chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertensive emergency, Hypochromic anaemia, Influenza A virus test negative, Influenza B virus test, Mental status changes
Clinical narrative: History of Present Illness:  This is a 84y.o. female with past medical history significant for history of GI bleed, HTN presents to the hospital with hematochezia noted at nursing facility. Patient is a poor historian, A/O ×1 to self only and unable to provide significant history. History was supplemented upon chart review and discussion with patient's daughter over the telephone. She states that the patient was recently hospitalized at Hospital for hypertensive emergency with adjustments made to patient's oral antihypertensive regimen. Following hospitalization, patient was discharged to care of where patient was being treated for presumed bacterial pneumonia with antibiotic therapy and antitussive therapy. Patient was noted to have bright red blood in her stool today at the nursing home prompting evaluation within the ED. Patient's daughter unaware of any significant hematochezia, melena, hematemesis. Patient's daughter states that prior to hospitalization, she was A/O ×3 and independent with all activities of daily living. Since hospitalization, patient has had an abrupt decline in her mentation, A/O ×1-2. Upon chart review, patient was evaluated at hospital on 10/2020 for acute GI bleed with colonoscopy and EGD demonstrating pandiverticulosis, hemorrhoids, esophageal mass measuring 7×7 mm, GE junction ulcer measuring 10×10 mm, gastric atrophy, deformed pylorus. Unfortunately unable to locate the results of pathology on chart review and patient's daughter unaware of results at this time. Patient also completed vascular surgery evaluation for questionable intramural hematoma involving the infrarenal abdominal aorta, unclear of any acute intervention or need for outpatient follow-up. Evaluation in the ED, vital signs initial BP 134/76, RR 18, HR 99, afebrile, stable SPO2 on room air. Workup significant for normocytic hypochromic anemia, hemoglobin 6.7, 1 unit PRBC to be transfusion repeat hemoglobin thereafter. Suspect CTD at baseline, creatinine 1.43 on prior admission at Facility receiving in 10/2020, creatinine of 1.10 on admission today. Incidentally found to be covert positive, chest x-ray demonstrating left basilar atelectasis, 2/2 Pfizer vaccine completed. Patient to be admitted to internal medicine with consult placed to GI given hematochezia and prior endoscopic history.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Normocytic anaemia, Nucleic acid test, Oesophageal mass, Oesophagogastroduodenoscopy abnormal, Packed red blood cell transfusion
Clinical narrative: History of Present Illness:  This is a 84y.o. female with past medical history significant for history of GI bleed, HTN presents to the hospital with hematochezia noted at nursing facility. Patient is a poor historian, A/O ×1 to self only and unable to provide significant history. History was supplemented upon chart review and discussion with patient's daughter over the telephone. She states that the patient was recently hospitalized at Hospital for hypertensive emergency with adjustments made to patient's oral antihypertensive regimen. Following hospitalization, patient was discharged to care of where patient was being treated for presumed bacterial pneumonia with antibiotic therapy and antitussive therapy. Patient was noted to have bright red blood in her stool today at the nursing home prompting evaluation within the ED. Patient's daughter unaware of any significant hematochezia, melena, hematemesis. Patient's daughter states that prior to hospitalization, she was A/O ×3 and independent with all activities of daily living. Since hospitalization, patient has had an abrupt decline in her mentation, A/O ×1-2. Upon chart review, patient was evaluated at hospital on 10/2020 for acute GI bleed with colonoscopy and EGD demonstrating pandiverticulosis, hemorrhoids, esophageal mass measuring 7×7 mm, GE junction ulcer measuring 10×10 mm, gastric atrophy, deformed pylorus. Unfortunately unable to locate the results of pathology on chart review and patient's daughter unaware of results at this time. Patient also completed vascular surgery evaluation for questionable intramural hematoma involving the infrarenal abdominal aorta, unclear of any acute intervention or need for outpatient follow-up. Evaluation in the ED, vital signs initial BP 134/76, RR 18, HR 99, afebrile, stable SPO2 on room air. Workup significant for normocytic hypochromic anemia, hemoglobin 6.7, 1 unit PRBC to be transfusion repeat hemoglobin thereafter. Suspect CTD at baseline, creatinine 1.43 on prior admission at Facility receiving in 10/2020, creatinine of 1.10 on admission today. Incidentally found to be covert positive, chest x-ray demonstrating left basilar atelectasis, 2/2 Pfizer vaccine completed. Patient to be admitted to internal medicine with consult placed to GI given hematochezia and prior endoscopic history.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia bacterial, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: History of Present Illness:  This is a 84y.o. female with past medical history significant for history of GI bleed, HTN presents to the hospital with hematochezia noted at nursing facility. Patient is a poor historian, A/O ×1 to self only and unable to provide significant history. History was supplemented upon chart review and discussion with patient's daughter over the telephone. She states that the patient was recently hospitalized at Hospital for hypertensive emergency with adjustments made to patient's oral antihypertensive regimen. Following hospitalization, patient was discharged to care of where patient was being treated for presumed bacterial pneumonia with antibiotic therapy and antitussive therapy. Patient was noted to have bright red blood in her stool today at the nursing home prompting evaluation within the ED. Patient's daughter unaware of any significant hematochezia, melena, hematemesis. Patient's daughter states that prior to hospitalization, she was A/O ×3 and independent with all activities of daily living. Since hospitalization, patient has had an abrupt decline in her mentation, A/O ×1-2. Upon chart review, patient was evaluated at hospital on 10/2020 for acute GI bleed with colonoscopy and EGD demonstrating pandiverticulosis, hemorrhoids, esophageal mass measuring 7×7 mm, GE junction ulcer measuring 10×10 mm, gastric atrophy, deformed pylorus. Unfortunately unable to locate the results of pathology on chart review and patient's daughter unaware of results at this time. Patient also completed vascular surgery evaluation for questionable intramural hematoma involving the infrarenal abdominal aorta, unclear of any acute intervention or need for outpatient follow-up. Evaluation in the ED, vital signs initial BP 134/76, RR 18, HR 99, afebrile, stable SPO2 on room air. Workup significant for normocytic hypochromic anemia, hemoglobin 6.7, 1 unit PRBC to be transfusion repeat hemoglobin thereafter. Suspect CTD at baseline, creatinine 1.43 on prior admission at Facility receiving in 10/2020, creatinine of 1.10 on admission today. Incidentally found to be covert positive, chest x-ray demonstrating left basilar atelectasis, 2/2 Pfizer vaccine completed. Patient to be admitted to internal medicine with consult placed to GI given hematochezia and prior endoscopic history.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm; has been ongoing since receiving 2nd dose of vaccination.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE "PRIVATE" REPORT.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Alopecia, Alopecia areata, Biopsy, Skin disorder
Clinical narrative: No reaction whatsoever to first 2 shots.  Alopecia Areata Univesalis confirmed by biopsy began roughly 2.5 months to 3 months after 3 shot. High dose Flu vaccine given at the same time! No history or family history of autoimmune diseases. Progressed from single thin spot to almost complete scalp baldness and extensive eyebrow eyelash & body hair involvement within 2 months of onset
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: I have hives all over my body that pops up in different spots and different times. Can't stop the itching  and the hives started about a month after the second dose and has worsen since 01/13/2022 after the booster.  The doctor's stated I was reacting to the PEG additives in the vaccine. I received an injection and topical creams for the hives.
Age: 41.0
Sex: F
Vaccine: UNK
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event noted. Vaccine given too early due to patient information. Monitored for 30 mins.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness, Myalgia
Clinical narrative: Tightness and pain in the calf muscles bilaterally.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given Covid-19 vaccine on right arm. No symptoms or reactions given expired vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Headache, Influenza like illness, Loss of personal independence in daily activities, Lymphadenopathy
Clinical narrative: 1. very sick feeling like my frist day of Covid= achy, headache, could not function, felt like a horrible flu  2. Left arm Lymph node is swollen  3.  blood in my urine (probably b/c of my autoimmune disease IGA Nephropathy, but that is why I wanted to make sure to report these symptoms. I am usually very healthy and the disease is at bay, I hate when it feels like i have made my kidneys take a hit.)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain
Clinical narrative: 1. very sick feeling like my frist day of Covid= achy, headache, could not function, felt like a horrible flu  2. Left arm Lymph node is swollen  3.  blood in my urine (probably b/c of my autoimmune disease IGA Nephropathy, but that is why I wanted to make sure to report these symptoms. I am usually very healthy and the disease is at bay, I hate when it feels like i have made my kidneys take a hit.)
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE "PRIVATE" REPORT.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Dizziness, Influenza like illness, Nausea
Clinical narrative: HOSPITAL COURSE: 62 y/o F with anxiety and concussion admitted for vertigo and flulike symptoms due to COVID 19 infection.  She was admitted to observation service for suspected BPV secondary from COVID-19.  She was initially diagnosed with COVID-19 on February 19.  She was given IV fluids given she had some nausea, vomiting and diarrhea.  The following day, her GI symptoms resolved and she was able to eat without difficulty.  Her dizziness and vertigo also resolved.  She has a history of concussion with episodic dizziness and follows with TBI clinic.   On day of DC, her dizziness have resolved.  She was seen by OT and was cleared for home.  She is requesting be discharged home and agreed to follow-up with her TBI clinic and PCP for ongoing cares.  She denies any dyspnea, chest discomfort, palpitations, lightheadedness, abdominal pain, nausea or vomiting.  No further diarrhea issues.  Short course of meclizine and Zofran was also prescribed
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vertigo, Vertigo positional, Vomiting
Clinical narrative: HOSPITAL COURSE: 62 y/o F with anxiety and concussion admitted for vertigo and flulike symptoms due to COVID 19 infection.  She was admitted to observation service for suspected BPV secondary from COVID-19.  She was initially diagnosed with COVID-19 on February 19.  She was given IV fluids given she had some nausea, vomiting and diarrhea.  The following day, her GI symptoms resolved and she was able to eat without difficulty.  Her dizziness and vertigo also resolved.  She has a history of concussion with episodic dizziness and follows with TBI clinic.   On day of DC, her dizziness have resolved.  She was seen by OT and was cleared for home.  She is requesting be discharged home and agreed to follow-up with her TBI clinic and PCP for ongoing cares.  She denies any dyspnea, chest discomfort, palpitations, lightheadedness, abdominal pain, nausea or vomiting.  No further diarrhea issues.  Short course of meclizine and Zofran was also prescribed
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Respiratory rate increased, Speech disorder, Stridor
Clinical narrative: Trouble breathing with stridor, chest and throat were sucking in, rapid breathing and retractions. Felt very hot and couldn't breath. Hard time talking. Asthma inhaler given but didn't improve symptoms, oral steroids were then given and seemed to help.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Use of accessory respiratory muscles
Clinical narrative: Trouble breathing with stridor, chest and throat were sucking in, rapid breathing and retractions. Felt very hot and couldn't breath. Hard time talking. Asthma inhaler given but didn't improve symptoms, oral steroids were then given and seemed to help.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Atrial fibrillation, COVID-19, Chest X-ray abnormal, Death, Encephalopathy
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/26/21 and 3/19/21. Previously admitted in 12/2021 for K. pneumoniae septicemia d/c'd. Tested Covid+ 1/10/22 at facility. Transferred from facility and admitted 1/21/22 altered mental status with acute encephalopathy and pos Covid test again. CXR with patchy bilateral opacities. Placed on bipap, AMS never improved. Unable to eat 2/2 AMS, placed on PPN. Hospital course c/b AFib in RVR, started on amiodarone gtt. Treated with dexamethasone, actemra, and baricitinib. Transitioned to DNAR, expired 2/3/22. Pt transitioned to DNAR. Patient expired 2/3/22.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Feeding disorder, Lung opacity, Mental status changes, Pneumococcal sepsis, Positive airway pressure therapy
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/26/21 and 3/19/21. Previously admitted in 12/2021 for K. pneumoniae septicemia d/c'd. Tested Covid+ 1/10/22 at facility. Transferred from facility and admitted 1/21/22 altered mental status with acute encephalopathy and pos Covid test again. CXR with patchy bilateral opacities. Placed on bipap, AMS never improved. Unable to eat 2/2 AMS, placed on PPN. Hospital course c/b AFib in RVR, started on amiodarone gtt. Treated with dexamethasone, actemra, and baricitinib. Transitioned to DNAR, expired 2/3/22. Pt transitioned to DNAR. Patient expired 2/3/22.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 2/26/21 and 3/19/21. Previously admitted in 12/2021 for K. pneumoniae septicemia d/c'd. Tested Covid+ 1/10/22 at facility. Transferred from facility and admitted 1/21/22 altered mental status with acute encephalopathy and pos Covid test again. CXR with patchy bilateral opacities. Placed on bipap, AMS never improved. Unable to eat 2/2 AMS, placed on PPN. Hospital course c/b AFib in RVR, started on amiodarone gtt. Treated with dexamethasone, actemra, and baricitinib. Transitioned to DNAR, expired 2/3/22. Pt transitioned to DNAR. Patient expired 2/3/22.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dizziness, Fall, Fatigue, Haemorrhage, Head injury
Clinical narrative: After my second vaccination, the following night I was very tired and getting a headache. I fell asleep and woke up at around 5:30am feeling dizzy and went to the bathroom to take Tylenol. Before I could take the pills, I remember feeling extremely dizzy and my vision started to go back and I passed out, the first time I have ever fainted. My boyfriend woke me up since he heard me fall and noticed blood on the floor. I had a laceration on the back of my head and we went to the ER to get three staples on it.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Loss of consciousness, Skin laceration, Suture insertion, Syncope
Clinical narrative: After my second vaccination, the following night I was very tired and getting a headache. I fell asleep and woke up at around 5:30am feeling dizzy and went to the bathroom to take Tylenol. Before I could take the pills, I remember feeling extremely dizzy and my vision started to go back and I passed out, the first time I have ever fainted. My boyfriend woke me up since he heard me fall and noticed blood on the floor. I had a laceration on the back of my head and we went to the ER to get three staples on it.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Visual impairment
Clinical narrative: After my second vaccination, the following night I was very tired and getting a headache. I fell asleep and woke up at around 5:30am feeling dizzy and went to the bathroom to take Tylenol. Before I could take the pills, I remember feeling extremely dizzy and my vision started to go back and I passed out, the first time I have ever fainted. My boyfriend woke me up since he heard me fall and noticed blood on the floor. I had a laceration on the back of my head and we went to the ER to get three staples on it.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Acute myocardial infarction, COVID-19, Cardiac stress test abnormal, Catheterisation cardiac abnormal
Clinical narrative: Admitted with chest pain, known ACS and abnormal stress test.  cardiolgoy consulted and performed LHC.  LHC with  Ischemic cardiomyopathy, patient LIMA to LAD, patient stents, CTO of the RCA.  Recommended aggressive RF modification, tobacco cessation, medical management.  Medically stable for discharge home.  F/u with PCP and cardiology.   * Precordial chest pain NSTEMI - cardiology consult, performed LHC which recommended medical management, no stents placed.  F/u with cardiology as outpatient.   Covid positive 1/22/2022 - no hypoxia.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Coronary arterial stent insertion, Coronary artery occlusion, Ex-tobacco user, Ischaemic cardiomyopathy
Clinical narrative: Admitted with chest pain, known ACS and abnormal stress test.  cardiolgoy consulted and performed LHC.  LHC with  Ischemic cardiomyopathy, patient LIMA to LAD, patient stents, CTO of the RCA.  Recommended aggressive RF modification, tobacco cessation, medical management.  Medically stable for discharge home.  F/u with PCP and cardiology.   * Precordial chest pain NSTEMI - cardiology consult, performed LHC which recommended medical management, no stents placed.  F/u with cardiology as outpatient.   Covid positive 1/22/2022 - no hypoxia.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Admitted with chest pain, known ACS and abnormal stress test.  cardiolgoy consulted and performed LHC.  LHC with  Ischemic cardiomyopathy, patient LIMA to LAD, patient stents, CTO of the RCA.  Recommended aggressive RF modification, tobacco cessation, medical management.  Medically stable for discharge home.  F/u with PCP and cardiology.   * Precordial chest pain NSTEMI - cardiology consult, performed LHC which recommended medical management, no stents placed.  F/u with cardiology as outpatient.   Covid positive 1/22/2022 - no hypoxia.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Blood creatine phosphokinase increased, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 4/8/2021. Covid + 1/18/22. Presented to ED on 1/22/22 after falling out of bed and found down without oxygen. Admitted for acute hypoxemic respiratory failure 2/2 Covid PNA c/b elevated LFT, trop, BNP and elevated CK. Placed on 6L NC O2. Hypoxia worsened throughout admission.  Treated with paxlovid, solumedrol, remdesivir. Transitioned to comfort care. Patient expired 1/31/22.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Fall, Hypoxia, Liver function test increased, SARS-CoV-2 test positive
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 4/8/2021. Covid + 1/18/22. Presented to ED on 1/22/22 after falling out of bed and found down without oxygen. Admitted for acute hypoxemic respiratory failure 2/2 Covid PNA c/b elevated LFT, trop, BNP and elevated CK. Placed on 6L NC O2. Hypoxia worsened throughout admission.  Treated with paxlovid, solumedrol, remdesivir. Transitioned to comfort care. Patient expired 1/31/22.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Blood creatine phosphokinase, Blood creatine phosphokinase increased, Brain natriuretic peptide, Brain natriuretic peptide increased
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 4/8/2021. Covid + 1/18/22. Presented to ED on 1/22/22 after falling out of bed and found down without oxygen. Admitted for acute hypoxemic respiratory failure 2/2 Covid PNA c/b elevated LFT, trop, BNP and elevated CK. Placed on 6L NC O2. Hypoxia worsened throughout admission.  Treated with paxlovid, solumedrol, remdesivir. Transitioned to comfort care. Patient expired 1/31/22.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Fall, Hypoxia
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 4/8/2021. Covid + 1/18/22. Presented to ED on 1/22/22 after falling out of bed and found down without oxygen. Admitted for acute hypoxemic respiratory failure 2/2 Covid PNA c/b elevated LFT, trop, BNP and elevated CK. Placed on 6L NC O2. Hypoxia worsened throughout admission.  Treated with paxlovid, solumedrol, remdesivir. Transitioned to comfort care. Patient expired 1/31/22.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Liver function test, Liver function test increased, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: Janssen COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 4/8/2021. Covid + 1/18/22. Presented to ED on 1/22/22 after falling out of bed and found down without oxygen. Admitted for acute hypoxemic respiratory failure 2/2 Covid PNA c/b elevated LFT, trop, BNP and elevated CK. Placed on 6L NC O2. Hypoxia worsened throughout admission.  Treated with paxlovid, solumedrol, remdesivir. Transitioned to comfort care. Patient expired 1/31/22.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood creatinine increased, Blood lactate dehydrogenase increased, Blood lactic acid, Blood magnesium normal
Clinical narrative: This is a 81y.o. male with morbid obesity, atrial fibrillation, type 2 diabetes mellitus, CLL, hypertension, sleep apnea on CPAP, GERD, dyslipidemia, and history of myocardial infarction who presents with shortness of breath. He reports his symptoms started approximately 10 days ago and have been getting progressively worse. He is vaccinated against COVID-19, but has not received his booster yet. He denies any known exposures. He's has associated symptoms of cough, fatigue, malaise, and decreased appetite. He denies fever, chest pain, or lower extremity swelling.   Upon arrival to the ED, the patient was lethargic. He was hypoxic requiring application of high-flow nasal cannula. He did test positive for COVID-19. Chest x-ray confirms multifocal pneumonia. Labs remarkable for lactic acid 2.4, potassium 3.4, creatinine 2.4, magnesium 1.6, BNP 63, LDH 313, ferritin 432, CRP 139.6, D-dimer 613. Serial troponin 0.03, 0.05, 0.04. EKG with controlled atrial fibrillation, no ischemic changes. The patient was started on 20 mg dexamethasone IV QD and empiric antibiotics and admitted for further evaluation and management.    Presently, he is at his baseline mentation. He's just returned to bed from using bedside commode. He desaturates with activity on high-flow nasal cannula, then SpO2 recovers > 92%.     ROS:   Constitutional:  Denies fever, chills, malaise, weight loss, diaphoresis. + fatigue, malaise, decreased appetite Eyes:  Denies double vision, blurry vision. HENT:  Denies tinnitus or change in hearing. Respiratory:  Denies wheeze. + shortness of breath, cough Cardiac: Denies chest pain, palpitations, orthopnea, lower extremity edema. GI:  Denies nausea, vomiting, abdominal pain, diarrhea, constipation, melena, hematochezia.  GU:  Denies dysuria, hematuria or flank pain.  Musculoskeletal:  Denies muscle weakness, joint pain, back pain. Integument:  Denies rash or lesions. Neurologic:  Denies paresthesias, focal weakness, headache, dizziness. Endocrine:  Denies polyuria or polydipsia. Psychiatric:  Denies anxiety or depression.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Brain natriuretic peptide normal, C-reactive protein increased, COVID-19, Chest X-ray abnormal
Clinical narrative: This is a 81y.o. male with morbid obesity, atrial fibrillation, type 2 diabetes mellitus, CLL, hypertension, sleep apnea on CPAP, GERD, dyslipidemia, and history of myocardial infarction who presents with shortness of breath. He reports his symptoms started approximately 10 days ago and have been getting progressively worse. He is vaccinated against COVID-19, but has not received his booster yet. He denies any known exposures. He's has associated symptoms of cough, fatigue, malaise, and decreased appetite. He denies fever, chest pain, or lower extremity swelling.   Upon arrival to the ED, the patient was lethargic. He was hypoxic requiring application of high-flow nasal cannula. He did test positive for COVID-19. Chest x-ray confirms multifocal pneumonia. Labs remarkable for lactic acid 2.4, potassium 3.4, creatinine 2.4, magnesium 1.6, BNP 63, LDH 313, ferritin 432, CRP 139.6, D-dimer 613. Serial troponin 0.03, 0.05, 0.04. EKG with controlled atrial fibrillation, no ischemic changes. The patient was started on 20 mg dexamethasone IV QD and empiric antibiotics and admitted for further evaluation and management.    Presently, he is at his baseline mentation. He's just returned to bed from using bedside commode. He desaturates with activity on high-flow nasal cannula, then SpO2 recovers > 92%.     ROS:   Constitutional:  Denies fever, chills, malaise, weight loss, diaphoresis. + fatigue, malaise, decreased appetite Eyes:  Denies double vision, blurry vision. HENT:  Denies tinnitus or change in hearing. Respiratory:  Denies wheeze. + shortness of breath, cough Cardiac: Denies chest pain, palpitations, orthopnea, lower extremity edema. GI:  Denies nausea, vomiting, abdominal pain, diarrhea, constipation, melena, hematochezia.  GU:  Denies dysuria, hematuria or flank pain.  Musculoskeletal:  Denies muscle weakness, joint pain, back pain. Integument:  Denies rash or lesions. Neurologic:  Denies paresthesias, focal weakness, headache, dizziness. Endocrine:  Denies polyuria or polydipsia. Psychiatric:  Denies anxiety or depression.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: This is a 81y.o. male with morbid obesity, atrial fibrillation, type 2 diabetes mellitus, CLL, hypertension, sleep apnea on CPAP, GERD, dyslipidemia, and history of myocardial infarction who presents with shortness of breath. He reports his symptoms started approximately 10 days ago and have been getting progressively worse. He is vaccinated against COVID-19, but has not received his booster yet. He denies any known exposures. He's has associated symptoms of cough, fatigue, malaise, and decreased appetite. He denies fever, chest pain, or lower extremity swelling.   Upon arrival to the ED, the patient was lethargic. He was hypoxic requiring application of high-flow nasal cannula. He did test positive for COVID-19. Chest x-ray confirms multifocal pneumonia. Labs remarkable for lactic acid 2.4, potassium 3.4, creatinine 2.4, magnesium 1.6, BNP 63, LDH 313, ferritin 432, CRP 139.6, D-dimer 613. Serial troponin 0.03, 0.05, 0.04. EKG with controlled atrial fibrillation, no ischemic changes. The patient was started on 20 mg dexamethasone IV QD and empiric antibiotics and admitted for further evaluation and management.    Presently, he is at his baseline mentation. He's just returned to bed from using bedside commode. He desaturates with activity on high-flow nasal cannula, then SpO2 recovers > 92%.     ROS:   Constitutional:  Denies fever, chills, malaise, weight loss, diaphoresis. + fatigue, malaise, decreased appetite Eyes:  Denies double vision, blurry vision. HENT:  Denies tinnitus or change in hearing. Respiratory:  Denies wheeze. + shortness of breath, cough Cardiac: Denies chest pain, palpitations, orthopnea, lower extremity edema. GI:  Denies nausea, vomiting, abdominal pain, diarrhea, constipation, melena, hematochezia.  GU:  Denies dysuria, hematuria or flank pain.  Musculoskeletal:  Denies muscle weakness, joint pain, back pain. Integument:  Denies rash or lesions. Neurologic:  Denies paresthesias, focal weakness, headache, dizziness. Endocrine:  Denies polyuria or polydipsia. Psychiatric:  Denies anxiety or depression.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypoxia, Influenza A virus test negative, Influenza B virus test, Lethargy
Clinical narrative: This is a 81y.o. male with morbid obesity, atrial fibrillation, type 2 diabetes mellitus, CLL, hypertension, sleep apnea on CPAP, GERD, dyslipidemia, and history of myocardial infarction who presents with shortness of breath. He reports his symptoms started approximately 10 days ago and have been getting progressively worse. He is vaccinated against COVID-19, but has not received his booster yet. He denies any known exposures. He's has associated symptoms of cough, fatigue, malaise, and decreased appetite. He denies fever, chest pain, or lower extremity swelling.   Upon arrival to the ED, the patient was lethargic. He was hypoxic requiring application of high-flow nasal cannula. He did test positive for COVID-19. Chest x-ray confirms multifocal pneumonia. Labs remarkable for lactic acid 2.4, potassium 3.4, creatinine 2.4, magnesium 1.6, BNP 63, LDH 313, ferritin 432, CRP 139.6, D-dimer 613. Serial troponin 0.03, 0.05, 0.04. EKG with controlled atrial fibrillation, no ischemic changes. The patient was started on 20 mg dexamethasone IV QD and empiric antibiotics and admitted for further evaluation and management.    Presently, he is at his baseline mentation. He's just returned to bed from using bedside commode. He desaturates with activity on high-flow nasal cannula, then SpO2 recovers > 92%.     ROS:   Constitutional:  Denies fever, chills, malaise, weight loss, diaphoresis. + fatigue, malaise, decreased appetite Eyes:  Denies double vision, blurry vision. HENT:  Denies tinnitus or change in hearing. Respiratory:  Denies wheeze. + shortness of breath, cough Cardiac: Denies chest pain, palpitations, orthopnea, lower extremity edema. GI:  Denies nausea, vomiting, abdominal pain, diarrhea, constipation, melena, hematochezia.  GU:  Denies dysuria, hematuria or flank pain.  Musculoskeletal:  Denies muscle weakness, joint pain, back pain. Integument:  Denies rash or lesions. Neurologic:  Denies paresthesias, focal weakness, headache, dizziness. Endocrine:  Denies polyuria or polydipsia. Psychiatric:  Denies anxiety or depression.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oxygen saturation decreased, Pneumonia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 81y.o. male with morbid obesity, atrial fibrillation, type 2 diabetes mellitus, CLL, hypertension, sleep apnea on CPAP, GERD, dyslipidemia, and history of myocardial infarction who presents with shortness of breath. He reports his symptoms started approximately 10 days ago and have been getting progressively worse. He is vaccinated against COVID-19, but has not received his booster yet. He denies any known exposures. He's has associated symptoms of cough, fatigue, malaise, and decreased appetite. He denies fever, chest pain, or lower extremity swelling.   Upon arrival to the ED, the patient was lethargic. He was hypoxic requiring application of high-flow nasal cannula. He did test positive for COVID-19. Chest x-ray confirms multifocal pneumonia. Labs remarkable for lactic acid 2.4, potassium 3.4, creatinine 2.4, magnesium 1.6, BNP 63, LDH 313, ferritin 432, CRP 139.6, D-dimer 613. Serial troponin 0.03, 0.05, 0.04. EKG with controlled atrial fibrillation, no ischemic changes. The patient was started on 20 mg dexamethasone IV QD and empiric antibiotics and admitted for further evaluation and management.    Presently, he is at his baseline mentation. He's just returned to bed from using bedside commode. He desaturates with activity on high-flow nasal cannula, then SpO2 recovers > 92%.     ROS:   Constitutional:  Denies fever, chills, malaise, weight loss, diaphoresis. + fatigue, malaise, decreased appetite Eyes:  Denies double vision, blurry vision. HENT:  Denies tinnitus or change in hearing. Respiratory:  Denies wheeze. + shortness of breath, cough Cardiac: Denies chest pain, palpitations, orthopnea, lower extremity edema. GI:  Denies nausea, vomiting, abdominal pain, diarrhea, constipation, melena, hematochezia.  GU:  Denies dysuria, hematuria or flank pain.  Musculoskeletal:  Denies muscle weakness, joint pain, back pain. Integument:  Denies rash or lesions. Neurologic:  Denies paresthesias, focal weakness, headache, dizziness. Endocrine:  Denies polyuria or polydipsia. Psychiatric:  Denies anxiety or depression.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Serum ferritin increased, Troponin
Clinical narrative: This is a 81y.o. male with morbid obesity, atrial fibrillation, type 2 diabetes mellitus, CLL, hypertension, sleep apnea on CPAP, GERD, dyslipidemia, and history of myocardial infarction who presents with shortness of breath. He reports his symptoms started approximately 10 days ago and have been getting progressively worse. He is vaccinated against COVID-19, but has not received his booster yet. He denies any known exposures. He's has associated symptoms of cough, fatigue, malaise, and decreased appetite. He denies fever, chest pain, or lower extremity swelling.   Upon arrival to the ED, the patient was lethargic. He was hypoxic requiring application of high-flow nasal cannula. He did test positive for COVID-19. Chest x-ray confirms multifocal pneumonia. Labs remarkable for lactic acid 2.4, potassium 3.4, creatinine 2.4, magnesium 1.6, BNP 63, LDH 313, ferritin 432, CRP 139.6, D-dimer 613. Serial troponin 0.03, 0.05, 0.04. EKG with controlled atrial fibrillation, no ischemic changes. The patient was started on 20 mg dexamethasone IV QD and empiric antibiotics and admitted for further evaluation and management.    Presently, he is at his baseline mentation. He's just returned to bed from using bedside commode. He desaturates with activity on high-flow nasal cannula, then SpO2 recovers > 92%.     ROS:   Constitutional:  Denies fever, chills, malaise, weight loss, diaphoresis. + fatigue, malaise, decreased appetite Eyes:  Denies double vision, blurry vision. HENT:  Denies tinnitus or change in hearing. Respiratory:  Denies wheeze. + shortness of breath, cough Cardiac: Denies chest pain, palpitations, orthopnea, lower extremity edema. GI:  Denies nausea, vomiting, abdominal pain, diarrhea, constipation, melena, hematochezia.  GU:  Denies dysuria, hematuria or flank pain.  Musculoskeletal:  Denies muscle weakness, joint pain, back pain. Integument:  Denies rash or lesions. Neurologic:  Denies paresthesias, focal weakness, headache, dizziness. Endocrine:  Denies polyuria or polydipsia. Psychiatric:  Denies anxiety or depression.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Blood culture, Computerised tomogram head, Fibrin D dimer, Full blood count
Clinical narrative: Altered Mental Status
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic function test, Urine analysis
Clinical narrative: Altered Mental Status
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Deafness, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Covid vaccine x 3 . Tested positive for Covid on 01/21/2022. Admitted to Hospital on 01/04/2022. Expired on 01/27/2022 while still hospitalized.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Syncope
Clinical narrative: Patient experienced syncope and appeared flushed around face. Timing occurred roughly 5-10 minutes after vaccination.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Headache, Idiopathic intracranial hypertension, Lumbar puncture, Migraine
Clinical narrative: Vaccinated in 12/11/2021. Started experiencing headaches and migraines consistently for a month. Was referring to an ENT a doctor who set up CT scan. CT scan discover IIH. Lumbar puncture performed 2/1/2022
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Chills, Eye swelling, Pyrexia
Clinical narrative: Fever up to 106 degrees, eye swelling, shivers
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine was expired.
Age: 57.0
Sex: F
Vaccine: HEP, TD
Symptoms: Extra dose administered
Clinical narrative: Patient recieved extra dose of Hepatitis B vaccine. Recieved 4 doses in total series
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was expired.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: expired
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Body temperature increased, Headache
Clinical narrative: 104 temperature heart pain, headache extremem;  heart pain continues 3 months later
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: EXTREME FATIGUE
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was expired.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Erythema, Mechanical urticaria, Pruritus, Urticaria
Clinical narrative: I developed hives all over my body and dermatographia.  Intense itching everywhere - wrists, ankles, neck, scalp, palms, chest, back, legs, etc.  Zyrtec helps the hives but not the dermatographia. I have prominent red marks all over my body any time there is pressure (think a waist band from clothing) or contact.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Anticoagulant therapy, Blood creatinine increased, Blood potassium normal
Clinical narrative: As per admission H&P, the patient "is a 82 y.o. female  with past medical history per below presented to the emergency room transferred from the Medical Center where the patient presented with complaints of midsternal chest pain. She reports that the pain has been waxing and waning for the past 3 days. Today the pain worsened and started radiating to the left neck. Reports associated shortness of breath with nausea but denies any vomiting. Reports palpitations and diaphoresis. Patient rates her pain up to 7 on 1-10 pain scale. No fever, chills, cough or sputum production reported. She is known to have history of coronary artery disease status post CABG. She was found to have elevated troponin at the transferring facility and was sent to our hospital for higher level of care. Chest x-ray done showing pulmonary vascular congestion with increased conspicuity of chronic interstitial pulmonary markings which may reflect mild interstitial pulmonary edema. EKG showed sinus tachycardia with nonspecific intraventricular conduction delay. CBC and BMP are at baseline with a potassium of 3.5 and troponin elevated at 0.76. The patient is maintained on chronic oral anticoagulation. No heparin was started. COVID-19 test is positive, patient is vaccinated and boosted. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac failure acute, Catheterisation cardiac abnormal, Chest X-ray abnormal, Chest pain
Clinical narrative: As per admission H&P, the patient "is a 82 y.o. female  with past medical history per below presented to the emergency room transferred from the Medical Center where the patient presented with complaints of midsternal chest pain. She reports that the pain has been waxing and waning for the past 3 days. Today the pain worsened and started radiating to the left neck. Reports associated shortness of breath with nausea but denies any vomiting. Reports palpitations and diaphoresis. Patient rates her pain up to 7 on 1-10 pain scale. No fever, chills, cough or sputum production reported. She is known to have history of coronary artery disease status post CABG. She was found to have elevated troponin at the transferring facility and was sent to our hospital for higher level of care. Chest x-ray done showing pulmonary vascular congestion with increased conspicuity of chronic interstitial pulmonary markings which may reflect mild interstitial pulmonary edema. EKG showed sinus tachycardia with nonspecific intraventricular conduction delay. CBC and BMP are at baseline with a potassium of 3.5 and troponin elevated at 0.76. The patient is maintained on chronic oral anticoagulation. No heparin was started. COVID-19 test is positive, patient is vaccinated and boosted. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chronic kidney disease, Coronary artery disease, Coronary artery occlusion, Defect conduction intraventricular, Dyspnoea
Clinical narrative: As per admission H&P, the patient "is a 82 y.o. female  with past medical history per below presented to the emergency room transferred from the Medical Center where the patient presented with complaints of midsternal chest pain. She reports that the pain has been waxing and waning for the past 3 days. Today the pain worsened and started radiating to the left neck. Reports associated shortness of breath with nausea but denies any vomiting. Reports palpitations and diaphoresis. Patient rates her pain up to 7 on 1-10 pain scale. No fever, chills, cough or sputum production reported. She is known to have history of coronary artery disease status post CABG. She was found to have elevated troponin at the transferring facility and was sent to our hospital for higher level of care. Chest x-ray done showing pulmonary vascular congestion with increased conspicuity of chronic interstitial pulmonary markings which may reflect mild interstitial pulmonary edema. EKG showed sinus tachycardia with nonspecific intraventricular conduction delay. CBC and BMP are at baseline with a potassium of 3.5 and troponin elevated at 0.76. The patient is maintained on chronic oral anticoagulation. No heparin was started. COVID-19 test is positive, patient is vaccinated and boosted. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Full blood count, Heart valve calcification
Clinical narrative: As per admission H&P, the patient "is a 82 y.o. female  with past medical history per below presented to the emergency room transferred from the Medical Center where the patient presented with complaints of midsternal chest pain. She reports that the pain has been waxing and waning for the past 3 days. Today the pain worsened and started radiating to the left neck. Reports associated shortness of breath with nausea but denies any vomiting. Reports palpitations and diaphoresis. Patient rates her pain up to 7 on 1-10 pain scale. No fever, chills, cough or sputum production reported. She is known to have history of coronary artery disease status post CABG. She was found to have elevated troponin at the transferring facility and was sent to our hospital for higher level of care. Chest x-ray done showing pulmonary vascular congestion with increased conspicuity of chronic interstitial pulmonary markings which may reflect mild interstitial pulmonary edema. EKG showed sinus tachycardia with nonspecific intraventricular conduction delay. CBC and BMP are at baseline with a potassium of 3.5 and troponin elevated at 0.76. The patient is maintained on chronic oral anticoagulation. No heparin was started. COVID-19 test is positive, patient is vaccinated and boosted. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Left ventricular failure, Metabolic function test, Mitral valve incompetence, Nausea
Clinical narrative: As per admission H&P, the patient "is a 82 y.o. female  with past medical history per below presented to the emergency room transferred from the Medical Center where the patient presented with complaints of midsternal chest pain. She reports that the pain has been waxing and waning for the past 3 days. Today the pain worsened and started radiating to the left neck. Reports associated shortness of breath with nausea but denies any vomiting. Reports palpitations and diaphoresis. Patient rates her pain up to 7 on 1-10 pain scale. No fever, chills, cough or sputum production reported. She is known to have history of coronary artery disease status post CABG. She was found to have elevated troponin at the transferring facility and was sent to our hospital for higher level of care. Chest x-ray done showing pulmonary vascular congestion with increased conspicuity of chronic interstitial pulmonary markings which may reflect mild interstitial pulmonary edema. EKG showed sinus tachycardia with nonspecific intraventricular conduction delay. CBC and BMP are at baseline with a potassium of 3.5 and troponin elevated at 0.76. The patient is maintained on chronic oral anticoagulation. No heparin was started. COVID-19 test is positive, patient is vaccinated and boosted. "