chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Anaemia, COVID-19, Computerised tomogram abnormal, Cough, Dyspnoea
Clinical narrative: Patient is a 86 y.o. female patient of Private MD with a history of breast cancer hypertension was hospitalized in local hospital with cough shortness of breath and found to have COVID-19 infection.  She was treated with remdesivir and IV antibiotics she underlying severe emphysema and a CAT scan did show that she has evidence of right lung mass with hilar and mediastinal lymphadenopathy.  I suspect primary lung cancer.  She does have a history of breast cancer antiemetics but she does need a lung biopsy and I spoke to the patient examined her interviewed her give a copy of the CAT scan I also spoke to alternate Dr. who is his primary care physician also spoke to primary Dr. and the patient renal biopsy but the patient right now does not want to get anything done that she discussed with the family members.  Her white count is normal she has mild anemia basic metabolic panel fine was unremarkable.  I reviewed the medication.  She had renal failure which got better by stopping the lisinopril HCTZ and she is currently being treated supportively with the steroids antibiotic and she is taken off the oxygen.  She has finished 3 days of remdesivir currently not on oxygen and she is doing better overall she is pleasant cooperative in stable condition and she is being discharged home in stable condition to her home with the isolation for 10 days total and she will be referred to her primary care physician and alternate Dr. regarding a lung biopsy if she is willing to     Acute COVID-19 She had COVID-19 with respiratory infection with hypoxia needing remdesivir and steroids, antibiotics, supportive care, nebulizers, and will need oxygen and hydration.  Her blood pressure is low.  She has generalized body ache and malaise.  We expect her to get better.  We will check the labs every day and give her DVT prophylaxis.  3/22/23: She is responding remdesivir steroid and has been getting better and has gotten stronger she is not on oxygen no fever and chills labs were reviewed.  She does have a mass in the lung which needs further evaluation. 3/23/23:   She has COVID-19 infection she is improving now.  She has been off the oxygen lungs are sounding better she has no fever her labs were reviewed and they are unremarkable she is getting better and being discharged home and may need isolation for 10 days total.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Emphysema, Hilar lymphadenopathy, Hypotension, Hypoxia, Laboratory test normal
Clinical narrative: Patient is a 86 y.o. female patient of Private MD with a history of breast cancer hypertension was hospitalized in local hospital with cough shortness of breath and found to have COVID-19 infection.  She was treated with remdesivir and IV antibiotics she underlying severe emphysema and a CAT scan did show that she has evidence of right lung mass with hilar and mediastinal lymphadenopathy.  I suspect primary lung cancer.  She does have a history of breast cancer antiemetics but she does need a lung biopsy and I spoke to the patient examined her interviewed her give a copy of the CAT scan I also spoke to alternate Dr. who is his primary care physician also spoke to primary Dr. and the patient renal biopsy but the patient right now does not want to get anything done that she discussed with the family members.  Her white count is normal she has mild anemia basic metabolic panel fine was unremarkable.  I reviewed the medication.  She had renal failure which got better by stopping the lisinopril HCTZ and she is currently being treated supportively with the steroids antibiotic and she is taken off the oxygen.  She has finished 3 days of remdesivir currently not on oxygen and she is doing better overall she is pleasant cooperative in stable condition and she is being discharged home in stable condition to her home with the isolation for 10 days total and she will be referred to her primary care physician and alternate Dr. regarding a lung biopsy if she is willing to     Acute COVID-19 She had COVID-19 with respiratory infection with hypoxia needing remdesivir and steroids, antibiotics, supportive care, nebulizers, and will need oxygen and hydration.  Her blood pressure is low.  She has generalized body ache and malaise.  We expect her to get better.  We will check the labs every day and give her DVT prophylaxis.  3/22/23: She is responding remdesivir steroid and has been getting better and has gotten stronger she is not on oxygen no fever and chills labs were reviewed.  She does have a mass in the lung which needs further evaluation. 3/23/23:   She has COVID-19 infection she is improving now.  She has been off the oxygen lungs are sounding better she has no fever her labs were reviewed and they are unremarkable she is getting better and being discharged home and may need isolation for 10 days total.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Lung neoplasm malignant, Lymphadenopathy mediastinal, Malaise, Metabolic function test normal, Pain
Clinical narrative: Patient is a 86 y.o. female patient of Private MD with a history of breast cancer hypertension was hospitalized in local hospital with cough shortness of breath and found to have COVID-19 infection.  She was treated with remdesivir and IV antibiotics she underlying severe emphysema and a CAT scan did show that she has evidence of right lung mass with hilar and mediastinal lymphadenopathy.  I suspect primary lung cancer.  She does have a history of breast cancer antiemetics but she does need a lung biopsy and I spoke to the patient examined her interviewed her give a copy of the CAT scan I also spoke to alternate Dr. who is his primary care physician also spoke to primary Dr. and the patient renal biopsy but the patient right now does not want to get anything done that she discussed with the family members.  Her white count is normal she has mild anemia basic metabolic panel fine was unremarkable.  I reviewed the medication.  She had renal failure which got better by stopping the lisinopril HCTZ and she is currently being treated supportively with the steroids antibiotic and she is taken off the oxygen.  She has finished 3 days of remdesivir currently not on oxygen and she is doing better overall she is pleasant cooperative in stable condition and she is being discharged home in stable condition to her home with the isolation for 10 days total and she will be referred to her primary care physician and alternate Dr. regarding a lung biopsy if she is willing to     Acute COVID-19 She had COVID-19 with respiratory infection with hypoxia needing remdesivir and steroids, antibiotics, supportive care, nebulizers, and will need oxygen and hydration.  Her blood pressure is low.  She has generalized body ache and malaise.  We expect her to get better.  We will check the labs every day and give her DVT prophylaxis.  3/22/23: She is responding remdesivir steroid and has been getting better and has gotten stronger she is not on oxygen no fever and chills labs were reviewed.  She does have a mass in the lung which needs further evaluation. 3/23/23:   She has COVID-19 infection she is improving now.  She has been off the oxygen lungs are sounding better she has no fever her labs were reviewed and they are unremarkable she is getting better and being discharged home and may need isolation for 10 days total.
Age: 86.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pulmonary mass, Renal failure, Respiratory tract infection, White blood cell count normal
Clinical narrative: Patient is a 86 y.o. female patient of Private MD with a history of breast cancer hypertension was hospitalized in local hospital with cough shortness of breath and found to have COVID-19 infection.  She was treated with remdesivir and IV antibiotics she underlying severe emphysema and a CAT scan did show that she has evidence of right lung mass with hilar and mediastinal lymphadenopathy.  I suspect primary lung cancer.  She does have a history of breast cancer antiemetics but she does need a lung biopsy and I spoke to the patient examined her interviewed her give a copy of the CAT scan I also spoke to alternate Dr. who is his primary care physician also spoke to primary Dr. and the patient renal biopsy but the patient right now does not want to get anything done that she discussed with the family members.  Her white count is normal she has mild anemia basic metabolic panel fine was unremarkable.  I reviewed the medication.  She had renal failure which got better by stopping the lisinopril HCTZ and she is currently being treated supportively with the steroids antibiotic and she is taken off the oxygen.  She has finished 3 days of remdesivir currently not on oxygen and she is doing better overall she is pleasant cooperative in stable condition and she is being discharged home in stable condition to her home with the isolation for 10 days total and she will be referred to her primary care physician and alternate Dr. regarding a lung biopsy if she is willing to     Acute COVID-19 She had COVID-19 with respiratory infection with hypoxia needing remdesivir and steroids, antibiotics, supportive care, nebulizers, and will need oxygen and hydration.  Her blood pressure is low.  She has generalized body ache and malaise.  We expect her to get better.  We will check the labs every day and give her DVT prophylaxis.  3/22/23: She is responding remdesivir steroid and has been getting better and has gotten stronger she is not on oxygen no fever and chills labs were reviewed.  She does have a mass in the lung which needs further evaluation. 3/23/23:   She has COVID-19 infection she is improving now.  She has been off the oxygen lungs are sounding better she has no fever her labs were reviewed and they are unremarkable she is getting better and being discharged home and may need isolation for 10 days total.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Injected limb mobility decreased, Injection site pain, Injection site reaction, Musculoskeletal discomfort, Pain
Clinical narrative: The health event presented with the beginnings of a frozen shoulder in my left sub deltoid. I have a limited range of motion. Specifically we're talking about anterior deltoid. Range of motion is limited when I start with my left arm extended and I try to reach back, I can really feel it in that deltoid. The pain is acute and sharp, then immediately goes away when I stop making that  motion. There's still about 10-15% residual pain. With my hand extended or elbow bent, if I try to reach back, it hurts. The pain lingers for a second then goes away within a minute. I take ADVIL for my back, and that doesn't help with the shoulder much. When I subluxed my right shoulder, my left shoulder was okay. My doctor put me on a prescription called diclofenac 75mg twice daily for a week then I was on that for once a day for a week after that, then as needed. I didn't start taking that until my right shoulder was really bothering me. Stretching seems to help the right shoulder. When I came off the diclofenac, my left shoulder started bothering me. After my right shoulder was okay, my left shoulder was hurting more in January/February and it's been trending in discomfort up until now. I did finally get massage therapy which was on my left shoulder. That was 3 days ago. It definitely took the edge off. This is a standard Swedish massage. It seemed to have loosened up a little bit. The pain is not as sharp. I have scheduled for another massage therapy in about 2 to 3 weeks. If it really starts to come back, then I may have another appointment with an orthopedist. I could also continue to do the stretches for my subluxed shoulder on my left shoulder. It's so painful that I recently made the decision to get a Shingles vaccine in my right shoulder because of the left shoulder pain.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Periarthritis
Clinical narrative: The health event presented with the beginnings of a frozen shoulder in my left sub deltoid. I have a limited range of motion. Specifically we're talking about anterior deltoid. Range of motion is limited when I start with my left arm extended and I try to reach back, I can really feel it in that deltoid. The pain is acute and sharp, then immediately goes away when I stop making that  motion. There's still about 10-15% residual pain. With my hand extended or elbow bent, if I try to reach back, it hurts. The pain lingers for a second then goes away within a minute. I take ADVIL for my back, and that doesn't help with the shoulder much. When I subluxed my right shoulder, my left shoulder was okay. My doctor put me on a prescription called diclofenac 75mg twice daily for a week then I was on that for once a day for a week after that, then as needed. I didn't start taking that until my right shoulder was really bothering me. Stretching seems to help the right shoulder. When I came off the diclofenac, my left shoulder started bothering me. After my right shoulder was okay, my left shoulder was hurting more in January/February and it's been trending in discomfort up until now. I did finally get massage therapy which was on my left shoulder. That was 3 days ago. It definitely took the edge off. This is a standard Swedish massage. It seemed to have loosened up a little bit. The pain is not as sharp. I have scheduled for another massage therapy in about 2 to 3 weeks. If it really starts to come back, then I may have another appointment with an orthopedist. I could also continue to do the stretches for my subluxed shoulder on my left shoulder. It's so painful that I recently made the decision to get a Shingles vaccine in my right shoulder because of the left shoulder pain.
Age: 92.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood culture negative, Blood gases, Bronchial wall thickening
Clinical narrative: Patient is a 93 y.o. male who presented to Hospital 3/22/2023 with SOB   1. Covid pneumonia               - positive 3/23 at hospital; family reports was + one week prior at ECF               - vaccination status: 2 plus booster              - blood cultures NGTD              - lactic acidosis resolved               - CXR with central bronchial wall cuffing; superimposed mixed intersititial and alveolar opacities; small bilateral pleural effusions               - ID initially recommended Paxlovid- but patient would have had to stop statin and Plavix for 5 days. Remdesivir started 3/25/23 per ID.    - CTPA shows pleural effusion and multifocal pneumonia -Pulmonary consult placed - note reviewed - appreciate recommendations -patient was initially started on IV Zosyn but was discontinued per pulmonary recommendations  -ABGs reviewed  -requiring 3 L oxygen on discharge day. Was discharged with Home O2 and oxygen concentrator pt completed remdesevir course last dose being 3/29.  2. HTN 3. HLD  4. History of CVA               - History of right internal capsule stroke with residual spastic left hemiplegia (11/22/2016)  5. CAD; history of CABG 6. Hypocalcemia - started on po supplementation 7. Hyperglycemia - A1C 5.9 - prediabetes - will need OP follow up and monitoring 8. Acute hypoxic respiratory failure  9. Severe protein calorie malnutrition
Age: 92.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea, Glucose tolerance impaired, Glycosylated haemoglobin normal
Clinical narrative: Patient is a 93 y.o. male who presented to Hospital 3/22/2023 with SOB   1. Covid pneumonia               - positive 3/23 at hospital; family reports was + one week prior at ECF               - vaccination status: 2 plus booster              - blood cultures NGTD              - lactic acidosis resolved               - CXR with central bronchial wall cuffing; superimposed mixed intersititial and alveolar opacities; small bilateral pleural effusions               - ID initially recommended Paxlovid- but patient would have had to stop statin and Plavix for 5 days. Remdesivir started 3/25/23 per ID.    - CTPA shows pleural effusion and multifocal pneumonia -Pulmonary consult placed - note reviewed - appreciate recommendations -patient was initially started on IV Zosyn but was discontinued per pulmonary recommendations  -ABGs reviewed  -requiring 3 L oxygen on discharge day. Was discharged with Home O2 and oxygen concentrator pt completed remdesevir course last dose being 3/29.  2. HTN 3. HLD  4. History of CVA               - History of right internal capsule stroke with residual spastic left hemiplegia (11/22/2016)  5. CAD; history of CABG 6. Hypocalcemia - started on po supplementation 7. Hyperglycemia - A1C 5.9 - prediabetes - will need OP follow up and monitoring 8. Acute hypoxic respiratory failure  9. Severe protein calorie malnutrition
Age: 92.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hyperglycaemia, Hyperlipidaemia, Hypertension, Hypocalcaemia, Lactic acidosis
Clinical narrative: Patient is a 93 y.o. male who presented to Hospital 3/22/2023 with SOB   1. Covid pneumonia               - positive 3/23 at hospital; family reports was + one week prior at ECF               - vaccination status: 2 plus booster              - blood cultures NGTD              - lactic acidosis resolved               - CXR with central bronchial wall cuffing; superimposed mixed intersititial and alveolar opacities; small bilateral pleural effusions               - ID initially recommended Paxlovid- but patient would have had to stop statin and Plavix for 5 days. Remdesivir started 3/25/23 per ID.    - CTPA shows pleural effusion and multifocal pneumonia -Pulmonary consult placed - note reviewed - appreciate recommendations -patient was initially started on IV Zosyn but was discontinued per pulmonary recommendations  -ABGs reviewed  -requiring 3 L oxygen on discharge day. Was discharged with Home O2 and oxygen concentrator pt completed remdesevir course last dose being 3/29.  2. HTN 3. HLD  4. History of CVA               - History of right internal capsule stroke with residual spastic left hemiplegia (11/22/2016)  5. CAD; history of CABG 6. Hypocalcemia - started on po supplementation 7. Hyperglycemia - A1C 5.9 - prediabetes - will need OP follow up and monitoring 8. Acute hypoxic respiratory failure  9. Severe protein calorie malnutrition
Age: 92.0
Sex: M
Vaccine: COVID19-2
Symptoms: Lung opacity, Malnutrition, Pleural effusion, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 93 y.o. male who presented to Hospital 3/22/2023 with SOB   1. Covid pneumonia               - positive 3/23 at hospital; family reports was + one week prior at ECF               - vaccination status: 2 plus booster              - blood cultures NGTD              - lactic acidosis resolved               - CXR with central bronchial wall cuffing; superimposed mixed intersititial and alveolar opacities; small bilateral pleural effusions               - ID initially recommended Paxlovid- but patient would have had to stop statin and Plavix for 5 days. Remdesivir started 3/25/23 per ID.    - CTPA shows pleural effusion and multifocal pneumonia -Pulmonary consult placed - note reviewed - appreciate recommendations -patient was initially started on IV Zosyn but was discontinued per pulmonary recommendations  -ABGs reviewed  -requiring 3 L oxygen on discharge day. Was discharged with Home O2 and oxygen concentrator pt completed remdesevir course last dose being 3/29.  2. HTN 3. HLD  4. History of CVA               - History of right internal capsule stroke with residual spastic left hemiplegia (11/22/2016)  5. CAD; history of CABG 6. Hypocalcemia - started on po supplementation 7. Hyperglycemia - A1C 5.9 - prediabetes - will need OP follow up and monitoring 8. Acute hypoxic respiratory failure  9. Severe protein calorie malnutrition
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: I caught COVID-19 from a close friend. I had a very mild case but was prescribed PAXLOVID. After finishing the prescription, I caught COVID-19 again but it was a mild case again.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Arthralgia, Bronchiolitis, Bronchitis, COVID-19
Clinical narrative: Patient is a 83 y.o. female patient of MD with history of essential pretension, CAD, hyperlipidemia  presented to Hospital with right hip pain secondary to ground-level fall found to have right femur fracture. Had R hip intramedullary nailing on 3/12/23 with no complications.   Acute intertrochanteric fracture proximal right femur due to mechanical fall Fracture of right femur due to trauma alone S/p R hip TFN 3/12/23 S/p mechanical fall, x-ray right hip fracture Ortho consulted, taken to OR 3/12/23, tolerated procedure well.  Recommend WBAT right lower extremity Lovenox for DVT prophylaxis PT/OT recommend up to 5 days of ST for 10 to 30 days SW following for DC needs.  Pre-CERT approved.  Plan for DC to SNF today as patient stable. Pt advised to f/u with her PCP   Acute hypoxic respiratory failure Covid-19 virus infection Date of covid positive test: 3/12/2023 Vaccination status: vaccinated Imaging: Chest x-ray bronchitis, bronchiolitis Completed IV Remdesivir Continue Decadron Placed initially on 2 L of oxygen via NC, then weaned down to room air Hypoxic on 3/16 so placed on 3 L of oxygen Repeat CXR unchanged from previous  Continue to wean down oxygen at the SNF   Hypotension due to medications Primary HTN SBP 84 on 3/15, required 500 cc bolus, 110 after bolus Home BP meds held Will continue to hold coreg and lisinopril on discharge. Can be resumed out-pt as deemed appropriate by physician at SNF/PCP   Stage 1 pressure injury of left heel present on admission Wound care consulted.  Appreciate input.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Decubitus ulcer, Essential hypertension, Fall, Femur fracture
Clinical narrative: Patient is a 83 y.o. female patient of MD with history of essential pretension, CAD, hyperlipidemia  presented to Hospital with right hip pain secondary to ground-level fall found to have right femur fracture. Had R hip intramedullary nailing on 3/12/23 with no complications.   Acute intertrochanteric fracture proximal right femur due to mechanical fall Fracture of right femur due to trauma alone S/p R hip TFN 3/12/23 S/p mechanical fall, x-ray right hip fracture Ortho consulted, taken to OR 3/12/23, tolerated procedure well.  Recommend WBAT right lower extremity Lovenox for DVT prophylaxis PT/OT recommend up to 5 days of ST for 10 to 30 days SW following for DC needs.  Pre-CERT approved.  Plan for DC to SNF today as patient stable. Pt advised to f/u with her PCP   Acute hypoxic respiratory failure Covid-19 virus infection Date of covid positive test: 3/12/2023 Vaccination status: vaccinated Imaging: Chest x-ray bronchitis, bronchiolitis Completed IV Remdesivir Continue Decadron Placed initially on 2 L of oxygen via NC, then weaned down to room air Hypoxic on 3/16 so placed on 3 L of oxygen Repeat CXR unchanged from previous  Continue to wean down oxygen at the SNF   Hypotension due to medications Primary HTN SBP 84 on 3/15, required 500 cc bolus, 110 after bolus Home BP meds held Will continue to hold coreg and lisinopril on discharge. Can be resumed out-pt as deemed appropriate by physician at SNF/PCP   Stage 1 pressure injury of left heel present on admission Wound care consulted.  Appreciate input.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Injury, Intramedullary rod insertion, SARS-CoV-2 test positive
Clinical narrative: Patient is a 83 y.o. female patient of MD with history of essential pretension, CAD, hyperlipidemia  presented to Hospital with right hip pain secondary to ground-level fall found to have right femur fracture. Had R hip intramedullary nailing on 3/12/23 with no complications.   Acute intertrochanteric fracture proximal right femur due to mechanical fall Fracture of right femur due to trauma alone S/p R hip TFN 3/12/23 S/p mechanical fall, x-ray right hip fracture Ortho consulted, taken to OR 3/12/23, tolerated procedure well.  Recommend WBAT right lower extremity Lovenox for DVT prophylaxis PT/OT recommend up to 5 days of ST for 10 to 30 days SW following for DC needs.  Pre-CERT approved.  Plan for DC to SNF today as patient stable. Pt advised to f/u with her PCP   Acute hypoxic respiratory failure Covid-19 virus infection Date of covid positive test: 3/12/2023 Vaccination status: vaccinated Imaging: Chest x-ray bronchitis, bronchiolitis Completed IV Remdesivir Continue Decadron Placed initially on 2 L of oxygen via NC, then weaned down to room air Hypoxic on 3/16 so placed on 3 L of oxygen Repeat CXR unchanged from previous  Continue to wean down oxygen at the SNF   Hypotension due to medications Primary HTN SBP 84 on 3/15, required 500 cc bolus, 110 after bolus Home BP meds held Will continue to hold coreg and lisinopril on discharge. Can be resumed out-pt as deemed appropriate by physician at SNF/PCP   Stage 1 pressure injury of left heel present on admission Wound care consulted.  Appreciate input.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray of pelvis and hip abnormal
Clinical narrative: Patient is a 83 y.o. female patient of MD with history of essential pretension, CAD, hyperlipidemia  presented to Hospital with right hip pain secondary to ground-level fall found to have right femur fracture. Had R hip intramedullary nailing on 3/12/23 with no complications.   Acute intertrochanteric fracture proximal right femur due to mechanical fall Fracture of right femur due to trauma alone S/p R hip TFN 3/12/23 S/p mechanical fall, x-ray right hip fracture Ortho consulted, taken to OR 3/12/23, tolerated procedure well.  Recommend WBAT right lower extremity Lovenox for DVT prophylaxis PT/OT recommend up to 5 days of ST for 10 to 30 days SW following for DC needs.  Pre-CERT approved.  Plan for DC to SNF today as patient stable. Pt advised to f/u with her PCP   Acute hypoxic respiratory failure Covid-19 virus infection Date of covid positive test: 3/12/2023 Vaccination status: vaccinated Imaging: Chest x-ray bronchitis, bronchiolitis Completed IV Remdesivir Continue Decadron Placed initially on 2 L of oxygen via NC, then weaned down to room air Hypoxic on 3/16 so placed on 3 L of oxygen Repeat CXR unchanged from previous  Continue to wean down oxygen at the SNF   Hypotension due to medications Primary HTN SBP 84 on 3/15, required 500 cc bolus, 110 after bolus Home BP meds held Will continue to hold coreg and lisinopril on discharge. Can be resumed out-pt as deemed appropriate by physician at SNF/PCP   Stage 1 pressure injury of left heel present on admission Wound care consulted.  Appreciate input.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Jaundice
Clinical narrative: R09.02 HYPOXIA 7/7/2022 JAUNDICE
Age: 79.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Blood test normal, Hypertension
Clinical narrative: I don't know if it is connected to the shot at all, but my blood pressure was higher than normal. I never had high blood pressure before.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Deep vein thrombosis, Epilepsy, Haemorrhagic stroke, Hemiparesis
Clinical narrative: G40.909 EPILEPSY, UNSPECIFIED 11/2/2021 HEMIPLEGIA & HEMIPARESIS, LEFT NONDOMINANT SIDE, LATE EFFECT OF HEMORRHAGIC STROKE I82.4Z2 ACUTE DVT OF LEFT CALF, UNSPECIFIED VEIN 11/19/2021 HEMIPLEGIA & HEMIPARESIS, LEFT NONDOMINANT SIDE, LATE EFFECT OF HEMORRHAGIC STROKE G40.909 EPILEPSY, UNSPECIFIED 11/2/2021 INTRACEREBRAL HEMORRHAGE, CORTICAL HEMISPHERE I82.4Z2 ACUTE DVT OF LEFT CALF, UNSPECIFIED VEIN 11/19/2021 INTRACEREBRAL HEMORRHAGE, CORTICAL HEMISPHERE
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiplegia
Clinical narrative: G40.909 EPILEPSY, UNSPECIFIED 11/2/2021 HEMIPLEGIA & HEMIPARESIS, LEFT NONDOMINANT SIDE, LATE EFFECT OF HEMORRHAGIC STROKE I82.4Z2 ACUTE DVT OF LEFT CALF, UNSPECIFIED VEIN 11/19/2021 HEMIPLEGIA & HEMIPARESIS, LEFT NONDOMINANT SIDE, LATE EFFECT OF HEMORRHAGIC STROKE G40.909 EPILEPSY, UNSPECIFIED 11/2/2021 INTRACEREBRAL HEMORRHAGE, CORTICAL HEMISPHERE I82.4Z2 ACUTE DVT OF LEFT CALF, UNSPECIFIED VEIN 11/19/2021 INTRACEREBRAL HEMORRHAGE, CORTICAL HEMISPHERE
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Acute respiratory failure, Type 2 diabetes mellitus, Type V hyperlipidaemia
Clinical narrative: I21.9 ACUTE MI 12/23/2021 DM 2 W MIXED HYPERLIPIDEMIA J96.00 ACUTE RESPIRATORY FAILURE 12/23/2021 DM 2 W MIXED HYPERLIPIDEMIA
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Brain natriuretic peptide increased, COVID-19, Cardiomegaly
Clinical narrative: Patient is a 79 y.o. female patient of a DO with PMH of CHF, Afib, HTN, DM presented to the ED due to weakness and falls.   Acute respiratory failure with hypoxia COVID-19 Date of onset of symptoms: 3/23 Symptoms present on admission: Fever, chils, Weakness.   Date of covid positive test: 3/24 Vaccination status: vaccinated & boosted Imaging: CXR with cardiomegaly and vascular congestion, cannot exclude atypical infection.  Oxygen requirements on admission: 2L NC Current oxygen requirements: room air Medical therapy: remdesivir and steroids. Doing well , can discontinue remdesivir after today  (Day 4/5)  and discharge home. To complete 10 days Decadron .  Consultants following: N/A Anticipated special isolation end date: 4/4/23   Generalized weakness Falls Likely secondary to COVID infection CT Head reviewed with no acute process but with mild old microvascular ischemic changes and age related volume loss, small old infarct in right parietal lobe.  CT C spine with no acute process PT/OT consulted.  Doing much better. Ambulatory without difficulty.    DM type II with hyperglycemia Diabetic neuropathy HBA1C 8.6. Holding home medications Lantus and SSI started.  Adjust as needed as patient on steroids Resume gabapentin. Hyperglycemia due to steroids. Resume home meds at dicharge.    Paroxysmal Atrial fibrillation Chronic diastolic heart failure Euvolemic on exam. EKG personally reviewed showing NSR BNP 1077 Troponin 17 -- > 18 Resume home lasix, metoprolol, Xarelto. Monitor on tele   Essential HTN Resume losartan.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral atrophy, Cerebral infarction, Cerebral small vessel ischaemic disease, Chest X-ray abnormal, Chills
Clinical narrative: Patient is a 79 y.o. female patient of a DO with PMH of CHF, Afib, HTN, DM presented to the ED due to weakness and falls.   Acute respiratory failure with hypoxia COVID-19 Date of onset of symptoms: 3/23 Symptoms present on admission: Fever, chils, Weakness.   Date of covid positive test: 3/24 Vaccination status: vaccinated & boosted Imaging: CXR with cardiomegaly and vascular congestion, cannot exclude atypical infection.  Oxygen requirements on admission: 2L NC Current oxygen requirements: room air Medical therapy: remdesivir and steroids. Doing well , can discontinue remdesivir after today  (Day 4/5)  and discharge home. To complete 10 days Decadron .  Consultants following: N/A Anticipated special isolation end date: 4/4/23   Generalized weakness Falls Likely secondary to COVID infection CT Head reviewed with no acute process but with mild old microvascular ischemic changes and age related volume loss, small old infarct in right parietal lobe.  CT C spine with no acute process PT/OT consulted.  Doing much better. Ambulatory without difficulty.    DM type II with hyperglycemia Diabetic neuropathy HBA1C 8.6. Holding home medications Lantus and SSI started.  Adjust as needed as patient on steroids Resume gabapentin. Hyperglycemia due to steroids. Resume home meds at dicharge.    Paroxysmal Atrial fibrillation Chronic diastolic heart failure Euvolemic on exam. EKG personally reviewed showing NSR BNP 1077 Troponin 17 -- > 18 Resume home lasix, metoprolol, Xarelto. Monitor on tele   Essential HTN Resume losartan.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Computerised tomogram spine, Condition aggravated, Diabetic neuropathy, Electrocardiogram normal
Clinical narrative: Patient is a 79 y.o. female patient of a DO with PMH of CHF, Afib, HTN, DM presented to the ED due to weakness and falls.   Acute respiratory failure with hypoxia COVID-19 Date of onset of symptoms: 3/23 Symptoms present on admission: Fever, chils, Weakness.   Date of covid positive test: 3/24 Vaccination status: vaccinated & boosted Imaging: CXR with cardiomegaly and vascular congestion, cannot exclude atypical infection.  Oxygen requirements on admission: 2L NC Current oxygen requirements: room air Medical therapy: remdesivir and steroids. Doing well , can discontinue remdesivir after today  (Day 4/5)  and discharge home. To complete 10 days Decadron .  Consultants following: N/A Anticipated special isolation end date: 4/4/23   Generalized weakness Falls Likely secondary to COVID infection CT Head reviewed with no acute process but with mild old microvascular ischemic changes and age related volume loss, small old infarct in right parietal lobe.  CT C spine with no acute process PT/OT consulted.  Doing much better. Ambulatory without difficulty.    DM type II with hyperglycemia Diabetic neuropathy HBA1C 8.6. Holding home medications Lantus and SSI started.  Adjust as needed as patient on steroids Resume gabapentin. Hyperglycemia due to steroids. Resume home meds at dicharge.    Paroxysmal Atrial fibrillation Chronic diastolic heart failure Euvolemic on exam. EKG personally reviewed showing NSR BNP 1077 Troponin 17 -- > 18 Resume home lasix, metoprolol, Xarelto. Monitor on tele   Essential HTN Resume losartan.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Glycosylated haemoglobin increased, Hyperglycaemia, Pulmonary congestion, Pyrexia
Clinical narrative: Patient is a 79 y.o. female patient of a DO with PMH of CHF, Afib, HTN, DM presented to the ED due to weakness and falls.   Acute respiratory failure with hypoxia COVID-19 Date of onset of symptoms: 3/23 Symptoms present on admission: Fever, chils, Weakness.   Date of covid positive test: 3/24 Vaccination status: vaccinated & boosted Imaging: CXR with cardiomegaly and vascular congestion, cannot exclude atypical infection.  Oxygen requirements on admission: 2L NC Current oxygen requirements: room air Medical therapy: remdesivir and steroids. Doing well , can discontinue remdesivir after today  (Day 4/5)  and discharge home. To complete 10 days Decadron .  Consultants following: N/A Anticipated special isolation end date: 4/4/23   Generalized weakness Falls Likely secondary to COVID infection CT Head reviewed with no acute process but with mild old microvascular ischemic changes and age related volume loss, small old infarct in right parietal lobe.  CT C spine with no acute process PT/OT consulted.  Doing much better. Ambulatory without difficulty.    DM type II with hyperglycemia Diabetic neuropathy HBA1C 8.6. Holding home medications Lantus and SSI started.  Adjust as needed as patient on steroids Resume gabapentin. Hyperglycemia due to steroids. Resume home meds at dicharge.    Paroxysmal Atrial fibrillation Chronic diastolic heart failure Euvolemic on exam. EKG personally reviewed showing NSR BNP 1077 Troponin 17 -- > 18 Resume home lasix, metoprolol, Xarelto. Monitor on tele   Essential HTN Resume losartan.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus rhythm, Troponin increased, Type 2 diabetes mellitus
Clinical narrative: Patient is a 79 y.o. female patient of a DO with PMH of CHF, Afib, HTN, DM presented to the ED due to weakness and falls.   Acute respiratory failure with hypoxia COVID-19 Date of onset of symptoms: 3/23 Symptoms present on admission: Fever, chils, Weakness.   Date of covid positive test: 3/24 Vaccination status: vaccinated & boosted Imaging: CXR with cardiomegaly and vascular congestion, cannot exclude atypical infection.  Oxygen requirements on admission: 2L NC Current oxygen requirements: room air Medical therapy: remdesivir and steroids. Doing well , can discontinue remdesivir after today  (Day 4/5)  and discharge home. To complete 10 days Decadron .  Consultants following: N/A Anticipated special isolation end date: 4/4/23   Generalized weakness Falls Likely secondary to COVID infection CT Head reviewed with no acute process but with mild old microvascular ischemic changes and age related volume loss, small old infarct in right parietal lobe.  CT C spine with no acute process PT/OT consulted.  Doing much better. Ambulatory without difficulty.    DM type II with hyperglycemia Diabetic neuropathy HBA1C 8.6. Holding home medications Lantus and SSI started.  Adjust as needed as patient on steroids Resume gabapentin. Hyperglycemia due to steroids. Resume home meds at dicharge.    Paroxysmal Atrial fibrillation Chronic diastolic heart failure Euvolemic on exam. EKG personally reviewed showing NSR BNP 1077 Troponin 17 -- > 18 Resume home lasix, metoprolol, Xarelto. Monitor on tele   Essential HTN Resume losartan.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Chills, Cough, Decreased appetite
Clinical narrative: I was in bed for 3 days due to coughing, upper respiratory issues, little appetite, fever, chills, and lack of energy. I tested positive for COVID-19. My doctor prescribed me PAXLOVID.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: I was in bed for 3 days due to coughing, upper respiratory issues, little appetite, fever, chills, and lack of energy. I tested positive for COVID-19. My doctor prescribed me PAXLOVID.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, Hypotension, Organ failure, Sepsis
Clinical narrative: I95.9 HYPOTENSION 2/22/2022 ATRIAL FIBRILLATION, UNSPECIFIED J96.00 ACUTE RESPIRATORY FAILURE 2/24/2022 ATRIAL FIBRILLATION, UNSPECIFIED J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/28/2021 ATRIAL FIBRILLATION, UNSPECIFIED J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/6/2022 ATRIAL FIBRILLATION, UNSPECIFIED I95.9 HYPOTENSION 2/22/2022 ACUTE HYPOXEMIC RESPIRATORY FAILURE J96.00 ACUTE RESPIRATORY FAILURE 2/24/2022 ACUTE HYPOXEMIC RESPIRATORY FAILURE J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/28/2021 ACUTE HYPOXEMIC RESPIRATORY FAILURE J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/6/2022 ACUTE HYPOXEMIC RESPIRATORY FAILURE I95.9 HYPOTENSION 2/22/2022 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION J96.00 ACUTE RESPIRATORY FAILURE 2/24/2022 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION J96.01 ACUTE HYPOXEMIC RESPIRATORY FAILURE 12/28/2021 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/6/2022 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Exercise tolerance decreased, Fatigue, Laboratory test, Pyrexia, Sleep study
Clinical narrative: Right after my fourth vaccine I had fatigue, a fever of about 101, and felt sluggish for about a day. Towards the end of February I noticed increase fatigue and it was very unusual for me. I could not get through my normal exercise routine, and I found that I was falling asleep easily and it was very abnormal. I am not sure if it is associated with the vaccine however, I believe that this is very out of the norm for me. I did reach out to my doctor for an in office visit. We did do some lab work and recommended a sleep study as well and now I am just waiting for the results.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sluggishness, Somnolence
Clinical narrative: Right after my fourth vaccine I had fatigue, a fever of about 101, and felt sluggish for about a day. Towards the end of February I noticed increase fatigue and it was very unusual for me. I could not get through my normal exercise routine, and I found that I was falling asleep easily and it was very abnormal. I am not sure if it is associated with the vaccine however, I believe that this is very out of the norm for me. I did reach out to my doctor for an in office visit. We did do some lab work and recommended a sleep study as well and now I am just waiting for the results.
Age: 19.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: patient came in to get Bivalent booster and signed that he had received 2 previous vaccines, but after giving the shot, hwe realized this was his first vaccine period!
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Started having a headache, sore throat and congestion. Took a home COVID-19 test and was positive. Contacted doctor and told to rest.
Age: 47.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation error
Clinical narrative: The client received Moderna Booster before the 15 min thaw time
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Malaise, SARS-CoV-2 test positive
Clinical narrative: I started feeling unwell mid-morning. I did a COVID-19 test and tested negative. The next day I tested positive. I made a telehealth appointment and my doctor prescribed Paxlovid.  I felt better after two days of the Paxlovid. I have been tired after it was over.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pruritus
Clinical narrative: I had vaccination on 10/07/2022. On 10/31/2022 timeframe I started to experience an itch on my back down near my waist. It was a small area about 1 inch and 1/2. It started to progress in size. Since that period of time it is much larger and has expanded up near my shoulders. My primary physician gave me an ointment that did not work. I saw the doctor gave me another ointment 3 months after initial reaction. I have been using it twice a day and it relieves the itching for a couple of hours but then it does come back. I am making a follow up appointment within this week to go over other options.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Monovalent was given to patient instead of the bivalent booster. No other issues noted at this time.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: I had a headache, a lot of coughing, chills, and very very tired. I called my physician and had a Telehealth visit and she called in PAXLOVID.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had a headache, a lot of coughing, chills, and very very tired. I called my physician and had a Telehealth visit and she called in PAXLOVID.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Bronchial disorder, Eye pruritus, Lacrimation increased, Prostate cancer, Prostatic specific antigen
Clinical narrative: Allergies - seasonal sneezing, itchy watery eyes has Continued All year; affects bronchial problems, seem to be much more susceptible to upper lung congestions /concerns big uptick in PSA test results relating to Prostrate cancer;  strange blood clotting with hair follicles;
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pulmonary congestion, Sneezing, Thrombosis
Clinical narrative: Allergies - seasonal sneezing, itchy watery eyes has Continued All year; affects bronchial problems, seem to be much more susceptible to upper lung congestions /concerns big uptick in PSA test results relating to Prostrate cancer;  strange blood clotting with hair follicles;
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Antibody test, Crying, Laboratory test, Swelling, Urticaria
Clinical narrative: "hives" all over; some swelling noted to hives; no difficulty breathing (no cough, wheeze, shortness of breath, drooling, gagging, tongue swelling, or color changes noted); pt was crying hard in the background of the phone call. As long as no difficulty breathing, RN advised Benadryl 12.5 mg/5 mL, 5 mL po based on pt 33 pounds wt in office that day.  One hour later pt was in ER with hives from head to hips (not on legs where vaccines were given); Benadryl had been taken and Pepcid (no epinephrine or oxygen needed). Pt was assessed and monitored at ER for about 3 hours.
Age: 28.0
Sex: F
Vaccine: HEPA
Symptoms: Unevaluable event
Clinical narrative: Patient is going to come into office and going to receive the right vaccine. patient well talk with provider.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered, No adverse event
Clinical narrative: ON 03/01/2023 PATIENT GOT A THIRD DOSE OF SHINGLES THINKING HE IS GETTING THE SECOND DOSE . PT IS DOING OK AND DOES NOT HAVE ANY ADVERSE REACTIONS OR SIDE EFFECTS FROM IT. PT CAME IN AND ASKED FOR A SECOND SHINGLES VACCINE . I THOUGHT HE IS LATE FOR A SECOND DOSE , STATE IMMUNIZATION REGISTERY RECORDS SYSTEM WAS NOT AVAILBALE DUE TO SYSTEM ISSUES . WHILE DOING COMPLIENCE CALLS FOR PATIENTS WE FOUND OUT THAT THIS PATIENT ACTUALLY GOT TWO PREVIOUS DOSES ON 11/02/2022 AND 03/23/22.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, COVID-19, Cough, Deafness unilateral, Ear discomfort
Clinical narrative: I got home from work at 4:30 PM, and I started feeling bad. I had a terrible headache, a temperature of 102.5, and a dry, unproductive cough. I took Tylenol PM, but it didn't help. The following morning, I showed up for work, and I was sent to the workplace clinic at 7:30 AM. I underwent a PCR test and got a positive result for COVID-19. I was also tested for RSV, influenza A, and influenza B, and the results on those were negative. I was then sent home to isolate for ten days. I was given Tessalon Perles, Tylenol, Motrin, and Paxlovid. It took four days for the fever to break. During my fever, I sweated profusely. I often had to change my bedclothes and the clothes I was wearing. After the fourth and fifth day, I started having issues with my right ear. Whenever I went to bed, it was clogged, but it was clear whenever I woke up the following morning. My problem with my right ear persists to this day, and it has affected my hearing to the point that I can't really gauge the volume of my own voice, so I often sound like I'm yelling. I went to an audiologist on 2/27/2023. My hearing in the left ear was fine, but when the audiologist administered the audiograph to the right ear, it flatlined. I couldn't hear anything out of that ear. She then checked my right ear with the otoscope and noted that there was a lot of fluid buildup. I get my healthcare through the agency, and I have been waiting ever since to see an ENT specialist. I was told that it would probably take three months.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Ear disorder, Feeling abnormal, Headache, Hyperhidrosis, Influenza A virus test negative
Clinical narrative: I got home from work at 4:30 PM, and I started feeling bad. I had a terrible headache, a temperature of 102.5, and a dry, unproductive cough. I took Tylenol PM, but it didn't help. The following morning, I showed up for work, and I was sent to the workplace clinic at 7:30 AM. I underwent a PCR test and got a positive result for COVID-19. I was also tested for RSV, influenza A, and influenza B, and the results on those were negative. I was then sent home to isolate for ten days. I was given Tessalon Perles, Tylenol, Motrin, and Paxlovid. It took four days for the fever to break. During my fever, I sweated profusely. I often had to change my bedclothes and the clothes I was wearing. After the fourth and fifth day, I started having issues with my right ear. Whenever I went to bed, it was clogged, but it was clear whenever I woke up the following morning. My problem with my right ear persists to this day, and it has affected my hearing to the point that I can't really gauge the volume of my own voice, so I often sound like I'm yelling. I went to an audiologist on 2/27/2023. My hearing in the left ear was fine, but when the audiologist administered the audiograph to the right ear, it flatlined. I couldn't hear anything out of that ear. She then checked my right ear with the otoscope and noted that there was a lot of fluid buildup. I get my healthcare through the agency, and I have been waiting ever since to see an ENT specialist. I was told that it would probably take three months.