chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Abdominal hernia, Abdominal pain, Abscess drainage, Acidosis, Anisocoria
Clinical narrative: Pt went to a HCF for SOA today, found to have ruptured hernia, initial GCS 15. PT declined in CT at the HCF and was intubated. Pt found to be COVID positive.  Of note, facility information not available in notes, no provider info and no hospital name info.   Patient reportedly presented to the outside hospital for shortness of breath.  During his stay in the emergency department, he also was complaining of abdominal pain, which has been present and progressively worsening for the past 3 days.  He then had a sudden changes mental status following CT imaging and was intubated for hypoxia and altered mental status.  CT imaging demonstrated pneumoperitoneum with concern for perforation, likely from his large right-sided abdominal hernia.  Patient received a L fluid at the outside hospital as well as IV vancomycin, Zosyn, and was then transferred to our facility for further workup and management.  Patient also tested positive for COVID at the outside facility prior to transfer.  Was unable to conduct review of systems, other history with the patient secondary to intubation and mental status.    . He was taken to OR 1/17 for ex-lap, adhesolysis, partial colectomy, repair of duodenal perforation, vascular omental pedicle flap, intraabdominal abscess evacuation and wound vac placement with temporary abdominal closure.   On the night of 1/17-1/18,  he returned from OR on 0.04 levo and 0.03 vaso. Increasing levo requirement to 0.26. 1L bolus given. Shortly after return from OR, nursing staff noticed unequal pupils. Right pupil pinpoint and left dilated, non-reactive bilaterally. Stroke alert called. Reversed with sugammadex. CT scans were performed to rule out herniation. The team spoke with wife who did not believe that he carried a diagnosis of CHF and has never had an MI. He also has a history of detatched retina on the L and has a known history of anisocoria with a dilated L pupil. He had been having upper respiratory symptoms at home.    Overnight 1/18-1/19, he was given amp of bicarb and 1L albumin, started on bicarb gtt. Beta hydroxybutyrate was noted to be elevated 1.95. Acidosis was persistent despite bicarb, and nephrology consulted. Their recommendations were to begin insulin gtt and switch bicarb gtt from 100mEq in 1/2NS to 150mEq in free water. Levo was weaned down and vaso was turned off. EKG obtained due to episodes of tachycardia w/ concern for ventricular rhythm, shows atrial flutter.  Discharge Disposition/Condition Disposition: Morgue Condition: Expired (specify if autopsy was granted)
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Atrial flutter, Blood ketone body, COVID-19, Colectomy, Computerised tomogram abdomen abnormal
Clinical narrative: Pt went to a HCF for SOA today, found to have ruptured hernia, initial GCS 15. PT declined in CT at the HCF and was intubated. Pt found to be COVID positive.  Of note, facility information not available in notes, no provider info and no hospital name info.   Patient reportedly presented to the outside hospital for shortness of breath.  During his stay in the emergency department, he also was complaining of abdominal pain, which has been present and progressively worsening for the past 3 days.  He then had a sudden changes mental status following CT imaging and was intubated for hypoxia and altered mental status.  CT imaging demonstrated pneumoperitoneum with concern for perforation, likely from his large right-sided abdominal hernia.  Patient received a L fluid at the outside hospital as well as IV vancomycin, Zosyn, and was then transferred to our facility for further workup and management.  Patient also tested positive for COVID at the outside facility prior to transfer.  Was unable to conduct review of systems, other history with the patient secondary to intubation and mental status.    . He was taken to OR 1/17 for ex-lap, adhesolysis, partial colectomy, repair of duodenal perforation, vascular omental pedicle flap, intraabdominal abscess evacuation and wound vac placement with temporary abdominal closure.   On the night of 1/17-1/18,  he returned from OR on 0.04 levo and 0.03 vaso. Increasing levo requirement to 0.26. 1L bolus given. Shortly after return from OR, nursing staff noticed unequal pupils. Right pupil pinpoint and left dilated, non-reactive bilaterally. Stroke alert called. Reversed with sugammadex. CT scans were performed to rule out herniation. The team spoke with wife who did not believe that he carried a diagnosis of CHF and has never had an MI. He also has a history of detatched retina on the L and has a known history of anisocoria with a dilated L pupil. He had been having upper respiratory symptoms at home.    Overnight 1/18-1/19, he was given amp of bicarb and 1L albumin, started on bicarb gtt. Beta hydroxybutyrate was noted to be elevated 1.95. Acidosis was persistent despite bicarb, and nephrology consulted. Their recommendations were to begin insulin gtt and switch bicarb gtt from 100mEq in 1/2NS to 150mEq in free water. Levo was weaned down and vaso was turned off. EKG obtained due to episodes of tachycardia w/ concern for ventricular rhythm, shows atrial flutter.  Discharge Disposition/Condition Disposition: Morgue Condition: Expired (specify if autopsy was granted)
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Death, Dyspnoea, Electrocardiogram abnormal, Endotracheal intubation, Enterorrhaphy
Clinical narrative: Pt went to a HCF for SOA today, found to have ruptured hernia, initial GCS 15. PT declined in CT at the HCF and was intubated. Pt found to be COVID positive.  Of note, facility information not available in notes, no provider info and no hospital name info.   Patient reportedly presented to the outside hospital for shortness of breath.  During his stay in the emergency department, he also was complaining of abdominal pain, which has been present and progressively worsening for the past 3 days.  He then had a sudden changes mental status following CT imaging and was intubated for hypoxia and altered mental status.  CT imaging demonstrated pneumoperitoneum with concern for perforation, likely from his large right-sided abdominal hernia.  Patient received a L fluid at the outside hospital as well as IV vancomycin, Zosyn, and was then transferred to our facility for further workup and management.  Patient also tested positive for COVID at the outside facility prior to transfer.  Was unable to conduct review of systems, other history with the patient secondary to intubation and mental status.    . He was taken to OR 1/17 for ex-lap, adhesolysis, partial colectomy, repair of duodenal perforation, vascular omental pedicle flap, intraabdominal abscess evacuation and wound vac placement with temporary abdominal closure.   On the night of 1/17-1/18,  he returned from OR on 0.04 levo and 0.03 vaso. Increasing levo requirement to 0.26. 1L bolus given. Shortly after return from OR, nursing staff noticed unequal pupils. Right pupil pinpoint and left dilated, non-reactive bilaterally. Stroke alert called. Reversed with sugammadex. CT scans were performed to rule out herniation. The team spoke with wife who did not believe that he carried a diagnosis of CHF and has never had an MI. He also has a history of detatched retina on the L and has a known history of anisocoria with a dilated L pupil. He had been having upper respiratory symptoms at home.    Overnight 1/18-1/19, he was given amp of bicarb and 1L albumin, started on bicarb gtt. Beta hydroxybutyrate was noted to be elevated 1.95. Acidosis was persistent despite bicarb, and nephrology consulted. Their recommendations were to begin insulin gtt and switch bicarb gtt from 100mEq in 1/2NS to 150mEq in free water. Levo was weaned down and vaso was turned off. EKG obtained due to episodes of tachycardia w/ concern for ventricular rhythm, shows atrial flutter.  Discharge Disposition/Condition Disposition: Morgue Condition: Expired (specify if autopsy was granted)
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hernia perforation, Hypoxia, Mental status changes, Mydriasis, Pneumoperitoneum
Clinical narrative: Pt went to a HCF for SOA today, found to have ruptured hernia, initial GCS 15. PT declined in CT at the HCF and was intubated. Pt found to be COVID positive.  Of note, facility information not available in notes, no provider info and no hospital name info.   Patient reportedly presented to the outside hospital for shortness of breath.  During his stay in the emergency department, he also was complaining of abdominal pain, which has been present and progressively worsening for the past 3 days.  He then had a sudden changes mental status following CT imaging and was intubated for hypoxia and altered mental status.  CT imaging demonstrated pneumoperitoneum with concern for perforation, likely from his large right-sided abdominal hernia.  Patient received a L fluid at the outside hospital as well as IV vancomycin, Zosyn, and was then transferred to our facility for further workup and management.  Patient also tested positive for COVID at the outside facility prior to transfer.  Was unable to conduct review of systems, other history with the patient secondary to intubation and mental status.    . He was taken to OR 1/17 for ex-lap, adhesolysis, partial colectomy, repair of duodenal perforation, vascular omental pedicle flap, intraabdominal abscess evacuation and wound vac placement with temporary abdominal closure.   On the night of 1/17-1/18,  he returned from OR on 0.04 levo and 0.03 vaso. Increasing levo requirement to 0.26. 1L bolus given. Shortly after return from OR, nursing staff noticed unequal pupils. Right pupil pinpoint and left dilated, non-reactive bilaterally. Stroke alert called. Reversed with sugammadex. CT scans were performed to rule out herniation. The team spoke with wife who did not believe that he carried a diagnosis of CHF and has never had an MI. He also has a history of detatched retina on the L and has a known history of anisocoria with a dilated L pupil. He had been having upper respiratory symptoms at home.    Overnight 1/18-1/19, he was given amp of bicarb and 1L albumin, started on bicarb gtt. Beta hydroxybutyrate was noted to be elevated 1.95. Acidosis was persistent despite bicarb, and nephrology consulted. Their recommendations were to begin insulin gtt and switch bicarb gtt from 100mEq in 1/2NS to 150mEq in free water. Levo was weaned down and vaso was turned off. EKG obtained due to episodes of tachycardia w/ concern for ventricular rhythm, shows atrial flutter.  Discharge Disposition/Condition Disposition: Morgue Condition: Expired (specify if autopsy was granted)
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pupillary light reflex tests abnormal, Respiratory symptom, SARS-CoV-2 test positive, Tachycardia, Wound closure
Clinical narrative: Pt went to a HCF for SOA today, found to have ruptured hernia, initial GCS 15. PT declined in CT at the HCF and was intubated. Pt found to be COVID positive.  Of note, facility information not available in notes, no provider info and no hospital name info.   Patient reportedly presented to the outside hospital for shortness of breath.  During his stay in the emergency department, he also was complaining of abdominal pain, which has been present and progressively worsening for the past 3 days.  He then had a sudden changes mental status following CT imaging and was intubated for hypoxia and altered mental status.  CT imaging demonstrated pneumoperitoneum with concern for perforation, likely from his large right-sided abdominal hernia.  Patient received a L fluid at the outside hospital as well as IV vancomycin, Zosyn, and was then transferred to our facility for further workup and management.  Patient also tested positive for COVID at the outside facility prior to transfer.  Was unable to conduct review of systems, other history with the patient secondary to intubation and mental status.    . He was taken to OR 1/17 for ex-lap, adhesolysis, partial colectomy, repair of duodenal perforation, vascular omental pedicle flap, intraabdominal abscess evacuation and wound vac placement with temporary abdominal closure.   On the night of 1/17-1/18,  he returned from OR on 0.04 levo and 0.03 vaso. Increasing levo requirement to 0.26. 1L bolus given. Shortly after return from OR, nursing staff noticed unequal pupils. Right pupil pinpoint and left dilated, non-reactive bilaterally. Stroke alert called. Reversed with sugammadex. CT scans were performed to rule out herniation. The team spoke with wife who did not believe that he carried a diagnosis of CHF and has never had an MI. He also has a history of detatched retina on the L and has a known history of anisocoria with a dilated L pupil. He had been having upper respiratory symptoms at home.    Overnight 1/18-1/19, he was given amp of bicarb and 1L albumin, started on bicarb gtt. Beta hydroxybutyrate was noted to be elevated 1.95. Acidosis was persistent despite bicarb, and nephrology consulted. Their recommendations were to begin insulin gtt and switch bicarb gtt from 100mEq in 1/2NS to 150mEq in free water. Levo was weaned down and vaso was turned off. EKG obtained due to episodes of tachycardia w/ concern for ventricular rhythm, shows atrial flutter.  Discharge Disposition/Condition Disposition: Morgue Condition: Expired (specify if autopsy was granted)
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Pt went to a HCF for SOA today, found to have ruptured hernia, initial GCS 15. PT declined in CT at the HCF and was intubated. Pt found to be COVID positive.  Of note, facility information not available in notes, no provider info and no hospital name info.   Patient reportedly presented to the outside hospital for shortness of breath.  During his stay in the emergency department, he also was complaining of abdominal pain, which has been present and progressively worsening for the past 3 days.  He then had a sudden changes mental status following CT imaging and was intubated for hypoxia and altered mental status.  CT imaging demonstrated pneumoperitoneum with concern for perforation, likely from his large right-sided abdominal hernia.  Patient received a L fluid at the outside hospital as well as IV vancomycin, Zosyn, and was then transferred to our facility for further workup and management.  Patient also tested positive for COVID at the outside facility prior to transfer.  Was unable to conduct review of systems, other history with the patient secondary to intubation and mental status.    . He was taken to OR 1/17 for ex-lap, adhesolysis, partial colectomy, repair of duodenal perforation, vascular omental pedicle flap, intraabdominal abscess evacuation and wound vac placement with temporary abdominal closure.   On the night of 1/17-1/18,  he returned from OR on 0.04 levo and 0.03 vaso. Increasing levo requirement to 0.26. 1L bolus given. Shortly after return from OR, nursing staff noticed unequal pupils. Right pupil pinpoint and left dilated, non-reactive bilaterally. Stroke alert called. Reversed with sugammadex. CT scans were performed to rule out herniation. The team spoke with wife who did not believe that he carried a diagnosis of CHF and has never had an MI. He also has a history of detatched retina on the L and has a known history of anisocoria with a dilated L pupil. He had been having upper respiratory symptoms at home.    Overnight 1/18-1/19, he was given amp of bicarb and 1L albumin, started on bicarb gtt. Beta hydroxybutyrate was noted to be elevated 1.95. Acidosis was persistent despite bicarb, and nephrology consulted. Their recommendations were to begin insulin gtt and switch bicarb gtt from 100mEq in 1/2NS to 150mEq in free water. Levo was weaned down and vaso was turned off. EKG obtained due to episodes of tachycardia w/ concern for ventricular rhythm, shows atrial flutter.  Discharge Disposition/Condition Disposition: Morgue Condition: Expired (specify if autopsy was granted)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Fatigue, Gingival bleeding, Haemoptysis, Immune thrombocytopenia
Clinical narrative: After the vaccine she noted petechiae about 1 week post booster shot. She experienced: fever and flu-like symptoms, unable to move her arm, and mucositis and bleeding when brushing her teeth. Then, the 56 year old female presents to the ED ~2 weeks after the moderna vaccine booster with fatigue, trouble swallowing, and hemoptysis. Patient woke up fatigued and then later felt something in her throat, and it was noted to be bright red blood. Went to the urgent care clinic and was told to go to the ED. Patient in the hospital had petechiae on her left arm, and lower extremeties. Platelet counts revealed thrombocytopenia. After ruling out other likely causes, patient was found to have acute ITP secondary to the Moderna booster shot. Patient was treated with dexamethasone loading dose 40mg IVPB for 4 doses, and IV Immune Globulin 90 grams for 2 doses. Patient responded well, and is now following up as an outpatient with the hematology service.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Influenza like illness, Movement disorder, Mucosal inflammation, Petechiae
Clinical narrative: After the vaccine she noted petechiae about 1 week post booster shot. She experienced: fever and flu-like symptoms, unable to move her arm, and mucositis and bleeding when brushing her teeth. Then, the 56 year old female presents to the ED ~2 weeks after the moderna vaccine booster with fatigue, trouble swallowing, and hemoptysis. Patient woke up fatigued and then later felt something in her throat, and it was noted to be bright red blood. Went to the urgent care clinic and was told to go to the ED. Patient in the hospital had petechiae on her left arm, and lower extremeties. Platelet counts revealed thrombocytopenia. After ruling out other likely causes, patient was found to have acute ITP secondary to the Moderna booster shot. Patient was treated with dexamethasone loading dose 40mg IVPB for 4 doses, and IV Immune Globulin 90 grams for 2 doses. Patient responded well, and is now following up as an outpatient with the hematology service.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal haemorrhage, Platelet count decreased, Pyrexia, Sensation of foreign body, Thrombocytopenia
Clinical narrative: After the vaccine she noted petechiae about 1 week post booster shot. She experienced: fever and flu-like symptoms, unable to move her arm, and mucositis and bleeding when brushing her teeth. Then, the 56 year old female presents to the ED ~2 weeks after the moderna vaccine booster with fatigue, trouble swallowing, and hemoptysis. Patient woke up fatigued and then later felt something in her throat, and it was noted to be bright red blood. Went to the urgent care clinic and was told to go to the ED. Patient in the hospital had petechiae on her left arm, and lower extremeties. Platelet counts revealed thrombocytopenia. After ruling out other likely causes, patient was found to have acute ITP secondary to the Moderna booster shot. Patient was treated with dexamethasone loading dose 40mg IVPB for 4 doses, and IV Immune Globulin 90 grams for 2 doses. Patient responded well, and is now following up as an outpatient with the hematology service.
Age: 1.0
Sex: F
Vaccine: MMRV
Symptoms: Immediate post-injection reaction, Injection site rash, Injection site swelling
Clinical narrative: Patient Immediately developed small rash and swelling at the site of injection.  Swelling and rash was evaluated by provider and dissipated and was gone in 15 minutes.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Angiogram pulmonary abnormal, Anticoagulant therapy, COVID-19, COVID-19 pneumonia
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 02/19/2021.  65y/o with PMHX of Type2 DM, Chronic Bronchitis, HTN, HLD presents to ED with 1 month c/o cough and 1 week c/o chest pain.  Pt originally saw her PCP where she tested positive for Covid.  PCP referred pt to ED for Imaging and f/u of CP.  CTA Chest with LLL opacities and small patches groundglass airspace disease RUL.  Room air sat 99%, pt afebrile.  Cardiac enzymes positive and EKG with ischemic changes.  Pt diagnosed with Covid PNA and NSTEMI.  Started on Steroids and Heparin gtt.  Plan heart cath once respiratory status improves.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Cough, Electrocardiogram abnormal, Lung disorder, Lung opacity
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 02/19/2021.  65y/o with PMHX of Type2 DM, Chronic Bronchitis, HTN, HLD presents to ED with 1 month c/o cough and 1 week c/o chest pain.  Pt originally saw her PCP where she tested positive for Covid.  PCP referred pt to ED for Imaging and f/u of CP.  CTA Chest with LLL opacities and small patches groundglass airspace disease RUL.  Room air sat 99%, pt afebrile.  Cardiac enzymes positive and EKG with ischemic changes.  Pt diagnosed with Covid PNA and NSTEMI.  Started on Steroids and Heparin gtt.  Plan heart cath once respiratory status improves.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocardial ischaemia, Myocardial necrosis marker increased, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st Vaccine received on 02/19/2021.  65y/o with PMHX of Type2 DM, Chronic Bronchitis, HTN, HLD presents to ED with 1 month c/o cough and 1 week c/o chest pain.  Pt originally saw her PCP where she tested positive for Covid.  PCP referred pt to ED for Imaging and f/u of CP.  CTA Chest with LLL opacities and small patches groundglass airspace disease RUL.  Room air sat 99%, pt afebrile.  Cardiac enzymes positive and EKG with ischemic changes.  Pt diagnosed with Covid PNA and NSTEMI.  Started on Steroids and Heparin gtt.  Plan heart cath once respiratory status improves.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Computerised tomogram thorax normal, Discomfort, Full blood count normal, Hypoaesthesia
Clinical narrative: The adverse event occurred on 3/3/22 at 7AM. The symptoms included sharp pain to the upper arm near injection site and traveled to the mid forearm. Other symptoms experienced includes severe swelling, tight skin, warm to the touch, numbness in fingers, tingling in fingers, pain near elbow, and discomfort. Swelling started at 7:00AM and continued to swell until 8PM.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Metabolic function test, Pain, Pain in extremity, Paraesthesia
Clinical narrative: The adverse event occurred on 3/3/22 at 7AM. The symptoms included sharp pain to the upper arm near injection site and traveled to the mid forearm. Other symptoms experienced includes severe swelling, tight skin, warm to the touch, numbness in fingers, tingling in fingers, pain near elbow, and discomfort. Swelling started at 7:00AM and continued to swell until 8PM.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Scan with contrast normal, Skin tightness, Skin warm, Swelling
Clinical narrative: The adverse event occurred on 3/3/22 at 7AM. The symptoms included sharp pain to the upper arm near injection site and traveled to the mid forearm. Other symptoms experienced includes severe swelling, tight skin, warm to the touch, numbness in fingers, tingling in fingers, pain near elbow, and discomfort. Swelling started at 7:00AM and continued to swell until 8PM.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: The adverse event occurred on 3/3/22 at 7AM. The symptoms included sharp pain to the upper arm near injection site and traveled to the mid forearm. Other symptoms experienced includes severe swelling, tight skin, warm to the touch, numbness in fingers, tingling in fingers, pain near elbow, and discomfort. Swelling started at 7:00AM and continued to swell until 8PM.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Inpatient hospitalization/ Breakthrough Covid
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: Unexpected breakthrough Menstrual Bleeding for six days, occurred three weeks after previous Menstrual Cycle began.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Bladder catheterisation, COVID-19, COVID-19 pneumonia
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/11/21 (001B21A) Moderna Dose 2 4/12/21 (027B21A) Moderna Dose 3 11/5/21 (939905) COVID Positive 12/28/21  12/28/21: 1. Pneumonia due to COVID-19 virus 2. respiratory distress with hypoxia decadron 6mg IV daily rocephin 1gm IV daily azithromycin 500mg IV daily remdesivir 200mg IV today and 100mg IV daily for 4 doses oxygen prn maintain sats at 92% duoneb 3ml q6h  routine home meds full code heparin 5000 units q12h  12/31/21: 1. Covid Pneumonia::  On community-acquired pneumonia antibiotics Rocephin, azithromycin, not on remdesivir and Decadron. 2: Hypoxia:  Probably multifactorial chest x-ray does according to Radiology show more CHF 100 of Lasix and Foley had been placed.  He has had some weight gain over the last several days obviously they COVID pneumonia has been present and he is on appropriate therapy for the same will continue to watch.  The D-dimer his age is normal.  He is on heparin 5000 b.i.d. do not think we need to aggressively pursue pulmonary emboli workup with a CT scan in summary who obviously has COVID pneumonia that is probably somewhat clinically progressive. 3: Elevated TI EKG did not done today.  Normal sinus rhythm with PSV sees occasionally PVCs.  Prolonged QT.  Heart rate 86. No significant ST elevation or significant ST segment depression.  Troponin had been 0.02 now at 0.03.  Son has power attorney he will need to be called this morning to see if he wants to be more aggressive with this or not. But no chest pain.  I soon this is less likely to be due to acute significant non-STEMI then the congestive heart failure and hypoxia causing the elevated troponin.  4. Chronic medical Problems:  Hyperlipidemia, BPH, anxiety, elevated liver function test.  All relatively stable continue current medicines at current doses.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chest X-ray abnormal, Electrocardiogram QT prolonged, Fibrin D dimer normal, Hypoxia
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/11/21 (001B21A) Moderna Dose 2 4/12/21 (027B21A) Moderna Dose 3 11/5/21 (939905) COVID Positive 12/28/21  12/28/21: 1. Pneumonia due to COVID-19 virus 2. respiratory distress with hypoxia decadron 6mg IV daily rocephin 1gm IV daily azithromycin 500mg IV daily remdesivir 200mg IV today and 100mg IV daily for 4 doses oxygen prn maintain sats at 92% duoneb 3ml q6h  routine home meds full code heparin 5000 units q12h  12/31/21: 1. Covid Pneumonia::  On community-acquired pneumonia antibiotics Rocephin, azithromycin, not on remdesivir and Decadron. 2: Hypoxia:  Probably multifactorial chest x-ray does according to Radiology show more CHF 100 of Lasix and Foley had been placed.  He has had some weight gain over the last several days obviously they COVID pneumonia has been present and he is on appropriate therapy for the same will continue to watch.  The D-dimer his age is normal.  He is on heparin 5000 b.i.d. do not think we need to aggressively pursue pulmonary emboli workup with a CT scan in summary who obviously has COVID pneumonia that is probably somewhat clinically progressive. 3: Elevated TI EKG did not done today.  Normal sinus rhythm with PSV sees occasionally PVCs.  Prolonged QT.  Heart rate 86. No significant ST elevation or significant ST segment depression.  Troponin had been 0.02 now at 0.03.  Son has power attorney he will need to be called this morning to see if he wants to be more aggressive with this or not. But no chest pain.  I soon this is less likely to be due to acute significant non-STEMI then the congestive heart failure and hypoxia causing the elevated troponin.  4. Chronic medical Problems:  Hyperlipidemia, BPH, anxiety, elevated liver function test.  All relatively stable continue current medicines at current doses.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Liver function test, Pneumonia, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/11/21 (001B21A) Moderna Dose 2 4/12/21 (027B21A) Moderna Dose 3 11/5/21 (939905) COVID Positive 12/28/21  12/28/21: 1. Pneumonia due to COVID-19 virus 2. respiratory distress with hypoxia decadron 6mg IV daily rocephin 1gm IV daily azithromycin 500mg IV daily remdesivir 200mg IV today and 100mg IV daily for 4 doses oxygen prn maintain sats at 92% duoneb 3ml q6h  routine home meds full code heparin 5000 units q12h  12/31/21: 1. Covid Pneumonia::  On community-acquired pneumonia antibiotics Rocephin, azithromycin, not on remdesivir and Decadron. 2: Hypoxia:  Probably multifactorial chest x-ray does according to Radiology show more CHF 100 of Lasix and Foley had been placed.  He has had some weight gain over the last several days obviously they COVID pneumonia has been present and he is on appropriate therapy for the same will continue to watch.  The D-dimer his age is normal.  He is on heparin 5000 b.i.d. do not think we need to aggressively pursue pulmonary emboli workup with a CT scan in summary who obviously has COVID pneumonia that is probably somewhat clinically progressive. 3: Elevated TI EKG did not done today.  Normal sinus rhythm with PSV sees occasionally PVCs.  Prolonged QT.  Heart rate 86. No significant ST elevation or significant ST segment depression.  Troponin had been 0.02 now at 0.03.  Son has power attorney he will need to be called this morning to see if he wants to be more aggressive with this or not. But no chest pain.  I soon this is less likely to be due to acute significant non-STEMI then the congestive heart failure and hypoxia causing the elevated troponin.  4. Chronic medical Problems:  Hyperlipidemia, BPH, anxiety, elevated liver function test.  All relatively stable continue current medicines at current doses.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus rhythm, Troponin increased, Vaccine breakthrough infection, Ventricular extrasystoles, Weight increased
Clinical narrative: COVID Vaccine Breakthrough Case  Moderna Dose 1 3/11/21 (001B21A) Moderna Dose 2 4/12/21 (027B21A) Moderna Dose 3 11/5/21 (939905) COVID Positive 12/28/21  12/28/21: 1. Pneumonia due to COVID-19 virus 2. respiratory distress with hypoxia decadron 6mg IV daily rocephin 1gm IV daily azithromycin 500mg IV daily remdesivir 200mg IV today and 100mg IV daily for 4 doses oxygen prn maintain sats at 92% duoneb 3ml q6h  routine home meds full code heparin 5000 units q12h  12/31/21: 1. Covid Pneumonia::  On community-acquired pneumonia antibiotics Rocephin, azithromycin, not on remdesivir and Decadron. 2: Hypoxia:  Probably multifactorial chest x-ray does according to Radiology show more CHF 100 of Lasix and Foley had been placed.  He has had some weight gain over the last several days obviously they COVID pneumonia has been present and he is on appropriate therapy for the same will continue to watch.  The D-dimer his age is normal.  He is on heparin 5000 b.i.d. do not think we need to aggressively pursue pulmonary emboli workup with a CT scan in summary who obviously has COVID pneumonia that is probably somewhat clinically progressive. 3: Elevated TI EKG did not done today.  Normal sinus rhythm with PSV sees occasionally PVCs.  Prolonged QT.  Heart rate 86. No significant ST elevation or significant ST segment depression.  Troponin had been 0.02 now at 0.03.  Son has power attorney he will need to be called this morning to see if he wants to be more aggressive with this or not. But no chest pain.  I soon this is less likely to be due to acute significant non-STEMI then the congestive heart failure and hypoxia causing the elevated troponin.  4. Chronic medical Problems:  Hyperlipidemia, BPH, anxiety, elevated liver function test.  All relatively stable continue current medicines at current doses.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for Covid-19 7/26/2021.  Admitted to hospital 7/24/2021, not for Covid-19.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: Presented to the ER on 12/27/2021 with symptoms of cough x 2 weeks, dyspnea, n/v LE swelling, tachycardia and hypoxia. Tested COVID positive 12/27/2021. Required intubation and mechanical ventilation 12/29/2021. Developed acute kidney failure requiring CRT, multiple vasopressors for shock. Developed pulmonary embolus. Despite maximum therapy, he expired 1/2/2021.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Hypoxia, Mechanical ventilation, Nausea, Peripheral swelling
Clinical narrative: Presented to the ER on 12/27/2021 with symptoms of cough x 2 weeks, dyspnea, n/v LE swelling, tachycardia and hypoxia. Tested COVID positive 12/27/2021. Required intubation and mechanical ventilation 12/29/2021. Developed acute kidney failure requiring CRT, multiple vasopressors for shock. Developed pulmonary embolus. Despite maximum therapy, he expired 1/2/2021.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test positive, Shock, Tachycardia, Vomiting
Clinical narrative: Presented to the ER on 12/27/2021 with symptoms of cough x 2 weeks, dyspnea, n/v LE swelling, tachycardia and hypoxia. Tested COVID positive 12/27/2021. Required intubation and mechanical ventilation 12/29/2021. Developed acute kidney failure requiring CRT, multiple vasopressors for shock. Developed pulmonary embolus. Despite maximum therapy, he expired 1/2/2021.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chills, Dyspnoea, Hepatic enzyme increased
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/25/21 (ER2613) Pfizer Dose 2 4/16/21 (Er8732) COVID Positive 12/22/21 COVID Positive 12/24/21  12/24/21: Pt states she always feels short of breath but states it's worse today. States she is having issues at work and when she thinks about it, sob gets worse. Denies pain, Has been having chills, body aches, fever and tested for covid but no results  12/29/21: Shortness of breath (Reason For Visit, Emergency medicine, Medical). INR deviation from target (Working, Medical). Hyperglycemia (Working, Medical). Generalized idiopathic epilepsy, not intractable, without status epilepticus (Discharge, Medical). Elevated liver enzymes level (Working, Medical). COVID-19 pneumonia (Working, Medical).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperglycaemia, Idiopathic generalised epilepsy, Impaired work ability, International normalised ratio abnormal, Pain
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/25/21 (ER2613) Pfizer Dose 2 4/16/21 (Er8732) COVID Positive 12/22/21 COVID Positive 12/24/21  12/24/21: Pt states she always feels short of breath but states it's worse today. States she is having issues at work and when she thinks about it, sob gets worse. Denies pain, Has been having chills, body aches, fever and tested for covid but no results  12/29/21: Shortness of breath (Reason For Visit, Emergency medicine, Medical). INR deviation from target (Working, Medical). Hyperglycemia (Working, Medical). Generalized idiopathic epilepsy, not intractable, without status epilepticus (Discharge, Medical). Elevated liver enzymes level (Working, Medical). COVID-19 pneumonia (Working, Medical).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/25/21 (ER2613) Pfizer Dose 2 4/16/21 (Er8732) COVID Positive 12/22/21 COVID Positive 12/24/21  12/24/21: Pt states she always feels short of breath but states it's worse today. States she is having issues at work and when she thinks about it, sob gets worse. Denies pain, Has been having chills, body aches, fever and tested for covid but no results  12/29/21: Shortness of breath (Reason For Visit, Emergency medicine, Medical). INR deviation from target (Working, Medical). Hyperglycemia (Working, Medical). Generalized idiopathic epilepsy, not intractable, without status epilepticus (Discharge, Medical). Elevated liver enzymes level (Working, Medical). COVID-19 pneumonia (Working, Medical).
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Product administered to patient of inappropriate age
Clinical narrative: The adverse event that had occured is mistakenly giving the Moderna vaccine to the patient who at the time was under the age requirement to receive the vaccine.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Fatigue, Pain
Clinical narrative: I had vomiting, diarrhea, stomachache, chills, and body ache. Was also fatigue. These symptoms lasted for about 2 to 3 days. Went to urgent care. They did an exam.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I had vomiting, diarrhea, stomachache, chills, and body ache. Was also fatigue. These symptoms lasted for about 2 to 3 days. Went to urgent care. They did an exam.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 resulting in inpatient hospitalization" of a vaccinated patient.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Condition aggravated, Myalgia, Rhabdomyolysis
Clinical narrative: Patient  was given vaccine and  had increased  muscle  pain . Patient  went to the Emergency Department on 2/16/22 and  was found to have  rhabdomyolysis.  In hindsight had similar reaction  after  second  COVID vaccine but unclear of the correlation at the time.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest discomfort, Cough, Fall
Clinical narrative: Patient presented to ED after a fall from his couch. He states he was feeling weaker than usual, he rolled off the couch while trying to get up and fell on the floor.  Denies any dizziness, HA or loss of consciousness.  Constitutional: Positive for fatigue and fever. Negative for appetite change, chills, diaphoresis and unexpected weight change.  HENT: Negative for congestion.   Respiratory: Positive for cough and chest tightness. Negative for shortness of breath and wheezing.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Positive for nausea. Negative for abdominal pain, blood in stool, constipation, diarrhea and vomiting.   He did not require treatment for COVID19 infection. Falls were thought to be due to presyncope with possible BPPV. Originally had acute rehab recs, but he improved clinically while inpatient and will discharge home with his wife and son who understand his isolation precautions.  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Presyncope, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to ED after a fall from his couch. He states he was feeling weaker than usual, he rolled off the couch while trying to get up and fell on the floor.  Denies any dizziness, HA or loss of consciousness.  Constitutional: Positive for fatigue and fever. Negative for appetite change, chills, diaphoresis and unexpected weight change.  HENT: Negative for congestion.   Respiratory: Positive for cough and chest tightness. Negative for shortness of breath and wheezing.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Positive for nausea. Negative for abdominal pain, blood in stool, constipation, diarrhea and vomiting.   He did not require treatment for COVID19 infection. Falls were thought to be due to presyncope with possible BPPV. Originally had acute rehab recs, but he improved clinically while inpatient and will discharge home with his wife and son who understand his isolation precautions.  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Dyspnoea exertional, Fatigue, Gait disturbance
Clinical narrative: 2/2/2022   Chief Complaint:  Fatigue, weakness   Source of Information:  Patient   History of Present Illness:  This is a 78y.o. female with a history of HFpEF, CKD Stage IV, Paroxysmal Afib, CAD and DM II who presents to hospital with a chief complaint of bilateral lower extremity weakness for the past week. Of note, patient is alert and oriented x3, however she is a questionable historian. She states that she has been having difficulty ambulating with a walker because her legs shake. She often feels like her legs are "going to give out."  Patient states that this has happened in the past. She also reports mild shortness of breath on exertion, occasional headaches and back pain. It is unclear whether the patient has had any recent changes in appetite. Patient also does not know which medications she takes and it is unclear if she it taking all of them regularly. She states that some changes were made recently to three of her medications, but she doesn't know which ones. Denies chest pain, cough, wheezing, fevers, chills, abdominal pain, nausea, vomiting, diarrhea, lower extremity edema, lightheadedness or dizziness. Patient is vaccinated against COVID.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Muscular weakness
Clinical narrative: 2/2/2022   Chief Complaint:  Fatigue, weakness   Source of Information:  Patient   History of Present Illness:  This is a 78y.o. female with a history of HFpEF, CKD Stage IV, Paroxysmal Afib, CAD and DM II who presents to hospital with a chief complaint of bilateral lower extremity weakness for the past week. Of note, patient is alert and oriented x3, however she is a questionable historian. She states that she has been having difficulty ambulating with a walker because her legs shake. She often feels like her legs are "going to give out."  Patient states that this has happened in the past. She also reports mild shortness of breath on exertion, occasional headaches and back pain. It is unclear whether the patient has had any recent changes in appetite. Patient also does not know which medications she takes and it is unclear if she it taking all of them regularly. She states that some changes were made recently to three of her medications, but she doesn't know which ones. Denies chest pain, cough, wheezing, fevers, chills, abdominal pain, nausea, vomiting, diarrhea, lower extremity edema, lightheadedness or dizziness. Patient is vaccinated against COVID.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test, Tremor, Walking aid user
Clinical narrative: 2/2/2022   Chief Complaint:  Fatigue, weakness   Source of Information:  Patient   History of Present Illness:  This is a 78y.o. female with a history of HFpEF, CKD Stage IV, Paroxysmal Afib, CAD and DM II who presents to hospital with a chief complaint of bilateral lower extremity weakness for the past week. Of note, patient is alert and oriented x3, however she is a questionable historian. She states that she has been having difficulty ambulating with a walker because her legs shake. She often feels like her legs are "going to give out."  Patient states that this has happened in the past. She also reports mild shortness of breath on exertion, occasional headaches and back pain. It is unclear whether the patient has had any recent changes in appetite. Patient also does not know which medications she takes and it is unclear if she it taking all of them regularly. She states that some changes were made recently to three of her medications, but she doesn't know which ones. Denies chest pain, cough, wheezing, fevers, chills, abdominal pain, nausea, vomiting, diarrhea, lower extremity edema, lightheadedness or dizziness. Patient is vaccinated against COVID.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Bipolar disorder, COVID-19, Catheter placement, Chest X-ray normal, Hypophagia
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 6/28/21 (lot NA) Pfizer Dose 2 7/19/21 (lot NA) COVID Positive 12/30/21  12/30/21: Patient is 44-year-old female with past medical history of bronchial asthma, hypertension, bipolar disorder and catatonia.  She is being transferred from facility for further management of COVID-19 infection.  Patient was admitted to hospital on 12/16/2021 and has been managed for bipolar disorder, catheter and altered mental status since. Earlier this morning, patient was noted to be having nausea, vomiting and load grade fever with T-max 100.2° F. she underwent multiple workups for fever including nasopharyngeal swab for COVID-19 which came back positive. Patient is being transferred to hospital for further management of COVID-19 infection.  Patient reported upper respiratory tract infection symptoms including sore throat and runny nose since yesterday.  She reported intermittent low-grade fever.  She reported dry cough.  No shortness of breath, chest pain or palpitations.  No nausea vomiting or abdominal pain.  Patient reported being fully vaccinated for COVID-19.  She denied use of tobacco products.  Per psych team, patient has been responding to treatment of her psych issues and was scheduled to be discharged home in the next 1-2 days.  Upon review of vital signs.  Patient is hemodynamically stable and maintaining saturation on room air.  She is tachycardic.  Lab work is unremarkable except positive nasopharyngeal swab for COVID-19 infection.  12/31/21: Patient is a 44-year-old female with past medical history of bronchial asthma, hypertension, bipolar disorder and catatonia.  She is being transferred from facility for further management of COVID-19 infection.  Patient was admitted to hospital on 12/16/2021 and has been managed for bipolar disorder, catheter and altered mental status since.  Patient started having nausea, vomiting and low-grade fever.  Patient is a positive COVID-19.  Chest x-ray is negative.  Patient has remained afebrile.  Patient is on room air.  Patient's time p.o. intake.  Can continue antiemetics.  Patient stable to be transferred back to facility.