head or other injuries from fall. Review of Systems  Constitutional: Negative for fever.  HENT: Negative for sore throat and sneezing.   Eyes: Negative for discharge.  Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for chest pain (ribs).  Gastrointestinal: Negative for diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria.  Musculoskeletal: Positive for back pain (posterior ribs).  Skin: Positive for color change.  Neurological: Negative for headaches.  Hematological: Bruises/bleeds easily.  2/2/22  Hospital Course:   From admission HPI: "85 y/o male with hx of COPD/emphysema, DM II, HTN, and a recent fall causing right sided rib fractures, presents to ED for evaluation of increasing SOB and cough.  Of note, patient is vaccinated and boostered, but did test + for COVID-19 last week.  He doesn't wear oxygen at home.  Denies fevers or chills. He still has pain in right lateral chest wall."   The following issues were addressed:   1) Acute hypoxic respiratory failure 2/2 community-acquired PNA: - COVID-19 positive but infiltrates on CT chest appear more consistent with bacterial PNA that what we typically see with COVID-19.  - s/p IV abx, discharge on PO to complete course - s/p IV dexamethasone for COVID, home on PO to complete 10 day total course - weaned off oxygen, does not qualify for home O2 per 6 min walk - WBC chronically elevated.   2) Prior R rib fractures: - pain seems to be improving   3) Uncontrolled T2DM with steroid-induced hyperglycemia: - resume metformin - A1c 6.0 so typically well controlled at home   4) Groin lesions: - appear consistent with condyloma acuminata, unclear chronicity - can f/u with PCP after discharge, she can pursue biopsy or removal if desired   5) Tobacco abuse: - requests Rx for nicotine patch
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: COVID vaccine given past thaw expiration date.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 07/07/2021.
Age: 31.0
Sex: F
Vaccine: UNK
Symptoms: Injection site swelling, Lip swelling
Clinical narrative: lower lip was swollen and lasted about 1 week. swelling at injection site in the arm ( size of golf ball)  lasted for 3 to 4 days.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Haemorrhage intracranial
Clinical narrative: Acute Intra-cranial hemorrhage. ED Visit; patient died. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: I have been dizzy the last 3 weeks feel as if I am on a boar
Age: 1.0
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event
Clinical narrative: No adverse symptoms
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal injury, Asthenia, COVID-19, Cardiac failure, Death
Clinical narrative: Received pfizer vaccine on 6/24/21 and 7/15/21. Presented to ER on 1/27/22. She was admitted to the hospital 1-27-22.  She has multiple medical issues but was brought in because she  fell at the nursing home and was complaining of being dizzy and weak.  She is  morbidly obese, she has chronic leg wounds, and she has severe diabetes  mellitus.  She resides in an assisted living facility.  She was brought in  because of change in mental status.  She had fallen and hit her left abdominal  wall in the bathroom, resulting in a large hematoma.  She tested positive for  COVID on 1/27/22.  She has had 2 doses of the COVID vaccine but has not had a booster  shot yet. She has not been hypoxic since coming to the emergency department. Received cefepime, fluconazole, doxycycline and remdesivir. She did require 2L NC at one point. Hypoxic respiratory failure.  Contributions from heart failure, ? Pneumonia, sleep apnea.  Was in the ICU yesterday.  Extensive conversation with her daughter regarding goal of care and decision was made to make patient comfort care.  She has been transferred to the floor.  She is on 2 L of supplemental oxygen for comfort only.  Patient passed away on 2/9/22
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Intensive care, Intra-abdominal haematoma, Mental status changes
Clinical narrative: Received pfizer vaccine on 6/24/21 and 7/15/21. Presented to ER on 1/27/22. She was admitted to the hospital 1-27-22.  She has multiple medical issues but was brought in because she  fell at the nursing home and was complaining of being dizzy and weak.  She is  morbidly obese, she has chronic leg wounds, and she has severe diabetes  mellitus.  She resides in an assisted living facility.  She was brought in  because of change in mental status.  She had fallen and hit her left abdominal  wall in the bathroom, resulting in a large hematoma.  She tested positive for  COVID on 1/27/22.  She has had 2 doses of the COVID vaccine but has not had a booster  shot yet. She has not been hypoxic since coming to the emergency department. Received cefepime, fluconazole, doxycycline and remdesivir. She did require 2L NC at one point. Hypoxic respiratory failure.  Contributions from heart failure, ? Pneumonia, sleep apnea.  Was in the ICU yesterday.  Extensive conversation with her daughter regarding goal of care and decision was made to make patient comfort care.  She has been transferred to the floor.  She is on 2 L of supplemental oxygen for comfort only.  Patient passed away on 2/9/22
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory failure, SARS-CoV-2 test positive, Sleep apnoea syndrome
Clinical narrative: Received pfizer vaccine on 6/24/21 and 7/15/21. Presented to ER on 1/27/22. She was admitted to the hospital 1-27-22.  She has multiple medical issues but was brought in because she  fell at the nursing home and was complaining of being dizzy and weak.  She is  morbidly obese, she has chronic leg wounds, and she has severe diabetes  mellitus.  She resides in an assisted living facility.  She was brought in  because of change in mental status.  She had fallen and hit her left abdominal  wall in the bathroom, resulting in a large hematoma.  She tested positive for  COVID on 1/27/22.  She has had 2 doses of the COVID vaccine but has not had a booster  shot yet. She has not been hypoxic since coming to the emergency department. Received cefepime, fluconazole, doxycycline and remdesivir. She did require 2L NC at one point. Hypoxic respiratory failure.  Contributions from heart failure, ? Pneumonia, sleep apnea.  Was in the ICU yesterday.  Extensive conversation with her daughter regarding goal of care and decision was made to make patient comfort care.  She has been transferred to the floor.  She is on 2 L of supplemental oxygen for comfort only.  Patient passed away on 2/9/22
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 09/15/2021.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Respiratory failure
Clinical narrative: pt admit with resp failure r/t covid and copd.
Age: 5.0
Sex: M
Vaccine: DTAPIPV, FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: Right after shot pt arm got itchy and hives started. Pt given 25mg of bendryl po. and waited half hour and side effects subsided
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: There wasn't adverse event, the patient was underage the approved age for the vaccine at that time.  The patient was 17 yo and 5 months when he received the Moderna vaccine.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Resident does not exhibit any adverse reactions at this time. Resident was admitted to facility with only documentation of being COVID "fully" vaccinated. MODERNA COVID Booster vaccine obtained from Local Health Department and administered to resident on 2/9/22. Local Health Department informs IP nurse, resident in their data as receiving COVID booster, in community prior to admission. Resident received Booster on 11/9/21.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered BUD
Age: 2.0
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event
Clinical narrative: No adverse reaction
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Lip swelling, Pain, Swelling face
Clinical narrative: 1st injection felt warm all over and sore.  Arm became inflamed from top of shoulder to elbow.  Weak for several days. 2nd injection my face and lips swelled up beyond recognition.  My I phone would not recognize me by face recognition.  Used anihistamines for swell and was close to going to ER for Allergic reaction.   My body hurt to take a step due to all over soreness.  Weak for several days. I have photos.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 10/07/2021.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: after 2  months, patient still has sore arm and limit movement of the left arm, possible shoulder muscle injury
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Affective disorder
Clinical narrative: Episodic mood disorder. ED visit and hospital admission to behavioral health. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site hypersensitivity, Type III immune complex mediated reaction
Clinical narrative: A 20-year-old female patient received a booster dose of Moderna in her right upper extremity on February 8, 2022. She reports that the day after the administration of the vaccine she presented redness in the puncture area in the deltoid. It is estimated to be warm to the touch, red and not itchy at the time of the interview. The case was consulted with Doctor and she states that it is an allergic reaction in the puncture called Arthus phenomenon and also states that the patient must take BENADRYL.
Age: 12.0
Sex: F
Vaccine: PNC13
Symptoms: No adverse event
Clinical narrative: No Adverse reaction
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: I got vertigo. Started Vomiting 60 to 70 time that day. Went to ER given medication to take care of nausea and vertigo.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 10/20/2021.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Mouth swelling, Pharyngeal swelling, Pruritus
Clinical narrative: Client experienced throat swelling, itchiness, mouth swelling and flushing either 4 hours after vaccination or the next day.  The client doesn't remember when it started exactly.  Client states that she took Benadryl for it and the symptoms abated.  She denied experiencing symptoms with her second dose.
Age: 53.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Unevaluable event
Clinical narrative: Refill for Epi Pen. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 09/01/2021.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Chills, Cough, Pain, Pyrexia
Clinical narrative: Chills Fever Aches Cough - took cold meds and bed rest for about 10 days.  - turned into server bronchitis for about 5 weeks      - treated with antibiotics, cough medicine, steriods
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Chills Fever Aches Cough - took cold meds and bed rest for about 10 days.  - turned into server bronchitis for about 5 weeks      - treated with antibiotics, cough medicine, steriods
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Dependence on respirator, Positive airway pressure therapy, Respiratory failure
Clinical narrative: pt admitted with covid pneumonia, resp failure.  placed on bipap, eventually grew dependent, comfort care given.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Pt received moderna booster on 2/8/22 , rash to bilateral forearms started on 2/9/22 - rash is red, itchy , no sob , wheezing or hives , no other new products , foods, meds or travels pt did not have issues w/ first 2 moderna vaccines
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 08/13/2021.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Brain stem infarction, Cerebrovascular accident
Clinical narrative: Left pontine CVA. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Albumin globulin ratio decreased, Anion gap, Anisocytosis, Asthenia
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atelectasis, Blood creatinine increased, Blood glucose normal, Blood lactic acid, Blood potassium decreased
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Brain natriuretic peptide, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chronic kidney disease, Cough, Diarrhoea, Differential white blood cell count abnormal, Dyspnoea
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Elliptocytosis, Fatigue, Full blood count abnormal, Glomerular filtration rate decreased
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hyperlipidaemia, Hypertension, Hypokalaemia
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Lung infiltration, Macrocytosis, Malaise, Mean platelet volume increased
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test abnormal, Mobility decreased, Obesity, Platelet count decreased, Poikilocytosis
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Protein total normal, Red blood cell anisocytes present, Red blood cell poikilocytes present, Respiratory tract congestion
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Troponin increased, White blood cell morphology abnormal
Clinical narrative: 1/20/22 86 yr/o female who presents with complaints of gen weakness, trouble getting around. covid test yesterday. Has had prior covid vaccination x2 but no booster yet. No soa, has had a hacking cough. Denies specifically soa. Slight phlegm. She is here primarily for gen weakness. No body aches or known fever. Got sick approx 4 days ago. Sight diarrhea at times. Rare cough.  REVIEW OF SYSTEMS   Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Positive for congestion and rhinorrhea.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath.   Cardiovascular: Negative for chest pain and leg swelling.  Gastrointestinal: Pos  1/25/22 86-year-old patient who presented with shortness of breath and cough work-up was positive for Covid 19 pneumonia, patient did receive 2 doses of the vaccine however did not receive the booster yet, she did spike a temperature of 101.6 initially her O2 sat on room air in ED was normal however within the first 24 hours after the patient was admitted she became hypoxic and had to be placed on O2 supplement to achieve sat above 88% for which at that point she was started on remdesivir along with Decadron.  Did not require more than 2 L and she was not qualified for Barcitinib .  She finished 5 days course of remdesivir, plan for 6-minute exercise pulse ox and the patient to be discharged home after that.  Elevated troponin secondary to the COVID-19 infection itself patient did not have any chest pain no ischemic EKG changes.   Discharge Diagnoses:Principal Problem:   Pneumonia due to COVID-19 virus   Active Problems:   Hypertension ()     Hyperlipidemia ()     Chronic kidney disease ()    Elevated troponin (    Hypokalemia ()     Obesity (BMI 30-39.9) (    Acute respiratory failure with hypoxia (1/21/2022)
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID infection in fully vaccinated patient. Positive date 09/24/2021.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Carpal tunnel syndrome, Hypoaesthesia, Laboratory test abnormal, Magnetic resonance imaging, X-ray
Clinical narrative: numb hands and feet
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered BUD
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure systolic increased, Tachycardia
Clinical narrative: I had tachycardia that lasted three days. I than developed elevated systolic blood pressure.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Pleural effusion, Restlessness
Clinical narrative: Hospitalized with increased work of breathing, hypoxic to 87%, restlessness, large pleural effusion all in setting of complex cardiac history and profound intellectual disability.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient administered Moderna mRNA vaccine despite no approval/EUA - Should have been given Pfizer vaccine  Patient tolerated vaccine
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Past thaw date serum was administered
Age: 43.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Ultrasound abdomen
Clinical narrative: My period came and it was very very heavy for about 15 days or more. I was bleeding through pads every hour with clots of Blood. After about 2 weeks I went to my Dr and I had an abdominal ultrasound. Doctor stated that I was just actively bleeding and to remove the nuvaring and prescribed tranexamic acid. I never took the medication and after 3 or 4 days bleeding stopped on its own.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Carbon dioxide, Cardiac failure, Diaphragmatic paralysis, Dyspnoea
Clinical narrative: Wheezing, difficulty breathing, pneumonia severe throughout both lungs that looked like Covid-19 lungs but we're not. They could not believe it wasn't covid in hospital because to them it looked like COVID pneumonia lungs with no other clear cause- gave 5 COVID tests both rapid and PCR. By time I got there I was in heart failure asked my wishes as far as ventilator and DNR, put on covid floor of hospital, husband made to leave, and final diagnosis was my Diaphragm Paralyzed and no reason why I was put on Oxygen, inhalers, nebulizers, after almost 3 weeks hospital I was sent to Nursing Home. Then readmitted again to hospital a couple more times. Last time I was put on Bipap.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test, Wheezing, X-ray
Clinical narrative: Wheezing, difficulty breathing, pneumonia severe throughout both lungs that looked like Covid-19 lungs but we're not. They could not believe it wasn't covid in hospital because to them it looked like COVID pneumonia lungs with no other clear cause- gave 5 COVID tests both rapid and PCR. By time I got there I was in heart failure asked my wishes as far as ventilator and DNR, put on covid floor of hospital, husband made to leave, and final diagnosis was my Diaphragm Paralyzed and no reason why I was put on Oxygen, inhalers, nebulizers, after almost 3 weeks hospital I was sent to Nursing Home. Then readmitted again to hospital a couple more times. Last time I was put on Bipap.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Exposure to SARS-CoV-2, Rash pruritic
Clinical narrative: On 2/02/2022 at approximately 3:30pm, I received a Pfizer booster injection in my left arm. On 02/06/2022 at approximately 2:30pm I suddenly developed an itching, burning rash with bumps of various sizes on my right wrist. Later that same evening I suddenly developed the same rash on my left wrist.  I treated the rashes with a cold compress and they subsided.  At approximately 9:00am on 02/10/2022 the rashes returned to both wrists and this time also included the palms of both hands and the outer pinky edge of both hands - again with intense itching and burning sensations.  On 02/06/2022 at approximately 2:45pm, I called and reported the sudden rash to the advise nurse and was advised to treat it like contact dermatitis (CD) with a follow-up telephone appointment scheduled for 12:00pm on 02/10/2022. I spoke with Dr. and he diagnosed CD.  I informed him I strongly disagreed with his diagnosis because I've been quarantined due to COVID exposure so I haven't been outside of my house and I haven't used any new products or ingested any new food or drinks. He still suggested CD / trail and error treatment.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: a headache pounding currently taking 1000 mg of tylenol every 6 hours
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Pyrexia
Clinical narrative: Two hours after having booster vx she came down with a 101 fever and felt really itcy. 3 days later she called her Dr's nurse at the medical center and was told to try to take benedryl. She took it for two days and her arm started really swelling up, stayed swollen for 1 week, then finally went back down to normal.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Eye haemorrhage, Eye oedema, Headache
Clinical narrative: around 7:30 pm started having muscle cramps in both legs and body aches and feeling light headed like had the flu. both arms had muscle cramps like charlie horses.  has to use a muscle cramp foam for cramps (therarx) every 2 days this lasted for abut 2 days still cramping after 2 days but not as bad.  headache very intense no noise or light "out of this world" woke me up out of sleep took advil at 3:00am  becuase woke up from side effects.  Headache remains to this day but not as intense but will be more severe in the morning when she wakes up. went to primary care dr on 02/04/2022 was covid negative and flu negative.   Primary care dr recommends to go to  eye exam  went for eye exam on 02/09/2022 and  eye dr noticed unknown fluid or blood behind right eye and recommends specialist.  She has contacted specialist and is waiting for appointment.  She thinks eye dr. wants to rule out fluid
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperacusis, Influenza like illness, Influenza virus test negative, Muscle spasms, Pain
Clinical narrative: around 7:30 pm started having muscle cramps in both legs and body aches and feeling light headed like had the flu. both arms had muscle cramps like charlie horses.  has to use a muscle cramp foam for cramps (therarx) every 2 days this lasted for abut 2 days still cramping after 2 days but not as bad.  headache very intense no noise or light "out of this world" woke me up out of sleep took advil at 3:00am  becuase woke up from side effects.  Headache remains to this day but not as intense but will be more severe in the morning when she wakes up. went to primary care dr on 02/04/2022 was covid negative and flu negative.   Primary care dr recommends to go to  eye exam  went for eye exam on 02/09/2022 and  eye dr noticed unknown fluid or blood behind right eye and recommends specialist.  She has contacted specialist and is waiting for appointment.  She thinks eye dr. wants to rule out fluid
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, SARS-CoV-2 test negative, Sleep disorder
Clinical narrative: around 7:30 pm started having muscle cramps in both legs and body aches and feeling light headed like had the flu. both arms had muscle cramps like charlie horses.  has to use a muscle cramp foam for cramps (therarx) every 2 days this lasted for abut 2 days still cramping after 2 days but not as bad.  headache very intense no noise or light "out of this world" woke me up out of sleep took advil at 3:00am  becuase woke up from side effects.  Headache remains to this day but not as intense but will be more severe in the morning when she wakes up. went to primary care dr on 02/04/2022 was covid negative and flu negative.   Primary care dr recommends to go to  eye exam  went for eye exam on 02/09/2022 and  eye dr noticed unknown fluid or blood behind right eye and recommends specialist.  She has contacted specialist and is waiting for appointment.  She thinks eye dr. wants to rule out fluid
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Disorientation, Dizziness, Hypoaesthesia
Clinical narrative: Dizzy, disorientation, vertigo, nauseous, fever, chills, shooting pains in side of head and arm that got injected, numbness and tingling in left arm and fingers, elevated liver levels (220 normal went to 1147) cold sweats.  No treatment. Was referred to a cardiologist a neurologist a liver specialist Mri but everything comes up normal. I still struggle with the effects today but after all this time with no way to control it, I have had to learn to cope with it.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test increased, Magnetic resonance imaging, Nausea, Pain, Paraesthesia
Clinical narrative: Dizzy, disorientation, vertigo, nauseous, fever, chills, shooting pains in side of head and arm that got injected, numbness and tingling in left arm and fingers, elevated liver levels (220 normal went to 1147) cold sweats.  No treatment. Was referred to a cardiologist a neurologist a liver specialist Mri but everything comes up normal. I still struggle with the effects today but after all this time with no way to control it, I have had to learn to cope with it.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vertigo
Clinical narrative: Dizzy, disorientation, vertigo, nauseous, fever, chills, shooting pains in side of head and arm that got injected, numbness and tingling in left arm and fingers, elevated liver levels (220 normal went to 1147) cold sweats.  No treatment. Was referred to a cardiologist a neurologist a liver specialist Mri but everything comes up normal. I still struggle with the effects today but after all this time with no way to control it, I have had to learn to cope with it.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Cough, Dizziness, Dyspnoea, Fatigue
Clinical narrative: very tired, right arm, hand & fingers tingling, dizziness, coughing, trouble breathing, asthmatic cough, chest hurt
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: very tired, right arm, hand & fingers tingling, dizziness, coughing, trouble breathing, asthmatic cough, chest hurt