chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acoustic stimulation tests normal, Dizziness, Ear, nose and throat examination, Vertigo
Clinical narrative: A few days prior to 11/02/2022, I would have episodes that I would get lightheaded. Occasionally, I would get up in the morning, the room would spin a little bit. On 11/02/2022, I had a full episode of vertigo, where the room was spinning around. I was shopping, and I turned around and the spinning hit me suddenly. I was holding on to my grocery cart and I got to a point where I could sit for 10 minutes and felt better. I went to the ENT on 11/03/2022. They did a hearing test and said my hearing was fine. I still have lightheadedness. I have to do a vertigo exercise every day. Prior to the COVID-19 vaccines, I never had vertigo.
Age: 8.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blood test abnormal, Colitis ulcerative, Colonoscopy abnormal, Haematochezia
Clinical narrative: Blood in stool started 11/21/2021, one day after Covid vaccination Diagnosed with Ulcerative Colitis February 2022
Age: 58.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Pain, Paraesthesia
Clinical narrative: Right after getting the vaccination shot, I had a tingling in my face and base of my skull. It felt like steel wool scratching my face. I my lips, tongue and face are numb. When I got home, I took my migraine medication, it did nothing to help lessen the pain, it just gradually got worse. I called my neurologist to go in and get I.V. medication to help break the migraine. I am currently awaiting the doctor to call me back to get me into her office. I have taken a MEDROL DOSEPAK to try and get the pain to lessen but this has not helped.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Increased appetite, Pyrexia, SARS-CoV-2 test
Clinical narrative: I had an increase in appetite with some fatigue. I also had a fever.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Laboratory test, Respiratory tract congestion
Clinical narrative: Diarrhea, Congestion
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac monitoring, Chest X-ray, Echocardiogram, Electromyogram
Clinical narrative: 2 Days after the injection I suffered extreme neurological symptoms including eye twitching, brain vibrations, heart issues, body vibrations, extreme gastrointestinal issues and severe pain all throughout my body.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Laboratory test abnormal, Magnetic resonance imaging head abnormal, Muscle twitching, Neurological symptom
Clinical narrative: 2 Days after the injection I suffered extreme neurological symptoms including eye twitching, brain vibrations, heart issues, body vibrations, extreme gastrointestinal issues and severe pain all throughout my body.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Orthostatic hypotension, Pain, Porencephaly, Postural orthostatic tachycardia syndrome, Vibratory sense increased
Clinical narrative: 2 Days after the injection I suffered extreme neurological symptoms including eye twitching, brain vibrations, heart issues, body vibrations, extreme gastrointestinal issues and severe pain all throughout my body.
Age: 24.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram abnormal, Sinus arrhythmia
Clinical narrative: Chest pain, began with first shot and worsened after second shot
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Blood test abnormal, Blood test normal, Body temperature increased, COVID-19
Clinical narrative: 08/27/2022, after taking care of my husband and my daughter who had COVID-19, I woke up with a sore throat and fatigue. I had tested myself the day prior and was negative. However, when I tested myself that day I was positive. I got in right away for a PCR test and that was positive as well. I had severe body aches, severe fatigue, I couldn't get out of bed for a few days, decreased oxygen in the evening and a low temperature (100ish). I lost my sense of smell at about the 3rd day and then got it back by about the 7th day. It's mostly back now but still intermittent. My heart rate was very out of whack especially in the evening and it would correlate with the low oxygen. I continued to test positive until day 15. As the weeks went on, my oxygen and heart rate have slowly improved. However, right after the episode my HR would jump above 120 and take quite a few hours of rest to drop below 100. My endocrinologist did a blood test to make sure I did not have myocarditis and that came back negative. My PCP did an EKG this week and it came back normal. They ordered a Holter monitor and a chest x-ray to be done just to double check everything is okay. Lung output significantly decreased after having COVID but its slowly improving. Also, I have a very sticky mucus almost constantly stuck in my throat that seems to only be temporarily alleviated with hot fluids.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Exposure to SARS-CoV-2, Fatigue, Heart rate abnormal, Laboratory test abnormal
Clinical narrative: 08/27/2022, after taking care of my husband and my daughter who had COVID-19, I woke up with a sore throat and fatigue. I had tested myself the day prior and was negative. However, when I tested myself that day I was positive. I got in right away for a PCR test and that was positive as well. I had severe body aches, severe fatigue, I couldn't get out of bed for a few days, decreased oxygen in the evening and a low temperature (100ish). I lost my sense of smell at about the 3rd day and then got it back by about the 7th day. It's mostly back now but still intermittent. My heart rate was very out of whack especially in the evening and it would correlate with the low oxygen. I continued to test positive until day 15. As the weeks went on, my oxygen and heart rate have slowly improved. However, right after the episode my HR would jump above 120 and take quite a few hours of rest to drop below 100. My endocrinologist did a blood test to make sure I did not have myocarditis and that came back negative. My PCP did an EKG this week and it came back normal. They ordered a Holter monitor and a chest x-ray to be done just to double check everything is okay. Lung output significantly decreased after having COVID but its slowly improving. Also, I have a very sticky mucus almost constantly stuck in my throat that seems to only be temporarily alleviated with hot fluids.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, N-terminal prohormone brain natriuretic peptide normal, Oropharyngeal pain, Oxygen saturation decreased, Pain
Clinical narrative: 08/27/2022, after taking care of my husband and my daughter who had COVID-19, I woke up with a sore throat and fatigue. I had tested myself the day prior and was negative. However, when I tested myself that day I was positive. I got in right away for a PCR test and that was positive as well. I had severe body aches, severe fatigue, I couldn't get out of bed for a few days, decreased oxygen in the evening and a low temperature (100ish). I lost my sense of smell at about the 3rd day and then got it back by about the 7th day. It's mostly back now but still intermittent. My heart rate was very out of whack especially in the evening and it would correlate with the low oxygen. I continued to test positive until day 15. As the weeks went on, my oxygen and heart rate have slowly improved. However, right after the episode my HR would jump above 120 and take quite a few hours of rest to drop below 100. My endocrinologist did a blood test to make sure I did not have myocarditis and that came back negative. My PCP did an EKG this week and it came back normal. They ordered a Holter monitor and a chest x-ray to be done just to double check everything is okay. Lung output significantly decreased after having COVID but its slowly improving. Also, I have a very sticky mucus almost constantly stuck in my throat that seems to only be temporarily alleviated with hot fluids.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell abnormality, SARS-CoV-2 test positive
Clinical narrative: 08/27/2022, after taking care of my husband and my daughter who had COVID-19, I woke up with a sore throat and fatigue. I had tested myself the day prior and was negative. However, when I tested myself that day I was positive. I got in right away for a PCR test and that was positive as well. I had severe body aches, severe fatigue, I couldn't get out of bed for a few days, decreased oxygen in the evening and a low temperature (100ish). I lost my sense of smell at about the 3rd day and then got it back by about the 7th day. It's mostly back now but still intermittent. My heart rate was very out of whack especially in the evening and it would correlate with the low oxygen. I continued to test positive until day 15. As the weeks went on, my oxygen and heart rate have slowly improved. However, right after the episode my HR would jump above 120 and take quite a few hours of rest to drop below 100. My endocrinologist did a blood test to make sure I did not have myocarditis and that came back negative. My PCP did an EKG this week and it came back normal. They ordered a Holter monitor and a chest x-ray to be done just to double check everything is okay. Lung output significantly decreased after having COVID but its slowly improving. Also, I have a very sticky mucus almost constantly stuck in my throat that seems to only be temporarily alleviated with hot fluids.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Patient started to have fever after about 24 hours later on 11/6/2022. fever has not resolved as of 11/7/2022. Patient is taking Tylenol OTC three times daily.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO  Admission Date: 10/30/2022 Discharge Date: 11/4/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01]   HOSPITAL COURSE: Patient is a 72 year old female with history of small cell lung cancer, type 2 diabetes mellitus, hypertension and COPD who presents with shortness of breath since Sunday with productive cough. She denies chest pain, fever or chills. She lives alone and felt short of breath and called ems. She was brought to ER for evaluation. Upon arrival she was hypoxic on room air and tachypneic. Covid-19 was detected. She required 4 liters via nasal cannula. WBC  was 11. Chest CT was negative for pulmonary embolism and showed redemonstration of left hilar mass. Slight worsening of patchy opacities in the right lower lobe which could reflect pneumonia. Enlarged right hilar lymph nodes may be reactive. She received IV solumedrol and albuterol nebulizer. Agreed to admit patient for management of acute respiratory failure with hypoxia due to covid.    The patient was started on IV antibiotics, azithromycin and ceftriaxone, and remdesivir, and received a 5-day course of all,. Additionally she received daily dexamethasone and supportive care. Her oxygen was weaned down, though she continued to need 1 liter per nasal canula to maintain consistent saturations above 88% at rest and with activity.  Her work of breathing decreased and she was tolerating activity in her room. PT and OT evaluated the patient and her strength was increasing, they recommended home health care with PT and OT to continue strengthening, balance, and endurance. She was discharged home in stable condition with services, nebulizer with solution, refills of chronic inhalers, and home oxygen. She is recommended to follow up with her PCP as soon as she is out of quarantine for continued monitoring of chronic lung condition and assessment for continued need of supplemental oxygen.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hilar lymphadenopathy, Hypoxia, Lung disorder, Lung opacity, Productive cough
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO  Admission Date: 10/30/2022 Discharge Date: 11/4/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01]   HOSPITAL COURSE: Patient is a 72 year old female with history of small cell lung cancer, type 2 diabetes mellitus, hypertension and COPD who presents with shortness of breath since Sunday with productive cough. She denies chest pain, fever or chills. She lives alone and felt short of breath and called ems. She was brought to ER for evaluation. Upon arrival she was hypoxic on room air and tachypneic. Covid-19 was detected. She required 4 liters via nasal cannula. WBC  was 11. Chest CT was negative for pulmonary embolism and showed redemonstration of left hilar mass. Slight worsening of patchy opacities in the right lower lobe which could reflect pneumonia. Enlarged right hilar lymph nodes may be reactive. She received IV solumedrol and albuterol nebulizer. Agreed to admit patient for management of acute respiratory failure with hypoxia due to covid.    The patient was started on IV antibiotics, azithromycin and ceftriaxone, and remdesivir, and received a 5-day course of all,. Additionally she received daily dexamethasone and supportive care. Her oxygen was weaned down, though she continued to need 1 liter per nasal canula to maintain consistent saturations above 88% at rest and with activity.  Her work of breathing decreased and she was tolerating activity in her room. PT and OT evaluated the patient and her strength was increasing, they recommended home health care with PT and OT to continue strengthening, balance, and endurance. She was discharged home in stable condition with services, nebulizer with solution, refills of chronic inhalers, and home oxygen. She is recommended to follow up with her PCP as soon as she is out of quarantine for continued monitoring of chronic lung condition and assessment for continued need of supplemental oxygen.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary hilum mass, Tachypnoea, White blood cell count increased
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO  Admission Date: 10/30/2022 Discharge Date: 11/4/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01]   HOSPITAL COURSE: Patient is a 72 year old female with history of small cell lung cancer, type 2 diabetes mellitus, hypertension and COPD who presents with shortness of breath since Sunday with productive cough. She denies chest pain, fever or chills. She lives alone and felt short of breath and called ems. She was brought to ER for evaluation. Upon arrival she was hypoxic on room air and tachypneic. Covid-19 was detected. She required 4 liters via nasal cannula. WBC  was 11. Chest CT was negative for pulmonary embolism and showed redemonstration of left hilar mass. Slight worsening of patchy opacities in the right lower lobe which could reflect pneumonia. Enlarged right hilar lymph nodes may be reactive. She received IV solumedrol and albuterol nebulizer. Agreed to admit patient for management of acute respiratory failure with hypoxia due to covid.    The patient was started on IV antibiotics, azithromycin and ceftriaxone, and remdesivir, and received a 5-day course of all,. Additionally she received daily dexamethasone and supportive care. Her oxygen was weaned down, though she continued to need 1 liter per nasal canula to maintain consistent saturations above 88% at rest and with activity.  Her work of breathing decreased and she was tolerating activity in her room. PT and OT evaluated the patient and her strength was increasing, they recommended home health care with PT and OT to continue strengthening, balance, and endurance. She was discharged home in stable condition with services, nebulizer with solution, refills of chronic inhalers, and home oxygen. She is recommended to follow up with her PCP as soon as she is out of quarantine for continued monitoring of chronic lung condition and assessment for continued need of supplemental oxygen.
Age: 59.0
Sex: F
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Pt received primary Moderna doses on 2/3/21 & 3/3/21. Pt received monovalent booster on 2/4/22. Pt received bivalent booster on 10/27/22. Pt is immunocompromised due to chronic steroid use and should have received a 3rd primary dose instead of booster doses.  Spoke with the patient after 10/27/22 booster dose and advised she should have received a 3rd primary dose due to her immunosuppression. Patient stated she only wanted the booster dose and refused to return to clinic for a 3rd primary series dose.
Age: 33.0
Sex: F
Vaccine: FLUA4
Symptoms: Arthralgia, Back pain, Pain in extremity
Clinical narrative: Bilateral shoulder pain,Bilateral Thigh pain and lower back pain
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Feeling abnormal, Feeling cold, Feeling hot
Clinical narrative: I contracted COVID-19. When I first developed the symptoms on day one, I felt very tired and hyper. I felt crabby and very warm. On day 2, I felt like I had a head cold. I felt like I was in a fog. I would feel warm and then cold. That was when I took a COVID-19 test and tested positive. I spoke to my doctor and she prescribed me PAXLOVID.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Irritability, Nasopharyngitis, Psychomotor hyperactivity, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19. When I first developed the symptoms on day one, I felt very tired and hyper. I felt crabby and very warm. On day 2, I felt like I had a head cold. I felt like I was in a fog. I would feel warm and then cold. That was when I took a COVID-19 test and tested positive. I spoke to my doctor and she prescribed me PAXLOVID.
Age: 78.0
Sex: M
Vaccine: COVID19-2
Symptoms: Blister, Ear swelling, Herpes zoster, Scratch
Clinical narrative: Next day I was shaving I scratched my skin, I noticed my ear was swollen, the next day, I had a blister on my face behind the ear. I called the HCP, and I went to the urgent care, the doctor looked and said that it was shingles. Doctor prescribed medicines and I am taking not. I did not have any problems at the injection site.
Age: 73.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 42.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia
Clinical narrative: Shoulder pain, began one day after receiving vaccine
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram normal, Cough, Dyspnoea, Hypoacusis
Clinical narrative: When I went to the emergency room in April, I was coughing uncontrollably. During the coughing I had a difficulty breathing. They did an X-Ray and a Cat Scan, and they both were normal. Earlier this week they did a cat scan of my throat due to the fact that I am still having issues breathing. The ENT did a procedure where they placed a camera in my nose to look into my throat. They said they saw a little a little scarring, but nothing was found. A pulmonologist also completed the same type of test and did not find anything. I had trouble hearing as well but after using an over-the-counter medication I regained my hearing. They gave me albuterol inhaler as well. This is not an everyday thing as far as the breathing issues but when I have issues, I use the inhaler. I have an appointment with the provider to go over my most recent Cat Scan.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Nasoendoscopy, Scar
Clinical narrative: When I went to the emergency room in April, I was coughing uncontrollably. During the coughing I had a difficulty breathing. They did an X-Ray and a Cat Scan, and they both were normal. Earlier this week they did a cat scan of my throat due to the fact that I am still having issues breathing. The ENT did a procedure where they placed a camera in my nose to look into my throat. They said they saw a little a little scarring, but nothing was found. A pulmonologist also completed the same type of test and did not find anything. I had trouble hearing as well but after using an over-the-counter medication I regained my hearing. They gave me albuterol inhaler as well. This is not an everyday thing as far as the breathing issues but when I have issues, I use the inhaler. I have an appointment with the provider to go over my most recent Cat Scan.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, Pain, SARS-CoV-2 test positive
Clinical narrative: I had a really bad headache and body aches and extreme fatigue and generally I took a home COVID-19 test because my husband was sick over the weekend and tested positive. I called my doctor and was prescribed Paxlovid that I started immediately. I have finished my course of the Paxlovid and feeling much better.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sick relative
Clinical narrative: I had a really bad headache and body aches and extreme fatigue and generally I took a home COVID-19 test because my husband was sick over the weekend and tested positive. I called my doctor and was prescribed Paxlovid that I started immediately. I have finished my course of the Paxlovid and feeling much better.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient diagnosed with COVID-19 after receiving COVID vaccine series. Patient unable to provide further information about vaccines.
Age: 69.0
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Urticaria, Vaccination site urticaria
Clinical narrative: The patient reported via telephone that after receiving the TDAP and Shingles vaccine on 10/27/22, the next day they had hives all over their body.  Per client, the hives were on their stomach, chest, throat, back, and hips. The patient also reported having hives around the location the shingles vaccine was administered, in the right deltoid.  Per client, these symptoms, started on Thursday 10/28/2022 and were still present on 11/01/2022 but were starting to subside.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Headache, Nausea
Clinical narrative: It started with a headache. I just felt really lousy. I was tired and I had low grade fever of 100 degrees. I was a little bit nauseous and generally tired. They really only lasted a day. I was prescribed PAXLOVID and that made me feel worse than the actual COVID-19.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: It started with a headache. I just felt really lousy. I was tired and I had low grade fever of 100 degrees. I was a little bit nauseous and generally tired. They really only lasted a day. I was prescribed PAXLOVID and that made me feel worse than the actual COVID-19.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was in the office for second primary series of Pfizer vaccine but was given bivalent booster instead.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Fatigue, Headache, Palpitations
Clinical narrative: after the first dose I began getting headaches and dizziness that lasted for 5 months. I had heart palpitations after the 3rd dose that lasted for two months, as well as fatigue that is still ongoing
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bacterial test positive, Biopsy artery normal, Blood creatinine increased, Blood test abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 10/27/2022 Discharge Date: 10/29/2022  HOSPITAL COURSE:   Patient is a 75 y.o. female presented to the emergency department due to acute on chronic weakness.  She was initially diagnosed with COVID on 10/25/2022 and was discharged home, however, she re-presented on 10/20 07/2022 with generalized weakness and feeling like she was going to faint at home.  She also endorsed cough, sore throat, shortness of breath.  At the time presentation to the emergency department she was afebrile with vital signs remarkable for tachypnea at 20 breaths per minute.  She remained on room air.Chest x-ray imaging revealed no acute cardiopulmonary process.  Lbs demonstrated creatinine of 1.26 consistent with baseline renal dysfunction.  Complete blood count with diff without leukocytosis. Urinalysis is positive for nitrites, moderate leukocytes with 23.2 white blood cells and many bacteria.  She is given a dose of antibiotics  and admitted to floor.     Urine cultures demonstrated E coli. She was subsequently treated with Rocephin x2 doses while inpatient and transitioned to oral Keflex for a total of 5 day course of antibiotics.  She remained relatively asymptomatic and on room air from a COVID standpoint.  She was not starting on Paxlovid due to interactions with other medications.  She was not a candidate for steroids or remdesivir.  PT / OT evaluated and home with home health care.  She became stronger and closer to physical baseline prior to discharge.  She was discharged on 10/29/2022 in stable and improved condition with the remainder of oral Keflex to complete 5 days of antibiotics for urinary tract infection.  She will be receiving home health care through Home Healthcare who could provide skilled nursing as well as PT and OT services.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, Chest X-ray normal, Chest discomfort, Computerised tomogram normal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 10/27/2022 Discharge Date: 10/29/2022  HOSPITAL COURSE:   Patient is a 75 y.o. female presented to the emergency department due to acute on chronic weakness.  She was initially diagnosed with COVID on 10/25/2022 and was discharged home, however, she re-presented on 10/20 07/2022 with generalized weakness and feeling like she was going to faint at home.  She also endorsed cough, sore throat, shortness of breath.  At the time presentation to the emergency department she was afebrile with vital signs remarkable for tachypnea at 20 breaths per minute.  She remained on room air.Chest x-ray imaging revealed no acute cardiopulmonary process.  Lbs demonstrated creatinine of 1.26 consistent with baseline renal dysfunction.  Complete blood count with diff without leukocytosis. Urinalysis is positive for nitrites, moderate leukocytes with 23.2 white blood cells and many bacteria.  She is given a dose of antibiotics  and admitted to floor.     Urine cultures demonstrated E coli. She was subsequently treated with Rocephin x2 doses while inpatient and transitioned to oral Keflex for a total of 5 day course of antibiotics.  She remained relatively asymptomatic and on room air from a COVID standpoint.  She was not starting on Paxlovid due to interactions with other medications.  She was not a candidate for steroids or remdesivir.  PT / OT evaluated and home with home health care.  She became stronger and closer to physical baseline prior to discharge.  She was discharged on 10/29/2022 in stable and improved condition with the remainder of oral Keflex to complete 5 days of antibiotics for urinary tract infection.  She will be receiving home health care through Home Healthcare who could provide skilled nursing as well as PT and OT services.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Culture urine positive, Decreased appetite, Differential white blood cell count normal, Dizziness
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 10/27/2022 Discharge Date: 10/29/2022  HOSPITAL COURSE:   Patient is a 75 y.o. female presented to the emergency department due to acute on chronic weakness.  She was initially diagnosed with COVID on 10/25/2022 and was discharged home, however, she re-presented on 10/20 07/2022 with generalized weakness and feeling like she was going to faint at home.  She also endorsed cough, sore throat, shortness of breath.  At the time presentation to the emergency department she was afebrile with vital signs remarkable for tachypnea at 20 breaths per minute.  She remained on room air.Chest x-ray imaging revealed no acute cardiopulmonary process.  Lbs demonstrated creatinine of 1.26 consistent with baseline renal dysfunction.  Complete blood count with diff without leukocytosis. Urinalysis is positive for nitrites, moderate leukocytes with 23.2 white blood cells and many bacteria.  She is given a dose of antibiotics  and admitted to floor.     Urine cultures demonstrated E coli. She was subsequently treated with Rocephin x2 doses while inpatient and transitioned to oral Keflex for a total of 5 day course of antibiotics.  She remained relatively asymptomatic and on room air from a COVID standpoint.  She was not starting on Paxlovid due to interactions with other medications.  She was not a candidate for steroids or remdesivir.  PT / OT evaluated and home with home health care.  She became stronger and closer to physical baseline prior to discharge.  She was discharged on 10/29/2022 in stable and improved condition with the remainder of oral Keflex to complete 5 days of antibiotics for urinary tract infection.  She will be receiving home health care through Home Healthcare who could provide skilled nursing as well as PT and OT services.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Escherichia test positive, Full blood count normal, Headache, Hypertension
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 10/27/2022 Discharge Date: 10/29/2022  HOSPITAL COURSE:   Patient is a 75 y.o. female presented to the emergency department due to acute on chronic weakness.  She was initially diagnosed with COVID on 10/25/2022 and was discharged home, however, she re-presented on 10/20 07/2022 with generalized weakness and feeling like she was going to faint at home.  She also endorsed cough, sore throat, shortness of breath.  At the time presentation to the emergency department she was afebrile with vital signs remarkable for tachypnea at 20 breaths per minute.  She remained on room air.Chest x-ray imaging revealed no acute cardiopulmonary process.  Lbs demonstrated creatinine of 1.26 consistent with baseline renal dysfunction.  Complete blood count with diff without leukocytosis. Urinalysis is positive for nitrites, moderate leukocytes with 23.2 white blood cells and many bacteria.  She is given a dose of antibiotics  and admitted to floor.     Urine cultures demonstrated E coli. She was subsequently treated with Rocephin x2 doses while inpatient and transitioned to oral Keflex for a total of 5 day course of antibiotics.  She remained relatively asymptomatic and on room air from a COVID standpoint.  She was not starting on Paxlovid due to interactions with other medications.  She was not a candidate for steroids or remdesivir.  PT / OT evaluated and home with home health care.  She became stronger and closer to physical baseline prior to discharge.  She was discharged on 10/29/2022 in stable and improved condition with the remainder of oral Keflex to complete 5 days of antibiotics for urinary tract infection.  She will be receiving home health care through Home Healthcare who could provide skilled nursing as well as PT and OT services.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Metabolic function test normal, Neurological examination normal, Nitrite urine present, Oropharyngeal pain
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 10/27/2022 Discharge Date: 10/29/2022  HOSPITAL COURSE:   Patient is a 75 y.o. female presented to the emergency department due to acute on chronic weakness.  She was initially diagnosed with COVID on 10/25/2022 and was discharged home, however, she re-presented on 10/20 07/2022 with generalized weakness and feeling like she was going to faint at home.  She also endorsed cough, sore throat, shortness of breath.  At the time presentation to the emergency department she was afebrile with vital signs remarkable for tachypnea at 20 breaths per minute.  She remained on room air.Chest x-ray imaging revealed no acute cardiopulmonary process.  Lbs demonstrated creatinine of 1.26 consistent with baseline renal dysfunction.  Complete blood count with diff without leukocytosis. Urinalysis is positive for nitrites, moderate leukocytes with 23.2 white blood cells and many bacteria.  She is given a dose of antibiotics  and admitted to floor.     Urine cultures demonstrated E coli. She was subsequently treated with Rocephin x2 doses while inpatient and transitioned to oral Keflex for a total of 5 day course of antibiotics.  She remained relatively asymptomatic and on room air from a COVID standpoint.  She was not starting on Paxlovid due to interactions with other medications.  She was not a candidate for steroids or remdesivir.  PT / OT evaluated and home with home health care.  She became stronger and closer to physical baseline prior to discharge.  She was discharged on 10/29/2022 in stable and improved condition with the remainder of oral Keflex to complete 5 days of antibiotics for urinary tract infection.  She will be receiving home health care through Home Healthcare who could provide skilled nursing as well as PT and OT services.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Phonophobia, Photophobia, Red blood cell sedimentation rate increased, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 10/27/2022 Discharge Date: 10/29/2022  HOSPITAL COURSE:   Patient is a 75 y.o. female presented to the emergency department due to acute on chronic weakness.  She was initially diagnosed with COVID on 10/25/2022 and was discharged home, however, she re-presented on 10/20 07/2022 with generalized weakness and feeling like she was going to faint at home.  She also endorsed cough, sore throat, shortness of breath.  At the time presentation to the emergency department she was afebrile with vital signs remarkable for tachypnea at 20 breaths per minute.  She remained on room air.Chest x-ray imaging revealed no acute cardiopulmonary process.  Lbs demonstrated creatinine of 1.26 consistent with baseline renal dysfunction.  Complete blood count with diff without leukocytosis. Urinalysis is positive for nitrites, moderate leukocytes with 23.2 white blood cells and many bacteria.  She is given a dose of antibiotics  and admitted to floor.     Urine cultures demonstrated E coli. She was subsequently treated with Rocephin x2 doses while inpatient and transitioned to oral Keflex for a total of 5 day course of antibiotics.  She remained relatively asymptomatic and on room air from a COVID standpoint.  She was not starting on Paxlovid due to interactions with other medications.  She was not a candidate for steroids or remdesivir.  PT / OT evaluated and home with home health care.  She became stronger and closer to physical baseline prior to discharge.  She was discharged on 10/29/2022 in stable and improved condition with the remainder of oral Keflex to complete 5 days of antibiotics for urinary tract infection.  She will be receiving home health care through Home Healthcare who could provide skilled nursing as well as PT and OT services.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder, Tachypnoea, Troponin, Ultrasound scan normal, Urine analysis abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 10/27/2022 Discharge Date: 10/29/2022  HOSPITAL COURSE:   Patient is a 75 y.o. female presented to the emergency department due to acute on chronic weakness.  She was initially diagnosed with COVID on 10/25/2022 and was discharged home, however, she re-presented on 10/20 07/2022 with generalized weakness and feeling like she was going to faint at home.  She also endorsed cough, sore throat, shortness of breath.  At the time presentation to the emergency department she was afebrile with vital signs remarkable for tachypnea at 20 breaths per minute.  She remained on room air.Chest x-ray imaging revealed no acute cardiopulmonary process.  Lbs demonstrated creatinine of 1.26 consistent with baseline renal dysfunction.  Complete blood count with diff without leukocytosis. Urinalysis is positive for nitrites, moderate leukocytes with 23.2 white blood cells and many bacteria.  She is given a dose of antibiotics  and admitted to floor.     Urine cultures demonstrated E coli. She was subsequently treated with Rocephin x2 doses while inpatient and transitioned to oral Keflex for a total of 5 day course of antibiotics.  She remained relatively asymptomatic and on room air from a COVID standpoint.  She was not starting on Paxlovid due to interactions with other medications.  She was not a candidate for steroids or remdesivir.  PT / OT evaluated and home with home health care.  She became stronger and closer to physical baseline prior to discharge.  She was discharged on 10/29/2022 in stable and improved condition with the remainder of oral Keflex to complete 5 days of antibiotics for urinary tract infection.  She will be receiving home health care through Home Healthcare who could provide skilled nursing as well as PT and OT services.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase positive, Visual impairment, Wheezing, White blood cells urine positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 10/27/2022 Discharge Date: 10/29/2022  HOSPITAL COURSE:   Patient is a 75 y.o. female presented to the emergency department due to acute on chronic weakness.  She was initially diagnosed with COVID on 10/25/2022 and was discharged home, however, she re-presented on 10/20 07/2022 with generalized weakness and feeling like she was going to faint at home.  She also endorsed cough, sore throat, shortness of breath.  At the time presentation to the emergency department she was afebrile with vital signs remarkable for tachypnea at 20 breaths per minute.  She remained on room air.Chest x-ray imaging revealed no acute cardiopulmonary process.  Lbs demonstrated creatinine of 1.26 consistent with baseline renal dysfunction.  Complete blood count with diff without leukocytosis. Urinalysis is positive for nitrites, moderate leukocytes with 23.2 white blood cells and many bacteria.  She is given a dose of antibiotics  and admitted to floor.     Urine cultures demonstrated E coli. She was subsequently treated with Rocephin x2 doses while inpatient and transitioned to oral Keflex for a total of 5 day course of antibiotics.  She remained relatively asymptomatic and on room air from a COVID standpoint.  She was not starting on Paxlovid due to interactions with other medications.  She was not a candidate for steroids or remdesivir.  PT / OT evaluated and home with home health care.  She became stronger and closer to physical baseline prior to discharge.  She was discharged on 10/29/2022 in stable and improved condition with the remainder of oral Keflex to complete 5 days of antibiotics for urinary tract infection.  She will be receiving home health care through Home Healthcare who could provide skilled nursing as well as PT and OT services.
Age: 81.0
Sex: F
Vaccine: FLUA4, VARZOS
Symptoms: Asthenia, Pain
Clinical narrative: Extreme pain throughout body and debilitating weakness that has continued to present. (>1month).  Patient is being referred to a specialist for further testing.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: Arthritis, Bursitis, Immediate post-injection reaction, Immunisation reaction, Injection site pain
Clinical narrative: Patient complains of immediate sharp pain at injection site.  She went to see Dr. on 10-19-2022 who diagnosed bursitis secondary to influenza vaccination.  Patient was given acetaminophen 500mg 2 tablets three times a day.  The note says patients symptoms are improving.  She was instructed to follow up if symptoms continued or worsened. She then followed up with physician assistant on 11-1-2022 who performed an X-Ray of the shoulder which did not show anything other than arthritis.  The note says possible superficial nerve involvement.  Patient has been refered to physical therapy and is restricted to light duty at work.
Age: 68.0
Sex: F
Vaccine: FLU4
Symptoms: X-ray limb abnormal
Clinical narrative: Patient complains of immediate sharp pain at injection site.  She went to see Dr. on 10-19-2022 who diagnosed bursitis secondary to influenza vaccination.  Patient was given acetaminophen 500mg 2 tablets three times a day.  The note says patients symptoms are improving.  She was instructed to follow up if symptoms continued or worsened. She then followed up with physician assistant on 11-1-2022 who performed an X-Ray of the shoulder which did not show anything other than arthritis.  The note says possible superficial nerve involvement.  Patient has been refered to physical therapy and is restricted to light duty at work.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Feeling abnormal, Injection site bruising, Injection site pain, Injection site scab
Clinical narrative: Day  off: body crash, joint pain. 1 week later: skin reaction -  quarter  sized bruise  around injection site surrounding dime sized sore with scabbing. Note: injection was  uneventful at time (no pain or otherissues)
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Skin reaction
Clinical narrative: Day  off: body crash, joint pain. 1 week later: skin reaction -  quarter  sized bruise  around injection site surrounding dime sized sore with scabbing. Note: injection was  uneventful at time (no pain or otherissues)
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Upper respiratory tract infection
Clinical narrative: URI
Age: 9.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Vaccine given undiluted.
Age: 84.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site pain, Pain
Clinical narrative: Patient reports, "dull minor pain in the left deltoid that radiates to elbow" after receiving the influenza vaccine on 09/26/2022. Per client, "the symptoms have persisted since receiving the vaccine". Patient presented to the Health Department on 11/03/2022 to inform a nurse about the situation. The nurse assessed the arm and stated, "there was no redness, swelling or tenderness".  The patient was encouraged to follow up with healthcare provider or the Health department if the symptoms persist.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: COVID vaccine bivalent was administered for patient primary 2nd dose (monvalent ordered).
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Age: 59.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Extra dose administered, Wrong technique in product usage process
Clinical narrative: RN did not receive the wheel during administration.  Repeated the dose.  Both doses were lot number FDP00014.
Age: 64.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Arthritis, Condition aggravated, Hypoaesthesia, Paraesthesia, Sensory loss
Clinical narrative: Starting around 09/25/2022, I started noticing a numbness in my feet. Since then, it has progressed slightly to my hands. Now, the bottoms of my feet don't feel normal (the sensation isn't totally there). I tend to notice it more in the evening when I am not doing as much. Also, I have had tingling in my hands, feet and legs more noticeably at night time. Last time I saw my rheumatologist (10/19), they had seen progression in my arthritis, which had been stable for quite a few years before having the vaccines.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Vaccinated pt admitted to inpatient facility with covid infection
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: store excursion, reported to moderna.  vaccine had been in refrigerator over 30 days
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted and tested positive for covid infection
Age: 81.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Pneumonia streptococcal, Respiratory failure, Superinfection
Clinical narrative: Admit to hospital for COVID-19, superimposed streptococcal pneumonia, respiratory failure related to COPD.  O2 to keep sats above 88%., IVF.
Age: 18.0
Sex: M
Vaccine: COVID19-2, FLU4
Symptoms: Skin laceration, Syncope, Vomiting
Clinical narrative: Patient received 2 vaccines. Patient fainted while sitting in chair in lobby. Family member notified pharmacist and parent in immunization room. Patient was moved from the floor back to the chair and vomited. He had a small cut on his right eyebrow. Patient stated he had not eaten. Patient was stable and left pharmacy 30 minutes later.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Illness, Pyrexia
Clinical narrative: I contracted COVID-19 on 10/30/22 with symptoms of cough, runny nose, chills, and fever. I was prescribed PAXLOVID on 11/2/22. My symptoms began to resolve after 5 days of illness. I am fully recovered with no lingering symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19-2
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 10/30/22 with symptoms of cough, runny nose, chills, and fever. I was prescribed PAXLOVID on 11/2/22. My symptoms began to resolve after 5 days of illness. I am fully recovered with no lingering symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acne, Ageusia, Alopecia, Anosmia
Clinical narrative: I received my 4th booster on May 4, 2022.  I had COVID-19 in June 2022.  I had pneumonia in both lungs.  I now have fatigue every day.  I continue to have itchy burning skin with whelps, like pimples, that come and go.  My skin burns and itches at the same time.  My back turns beet red and broken out from my middle back all the way up to my neck.  I went to urgent care.  An hour later the redness was gone.  I feel like I have a crawling feeling, like bugs, under my skin.  I have memory problems now and cannot organize my thoughts.  I have abdominal pain so severe that once I went to urgent care for it.  I have chest pain and I have been to the urgent care for this.  My taste and smell has not returned completely.  My hair started to fall out in clumps last week.  My eyes began to itch before my upper body and skin began to itch.  I am seeing an allergist tomorrow, November 8, 2022.  I have seen my primary doctor.  I have seen my oncology doctor for my regular, routine blood draw, also.  I am in remission with CLL ? Chronic Lymphocytic Leukemia.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Blood test, COVID-19, Chest X-ray, Chest pain
Clinical narrative: I received my 4th booster on May 4, 2022.  I had COVID-19 in June 2022.  I had pneumonia in both lungs.  I now have fatigue every day.  I continue to have itchy burning skin with whelps, like pimples, that come and go.  My skin burns and itches at the same time.  My back turns beet red and broken out from my middle back all the way up to my neck.  I went to urgent care.  An hour later the redness was gone.  I feel like I have a crawling feeling, like bugs, under my skin.  I have memory problems now and cannot organize my thoughts.  I have abdominal pain so severe that once I went to urgent care for it.  I have chest pain and I have been to the urgent care for this.  My taste and smell has not returned completely.  My hair started to fall out in clumps last week.  My eyes began to itch before my upper body and skin began to itch.  I am seeing an allergist tomorrow, November 8, 2022.  I have seen my primary doctor.  I have seen my oncology doctor for my regular, routine blood draw, also.  I am in remission with CLL ? Chronic Lymphocytic Leukemia.