chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Peripheral swelling, Peripheral venous disease, Prostate cancer, Radiotherapy
Clinical narrative: He got his vaccine, he felt like he was going to pass out, dizzy and woozy.  He got his neighbor to drive him to the Hospital to the ER.  He ended up sleeping in he ER.  He had numerous tests, put on  monitors, CT scans.  They let him go home, and tried to him it was his heart and wanting to do some sort of surgery.  He told him to FU with a cardiologist, and he told them it was a shot.  They wanted to do an ablation of his heart, which he refused to have done.  They said he had an irregular heart beat.  He repeated what they told him in the ER.  He was in the hospital for 3 days, which did not show anything after that from the monitor, just the one episode.  He did FU with his cardiologist who did not feel that he needed surgery.  He was not put on any new medicine.    He did not have any more episodes since that initial one, and dealing with radiation issues with his prostate cancer.  He had a colonoscopy in 2022 which was OK.   He has been having some problems with his legs and has been diagnosed with venous insufficiency, and says that they are not telling him anything.    He was diagnosed with a blood clot on 1/21/22 of his calf after it was warm to the touch, red and swollen.  They did an US in his leg and gave him an aspirin and told him to go to the vascular doctor.  His legs look lumpy since then, but they look different.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Skin texture abnormal, Skin warm, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: He got his vaccine, he felt like he was going to pass out, dizzy and woozy.  He got his neighbor to drive him to the Hospital to the ER.  He ended up sleeping in he ER.  He had numerous tests, put on  monitors, CT scans.  They let him go home, and tried to him it was his heart and wanting to do some sort of surgery.  He told him to FU with a cardiologist, and he told them it was a shot.  They wanted to do an ablation of his heart, which he refused to have done.  They said he had an irregular heart beat.  He repeated what they told him in the ER.  He was in the hospital for 3 days, which did not show anything after that from the monitor, just the one episode.  He did FU with his cardiologist who did not feel that he needed surgery.  He was not put on any new medicine.    He did not have any more episodes since that initial one, and dealing with radiation issues with his prostate cancer.  He had a colonoscopy in 2022 which was OK.   He has been having some problems with his legs and has been diagnosed with venous insufficiency, and says that they are not telling him anything.    He was diagnosed with a blood clot on 1/21/22 of his calf after it was warm to the touch, red and swollen.  They did an US in his leg and gave him an aspirin and told him to go to the vascular doctor.  His legs look lumpy since then, but they look different.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Foreign body sensation in eyes, Surgery
Clinical narrative: I did not have any issues after receiving the vaccine. I started having symptoms on 09/28 as I thought I had something in my eye and removed my contact. I immediately knew something was wrong with the implant. I saw my doctor on 10/06/2022, it was determined I needed another surgery to correct the issue. I have since had the surgery but now I'm having trouble with my other eye and will probably require surgery.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, SARS-CoV-2 test positive
Clinical narrative: covid positive associated with cva
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Cough, Headache, Influenza virus test negative, Pyrexia, Rhinorrhoea
Clinical narrative: I had a runny nose, cough, headache, and a low-grade fever. I contacted my doctor and took a COVID-19, Flu, and Strep test. I tested negative for all of them. I was prescribed benzonatate for my cough. I also took elderberry syrup, SUDAFED, TYLENOL, and NYQUIL.
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: I had a runny nose, cough, headache, and a low-grade fever. I contacted my doctor and took a COVID-19, Flu, and Strep test. I tested negative for all of them. I was prescribed benzonatate for my cough. I also took elderberry syrup, SUDAFED, TYLENOL, and NYQUIL.
Age: 62.0
Sex: F
Vaccine: COVID19-2
Symptoms: Insomnia, Loss of personal independence in daily activities, Oedema peripheral, Pain in extremity
Clinical narrative: Patient reporting receiving Moderna Bivalent on 12/13/2022 at pharmacy. She reports having left arm pain since the administration of the vaccine. She has taken over the counter medication for pain management over the past 5 weeks. She reports having difficulty completing activities of daily living and difficulty sleeping due to the pain. Upon assessment the upper left arm is inflamed.  Treatment is prednisone 20mg 1 tab 3 times a day for 3 days, 1 tab twice a day for 3 days, then 1 tab a day for 3 days. Also, patient was informed to rest and elevate arm.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Anticoagulant therapy, Blood test normal, Chest pain, Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: Pulmonary embolism diagnosed on 10/22/2022. Symptoms began on 10/21/2022 with pain in left side of chest. Mild symptoms the day before. The pain became severe at 1:00am on 10/22/2023 and I went to the Emergency Room at the Hospital. Current on Eliquis. No reoccurrence.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ultrasound Doppler normal
Clinical narrative: Pulmonary embolism diagnosed on 10/22/2022. Symptoms began on 10/21/2022 with pain in left side of chest. Mild symptoms the day before. The pain became severe at 1:00am on 10/22/2023 and I went to the Emergency Room at the Hospital. Current on Eliquis. No reoccurrence.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cough, Facial pain, Headache, Nasopharyngitis, Secretion discharge
Clinical narrative: I have a sinus infection. Back in early December I had a cold that was not going away. By the end of the month there was an ache in my head and face. It was heavy mucus, and it was not getting better. I was not getting fever. I knew it could not be a common cold. I called an urgent care and he prescribed a Z-PAK. It was not working, and I called my PCP in another state, and she prescribed amoxicillin, and it seems to be getting better. But I never had a fever. I still have a little cough and postnasal drip.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sinusitis, Upper-airway cough syndrome
Clinical narrative: I have a sinus infection. Back in early December I had a cold that was not going away. By the end of the month there was an ache in my head and face. It was heavy mucus, and it was not getting better. I was not getting fever. I knew it could not be a common cold. I called an urgent care and he prescribed a Z-PAK. It was not working, and I called my PCP in another state, and she prescribed amoxicillin, and it seems to be getting better. But I never had a fever. I still have a little cough and postnasal drip.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Pt had stem cell transplant June 2022. Needed to re-start his COVID 19 vaccinations. 1st dose given 11/1/2022 with no adverse effects, 2nd dose given 12/1/2022 with no adverse effects, and 3rd dose given 1/3/2023 with no adverse effects.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Carotid artery occlusion, Cerebrovascular accident
Clinical narrative: afib pe  complete occlusion ica cva
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Malaise, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I went out on December 31st and wasn't feeling well. I had the sniffles. I thought it was just a cold, but I tested myself for COVID-19 and it was positive. I called my physician who prescribed PAXLOVID and by 01/07/2023, everything was gone, but I went ahead and finished the prescription.
Age: 35.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 35.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Expired product administered, No adverse event
Clinical narrative: EXPIRED VACCINE
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Gastrointestinal disorder, Headache, Mental disorder
Clinical narrative: Strong shivering/chills, mind/body on overdrive in the night (heart racing), headache all next day, fatigue, minor GI issues.
Age: 58.0
Sex: M
Vaccine: VARZOS
Symptoms: Nervous system disorder, Palpitations
Clinical narrative: Strong shivering/chills, mind/body on overdrive in the night (heart racing), headache all next day, fatigue, minor GI issues.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Nausea, Pain, Urticaria
Clinical narrative: Felt nauseous and achy one day after the injection.  That resolved by the next day (two days after injection).   Today (third day after injection) I?m covered in hives, from cheeks (mild) to upper thighs (mild). Neck, chest, upper arms  are covered.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Central venous catheterisation, Cerebral venous sinus thrombosis, Cerebrospinal fluid leakage, Ear infection
Clinical narrative: On 10/10/2022 had ear infection; Prescribed AUGMENTIN; Had to go back to 10/13/2022 because the medication wasn't working; Was sent to a local hospital; Had an MRI done and diagnosed with Mastoiditis, and had surgery on 10/14/2022 to remove the Mastoiditis; during surgery they put tubes in ears to prevent future ear infections; During surgery discovered a Cerebral Spinal Fluid leak, doctor took some muscle from behind ear to plug the leak; also confirmed Epidural Abscess above the brain and Cerebral Venous Thrombosis of the Sigmoid Sinus; Was hospitalized and was put on an IV of ROCEPHIN; Was given LOVENOX by injection twice a day; Given FLAGYL three times a day; Also received ear drops twice a day; Stayed in hospital until 10/18/2022; Before leaving hospital he was given his Flu shot and had a PICC line placed in his arm to help give him the IV of antibiotics at home; Started regiment of getting ROCEPHIN twice a day; LOVENOX twice a day; Ear drops twice a day; and FLAGYL 3 times a day; daily; Stopped FLAGYL on 10/21/2022; Stopped FLAGYL on 10/23/2022; Stopped LOVENOX on 10/26/2022 and started on XARELTO twice a day; still currently taking; Had PICC line removed on 11/17/2022 and stopped taking ROCEPHIN; Still has blood clot and getting another MRI soon.
Age: 2.0
Sex: M
Vaccine: COVID19
Symptoms: Ear tube insertion, Extradural abscess, Magnetic resonance imaging head abnormal, Mastoidectomy, Mastoiditis
Clinical narrative: On 10/10/2022 had ear infection; Prescribed AUGMENTIN; Had to go back to 10/13/2022 because the medication wasn't working; Was sent to a local hospital; Had an MRI done and diagnosed with Mastoiditis, and had surgery on 10/14/2022 to remove the Mastoiditis; during surgery they put tubes in ears to prevent future ear infections; During surgery discovered a Cerebral Spinal Fluid leak, doctor took some muscle from behind ear to plug the leak; also confirmed Epidural Abscess above the brain and Cerebral Venous Thrombosis of the Sigmoid Sinus; Was hospitalized and was put on an IV of ROCEPHIN; Was given LOVENOX by injection twice a day; Given FLAGYL three times a day; Also received ear drops twice a day; Stayed in hospital until 10/18/2022; Before leaving hospital he was given his Flu shot and had a PICC line placed in his arm to help give him the IV of antibiotics at home; Started regiment of getting ROCEPHIN twice a day; LOVENOX twice a day; Ear drops twice a day; and FLAGYL 3 times a day; daily; Stopped FLAGYL on 10/21/2022; Stopped FLAGYL on 10/23/2022; Stopped LOVENOX on 10/26/2022 and started on XARELTO twice a day; still currently taking; Had PICC line removed on 11/17/2022 and stopped taking ROCEPHIN; Still has blood clot and getting another MRI soon.
Age: 2.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine administered on 1/14/2023 past the use by date of 1/11/2023.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardio-respiratory arrest, Condition aggravated, Death, Haemodialysis, Hypotension
Clinical narrative: Patient had a protracted hospital course initially marked by hypotension with pressor dependence and BiPAP dependence.  She continued to receive dialysis treatments.  She eventually began to tolerate periods off the BiPAP and after a lengthy period of time and on increasing doses of midodrine was able to wean off of norepinephrine.  However she continued to have significant desaturation with activity and hypotensive bouts with hemodialysis.  On January 13 she coded.  She had changed her code status to full code a couple of weeks prior.  She was resuscitated but after that was requiring maximal ventilator support with inadequate oxygenation and very high-level pressor support.  Discussions were held with her parents and she was made DNR.  Given ongoing lack of improvement, pillow withdrawal of care occurred on January 15th and she expired as above.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mechanical ventilation, Oxygen saturation decreased, Positive airway pressure therapy, Resuscitation
Clinical narrative: Patient had a protracted hospital course initially marked by hypotension with pressor dependence and BiPAP dependence.  She continued to receive dialysis treatments.  She eventually began to tolerate periods off the BiPAP and after a lengthy period of time and on increasing doses of midodrine was able to wean off of norepinephrine.  However she continued to have significant desaturation with activity and hypotensive bouts with hemodialysis.  On January 13 she coded.  She had changed her code status to full code a couple of weeks prior.  She was resuscitated but after that was requiring maximal ventilator support with inadequate oxygenation and very high-level pressor support.  Discussions were held with her parents and she was made DNR.  Given ongoing lack of improvement, pillow withdrawal of care occurred on January 15th and she expired as above.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse event, given bi-valent dose instead of primary dose of series.
Age: 2.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Inadvertently administered vaccine after the use by date of 1/11/2023.
Age: 70.0
Sex: F
Vaccine: FLUA4, FLUC4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received 2 doses of flu vaccine--one on 10/18/2022 and one on 12/27/2022--no ADRs were reported as a result of this error
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Chronic obstructive pulmonary disease, Chronic respiratory failure, Condition aggravated
Clinical narrative: Patient is a 72 y.o. male admitted to the hospital on 12/27/2022 for complaints of cough, dyspnea, chills and was subsequently found to have COVID with suspected CAP and COPD exacerbation.  He was noted on admission to have a severe sepsis without shock as well.  Given his oxygen requirements he was started on steroids and an E consult was placed to infectious disease who recommended initiation of remdesivir.  He had a trace elevated Pro-Cal and given his complaints of thick sputum he has been treated for community-acquired pneumonia as well.  He did have signs of COPD exacerbation on admission in which was also started on appropriate regimen. Of note, he does have chronic hypoxic respiratory failure with suspected prescribed continuous 2 L of oxygen but reports wearing 2-3 only in the evening hours and at night.  He has a average SPO2 around 90% at rest and reports his oxygen levels normally are in the low 80s with activity and takes about 10 minutes for full recovery at baseline.  He was weaned off of supplemental oxygen and a walking oxygen test does reflect his home oxygen levels.  He has no respiratory distress on discharge and has no signs of continued acute exacerbation. He will continue on oral prednisone for 6 additional days for COVID as well as COPD treatment.  He only has 1 more additional day of Zithromax and Omnicef for CAP coverage. I recommended that he follow-up with his primary care provider and also pulmonary.  I recommend that he have follow-up for full explanation of prescribed home O2 needs and anything additional from a pulmonary perspective for chronic home regimen.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Pneumonia, Procalcitonin increased, Respiratory failure
Clinical narrative: Patient is a 72 y.o. male admitted to the hospital on 12/27/2022 for complaints of cough, dyspnea, chills and was subsequently found to have COVID with suspected CAP and COPD exacerbation.  He was noted on admission to have a severe sepsis without shock as well.  Given his oxygen requirements he was started on steroids and an E consult was placed to infectious disease who recommended initiation of remdesivir.  He had a trace elevated Pro-Cal and given his complaints of thick sputum he has been treated for community-acquired pneumonia as well.  He did have signs of COPD exacerbation on admission in which was also started on appropriate regimen. Of note, he does have chronic hypoxic respiratory failure with suspected prescribed continuous 2 L of oxygen but reports wearing 2-3 only in the evening hours and at night.  He has a average SPO2 around 90% at rest and reports his oxygen levels normally are in the low 80s with activity and takes about 10 minutes for full recovery at baseline.  He was weaned off of supplemental oxygen and a walking oxygen test does reflect his home oxygen levels.  He has no respiratory distress on discharge and has no signs of continued acute exacerbation. He will continue on oral prednisone for 6 additional days for COVID as well as COPD treatment.  He only has 1 more additional day of Zithromax and Omnicef for CAP coverage. I recommended that he follow-up with his primary care provider and also pulmonary.  I recommend that he have follow-up for full explanation of prescribed home O2 needs and anything additional from a pulmonary perspective for chronic home regimen.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Sputum abnormal
Clinical narrative: Patient is a 72 y.o. male admitted to the hospital on 12/27/2022 for complaints of cough, dyspnea, chills and was subsequently found to have COVID with suspected CAP and COPD exacerbation.  He was noted on admission to have a severe sepsis without shock as well.  Given his oxygen requirements he was started on steroids and an E consult was placed to infectious disease who recommended initiation of remdesivir.  He had a trace elevated Pro-Cal and given his complaints of thick sputum he has been treated for community-acquired pneumonia as well.  He did have signs of COPD exacerbation on admission in which was also started on appropriate regimen. Of note, he does have chronic hypoxic respiratory failure with suspected prescribed continuous 2 L of oxygen but reports wearing 2-3 only in the evening hours and at night.  He has a average SPO2 around 90% at rest and reports his oxygen levels normally are in the low 80s with activity and takes about 10 minutes for full recovery at baseline.  He was weaned off of supplemental oxygen and a walking oxygen test does reflect his home oxygen levels.  He has no respiratory distress on discharge and has no signs of continued acute exacerbation. He will continue on oral prednisone for 6 additional days for COVID as well as COPD treatment.  He only has 1 more additional day of Zithromax and Omnicef for CAP coverage. I recommended that he follow-up with his primary care provider and also pulmonary.  I recommend that he have follow-up for full explanation of prescribed home O2 needs and anything additional from a pulmonary perspective for chronic home regimen.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nodule, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I had a Sinus infection with a running nose, sinus pressure. I also had a knot on my right arm. Also the day after the injection I was really fatigued for a couple hours. I seen a provider on 01/22/2022.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: I had a Sinus infection with a running nose, sinus pressure. I also had a knot on my right arm. Also the day after the injection I was really fatigued for a couple hours. I seen a provider on 01/22/2022.
Age: 3.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Inadvertently administered vaccine after the use by date of 1/11/2023. No adverse outcomes.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arrhythmia, Cardiac monitoring abnormal, Cardiac stress test normal, Chest X-ray abnormal, Condition aggravated
Clinical narrative: I have been having dizzy spells for years but they are getting worse and more frequent. Especially the last 2 years. I did not relate this to the vaccine but now I am wondering if it is flaring it up. I have had a heart monitor on from my doctor, to record. They recorded 17 seconds recently of abid. They also did a stress test on me and that came out fine, and I was referred to a different doctor now about this.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dizziness, Echocardiogram
Clinical narrative: I have been having dizzy spells for years but they are getting worse and more frequent. Especially the last 2 years. I did not relate this to the vaccine but now I am wondering if it is flaring it up. I have had a heart monitor on from my doctor, to record. They recorded 17 seconds recently of abid. They also did a stress test on me and that came out fine, and I was referred to a different doctor now about this.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Product label on wrong product
Clinical narrative: Patient was given bivalent COVID vaccine instead of monovalent.  Pharmacy sent over the wrong vaccine, it was labeled as monovalent, and they sent over bivalent instead of the monovalent.  Monovalent was ordered from the pharmacy, not bivalent.
Age: 28.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Exposure during pregnancy, Injection site pain, Pain in extremity, Swelling, X-ray
Clinical narrative: Severe constanst pain in right arm that extends from upper shoulders to fingers. Some swelling 11 weeks pregnant at time of vaccine given Treatment of pain with lidocaine patches in addition to the tylenol. Patient also was referred to physical therapy
Age: 88.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Computerised tomogram head normal, Computerised tomogram spine
Clinical narrative: A 88 year old female with no significant PMH who was brought to the HCF by her family from her apartment due to fall, poor oral intake and confusion. Patient was diagnosed with COVID 19 infection.  Not hypoxic and therefore no treatment for COVID indicated.  Mentation waxes and wanes with underlying dementia.  Evaluated by PT/OT with recommendation for SNF placement.   COVID-19 infection without Pneumonia Generalized weakness/fatigue Metabolic encephalopathy (resolved)  Patient's generalized weakness, fatigue and some confusion is probably due to Covid-19 Virus Infection on background dementia  Date of onset of symptoms: 12/20 Symptoms present on admission: fatigue, generalized weakness, confusion Date of covid positive test: 12/21 Vaccination status: not known Imaging: CXR. Does not show pneumonia Oxygen requirements on admission: none. Sats are 95% on RA Current oxygen requirements: None RA with sats 95-96% Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/31 Mentation tends to wax and wane  Plan to discharge to SNF   Hypoxia (resolved) Intermittently requiring oxygen Has not required most recently Saturation 95-98 on room air   Thrombocytopenia Likely due to viral illness Stable No bleeding noted   Fall -Secondary to generalized weakness. - CT brain and CT cervical spine did not show any fracture or intracranial bleed. PT/OT evaluated: Plan for SNF at discharge
Age: 88.0
Sex: F
Vaccine: COVID19-2
Symptoms: Confusional state, Dementia, Fall, Fatigue, Hypophagia
Clinical narrative: A 88 year old female with no significant PMH who was brought to the HCF by her family from her apartment due to fall, poor oral intake and confusion. Patient was diagnosed with COVID 19 infection.  Not hypoxic and therefore no treatment for COVID indicated.  Mentation waxes and wanes with underlying dementia.  Evaluated by PT/OT with recommendation for SNF placement.   COVID-19 infection without Pneumonia Generalized weakness/fatigue Metabolic encephalopathy (resolved)  Patient's generalized weakness, fatigue and some confusion is probably due to Covid-19 Virus Infection on background dementia  Date of onset of symptoms: 12/20 Symptoms present on admission: fatigue, generalized weakness, confusion Date of covid positive test: 12/21 Vaccination status: not known Imaging: CXR. Does not show pneumonia Oxygen requirements on admission: none. Sats are 95% on RA Current oxygen requirements: None RA with sats 95-96% Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/31 Mentation tends to wax and wane  Plan to discharge to SNF   Hypoxia (resolved) Intermittently requiring oxygen Has not required most recently Saturation 95-98 on room air   Thrombocytopenia Likely due to viral illness Stable No bleeding noted   Fall -Secondary to generalized weakness. - CT brain and CT cervical spine did not show any fracture or intracranial bleed. PT/OT evaluated: Plan for SNF at discharge
Age: 88.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoxia, Mental status changes, Metabolic encephalopathy, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: A 88 year old female with no significant PMH who was brought to the HCF by her family from her apartment due to fall, poor oral intake and confusion. Patient was diagnosed with COVID 19 infection.  Not hypoxic and therefore no treatment for COVID indicated.  Mentation waxes and wanes with underlying dementia.  Evaluated by PT/OT with recommendation for SNF placement.   COVID-19 infection without Pneumonia Generalized weakness/fatigue Metabolic encephalopathy (resolved)  Patient's generalized weakness, fatigue and some confusion is probably due to Covid-19 Virus Infection on background dementia  Date of onset of symptoms: 12/20 Symptoms present on admission: fatigue, generalized weakness, confusion Date of covid positive test: 12/21 Vaccination status: not known Imaging: CXR. Does not show pneumonia Oxygen requirements on admission: none. Sats are 95% on RA Current oxygen requirements: None RA with sats 95-96% Medical therapy: not indicated Consultants following: none Anticipated special isolation end date: 12/31 Mentation tends to wax and wane  Plan to discharge to SNF   Hypoxia (resolved) Intermittently requiring oxygen Has not required most recently Saturation 95-98 on room air   Thrombocytopenia Likely due to viral illness Stable No bleeding noted   Fall -Secondary to generalized weakness. - CT brain and CT cervical spine did not show any fracture or intracranial bleed. PT/OT evaluated: Plan for SNF at discharge
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Cough, Headache, Nasopharyngitis
Clinical narrative: My first injection in 2021 was Jansen; first booster was Pfizer in Oct 2021, and second booster was Pfizer Bivalent in Oct 2022. Started with a cold in the holiday week; tested negative twice. Cold lagged on; woke up on December 9 with a severe headache, sore throat, increased cough and chills.  Fever of 101. Tested positive for covid. Sent Dr. a portal message and she contacted me right away and did a telehealth visit. Prescribed pavlovax. I only took it for two days because it made me feel worse and the taste it gave me in my mouth was horrid.  Headache, fever, chills and sore throat did not last but a few days, but cough is still lingering. Tested negative on December 17.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: My first injection in 2021 was Jansen; first booster was Pfizer in Oct 2021, and second booster was Pfizer Bivalent in Oct 2022. Started with a cold in the holiday week; tested negative twice. Cold lagged on; woke up on December 9 with a severe headache, sore throat, increased cough and chills.  Fever of 101. Tested positive for covid. Sent Dr. a portal message and she contacted me right away and did a telehealth visit. Prescribed pavlovax. I only took it for two days because it made me feel worse and the taste it gave me in my mouth was horrid.  Headache, fever, chills and sore throat did not last but a few days, but cough is still lingering. Tested negative on December 17.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Productive cough, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: I did not have an adverse event after receiving the vaccine. I started not feeling well on 11/11/2022, I had congestion and productive cough with a yellow and green color. We had plans to travel so I saw my doctor on 11/12/2022 and again on 11/15/2022. I was tested for COVID-19, and it was negative on 11/15/2022. I was diagnosed with a sinus infection and got the prescription ZITHROMAX.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Sputum discoloured
Clinical narrative: I did not have an adverse event after receiving the vaccine. I started not feeling well on 11/11/2022, I had congestion and productive cough with a yellow and green color. We had plans to travel so I saw my doctor on 11/12/2022 and again on 11/15/2022. I was tested for COVID-19, and it was negative on 11/15/2022. I was diagnosed with a sinus infection and got the prescription ZITHROMAX.
Age: 68.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Influenza virus test negative, Malaise, SARS-CoV-2 test positive
Clinical narrative: 12/10/2022 at around 02:00 began having sinus infection symptoms. Went to walk in clinic on 12/11/2022 and was tested for flu and COVID-19. Flu was negative and COVID-19 was positive. They prescribed cough meds but nothing else. Symptoms persisted for a couple days and began to subside. Symptoms completely resolved in 2 weeks.
Age: 0.75
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given bivalent COVID vaccine instead of monovalent.  Pharmacy sent over the wrong vaccine, it was labeled as monovalent, and they sent over bivalent instead of the monovalent.  Monovalent was ordered from the pharmacy, not bivalent.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy breast abnormal, Breast cancer female, Mammogram abnormal
Clinical narrative: New diagnosis of breast cancer
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: administered Pfizer Bivalent (6 month-4yrs) vaccine. When she went to document after administration, she was unable to document vaccine, then realized she gave the Bivalent vaccine instead of the Primary/Monovalent vaccine which was the 2nd dose of the Primary series.
Age: 5.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient arrived for third Pfizer vaccine. The patient was 4 when she started the series and turned 5 before her third vaccine dose. Pfizer bivalent 5 -11 year old was administered. She should have received Pfizer bivalent 6 month - 4 years. Once a 4 year old starts this series, they have to finish this series.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Back pain, Hypoaesthesia, Muscular weakness, Pain
Clinical narrative: I had my vaccination on 10/15/2022. On 01/08/2023 I started to have a really bad shooting pain in back that went down right leg. This included weakness and numbness. I did a course of steroids and I finished that medication. It is still present on 01/18/2023. I am going to start physical therapy on 01/23/2023.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in extremity
Clinical narrative: I had my vaccination on 10/15/2022. On 01/08/2023 I started to have a really bad shooting pain in back that went down right leg. This included weakness and numbness. I did a course of steroids and I finished that medication. It is still present on 01/18/2023. I am going to start physical therapy on 01/23/2023.
Age: 6.0
Sex: F
Vaccine: FLU4
Symptoms: Heart rate increased, Malaise, Nausea, Pyrexia, Respiratory rate increased
Clinical narrative: presents with mom's concern about vaccine reaction. Child was vaccinated at 10:30 this morning and at 11:30 she started to have fever and feel ill. She has had rapid heart rate, breathing fast and now nausea. Mom gave 3/4 tab of tylenol but child does not want to take it.  Mother reported patient slept and woke the next morning with no symptoms
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Fatigue, Headache, Nasopharyngitis
Clinical narrative: Suddenly at 5 PM, that day I felt I was coming down with a cold. That evening I was very congested. The next day I had a fever up to 102 and stayed that evening with a headache. The next day, day 3 I had a fever and was really congestion. That was the worst part. I did not have any aches just shivering from the fever. I called my doctor's office and was prescribed PAXLOVID that Thursday afternoon after having a positive COVID-19 at home test. The medicine was fine, it was just a metallic taste in my mouth. By that next day I had two doses and felt much better. The fever was gone, and the congestion was much less. This is the first time I've had it. I mask at almost all places I go. I am still congested and kind of tired.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Suddenly at 5 PM, that day I felt I was coming down with a cold. That evening I was very congested. The next day I had a fever up to 102 and stayed that evening with a headache. The next day, day 3 I had a fever and was really congestion. That was the worst part. I did not have any aches just shivering from the fever. I called my doctor's office and was prescribed PAXLOVID that Thursday afternoon after having a positive COVID-19 at home test. The medicine was fine, it was just a metallic taste in my mouth. By that next day I had two doses and felt much better. The fever was gone, and the congestion was much less. This is the first time I've had it. I mask at almost all places I go. I am still congested and kind of tired.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient stated they had not yet had a Bivalent Covid19 Booster, and is not immunocompromised.Initial review of CDC card showed monovalent booster given, but there was confusion based on recordings on back of same card. They actually DID get a bilvalent booster, here, on 10/25/22.
Age: 35.0
Sex: F
Vaccine: VARCEL
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt was given a 3rd dose of the 2-dose series of varicella. Provider was notified. Then Patient was then contacted, denies sign and symptoms of reaction to varicella vaccine. Educated pt on what to assess for.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Swelling
Clinical narrative: Patient reported having sweeling and redness to area that has gotten worse over the course of 5 days.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Decreased appetite, Dehydration, Dizziness
Clinical narrative: Hospitalization 1/21/22-1/24/22 weakness, body aches, dizziness, cough, rectal bleeding, decreased appetite, dehydration
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rectal haemorrhage
Clinical narrative: Hospitalization 1/21/22-1/24/22 weakness, body aches, dizziness, cough, rectal bleeding, decreased appetite, dehydration
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Balance disorder, Blood test, Dizziness, Fibrin D dimer increased, Surgery
Clinical narrative: I was very dizzy. I contacted my doctor, and they told me to go to the emergency room. Since I had recently had surgery, they thought I might have a Pulmonary Embolism, but it turned out that I did not. Then, I started doing physical therapy to try to solve my balance issues. I am still dealing with this at this time.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with booster
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Hepatic cirrhosis, Immunisation reaction, Mobility decreased, Nausea
Clinical narrative: Received 5th COVID vaccine 1/16/23, when returning home became weak and nauseaous, unable to get out of bed 1/17/23, see ER, diagnosised with UTI and post vaccination reaction, initial encounter, generalized weakness, liver cirrhosis secondary to NASH, admitted to Hospital over night, discharged next day 1/18/23 home.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Non-alcoholic steatohepatitis, Urinary tract infection
Clinical narrative: Received 5th COVID vaccine 1/16/23, when returning home became weak and nauseaous, unable to get out of bed 1/17/23, see ER, diagnosised with UTI and post vaccination reaction, initial encounter, generalized weakness, liver cirrhosis secondary to NASH, admitted to Hospital over night, discharged next day 1/18/23 home.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aneurysm ruptured, Anxiety, Atelectasis, Atrial fibrillation
Clinical narrative: Patient is a 73 y.o. female who was referred to the ED on 12/6/2022 with concern for pneumonia after presenting with 2 day complaint of cough, shortness of breath, and fevers. She was found to be SARS-C0V2 positive with admission requested with concern for associated pneumonia. She was admitted to the ICU with acute on chronic hypoxemic, hypercapnic respiratory failure. COPC assumed care with transferr out  of the ICU 12/11/2022. Acute on chronic hypoxemic, hypercapnic respiratory failure COVID 19 with superimposed bacterial pneumonia Tracheostomy present Baseline respiratory status includes tracheostomy placement in May 2022 following a prolonged hospitalization for  a ruptured splenic aneurysm  -She is maintained at 5-6 L/min via trach mask at home, she weaned to a FiO2 of 30% at 6-7 L from earlier need for ventilatory support via an exchanged her cuffless tracheostomy with a cuffed 6 shiley tracheostomy -Acute decompensation was believed multifactorial related to COVID-19, deconditioning , atelectasis and bacterial pneumonia -Treatment included dexamethasone and 7 days of antibiotics.   Enterococcus UTI Possible asymptomatic bacteruria, she received nitrofurantoin x 5 days given the nature of her acute presentation   COPD Continue inhaled bronchodilator therapy    Paroxysmal atrial fibrillation Rate controlled; continue diltiazem and apixaban   Anxiety and depression Continue buspirone
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Cough, Depression, Dyspnoea
Clinical narrative: Patient is a 73 y.o. female who was referred to the ED on 12/6/2022 with concern for pneumonia after presenting with 2 day complaint of cough, shortness of breath, and fevers. She was found to be SARS-C0V2 positive with admission requested with concern for associated pneumonia. She was admitted to the ICU with acute on chronic hypoxemic, hypercapnic respiratory failure. COPC assumed care with transferr out  of the ICU 12/11/2022. Acute on chronic hypoxemic, hypercapnic respiratory failure COVID 19 with superimposed bacterial pneumonia Tracheostomy present Baseline respiratory status includes tracheostomy placement in May 2022 following a prolonged hospitalization for  a ruptured splenic aneurysm  -She is maintained at 5-6 L/min via trach mask at home, she weaned to a FiO2 of 30% at 6-7 L from earlier need for ventilatory support via an exchanged her cuffless tracheostomy with a cuffed 6 shiley tracheostomy -Acute decompensation was believed multifactorial related to COVID-19, deconditioning , atelectasis and bacterial pneumonia -Treatment included dexamethasone and 7 days of antibiotics.   Enterococcus UTI Possible asymptomatic bacteruria, she received nitrofurantoin x 5 days given the nature of her acute presentation   COPD Continue inhaled bronchodilator therapy    Paroxysmal atrial fibrillation Rate controlled; continue diltiazem and apixaban   Anxiety and depression Continue buspirone
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Mechanical ventilation, Physical deconditioning, Pneumonia bacterial, Pyrexia
Clinical narrative: Patient is a 73 y.o. female who was referred to the ED on 12/6/2022 with concern for pneumonia after presenting with 2 day complaint of cough, shortness of breath, and fevers. She was found to be SARS-C0V2 positive with admission requested with concern for associated pneumonia. She was admitted to the ICU with acute on chronic hypoxemic, hypercapnic respiratory failure. COPC assumed care with transferr out  of the ICU 12/11/2022. Acute on chronic hypoxemic, hypercapnic respiratory failure COVID 19 with superimposed bacterial pneumonia Tracheostomy present Baseline respiratory status includes tracheostomy placement in May 2022 following a prolonged hospitalization for  a ruptured splenic aneurysm  -She is maintained at 5-6 L/min via trach mask at home, she weaned to a FiO2 of 30% at 6-7 L from earlier need for ventilatory support via an exchanged her cuffless tracheostomy with a cuffed 6 shiley tracheostomy -Acute decompensation was believed multifactorial related to COVID-19, deconditioning , atelectasis and bacterial pneumonia -Treatment included dexamethasone and 7 days of antibiotics.   Enterococcus UTI Possible asymptomatic bacteruria, she received nitrofurantoin x 5 days given the nature of her acute presentation   COPD Continue inhaled bronchodilator therapy    Paroxysmal atrial fibrillation Rate controlled; continue diltiazem and apixaban   Anxiety and depression Continue buspirone
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Superinfection, Tracheostomy, Urinary tract infection enterococcal
Clinical narrative: Patient is a 73 y.o. female who was referred to the ED on 12/6/2022 with concern for pneumonia after presenting with 2 day complaint of cough, shortness of breath, and fevers. She was found to be SARS-C0V2 positive with admission requested with concern for associated pneumonia. She was admitted to the ICU with acute on chronic hypoxemic, hypercapnic respiratory failure. COPC assumed care with transferr out  of the ICU 12/11/2022. Acute on chronic hypoxemic, hypercapnic respiratory failure COVID 19 with superimposed bacterial pneumonia Tracheostomy present Baseline respiratory status includes tracheostomy placement in May 2022 following a prolonged hospitalization for  a ruptured splenic aneurysm  -She is maintained at 5-6 L/min via trach mask at home, she weaned to a FiO2 of 30% at 6-7 L from earlier need for ventilatory support via an exchanged her cuffless tracheostomy with a cuffed 6 shiley tracheostomy -Acute decompensation was believed multifactorial related to COVID-19, deconditioning , atelectasis and bacterial pneumonia -Treatment included dexamethasone and 7 days of antibiotics.   Enterococcus UTI Possible asymptomatic bacteruria, she received nitrofurantoin x 5 days given the nature of her acute presentation   COPD Continue inhaled bronchodilator therapy    Paroxysmal atrial fibrillation Rate controlled; continue diltiazem and apixaban   Anxiety and depression Continue buspirone
Age: 64.0
Sex: M
Vaccine: UNK
Symptoms: Brain scan abnormal, Cerebrovascular accident, Dizziness, Dysarthria, Fall
Clinical narrative: He got his vaccine, just didn't feel right, was light headed, just did not feel right.  His right arm started acting weird, and his right leg would collapse every once in a while.  He probably should have told the doctors that his arm wasn't working right, but they did not check his arm.  They ran cancer tests on him, and determined that he did not have any.  They ignored what he needed to be seen for.  He did not go back, and his arm was still acting weird, and while he was driving home he felt really strange.  he got home and was watching TV and collapsed over to his right side, and felt like his brain was not with him.  His right arm would not work, but he could walk.  He called a friend and asked for help who called paramedics and said that he was slurring his words.   He went to a hospital and they diagnosed him with a stroke.  They did a brain scan on him and told him that he had a few mini-strokes before the major one.  They put him on medicines which he took for a while and then stopped.  He had a doctor that he was seeing, and would not give him any pain medicines to be able to sleep.  He wants him to do a colon cancer tests and all sorts of weird and strange tests, and he does not want to have them done unless he has an issue.   He continues to not be able to think, really light headed, days where he is dizzy.  He has fallen a few times and does drive as he is an over the road truck driver, but if he doesn't feel like it he does not.    He considered himself healthy prior to the vaccine, and ran and other issues, and does not feel healthy anymore.
Age: 64.0
Sex: M
Vaccine: UNK
Symptoms: Feeling abnormal, Laboratory test normal, Mental impairment, Mobility decreased, Muscular weakness
Clinical narrative: He got his vaccine, just didn't feel right, was light headed, just did not feel right.  His right arm started acting weird, and his right leg would collapse every once in a while.  He probably should have told the doctors that his arm wasn't working right, but they did not check his arm.  They ran cancer tests on him, and determined that he did not have any.  They ignored what he needed to be seen for.  He did not go back, and his arm was still acting weird, and while he was driving home he felt really strange.  he got home and was watching TV and collapsed over to his right side, and felt like his brain was not with him.  His right arm would not work, but he could walk.  He called a friend and asked for help who called paramedics and said that he was slurring his words.   He went to a hospital and they diagnosed him with a stroke.  They did a brain scan on him and told him that he had a few mini-strokes before the major one.  They put him on medicines which he took for a while and then stopped.  He had a doctor that he was seeing, and would not give him any pain medicines to be able to sleep.  He wants him to do a colon cancer tests and all sorts of weird and strange tests, and he does not want to have them done unless he has an issue.   He continues to not be able to think, really light headed, days where he is dizzy.  He has fallen a few times and does drive as he is an over the road truck driver, but if he doesn't feel like it he does not.    He considered himself healthy prior to the vaccine, and ran and other issues, and does not feel healthy anymore.