chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain, Palpitations, Pulmonary congestion, Renal impairment
Clinical narrative: As per admission H&P, the patient "is a 82 y.o. female  with past medical history per below presented to the emergency room transferred from the Medical Center where the patient presented with complaints of midsternal chest pain. She reports that the pain has been waxing and waning for the past 3 days. Today the pain worsened and started radiating to the left neck. Reports associated shortness of breath with nausea but denies any vomiting. Reports palpitations and diaphoresis. Patient rates her pain up to 7 on 1-10 pain scale. No fever, chills, cough or sputum production reported. She is known to have history of coronary artery disease status post CABG. She was found to have elevated troponin at the transferring facility and was sent to our hospital for higher level of care. Chest x-ray done showing pulmonary vascular congestion with increased conspicuity of chronic interstitial pulmonary markings which may reflect mild interstitial pulmonary edema. EKG showed sinus tachycardia with nonspecific intraventricular conduction delay. CBC and BMP are at baseline with a potassium of 3.5 and troponin elevated at 0.76. The patient is maintained on chronic oral anticoagulation. No heparin was started. COVID-19 test is positive, patient is vaccinated and boosted. "
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sinus tachycardia, Troponin increased
Clinical narrative: As per admission H&P, the patient "is a 82 y.o. female  with past medical history per below presented to the emergency room transferred from the Medical Center where the patient presented with complaints of midsternal chest pain. She reports that the pain has been waxing and waning for the past 3 days. Today the pain worsened and started radiating to the left neck. Reports associated shortness of breath with nausea but denies any vomiting. Reports palpitations and diaphoresis. Patient rates her pain up to 7 on 1-10 pain scale. No fever, chills, cough or sputum production reported. She is known to have history of coronary artery disease status post CABG. She was found to have elevated troponin at the transferring facility and was sent to our hospital for higher level of care. Chest x-ray done showing pulmonary vascular congestion with increased conspicuity of chronic interstitial pulmonary markings which may reflect mild interstitial pulmonary edema. EKG showed sinus tachycardia with nonspecific intraventricular conduction delay. CBC and BMP are at baseline with a potassium of 3.5 and troponin elevated at 0.76. The patient is maintained on chronic oral anticoagulation. No heparin was started. COVID-19 test is positive, patient is vaccinated and boosted. "
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Fatigue, Gait disturbance, Loss of personal independence in daily activities
Clinical narrative: As per my VAERS Report last 08/16/2021 - VAERS report "Private": Still ongoing joint pain, had developed muscle aches after the booster shot and up to this date I'm still experiencing the same symptoms. I have trouble walking and doing normal daily activities and have so much fatigue. I will be seeing another doctor aside from PCP for a 2nd opinion next week (03/10/22).
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: As per my VAERS Report last 08/16/2021 - VAERS report "Private": Still ongoing joint pain, had developed muscle aches after the booster shot and up to this date I'm still experiencing the same symptoms. I have trouble walking and doing normal daily activities and have so much fatigue. I will be seeing another doctor aside from PCP for a 2nd opinion next week (03/10/22).
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: expired
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Fall, Hypoaesthesia, Mobility decreased, Syncope
Clinical narrative: Patient states feeling numbness from the area of the knee down. Also syncope, and being unable to get back up after falling in the middle of the night when going to the bathroom. Symptoms resolved the next day.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Interchange of vaccine products, Post herpetic neuralgia, Vaccination complication
Clinical narrative: I had a biopsy after my second Pfizer and it came back drug eruption. My MD tries my left hip this time for my Moderna booster but still had a reaction (have daily documented pics). On Jan 22 I then broke out with shingles, which has NEVER happened. I am still having PHN.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Computerised tomogram head abnormal, Facial pain, Fatigue
Clinical narrative: THE DAY AFTER - EXTREME FATIGUE, SEVERE JOINT PAIN FACE BEGAN TO HURT APPROX WEEK LATER WENT TO HOSPITAL FOR FACE INFECTION
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Localised infection, Scan with contrast abnormal
Clinical narrative: THE DAY AFTER - EXTREME FATIGUE, SEVERE JOINT PAIN FACE BEGAN TO HURT APPROX WEEK LATER WENT TO HOSPITAL FOR FACE INFECTION
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Asthenia, Atrial fibrillation, COVID-19
Clinical narrative: The patient is a 73 y.o. male with a history below admitted for Paroxysmal atrial fibrillation with RVR. Pt came in with complaints of sob, chest pressure, palpitations. Started yesterday. Associated weakness. Consistent with afib he has had in past. Did not improve overnight. Also still feels sob from covid diagnosed on recent admission 1/30 - 2/2. Had received remdesivir x3 days at that time. Using baseline O2
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chronic left ventricular failure, Condition aggravated, Dyspnoea, Ejection fraction decreased
Clinical narrative: The patient is a 73 y.o. male with a history below admitted for Paroxysmal atrial fibrillation with RVR. Pt came in with complaints of sob, chest pressure, palpitations. Started yesterday. Associated weakness. Consistent with afib he has had in past. Did not improve overnight. Also still feels sob from covid diagnosed on recent admission 1/30 - 2/2. Had received remdesivir x3 days at that time. Using baseline O2
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Palpitations, Pulmonary embolism, Troponin increased
Clinical narrative: The patient is a 73 y.o. male with a history below admitted for Paroxysmal atrial fibrillation with RVR. Pt came in with complaints of sob, chest pressure, palpitations. Started yesterday. Associated weakness. Consistent with afib he has had in past. Did not improve overnight. Also still feels sob from covid diagnosed on recent admission 1/30 - 2/2. Had received remdesivir x3 days at that time. Using baseline O2
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Odynophagia, Tinnitus
Clinical narrative: Received Pfizer coronavirus booster shot 2/10/2022.  Upon swallowing felt some pain / swelling around esophagus (lymph node?). Later in the evening sudden onset of tinnitus occurred. This buzzing / hissing sound I have never had in my life. Friday, 2/11/2022, I did not notice the tinnitus. However, Friday evening it came back much worse and has not stopped. I called my Doctor who prescribed a course of prednisone and hydrochlorathiazide diuretic. I am on the 3 rd day of these meds and nothing has changed. I still have tinnitus at this time.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Transient ischaemic attack
Clinical narrative: 01/2021 1st vaccine, 02/2021 2nd vaccine, 12/2021 Booster- 08/2021 TIA.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: 2 weeks post vaccine, I  broke out in a very itchy rash/There were welts/rash my from my neck down to the top of my legs, front and back. My mother's nurse looked at it and she said it was probably a reaction. I called my doctor, she though it was a rash, and prescribed, hydroxyzine, I felt worse when I started taking that medication, I stopped taking it. It took a good month for it to go away. It went away on it's own. I have not had anything since.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: About a week after my second shot of Moderna I started having ringing in my ears. After I had the booster of Moderna  on 12/2/2021 the ringing in my ears got worse. It's so bad now that I can't hardly stand it.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Induration, Mass, Thyroid function test normal
Clinical narrative: Approximately 8 months after my first Covid-19 vaccine, I developed firm, painless lumps on my face.  On May 15th, 2021, I visited my dermatologist and had hyaluronic acid fillers injected along my cheek bones and around my nose and mouth. I had a second round of filler injections on May 28th, 2021. It was determined that the lumps (aka, granulomas) were most likely a result of an overactive immune response related to the Covid-19 Vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Peripheral swelling, Swelling, Tenderness
Clinical narrative: The night of and the next day after the vaccination, I had swelling, redness and tenderness. On the 9th, my entire left arm was severely red and swollen and was oozing almost cellulitis. I work in an ICU and was at work; the swelling increased during the day while I was at work. I booked a telehealth appointment that evening; the doctor on the telehealth appointment said it could've been cellulitis, but wasn't likely and assumed it was an allergic reaction. He prescribed Benadryl and Prednisone and an antibiotic, but to take the Prednisone first. Since then, I get random hive patches all around my body everyday. I still regularly take Zyrtec in the day and Benadryl at night. Things have been improving in the last 2 weeks however; I don't have random hive flare ups as often in the week, and I only take Zyrtec every other night. They advised me if the hives continued to see an allergist, but I cancelled my appointment as the hives have began to settle since then.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: The night of and the next day after the vaccination, I had swelling, redness and tenderness. On the 9th, my entire left arm was severely red and swollen and was oozing almost cellulitis. I work in an ICU and was at work; the swelling increased during the day while I was at work. I booked a telehealth appointment that evening; the doctor on the telehealth appointment said it could've been cellulitis, but wasn't likely and assumed it was an allergic reaction. He prescribed Benadryl and Prednisone and an antibiotic, but to take the Prednisone first. Since then, I get random hive patches all around my body everyday. I still regularly take Zyrtec in the day and Benadryl at night. Things have been improving in the last 2 weeks however; I don't have random hive flare ups as often in the week, and I only take Zyrtec every other night. They advised me if the hives continued to see an allergist, but I cancelled my appointment as the hives have began to settle since then.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Dose # 1 8/26/21 Dose #2 9/16/21 Dose #3 1/19/22 - Administered too early.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: The next morning after the vaccine I woke up with very bad hives and still to date I am still experiencing them. They began to subside slightly but after my Moderna booster they returned.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Per  immunization registry  Dose #1 2/2/21 Administered  Dose #2 8/26/21 Administered  Dose #3 9/16/21 - Administered -too early unsure if indicated  Dose #4 1/19/22 - Administered - too early, not indicated
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Renal failure
Clinical narrative: Hospitalized 1/20/22-1/31/22 for kidney failure, COVID19. Treated with Remdesivir,  dexamethasone, zinc 50 mg daily, vitamin D3 50 mcg daily and vitamin C 1,000 mg daily
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after vaccination. Patient was diagnosed with COVID Tylenol Inpatient
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph node swelling in right armpit to flank area and above collarbone.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Pruritus, Pyrexia, Rash
Clinical narrative: Patient had rash, itching, chest pain, shortness of breath, and fever.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cervical cyst, Cyst removal, Heavy menstrual bleeding, Hypomenorrhoea, Ultrasound scan
Clinical narrative: Periods became extremely heavy around the time of the vaccine. I didn't immediately make any connection but saw a few stories about women reporting similar symptoms. My periods have been consistently and extremely heavy since my shots. Previously they were sporadically heavy. This is extremely heavy bleeding that lasts for 2 or 3 day then stops. My periods used to last 5-7 days. Multiple times I have bled through clothing and had to drive home from work to change clothes. I've discussed this with my OB. They did a sonogram then a sonohysterogram (late 2021) and found no issues other than a Nabothian cyst. That cyst was removed, it was sent to pathology with no issue. My periods continue to be extremely heavy.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound uterus abnormal
Clinical narrative: Periods became extremely heavy around the time of the vaccine. I didn't immediately make any connection but saw a few stories about women reporting similar symptoms. My periods have been consistently and extremely heavy since my shots. Previously they were sporadically heavy. This is extremely heavy bleeding that lasts for 2 or 3 day then stops. My periods used to last 5-7 days. Multiple times I have bled through clothing and had to drive home from work to change clothes. I've discussed this with my OB. They did a sonogram then a sonohysterogram (late 2021) and found no issues other than a Nabothian cyst. That cyst was removed, it was sent to pathology with no issue. My periods continue to be extremely heavy.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Pneumonia
Clinical narrative: Hospitalized for pneumonia, COVID, COPD. Treated with baricitinib, Remdesivir,  dexamethasone, zinc 50 mg daily, vitamin D3 50 mcg daily and vitamin C 1,000 mg daily
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: During routine monthly inventory in the immunization clinic an expired PPSV23 (pneumovax 23 vaccine) box was discovered.  The box was missing 7 vials.  It is unsure when the vials were used.  They could have been used prior to the expiration date, but that could not be verified.  A report from 9 Jan 2022 to 4 Mar 2022 was pulled and there was 9 doses of PPSV23 given.  The lot numbers as recorded in the EMR matched a valid, unexpired box.  It is possible that expired doses were given, but it is also possible that no expired doses were given.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Hospitalized for COPD exacerbation, COVID19 1/11/22-1/14/22. Treated with methylprednisolone 125 mg IV x1, azithromycin 1/11/22-1/14/22. Discharged to hospice 1/14/22.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2d vaccine; breakthrough case admission.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Alopecia, Full blood count, Laboratory test, Platelet count increased
Clinical narrative: 1/30/2022 - sudden, unexplained, extreme hair loss. Consulted doctor, labs were performed: Platelet=591, only out of range result. Hair continues falling out daily and 2 weeks later, 3/4 of my hair is gone.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Alopecia, Platelet count, Platelet disorder, SARS-CoV-2 test
Clinical narrative: 1/30/2022 - sudden, unexplained, extreme hair loss. Consulted doctor, labs were performed: Platelet=591, only out of range result. Hair continues falling out daily and 2 weeks later, 3/4 of my hair is gone.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acidosis, Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Anticoagulant therapy
Clinical narrative: 61-year-old female who was admitted to the intensive care unit after noted to have sepsis from multiple sources from urinary and pulmonary source. Patient had acute respiratory failure with hypoxia on admission required mechanical ventilation noted to have acute renal failure with severe hypokalemia nephrology followed during hospitalization hypokalemia was replaced acidosis was being slowly replaced to prevent worsening of hypokalemia. Patient had non-ST elevated MI cardiology was consult the patient was placed on a heparin drip patient noted to have Covid pneumonia infectious disease was consult the patient was placed on IV steroids was not placed on remdesivir S patient was arty intubated. Patient received initial sepsis fluid bolus in the emergency room was transferred to the intensive care unit had continued deterioration in the intensive care unit CODE BLUE was called patient underwent 2 codes with return of spontaneous circulation obtained with both. Case was discussed with family who wished patient be comfort care aggressive measures were discontinued patient was extubated the patient was pronounced deceased at 2259 on February 6 2022
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardio-respiratory arrest, Death, Endotracheal intubation, General physical health deterioration
Clinical narrative: 61-year-old female who was admitted to the intensive care unit after noted to have sepsis from multiple sources from urinary and pulmonary source. Patient had acute respiratory failure with hypoxia on admission required mechanical ventilation noted to have acute renal failure with severe hypokalemia nephrology followed during hospitalization hypokalemia was replaced acidosis was being slowly replaced to prevent worsening of hypokalemia. Patient had non-ST elevated MI cardiology was consult the patient was placed on a heparin drip patient noted to have Covid pneumonia infectious disease was consult the patient was placed on IV steroids was not placed on remdesivir S patient was arty intubated. Patient received initial sepsis fluid bolus in the emergency room was transferred to the intensive care unit had continued deterioration in the intensive care unit CODE BLUE was called patient underwent 2 codes with return of spontaneous circulation obtained with both. Case was discussed with family who wished patient be comfort care aggressive measures were discontinued patient was extubated the patient was pronounced deceased at 2259 on February 6 2022
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokalaemia, Intensive care, Mechanical ventilation, Pulmonary sepsis, Sepsis
Clinical narrative: 61-year-old female who was admitted to the intensive care unit after noted to have sepsis from multiple sources from urinary and pulmonary source. Patient had acute respiratory failure with hypoxia on admission required mechanical ventilation noted to have acute renal failure with severe hypokalemia nephrology followed during hospitalization hypokalemia was replaced acidosis was being slowly replaced to prevent worsening of hypokalemia. Patient had non-ST elevated MI cardiology was consult the patient was placed on a heparin drip patient noted to have Covid pneumonia infectious disease was consult the patient was placed on IV steroids was not placed on remdesivir S patient was arty intubated. Patient received initial sepsis fluid bolus in the emergency room was transferred to the intensive care unit had continued deterioration in the intensive care unit CODE BLUE was called patient underwent 2 codes with return of spontaneous circulation obtained with both. Case was discussed with family who wished patient be comfort care aggressive measures were discontinued patient was extubated the patient was pronounced deceased at 2259 on February 6 2022
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Second dose was given too early.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Blood creatinine increased, COVID-19, Cough
Clinical narrative: Patient presented to the ED with complaints of dyspnea and diarrhea. Patient was positive on 12/03/21 for COVID-19 and had augmentin/doxycycline. patient also received a round of antibody infusion on 12/09/21.  Patient was found to have o2 saturation of 83% on RA. Patient endorsed she has mild COPD and does not wear oxygen or even have an inhaler at home. Patient endorsed she has had a nonproductive cough and occasional wheezing but non on assessment. Patient was placed on 3LNC with o2 saturation remaining around 92%. Patient also endorsed diarrhea and stated she usually goes more than 3 times a day and denied any blood in stool. Patient endorsed some nausea and decreased appetite but denied any abdominal pain or emesis. Patient endorsed sore throat, loss of taste/smell, myalgias, light-headedness with ambulation and she had one episode of fever on Monday but has not had any issues recently. Patient also did endorse red rash on palm on hands and bilateral lower extremities from mid-shin to feet. Patient endorsed that she thinks they started on Wednesday but isn't sure. Patient also did endorse bilateral lower extremity edema. Patient endorsed that sometimes she has pain with ambulation. Patient endorsed that left lower extremity swelling is larger than right lower extremity. Patient did not have any calf tenderness on examination.   She was treated with Remdesivir and Decadron and is on room air on day of discharge.  Elevated Cr, uncertain if AKI or CKD, but Cr has been stable. Trial of albumin given Patient and her daughter opt to go home instead of Rehab  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Diarrhoea, Dizziness, Dyspnoea, Myalgia
Clinical narrative: Patient presented to the ED with complaints of dyspnea and diarrhea. Patient was positive on 12/03/21 for COVID-19 and had augmentin/doxycycline. patient also received a round of antibody infusion on 12/09/21.  Patient was found to have o2 saturation of 83% on RA. Patient endorsed she has mild COPD and does not wear oxygen or even have an inhaler at home. Patient endorsed she has had a nonproductive cough and occasional wheezing but non on assessment. Patient was placed on 3LNC with o2 saturation remaining around 92%. Patient also endorsed diarrhea and stated she usually goes more than 3 times a day and denied any blood in stool. Patient endorsed some nausea and decreased appetite but denied any abdominal pain or emesis. Patient endorsed sore throat, loss of taste/smell, myalgias, light-headedness with ambulation and she had one episode of fever on Monday but has not had any issues recently. Patient also did endorse red rash on palm on hands and bilateral lower extremities from mid-shin to feet. Patient endorsed that she thinks they started on Wednesday but isn't sure. Patient also did endorse bilateral lower extremity edema. Patient endorsed that sometimes she has pain with ambulation. Patient endorsed that left lower extremity swelling is larger than right lower extremity. Patient did not have any calf tenderness on examination.   She was treated with Remdesivir and Decadron and is on room air on day of discharge.  Elevated Cr, uncertain if AKI or CKD, but Cr has been stable. Trial of albumin given Patient and her daughter opt to go home instead of Rehab  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Oedema peripheral, Oropharyngeal pain, Pain, Peripheral swelling
Clinical narrative: Patient presented to the ED with complaints of dyspnea and diarrhea. Patient was positive on 12/03/21 for COVID-19 and had augmentin/doxycycline. patient also received a round of antibody infusion on 12/09/21.  Patient was found to have o2 saturation of 83% on RA. Patient endorsed she has mild COPD and does not wear oxygen or even have an inhaler at home. Patient endorsed she has had a nonproductive cough and occasional wheezing but non on assessment. Patient was placed on 3LNC with o2 saturation remaining around 92%. Patient also endorsed diarrhea and stated she usually goes more than 3 times a day and denied any blood in stool. Patient endorsed some nausea and decreased appetite but denied any abdominal pain or emesis. Patient endorsed sore throat, loss of taste/smell, myalgias, light-headedness with ambulation and she had one episode of fever on Monday but has not had any issues recently. Patient also did endorse red rash on palm on hands and bilateral lower extremities from mid-shin to feet. Patient endorsed that she thinks they started on Wednesday but isn't sure. Patient also did endorse bilateral lower extremity edema. Patient endorsed that sometimes she has pain with ambulation. Patient endorsed that left lower extremity swelling is larger than right lower extremity. Patient did not have any calf tenderness on examination.   She was treated with Remdesivir and Decadron and is on room air on day of discharge.  Elevated Cr, uncertain if AKI or CKD, but Cr has been stable. Trial of albumin given Patient and her daughter opt to go home instead of Rehab  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash, Rash erythematous, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Patient presented to the ED with complaints of dyspnea and diarrhea. Patient was positive on 12/03/21 for COVID-19 and had augmentin/doxycycline. patient also received a round of antibody infusion on 12/09/21.  Patient was found to have o2 saturation of 83% on RA. Patient endorsed she has mild COPD and does not wear oxygen or even have an inhaler at home. Patient endorsed she has had a nonproductive cough and occasional wheezing but non on assessment. Patient was placed on 3LNC with o2 saturation remaining around 92%. Patient also endorsed diarrhea and stated she usually goes more than 3 times a day and denied any blood in stool. Patient endorsed some nausea and decreased appetite but denied any abdominal pain or emesis. Patient endorsed sore throat, loss of taste/smell, myalgias, light-headedness with ambulation and she had one episode of fever on Monday but has not had any issues recently. Patient also did endorse red rash on palm on hands and bilateral lower extremities from mid-shin to feet. Patient endorsed that she thinks they started on Wednesday but isn't sure. Patient also did endorse bilateral lower extremity edema. Patient endorsed that sometimes she has pain with ambulation. Patient endorsed that left lower extremity swelling is larger than right lower extremity. Patient did not have any calf tenderness on examination.   She was treated with Remdesivir and Decadron and is on room air on day of discharge.  Elevated Cr, uncertain if AKI or CKD, but Cr has been stable. Trial of albumin given Patient and her daughter opt to go home instead of Rehab  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 63.0
Sex: F
Vaccine: PPV
Symptoms: Expired product administered
Clinical narrative: During routine monthly inventory in the immunization clinic an expired PPSV23 (pneumovax 23 vaccine) box was discovered.  The box was missing 7 vials.  It is unsure when the vials were used.  They could have been used prior to the expiration date, but that could not be verified.  A report from 9 Jan 2022 to 4 Mar 2022 was pulled and there was 9 doses of PPSV23 given.  The lot numbers as recorded in the EMR matched a valid, unexpired box.  It is possible that expired doses were given, but it is also possible that no expired doses were given.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Brain injury, COVID-19, Cardiac arrest, Catheterisation cardiac abnormal, Computerised tomogram head abnormal
Clinical narrative: Presented in cardiac arrest with an extensive down time. Labs consistenet with diabetic ketoacidosis. COVID +.Intubated and started on vasoactive medications. Remained hypotensive. DKA resolved within 24 hrs. CT head concerning for anoxic brain injury.  MRI brain/stem confirmed findings consistent with anoxic brain injury.  Physical examination never improved. Neuro evaluation was felt to have poor neurological prognosis. Family decided to extubate with comfort care.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Coronary angioplasty, Coronary artery restenosis, Diabetic ketoacidosis, Endotracheal intubation, Hypotension
Clinical narrative: Presented in cardiac arrest with an extensive down time. Labs consistenet with diabetic ketoacidosis. COVID +.Intubated and started on vasoactive medications. Remained hypotensive. DKA resolved within 24 hrs. CT head concerning for anoxic brain injury.  MRI brain/stem confirmed findings consistent with anoxic brain injury.  Physical examination never improved. Neuro evaluation was felt to have poor neurological prognosis. Family decided to extubate with comfort care.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Magnetic resonance imaging head abnormal, Neurological examination abnormal, SARS-CoV-2 test positive, Vascular stent stenosis
Clinical narrative: Presented in cardiac arrest with an extensive down time. Labs consistenet with diabetic ketoacidosis. COVID +.Intubated and started on vasoactive medications. Remained hypotensive. DKA resolved within 24 hrs. CT head concerning for anoxic brain injury.  MRI brain/stem confirmed findings consistent with anoxic brain injury.  Physical examination never improved. Neuro evaluation was felt to have poor neurological prognosis. Family decided to extubate with comfort care.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron decreased, Blood test, Delivery, Exposure during pregnancy
Clinical narrative: He was born on 2/2/22, his due date was due on 2/4/22, I found out I was pregnant on May 30th or so and he was 7lbs 6 ounces. This was my only pregnancy. That was after the 2nd dose, I got pregnant that week I got the dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypoaesthesia, Limb discomfort
Clinical narrative: It started soon as she administered the injection, it felt sharp, dull, and heavy. The dullness and dumbness is from my shoulder to my elbow. It always feel the dullness. It don't pain at all.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Orgainzation has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2d vaccine; breakthrough case admission
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood lactate dehydrogenase increased, Blood lactic acid, Blood phosphorus
Clinical narrative: This is a 80y.o. male with A pmh of dementia, colon cancer, diabetes, GERD and hypertension presenting today for fatigue and bradycardia problem. Per EMS, patient's family states that he is becoming more weak throughout the day. EMS state that patient was satting at 70% on room air, improving 100% on 4 L nasal cannula. Patient does not wear nasal cannula at baseline. Patient also alert and oriented ×2, which EMS state is baseline secondary to dementia. Per EMS, one of the family members is coronavirus positive at this time. ED course-covid positive, elevated d-dimer-1/6/04, lactic acid-1.9, pro calcitonin plasma-0.10, ferritin-112, C-reactive protein-46.5, lactic dehydrogenase-267, troponin-0.03, phosphorus-3.3, WBC-5.3, hemoglobin-15.3, platelet- 208, chest x-ray ordered . Initiated on Decadron, Lovenox
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, C-reactive protein increased, COVID-19, Fatigue, Fibrin D dimer increased
Clinical narrative: This is a 80y.o. male with A pmh of dementia, colon cancer, diabetes, GERD and hypertension presenting today for fatigue and bradycardia problem. Per EMS, patient's family states that he is becoming more weak throughout the day. EMS state that patient was satting at 70% on room air, improving 100% on 4 L nasal cannula. Patient does not wear nasal cannula at baseline. Patient also alert and oriented ×2, which EMS state is baseline secondary to dementia. Per EMS, one of the family members is coronavirus positive at this time. ED course-covid positive, elevated d-dimer-1/6/04, lactic acid-1.9, pro calcitonin plasma-0.10, ferritin-112, C-reactive protein-46.5, lactic dehydrogenase-267, troponin-0.03, phosphorus-3.3, WBC-5.3, hemoglobin-15.3, platelet- 208, chest x-ray ordered . Initiated on Decadron, Lovenox
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Influenza A virus test negative, Influenza B virus test, Platelet count normal, Procalcitonin
Clinical narrative: This is a 80y.o. male with A pmh of dementia, colon cancer, diabetes, GERD and hypertension presenting today for fatigue and bradycardia problem. Per EMS, patient's family states that he is becoming more weak throughout the day. EMS state that patient was satting at 70% on room air, improving 100% on 4 L nasal cannula. Patient does not wear nasal cannula at baseline. Patient also alert and oriented ×2, which EMS state is baseline secondary to dementia. Per EMS, one of the family members is coronavirus positive at this time. ED course-covid positive, elevated d-dimer-1/6/04, lactic acid-1.9, pro calcitonin plasma-0.10, ferritin-112, C-reactive protein-46.5, lactic dehydrogenase-267, troponin-0.03, phosphorus-3.3, WBC-5.3, hemoglobin-15.3, platelet- 208, chest x-ray ordered . Initiated on Decadron, Lovenox
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Serum ferritin normal, Troponin, White blood cell count normal
Clinical narrative: This is a 80y.o. male with A pmh of dementia, colon cancer, diabetes, GERD and hypertension presenting today for fatigue and bradycardia problem. Per EMS, patient's family states that he is becoming more weak throughout the day. EMS state that patient was satting at 70% on room air, improving 100% on 4 L nasal cannula. Patient does not wear nasal cannula at baseline. Patient also alert and oriented ×2, which EMS state is baseline secondary to dementia. Per EMS, one of the family members is coronavirus positive at this time. ED course-covid positive, elevated d-dimer-1/6/04, lactic acid-1.9, pro calcitonin plasma-0.10, ferritin-112, C-reactive protein-46.5, lactic dehydrogenase-267, troponin-0.03, phosphorus-3.3, WBC-5.3, hemoglobin-15.3, platelet- 208, chest x-ray ordered . Initiated on Decadron, Lovenox
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Crying, Erythema, Pain, Peripheral swelling, Pyrexia
Clinical narrative: SWELLING OF ARM, REDNESS AND PAIN, CRYING FOR GREATER THAN 3 HRS , FEVER FOF103.5 AND VOMITING
Age: 3.0
Sex: M
Vaccine: DTAP
Symptoms: Vomiting
Clinical narrative: SWELLING OF ARM, REDNESS AND PAIN, CRYING FOR GREATER THAN 3 HRS , FEVER FOF103.5 AND VOMITING
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product expiration date issue
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 4/1/21, 4/22/21, 11/13/21. Positive on 1/31/22
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cardiac telemetry, Decreased appetite, Fatigue
Clinical narrative: Symptoms include: decreased appetite, nausea, inability to eat, fatigue, and weakness. Positive COVID-19 results on 2/1/22. Treatment includes: IV and oral fluids, therapy, monitor fluid status, and telemetry.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Feeding disorder, Nausea, SARS-CoV-2 test positive
Clinical narrative: Symptoms include: decreased appetite, nausea, inability to eat, fatigue, and weakness. Positive COVID-19 results on 2/1/22. Treatment includes: IV and oral fluids, therapy, monitor fluid status, and telemetry.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/26/21, 4/16/21. Positive on 2/12/22
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered Pfizer adult dose (30 mcg/0.3 mL) instead of pediatric formulation. Patient is 10 years old and should have received the pediatric dose/formulation (10 mcg/0.2 mL).
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Dyspnoea exertional, Peripheral swelling
Clinical narrative: SOB FOR THE PAST 2 WEEKS WITH EXTERTION. SWELLING IN BILATERAL LOWER EXTREMITIES. URI SYMPTOMS AND LOSS OF TASTE AND SMELL FOR THE PAST 1 TO 2 WEEKS.   1ST COVID VACCINE 1/14/2021. 2ND COVID VACCINE 2/11/2021. BOOSTER 11/12/2021.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: SOB FOR THE PAST 2 WEEKS WITH EXTERTION. SWELLING IN BILATERAL LOWER EXTREMITIES. URI SYMPTOMS AND LOSS OF TASTE AND SMELL FOR THE PAST 1 TO 2 WEEKS.   1ST COVID VACCINE 1/14/2021. 2ND COVID VACCINE 2/11/2021. BOOSTER 11/12/2021.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 6/3/21, 7/1/21. Positive on 2/12/22
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chills
Clinical narrative: As per admission H&P, "Patient is a 54 y.o. female with a history below admitted for COPD exacerbation. Pt came in with complaints of several days of chills, body aches, cough, wheezing, increased sputum production. Today tested + for covid-19. On 4l o2, home dose. Associated nausea / fatigue. Nothing makes better / worse. Discussed with er, concern for covid induced copd exacerbation. Will admit "   Hospital Course: Patient, is a 54 y.o. female who presented with shortness of breath.  She was managed for the following:   * COPD exacerbation Acute Hypoxic Respiratory Failure - due to COVID-19 Pneumonia with acute COPD exacerbation.  Patient presented with shortness of breath, wheezing, COVID-19 positive, with bilateral infiltrates on CXR.  She had increased O2 requirement from her baseline 4L NC at home.   She was started on IV steroids.  She completed 5 day course of remdesivir.  She improved and was weaned back to her home requirement of 4L O2.  She was discharged home with a prednisone taper for COPD flare.  To follow-up outpatient.     Acute COPD Exacerbation - steroids, nebs as above.  Recent PE - continue eliquis.   DM2
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Cough, Dyspnoea, Fatigue
Clinical narrative: As per admission H&P, "Patient is a 54 y.o. female with a history below admitted for COPD exacerbation. Pt came in with complaints of several days of chills, body aches, cough, wheezing, increased sputum production. Today tested + for covid-19. On 4l o2, home dose. Associated nausea / fatigue. Nothing makes better / worse. Discussed with er, concern for covid induced copd exacerbation. Will admit "   Hospital Course: Patient, is a 54 y.o. female who presented with shortness of breath.  She was managed for the following:   * COPD exacerbation Acute Hypoxic Respiratory Failure - due to COVID-19 Pneumonia with acute COPD exacerbation.  Patient presented with shortness of breath, wheezing, COVID-19 positive, with bilateral infiltrates on CXR.  She had increased O2 requirement from her baseline 4L NC at home.   She was started on IV steroids.  She completed 5 day course of remdesivir.  She improved and was weaned back to her home requirement of 4L O2.  She was discharged home with a prednisone taper for COPD flare.  To follow-up outpatient.     Acute COPD Exacerbation - steroids, nebs as above.  Recent PE - continue eliquis.   DM2
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Nausea, Pain, SARS-CoV-2 test positive, Sputum increased
Clinical narrative: As per admission H&P, "Patient is a 54 y.o. female with a history below admitted for COPD exacerbation. Pt came in with complaints of several days of chills, body aches, cough, wheezing, increased sputum production. Today tested + for covid-19. On 4l o2, home dose. Associated nausea / fatigue. Nothing makes better / worse. Discussed with er, concern for covid induced copd exacerbation. Will admit "   Hospital Course: Patient, is a 54 y.o. female who presented with shortness of breath.  She was managed for the following:   * COPD exacerbation Acute Hypoxic Respiratory Failure - due to COVID-19 Pneumonia with acute COPD exacerbation.  Patient presented with shortness of breath, wheezing, COVID-19 positive, with bilateral infiltrates on CXR.  She had increased O2 requirement from her baseline 4L NC at home.   She was started on IV steroids.  She completed 5 day course of remdesivir.  She improved and was weaned back to her home requirement of 4L O2.  She was discharged home with a prednisone taper for COPD flare.  To follow-up outpatient.     Acute COPD Exacerbation - steroids, nebs as above.  Recent PE - continue eliquis.   DM2
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: As per admission H&P, "Patient is a 54 y.o. female with a history below admitted for COPD exacerbation. Pt came in with complaints of several days of chills, body aches, cough, wheezing, increased sputum production. Today tested + for covid-19. On 4l o2, home dose. Associated nausea / fatigue. Nothing makes better / worse. Discussed with er, concern for covid induced copd exacerbation. Will admit "   Hospital Course: Patient, is a 54 y.o. female who presented with shortness of breath.  She was managed for the following:   * COPD exacerbation Acute Hypoxic Respiratory Failure - due to COVID-19 Pneumonia with acute COPD exacerbation.  Patient presented with shortness of breath, wheezing, COVID-19 positive, with bilateral infiltrates on CXR.  She had increased O2 requirement from her baseline 4L NC at home.   She was started on IV steroids.  She completed 5 day course of remdesivir.  She improved and was weaned back to her home requirement of 4L O2.  She was discharged home with a prednisone taper for COPD flare.  To follow-up outpatient.     Acute COPD Exacerbation - steroids, nebs as above.  Recent PE - continue eliquis.   DM2
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, C-reactive protein increased, Chest pain
Clinical narrative: Moderna COVID-19 Vaccine EUA There was some light chest pain that seemed to kind of flicker about an hour after I got the vaccine. Then some of the other temporary symptoms that seem to be common among patients set in. After these subsided, the chest pain was far more noticeable. Went into the doctors and they ran some tests deciding that it was not a case of cardiac inflammation but likely inflammation of the pericardium. (not confirmed, but the inflammation test came back incredibly high). Told me to take Ibuprofen and rest. It's been slowly feeling better since then but not gone yet.
Age: 62.0
Sex: M
Vaccine: PPV
Symptoms: Product administration error
Clinical narrative: During routine monthly inventory in the immunization clinic an expired PPSV23 (pneumovax 23 vaccine) box was discovered.  The box was missing 7 vials.  It is unsure when the vials were used.  They could have been used prior to the expiration date, but that could not be verified.  A report from 9 Jan 2022 to 4 Mar 2022 was pulled and there was 9 doses of PPSV23 given.  The lot numbers as recorded in the EMR matched a valid, unexpired box.  It is possible that expired doses were given, but it is also possible that no expired doses were given.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Epinephrine refill request. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular
Clinical narrative: Have been actively bleeding outside of my menstrual period, since 2 days after receiving the vaccination. Today is day 7.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen 5/10/21, 12/3/21. Positive on 2/12/22
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Hypoxia
Clinical narrative: Hospitalized for COVID-19, hypoxemia 1/20/22-1/23/22. Treated with vancomycin, Flagyl, and cefepime IV. Expired 01/23/22 before hospice transfer.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/31/21, 4/28/21. Positive on 2/12/22
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, COVID-19, Pruritus, Rash
Clinical narrative: Approximately 2 weeks after my vaccination I started developing rash that started on my foot and spread all over my body and I decided to put cortisone cream for treatment to stop the itching then after a few months I had COVID and it has gotten so much worse and when I went to the Doctor she said it was a COVID rash and it could last for a couple of months and she prescribed me with Betamethasone Cream, Hydroxyzine tablet and gave me a steroid shot and referred to see a dermatologist and so I did and they did a Shave and Punch Biopsy and was prescribed with  Bactrim and will get the result of the Biopsy sometime on February 23. None of the treatments are currently as of February 14, 2022 and no improvement with the symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Behaviour disorder, Bradycardia, Echocardiogram normal, Emotional disorder
Clinical narrative: 68y.o. female with a PMH of bipolar affective disorder, HTN, HLD, anxiety, and depression who was transferred to (Privacy) from (Privacy) after concern for an episode of transient loss of consciousness it was felt that her symptoms were likely related to hypotension associated with Seroquel.  Medication was adjusted.  Symptoms resolved.  She did have intermittent bradycardia which was asymptomatic.  Echocardiogram did not show any significant findings.  She did test positive for COVID-19 virus on 1/4/2022.  She was asymptomatic.  She was accepted back to the general psychiatric unit for further management of her emotional/behavioral disorder. Time spent in care, counseling and discharge on date of discharge-33 minutes