chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acne, Facial pain, Fatigue, Gingival pain, Headache
Clinical narrative: Day three after vax: Swollen tender lymph node left neck, Headache over left eye, pain left cheekbone,  Day five after vax: sinus infection, fatigue.  Treated with nasal lavage, antihistamine, tylenol. Signs of infection resolved after one week.  Headache over left eye and pain in left cheekbone and teeth have not resolved. Lymph node left neck remains tender/enlarged. Taking Tylenol daily. For these symptoms throughout the month of October (took a home COVID test twice in October, both were negative. On November 8 headache on left side worsened, developed symptoms of trigeminal neuralgia (severe pain radiating to eyebrow, upper and lower jaw areas, teeth aching, pain triggered by chewing, hot, cold).  Had itchy and sore pimples at left eyebrow, left earlobe, and jaw line. Sore area in gums over teeth on left side in mouth. Suspicious for shingles. I am vaccinated with Shingrix.  Pain is easing up but still present at time of submission.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lymph node pain, Lymphadenopathy, Pain, Pruritus, Toothache
Clinical narrative: Day three after vax: Swollen tender lymph node left neck, Headache over left eye, pain left cheekbone,  Day five after vax: sinus infection, fatigue.  Treated with nasal lavage, antihistamine, tylenol. Signs of infection resolved after one week.  Headache over left eye and pain in left cheekbone and teeth have not resolved. Lymph node left neck remains tender/enlarged. Taking Tylenol daily. For these symptoms throughout the month of October (took a home COVID test twice in October, both were negative. On November 8 headache on left side worsened, developed symptoms of trigeminal neuralgia (severe pain radiating to eyebrow, upper and lower jaw areas, teeth aching, pain triggered by chewing, hot, cold).  Had itchy and sore pimples at left eyebrow, left earlobe, and jaw line. Sore area in gums over teeth on left side in mouth. Suspicious for shingles. I am vaccinated with Shingrix.  Pain is easing up but still present at time of submission.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Trigeminal neuralgia
Clinical narrative: Day three after vax: Swollen tender lymph node left neck, Headache over left eye, pain left cheekbone,  Day five after vax: sinus infection, fatigue.  Treated with nasal lavage, antihistamine, tylenol. Signs of infection resolved after one week.  Headache over left eye and pain in left cheekbone and teeth have not resolved. Lymph node left neck remains tender/enlarged. Taking Tylenol daily. For these symptoms throughout the month of October (took a home COVID test twice in October, both were negative. On November 8 headache on left side worsened, developed symptoms of trigeminal neuralgia (severe pain radiating to eyebrow, upper and lower jaw areas, teeth aching, pain triggered by chewing, hot, cold).  Had itchy and sore pimples at left eyebrow, left earlobe, and jaw line. Sore area in gums over teeth on left side in mouth. Suspicious for shingles. I am vaccinated with Shingrix.  Pain is easing up but still present at time of submission.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electrocardiogram
Clinical narrative: After the vaccination I have developed AFib. My heart has been stable for 15 years after a bypass Operation. My Echocardiogram as been stable for 15 years.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling
Clinical narrative: swelling in arm, pain
Age: 40.0
Sex: M
Vaccine: UNK
Symptoms: Abscess bacterial, Abscess drainage, Chills, Pain, Pyrexia
Clinical narrative: Approximately eight weeks subsequent to the administration of the initial Jynneos vaccine on August 8th, 2022, the patient presented on October 8th, 2022, with two purulent abscesses, characterized by significant pain and accompanied by systemic symptoms including fever and chills. The patient reported no prior history of such manifestations. Following the initiation of Doxycycline therapy, as prescribed by the primary care physician, there was noted drainage and resolution of the abscesses, albeit with minor residual scarring. A recurrence of a similar purulent abscess was observed on March 20th, 2023, which similarly responded to Doxycycline treatment. No previous history of such episodes was reported prior to these incidents, and no recurrences have been noted since the last episode.  Photos can be provided.
Age: 40.0
Sex: M
Vaccine: UNK
Symptoms: Scar
Clinical narrative: Approximately eight weeks subsequent to the administration of the initial Jynneos vaccine on August 8th, 2022, the patient presented on October 8th, 2022, with two purulent abscesses, characterized by significant pain and accompanied by systemic symptoms including fever and chills. The patient reported no prior history of such manifestations. Following the initiation of Doxycycline therapy, as prescribed by the primary care physician, there was noted drainage and resolution of the abscesses, albeit with minor residual scarring. A recurrence of a similar purulent abscess was observed on March 20th, 2023, which similarly responded to Doxycycline treatment. No previous history of such episodes was reported prior to these incidents, and no recurrences have been noted since the last episode.  Photos can be provided.
Age: 24.0
Sex: F
Vaccine: HEP
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Employee presented 5th day post injection with red, swollen and hot left upper arm at 9am, spreading to upper shoulder.  Complains of itching.  Advised to see provider.
Age: 75.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site bruising, Injection site haemorrhage, Injection site inflammation, Injection site pruritus
Clinical narrative: Patient called with bruised, itchy and inflamed inject site. She mostly complained about injection site being itchy. She did bleed after the injection and was advised she may bruise. Injection was on 11/10/23 and all symptoms continue until today, 11/13/23, when she called to report.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea, Headache, Injection site pain, Nausea
Clinical narrative: Headache, chills, sore injection site - nothing out of the ordinary - but became nauseous, had diarreah and then  FAINTED in middle of night.  Never fainted in my life.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Headache, chills, sore injection site - nothing out of the ordinary - but became nauseous, had diarreah and then  FAINTED in middle of night.  Never fainted in my life.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Diarrhoea, Headache, Syncope, Vaccination site pain
Clinical narrative: Headache, chills, sore injection site - nothing out of the ordinary - but became nauseous, had diarreah and then  FAINTED in middle of night.  Never fainted in my life.
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute kidney injury, Asthenia, Blood culture positive, Chills, Cough
Clinical narrative: Hospitalized 9/28/22-10/1/22 Chills, N/V/D, weakness,  fatigues, decreased appetite, SOB, cough, + blood culture, UTI, sepsis, AKI, hypokalemia, hyponatremia,
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Decreased appetite, Diarrhoea, Dyspnoea, Fatigue, Hypokalaemia
Clinical narrative: Hospitalized 9/28/22-10/1/22 Chills, N/V/D, weakness,  fatigues, decreased appetite, SOB, cough, + blood culture, UTI, sepsis, AKI, hypokalemia, hyponatremia,
Age: 83.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hyponatraemia, Nausea, Sepsis, Urinary tract infection, Vomiting
Clinical narrative: Hospitalized 9/28/22-10/1/22 Chills, N/V/D, weakness,  fatigues, decreased appetite, SOB, cough, + blood culture, UTI, sepsis, AKI, hypokalemia, hyponatremia,
Age: 1.5
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Full contents of vial administered to patient, estimated to be >0.25mL. No adverse effects noted following 15 minute monitoring period.
Age: 74.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Dizziness, Dyspnoea, Feeling abnormal, Feeling hot
Clinical narrative: WITHIN FEW MINUTES AFTER GIVING THE SHOTS, WHILE PATIENT JUST SAT DOWN ON THE CHAIR IN THE WAITING STARTED NOT FEELING GOOD. SHE COMPLAINED OF FEELING HOT,AND SHE FELT AS IF SHE WILL FAINT AND ALSO SHORTNESS OF BREATH. CHECKED HER OXYGEN MACHINE ,WHICH NOW SHOWING LOW BATTERY. CALLED 911. PATIENT WAS IN OBSERVANCE OF THE PHARMACIST WHILE ONE OF THE PHARMACY ASSOCIATE CALLED 911 AND FOLLOWED THE INSTRUCTIONS BY THEM. PATIENT STARTED FEELING BETTER IN ABOUT 5 TO 7 MINUTES BEFORE EVEN AMBULANCE ARRIVED.  EMT TOOK OVER. PATIENT STARTED FEELING MUCH BETTER AND WENT HOME WITH HER SON.
Age: 40.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injected limb mobility decreased, Joint range of motion decreased, Pain
Clinical narrative: Received flu and COVID shot in left deltoid on 10/11/2023 8 am.  Pain increased throughout day, but worse next morning. Pain continue to worsen with limited range of motion of left arm.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: Patient was called to see how  he was doing after receiving the COVID- 19 vaccine Moderna Spikevax 23-24 since we had an error administration, vaccine was given before thaw time. We have been unable to contact to see if he had any side effects after the vaccine was given. We keep trying to contact patient.
Age: 0.42
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Single component of a two-component product administered
Clinical narrative: Only the liquid form was administered, I didn't realized there was also a powder form.
Age: 0.5
Sex: M
Vaccine: COVID19, DTAPHEPBIP, FLU4, PNC15
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Full contents of Moderna 2023-2023 formulation vial administered to patient, thought to be >0.25mL. No adverse events noted following 15 minute monitoring period.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Musculoskeletal stiffness, Pain, Vaccination site swelling
Clinical narrative: left shoulder blade is stiff, raising left ar hurts, swelling in area of vaccination
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLUA4, PNC15
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Electroencephalogram normal, Facial paralysis
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/15/2023 Discharge Disposition:  home health care svc    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 67 year old female with history of bipolar on ECT who presented on 9/8 with left sided weakness and facial droop and a fall at home. She was admitted for a stroke work up. EEG and MRI were unremarkable and thus stroke was ruled out. Shortly after admission, she had declining respiratory status and was found to be positive for COVID. Oxygen requirements escalated to 60% FiO2 on 40 L high flow oxygen so she was started on Decadron and Remdesivir. Over the ensuing days, patient was slowly weaned off of oxygen and was back to room air by 9/11. She completed 5 days of Remdesivir and was scheduled for a 10 day course of Decadron which was converted to oral for outpatient completion. Patient also had an acute on chronic hyponatremia that was attributed to her ECT and this resolved during her stay with fluid restrictions. Patient was evaluated by PT and OT and originally recommended inpatient rehab though with continued treatment of her COVID, she progressed to the point of recommending home health care. Patient was discharged home in stable condition on 9/15.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLUA4, PNC15
Symptoms: Fall, Fluid intake restriction, Fraction of inspired oxygen, Hemiparesis, Hyponatraemia
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/15/2023 Discharge Disposition:  home health care svc    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 67 year old female with history of bipolar on ECT who presented on 9/8 with left sided weakness and facial droop and a fall at home. She was admitted for a stroke work up. EEG and MRI were unremarkable and thus stroke was ruled out. Shortly after admission, she had declining respiratory status and was found to be positive for COVID. Oxygen requirements escalated to 60% FiO2 on 40 L high flow oxygen so she was started on Decadron and Remdesivir. Over the ensuing days, patient was slowly weaned off of oxygen and was back to room air by 9/11. She completed 5 days of Remdesivir and was scheduled for a 10 day course of Decadron which was converted to oral for outpatient completion. Patient also had an acute on chronic hyponatremia that was attributed to her ECT and this resolved during her stay with fluid restrictions. Patient was evaluated by PT and OT and originally recommended inpatient rehab though with continued treatment of her COVID, she progressed to the point of recommending home health care. Patient was discharged home in stable condition on 9/15.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLUA4, PNC15
Symptoms: Magnetic resonance imaging normal, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/15/2023 Discharge Disposition:  home health care svc    DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyponatremia [E87.1] Weakness [R53.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is a 67 year old female with history of bipolar on ECT who presented on 9/8 with left sided weakness and facial droop and a fall at home. She was admitted for a stroke work up. EEG and MRI were unremarkable and thus stroke was ruled out. Shortly after admission, she had declining respiratory status and was found to be positive for COVID. Oxygen requirements escalated to 60% FiO2 on 40 L high flow oxygen so she was started on Decadron and Remdesivir. Over the ensuing days, patient was slowly weaned off of oxygen and was back to room air by 9/11. She completed 5 days of Remdesivir and was scheduled for a 10 day course of Decadron which was converted to oral for outpatient completion. Patient also had an acute on chronic hyponatremia that was attributed to her ECT and this resolved during her stay with fluid restrictions. Patient was evaluated by PT and OT and originally recommended inpatient rehab though with continued treatment of her COVID, she progressed to the point of recommending home health care. Patient was discharged home in stable condition on 9/15.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Anal incontinence, Asthenia, Blood culture negative, Blood lactic acid normal, Blood sodium decreased
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/13/2023   DETAILS OF HOSPITAL STAY:   Clinical Narrative: Patient is a 78 y.o. male patient who presents with malaise, weakenss. He has history of alcohol use, COPD on 2L, GERD.   In the ED, he was hemodynamically stable, tested (+) for Covid. CXR with evidence of emphysema but no new infiltrate or effusion. Labs overall unremarkable, with mild hyponatremia 130, normal renal function, mild elevated transaminases <200, lactate normal, no leukocytosis or anemia.    He was hypoxic into 80's with ambulation off oxygen and additionally quite fatigued and weak such that his wife did not feel she could care for him at home.    He was treated for COPD exacerbation due to Covid and empirically covered for community acquired pneumonia.   His course was complicated by 1/2 sets of blood cultures with CONS which is likely a skin contaminate as repeat blood cultures have been negative to date.   Pt with significant functional debility requiring 1-2 person assist with all ADLs, bowel  and bladder incontinence, and severe COPD coupled with acute covid infection. Due to ongoing covid19 infection, a SAR facility could not be facilitated due to the closest facility being a few hours away from patient's home. Family elected to take patient home with home care services ordered. Electric hospital bed recommended on discharge to maintain HOB elevation and assist patient with ADLs.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Emphysema
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/13/2023   DETAILS OF HOSPITAL STAY:   Clinical Narrative: Patient is a 78 y.o. male patient who presents with malaise, weakenss. He has history of alcohol use, COPD on 2L, GERD.   In the ED, he was hemodynamically stable, tested (+) for Covid. CXR with evidence of emphysema but no new infiltrate or effusion. Labs overall unremarkable, with mild hyponatremia 130, normal renal function, mild elevated transaminases <200, lactate normal, no leukocytosis or anemia.    He was hypoxic into 80's with ambulation off oxygen and additionally quite fatigued and weak such that his wife did not feel she could care for him at home.    He was treated for COPD exacerbation due to Covid and empirically covered for community acquired pneumonia.   His course was complicated by 1/2 sets of blood cultures with CONS which is likely a skin contaminate as repeat blood cultures have been negative to date.   Pt with significant functional debility requiring 1-2 person assist with all ADLs, bowel  and bladder incontinence, and severe COPD coupled with acute covid infection. Due to ongoing covid19 infection, a SAR facility could not be facilitated due to the closest facility being a few hours away from patient's home. Family elected to take patient home with home care services ordered. Electric hospital bed recommended on discharge to maintain HOB elevation and assist patient with ADLs.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hyponatraemia, Hypoxia, Loss of personal independence in daily activities, Malaise
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/13/2023   DETAILS OF HOSPITAL STAY:   Clinical Narrative: Patient is a 78 y.o. male patient who presents with malaise, weakenss. He has history of alcohol use, COPD on 2L, GERD.   In the ED, he was hemodynamically stable, tested (+) for Covid. CXR with evidence of emphysema but no new infiltrate or effusion. Labs overall unremarkable, with mild hyponatremia 130, normal renal function, mild elevated transaminases <200, lactate normal, no leukocytosis or anemia.    He was hypoxic into 80's with ambulation off oxygen and additionally quite fatigued and weak such that his wife did not feel she could care for him at home.    He was treated for COPD exacerbation due to Covid and empirically covered for community acquired pneumonia.   His course was complicated by 1/2 sets of blood cultures with CONS which is likely a skin contaminate as repeat blood cultures have been negative to date.   Pt with significant functional debility requiring 1-2 person assist with all ADLs, bowel  and bladder incontinence, and severe COPD coupled with acute covid infection. Due to ongoing covid19 infection, a SAR facility could not be facilitated due to the closest facility being a few hours away from patient's home. Family elected to take patient home with home care services ordered. Electric hospital bed recommended on discharge to maintain HOB elevation and assist patient with ADLs.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Renal function test normal, SARS-CoV-2 test positive, Transaminases increased, Urinary incontinence
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/8/2023 Discharge Date: 9/13/2023   DETAILS OF HOSPITAL STAY:   Clinical Narrative: Patient is a 78 y.o. male patient who presents with malaise, weakenss. He has history of alcohol use, COPD on 2L, GERD.   In the ED, he was hemodynamically stable, tested (+) for Covid. CXR with evidence of emphysema but no new infiltrate or effusion. Labs overall unremarkable, with mild hyponatremia 130, normal renal function, mild elevated transaminases <200, lactate normal, no leukocytosis or anemia.    He was hypoxic into 80's with ambulation off oxygen and additionally quite fatigued and weak such that his wife did not feel she could care for him at home.    He was treated for COPD exacerbation due to Covid and empirically covered for community acquired pneumonia.   His course was complicated by 1/2 sets of blood cultures with CONS which is likely a skin contaminate as repeat blood cultures have been negative to date.   Pt with significant functional debility requiring 1-2 person assist with all ADLs, bowel  and bladder incontinence, and severe COPD coupled with acute covid infection. Due to ongoing covid19 infection, a SAR facility could not be facilitated due to the closest facility being a few hours away from patient's home. Family elected to take patient home with home care services ordered. Electric hospital bed recommended on discharge to maintain HOB elevation and assist patient with ADLs.
Age: 69.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: No adverse event, Wrong product administered
Clinical narrative: This patient is over 65 years of age, so should have received the high dose flu vaccine. This patient received a standard dose instead. The provider was made aware that the wrong vaccine was given and had no clinical concerns for this particular patient. The patient was notified and did not have any concerns. The patient was not having any side effects from the vaccination and had no complaints.
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLUA4, COVID19, FLU4
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, Dyspnoea, Hypercapnia
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: Primary Care Physician at Discharge:  Admission Date: 9/8/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] Acute respiratory failure with hypoxia and hypercapnia [J96.01, J96.02]   HOSPITAL COURSE: 4-year-old male with history of AV malformation with prior hemorrhagic stroke and subsequent tremor, non-insulin-dependent type 2 diabetes, paroxysmal atrial fibrillation status post Watchman procedure, BPH, neurocognitive disorder.  Patient had been residing in a skilled nursing facility on hospice care.  He was diagnosed with COVID-19 about 10 days prior to admission.  Patient was brought to the emergency department with concerns of acute encephalopathy.  He appeared septic.  CTA chest concerning for extensive bilateral nodularity, ground-glass, areas of multifocal consolidation consistent with multifocal pneumonia.   Patient has a court-appointed guardian and emergency department physician was able to get in touch with her, and she agreed that patient would want to revoke his hospice for hospitalization, but with no aggressive measures.  Patient was initially placed on BiPAP for increased work of breathing.  He was started on broad-spectrum antibiotics.  During the next 24 hours, patient showed very minimal improvement and after further discussion with his guardian on 9/10, patient was made comfort measures
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLUA4, COVID19, FLU4
Symptoms: Hypoxia, Positive airway pressure therapy, Sepsis
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: Primary Care Physician at Discharge:  Admission Date: 9/8/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] Acute respiratory failure with hypoxia and hypercapnia [J96.01, J96.02]   HOSPITAL COURSE: 4-year-old male with history of AV malformation with prior hemorrhagic stroke and subsequent tremor, non-insulin-dependent type 2 diabetes, paroxysmal atrial fibrillation status post Watchman procedure, BPH, neurocognitive disorder.  Patient had been residing in a skilled nursing facility on hospice care.  He was diagnosed with COVID-19 about 10 days prior to admission.  Patient was brought to the emergency department with concerns of acute encephalopathy.  He appeared septic.  CTA chest concerning for extensive bilateral nodularity, ground-glass, areas of multifocal consolidation consistent with multifocal pneumonia.   Patient has a court-appointed guardian and emergency department physician was able to get in touch with her, and she agreed that patient would want to revoke his hospice for hospitalization, but with no aggressive measures.  Patient was initially placed on BiPAP for increased work of breathing.  He was started on broad-spectrum antibiotics.  During the next 24 hours, patient showed very minimal improvement and after further discussion with his guardian on 9/10, patient was made comfort measures
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLUA4, COVID19, FLU4
Symptoms: Acute respiratory failure, Angiogram, COVID-19, Encephalopathy, Pneumonia
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: Primary Care Physician at Discharge:  Admission Date: 9/8/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] Acute respiratory failure with hypoxia and hypercapnia [J96.01, J96.02]   HOSPITAL COURSE: 4-year-old male with history of AV malformation with prior hemorrhagic stroke and subsequent tremor, non-insulin-dependent type 2 diabetes, paroxysmal atrial fibrillation status post Watchman procedure, BPH, neurocognitive disorder.  Patient had been residing in a skilled nursing facility on hospice care.  He was diagnosed with COVID-19 about 10 days prior to admission.  Patient was brought to the emergency department with concerns of acute encephalopathy.  He appeared septic.  CTA chest concerning for extensive bilateral nodularity, ground-glass, areas of multifocal consolidation consistent with multifocal pneumonia.   Patient has a court-appointed guardian and emergency department physician was able to get in touch with her, and she agreed that patient would want to revoke his hospice for hospitalization, but with no aggressive measures.  Patient was initially placed on BiPAP for increased work of breathing.  He was started on broad-spectrum antibiotics.  During the next 24 hours, patient showed very minimal improvement and after further discussion with his guardian on 9/10, patient was made comfort measures
Age: 64.0
Sex: M
Vaccine: COVID19-2, FLUA4, COVID19, FLU4
Symptoms: Sepsis
Clinical narrative: BRIEF OVERVIEW: Discharge Provider: Primary Care Physician at Discharge:  Admission Date: 9/8/2023  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] Acute respiratory failure with hypoxia and hypercapnia [J96.01, J96.02]   HOSPITAL COURSE: 4-year-old male with history of AV malformation with prior hemorrhagic stroke and subsequent tremor, non-insulin-dependent type 2 diabetes, paroxysmal atrial fibrillation status post Watchman procedure, BPH, neurocognitive disorder.  Patient had been residing in a skilled nursing facility on hospice care.  He was diagnosed with COVID-19 about 10 days prior to admission.  Patient was brought to the emergency department with concerns of acute encephalopathy.  He appeared septic.  CTA chest concerning for extensive bilateral nodularity, ground-glass, areas of multifocal consolidation consistent with multifocal pneumonia.   Patient has a court-appointed guardian and emergency department physician was able to get in touch with her, and she agreed that patient would want to revoke his hospice for hospitalization, but with no aggressive measures.  Patient was initially placed on BiPAP for increased work of breathing.  He was started on broad-spectrum antibiotics.  During the next 24 hours, patient showed very minimal improvement and after further discussion with his guardian on 9/10, patient was made comfort measures
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Patient experienced swelling around his cheeks about 1 hour after receiving the vaccine. He didn't report any trouble breathing/ shortness of breath. Advised to go to the nearest emergency room to get it checked out by a doctor.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Mobility decreased, Pain in extremity, Skin induration, Skin mass, Skin reaction
Clinical narrative: After receiving the vaccination patient reported having severe arm pain that limited her range of movement. It was also very swollen and red. She came into the facility and presented her arm to me which was less red but has a very large hard lump still. She states the pain has lessened but is still present.
Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Swelling
Clinical narrative: After receiving the vaccination patient reported having severe arm pain that limited her range of movement. It was also very swollen and red. She came into the facility and presented her arm to me which was less red but has a very large hard lump still. She states the pain has lessened but is still present.
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4, RSV
Symptoms: Confusional state, Endotracheal intubation, Hypophagia, Intensive care, Lethargy
Clinical narrative: Granddaughter describes patient having a high grade fever (104.2) within 24 hours of receiving vaccinations. Over the course of 3 days, patient became lethargic, stopped eating/drinking, and started to become mentally confused. Patient admitted to emergency care on 11/12/23 due to declining health and continual high grade fever.
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4, RSV
Symptoms: Pyrexia
Clinical narrative: Granddaughter describes patient having a high grade fever (104.2) within 24 hours of receiving vaccinations. Over the course of 3 days, patient became lethargic, stopped eating/drinking, and started to become mentally confused. Patient admitted to emergency care on 11/12/23 due to declining health and continual high grade fever.
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bradycardia, Brain natriuretic peptide normal, Breath sounds abnormal, COVID-19, COVID-19 pneumonia
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date:  09/08/2023 Discharge Disposition:  home health care svc  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 78 year old female with past pertinent medical history of chronic respiratory failure (2-3L on home oxygen after CABG 2015), paroxysmal Afib (s/p left atrial appendage), CAD (s/p 3vCABG 2015), CHF, type 2 DM, anemia of chronic disease, hypothyroidism, morbid obesity, and GERD who presented with chief complaint of chest pressure and signs of flu infection. On 8/31, patient developed fever, chills, sore throat, shortness of breath, and light-headedness. Her chest pressure and shortness of breath gradually increased with exertion. Due to these symptoms, she was transported to the ED via EMS on 9/5. Patient presented to the ED afebrile (37), bradycardic (HR 59), hypertensive (174/38), and 97% SaO2 on 2L nasal cannula. Patient desatted to 88% with ambulation. Viral PCR was positive for COVID-19. Physical exam was notable for diminished right lung sounds and 3+ pitting edema on the bilateral lower extremities. Chest x-ray showed right midlung opacity and middle lobe nodular opacity. CMP, troponin, EKG, BNP, and procalcitonin were unremarkable. Strep and Legionella urine ag were negative. CBC was only notable for normocytic anemia (9.7 mg/dL, baseline 9-11 for last 10 years). D-dimer was elevated (570 ng/mL). LE ultrasound showed no DVT. She was given one dose of  ceftriaxone (1 g) and azithromycin (0.5 g). She was started on dexamethasone (6 mg IV initial, 6 mg PO daily 10 doses) and remdesivir (100 mg daily) regiment for confirmed COVID-19 respiratory infection. During hospitalization, patient improved in symptomology. Pitting edema has resolved.  She did not require more than 3 L oxygen which is her baseline.  Patient required rest after 30 ft walk (baseline 50).  On discharge, patient had improved ambulation. PT recommended skilled home PT. Remdesivir and prednisone were stopped.  Patient also benefited from adult care program.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chest X-ray abnormal, Chest discomfort, Chills, Dizziness, Dyspnoea
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date:  09/08/2023 Discharge Disposition:  home health care svc  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 78 year old female with past pertinent medical history of chronic respiratory failure (2-3L on home oxygen after CABG 2015), paroxysmal Afib (s/p left atrial appendage), CAD (s/p 3vCABG 2015), CHF, type 2 DM, anemia of chronic disease, hypothyroidism, morbid obesity, and GERD who presented with chief complaint of chest pressure and signs of flu infection. On 8/31, patient developed fever, chills, sore throat, shortness of breath, and light-headedness. Her chest pressure and shortness of breath gradually increased with exertion. Due to these symptoms, she was transported to the ED via EMS on 9/5. Patient presented to the ED afebrile (37), bradycardic (HR 59), hypertensive (174/38), and 97% SaO2 on 2L nasal cannula. Patient desatted to 88% with ambulation. Viral PCR was positive for COVID-19. Physical exam was notable for diminished right lung sounds and 3+ pitting edema on the bilateral lower extremities. Chest x-ray showed right midlung opacity and middle lobe nodular opacity. CMP, troponin, EKG, BNP, and procalcitonin were unremarkable. Strep and Legionella urine ag were negative. CBC was only notable for normocytic anemia (9.7 mg/dL, baseline 9-11 for last 10 years). D-dimer was elevated (570 ng/mL). LE ultrasound showed no DVT. She was given one dose of  ceftriaxone (1 g) and azithromycin (0.5 g). She was started on dexamethasone (6 mg IV initial, 6 mg PO daily 10 doses) and remdesivir (100 mg daily) regiment for confirmed COVID-19 respiratory infection. During hospitalization, patient improved in symptomology. Pitting edema has resolved.  She did not require more than 3 L oxygen which is her baseline.  Patient required rest after 30 ft walk (baseline 50).  On discharge, patient had improved ambulation. PT recommended skilled home PT. Remdesivir and prednisone were stopped.  Patient also benefited from adult care program.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea exertional, Electrocardiogram normal, Fibrin D dimer increased, Full blood count abnormal, Hypertension
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date:  09/08/2023 Discharge Disposition:  home health care svc  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 78 year old female with past pertinent medical history of chronic respiratory failure (2-3L on home oxygen after CABG 2015), paroxysmal Afib (s/p left atrial appendage), CAD (s/p 3vCABG 2015), CHF, type 2 DM, anemia of chronic disease, hypothyroidism, morbid obesity, and GERD who presented with chief complaint of chest pressure and signs of flu infection. On 8/31, patient developed fever, chills, sore throat, shortness of breath, and light-headedness. Her chest pressure and shortness of breath gradually increased with exertion. Due to these symptoms, she was transported to the ED via EMS on 9/5. Patient presented to the ED afebrile (37), bradycardic (HR 59), hypertensive (174/38), and 97% SaO2 on 2L nasal cannula. Patient desatted to 88% with ambulation. Viral PCR was positive for COVID-19. Physical exam was notable for diminished right lung sounds and 3+ pitting edema on the bilateral lower extremities. Chest x-ray showed right midlung opacity and middle lobe nodular opacity. CMP, troponin, EKG, BNP, and procalcitonin were unremarkable. Strep and Legionella urine ag were negative. CBC was only notable for normocytic anemia (9.7 mg/dL, baseline 9-11 for last 10 years). D-dimer was elevated (570 ng/mL). LE ultrasound showed no DVT. She was given one dose of  ceftriaxone (1 g) and azithromycin (0.5 g). She was started on dexamethasone (6 mg IV initial, 6 mg PO daily 10 doses) and remdesivir (100 mg daily) regiment for confirmed COVID-19 respiratory infection. During hospitalization, patient improved in symptomology. Pitting edema has resolved.  She did not require more than 3 L oxygen which is her baseline.  Patient required rest after 30 ft walk (baseline 50).  On discharge, patient had improved ambulation. PT recommended skilled home PT. Remdesivir and prednisone were stopped.  Patient also benefited from adult care program.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza, Legionella test, Lung opacity, Metabolic function test normal, Normocytic anaemia
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date:  09/08/2023 Discharge Disposition:  home health care svc  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 78 year old female with past pertinent medical history of chronic respiratory failure (2-3L on home oxygen after CABG 2015), paroxysmal Afib (s/p left atrial appendage), CAD (s/p 3vCABG 2015), CHF, type 2 DM, anemia of chronic disease, hypothyroidism, morbid obesity, and GERD who presented with chief complaint of chest pressure and signs of flu infection. On 8/31, patient developed fever, chills, sore throat, shortness of breath, and light-headedness. Her chest pressure and shortness of breath gradually increased with exertion. Due to these symptoms, she was transported to the ED via EMS on 9/5. Patient presented to the ED afebrile (37), bradycardic (HR 59), hypertensive (174/38), and 97% SaO2 on 2L nasal cannula. Patient desatted to 88% with ambulation. Viral PCR was positive for COVID-19. Physical exam was notable for diminished right lung sounds and 3+ pitting edema on the bilateral lower extremities. Chest x-ray showed right midlung opacity and middle lobe nodular opacity. CMP, troponin, EKG, BNP, and procalcitonin were unremarkable. Strep and Legionella urine ag were negative. CBC was only notable for normocytic anemia (9.7 mg/dL, baseline 9-11 for last 10 years). D-dimer was elevated (570 ng/mL). LE ultrasound showed no DVT. She was given one dose of  ceftriaxone (1 g) and azithromycin (0.5 g). She was started on dexamethasone (6 mg IV initial, 6 mg PO daily 10 doses) and remdesivir (100 mg daily) regiment for confirmed COVID-19 respiratory infection. During hospitalization, patient improved in symptomology. Pitting edema has resolved.  She did not require more than 3 L oxygen which is her baseline.  Patient required rest after 30 ft walk (baseline 50).  On discharge, patient had improved ambulation. PT recommended skilled home PT. Remdesivir and prednisone were stopped.  Patient also benefited from adult care program.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oedema peripheral, Oropharyngeal pain, Oxygen saturation decreased, Procalcitonin normal, Pulmonary mass
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date:  09/08/2023 Discharge Disposition:  home health care svc  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 78 year old female with past pertinent medical history of chronic respiratory failure (2-3L on home oxygen after CABG 2015), paroxysmal Afib (s/p left atrial appendage), CAD (s/p 3vCABG 2015), CHF, type 2 DM, anemia of chronic disease, hypothyroidism, morbid obesity, and GERD who presented with chief complaint of chest pressure and signs of flu infection. On 8/31, patient developed fever, chills, sore throat, shortness of breath, and light-headedness. Her chest pressure and shortness of breath gradually increased with exertion. Due to these symptoms, she was transported to the ED via EMS on 9/5. Patient presented to the ED afebrile (37), bradycardic (HR 59), hypertensive (174/38), and 97% SaO2 on 2L nasal cannula. Patient desatted to 88% with ambulation. Viral PCR was positive for COVID-19. Physical exam was notable for diminished right lung sounds and 3+ pitting edema on the bilateral lower extremities. Chest x-ray showed right midlung opacity and middle lobe nodular opacity. CMP, troponin, EKG, BNP, and procalcitonin were unremarkable. Strep and Legionella urine ag were negative. CBC was only notable for normocytic anemia (9.7 mg/dL, baseline 9-11 for last 10 years). D-dimer was elevated (570 ng/mL). LE ultrasound showed no DVT. She was given one dose of  ceftriaxone (1 g) and azithromycin (0.5 g). She was started on dexamethasone (6 mg IV initial, 6 mg PO daily 10 doses) and remdesivir (100 mg daily) regiment for confirmed COVID-19 respiratory infection. During hospitalization, patient improved in symptomology. Pitting edema has resolved.  She did not require more than 3 L oxygen which is her baseline.  Patient required rest after 30 ft walk (baseline 50).  On discharge, patient had improved ambulation. PT recommended skilled home PT. Remdesivir and prednisone were stopped.  Patient also benefited from adult care program.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive, Streptococcus test negative, Troponin normal, Ultrasound Doppler normal
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date:  09/08/2023 Discharge Disposition:  home health care svc  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE:   Patient is a 78 year old female with past pertinent medical history of chronic respiratory failure (2-3L on home oxygen after CABG 2015), paroxysmal Afib (s/p left atrial appendage), CAD (s/p 3vCABG 2015), CHF, type 2 DM, anemia of chronic disease, hypothyroidism, morbid obesity, and GERD who presented with chief complaint of chest pressure and signs of flu infection. On 8/31, patient developed fever, chills, sore throat, shortness of breath, and light-headedness. Her chest pressure and shortness of breath gradually increased with exertion. Due to these symptoms, she was transported to the ED via EMS on 9/5. Patient presented to the ED afebrile (37), bradycardic (HR 59), hypertensive (174/38), and 97% SaO2 on 2L nasal cannula. Patient desatted to 88% with ambulation. Viral PCR was positive for COVID-19. Physical exam was notable for diminished right lung sounds and 3+ pitting edema on the bilateral lower extremities. Chest x-ray showed right midlung opacity and middle lobe nodular opacity. CMP, troponin, EKG, BNP, and procalcitonin were unremarkable. Strep and Legionella urine ag were negative. CBC was only notable for normocytic anemia (9.7 mg/dL, baseline 9-11 for last 10 years). D-dimer was elevated (570 ng/mL). LE ultrasound showed no DVT. She was given one dose of  ceftriaxone (1 g) and azithromycin (0.5 g). She was started on dexamethasone (6 mg IV initial, 6 mg PO daily 10 doses) and remdesivir (100 mg daily) regiment for confirmed COVID-19 respiratory infection. During hospitalization, patient improved in symptomology. Pitting edema has resolved.  She did not require more than 3 L oxygen which is her baseline.  Patient required rest after 30 ft walk (baseline 50).  On discharge, patient had improved ambulation. PT recommended skilled home PT. Remdesivir and prednisone were stopped.  Patient also benefited from adult care program.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure increased, COVID-19, Chest X-ray normal, Cough
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date: Sep 7, 2023 Discharge Disposition:  home or self care  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 virus infection [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 72-year-old male with a past medical history of morbid obesity, type 2 diabetes, coronary artery disease, hypertension, hyperlipidemia, cardiomyopathy, OSA who presents to the emergency department with 24 hours of shortness of breath, cough, fever.  Symptoms developed day prior to admission.  Temperature in the emergency department was 101.7, blood pressure elevated, respiratory rate elevated.  Oxygen saturation was low when he was placed on 2 L nasal cannula.  She was found to test positive for COVID-19 in the emergency department.  Chest x-ray was unremarkable.  Complete blood count and CMP were unremarkable.  He was started on oral dexamethasone and IV remdesivir.  His oxygenation quickly improved to room air.  He was discharged home on 09/07/2023 with the hospital at home service to follow.  He was seen due to diabetes in the setting of steroids.  He had stable blood sugars.  He was discharged on his home dose of medicine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Full blood count normal, Hypoxia, Metabolic function test normal, Oxygen saturation decreased
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date: Sep 7, 2023 Discharge Disposition:  home or self care  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 virus infection [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 72-year-old male with a past medical history of morbid obesity, type 2 diabetes, coronary artery disease, hypertension, hyperlipidemia, cardiomyopathy, OSA who presents to the emergency department with 24 hours of shortness of breath, cough, fever.  Symptoms developed day prior to admission.  Temperature in the emergency department was 101.7, blood pressure elevated, respiratory rate elevated.  Oxygen saturation was low when he was placed on 2 L nasal cannula.  She was found to test positive for COVID-19 in the emergency department.  Chest x-ray was unremarkable.  Complete blood count and CMP were unremarkable.  He was started on oral dexamethasone and IV remdesivir.  His oxygenation quickly improved to room air.  He was discharged home on 09/07/2023 with the hospital at home service to follow.  He was seen due to diabetes in the setting of steroids.  He had stable blood sugars.  He was discharged on his home dose of medicine.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory rate increased, SARS-CoV-2 test positive
Clinical narrative: BRIEF OVERVIEW: Admission Date: 9/5/2023 Discharge Date: Sep 7, 2023 Discharge Disposition:  home or self care  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 virus infection [U07.1] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 72-year-old male with a past medical history of morbid obesity, type 2 diabetes, coronary artery disease, hypertension, hyperlipidemia, cardiomyopathy, OSA who presents to the emergency department with 24 hours of shortness of breath, cough, fever.  Symptoms developed day prior to admission.  Temperature in the emergency department was 101.7, blood pressure elevated, respiratory rate elevated.  Oxygen saturation was low when he was placed on 2 L nasal cannula.  She was found to test positive for COVID-19 in the emergency department.  Chest x-ray was unremarkable.  Complete blood count and CMP were unremarkable.  He was started on oral dexamethasone and IV remdesivir.  His oxygenation quickly improved to room air.  He was discharged home on 09/07/2023 with the hospital at home service to follow.  He was seen due to diabetes in the setting of steroids.  He had stable blood sugars.  He was discharged on his home dose of medicine.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Dysstasia, Magnetic resonance imaging, Mobility decreased, Neurological symptom
Clinical narrative: Stroke like symptoms.  Aphagia.  Could not lift arms and stand up.
Age: 83.0
Sex: M
Vaccine: RSV
Symptoms: Bone pain, Injection site pain, Pain, Pain in extremity
Clinical narrative: Patient said he has been experience throbbing arm pain since the shot.  He said it's not at the injection site but feels like its deep in the bone. He says it affects his whole left arm.  At night it can seem worse.  He said it started the day he got the Arexvy shot.