chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Oropharyngeal pain, Oxygen saturation decreased, Pyrexia
Clinical narrative: Pfizer Dose 1 3/11/21 (EN6205) Pfizer Dose 2 4/2/21 (ER8734) COVID Positive 2/5/21  2/5/22: 75-year-old gentleman presented to the emergency room with complaint of increasing shortness of breath for the past 2 days. Patient drove himself to the emergency room.  He reports increased shortness of breath with activities.  He denies chest pain.  Denies fever.  In the emergency room, he was noted to be desaturating into the 80s, and he was placed on up to 15 L oxygen via non-rebreather mask. Currently, patient is saturating 96% on room air.  He seems comfortable.  The patient reports that he was vaccinated for COVID-19 virus 2 times.  He denies abdominal discomfort.  2/7/22: 75-year-old gentleman presented to the emergency room with a history of a fever and increased shortness of breath with activity as well as sore throat.  The patient was noted to be hypoxic, 83% on room air. He was put on about 15 L of oxygen via mask.  Further evaluation was suggestive of COVID-19 pneumonia with hypoxia.  The patient was started on remdesivir, dexamethasone as well as empiric antibiotic therapy.  The patient's condition progressively improved.  His oxygen requirement kept decreasing from 15 to 10, 8, 6, 4, 2, 1 L/min oxygen via nasal cannula. Patient has been taken off oxygen, ambulating with less discomfort.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 3/11/21 (EN6205) Pfizer Dose 2 4/2/21 (ER8734) COVID Positive 2/5/21  2/5/22: 75-year-old gentleman presented to the emergency room with complaint of increasing shortness of breath for the past 2 days. Patient drove himself to the emergency room.  He reports increased shortness of breath with activities.  He denies chest pain.  Denies fever.  In the emergency room, he was noted to be desaturating into the 80s, and he was placed on up to 15 L oxygen via non-rebreather mask. Currently, patient is saturating 96% on room air.  He seems comfortable.  The patient reports that he was vaccinated for COVID-19 virus 2 times.  He denies abdominal discomfort.  2/7/22: 75-year-old gentleman presented to the emergency room with a history of a fever and increased shortness of breath with activity as well as sore throat.  The patient was noted to be hypoxic, 83% on room air. He was put on about 15 L of oxygen via mask.  Further evaluation was suggestive of COVID-19 pneumonia with hypoxia.  The patient was started on remdesivir, dexamethasone as well as empiric antibiotic therapy.  The patient's condition progressively improved.  His oxygen requirement kept decreasing from 15 to 10, 8, 6, 4, 2, 1 L/min oxygen via nasal cannula. Patient has been taken off oxygen, ambulating with less discomfort.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, COVID-19, Chest X-ray abnormal, Death, Hypotension
Clinical narrative: Patient resident of nursing home.  Patient had tested positive for Covid-19 on 12/16/2021.  On 01/05/2022 patient reported to nurse she was not feeling well.  Patients blood pressure was low, and blood glucose high.  No SOB noted on exam.  Edema noted on CXR.  Midodrine 5mg x 1 given.  Patient was then found unresponsive and expired at 1102.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oedema, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Patient resident of nursing home.  Patient had tested positive for Covid-19 on 12/16/2021.  On 01/05/2022 patient reported to nurse she was not feeling well.  Patients blood pressure was low, and blood glucose high.  No SOB noted on exam.  Edema noted on CXR.  Midodrine 5mg x 1 given.  Patient was then found unresponsive and expired at 1102.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, COVID-19, Cough, Headache, Paranasal sinus discomfort
Clinical narrative: I had a runny nose, a little bit of a cough, sneezing, low grade headache, my sinuses were congested and I had sinus pressure. I took a home COVID-19 test and it came back positive so I called my PCP who I was unable to talk to at that time. So I called  telehealth COVID-19, after we discussed my symptoms they called in a prescription of Paxlovid  I just took my last dose today, I am feeling better just a little tired with a bit of a runny nose.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion, Sneezing
Clinical narrative: I had a runny nose, a little bit of a cough, sneezing, low grade headache, my sinuses were congested and I had sinus pressure. I took a home COVID-19 test and it came back positive so I called my PCP who I was unable to talk to at that time. So I called  telehealth COVID-19, after we discussed my symptoms they called in a prescription of Paxlovid  I just took my last dose today, I am feeling better just a little tired with a bit of a runny nose.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose was administered. 0.5 ml was administered.  Correct dose is 0.25 ml.
Age: 16.0
Sex: M
Vaccine: MMRV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse reaction
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose was administered. 0.5 ml was administered Correct dose is 0.25 ml.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose was administered. 0.5 ml was administered Correct dose is 0.25 ml.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Discomfort, Disorientation, Fine motor skill dysfunction, Injection site bruising, Injection site pain
Clinical narrative: Severe lymph node swelling and discomfort. Bruising and pain at injection site. Severe lethargy and disorientation. Loss of dexterity in left arm, some tingling.  All of this started within 12 hours of administration.
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Lethargy, Lymphadenopathy, Paraesthesia
Clinical narrative: Severe lymph node swelling and discomfort. Bruising and pain at injection site. Severe lethargy and disorientation. Loss of dexterity in left arm, some tingling.  All of this started within 12 hours of administration.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose was administered. 0.5 ml was administered Correct dose is 0.25 ml.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site swelling, Pain, Pain in extremity
Clinical narrative: One week after receiving this first shot, I woke up to my arm being swollen at the injection site. The swelling grew to about 4-5 inches in diameter during that day. It became swollen to the point of looking like a giant spider bite. The swelling was completely cleared up by 6/14/22. The left arm felt a bit sore when moved as well as some soreness in the armpit.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site pruritus
Clinical narrative: pt. experience itching on vaccine site left arm after 30 minutes of vaccine and redness 24 hours after of vaccine.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Incorrect dose was administered. 0.5 ml was administered. Correct dose is 0.25 ml.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exercise tolerance decreased, Fatigue, Feeling hot
Clinical narrative: My breakthrough infection began about June 22nd  with post nasal drip.  I tested positive for COVID-19 on Friday.  No fever.  Oxygen was 99% at Urgent Care.  I did not have shortness of breath.  On that Friday I had biked 30 miles.  On Saturday I had a cough and muscle aches and fatigued.  I was unable to hike.  I had lots of nasal congestion and began to sneeze a lot.  Sunday my head felt hot and eyes were watery.  I continued to sneeze.  The light was bothering my eyes.  My nose began to burn.  My skin began to tingle when I touched it.  I used ice packs to help.  I began to take Paxlovid.  My symptoms began to decrease on Monday.  As of today, June 30th, I am still taking Paxlovid but I have a bad taste in my mouth and still fatigue.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Myalgia, Nasal congestion, Nasal discomfort, Paraesthesia
Clinical narrative: My breakthrough infection began about June 22nd  with post nasal drip.  I tested positive for COVID-19 on Friday.  No fever.  Oxygen was 99% at Urgent Care.  I did not have shortness of breath.  On that Friday I had biked 30 miles.  On Saturday I had a cough and muscle aches and fatigued.  I was unable to hike.  I had lots of nasal congestion and began to sneeze a lot.  Sunday my head felt hot and eyes were watery.  I continued to sneeze.  The light was bothering my eyes.  My nose began to burn.  My skin began to tingle when I touched it.  I used ice packs to help.  I began to take Paxlovid.  My symptoms began to decrease on Monday.  As of today, June 30th, I am still taking Paxlovid but I have a bad taste in my mouth and still fatigue.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, SARS-CoV-2 test positive, Sneezing, Upper-airway cough syndrome, Vaccine breakthrough infection
Clinical narrative: My breakthrough infection began about June 22nd  with post nasal drip.  I tested positive for COVID-19 on Friday.  No fever.  Oxygen was 99% at Urgent Care.  I did not have shortness of breath.  On that Friday I had biked 30 miles.  On Saturday I had a cough and muscle aches and fatigued.  I was unable to hike.  I had lots of nasal congestion and began to sneeze a lot.  Sunday my head felt hot and eyes were watery.  I continued to sneeze.  The light was bothering my eyes.  My nose began to burn.  My skin began to tingle when I touched it.  I used ice packs to help.  I began to take Paxlovid.  My symptoms began to decrease on Monday.  As of today, June 30th, I am still taking Paxlovid but I have a bad taste in my mouth and still fatigue.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test abnormal, C-reactive protein increased, Fatigue, Groin pain
Clinical narrative: Left arm slightly swollen and warm (as with first 3 shots), but muscle/joint aches/pains starting 2-3 days later, beginning with left shoulder and right hip/groin.  Progressed to other joints over next two weeks with fatigue and extreme weakness for all muscles.  Received interim approval for naproxen at 2 weeks to control inflammation and physical therapy at 4 weeks to help with mobility and muscle atrophy. Condition still not improving after 2 months of medical options.  Blood lab results showed high CRP (4) and ESR (119) and doctor diagnosed polymyalgia rheumatica.  Started prednisone 15 mg and conditioned improved in less than 12 hours. Now working with rheumatology for therapy.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Mobility decreased, Muscle atrophy, Muscular weakness, Myalgia
Clinical narrative: Left arm slightly swollen and warm (as with first 3 shots), but muscle/joint aches/pains starting 2-3 days later, beginning with left shoulder and right hip/groin.  Progressed to other joints over next two weeks with fatigue and extreme weakness for all muscles.  Received interim approval for naproxen at 2 weeks to control inflammation and physical therapy at 4 weeks to help with mobility and muscle atrophy. Condition still not improving after 2 months of medical options.  Blood lab results showed high CRP (4) and ESR (119) and doctor diagnosed polymyalgia rheumatica.  Started prednisone 15 mg and conditioned improved in less than 12 hours. Now working with rheumatology for therapy.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Polymyalgia rheumatica, Red blood cell sedimentation rate increased, Skin warm
Clinical narrative: Left arm slightly swollen and warm (as with first 3 shots), but muscle/joint aches/pains starting 2-3 days later, beginning with left shoulder and right hip/groin.  Progressed to other joints over next two weeks with fatigue and extreme weakness for all muscles.  Received interim approval for naproxen at 2 weeks to control inflammation and physical therapy at 4 weeks to help with mobility and muscle atrophy. Condition still not improving after 2 months of medical options.  Blood lab results showed high CRP (4) and ESR (119) and doctor diagnosed polymyalgia rheumatica.  Started prednisone 15 mg and conditioned improved in less than 12 hours. Now working with rheumatology for therapy.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The patient was given the vaccine from a vial that should have been disposed of. The vial expired the night at midnight 6/29  and the patient received the vaccine 6/29 at 11:02 am. I spoke with the patient on 6/30/22 at 2;30pm and she denied any adverse affects. she stated she was doing fine.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, COVID-19, Diarrhoea, Gastric dilatation, Headache
Clinical narrative: My COVID-19 onset symptoms were headache, sore throat, sinus congestion, runny nose, diarehea . I also have a rash on my trunk below both armpits on sides and below the waist in the front. I did have a sharp pain above my stomach below my ribcage but I think its related to my stomach being distended from diarrhea, and it has since gone. I took Advil, Dayquil and Nyquil, water as well as sleeping to help with treatment. I contacted telehealth doctor to see if there were any treatments to be given, they mentioned FDA approved emergency use drugs but the doctor did not think I was a candidate. Since then my symptoms have eased. The diarehea has persisted as well as headache. I still have stuffy nose, but that clears up after a shower.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Rash, Rhinorrhoea, Sinus congestion
Clinical narrative: My COVID-19 onset symptoms were headache, sore throat, sinus congestion, runny nose, diarehea . I also have a rash on my trunk below both armpits on sides and below the waist in the front. I did have a sharp pain above my stomach below my ribcage but I think its related to my stomach being distended from diarrhea, and it has since gone. I took Advil, Dayquil and Nyquil, water as well as sleeping to help with treatment. I contacted telehealth doctor to see if there were any treatments to be given, they mentioned FDA approved emergency use drugs but the doctor did not think I was a candidate. Since then my symptoms have eased. The diarehea has persisted as well as headache. I still have stuffy nose, but that clears up after a shower.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Incorrect dose was administered. 0.5 ml was administered Correct dose is 0.25 ml.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Loss of consciousness, Pain
Clinical narrative: I was walking the dog around noon and the dog yanked on the leash and I about passed out I had aches and pains all over my body with a bit of a headache and real watery diarrhea.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Mechanical ventilation, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: pt had a positive COVID test on 1/14/22 at Clinic; 1/22/22 pt brought to hospital by EMS in respiratory extremis, unknown blood pressure or O2 saturation; placed on mechanical ventilation; vasopressors; family decided on DNR for pt and comfort measures; pt died in the hospital
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Fatigue, Malaise, Oropharyngeal pain
Clinical narrative: COVID-19 symptoms started on 06/20/22; tested positive on 06/22/22.  I had chills, sore throat, fatigue, and when I tested positive I was seen by my clinician and was prescribed Paxlovid. I took the first dose that night at 830PM. Symptoms lasted probably 4-5 days. My condition didn't degrade any further and took pulse ox readings every few hours and had no issues and it all stayed within normal ranges and then I took the Paxlovid doses as prescribed-all ten doses- around 830PM and 830AM next day. I tested negative with rapid antigen test on 06/27/22 and today 06/30/22 it was negative as well and I am not experiencing any symptoms at this point.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: COVID-19 symptoms started on 06/20/22; tested positive on 06/22/22.  I had chills, sore throat, fatigue, and when I tested positive I was seen by my clinician and was prescribed Paxlovid. I took the first dose that night at 830PM. Symptoms lasted probably 4-5 days. My condition didn't degrade any further and took pulse ox readings every few hours and had no issues and it all stayed within normal ranges and then I took the Paxlovid doses as prescribed-all ten doses- around 830PM and 830AM next day. I tested negative with rapid antigen test on 06/27/22 and today 06/30/22 it was negative as well and I am not experiencing any symptoms at this point.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: First dose of Pfizer covid vaccine (0.2 mL 5-12 year old dose) was obtained from Clinic 6 and administered to patient. Label was removed for charting. After administered it was noted that the dose had been drawn up on 6/27/22 and expired on 6/27/22 at 2200. Contacted pharmacy, infectious disease and patient's physician for recommendations. Per infectious disease, the dose is considered void as the effectivity is unknown. Will administer another dose at next clinic visit and consider it as first dose of vaccination series.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash macular
Clinical narrative: Rash down Left arm, macular, lacy, red-pink, also mildly on the Right arms.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Pt was given 0.2mL of the 12+ Covid19 Pfizer-BioNTech vaccine instead of 0.2mL of the 5-11yr Pfizer-BioNTech vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect dose was administered. 0.5 ml was administered Correct dose is 0.25 ml.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Throat tightness
Clinical narrative: Within 10 minutes she started feeling dizzy.  Throat tightened and short of breath.  Epi was administered via E-Kit at facility per Pharmacist instructions.  within minutes, she began to breathe better and throat felt better.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Atelectasis, Blood chloride decreased, Blood creatine phosphokinase increased, Blood creatinine increased
Clinical narrative: Moderna Dose 1 4/17/21 (lot NA) Moderna Dose 2 5/15/21 (lot NA) COVID Positive 1/20/22 COVID Positive 1/21/22  1/20/22: Patient is a 74-year-old female with a past medical history significant for hypothyroidism, hypertension, hyperlipidemia, obesity, tobacco use, CAD s/p stent placement, recent diagnosis of lung mass not currently on treatment, watchful waiting.  Patient presents to the ED today with complaints of near syncope that occurred while she was out having fun.  She states she was sitting when suddenly she became diaphoretic, shaky and lightheaded.  The patient was with her nephew who recommended she be evaluated in the emergency department upon onset of her symptoms.  She denies losing consciousness.  The patient states she has been feeling ill since Monday.  She states she has not been eating or drinking very much due to nausea.  She admits to 1 episode of vomiting and significant diarrhea over the last few days.  Her other accompanying symptoms include shakiness, fatigue, body aches, fever and chills.  The patient is vaccinated against COVID-19 but has not received her booster vaccination.  She denies any alcohol abuse or illicit drug abuse.  The patient is an everyday smoker, states she smokes about 1/2 pack of cigarettes per day.   Of note the patient has a 3.7 cm right lower lobe lung mass that is being closely monitored by pulmonology.  The patient was seen on 01/11/2021 and was recommended follow-up in 6 months for re-evaluation, PET scan showed low positive in the area.  Currently doing watchful waiting.   Upon arrival to ED patient's temperature is 101.1°, heart rate 79, respirations 16, pulse ox 98% on room air, blood pressure 150/59. CT chest reveals no evidence of PE, posterior medial left lower lobe consolidation, possible pneumonia, multifocal bilateral atelectasis.  Patient's laboratory findings are significant for sodium 123, chloride 91, creatinine 1.40, AST 41, calc Osmo 252, CK 234, WBC 4.22, hemoglobin 11.3, hematocrit 32.3, platelets 120, D-dimer 3.27, COVID-19 rapid antigen is positive. Influenza a and B negative.  Patient received 1 g p.o. Tylenol, 500 mg IV azithromycin, 1 g IV Rocephin, 1 L IV normal saline in ED.  1/24/22: Patient was admitted and initially given IV normal saline.  She had rapid correction of her sodium and the normal saline was stopped and she was started on D5 water for 24 hours and sodium stabilized around 128-129. Nephrology was following during her hospital stay.  She was found to be COVID-19 positive although remained asymptomatic from a respiratory standpoint.  She did not receive any remdesivir or Decadron given that she was asymptomatic.  She did work with PT and OT and will require a walker as well as home health on discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood osmolarity decreased, Blood sodium decreased, COVID-19, Chills, Computerised tomogram thorax abnormal
Clinical narrative: Moderna Dose 1 4/17/21 (lot NA) Moderna Dose 2 5/15/21 (lot NA) COVID Positive 1/20/22 COVID Positive 1/21/22  1/20/22: Patient is a 74-year-old female with a past medical history significant for hypothyroidism, hypertension, hyperlipidemia, obesity, tobacco use, CAD s/p stent placement, recent diagnosis of lung mass not currently on treatment, watchful waiting.  Patient presents to the ED today with complaints of near syncope that occurred while she was out having fun.  She states she was sitting when suddenly she became diaphoretic, shaky and lightheaded.  The patient was with her nephew who recommended she be evaluated in the emergency department upon onset of her symptoms.  She denies losing consciousness.  The patient states she has been feeling ill since Monday.  She states she has not been eating or drinking very much due to nausea.  She admits to 1 episode of vomiting and significant diarrhea over the last few days.  Her other accompanying symptoms include shakiness, fatigue, body aches, fever and chills.  The patient is vaccinated against COVID-19 but has not received her booster vaccination.  She denies any alcohol abuse or illicit drug abuse.  The patient is an everyday smoker, states she smokes about 1/2 pack of cigarettes per day.   Of note the patient has a 3.7 cm right lower lobe lung mass that is being closely monitored by pulmonology.  The patient was seen on 01/11/2021 and was recommended follow-up in 6 months for re-evaluation, PET scan showed low positive in the area.  Currently doing watchful waiting.   Upon arrival to ED patient's temperature is 101.1°, heart rate 79, respirations 16, pulse ox 98% on room air, blood pressure 150/59. CT chest reveals no evidence of PE, posterior medial left lower lobe consolidation, possible pneumonia, multifocal bilateral atelectasis.  Patient's laboratory findings are significant for sodium 123, chloride 91, creatinine 1.40, AST 41, calc Osmo 252, CK 234, WBC 4.22, hemoglobin 11.3, hematocrit 32.3, platelets 120, D-dimer 3.27, COVID-19 rapid antigen is positive. Influenza a and B negative.  Patient received 1 g p.o. Tylenol, 500 mg IV azithromycin, 1 g IV Rocephin, 1 L IV normal saline in ED.  1/24/22: Patient was admitted and initially given IV normal saline.  She had rapid correction of her sodium and the normal saline was stopped and she was started on D5 water for 24 hours and sodium stabilized around 128-129. Nephrology was following during her hospital stay.  She was found to be COVID-19 positive although remained asymptomatic from a respiratory standpoint.  She did not receive any remdesivir or Decadron given that she was asymptomatic.  She did work with PT and OT and will require a walker as well as home health on discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Fibrin D dimer, Fluid intake reduced
Clinical narrative: Moderna Dose 1 4/17/21 (lot NA) Moderna Dose 2 5/15/21 (lot NA) COVID Positive 1/20/22 COVID Positive 1/21/22  1/20/22: Patient is a 74-year-old female with a past medical history significant for hypothyroidism, hypertension, hyperlipidemia, obesity, tobacco use, CAD s/p stent placement, recent diagnosis of lung mass not currently on treatment, watchful waiting.  Patient presents to the ED today with complaints of near syncope that occurred while she was out having fun.  She states she was sitting when suddenly she became diaphoretic, shaky and lightheaded.  The patient was with her nephew who recommended she be evaluated in the emergency department upon onset of her symptoms.  She denies losing consciousness.  The patient states she has been feeling ill since Monday.  She states she has not been eating or drinking very much due to nausea.  She admits to 1 episode of vomiting and significant diarrhea over the last few days.  Her other accompanying symptoms include shakiness, fatigue, body aches, fever and chills.  The patient is vaccinated against COVID-19 but has not received her booster vaccination.  She denies any alcohol abuse or illicit drug abuse.  The patient is an everyday smoker, states she smokes about 1/2 pack of cigarettes per day.   Of note the patient has a 3.7 cm right lower lobe lung mass that is being closely monitored by pulmonology.  The patient was seen on 01/11/2021 and was recommended follow-up in 6 months for re-evaluation, PET scan showed low positive in the area.  Currently doing watchful waiting.   Upon arrival to ED patient's temperature is 101.1°, heart rate 79, respirations 16, pulse ox 98% on room air, blood pressure 150/59. CT chest reveals no evidence of PE, posterior medial left lower lobe consolidation, possible pneumonia, multifocal bilateral atelectasis.  Patient's laboratory findings are significant for sodium 123, chloride 91, creatinine 1.40, AST 41, calc Osmo 252, CK 234, WBC 4.22, hemoglobin 11.3, hematocrit 32.3, platelets 120, D-dimer 3.27, COVID-19 rapid antigen is positive. Influenza a and B negative.  Patient received 1 g p.o. Tylenol, 500 mg IV azithromycin, 1 g IV Rocephin, 1 L IV normal saline in ED.  1/24/22: Patient was admitted and initially given IV normal saline.  She had rapid correction of her sodium and the normal saline was stopped and she was started on D5 water for 24 hours and sodium stabilized around 128-129. Nephrology was following during her hospital stay.  She was found to be COVID-19 positive although remained asymptomatic from a respiratory standpoint.  She did not receive any remdesivir or Decadron given that she was asymptomatic.  She did work with PT and OT and will require a walker as well as home health on discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hyperhidrosis, Hypophagia, Influenza A virus test negative
Clinical narrative: Moderna Dose 1 4/17/21 (lot NA) Moderna Dose 2 5/15/21 (lot NA) COVID Positive 1/20/22 COVID Positive 1/21/22  1/20/22: Patient is a 74-year-old female with a past medical history significant for hypothyroidism, hypertension, hyperlipidemia, obesity, tobacco use, CAD s/p stent placement, recent diagnosis of lung mass not currently on treatment, watchful waiting.  Patient presents to the ED today with complaints of near syncope that occurred while she was out having fun.  She states she was sitting when suddenly she became diaphoretic, shaky and lightheaded.  The patient was with her nephew who recommended she be evaluated in the emergency department upon onset of her symptoms.  She denies losing consciousness.  The patient states she has been feeling ill since Monday.  She states she has not been eating or drinking very much due to nausea.  She admits to 1 episode of vomiting and significant diarrhea over the last few days.  Her other accompanying symptoms include shakiness, fatigue, body aches, fever and chills.  The patient is vaccinated against COVID-19 but has not received her booster vaccination.  She denies any alcohol abuse or illicit drug abuse.  The patient is an everyday smoker, states she smokes about 1/2 pack of cigarettes per day.   Of note the patient has a 3.7 cm right lower lobe lung mass that is being closely monitored by pulmonology.  The patient was seen on 01/11/2021 and was recommended follow-up in 6 months for re-evaluation, PET scan showed low positive in the area.  Currently doing watchful waiting.   Upon arrival to ED patient's temperature is 101.1°, heart rate 79, respirations 16, pulse ox 98% on room air, blood pressure 150/59. CT chest reveals no evidence of PE, posterior medial left lower lobe consolidation, possible pneumonia, multifocal bilateral atelectasis.  Patient's laboratory findings are significant for sodium 123, chloride 91, creatinine 1.40, AST 41, calc Osmo 252, CK 234, WBC 4.22, hemoglobin 11.3, hematocrit 32.3, platelets 120, D-dimer 3.27, COVID-19 rapid antigen is positive. Influenza a and B negative.  Patient received 1 g p.o. Tylenol, 500 mg IV azithromycin, 1 g IV Rocephin, 1 L IV normal saline in ED.  1/24/22: Patient was admitted and initially given IV normal saline.  She had rapid correction of her sodium and the normal saline was stopped and she was started on D5 water for 24 hours and sodium stabilized around 128-129. Nephrology was following during her hospital stay.  She was found to be COVID-19 positive although remained asymptomatic from a respiratory standpoint.  She did not receive any remdesivir or Decadron given that she was asymptomatic.  She did work with PT and OT and will require a walker as well as home health on discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Lung consolidation, Malaise, Nausea, Pain
Clinical narrative: Moderna Dose 1 4/17/21 (lot NA) Moderna Dose 2 5/15/21 (lot NA) COVID Positive 1/20/22 COVID Positive 1/21/22  1/20/22: Patient is a 74-year-old female with a past medical history significant for hypothyroidism, hypertension, hyperlipidemia, obesity, tobacco use, CAD s/p stent placement, recent diagnosis of lung mass not currently on treatment, watchful waiting.  Patient presents to the ED today with complaints of near syncope that occurred while she was out having fun.  She states she was sitting when suddenly she became diaphoretic, shaky and lightheaded.  The patient was with her nephew who recommended she be evaluated in the emergency department upon onset of her symptoms.  She denies losing consciousness.  The patient states she has been feeling ill since Monday.  She states she has not been eating or drinking very much due to nausea.  She admits to 1 episode of vomiting and significant diarrhea over the last few days.  Her other accompanying symptoms include shakiness, fatigue, body aches, fever and chills.  The patient is vaccinated against COVID-19 but has not received her booster vaccination.  She denies any alcohol abuse or illicit drug abuse.  The patient is an everyday smoker, states she smokes about 1/2 pack of cigarettes per day.   Of note the patient has a 3.7 cm right lower lobe lung mass that is being closely monitored by pulmonology.  The patient was seen on 01/11/2021 and was recommended follow-up in 6 months for re-evaluation, PET scan showed low positive in the area.  Currently doing watchful waiting.   Upon arrival to ED patient's temperature is 101.1°, heart rate 79, respirations 16, pulse ox 98% on room air, blood pressure 150/59. CT chest reveals no evidence of PE, posterior medial left lower lobe consolidation, possible pneumonia, multifocal bilateral atelectasis.  Patient's laboratory findings are significant for sodium 123, chloride 91, creatinine 1.40, AST 41, calc Osmo 252, CK 234, WBC 4.22, hemoglobin 11.3, hematocrit 32.3, platelets 120, D-dimer 3.27, COVID-19 rapid antigen is positive. Influenza a and B negative.  Patient received 1 g p.o. Tylenol, 500 mg IV azithromycin, 1 g IV Rocephin, 1 L IV normal saline in ED.  1/24/22: Patient was admitted and initially given IV normal saline.  She had rapid correction of her sodium and the normal saline was stopped and she was started on D5 water for 24 hours and sodium stabilized around 128-129. Nephrology was following during her hospital stay.  She was found to be COVID-19 positive although remained asymptomatic from a respiratory standpoint.  She did not receive any remdesivir or Decadron given that she was asymptomatic.  She did work with PT and OT and will require a walker as well as home health on discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Positron emission tomogram abnormal, Presyncope, Pulmonary mass, Pyrexia
Clinical narrative: Moderna Dose 1 4/17/21 (lot NA) Moderna Dose 2 5/15/21 (lot NA) COVID Positive 1/20/22 COVID Positive 1/21/22  1/20/22: Patient is a 74-year-old female with a past medical history significant for hypothyroidism, hypertension, hyperlipidemia, obesity, tobacco use, CAD s/p stent placement, recent diagnosis of lung mass not currently on treatment, watchful waiting.  Patient presents to the ED today with complaints of near syncope that occurred while she was out having fun.  She states she was sitting when suddenly she became diaphoretic, shaky and lightheaded.  The patient was with her nephew who recommended she be evaluated in the emergency department upon onset of her symptoms.  She denies losing consciousness.  The patient states she has been feeling ill since Monday.  She states she has not been eating or drinking very much due to nausea.  She admits to 1 episode of vomiting and significant diarrhea over the last few days.  Her other accompanying symptoms include shakiness, fatigue, body aches, fever and chills.  The patient is vaccinated against COVID-19 but has not received her booster vaccination.  She denies any alcohol abuse or illicit drug abuse.  The patient is an everyday smoker, states she smokes about 1/2 pack of cigarettes per day.   Of note the patient has a 3.7 cm right lower lobe lung mass that is being closely monitored by pulmonology.  The patient was seen on 01/11/2021 and was recommended follow-up in 6 months for re-evaluation, PET scan showed low positive in the area.  Currently doing watchful waiting.   Upon arrival to ED patient's temperature is 101.1°, heart rate 79, respirations 16, pulse ox 98% on room air, blood pressure 150/59. CT chest reveals no evidence of PE, posterior medial left lower lobe consolidation, possible pneumonia, multifocal bilateral atelectasis.  Patient's laboratory findings are significant for sodium 123, chloride 91, creatinine 1.40, AST 41, calc Osmo 252, CK 234, WBC 4.22, hemoglobin 11.3, hematocrit 32.3, platelets 120, D-dimer 3.27, COVID-19 rapid antigen is positive. Influenza a and B negative.  Patient received 1 g p.o. Tylenol, 500 mg IV azithromycin, 1 g IV Rocephin, 1 L IV normal saline in ED.  1/24/22: Patient was admitted and initially given IV normal saline.  She had rapid correction of her sodium and the normal saline was stopped and she was started on D5 water for 24 hours and sodium stabilized around 128-129. Nephrology was following during her hospital stay.  She was found to be COVID-19 positive although remained asymptomatic from a respiratory standpoint.  She did not receive any remdesivir or Decadron given that she was asymptomatic.  She did work with PT and OT and will require a walker as well as home health on discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tobacco user, Tremor, Vomiting, Walking aid user
Clinical narrative: Moderna Dose 1 4/17/21 (lot NA) Moderna Dose 2 5/15/21 (lot NA) COVID Positive 1/20/22 COVID Positive 1/21/22  1/20/22: Patient is a 74-year-old female with a past medical history significant for hypothyroidism, hypertension, hyperlipidemia, obesity, tobacco use, CAD s/p stent placement, recent diagnosis of lung mass not currently on treatment, watchful waiting.  Patient presents to the ED today with complaints of near syncope that occurred while she was out having fun.  She states she was sitting when suddenly she became diaphoretic, shaky and lightheaded.  The patient was with her nephew who recommended she be evaluated in the emergency department upon onset of her symptoms.  She denies losing consciousness.  The patient states she has been feeling ill since Monday.  She states she has not been eating or drinking very much due to nausea.  She admits to 1 episode of vomiting and significant diarrhea over the last few days.  Her other accompanying symptoms include shakiness, fatigue, body aches, fever and chills.  The patient is vaccinated against COVID-19 but has not received her booster vaccination.  She denies any alcohol abuse or illicit drug abuse.  The patient is an everyday smoker, states she smokes about 1/2 pack of cigarettes per day.   Of note the patient has a 3.7 cm right lower lobe lung mass that is being closely monitored by pulmonology.  The patient was seen on 01/11/2021 and was recommended follow-up in 6 months for re-evaluation, PET scan showed low positive in the area.  Currently doing watchful waiting.   Upon arrival to ED patient's temperature is 101.1°, heart rate 79, respirations 16, pulse ox 98% on room air, blood pressure 150/59. CT chest reveals no evidence of PE, posterior medial left lower lobe consolidation, possible pneumonia, multifocal bilateral atelectasis.  Patient's laboratory findings are significant for sodium 123, chloride 91, creatinine 1.40, AST 41, calc Osmo 252, CK 234, WBC 4.22, hemoglobin 11.3, hematocrit 32.3, platelets 120, D-dimer 3.27, COVID-19 rapid antigen is positive. Influenza a and B negative.  Patient received 1 g p.o. Tylenol, 500 mg IV azithromycin, 1 g IV Rocephin, 1 L IV normal saline in ED.  1/24/22: Patient was admitted and initially given IV normal saline.  She had rapid correction of her sodium and the normal saline was stopped and she was started on D5 water for 24 hours and sodium stabilized around 128-129. Nephrology was following during her hospital stay.  She was found to be COVID-19 positive although remained asymptomatic from a respiratory standpoint.  She did not receive any remdesivir or Decadron given that she was asymptomatic.  She did work with PT and OT and will require a walker as well as home health on discharge.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Moderna Dose 1 4/17/21 (lot NA) Moderna Dose 2 5/15/21 (lot NA) COVID Positive 1/20/22 COVID Positive 1/21/22  1/20/22: Patient is a 74-year-old female with a past medical history significant for hypothyroidism, hypertension, hyperlipidemia, obesity, tobacco use, CAD s/p stent placement, recent diagnosis of lung mass not currently on treatment, watchful waiting.  Patient presents to the ED today with complaints of near syncope that occurred while she was out having fun.  She states she was sitting when suddenly she became diaphoretic, shaky and lightheaded.  The patient was with her nephew who recommended she be evaluated in the emergency department upon onset of her symptoms.  She denies losing consciousness.  The patient states she has been feeling ill since Monday.  She states she has not been eating or drinking very much due to nausea.  She admits to 1 episode of vomiting and significant diarrhea over the last few days.  Her other accompanying symptoms include shakiness, fatigue, body aches, fever and chills.  The patient is vaccinated against COVID-19 but has not received her booster vaccination.  She denies any alcohol abuse or illicit drug abuse.  The patient is an everyday smoker, states she smokes about 1/2 pack of cigarettes per day.   Of note the patient has a 3.7 cm right lower lobe lung mass that is being closely monitored by pulmonology.  The patient was seen on 01/11/2021 and was recommended follow-up in 6 months for re-evaluation, PET scan showed low positive in the area.  Currently doing watchful waiting.   Upon arrival to ED patient's temperature is 101.1°, heart rate 79, respirations 16, pulse ox 98% on room air, blood pressure 150/59. CT chest reveals no evidence of PE, posterior medial left lower lobe consolidation, possible pneumonia, multifocal bilateral atelectasis.  Patient's laboratory findings are significant for sodium 123, chloride 91, creatinine 1.40, AST 41, calc Osmo 252, CK 234, WBC 4.22, hemoglobin 11.3, hematocrit 32.3, platelets 120, D-dimer 3.27, COVID-19 rapid antigen is positive. Influenza a and B negative.  Patient received 1 g p.o. Tylenol, 500 mg IV azithromycin, 1 g IV Rocephin, 1 L IV normal saline in ED.  1/24/22: Patient was admitted and initially given IV normal saline.  She had rapid correction of her sodium and the normal saline was stopped and she was started on D5 water for 24 hours and sodium stabilized around 128-129. Nephrology was following during her hospital stay.  She was found to be COVID-19 positive although remained asymptomatic from a respiratory standpoint.  She did not receive any remdesivir or Decadron given that she was asymptomatic.  She did work with PT and OT and will require a walker as well as home health on discharge.
Age: 1.75
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was due to DTap booster , Kinrix  ordered instead of Infanrix . No side effects noted or reported.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Angiogram pulmonary abnormal, Asthenia, Blood alkaline phosphatase increased, Blood creatinine increased
Clinical narrative: Pfizer Dose 1 2/20/21 (EN6200) Pfizer Dose 2 3/13/21 (EN6204) Pfizer Dose 3 11/12/21 (lot NA) COVID Positive 1/9/22  1/9/22: He is a 74-year-old male with a history of HTN, BPH, obesity, depression/anxiety and chronic backache.  He was brought to the emergency room this morning because of confusion.  History was obtained from ER documentation as patient is unable to give the history because of current mental status.  Patient had COVID-19 home test yesterday because of body aches, pain and shortness of breath and was positive.  However this morning upon awakening he became quite confused and this prompted the wife to call the paramedics and he was brought to the emergency room.  At the ER he was disoriented and unable to give coherent history.  The vital signs significant for fever of 100.6° F and O2 saturation of 88-89 % on room air.  Other vitals were normal.  Significant laboratory test K 3.1, CR 1.33, ALT 125, ALT 114 and ALP 126. The CT angiogram of the chest was negative for PE but there is mild patchy right upper lobe infiltrates.  CT scan of the head without IV contrast revealed no acute abnormality except for age-appropriate atrophy and microvascular disease.  Of note is that patient has been taking daily steroid tablet prescribed for him by the PCP for recurrent pruritus.  1/14/22: This patient had a colonoscopy several weeks ago, then became dehydrated, weak and was admitted to the hospital with weakness and confusion, but also tested positive for COVID-19.  He had minimal infiltrates and his chest x-ray but did receive IV antibiotics and antiviral medications.  He has not required any supplemental oxygen the past few days, but is still too weak to return home. We are recommending skilled nursing facility.  His confusion was felt to be due to the COVID-19 infection and he had no other symptoms suggesting alcohol withdrawal or seizures. The MRI did not show any signs of a stroke.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, COVID-19, Cerebral atrophy, Colonoscopy, Computerised tomogram head normal
Clinical narrative: Pfizer Dose 1 2/20/21 (EN6200) Pfizer Dose 2 3/13/21 (EN6204) Pfizer Dose 3 11/12/21 (lot NA) COVID Positive 1/9/22  1/9/22: He is a 74-year-old male with a history of HTN, BPH, obesity, depression/anxiety and chronic backache.  He was brought to the emergency room this morning because of confusion.  History was obtained from ER documentation as patient is unable to give the history because of current mental status.  Patient had COVID-19 home test yesterday because of body aches, pain and shortness of breath and was positive.  However this morning upon awakening he became quite confused and this prompted the wife to call the paramedics and he was brought to the emergency room.  At the ER he was disoriented and unable to give coherent history.  The vital signs significant for fever of 100.6° F and O2 saturation of 88-89 % on room air.  Other vitals were normal.  Significant laboratory test K 3.1, CR 1.33, ALT 125, ALT 114 and ALP 126. The CT angiogram of the chest was negative for PE but there is mild patchy right upper lobe infiltrates.  CT scan of the head without IV contrast revealed no acute abnormality except for age-appropriate atrophy and microvascular disease.  Of note is that patient has been taking daily steroid tablet prescribed for him by the PCP for recurrent pruritus.  1/14/22: This patient had a colonoscopy several weeks ago, then became dehydrated, weak and was admitted to the hospital with weakness and confusion, but also tested positive for COVID-19.  He had minimal infiltrates and his chest x-ray but did receive IV antibiotics and antiviral medications.  He has not required any supplemental oxygen the past few days, but is still too weak to return home. We are recommending skilled nursing facility.  His confusion was felt to be due to the COVID-19 infection and he had no other symptoms suggesting alcohol withdrawal or seizures. The MRI did not show any signs of a stroke.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dehydration, Disorientation, Dyspnoea, Lung infiltration
Clinical narrative: Pfizer Dose 1 2/20/21 (EN6200) Pfizer Dose 2 3/13/21 (EN6204) Pfizer Dose 3 11/12/21 (lot NA) COVID Positive 1/9/22  1/9/22: He is a 74-year-old male with a history of HTN, BPH, obesity, depression/anxiety and chronic backache.  He was brought to the emergency room this morning because of confusion.  History was obtained from ER documentation as patient is unable to give the history because of current mental status.  Patient had COVID-19 home test yesterday because of body aches, pain and shortness of breath and was positive.  However this morning upon awakening he became quite confused and this prompted the wife to call the paramedics and he was brought to the emergency room.  At the ER he was disoriented and unable to give coherent history.  The vital signs significant for fever of 100.6° F and O2 saturation of 88-89 % on room air.  Other vitals were normal.  Significant laboratory test K 3.1, CR 1.33, ALT 125, ALT 114 and ALP 126. The CT angiogram of the chest was negative for PE but there is mild patchy right upper lobe infiltrates.  CT scan of the head without IV contrast revealed no acute abnormality except for age-appropriate atrophy and microvascular disease.  Of note is that patient has been taking daily steroid tablet prescribed for him by the PCP for recurrent pruritus.  1/14/22: This patient had a colonoscopy several weeks ago, then became dehydrated, weak and was admitted to the hospital with weakness and confusion, but also tested positive for COVID-19.  He had minimal infiltrates and his chest x-ray but did receive IV antibiotics and antiviral medications.  He has not required any supplemental oxygen the past few days, but is still too weak to return home. We are recommending skilled nursing facility.  His confusion was felt to be due to the COVID-19 infection and he had no other symptoms suggesting alcohol withdrawal or seizures. The MRI did not show any signs of a stroke.