chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Hypotension, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: pt arrived to hosp via EMS; EMS called due to increasing SOB; O2 sats 60s; placed on CPAP; cyanotic and no improvement; pt gave consent to be intubated in the field; pt was positive for COVID 1 wk before arriving at the hosp, completed remdesivir and steroids; PMH:  chronic respiratory failure, on 10-12 L O2 via NC and astral device at home; in ED pt was severely hypotensive with septic/cardiogenic shock; pt was made a DNR; he arrested in the ED and died
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Septic shock
Clinical narrative: pt arrived to hosp via EMS; EMS called due to increasing SOB; O2 sats 60s; placed on CPAP; cyanotic and no improvement; pt gave consent to be intubated in the field; pt was positive for COVID 1 wk before arriving at the hosp, completed remdesivir and steroids; PMH:  chronic respiratory failure, on 10-12 L O2 via NC and astral device at home; in ED pt was severely hypotensive with septic/cardiogenic shock; pt was made a DNR; he arrested in the ED and died
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: ADMINISTRATION ERROR : Pt. received a 3rd dose of Phizer 04/30/2021 after completing the 1st and 2nd (04/07/2021)
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Influenza A virus test, Influenza B virus test, SARS-CoV-2 test positive
Clinical narrative: Symptomatic COVID-19 positive on 11/1/21
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error, Product reconstitution quality issue
Clinical narrative: the nurse failed to reconstitute the vial and administered .3 ml of non-reconstituted vaccine
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Pt arrived for appt on 10/21/21 requesting 3rd dose Moderna. Pt is immunocompromised and stated prior doses she received had been moderna (done outside our office and she did not have her covid vaccine card on hand).  She received her third dose covid vaccine WITHOUT incident. Once we received outside records, we noted that dose #1 & dose #2 had both been Pfizer not Moderna. She was notified and stated no adverse effects.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Tested NAAT COVID positive after being fully vaccinated.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Contusion, Joint swelling
Clinical narrative: Right ankle was swollen about three times normal size. I had pain with pressure. There was moderate bruising. It lasted about two weeks but never completely went away but it got a bit better. It swelled up more again on October 18th and it's been swollen ever since - pain with pressure and moderate bruising. They did recommend compression so I have used some compression and that helps some - just has not resolved it. When I got it checked out the second time, the primary care doctor said he would like to follow up again on 12/10/2021. That's to see if somehow that is a hairline fracture. But I have not had an injury.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood test, Dehydration, Headache, Impaired work ability
Clinical narrative: I received my first injection of the Pfizer vaccine on 2/12/2021. On 2/20/2021 at about 11 AM, I became nauseous and had to leave work early. When I got home, I felt even worse and began to vomit. I then went to bed to recuperate, but I had to get up about three times to go throw up. At my daughter's insistence, I went to the emergency room. I was given IV fluids and Toradol for the severe headache that I had at the time. I was told by the ER staff that I was dehydrated, and I stayed overnight at the hospital and was discharged on 2/21/2021 at about 6 AM. After being treated at the ER, the nausea, vomiting, and headache all subsided.  I received my second dose of Pfizer on 3/8/2021 at about 8 AM. At about 10 AM, I began to have pain and swelling in my left armpit. The pain and swelling lasted for about 48 hours and subsided on 3/10/2021. If I remember correctly, I believe I took Tylenol for the pain and that it helped.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test negative, Swelling, Vomiting
Clinical narrative: I received my first injection of the Pfizer vaccine on 2/12/2021. On 2/20/2021 at about 11 AM, I became nauseous and had to leave work early. When I got home, I felt even worse and began to vomit. I then went to bed to recuperate, but I had to get up about three times to go throw up. At my daughter's insistence, I went to the emergency room. I was given IV fluids and Toradol for the severe headache that I had at the time. I was told by the ER staff that I was dehydrated, and I stayed overnight at the hospital and was discharged on 2/21/2021 at about 6 AM. After being treated at the ER, the nausea, vomiting, and headache all subsided.  I received my second dose of Pfizer on 3/8/2021 at about 8 AM. At about 10 AM, I began to have pain and swelling in my left armpit. The pain and swelling lasted for about 48 hours and subsided on 3/10/2021. If I remember correctly, I believe I took Tylenol for the pain and that it helped.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture, COVID-19, Chest X-ray, Chills, Dizziness
Clinical narrative: On 04/21/2021, immediately after the vaccination- my throat started getting tight and it felt like it was closing up. The nurse on site gave me Benadryl. On 04/22/2021, by the next day I got up, I had chills, my legs felt weak and would give out from underneath me. I was dizzy, fever, my heart would race, and this kept continuing for a couple of days. I went to the Emergency Room as well. My heartrate was resting around 120- 130, and it would just rise and fall really fast and I would  just collapse. I had to wear a heart monitor. The doctor could not determine what was happening. There was no cause why that was happening. I would get heart palpitations. The heartrate last for like 3 months. It had decreased some. Every once in a while I would feel my heart race up until August. It wasn't as bad as the beginning. By August, it was occasionally. I was still being affected from my fast heartrate and dizziness, up until I got COVID-19. I got COVID-19 08/21/2021.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Electrocardiogram ambulatory, Immediate post-injection reaction, Muscular weakness, Palpitations
Clinical narrative: On 04/21/2021, immediately after the vaccination- my throat started getting tight and it felt like it was closing up. The nurse on site gave me Benadryl. On 04/22/2021, by the next day I got up, I had chills, my legs felt weak and would give out from underneath me. I was dizzy, fever, my heart would race, and this kept continuing for a couple of days. I went to the Emergency Room as well. My heartrate was resting around 120- 130, and it would just rise and fall really fast and I would  just collapse. I had to wear a heart monitor. The doctor could not determine what was happening. There was no cause why that was happening. I would get heart palpitations. The heartrate last for like 3 months. It had decreased some. Every once in a while I would feel my heart race up until August. It wasn't as bad as the beginning. By August, it was occasionally. I was still being affected from my fast heartrate and dizziness, up until I got COVID-19. I got COVID-19 08/21/2021.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Syncope, Throat tightness
Clinical narrative: On 04/21/2021, immediately after the vaccination- my throat started getting tight and it felt like it was closing up. The nurse on site gave me Benadryl. On 04/22/2021, by the next day I got up, I had chills, my legs felt weak and would give out from underneath me. I was dizzy, fever, my heart would race, and this kept continuing for a couple of days. I went to the Emergency Room as well. My heartrate was resting around 120- 130, and it would just rise and fall really fast and I would  just collapse. I had to wear a heart monitor. The doctor could not determine what was happening. There was no cause why that was happening. I would get heart palpitations. The heartrate last for like 3 months. It had decreased some. Every once in a while I would feel my heart race up until August. It wasn't as bad as the beginning. By August, it was occasionally. I was still being affected from my fast heartrate and dizziness, up until I got COVID-19. I got COVID-19 08/21/2021.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient was given a second flu vaccine
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Limb discomfort, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Pain
Clinical narrative: Started noticing in June that my arms felt heavy upon waking. Since then, heaviness as well as aches has worsened to include forearms, upper arms, shoulders neck and hands. Also intermittent burning sensations on hands forearms shoulders neck and face have occurred. MRI of brain and cervical spinal cord done on October 17th we?re normal.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Diarrhoea, Dizziness, Dyspnoea, Fatigue
Clinical narrative: I had the following side effects. I had mild fever 99.9, headache, extreme tiredness for apx 2 days, couldn't lift my arm more than 1/2 way for 2 days, stomach pain on lower left side w/ diarrhea. I took Tylenol every 4 hours throughout the following two or three days.  The side effect or adverse reaction that started within 2 hours of my dosage and lasted apx 12 hours was a pulse rate in the range of 125 along with being lightheaded and feeling short of breath.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Mobility decreased, Pyrexia
Clinical narrative: I had the following side effects. I had mild fever 99.9, headache, extreme tiredness for apx 2 days, couldn't lift my arm more than 1/2 way for 2 days, stomach pain on lower left side w/ diarrhea. I took Tylenol every 4 hours throughout the following two or three days.  The side effect or adverse reaction that started within 2 hours of my dosage and lasted apx 12 hours was a pulse rate in the range of 125 along with being lightheaded and feeling short of breath.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lethargy, Pyrexia
Clinical narrative: Chills, fever 99.3, lethargic
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, SARS-CoV-2 RNA, SARS-CoV-2 test
Clinical narrative: UNKNOWN
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD
Age: 45.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Nausea, Pain, Skin warm
Clinical narrative: Shoulder to elbow very warm to touch, headache, nausea, body aches x4 days
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Injection site pain, Myalgia, Pain in extremity
Clinical narrative: My right arm is soar and has been since the second injection/shot. The area around the injection is painful and hurts badly. My right arms muscles are extremely tender and feels like arm-fall-off at any time, especially when trying to stretch it over my head and shoulders.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Injection site erythema, Injection site swelling, Musculoskeletal pain
Clinical narrative: 1. significant right side arm pain from fingers to shoulder blade including under arm (armpit). Lasted 4 days  2. Redness, noticeable right arm swelling near injection site but encompassing entire upper arm 3. Fatigue
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 1. significant right side arm pain from fingers to shoulder blade including under arm (armpit). Lasted 4 days  2. Redness, noticeable right arm swelling near injection site but encompassing entire upper arm 3. Fatigue
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Immunodeficiency
Clinical narrative: atrial fibrillation.
Age: 43.0
Sex: F
Vaccine: FLUC4
Symptoms: Asthenia, Injection site pain, Joint range of motion decreased, Periarthritis, X-ray
Clinical narrative: Symptoms started 4 hours after injection. Injection was very high on my R shoulder. I had pain, decrease range of motion and weakness that lasted into the night and several days later. The pain got somewhat better after a few days but then got worse. I had a "frozen shoulder" on Oct 22 at 0500 and was in excruciating pain. I took over the counter ibuprofen, but that did not help. I continue to have pain, decrease range of motion and weakness in my right arm. I sought medical attention on Nov 1 2021 with Dr. Orthopedic surgeon that specializes in shoulder injuries. X-rays were taken and physical therapy prescribed.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac imaging procedure abnormal, Chest X-ray normal, Chest pain, Dizziness, Echocardiogram
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine: patient presents to  emergency department (ED) one day after vaccination reporting chest pain, headache, nausea, and lightheadedness after 19 mile run that day. Admitted to hospital for observation and testing, administered IV fluids, electrolytes replaced, and patient discharged to home medically stable. Started ibuprofen and colchicine for pericarditis.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram PR segment depression, Electrocardiogram ST segment elevation, Headache, Nausea, Pericardial fibrosis
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine: patient presents to  emergency department (ED) one day after vaccination reporting chest pain, headache, nausea, and lightheadedness after 19 mile run that day. Admitted to hospital for observation and testing, administered IV fluids, electrolytes replaced, and patient discharged to home medically stable. Started ibuprofen and colchicine for pericarditis.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Pleural effusion
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine: patient presents to  emergency department (ED) one day after vaccination reporting chest pain, headache, nausea, and lightheadedness after 19 mile run that day. Admitted to hospital for observation and testing, administered IV fluids, electrolytes replaced, and patient discharged to home medically stable. Started ibuprofen and colchicine for pericarditis.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis
Clinical narrative: Cold-like symptoms starting on 10/27/2021.
Age: 38.0
Sex: F
Vaccine: FLUX
Symptoms: Erythema, Feeling hot, Throat tightness
Clinical narrative: I am not sure which flu shot was given in terms of brand name. I selected one from the drop down menu. My reaction was: Arm immediately turned red. Felt warm. Throat began to feel tight.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Pain
Clinical narrative: I started that afternoon with a lot of headache, I felt extremely tired and I ended staying at home from work for the following two days, chills and body ache. Also my left arm was in pain.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I started that afternoon with a lot of headache, I felt extremely tired and I ended staying at home from work for the following two days, chills and body ache. Also my left arm was in pain.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Injection site pain, Oropharyngeal pain, Pain
Clinical narrative: weak, fever, chills, shaky, achy, sore throat, pain at injection site..... aspirin
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tremor
Clinical narrative: weak, fever, chills, shaky, achy, sore throat, pain at injection site..... aspirin
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cellulitis, Chest X-ray normal
Clinical narrative: Hospitalized (10.25.21 - currently still admitted);  COVID-19 positive (10.25.21); fully vaccinated HISTORIES: 10.25.21 - at admission HISTORY OF PRESENT ILLNESS:  a 64 y.o. female who presents today with hypersomnolence, confusional state and generalized weakness of 4 days onset per the husband. Patient is very somnolent and when she wakes up does not answer any of my questions. Her husband is in the room who gave me all the information and answered my questions. Patient has h/o Morbid obesity(bed and wheelchair bound), diastolic chf not very adherent to her diet, oxygen therapy, CPAP at times medications per the husband. She has had few admissions this year because of CHF exacerbation, generalized weakness. Apparently patient was getting more and more weak in the last 4 days. She has been more somnolent and at times confused in the last day. He denied any fevers, chills, cough, worsening shortness of breath. However he did mention that patient has been gaining weight of several pounds and her edema has been getting  Worse. She did not have chest pain. Given the inactivity the effect of exertion cannot be quantified. She has been able to do her ADLs with more effort. She is not very compliant with her diet, fluid restriction, oxygen per husband. She is supposed to be on 3L oxygen at home for her CHF and should be on cpap for OSA but apparently she does not wear it. She apparently takes her medications on time but some times non adherent. She is tested positive for covid 19 in the ER. She is started on decadran. Her cxr does not show pna. She is on 4L/min oxygen now.( At home she is supposed to be on 3L/min per husband.) Patient also has bilateral venous eczema and follows with wound care clinic. She is recently started on bactrim for her left toe cellulitis 10.31.21 (transferred to ICU)  HPI: 64 year old vaccinated female with super morbid obesity (BMI 48), HFpEF, CKD III, WHO group 2 and 3 PH, untreated OSA, mild COPD, DM, Hypothyroid, mostly bed bound, multiple psych meds, developed COVID-19 pneumonia, admitted and diagnosed on 10/25/21. Accelerated to requiring HFNC morning of 10/30/21 and became hypoxic and encephalopathic 10/31/21 leading to ICU admission and subsequent intubation.  Currently still intubated
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Confusional state, Encephalopathy, Endotracheal intubation, Fluid intake restriction
Clinical narrative: Hospitalized (10.25.21 - currently still admitted);  COVID-19 positive (10.25.21); fully vaccinated HISTORIES: 10.25.21 - at admission HISTORY OF PRESENT ILLNESS:  a 64 y.o. female who presents today with hypersomnolence, confusional state and generalized weakness of 4 days onset per the husband. Patient is very somnolent and when she wakes up does not answer any of my questions. Her husband is in the room who gave me all the information and answered my questions. Patient has h/o Morbid obesity(bed and wheelchair bound), diastolic chf not very adherent to her diet, oxygen therapy, CPAP at times medications per the husband. She has had few admissions this year because of CHF exacerbation, generalized weakness. Apparently patient was getting more and more weak in the last 4 days. She has been more somnolent and at times confused in the last day. He denied any fevers, chills, cough, worsening shortness of breath. However he did mention that patient has been gaining weight of several pounds and her edema has been getting  Worse. She did not have chest pain. Given the inactivity the effect of exertion cannot be quantified. She has been able to do her ADLs with more effort. She is not very compliant with her diet, fluid restriction, oxygen per husband. She is supposed to be on 3L oxygen at home for her CHF and should be on cpap for OSA but apparently she does not wear it. She apparently takes her medications on time but some times non adherent. She is tested positive for covid 19 in the ER. She is started on decadran. Her cxr does not show pna. She is on 4L/min oxygen now.( At home she is supposed to be on 3L/min per husband.) Patient also has bilateral venous eczema and follows with wound care clinic. She is recently started on bactrim for her left toe cellulitis 10.31.21 (transferred to ICU)  HPI: 64 year old vaccinated female with super morbid obesity (BMI 48), HFpEF, CKD III, WHO group 2 and 3 PH, untreated OSA, mild COPD, DM, Hypothyroid, mostly bed bound, multiple psych meds, developed COVID-19 pneumonia, admitted and diagnosed on 10/25/21. Accelerated to requiring HFNC morning of 10/30/21 and became hypoxic and encephalopathic 10/31/21 leading to ICU admission and subsequent intubation.  Currently still intubated
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypersomnia, Hypoxia, Intensive care, Oedema, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.25.21 - currently still admitted);  COVID-19 positive (10.25.21); fully vaccinated HISTORIES: 10.25.21 - at admission HISTORY OF PRESENT ILLNESS:  a 64 y.o. female who presents today with hypersomnolence, confusional state and generalized weakness of 4 days onset per the husband. Patient is very somnolent and when she wakes up does not answer any of my questions. Her husband is in the room who gave me all the information and answered my questions. Patient has h/o Morbid obesity(bed and wheelchair bound), diastolic chf not very adherent to her diet, oxygen therapy, CPAP at times medications per the husband. She has had few admissions this year because of CHF exacerbation, generalized weakness. Apparently patient was getting more and more weak in the last 4 days. She has been more somnolent and at times confused in the last day. He denied any fevers, chills, cough, worsening shortness of breath. However he did mention that patient has been gaining weight of several pounds and her edema has been getting  Worse. She did not have chest pain. Given the inactivity the effect of exertion cannot be quantified. She has been able to do her ADLs with more effort. She is not very compliant with her diet, fluid restriction, oxygen per husband. She is supposed to be on 3L oxygen at home for her CHF and should be on cpap for OSA but apparently she does not wear it. She apparently takes her medications on time but some times non adherent. She is tested positive for covid 19 in the ER. She is started on decadran. Her cxr does not show pna. She is on 4L/min oxygen now.( At home she is supposed to be on 3L/min per husband.) Patient also has bilateral venous eczema and follows with wound care clinic. She is recently started on bactrim for her left toe cellulitis 10.31.21 (transferred to ICU)  HPI: 64 year old vaccinated female with super morbid obesity (BMI 48), HFpEF, CKD III, WHO group 2 and 3 PH, untreated OSA, mild COPD, DM, Hypothyroid, mostly bed bound, multiple psych meds, developed COVID-19 pneumonia, admitted and diagnosed on 10/25/21. Accelerated to requiring HFNC morning of 10/30/21 and became hypoxic and encephalopathic 10/31/21 leading to ICU admission and subsequent intubation.  Currently still intubated
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Weight increased
Clinical narrative: Hospitalized (10.25.21 - currently still admitted);  COVID-19 positive (10.25.21); fully vaccinated HISTORIES: 10.25.21 - at admission HISTORY OF PRESENT ILLNESS:  a 64 y.o. female who presents today with hypersomnolence, confusional state and generalized weakness of 4 days onset per the husband. Patient is very somnolent and when she wakes up does not answer any of my questions. Her husband is in the room who gave me all the information and answered my questions. Patient has h/o Morbid obesity(bed and wheelchair bound), diastolic chf not very adherent to her diet, oxygen therapy, CPAP at times medications per the husband. She has had few admissions this year because of CHF exacerbation, generalized weakness. Apparently patient was getting more and more weak in the last 4 days. She has been more somnolent and at times confused in the last day. He denied any fevers, chills, cough, worsening shortness of breath. However he did mention that patient has been gaining weight of several pounds and her edema has been getting  Worse. She did not have chest pain. Given the inactivity the effect of exertion cannot be quantified. She has been able to do her ADLs with more effort. She is not very compliant with her diet, fluid restriction, oxygen per husband. She is supposed to be on 3L oxygen at home for her CHF and should be on cpap for OSA but apparently she does not wear it. She apparently takes her medications on time but some times non adherent. She is tested positive for covid 19 in the ER. She is started on decadran. Her cxr does not show pna. She is on 4L/min oxygen now.( At home she is supposed to be on 3L/min per husband.) Patient also has bilateral venous eczema and follows with wound care clinic. She is recently started on bactrim for her left toe cellulitis 10.31.21 (transferred to ICU)  HPI: 64 year old vaccinated female with super morbid obesity (BMI 48), HFpEF, CKD III, WHO group 2 and 3 PH, untreated OSA, mild COPD, DM, Hypothyroid, mostly bed bound, multiple psych meds, developed COVID-19 pneumonia, admitted and diagnosed on 10/25/21. Accelerated to requiring HFNC morning of 10/30/21 and became hypoxic and encephalopathic 10/31/21 leading to ICU admission and subsequent intubation.  Currently still intubated
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Inflammation
Clinical narrative: Inflammation of places where chronic shingles appeared.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chills, Cold sweat, Dizziness
Clinical narrative: At approximately 4:07 PM Pt. complained of lightheadedness,  clammy skin, diaphoresis, and HR: 30's. O2 was given and Emergency services were contacted. After two drops in HR the Pt was transferred to facility. The Pt. stated that while in the ER he received an IV infusion, EKG, bloodwork, and chest X-ray. Pt. states that nothing serious was found. Pt. was released on 10/28/2021 at 8:00 Pm. Pt. described having symptoms of fatigue, muscle aches, fever, chills until Sunday 10/31/2021.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Hyperhidrosis, Myalgia, Pyrexia
Clinical narrative: At approximately 4:07 PM Pt. complained of lightheadedness,  clammy skin, diaphoresis, and HR: 30's. O2 was given and Emergency services were contacted. After two drops in HR the Pt was transferred to facility. The Pt. stated that while in the ER he received an IV infusion, EKG, bloodwork, and chest X-ray. Pt. states that nothing serious was found. Pt. was released on 10/28/2021 at 8:00 Pm. Pt. described having symptoms of fatigue, muscle aches, fever, chills until Sunday 10/31/2021.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram normal, Facial paralysis
Clinical narrative: Nursing noticed R sided facial droop.  Resident sent to ED on 10/25/2021, CT head which was negative and resident passed swallow screen.  Family opted to have her come back rather than admission for CVA w/u.  MD reported because she is unable to raise R eyebrow and close R eye, meaning both hemispheres affected, more likely Bells Palsy
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vaccine was stored in lower temperatures than what was recommended. Moderna confirmed, vaccines are viable.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Pain in extremity
Clinical narrative: hurting left arm..flu like symptoms
Age: 17.0
Sex: M
Vaccine: MENB
Symptoms: Dizziness, Fatigue, Pyrexia, Vomiting
Clinical narrative: Pt.'s Mother states that after receiving the 2nd dose Meningococcal B 11/01/2021, started experiencing symptoms of dizziness, vomiting, fatigue, and fever. No noted Primary visit/communications.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Developed UTI symptoms the following morning after 2nd Moderna dose.  Seen at Urgent Care and received antibiotics.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive
Clinical narrative: Cold symptoms
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 10/30/21 after being fully vaccinated.
Age: 64.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vaccine was stored in lower temperatures than what was recommended. Moderna confirmed, vaccines are viable.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: LPN did not read card on mixed doses of Pfizer Covid Vaccine.  Dose had been left that was reconstituted on Friday and left over the weekend.  LPN grabbed the dose and did not read dilution card that was in container with vaccine.  Pharmacist contacted and instructed patient will need another dose.  (booster)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Rash
Clinical narrative: 1. Headache, fatigue, left arm soreness starting next day after vaccine lasting for 3 days 2. Rash on torso starting 2 days after vaccine lasting for 4 days
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Swelling , bruising, and pain (burning) at site upon injection.
Age: 52.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vaccine was stored in lower temperatures than what was recommended. Moderna confirmed, vaccines are viable.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Immediate post-injection reaction, Injection site pain, Magnetic resonance imaging abnormal, Periarthritis
Clinical narrative: Pain and soreness immediately after receiving the shot, was advised that should expect pain for 2-3 days. Pain got worse overnight and became severe and lasted at a high intensity over approximately the next 3 weeks. I told my doctor who has since left that she should let patient know that she was "full of it" RE: "the pain only lasting 2-3 days" because of how much pain I had been in. After about a month I started to block out the pain but it got progressively worse by Feb 21 when it gave way while trying to rest on it with very sharp pain. To summarize briefly, I then thought an MRI would help determine if it was from the flu shot. This was denied both from my doctors request and specialist but was later approved and a frozen shoulder was confirmed.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Paranasal sinus discomfort, Sinus operation
Clinical narrative: cold like symptoms along with nasal pressure/drainage starting on 10/25/21
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD
Age: 1.25
Sex: F
Vaccine: FLU4, PNC13
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Received PCV 13 and Influenza same day. Started with high fever and febrile seizure.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: ASYMTOMATIC.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 10/28/21 after being fully vaccinated.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: headache and fatigue for 6 days so far after vaccination
Age: 55.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Patient came in and was administered half of the Moderna dose and a full dose of the Fluad vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest discomfort, Computerised tomogram thorax, Dyspnoea
Clinical narrative: Woke up with severe pain in the stem of my brain radiating  down to my neck and shoulders. Also, pain across my lower back and my legs felt going numb. Felt waves of burning pain going through my body from head to toe. On day three post vaccination, the pain in my brain   and my neck was still there although taking Naproxen every twelve hours and the pain in my back moved up to bilateral flank pain and started feeling chest tightness and difficulty breathing. On day five post vaccination, the pain in my back moved to my left lung and shoulders and chest tightness increased. Leg weakness continued and extreme tiredness. Four weeks post vaccination, I continue having chest tightness and difficulty breathing and pain running down my left leg.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Flank pain, Headache, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: Woke up with severe pain in the stem of my brain radiating  down to my neck and shoulders. Also, pain across my lower back and my legs felt going numb. Felt waves of burning pain going through my body from head to toe. On day three post vaccination, the pain in my brain   and my neck was still there although taking Naproxen every twelve hours and the pain in my back moved up to bilateral flank pain and started feeling chest tightness and difficulty breathing. On day five post vaccination, the pain in my back moved to my left lung and shoulders and chest tightness increased. Leg weakness continued and extreme tiredness. Four weeks post vaccination, I continue having chest tightness and difficulty breathing and pain running down my left leg.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Neck pain, Pain, Pulmonary pain
Clinical narrative: Woke up with severe pain in the stem of my brain radiating  down to my neck and shoulders. Also, pain across my lower back and my legs felt going numb. Felt waves of burning pain going through my body from head to toe. On day three post vaccination, the pain in my brain   and my neck was still there although taking Naproxen every twelve hours and the pain in my back moved up to bilateral flank pain and started feeling chest tightness and difficulty breathing. On day five post vaccination, the pain in my back moved to my left lung and shoulders and chest tightness increased. Leg weakness continued and extreme tiredness. Four weeks post vaccination, I continue having chest tightness and difficulty breathing and pain running down my left leg.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Headache, Nausea
Clinical narrative: About two weeks after receiving the first dose, I started to get sharp pains around the temple of my left eye. I would get headaches to the point that I would take medication. I called my doctor and they sent me to Advent Health ER where they performed a CT scan. They didn't see anything abnormal and gave me two prescriptions to assist with nausea and headaches. I was given Butalbital-Acetaminophen-Caffeine and Metoclopramide as needed.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site cellulitis, Peripheral swelling, Skin warm
Clinical narrative: Left Arm swollen, red, with heat. NP dx cellulitis at injection site.  abx started 11/1/21
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: This patient was to get the booster dose of the Moderna covid-19 vaccine (0.25ml), but she received the full dose (0.5ml) instead. She was called today 11/01/21 and reports she feels fine, her arm is just a little sore.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram peripheral abnormal, Ankle brachial index abnormal, Aortic aneurysm, Arteriogram coronary abnormal
Clinical narrative: Hospitalized 10/23/2021; COVID-19 positive 10/23/2021; fully vaccinated  BRIEF OVERVIEW:   Admission Date: 10/23/2021 Discharge Date: 10/28/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   Patient is a wonderful 92 y/o man admitted for confusion related to COVID19 pneumonia as well as UTI/prostatitis.  He has a past medical history significant for NPH, hypertension, AAA status post stenting, history of melanoma status post resection.   Patient presented with AMS and was found to be covid positive and was started on dexamethasone and remdesivir and had rapid resolution of acute respiratory failure with hypoxia.  UA was positive as well raising concern for UTI and was started on ceftriaxone.  Mental status changes resolved.  UC ultimately grew Klebsiella and staph hemolyticus and imaging raised concern for prostatitis as well severe bladder infection or neoplasm and so ID and urology were consulted.  Urology recommended outpatient cystoscopy with resolution of COVID19 and UTI.  ID recommended changing antibiotic to bactrim with course dictated by etiology of imaging findings - 2 week minimum course with course extension as long as 6 weeks if imaging findings were secondary to infection rather than neoplasm.     Above CT imaging was actually obtained as part of vascular workup - patient complained of leg pain and had difficult to palpate pulses.  CT imaging of thorax showed 4.8cm descending thoracic aortic aneurysm w/ likely prior old dissection, CT angio of aorta and lower extremities showed multiple occlusions in both lower extremities with reconstitution and ABIs showed at least moderate disease in both legs.  Vascular surgery evaluated patient and recommended outpatient f/u post completion of treatment of infectious as patient didn't have signs or findings to suggest critical limb ischemia.  Patient was started on ASA/statin.   Patient was seen by PT/OT who recommended SAR however COVID19 infection made placement very difficult so ultimately patient returned to his facility with additional family support and home care.  He will need close f/u with PCP, repeat BMP in 1 week and weekly thereafter while on bactrim, f/u with urology, and f/u with vascular surgery.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: Hospitalized 10/23/2021; COVID-19 positive 10/23/2021; fully vaccinated  BRIEF OVERVIEW:   Admission Date: 10/23/2021 Discharge Date: 10/28/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   Patient is a wonderful 92 y/o man admitted for confusion related to COVID19 pneumonia as well as UTI/prostatitis.  He has a past medical history significant for NPH, hypertension, AAA status post stenting, history of melanoma status post resection.   Patient presented with AMS and was found to be covid positive and was started on dexamethasone and remdesivir and had rapid resolution of acute respiratory failure with hypoxia.  UA was positive as well raising concern for UTI and was started on ceftriaxone.  Mental status changes resolved.  UC ultimately grew Klebsiella and staph hemolyticus and imaging raised concern for prostatitis as well severe bladder infection or neoplasm and so ID and urology were consulted.  Urology recommended outpatient cystoscopy with resolution of COVID19 and UTI.  ID recommended changing antibiotic to bactrim with course dictated by etiology of imaging findings - 2 week minimum course with course extension as long as 6 weeks if imaging findings were secondary to infection rather than neoplasm.     Above CT imaging was actually obtained as part of vascular workup - patient complained of leg pain and had difficult to palpate pulses.  CT imaging of thorax showed 4.8cm descending thoracic aortic aneurysm w/ likely prior old dissection, CT angio of aorta and lower extremities showed multiple occlusions in both lower extremities with reconstitution and ABIs showed at least moderate disease in both legs.  Vascular surgery evaluated patient and recommended outpatient f/u post completion of treatment of infectious as patient didn't have signs or findings to suggest critical limb ischemia.  Patient was started on ASA/statin.   Patient was seen by PT/OT who recommended SAR however COVID19 infection made placement very difficult so ultimately patient returned to his facility with additional family support and home care.  He will need close f/u with PCP, repeat BMP in 1 week and weekly thereafter while on bactrim, f/u with urology, and f/u with vascular surgery.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Culture urine positive, Klebsiella test positive, Mental status changes, Metabolic function test
Clinical narrative: Hospitalized 10/23/2021; COVID-19 positive 10/23/2021; fully vaccinated  BRIEF OVERVIEW:   Admission Date: 10/23/2021 Discharge Date: 10/28/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   Patient is a wonderful 92 y/o man admitted for confusion related to COVID19 pneumonia as well as UTI/prostatitis.  He has a past medical history significant for NPH, hypertension, AAA status post stenting, history of melanoma status post resection.   Patient presented with AMS and was found to be covid positive and was started on dexamethasone and remdesivir and had rapid resolution of acute respiratory failure with hypoxia.  UA was positive as well raising concern for UTI and was started on ceftriaxone.  Mental status changes resolved.  UC ultimately grew Klebsiella and staph hemolyticus and imaging raised concern for prostatitis as well severe bladder infection or neoplasm and so ID and urology were consulted.  Urology recommended outpatient cystoscopy with resolution of COVID19 and UTI.  ID recommended changing antibiotic to bactrim with course dictated by etiology of imaging findings - 2 week minimum course with course extension as long as 6 weeks if imaging findings were secondary to infection rather than neoplasm.     Above CT imaging was actually obtained as part of vascular workup - patient complained of leg pain and had difficult to palpate pulses.  CT imaging of thorax showed 4.8cm descending thoracic aortic aneurysm w/ likely prior old dissection, CT angio of aorta and lower extremities showed multiple occlusions in both lower extremities with reconstitution and ABIs showed at least moderate disease in both legs.  Vascular surgery evaluated patient and recommended outpatient f/u post completion of treatment of infectious as patient didn't have signs or findings to suggest critical limb ischemia.  Patient was started on ASA/statin.   Patient was seen by PT/OT who recommended SAR however COVID19 infection made placement very difficult so ultimately patient returned to his facility with additional family support and home care.  He will need close f/u with PCP, repeat BMP in 1 week and weekly thereafter while on bactrim, f/u with urology, and f/u with vascular surgery.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral artery occlusion, Peripheral vascular disorder, Prostatitis, Pulse absent
Clinical narrative: Hospitalized 10/23/2021; COVID-19 positive 10/23/2021; fully vaccinated  BRIEF OVERVIEW:   Admission Date: 10/23/2021 Discharge Date: 10/28/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   Patient is a wonderful 92 y/o man admitted for confusion related to COVID19 pneumonia as well as UTI/prostatitis.  He has a past medical history significant for NPH, hypertension, AAA status post stenting, history of melanoma status post resection.   Patient presented with AMS and was found to be covid positive and was started on dexamethasone and remdesivir and had rapid resolution of acute respiratory failure with hypoxia.  UA was positive as well raising concern for UTI and was started on ceftriaxone.  Mental status changes resolved.  UC ultimately grew Klebsiella and staph hemolyticus and imaging raised concern for prostatitis as well severe bladder infection or neoplasm and so ID and urology were consulted.  Urology recommended outpatient cystoscopy with resolution of COVID19 and UTI.  ID recommended changing antibiotic to bactrim with course dictated by etiology of imaging findings - 2 week minimum course with course extension as long as 6 weeks if imaging findings were secondary to infection rather than neoplasm.     Above CT imaging was actually obtained as part of vascular workup - patient complained of leg pain and had difficult to palpate pulses.  CT imaging of thorax showed 4.8cm descending thoracic aortic aneurysm w/ likely prior old dissection, CT angio of aorta and lower extremities showed multiple occlusions in both lower extremities with reconstitution and ABIs showed at least moderate disease in both legs.  Vascular surgery evaluated patient and recommended outpatient f/u post completion of treatment of infectious as patient didn't have signs or findings to suggest critical limb ischemia.  Patient was started on ASA/statin.   Patient was seen by PT/OT who recommended SAR however COVID19 infection made placement very difficult so ultimately patient returned to his facility with additional family support and home care.  He will need close f/u with PCP, repeat BMP in 1 week and weekly thereafter while on bactrim, f/u with urology, and f/u with vascular surgery.