chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: A few months after the injection, I noticed general weakness, lightheadedness, shortness of breath. In January, we tested positive for Covid. Late January, I started seeing the cardiologist thinking my pacemaker was not working right or that something was going on with my heart issues. Stress tests, blood tests, all the testing they did said I was not in afib and the pacemaker was working but the symptoms were still occurring. At that time, the doctor felt that maybe Covid was an issue. At that point, my blood pressure started jumping all around...way high and way low. At this point, we're going to a second cardiologist that deals with the veins and arteries. In my mind, if all the arteries and veins are working properly, I feel like it might have something to do with Covid or the shots.
Age: 1.0
Sex: F
Vaccine: MMR, PNC13, VARCEL
Symptoms: Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever, congestion, cough- developed 103.4 degrees f temperature at time of visit.
Age: 15.0
Sex: F
Vaccine: MENB
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Hives and low grade temp (99), muscle aches, pain at injection site with redness/swelling. hives resolved quickly with oral benadryl. pain and redness/swelling gradually improved over 1 week's time.
Age: 15.0
Sex: F
Vaccine: MENB
Symptoms: Urticaria
Clinical narrative: Hives and low grade temp (99), muscle aches, pain at injection site with redness/swelling. hives resolved quickly with oral benadryl. pain and redness/swelling gradually improved over 1 week's time.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I believe i contracted Covid while traveling, I was there for work. I left on the 22nd of May and returned on the 26th. I had a little bit of a sore throat on the 30th, got some congestion on the 31st. On June 1st it was more, tired and congested. However, i was also driving for 8 hours straight so that also could have effected it. I took a dayquil and 5 hour energy. That night my throat was sore, which was unusual because normally i get a sore throat in the beginning of an illness and not one that comes back. So i went to get tested for strep throat because i was supposed to fly for a wedding, and the Dr. Also tested me for covid which came back positive. But by then i felt fine. By the 6th i tested negative. Doctor prescribed paxlovid on 6/3.  The night of the 7th i had been drinking a lot with my roommate and then i took my last dose of the paxlovid on the 8th, and I had a bad reaction to it about 15-20mins afterwards. I felt very ill and threw it up. I had the worst taste in my mouth- it had been bad for days. i couldn't eat anything on the 8th because the taste was so bad, almost bitter. My face broke out in a rash- they were red spots that weren't itchy. All over my forehead, along my jaw, over both my eyes. I called Dr. office and spoke with someone who basically said that my body was done with the paxlovid and just didn't want anymore and said she would have advised I discontinue taking it if it hadn't already been the last dose.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Streptococcus test positive
Clinical narrative: I believe i contracted Covid while traveling, I was there for work. I left on the 22nd of May and returned on the 26th. I had a little bit of a sore throat on the 30th, got some congestion on the 31st. On June 1st it was more, tired and congested. However, i was also driving for 8 hours straight so that also could have effected it. I took a dayquil and 5 hour energy. That night my throat was sore, which was unusual because normally i get a sore throat in the beginning of an illness and not one that comes back. So i went to get tested for strep throat because i was supposed to fly for a wedding, and the Dr. Also tested me for covid which came back positive. But by then i felt fine. By the 6th i tested negative. Doctor prescribed paxlovid on 6/3.  The night of the 7th i had been drinking a lot with my roommate and then i took my last dose of the paxlovid on the 8th, and I had a bad reaction to it about 15-20mins afterwards. I felt very ill and threw it up. I had the worst taste in my mouth- it had been bad for days. i couldn't eat anything on the 8th because the taste was so bad, almost bitter. My face broke out in a rash- they were red spots that weren't itchy. All over my forehead, along my jaw, over both my eyes. I called Dr. office and spoke with someone who basically said that my body was done with the paxlovid and just didn't want anymore and said she would have advised I discontinue taking it if it hadn't already been the last dose.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine lot # had been extended and had remained frozen until date of administration but was administered 2 days past expiration date. Moderna consulted and they deemed the vaccine still viable so no revaccination was required. Pt did not report any adverse side effects.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Interchange of vaccine products
Clinical narrative: covid
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Discovered 6/13/22, that patient above had received a vaccination that expired 5/20/2022. The date of vaccination was 5/24/2022.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Pfizer COVID vaccine administered to patient without dilution. No adverse reaction noted. Followed up with Pfizer for guidance as well as with patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Ear pain, Fatigue
Clinical narrative: I had a morning cough develop and headache as well as fatigue on the morning of May 30th. This morning cough lasted for a few weeks. I had to take naps during the day which is very unusual for me. The first indication was my left ear was hurting as well as the inside of my mouth. I received my vaccine, 4th dose, and developed diarrhea and chills. A few days later, I developed an even worse cough. I had low-grade fever of which I did not check. This lasted for a couple of days. I also had congestion in my chest. Today is the first day I feel better.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypersomnia, Oral pain, Pulmonary congestion, Pyrexia
Clinical narrative: I had a morning cough develop and headache as well as fatigue on the morning of May 30th. This morning cough lasted for a few weeks. I had to take naps during the day which is very unusual for me. The first indication was my left ear was hurting as well as the inside of my mouth. I received my vaccine, 4th dose, and developed diarrhea and chills. A few days later, I developed an even worse cough. I had low-grade fever of which I did not check. This lasted for a couple of days. I also had congestion in my chest. Today is the first day I feel better.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Discovered 6/13/22, that patient above had received a vaccination that expired 5/20/2022. The date of vaccination was 5/27/2022.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Myalgia, SARS-CoV-2 test positive
Clinical narrative: Approximately 6 months post vaccine I was diagnosed with COVID-19.  Symptoms where extreme fatigue, muscle aches, and severe cough. Couch still hasn't cleared and was prescribed inhaler.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Expired product administered
Clinical narrative: The vaccine had expired by 4 days when given to the patient
Age: 12.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Aphasia, Pallor, Sleep deficit, Unresponsive to stimuli, Vision blurred
Clinical narrative: Client presented to clinic for seventh grade vaccinations on 6/13/2022. At 11:40AM, client received vaccines listed above. Twenty seconds after completing vaccine administration, client stopped talking mid-sentence and leaned against cushion of exam table. Eyes staring ahead unfocused, client not responsive to verbal stimuli. After four seconds, client spontaneously sat up, becomes awake and alert x 4, and commented "I must have fell asleep for a moment" then continued with conversation. Lip color pale (client skin color very fair as baseline). Mother stated client has never passed out to vaccines before. Mother stated client admitted not have breakfast before coming. Client also stated attended camp all week the week before and "still sleep deprived." Mother stated family history of father passing out routinely for vaccines and blood draws. Gave water and Goldfish crackers, able to tolerate. After five minutes, client stated felt good to go. Escorted out to private vehicle by mother.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Discovered 6/13/22, that patient above had received a vaccination that expired 5/20/2022. The date of vaccination was 5/27/2022.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Antinuclear antibody positive, Formication, Laboratory test, Paraesthesia
Clinical narrative: HIVES, PINS ANS NEEDLES, BUGS CRAWLING FEELING, ITCHY AND PRICKLY SKIN, ANGIOEDEM, SWOLLEN AREAS ON BODY.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: HIVES, PINS ANS NEEDLES, BUGS CRAWLING FEELING, ITCHY AND PRICKLY SKIN, ANGIOEDEM, SWOLLEN AREAS ON BODY.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Product preparation issue
Clinical narrative: 10 year old patient got a dose that was not reconstituted.   Pharmacist called immediately.   No immediate reaction, dose error was discovered  after patient had left.
Age: 72.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: pt vaccinated with Covid vaccine.  Patient admitted to facility for Covid
Age: 64.0
Sex: F
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was 11 days past expiration date. Patient did not have any reactions
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling hot, Insomnia, Muscle tightness, Pain in extremity
Clinical narrative: He got his vaccine, he woke up the next morning, felt warm and took some Tylenol.  He was very tried, and ate some breakfast but noticed soreness under his arm.  He woke up again and it was severe, and put heating pad on it.  He went back to sleep, woke up and put the sleeping pad back on it, and took some more Tylenol.  He was up half the night with the pain.  It's right underneath the armpit, on the side of his heart at the bottom part.  It feels swollen, like a muscle is tightening in it.  He is going to his doctor today.  He is getting raised marks on his foot again, and has an appointment with his dermatologist today as well.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: He got his vaccine, he woke up the next morning, felt warm and took some Tylenol.  He was very tried, and ate some breakfast but noticed soreness under his arm.  He woke up again and it was severe, and put heating pad on it.  He went back to sleep, woke up and put the sleeping pad back on it, and took some more Tylenol.  He was up half the night with the pain.  It's right underneath the armpit, on the side of his heart at the bottom part.  It feels swollen, like a muscle is tightening in it.  He is going to his doctor today.  He is getting raised marks on his foot again, and has an appointment with his dermatologist today as well.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Local reaction, Vaccination site erythema, Vaccination site pruritus, Vaccination site rash, Vaccination site swelling
Clinical narrative: So the area around where I had my vaccine shot was red itchy, and swollen, but then it started to itch really bad by Nov 1, and then it started to have like a rash around it.  Sent a message to the system of doctors on Nov 3 and they responded that it was a local reaction to the vaccine and to continue the use of the hydrocortizone, and ice every 15 min, and to also look for an infection called celluitus that could happen but it did not in my case.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Deep vein thrombosis, Pulmonary thrombosis
Clinical narrative: Developed DVT Blood clot in leg-lung noted during hospital stay from 12/10/2021-12/22/2021 Death-01/02/2022
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine (5-11yrs) manufacturer expiration date is 8/31/2022. However, vaccine expiration date after being transferred from freezer to refrigerator is 5/17/22. Vaccine was administered on 6/1/22.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Scrotal mass, Scrotal pain
Clinical narrative: Day after vaccination a a slightly painful lump appeared inside my scrotum near one of my testicles.  Day two after the vaccination another slightly painful lump appeared inside my scrotum near my other testicle.  Both are slightly painful to the touch.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt admitted with Covid.  Pt received the Covid vaccine.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Fever, Headache, Muscle aches - 6/13/2022 at 12:30am
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac failure congestive, Chest X-ray, Dyspnoea
Clinical narrative: I was having trouble breathing on 5/19/22 and i went to see the nP at my doctor's office. She started me on antibiotic that didn't help because i was still having trouble breathing the following monday on the 23rd. they said to go to the er. At the ER they said I was having congestive heart failure. they then started me on some medications
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: On Monday, May 30, 2022 I had a sore throat, on Tuesday I felt pretty icky and thought I had strep but took a home COVID-19 test. It looked inconclusive. I decided to go to the clinic to have a PCR COVID-19 test run there, they did not have a rapid test. I called my doctor to let her know that I had a test for COVID-19 and was waiting for the results, she did prescribe antibiotics for strep since it was going around and my symptoms were the same as that. I started the antibiotics for two days when the test results came positive for COVID-19. I have bad allergies and this felt like when I have gotten a bad summer cold.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine (5-11yrs) manufacturer expiration date is 8/31/2022. However, vaccine expiration date after being transferred from freezer to refrigerator is 5/17/22. Vaccine was administered on 5/27/2022.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Oxygen saturation decreased
Clinical narrative: symptomatic admission to hospital with cough and low oxygen saturation.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Pt arrived with shortness of breath and cough.  Pt has PMH of CKD stage III and is status post renal transplant, heart failure preserved EF, and type II DM.  He has been having these symptoms along with body aches and weakness for 8 days.  He is chronically immunosuppressed on antirejection medications for renal transplant.  He was admitted for pneumonia due to COVID -19 virus.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Pt arrived with shortness of breath and cough.  Pt has PMH of CKD stage III and is status post renal transplant, heart failure preserved EF, and type II DM.  He has been having these symptoms along with body aches and weakness for 8 days.  He is chronically immunosuppressed on antirejection medications for renal transplant.  He was admitted for pneumonia due to COVID -19 virus.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Angiogram, Arthralgia, Asthenia, Ataxia
Clinical narrative: Fevers, Generalized weakness, Paresthesias and Pain in extremities, joint pain, swelling, shortness of breath, balance and dizziness and multiple falls, ataxia, peripheral neuropathy, autoimmune triggered chronic inflammatory demyelinating polyneuopathy along with arthralgias and vertigo, tinnitus, amnesia, fibromyalgia, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Blood test, Cardiac monitoring, Chronic inflammatory demyelinating polyradiculoneuropathy, Computerised tomogram abdomen
Clinical narrative: Fevers, Generalized weakness, Paresthesias and Pain in extremities, joint pain, swelling, shortness of breath, balance and dizziness and multiple falls, ataxia, peripheral neuropathy, autoimmune triggered chronic inflammatory demyelinating polyneuopathy along with arthralgias and vertigo, tinnitus, amnesia, fibromyalgia, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Echocardiogram, Fall, Fatigue
Clinical narrative: Fevers, Generalized weakness, Paresthesias and Pain in extremities, joint pain, swelling, shortness of breath, balance and dizziness and multiple falls, ataxia, peripheral neuropathy, autoimmune triggered chronic inflammatory demyelinating polyneuopathy along with arthralgias and vertigo, tinnitus, amnesia, fibromyalgia, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibromyalgia, Lumbar puncture, Magnetic resonance imaging, Neuropathy peripheral, Pain in extremity
Clinical narrative: Fevers, Generalized weakness, Paresthesias and Pain in extremities, joint pain, swelling, shortness of breath, balance and dizziness and multiple falls, ataxia, peripheral neuropathy, autoimmune triggered chronic inflammatory demyelinating polyneuopathy along with arthralgias and vertigo, tinnitus, amnesia, fibromyalgia, fatigue
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Pyrexia, Swelling, Tinnitus, Vertigo
Clinical narrative: Fevers, Generalized weakness, Paresthesias and Pain in extremities, joint pain, swelling, shortness of breath, balance and dizziness and multiple falls, ataxia, peripheral neuropathy, autoimmune triggered chronic inflammatory demyelinating polyneuopathy along with arthralgias and vertigo, tinnitus, amnesia, fibromyalgia, fatigue
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine (5-11yrs) manufacturer expiration date is 8/31/2022. However, vaccine expiration date after being transferred from freezer to refrigerator is 5/17/22. Vaccine was administered on 5/27/2022.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine lot # had been extended and had remained frozen until date of administration.  Was given 2 days post expiration date. Moderna consulted and they deemed the vaccine still viable so revaccination was not required.  Patient did not report any adverse side effects.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Child received Adult Pfizer  instead of Peds.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Diverticulum, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt admitted on 6/2 with diverticulosis, and on 6/9 developed a dry cough with low grade fevers and was found to be COVID positive.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Syncope, Vomiting
Clinical narrative: Patient felt nauseas, dizzy, and faint while waiting the 15 min after the vaccine administration. We brought her back into the consult room and had her lie down. She tried throwing up, but nothing happened. After laying down for few minutes, she felt much better. Her mom came to drive her home. She was completely fine when leaving, but I will follow up with patient later this afternoon.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Epistaxis, Oropharyngeal pain, Sleep disorder, Throat irritation
Clinical narrative: 06/04/2022 I woke up with a bloody nose and my blood pressure was up. It took half an hour before my bloody nose slowed down and another 10 minutes before it stopped. My blood pressure was 157/90 around 10:00 that morning. My throat felt raw and was sore for about 3 days. My blood pressure went back to a normal range about 3 days later. I feel fine now.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Angiogram pulmonary normal, Blood culture positive, COVID-19, Chest X-ray normal, Condition aggravated
Clinical narrative: Primary Care Physician at Discharge: Doctor Hematologist/Oncologist: Doctor Admission Date: 6/6/2022 Discharge Date: 06/10/2022 Patient's Discharge Disposition:  Home in stable condition.  PRESENTING PROBLEM: Shock Hypotension, unspecified hypotension type COVID-19 UTI (urinary tract infection)   Hospital Course:   This is a 70 y.o. year old patient who was admitted on 6/6/2022 with PMH of IgG kappa multiple myeloma, HTN, hyperthyroidism, and type II DM.  She was admitted with severe hypotension requiring ICU and pressors.  Her hypovolemic shock was thought secondary to volume depletion which responded to fluid resuscitation, and patient was able to come off pressors on 6/7.  She was treated with stress dose steroids in setting of shock but was weaned off steroids on 6/8 without any recurrence of low blood pressure. Blood cultures were positive for corynebacterium aurimucosum, however this was likely a contaminant.  She was also incidentally found to be COVID positive, however she continued on room air and CXR/CTA chest did not show any acute pulmonary process. Her urinalysis showed moderate leukocytes, however her urine culture was negative.  Given negative urine culture, she was taken off antibiotics on 6/9 without any recurrence of symptoms or worsening ROS.  She was treated with Remdesivir on 6/8 and 6/9 but did not need to complete entire course given overall improvement and stability. Patient deemed stable for discharge on 6/10.   Prior to discharge today, patient is feeling well. She is on room air without SOB.  Patient eating/drinking/voiding well and ambulating as tolerated.  Patient will plan to follow up in our office with the NP on 6/14.  She is due for her next cycle of daratumumab on 6/20/22.  She was encouraged to follow-up with her PCP for blood pressure and diabetes management given her elevated A1C and that blood pressure medications were stopped with hypotension.  Patient's discharge medications and instructions were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge.  All questions answered.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Corynebacterium test positive, Culture urine negative, Glycosylated haemoglobin increased, Hypotension, Hypovolaemia
Clinical narrative: Primary Care Physician at Discharge: Doctor Hematologist/Oncologist: Doctor Admission Date: 6/6/2022 Discharge Date: 06/10/2022 Patient's Discharge Disposition:  Home in stable condition.  PRESENTING PROBLEM: Shock Hypotension, unspecified hypotension type COVID-19 UTI (urinary tract infection)   Hospital Course:   This is a 70 y.o. year old patient who was admitted on 6/6/2022 with PMH of IgG kappa multiple myeloma, HTN, hyperthyroidism, and type II DM.  She was admitted with severe hypotension requiring ICU and pressors.  Her hypovolemic shock was thought secondary to volume depletion which responded to fluid resuscitation, and patient was able to come off pressors on 6/7.  She was treated with stress dose steroids in setting of shock but was weaned off steroids on 6/8 without any recurrence of low blood pressure. Blood cultures were positive for corynebacterium aurimucosum, however this was likely a contaminant.  She was also incidentally found to be COVID positive, however she continued on room air and CXR/CTA chest did not show any acute pulmonary process. Her urinalysis showed moderate leukocytes, however her urine culture was negative.  Given negative urine culture, she was taken off antibiotics on 6/9 without any recurrence of symptoms or worsening ROS.  She was treated with Remdesivir on 6/8 and 6/9 but did not need to complete entire course given overall improvement and stability. Patient deemed stable for discharge on 6/10.   Prior to discharge today, patient is feeling well. She is on room air without SOB.  Patient eating/drinking/voiding well and ambulating as tolerated.  Patient will plan to follow up in our office with the NP on 6/14.  She is due for her next cycle of daratumumab on 6/20/22.  She was encouraged to follow-up with her PCP for blood pressure and diabetes management given her elevated A1C and that blood pressure medications were stopped with hypotension.  Patient's discharge medications and instructions were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge.  All questions answered.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hypovolaemic shock, Intensive care, SARS-CoV-2 test positive, Shock, Urinary tract infection
Clinical narrative: Primary Care Physician at Discharge: Doctor Hematologist/Oncologist: Doctor Admission Date: 6/6/2022 Discharge Date: 06/10/2022 Patient's Discharge Disposition:  Home in stable condition.  PRESENTING PROBLEM: Shock Hypotension, unspecified hypotension type COVID-19 UTI (urinary tract infection)   Hospital Course:   This is a 70 y.o. year old patient who was admitted on 6/6/2022 with PMH of IgG kappa multiple myeloma, HTN, hyperthyroidism, and type II DM.  She was admitted with severe hypotension requiring ICU and pressors.  Her hypovolemic shock was thought secondary to volume depletion which responded to fluid resuscitation, and patient was able to come off pressors on 6/7.  She was treated with stress dose steroids in setting of shock but was weaned off steroids on 6/8 without any recurrence of low blood pressure. Blood cultures were positive for corynebacterium aurimucosum, however this was likely a contaminant.  She was also incidentally found to be COVID positive, however she continued on room air and CXR/CTA chest did not show any acute pulmonary process. Her urinalysis showed moderate leukocytes, however her urine culture was negative.  Given negative urine culture, she was taken off antibiotics on 6/9 without any recurrence of symptoms or worsening ROS.  She was treated with Remdesivir on 6/8 and 6/9 but did not need to complete entire course given overall improvement and stability. Patient deemed stable for discharge on 6/10.   Prior to discharge today, patient is feeling well. She is on room air without SOB.  Patient eating/drinking/voiding well and ambulating as tolerated.  Patient will plan to follow up in our office with the NP on 6/14.  She is due for her next cycle of daratumumab on 6/20/22.  She was encouraged to follow-up with her PCP for blood pressure and diabetes management given her elevated A1C and that blood pressure medications were stopped with hypotension.  Patient's discharge medications and instructions were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge.  All questions answered.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 70.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Urine analysis abnormal, Urine leukocyte esterase positive
Clinical narrative: Primary Care Physician at Discharge: Doctor Hematologist/Oncologist: Doctor Admission Date: 6/6/2022 Discharge Date: 06/10/2022 Patient's Discharge Disposition:  Home in stable condition.  PRESENTING PROBLEM: Shock Hypotension, unspecified hypotension type COVID-19 UTI (urinary tract infection)   Hospital Course:   This is a 70 y.o. year old patient who was admitted on 6/6/2022 with PMH of IgG kappa multiple myeloma, HTN, hyperthyroidism, and type II DM.  She was admitted with severe hypotension requiring ICU and pressors.  Her hypovolemic shock was thought secondary to volume depletion which responded to fluid resuscitation, and patient was able to come off pressors on 6/7.  She was treated with stress dose steroids in setting of shock but was weaned off steroids on 6/8 without any recurrence of low blood pressure. Blood cultures were positive for corynebacterium aurimucosum, however this was likely a contaminant.  She was also incidentally found to be COVID positive, however she continued on room air and CXR/CTA chest did not show any acute pulmonary process. Her urinalysis showed moderate leukocytes, however her urine culture was negative.  Given negative urine culture, she was taken off antibiotics on 6/9 without any recurrence of symptoms or worsening ROS.  She was treated with Remdesivir on 6/8 and 6/9 but did not need to complete entire course given overall improvement and stability. Patient deemed stable for discharge on 6/10.   Prior to discharge today, patient is feeling well. She is on room air without SOB.  Patient eating/drinking/voiding well and ambulating as tolerated.  Patient will plan to follow up in our office with the NP on 6/14.  She is due for her next cycle of daratumumab on 6/20/22.  She was encouraged to follow-up with her PCP for blood pressure and diabetes management given her elevated A1C and that blood pressure medications were stopped with hypotension.  Patient's discharge medications and instructions were discussed as per below and new prescriptions were sent to patient's requested pharmacy prior to discharge.  All questions answered.  Patient is aware to call our office should further questions or concerns arise following this discharge.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None at this time.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Myalgia
Clinical narrative: She contracted COVID-19 on 06/06/2022 with symptoms of fever, fatigue, congestion, runny nose, cough, myalgia, and chills. She was given TYLENOL, ibuprofen, and BENADRYL, and was not prescribed any medications by her doctor. Her symptoms began to resolve on 06/12/2022, but she is not yet fully recovered.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: She contracted COVID-19 on 06/06/2022 with symptoms of fever, fatigue, congestion, runny nose, cough, myalgia, and chills. She was given TYLENOL, ibuprofen, and BENADRYL, and was not prescribed any medications by her doctor. Her symptoms began to resolve on 06/12/2022, but she is not yet fully recovered.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine (5-11yrs) manufacturer expiration date is 8/31/2022. However, vaccine expiration date after being transferred from freezer to refrigerator is 5/17/22. Vaccine was administered on 5/27/22.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Body temperature increased, Headache, Impaired work ability, Lymphadenopathy
Clinical narrative: I received the vaccine on 12/11/2021. January I work up with a sore throat, got out of bed and had 101F which felt like a temperature swollen gland. I missed work for a week. My doctor gave me an antibiotic and steroid medicine which helped. The symptoms came back, my doctor prescribed another round of antibiotics and steroid and that help. I've had two sinus infections in March and April. I had a serious of really bad and intense headaches. My doctor diagnosed them to be a rare form called SUNCT.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Oropharyngeal pain, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: I received the vaccine on 12/11/2021. January I work up with a sore throat, got out of bed and had 101F which felt like a temperature swollen gland. I missed work for a week. My doctor gave me an antibiotic and steroid medicine which helped. The symptoms came back, my doctor prescribed another round of antibiotics and steroid and that help. I've had two sinus infections in March and April. I had a serious of really bad and intense headaches. My doctor diagnosed them to be a rare form called SUNCT.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none at this time
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chiropractic, Constipation, Diarrhoea, Pain
Clinical narrative: After I got my second booster, it hurt a little bit for 10-15 minutes and the pain went away. Some days later, I had stool problems, constipation, and on and off diarrhea. Taking medications for my heart arrhythmia caused consistent stool problems in addition to another medication in combination. I went to see a chiropractor to help relieve joint pain and still trying to get scheduled to see a doctor about my stool problems.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure acute, Cardiac failure congestive, Cough, Electrocardiogram abnormal
Clinical narrative: Pt was admitted on 6/1 for abnormal EKG and acute on chronic combined systolic and grade 2 diastolic CHF.  On 6/9 he developed a cough, low grade fever, and hypoxia that required oxygen.  He was found to be COVID positive.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Left ventricular failure, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt was admitted on 6/1 for abnormal EKG and acute on chronic combined systolic and grade 2 diastolic CHF.  On 6/9 he developed a cough, low grade fever, and hypoxia that required oxygen.  He was found to be COVID positive.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Anti factor VIII antibody increased, Anticoagulant therapy, Blood test abnormal, Incoherent, Loss of consciousness
Clinical narrative: I was at home with my family I passed out twice, they called the ambulance, they took me to the hospital. I was not really coherent they did different tests and they found I had blood clots in both lungs and the left calf of my leg. This was Saturday and they started me with blood thinner and oxygen, I stayed for 48 hrs. on bed, I stayed until Thursday. Next week I will get scan to see if the blood clot is gone. They sent me to a hematologist for my blood check. They found that my Factor 8 was elevated.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary thrombosis, Scan, Thrombosis
Clinical narrative: I was at home with my family I passed out twice, they called the ambulance, they took me to the hospital. I was not really coherent they did different tests and they found I had blood clots in both lungs and the left calf of my leg. This was Saturday and they started me with blood thinner and oxygen, I stayed for 48 hrs. on bed, I stayed until Thursday. Next week I will get scan to see if the blood clot is gone. They sent me to a hematologist for my blood check. They found that my Factor 8 was elevated.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Malaise, Respiratory tract congestion
Clinical narrative: I exposed to COVID-19 on June 03, 2022. I had a few symptoms on June 5, 2022 but they were not major, on Monday June 6, 2022 I started feeling unwell and took a home COVID-19 Test that came back positive. I called my doctor and made an appointment to go in and confirm my test results. He prescribed Paxlovid that I started taking that day. I am feeling better despite feeling a little tired and still having a bit of congestion.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I exposed to COVID-19 on June 03, 2022. I had a few symptoms on June 5, 2022 but they were not major, on Monday June 6, 2022 I started feeling unwell and took a home COVID-19 Test that came back positive. I called my doctor and made an appointment to go in and confirm my test results. He prescribed Paxlovid that I started taking that day. I am feeling better despite feeling a little tired and still having a bit of congestion.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test abnormal, Contusion, Heart rate increased, Infusion
Clinical narrative: My daughter gets a lot of bloodwork all of the time for her pre-existing conditions. She was feeling weak, bruising and a high heart rate so we had expected something was going on, but we didn't think too much into it and decided to wait until her doctor appointment. At her doctor appointment they did blood work which showed that her blood lines had crashed. She was prescribed steroids', infusion as well as an immunosuppressant.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Headache, Joint stiffness
Clinical narrative: Severe chest pain Shortness of breath Severe headache Paralysis Stiffening of joints  Unable to move  Lightheaded  Dizziness  Passes out
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Loss of consciousness, Movement disorder, Paralysis
Clinical narrative: Severe chest pain Shortness of breath Severe headache Paralysis Stiffening of joints  Unable to move  Lightheaded  Dizziness  Passes out
Age: 5.0
Sex: F
Vaccine: DTAPIPV, HEPA, MMRV
Symptoms: Disorientation, Headache, Pyrexia
Clinical narrative: Day after vaccines-developed fever, headache, some disorientation.  Advised ER visit.  To the ER on 6/11-no testing done.  Symptoms improved after acetaminophen and ibuprofen
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test normal, COVID-19, Computerised tomogram normal, Cough
Clinical narrative: 05/17/2022 I did start to come down with COVID-19 Symptoms that seemed like allergy issues. On the 20th I went and got tested for COVID-19 and it did come out positive. The symptoms that came down with were runny nose, congestion, cough, no fever or anything else. I tried an Allegra and it did not help the symptoms at all. I am still to this day having the cough and I am still having GI issues that became apparent after my infection and my doctor believes that it may be COVID-19 related. I had been told that many patients coming in with COVID-19 have shown issues with their GI. Bloodwork that was done came back normal and a CT scan that came back completely normal. I was given an IV and then was sent home after going to the ER.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 05/17/2022 I did start to come down with COVID-19 Symptoms that seemed like allergy issues. On the 20th I went and got tested for COVID-19 and it did come out positive. The symptoms that came down with were runny nose, congestion, cough, no fever or anything else. I tried an Allegra and it did not help the symptoms at all. I am still to this day having the cough and I am still having GI issues that became apparent after my infection and my doctor believes that it may be COVID-19 related. I had been told that many patients coming in with COVID-19 have shown issues with their GI. Bloodwork that was done came back normal and a CT scan that came back completely normal. I was given an IV and then was sent home after going to the ER.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Feeling abnormal, Headache, Hyperhidrosis
Clinical narrative: Sore throat, congestion, runny nose, sneezing, headache, chills, sweats, fever, brain fog
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Sore throat, congestion, runny nose, sneezing, headache, chills, sweats, fever, brain fog
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: Sore throat, congestion, runny nose, sneezing, headache, chills, sweats, fever, brain fog
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test normal, Chest pain, Dyspepsia, Laboratory test normal, Maternal exposure before pregnancy
Clinical narrative: She was having very bad chest pain. It last for days and he (her husband), he told her to go lay down for a while. She took something for heartburn. She went to see her PCP and to the ER and they ran some test and they didn't see anything. She has had to go to the hospital a few times before January 2022. The doctor did a stress test and they didn't found anything on it as well. She is pregnant and is 20 weeks. Her doctor has referred her to see someone else but he couldn't remember who or when.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy
Clinical narrative: She was having very bad chest pain. It last for days and he (her husband), he told her to go lay down for a while. She took something for heartburn. She went to see her PCP and to the ER and they ran some test and they didn't see anything. She has had to go to the hospital a few times before January 2022. The doctor did a stress test and they didn't found anything on it as well. She is pregnant and is 20 weeks. Her doctor has referred her to see someone else but he couldn't remember who or when.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, SARS-CoV-2 test negative
Clinical narrative: Starting within a day of receiving the vaccine, I developed fatigue. It seems to be progressively worsening since receiving this dose. I went to urgent care on 06/09/2022 and they basically told me to get more rest, drink fluids and follow up with my PCP. The fatigue is so bad that I am struggling to get up out of bed and I can sit in a chair and just fall asleep. I have never had fatigue before in my life.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine (5-11yrs) manufacturer expiration date is 8/31/2022. However vaccine expiration date after being transferred from freezer to refrigerator is 5/17/22. Vaccine was administered on 5/27/22.
Age: 32.0
Sex: F
Vaccine: TDAP
Symptoms: Exposure during pregnancy, Mobility decreased, Pain in extremity, Shoulder injury related to vaccine administration
Clinical narrative: Patient is G2P1, 30w2d pregnant with singleton pregnancy EDC 08/20/22. Received routine Tdap in office 06/01/22. Patient contacted the clinic 06/08/22 and reported right arm pain and decreased mobility since receiving the injection. Provider reviewed patient's message and suspected SIRVA. Patient was referred to PT/OT. Patient was seen  for OT/PT evaluation 6/10/2022.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Anticoagulant therapy, Arthralgia, COVID-19
Clinical narrative: The injection long term effect has been ringing in my ears nonstop. I've had ringing before but not like this. Regarding my Covid case - I lost taste and smell 2 days after testing positive. I had all the symptoms but a cough. I had runny nose, sweat, chills, achiness, all my joints felt so sore that I can't even explain it (elbows, fingers, knees, ankles). That lasted about a week after testing negative. It slowly started getting better. Loss of smell and taste lasted 5 days. My right leg swelled up and was stiff and could barely bend it. It felt like a blood clot the doctor also thought it could be so I started taking aspirin and the swelling went down within 24 hours. I went back to the doctor and they said to add ADVIL and switch them off to help and I did that for about a month and then stopped.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Malaise, Musculoskeletal stiffness, Pain
Clinical narrative: The injection long term effect has been ringing in my ears nonstop. I've had ringing before but not like this. Regarding my Covid case - I lost taste and smell 2 days after testing positive. I had all the symptoms but a cough. I had runny nose, sweat, chills, achiness, all my joints felt so sore that I can't even explain it (elbows, fingers, knees, ankles). That lasted about a week after testing negative. It slowly started getting better. Loss of smell and taste lasted 5 days. My right leg swelled up and was stiff and could barely bend it. It felt like a blood clot the doctor also thought it could be so I started taking aspirin and the swelling went down within 24 hours. I went back to the doctor and they said to add ADVIL and switch them off to help and I did that for about a month and then stopped.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Rhinorrhoea, SARS-CoV-2 test positive, Tinnitus
Clinical narrative: The injection long term effect has been ringing in my ears nonstop. I've had ringing before but not like this. Regarding my Covid case - I lost taste and smell 2 days after testing positive. I had all the symptoms but a cough. I had runny nose, sweat, chills, achiness, all my joints felt so sore that I can't even explain it (elbows, fingers, knees, ankles). That lasted about a week after testing negative. It slowly started getting better. Loss of smell and taste lasted 5 days. My right leg swelled up and was stiff and could barely bend it. It felt like a blood clot the doctor also thought it could be so I started taking aspirin and the swelling went down within 24 hours. I went back to the doctor and they said to add ADVIL and switch them off to help and I did that for about a month and then stopped.
Age: 70.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Balance disorder, Dizziness, Headache, Pain
Clinical narrative: Body aches, headache, light headedness, imbalance and left sided joint pain. Appointment with Dr.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient developed COVID after receiving COVID vaccinations.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer COVID-19 vaccine (5-11yrs) manufacturer expiration date is 8/31/2022. However, vaccine expiration date after being transferred from freezer to refrigerator is 5/17/22. Vaccine was administered on 5/24/22.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood culture positive, Chest pain, Chills, Cold sweat
Clinical narrative: Patient is a 58 y.o. male with PMH follicular lymphoma s/p bendamustine/obinutuzumab, hypogammaglobulinemia s/p IVIG, hx of COVID-19 PNA (2/1/22) with subsequent cryptogenic organizing pneumonia (per 4/2022 surgical lung biopsy) who presents on 6/1/22 from Pulmonary Clinic with hypoxia, tachycardia, and chills.  Patient initially diagnosed with follicular lymphoma on 1/19/2021 and has been following with outpatient Hematology.  He was hospitalized 3/4/2022-3/12/2022 for COVID-19 pneumonia and has had a difficult course since then.  He was again hospitalized from 3/19/2022-3/27/2022 for persistent fevers felt to be related to COVID-19 and given his immunosuppressed status there is a possibly he is unable to clear the infection.  He was hospitalized again from 4/4/22-4/18/22 for acute hypoxic respiratory failure and is s/p bronch+BAL with extensive infectious workup which was unrevealing except for persistently positive COVID antigen.  Open lung biopsy on 4/12/2022 showed organizing for which the patient was started on steroids.  He was hospitalized again from 4/30/22-5/3/22 for recurrent fevers with negative infectious workup was discharged on prednisone and Bactrim prophylaxis.  He was hospitalized again from 5/13/22-5/15/22 when a single blood culture was positive for GPC (felt to be contaminant) and repeat blood cultures were negative.  Bactrim prophylaxis was changed to atovaquone for PJP prophylaxis.  The patient presents to pulmonary clinic follow-up today and was noted to be hypoxic, tachycardic, and experiencing chills.  Upon my evaluation the patient tells me he had a fever 102° F 2 days ago.  He continues to have intermittent chills throughout the day in addition to cold sweats.  Other symptoms include shortness of breath with activity and bilateral knee pain that started several days ago.  Early this morning he did have some chest pain which felt like dull ache under his left rib cage that lasted about 30 minutes.  Denies palpitations, dyspnea at rest, nausea, vomiting, hematemesis, cough, hemoptysis, abdominal pain, dysuria, hematuria, constipation, diarrhea, melena hematochezia.