chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram normal, Ataxia, Cognitive disorder, Cognitive test, Computerised tomogram normal
Clinical narrative: On 4/27/24 I had a vertigo attack in the movie theatre and couldn't walk, admitted into the hospital. The hospital doctors initially thought it was BPV vertigo, after 20 visits of PT, nothing  corrected the vertigo. I was unable to walk without a walker/cane,  ataxia, dystonia, dizziness/vertigo, chronic fatigue, blurred vision, eye floaters, tinnitus, peripheral neuropathy in my feet. After extensive testing and diagnostics the Neurologist diagnosed me with Post Covid Syndrome. I had to take a leave of absence from work for 6 months. Went back to to work in October 2024, but still need accommodations.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Depression, Dizziness, Dystonia, Electromyogram abnormal, Electronystagmogram
Clinical narrative: On 4/27/24 I had a vertigo attack in the movie theatre and couldn't walk, admitted into the hospital. The hospital doctors initially thought it was BPV vertigo, after 20 visits of PT, nothing  corrected the vertigo. I was unable to walk without a walker/cane,  ataxia, dystonia, dizziness/vertigo, chronic fatigue, blurred vision, eye floaters, tinnitus, peripheral neuropathy in my feet. After extensive testing and diagnostics the Neurologist diagnosed me with Post Covid Syndrome. I had to take a leave of absence from work for 6 months. Went back to to work in October 2024, but still need accommodations.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electronystagmogram abnormal, Fatigue, Gait inability, Impaired work ability, Intracranial venous sinus stenosis
Clinical narrative: On 4/27/24 I had a vertigo attack in the movie theatre and couldn't walk, admitted into the hospital. The hospital doctors initially thought it was BPV vertigo, after 20 visits of PT, nothing  corrected the vertigo. I was unable to walk without a walker/cane,  ataxia, dystonia, dizziness/vertigo, chronic fatigue, blurred vision, eye floaters, tinnitus, peripheral neuropathy in my feet. After extensive testing and diagnostics the Neurologist diagnosed me with Post Covid Syndrome. I had to take a leave of absence from work for 6 months. Went back to to work in October 2024, but still need accommodations.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Neuropathy peripheral, Post-acute COVID-19 syndrome, Scan with contrast, Tinnitus
Clinical narrative: On 4/27/24 I had a vertigo attack in the movie theatre and couldn't walk, admitted into the hospital. The hospital doctors initially thought it was BPV vertigo, after 20 visits of PT, nothing  corrected the vertigo. I was unable to walk without a walker/cane,  ataxia, dystonia, dizziness/vertigo, chronic fatigue, blurred vision, eye floaters, tinnitus, peripheral neuropathy in my feet. After extensive testing and diagnostics the Neurologist diagnosed me with Post Covid Syndrome. I had to take a leave of absence from work for 6 months. Went back to to work in October 2024, but still need accommodations.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vascular imaging, Vertigo, Vision blurred, Vitreous floaters, Walking aid user
Clinical narrative: On 4/27/24 I had a vertigo attack in the movie theatre and couldn't walk, admitted into the hospital. The hospital doctors initially thought it was BPV vertigo, after 20 visits of PT, nothing  corrected the vertigo. I was unable to walk without a walker/cane,  ataxia, dystonia, dizziness/vertigo, chronic fatigue, blurred vision, eye floaters, tinnitus, peripheral neuropathy in my feet. After extensive testing and diagnostics the Neurologist diagnosed me with Post Covid Syndrome. I had to take a leave of absence from work for 6 months. Went back to to work in October 2024, but still need accommodations.
Age: 0.58
Sex: M
Vaccine: DTAP
Symptoms: Allergy test, Crying, Fatigue, Injection site erythema, Screaming
Clinical narrative: My son got the DTap vaccine on Wednesday 3/26 in the morning.  When we got him home, he was out of it.  He started screaming crying and was inconsolable for about an hour and finally fell asleep.  That night he developed a red mark on his leg that was about 2-3 inches in size a couple of inches away from the injection site.  When he went to bed, he woke up out of his sleep and was screaming (this is unusual for him).  On Friday morning, I gave him his usual morning bottle and he vomited the entire bottle all over me right after finishing.  He then threw up five more times over the course of the next 5 hours.  He was exhausted and slept on me for over an hour.  I brought him to the doctor, and they ordered allergy testing to determine if this was caused by the vaccine- results TBD.  Looking back, he inconsolably cried and passed out on me for hours after his previous doses of DTap.
Age: 0.58
Sex: M
Vaccine: DTAP
Symptoms: Vomiting
Clinical narrative: My son got the DTap vaccine on Wednesday 3/26 in the morning.  When we got him home, he was out of it.  He started screaming crying and was inconsolable for about an hour and finally fell asleep.  That night he developed a red mark on his leg that was about 2-3 inches in size a couple of inches away from the injection site.  When he went to bed, he woke up out of his sleep and was screaming (this is unusual for him).  On Friday morning, I gave him his usual morning bottle and he vomited the entire bottle all over me right after finishing.  He then threw up five more times over the course of the next 5 hours.  He was exhausted and slept on me for over an hour.  I brought him to the doctor, and they ordered allergy testing to determine if this was caused by the vaccine- results TBD.  Looking back, he inconsolably cried and passed out on me for hours after his previous doses of DTap.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Laboratory test abnormal, Proteinuria, Thrombocytopenia, Weight decreased
Clinical narrative: Significant weight loss, thrombocytopenia,Proteinuria, autoimmune disease
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Herpes zoster, Pain in extremity, Paraesthesia
Clinical narrative: ADVERSE REACTION RECEIVED AFTER RECEIVING THE PFIZER VACCINE ON APRIL 15, 2021  FACILITY RECEIVED VACCINE:   FACILITY FOR MEDICAL ATTENTION 6 DAYS AFTER VACCINE GIVE: CLINIC  My daughter, said she and her 18-year-old son, waited 15 minutes after the Pfizer vaccine was given and felt fine. However, while riding home, she felt itchy and tingly then and for several days, especially on her back but never asked anyone to look to see if there was a rash. Her arm and shoulder were sore after the shot, but didn't notice any redness. However on Wednesday, April the 21st (6 days after receiving the vaccine) she noticed a rash on her back and side with burning. The rash was on her right side for both. She went to the assigned Family Health Clinic where they were assigned for health issues. This facility does not give the Covid Vaccine, the reason she went to the above facility mentioned for the vaccine. She saw a physician, who said it was the Shingles but no relation to the vaccine, and ordered Valtrex. And said she can take the 2nd dose.   Since I am an RN and also a retired Public Health nurse, I believe this should have been reported by this physician via VAERS. This is a NEW vaccine and for a patient (50 years of age, Very healthy, with no weight or health issues prior to taking this vaccine) to present six a days later with six days later with Shingles is highly suspicious. Plus, I have read that Shingles has been reported with this vaccine. Your DATA base is important to collect information as this reaction. As this Physician should be well educated. I had a problem with completing the VAERS form on line as it kept "kicking me out" which may be a turn off of its completion. And a concern that Physician right off said to take the second dose. When my daughter returns to take the 2nd dose, and I'm hoping that she will, I've stressed to her to inform the RN of the experience she had after leaving the site, plus her episode of Shingles.   Thank you for your attention in this matter.  Mother to patient
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: ADVERSE REACTION RECEIVED AFTER RECEIVING THE PFIZER VACCINE ON APRIL 15, 2021  FACILITY RECEIVED VACCINE:   FACILITY FOR MEDICAL ATTENTION 6 DAYS AFTER VACCINE GIVE: CLINIC  My daughter, said she and her 18-year-old son, waited 15 minutes after the Pfizer vaccine was given and felt fine. However, while riding home, she felt itchy and tingly then and for several days, especially on her back but never asked anyone to look to see if there was a rash. Her arm and shoulder were sore after the shot, but didn't notice any redness. However on Wednesday, April the 21st (6 days after receiving the vaccine) she noticed a rash on her back and side with burning. The rash was on her right side for both. She went to the assigned Family Health Clinic where they were assigned for health issues. This facility does not give the Covid Vaccine, the reason she went to the above facility mentioned for the vaccine. She saw a physician, who said it was the Shingles but no relation to the vaccine, and ordered Valtrex. And said she can take the 2nd dose.   Since I am an RN and also a retired Public Health nurse, I believe this should have been reported by this physician via VAERS. This is a NEW vaccine and for a patient (50 years of age, Very healthy, with no weight or health issues prior to taking this vaccine) to present six a days later with six days later with Shingles is highly suspicious. Plus, I have read that Shingles has been reported with this vaccine. Your DATA base is important to collect information as this reaction. As this Physician should be well educated. I had a problem with completing the VAERS form on line as it kept "kicking me out" which may be a turn off of its completion. And a concern that Physician right off said to take the second dose. When my daughter returns to take the 2nd dose, and I'm hoping that she will, I've stressed to her to inform the RN of the experience she had after leaving the site, plus her episode of Shingles.   Thank you for your attention in this matter.  Mother to patient
Age: 18.0
Sex: M
Vaccine: HEP
Symptoms: Unevaluable event
Clinical narrative: On 03/24/2025 Patient received the Hep B vaccine and almost immediately felt that this right arm was heavy. He had slight redness, and the heavy feeling grew more prominent on 03/25/2025 and 03/26/2025. On 03/27/2025, a rash on the injection site and shoulder appeared and grew rapidly over the next few days. As of 03/31/2025 (today) the rash appears on the entire right back upper shoulder, the front shoulder area to the right neck, and down the entire right arm. There is also several large lumps under the right breast. The rash appears as red lumps, and symptoms at this time is severe itchiness. Patient has been advised to take Benadryl at this time, and report any worsening of symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthma, Back pain, COVID-19, Chest X-ray normal
Clinical narrative: Name:   Medical Record #:   Age:  66 y.o. DOB:  4/XX/1958  Admit date: 3/24/2025  Discharge date: 3/25/25  Admitting Physician:  DO  Attending Physician at the Time of Discharge:  DO  Primary Care Physician:  NP Reason for Admission: Acute hypoxic respiratory failure  Brief Summary of Hospital Stay: Patient is a 66 y.o. female with a history of COPD (last PFTs 2014), HFpEF, HTN, hx CVA, and tobacco use disorder who presented to ED on 3/24/25 due to 2 weeks of productive (clear sputum) cough, SOB, sore throat, rhinorrhea, nasal congestion as well as right lower back pain. In the ED, she tested positive for COVID-19 and was admitted for acute hypoxic respiratory failure secondary to COVID-19 (SpO2 improved to mid-90s on 2 L nasal cannula) and COPD exacerbation. CXR was largely unremarkable. CT thorax taken due to right back/flank pain showed cholelithiasis, cirrhosis, and bilateral kidney lesions/scarring. Superimposed bacterial infection less likely due to low procal 0.07, WBC wnl. She was also found to be in hypertensive urgency secondary to medication non-compliance as she reported not taking her anti-hypertensive meds for the past 2 weeks. Home blood pressure medication including Norvasc, lisinopril, and hydrochlorothiazide were restarted and labetalol was provided as needed during admission. By this morning, she was breathing comfortably on room air and endorsed improvement in her cough, work of breathing, and appetite. Right lower back pain is most likely musculoskeletal in nature. Discharge to home in stable condition on 3/25/25.  Acute hypoxic respiratory failure, resolved Moderate persistent asthma/COPD exacerbated by COVD-19 - Continue prednisone 40mg for 4d - Continue supportive care with Mucinex, Tylenol - Continue: albuterol as needed for rescue  - START: Symbicort bid for maintenance  - Outpatient: pulmonary referral Discharged to Home
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cholelithiasis, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea
Clinical narrative: Name:   Medical Record #:   Age:  66 y.o. DOB:  4/XX/1958  Admit date: 3/24/2025  Discharge date: 3/25/25  Admitting Physician:  DO  Attending Physician at the Time of Discharge:  DO  Primary Care Physician:  NP Reason for Admission: Acute hypoxic respiratory failure  Brief Summary of Hospital Stay: Patient is a 66 y.o. female with a history of COPD (last PFTs 2014), HFpEF, HTN, hx CVA, and tobacco use disorder who presented to ED on 3/24/25 due to 2 weeks of productive (clear sputum) cough, SOB, sore throat, rhinorrhea, nasal congestion as well as right lower back pain. In the ED, she tested positive for COVID-19 and was admitted for acute hypoxic respiratory failure secondary to COVID-19 (SpO2 improved to mid-90s on 2 L nasal cannula) and COPD exacerbation. CXR was largely unremarkable. CT thorax taken due to right back/flank pain showed cholelithiasis, cirrhosis, and bilateral kidney lesions/scarring. Superimposed bacterial infection less likely due to low procal 0.07, WBC wnl. She was also found to be in hypertensive urgency secondary to medication non-compliance as she reported not taking her anti-hypertensive meds for the past 2 weeks. Home blood pressure medication including Norvasc, lisinopril, and hydrochlorothiazide were restarted and labetalol was provided as needed during admission. By this morning, she was breathing comfortably on room air and endorsed improvement in her cough, work of breathing, and appetite. Right lower back pain is most likely musculoskeletal in nature. Discharge to home in stable condition on 3/25/25.  Acute hypoxic respiratory failure, resolved Moderate persistent asthma/COPD exacerbated by COVD-19 - Continue prednisone 40mg for 4d - Continue supportive care with Mucinex, Tylenol - Continue: albuterol as needed for rescue  - START: Symbicort bid for maintenance  - Outpatient: pulmonary referral Discharged to Home
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain, Hepatic cirrhosis, Kidney fibrosis, Nasal congestion, Oropharyngeal pain
Clinical narrative: Name:   Medical Record #:   Age:  66 y.o. DOB:  4/XX/1958  Admit date: 3/24/2025  Discharge date: 3/25/25  Admitting Physician:  DO  Attending Physician at the Time of Discharge:  DO  Primary Care Physician:  NP Reason for Admission: Acute hypoxic respiratory failure  Brief Summary of Hospital Stay: Patient is a 66 y.o. female with a history of COPD (last PFTs 2014), HFpEF, HTN, hx CVA, and tobacco use disorder who presented to ED on 3/24/25 due to 2 weeks of productive (clear sputum) cough, SOB, sore throat, rhinorrhea, nasal congestion as well as right lower back pain. In the ED, she tested positive for COVID-19 and was admitted for acute hypoxic respiratory failure secondary to COVID-19 (SpO2 improved to mid-90s on 2 L nasal cannula) and COPD exacerbation. CXR was largely unremarkable. CT thorax taken due to right back/flank pain showed cholelithiasis, cirrhosis, and bilateral kidney lesions/scarring. Superimposed bacterial infection less likely due to low procal 0.07, WBC wnl. She was also found to be in hypertensive urgency secondary to medication non-compliance as she reported not taking her anti-hypertensive meds for the past 2 weeks. Home blood pressure medication including Norvasc, lisinopril, and hydrochlorothiazide were restarted and labetalol was provided as needed during admission. By this morning, she was breathing comfortably on room air and endorsed improvement in her cough, work of breathing, and appetite. Right lower back pain is most likely musculoskeletal in nature. Discharge to home in stable condition on 3/25/25.  Acute hypoxic respiratory failure, resolved Moderate persistent asthma/COPD exacerbated by COVD-19 - Continue prednisone 40mg for 4d - Continue supportive care with Mucinex, Tylenol - Continue: albuterol as needed for rescue  - START: Symbicort bid for maintenance  - Outpatient: pulmonary referral Discharged to Home
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin decreased, Productive cough, Renal disorder, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Name:   Medical Record #:   Age:  66 y.o. DOB:  4/XX/1958  Admit date: 3/24/2025  Discharge date: 3/25/25  Admitting Physician:  DO  Attending Physician at the Time of Discharge:  DO  Primary Care Physician:  NP Reason for Admission: Acute hypoxic respiratory failure  Brief Summary of Hospital Stay: Patient is a 66 y.o. female with a history of COPD (last PFTs 2014), HFpEF, HTN, hx CVA, and tobacco use disorder who presented to ED on 3/24/25 due to 2 weeks of productive (clear sputum) cough, SOB, sore throat, rhinorrhea, nasal congestion as well as right lower back pain. In the ED, she tested positive for COVID-19 and was admitted for acute hypoxic respiratory failure secondary to COVID-19 (SpO2 improved to mid-90s on 2 L nasal cannula) and COPD exacerbation. CXR was largely unremarkable. CT thorax taken due to right back/flank pain showed cholelithiasis, cirrhosis, and bilateral kidney lesions/scarring. Superimposed bacterial infection less likely due to low procal 0.07, WBC wnl. She was also found to be in hypertensive urgency secondary to medication non-compliance as she reported not taking her anti-hypertensive meds for the past 2 weeks. Home blood pressure medication including Norvasc, lisinopril, and hydrochlorothiazide were restarted and labetalol was provided as needed during admission. By this morning, she was breathing comfortably on room air and endorsed improvement in her cough, work of breathing, and appetite. Right lower back pain is most likely musculoskeletal in nature. Discharge to home in stable condition on 3/25/25.  Acute hypoxic respiratory failure, resolved Moderate persistent asthma/COPD exacerbated by COVD-19 - Continue prednisone 40mg for 4d - Continue supportive care with Mucinex, Tylenol - Continue: albuterol as needed for rescue  - START: Symbicort bid for maintenance  - Outpatient: pulmonary referral Discharged to Home
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Name:   Medical Record #:   Age:  66 y.o. DOB:  4/XX/1958  Admit date: 3/24/2025  Discharge date: 3/25/25  Admitting Physician:  DO  Attending Physician at the Time of Discharge:  DO  Primary Care Physician:  NP Reason for Admission: Acute hypoxic respiratory failure  Brief Summary of Hospital Stay: Patient is a 66 y.o. female with a history of COPD (last PFTs 2014), HFpEF, HTN, hx CVA, and tobacco use disorder who presented to ED on 3/24/25 due to 2 weeks of productive (clear sputum) cough, SOB, sore throat, rhinorrhea, nasal congestion as well as right lower back pain. In the ED, she tested positive for COVID-19 and was admitted for acute hypoxic respiratory failure secondary to COVID-19 (SpO2 improved to mid-90s on 2 L nasal cannula) and COPD exacerbation. CXR was largely unremarkable. CT thorax taken due to right back/flank pain showed cholelithiasis, cirrhosis, and bilateral kidney lesions/scarring. Superimposed bacterial infection less likely due to low procal 0.07, WBC wnl. She was also found to be in hypertensive urgency secondary to medication non-compliance as she reported not taking her anti-hypertensive meds for the past 2 weeks. Home blood pressure medication including Norvasc, lisinopril, and hydrochlorothiazide were restarted and labetalol was provided as needed during admission. By this morning, she was breathing comfortably on room air and endorsed improvement in her cough, work of breathing, and appetite. Right lower back pain is most likely musculoskeletal in nature. Discharge to home in stable condition on 3/25/25.  Acute hypoxic respiratory failure, resolved Moderate persistent asthma/COPD exacerbated by COVD-19 - Continue prednisone 40mg for 4d - Continue supportive care with Mucinex, Tylenol - Continue: albuterol as needed for rescue  - START: Symbicort bid for maintenance  - Outpatient: pulmonary referral Discharged to Home
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Atrial fibrillation, Blood magnesium decreased, Brain natriuretic peptide increased, COVID-19
Clinical narrative: BRIEF OVERVIEW: Admission Date: 3/25/2025 Discharge Date: Mar 26, 2025 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up:  Adherence to salt and fluid restricted diet please.  Future Appointments Date Time Provider Department Center 4/1/2025  4:00 PM MD 5/13/2025 11:00 AM NP 6/19/2025  9:00 AM MD  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea [R06.00] Atrial fibrillation with rapid ventricular response (HCC) [I48.91] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID [U07.1]  HOSPITAL COURSE: He has had increasing shortness of breath over the past week with chills and fatigue. He noticed increased swelling to his lower extremities the past several days and intermittent chest pain, which he states is chronic for years. Denies productive cough, palpitations, abdominal pain, nausea, vomiting, or diarrhea. EKG on arrival revealed atrial fibrillation rate 129. Labs remarkable for hypomagnesemia, elevated BNP, and chest xray revealed mild pulmonary edema and bibasilar atelectasis. He is positive for COVID-19.   These were his acute medical issues addressed:  Chronic hypoxic respiratory failure - complicated by fluid overload, atelectasis, viral infection  - presented with increasing dyspnea past week, wears 2 liters nasal cannula oxygen at baseline 99% sat in ED - recently treated for COPD exacerbation 2 weeks ago with steroid and antibiotics - chest xray with mild pulmonary edema, bibasilar atelectasis, and cardiomegaly - COVID- 19 positive - received 40 mg IV lasix daily. - duonebs prn/- continue home inhalers   Paroxsymal atrial fibrillation - history of unsuccessful cardioversion - initial EKG with rapid ventricular response rate 129 - received  10 mg IV cardizem x 2, with successful rate control - sotalol/ eliquis/ telemetry  Hypomagnesemia - Mag 1.5 -- > 2.0 today  Chronic systolic and diastolic heart failure with recovered EF - concern for exacerbation - chronic bilateral lower extremity edema 2+ worsened past few days, chest xray with mild pulmonary edema  - last echo 2/2023 EF 55-60%, mild diastolic dysfunction - BNP 2,553 - troponin normal  - received 40 IV lasix daily - continue entresto and torsemide  - echo pending   COVID- 19 - symptom onset 7 days ago, shortness of breath, chills  - isolation/ supportive care. No increase in O2 requirement over baseline.  Stable and improved. Would like to keep another 24-48H for more diuresis. Patient however insistent on being discharged home today. DC home per his request. Continue all meds. Discharged to Home
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive, Cardiomegaly, Chest X-ray abnormal, Chest pain
Clinical narrative: BRIEF OVERVIEW: Admission Date: 3/25/2025 Discharge Date: Mar 26, 2025 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up:  Adherence to salt and fluid restricted diet please.  Future Appointments Date Time Provider Department Center 4/1/2025  4:00 PM MD 5/13/2025 11:00 AM NP 6/19/2025  9:00 AM MD  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea [R06.00] Atrial fibrillation with rapid ventricular response (HCC) [I48.91] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID [U07.1]  HOSPITAL COURSE: He has had increasing shortness of breath over the past week with chills and fatigue. He noticed increased swelling to his lower extremities the past several days and intermittent chest pain, which he states is chronic for years. Denies productive cough, palpitations, abdominal pain, nausea, vomiting, or diarrhea. EKG on arrival revealed atrial fibrillation rate 129. Labs remarkable for hypomagnesemia, elevated BNP, and chest xray revealed mild pulmonary edema and bibasilar atelectasis. He is positive for COVID-19.   These were his acute medical issues addressed:  Chronic hypoxic respiratory failure - complicated by fluid overload, atelectasis, viral infection  - presented with increasing dyspnea past week, wears 2 liters nasal cannula oxygen at baseline 99% sat in ED - recently treated for COPD exacerbation 2 weeks ago with steroid and antibiotics - chest xray with mild pulmonary edema, bibasilar atelectasis, and cardiomegaly - COVID- 19 positive - received 40 mg IV lasix daily. - duonebs prn/- continue home inhalers   Paroxsymal atrial fibrillation - history of unsuccessful cardioversion - initial EKG with rapid ventricular response rate 129 - received  10 mg IV cardizem x 2, with successful rate control - sotalol/ eliquis/ telemetry  Hypomagnesemia - Mag 1.5 -- > 2.0 today  Chronic systolic and diastolic heart failure with recovered EF - concern for exacerbation - chronic bilateral lower extremity edema 2+ worsened past few days, chest xray with mild pulmonary edema  - last echo 2/2023 EF 55-60%, mild diastolic dysfunction - BNP 2,553 - troponin normal  - received 40 IV lasix daily - continue entresto and torsemide  - echo pending   COVID- 19 - symptom onset 7 days ago, shortness of breath, chills  - isolation/ supportive care. No increase in O2 requirement over baseline.  Stable and improved. Would like to keep another 24-48H for more diuresis. Patient however insistent on being discharged home today. DC home per his request. Continue all meds. Discharged to Home
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Chronic left ventricular failure, Chronic obstructive pulmonary disease, Diastolic dysfunction, Dyspnoea
Clinical narrative: BRIEF OVERVIEW: Admission Date: 3/25/2025 Discharge Date: Mar 26, 2025 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up:  Adherence to salt and fluid restricted diet please.  Future Appointments Date Time Provider Department Center 4/1/2025  4:00 PM MD 5/13/2025 11:00 AM NP 6/19/2025  9:00 AM MD  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea [R06.00] Atrial fibrillation with rapid ventricular response (HCC) [I48.91] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID [U07.1]  HOSPITAL COURSE: He has had increasing shortness of breath over the past week with chills and fatigue. He noticed increased swelling to his lower extremities the past several days and intermittent chest pain, which he states is chronic for years. Denies productive cough, palpitations, abdominal pain, nausea, vomiting, or diarrhea. EKG on arrival revealed atrial fibrillation rate 129. Labs remarkable for hypomagnesemia, elevated BNP, and chest xray revealed mild pulmonary edema and bibasilar atelectasis. He is positive for COVID-19.   These were his acute medical issues addressed:  Chronic hypoxic respiratory failure - complicated by fluid overload, atelectasis, viral infection  - presented with increasing dyspnea past week, wears 2 liters nasal cannula oxygen at baseline 99% sat in ED - recently treated for COPD exacerbation 2 weeks ago with steroid and antibiotics - chest xray with mild pulmonary edema, bibasilar atelectasis, and cardiomegaly - COVID- 19 positive - received 40 mg IV lasix daily. - duonebs prn/- continue home inhalers   Paroxsymal atrial fibrillation - history of unsuccessful cardioversion - initial EKG with rapid ventricular response rate 129 - received  10 mg IV cardizem x 2, with successful rate control - sotalol/ eliquis/ telemetry  Hypomagnesemia - Mag 1.5 -- > 2.0 today  Chronic systolic and diastolic heart failure with recovered EF - concern for exacerbation - chronic bilateral lower extremity edema 2+ worsened past few days, chest xray with mild pulmonary edema  - last echo 2/2023 EF 55-60%, mild diastolic dysfunction - BNP 2,553 - troponin normal  - received 40 IV lasix daily - continue entresto and torsemide  - echo pending   COVID- 19 - symptom onset 7 days ago, shortness of breath, chills  - isolation/ supportive care. No increase in O2 requirement over baseline.  Stable and improved. Would like to keep another 24-48H for more diuresis. Patient however insistent on being discharged home today. DC home per his request. Continue all meds. Discharged to Home
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Hypervolaemia, Hypomagnesaemia, Left ventricular failure
Clinical narrative: BRIEF OVERVIEW: Admission Date: 3/25/2025 Discharge Date: Mar 26, 2025 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up:  Adherence to salt and fluid restricted diet please.  Future Appointments Date Time Provider Department Center 4/1/2025  4:00 PM MD 5/13/2025 11:00 AM NP 6/19/2025  9:00 AM MD  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea [R06.00] Atrial fibrillation with rapid ventricular response (HCC) [I48.91] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID [U07.1]  HOSPITAL COURSE: He has had increasing shortness of breath over the past week with chills and fatigue. He noticed increased swelling to his lower extremities the past several days and intermittent chest pain, which he states is chronic for years. Denies productive cough, palpitations, abdominal pain, nausea, vomiting, or diarrhea. EKG on arrival revealed atrial fibrillation rate 129. Labs remarkable for hypomagnesemia, elevated BNP, and chest xray revealed mild pulmonary edema and bibasilar atelectasis. He is positive for COVID-19.   These were his acute medical issues addressed:  Chronic hypoxic respiratory failure - complicated by fluid overload, atelectasis, viral infection  - presented with increasing dyspnea past week, wears 2 liters nasal cannula oxygen at baseline 99% sat in ED - recently treated for COPD exacerbation 2 weeks ago with steroid and antibiotics - chest xray with mild pulmonary edema, bibasilar atelectasis, and cardiomegaly - COVID- 19 positive - received 40 mg IV lasix daily. - duonebs prn/- continue home inhalers   Paroxsymal atrial fibrillation - history of unsuccessful cardioversion - initial EKG with rapid ventricular response rate 129 - received  10 mg IV cardizem x 2, with successful rate control - sotalol/ eliquis/ telemetry  Hypomagnesemia - Mag 1.5 -- > 2.0 today  Chronic systolic and diastolic heart failure with recovered EF - concern for exacerbation - chronic bilateral lower extremity edema 2+ worsened past few days, chest xray with mild pulmonary edema  - last echo 2/2023 EF 55-60%, mild diastolic dysfunction - BNP 2,553 - troponin normal  - received 40 IV lasix daily - continue entresto and torsemide  - echo pending   COVID- 19 - symptom onset 7 days ago, shortness of breath, chills  - isolation/ supportive care. No increase in O2 requirement over baseline.  Stable and improved. Would like to keep another 24-48H for more diuresis. Patient however insistent on being discharged home today. DC home per his request. Continue all meds. Discharged to Home
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Peripheral swelling, Pulmonary oedema, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: BRIEF OVERVIEW: Admission Date: 3/25/2025 Discharge Date: Mar 26, 2025 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up:  Adherence to salt and fluid restricted diet please.  Future Appointments Date Time Provider Department Center 4/1/2025  4:00 PM MD 5/13/2025 11:00 AM NP 6/19/2025  9:00 AM MD  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea [R06.00] Atrial fibrillation with rapid ventricular response (HCC) [I48.91] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID [U07.1]  HOSPITAL COURSE: He has had increasing shortness of breath over the past week with chills and fatigue. He noticed increased swelling to his lower extremities the past several days and intermittent chest pain, which he states is chronic for years. Denies productive cough, palpitations, abdominal pain, nausea, vomiting, or diarrhea. EKG on arrival revealed atrial fibrillation rate 129. Labs remarkable for hypomagnesemia, elevated BNP, and chest xray revealed mild pulmonary edema and bibasilar atelectasis. He is positive for COVID-19.   These were his acute medical issues addressed:  Chronic hypoxic respiratory failure - complicated by fluid overload, atelectasis, viral infection  - presented with increasing dyspnea past week, wears 2 liters nasal cannula oxygen at baseline 99% sat in ED - recently treated for COPD exacerbation 2 weeks ago with steroid and antibiotics - chest xray with mild pulmonary edema, bibasilar atelectasis, and cardiomegaly - COVID- 19 positive - received 40 mg IV lasix daily. - duonebs prn/- continue home inhalers   Paroxsymal atrial fibrillation - history of unsuccessful cardioversion - initial EKG with rapid ventricular response rate 129 - received  10 mg IV cardizem x 2, with successful rate control - sotalol/ eliquis/ telemetry  Hypomagnesemia - Mag 1.5 -- > 2.0 today  Chronic systolic and diastolic heart failure with recovered EF - concern for exacerbation - chronic bilateral lower extremity edema 2+ worsened past few days, chest xray with mild pulmonary edema  - last echo 2/2023 EF 55-60%, mild diastolic dysfunction - BNP 2,553 - troponin normal  - received 40 IV lasix daily - continue entresto and torsemide  - echo pending   COVID- 19 - symptom onset 7 days ago, shortness of breath, chills  - isolation/ supportive care. No increase in O2 requirement over baseline.  Stable and improved. Would like to keep another 24-48H for more diuresis. Patient however insistent on being discharged home today. DC home per his request. Continue all meds. Discharged to Home
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Viral infection
Clinical narrative: BRIEF OVERVIEW: Admission Date: 3/25/2025 Discharge Date: Mar 26, 2025 Discharge Disposition:  home or self care   Active Issues Requiring Follow-up:  Adherence to salt and fluid restricted diet please.  Future Appointments Date Time Provider Department Center 4/1/2025  4:00 PM MD 5/13/2025 11:00 AM NP 6/19/2025  9:00 AM MD  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dyspnea [R06.00] Atrial fibrillation with rapid ventricular response (HCC) [I48.91] Acute on chronic congestive heart failure, unspecified heart failure type (HCC) [I50.9] COVID [U07.1]  HOSPITAL COURSE: He has had increasing shortness of breath over the past week with chills and fatigue. He noticed increased swelling to his lower extremities the past several days and intermittent chest pain, which he states is chronic for years. Denies productive cough, palpitations, abdominal pain, nausea, vomiting, or diarrhea. EKG on arrival revealed atrial fibrillation rate 129. Labs remarkable for hypomagnesemia, elevated BNP, and chest xray revealed mild pulmonary edema and bibasilar atelectasis. He is positive for COVID-19.   These were his acute medical issues addressed:  Chronic hypoxic respiratory failure - complicated by fluid overload, atelectasis, viral infection  - presented with increasing dyspnea past week, wears 2 liters nasal cannula oxygen at baseline 99% sat in ED - recently treated for COPD exacerbation 2 weeks ago with steroid and antibiotics - chest xray with mild pulmonary edema, bibasilar atelectasis, and cardiomegaly - COVID- 19 positive - received 40 mg IV lasix daily. - duonebs prn/- continue home inhalers   Paroxsymal atrial fibrillation - history of unsuccessful cardioversion - initial EKG with rapid ventricular response rate 129 - received  10 mg IV cardizem x 2, with successful rate control - sotalol/ eliquis/ telemetry  Hypomagnesemia - Mag 1.5 -- > 2.0 today  Chronic systolic and diastolic heart failure with recovered EF - concern for exacerbation - chronic bilateral lower extremity edema 2+ worsened past few days, chest xray with mild pulmonary edema  - last echo 2/2023 EF 55-60%, mild diastolic dysfunction - BNP 2,553 - troponin normal  - received 40 IV lasix daily - continue entresto and torsemide  - echo pending   COVID- 19 - symptom onset 7 days ago, shortness of breath, chills  - isolation/ supportive care. No increase in O2 requirement over baseline.  Stable and improved. Would like to keep another 24-48H for more diuresis. Patient however insistent on being discharged home today. DC home per his request. Continue all meds. Discharged to Home
Age: 1.5
Sex: M
Vaccine: DTAP
Symptoms: Injection site swelling
Clinical narrative: patient developed a swollen thigh 24 hr after injection
Age: 55.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Wrong product administered
Clinical narrative: Gave Hepatitis A Vaccine instead of Hepatitis B
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given Engerix B (20 mcg) 1-mL. She is 19 years old, she should have received  Engerix B (10 mcg) 0.5-mL.
Age: 1.5
Sex: F
Vaccine: HEPA
Symptoms: Febrile convulsion, Influenza virus test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Urine analysis normal
Clinical narrative: 4-5 hours after vaccination, patient had febrile seizure. Treated at  ER  No medical interventions required
Age: 52.0
Sex: F
Vaccine: PNC20
Symptoms: Asthenia, Blood test, Fall, Gait disturbance, Hypoaesthesia
Clinical narrative: Started noticing some numbness on bottom of foot around 3/10/25, noticed numbness tingling in hands approximately 3/14/25. 3/19/25 started noticing numbness tingling of felt all over and hands worsening along with general overall weakness.  3/21/25 legs worsening tingling and numbness also progressing up to above ankles, very weak specifically right leg. Experienced a fall 3/21/25, 3/22/25 could barely support body weight, unanable to walk without shuffling feet.  3/24/25 numbness progressed into the peri area
Age: 52.0
Sex: F
Vaccine: PNC20
Symptoms: Lumbar puncture, Magnetic resonance imaging, Paraesthesia, Scan with contrast, Weight bearing difficulty
Clinical narrative: Started noticing some numbness on bottom of foot around 3/10/25, noticed numbness tingling in hands approximately 3/14/25. 3/19/25 started noticing numbness tingling of felt all over and hands worsening along with general overall weakness.  3/21/25 legs worsening tingling and numbness also progressing up to above ankles, very weak specifically right leg. Experienced a fall 3/21/25, 3/22/25 could barely support body weight, unanable to walk without shuffling feet.  3/24/25 numbness progressed into the peri area
Age: 79.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Joint swelling, Mobility decreased
Clinical narrative: Patient reports swollen shoulder and intense pain in the shoulder -- can barely lift her arm up. Recommended to ice and take NSAID. She did and has since started to feel better but not fully healed. Will follow up in a few days to see how she is doing.
Age: 0.5
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: no adverse event patient came next day to received correct vaccine and dosage
Age: 63.0
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: 2nd dose given within 2 years
Age: 84.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Rash, Rash erythematous
Clinical narrative: pt states he developed large red circles around his belt line. He used dandruff shampoo to help control the itching.  He dabbed it with peroxide and used skin cream. He developed a large red bump on his left leg on the back of his calf. He contacted the pharmacy and told them that he had these symptoms. He says these red bumps are getting some better but will see a physician if they do not get better. He feels like they should warn people they could develop shingles when taking the vaccine.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test positive, Allergy to animal, Allergy to plants, Eye pruritus, Food allergy
Clinical narrative: Onset of chronic allergies and digestive sensitivities that did not exist before.  I woke up the morning after with a runny nose and sneezing that worsened over the course of a few weeks until I couldn't function normally.  I had to stand over a sink sneezing, nose oozing, eyes itchy and watering.  I got an extensive allergy test and everything but rice and a couple of other things came back positive.  I had developed allergies to things I normally had exposure to every day including foods and environments: Cats, Dogs, all tested trees, all tested grasses, mango, watermelon, melon, maple, oranges, corn, wheat, kiwi, olives.  I had allergies that were not tested as well: avocado, broccoli, oranges, grapefruit, among others.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Lacrimation increased, Rhinorrhoea, Seasonal allergy, Sneezing
Clinical narrative: Onset of chronic allergies and digestive sensitivities that did not exist before.  I woke up the morning after with a runny nose and sneezing that worsened over the course of a few weeks until I couldn't function normally.  I had to stand over a sink sneezing, nose oozing, eyes itchy and watering.  I got an extensive allergy test and everything but rice and a couple of other things came back positive.  I had developed allergies to things I normally had exposure to every day including foods and environments: Cats, Dogs, all tested trees, all tested grasses, mango, watermelon, melon, maple, oranges, corn, wheat, kiwi, olives.  I had allergies that were not tested as well: avocado, broccoli, oranges, grapefruit, among others.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: patient received 2 rsv vaccines at 2 different location
Age: 65.0
Sex: M
Vaccine: PNC20, PNC13
Symptoms: Bursitis, Pain
Clinical narrative: pain ( bursitis)
Age: 65.0
Sex: M
Vaccine: PNC20, PNC13
Symptoms: Incorrect route of product administration, Injection site inflammation, Product administered at inappropriate site
Clinical narrative: pain ( bursitis)
Age: 86.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: aptient received 2 doses from 2 different pharmacies
Sex: F
Vaccine: MMRV
Symptoms: Wrong product administered
Clinical narrative: MMRV was given instead of MMR in anticipation of travel with ongoing measles outbreak.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient had already received RSV vaccine in 2023. This dose was not appropriate to give. Patient has not reported back regarding issues
Age: 87.0
Sex: F
Vaccine: RSV
Symptoms: Headache, Pain, Screaming
Clinical narrative: Started as intense headaches Friday morning. Developed into acute stabbing pain, in the head. Doubled over, screaming with pain. Attacks last from1 to 3 hours. Attacks happen 2 to 3 times a day and last 2 to 3 hours. Have not had this type of pain since having shingles about 6 years ago. General timing of attacks are 3AM, noon, and 10PM.
Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Additional Details: pt came in today and said still red and sore after immunization
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site swelling, Myalgia, Pain, Rash
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Body Aches Generalized-Mild, Systemic: fatigue-Mild, Additional Details: +Facial rash (mild), lower extremity muscular pain and fatigue.  Mother reports that the patient experienced the rash on the face and other symptoms 3 days after receiving the Pfizer Comirnaty COVID-19 vaccination, which was administered 3/13/2025.
Age: 64.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Fatigue
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Mild, Systemic: Joint Pain-Medium, Systemic: Weakness-Medium
Age: 64.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Mild, Systemic: Joint Pain-Medium, Systemic: Weakness-Medium
Age: 64.0
Sex: F
Vaccine: PNC20
Symptoms: Lethargy, Pain, Pyrexia, Rash
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Mild, Systemic: Joint Pain-Medium, Systemic: Weakness-Medium
Age: 76.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 79.0
Sex: F
Vaccine: PPV
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: difficulty bending arm-Medium, Additional Details: Pt received Pneumovax 23 vaccine yesterday afternoon. Pt came to pharmacy this morning to report adverse effects of moderate arm pain, itchiness, swelling, and difficulty bending arm.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Injection site erythema, Injection site rash, Lymph node pain, Lymphadenopathy, Rash
Clinical narrative: Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Lymph Node Swelling-Severe, Additional Details: rash around injection site and one-sided lymph node swelling. pain in axillary lymph nodes