chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Sleep disorder, Tinnitus
Clinical narrative: I felt fine until I went to bed. About 11:30PM I woke up very ill. I felt weak, shaky, terribly congested, my back was aching so badly I could barely walk. I had intense headache and nausea. My head was roaring. I had a 3 degree temperature. I was not having any asthma problems but I could barely hear my husband. I heard cracking sounds on my right ear and I could make out what he was saying if he spoke in my left ear. Today I still have unusual fatigue but the body aches and headaches have stopped. I was told that hearing loss can happen with the vaccine which I did not know at the time of taking it.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: We administered a vaccine that had been stored improperly (kept in the refrigerator longer than beyond use date).
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Pateint had breakthrough infection and passed away.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Contracted COVID-19 on 5/21/2022
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The expiration date was mislabeled by the pharmacy, and the patient received an expired vaccine dose.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Influenza A virus test positive, Influenza B virus test positive, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection. Unsure if symptomatic.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, Nasal congestion, Pain in extremity, Pyrexia
Clinical narrative: I only had a sore arm after receiving the vaccine. I tested positive for COVID-19 on June 21, 2022. I took a home test and called my doctors office (telehealth visit) and I was prescribed PAXLOVID. I also took TYLENOL to help with my symptoms. I had a fever and bad nasal congestion.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I only had a sore arm after receiving the vaccine. I tested positive for COVID-19 on June 21, 2022. I took a home test and called my doctors office (telehealth visit) and I was prescribed PAXLOVID. I also took TYLENOL to help with my symptoms. I had a fever and bad nasal congestion.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine invalid due to a possible temperature issue Regulatory authority recommendation to repeat vaccine
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: We administered vaccine after its beyond use date.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on body
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: We administered a vaccine that had been improperly stored (kept in refrigerator after beyond use date.)
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, COVID-19, Chronic obstructive pulmonary disease, Death, Decreased appetite
Clinical narrative: Patient was a resident who tested positive for Covid-19 on 01/24/2022.  Patient went on hospice with a primary hospice diagnosis of chronic obstructive pulmonary disease, respiratory failure with hypoxia, Covid-19, muscle weakness, anxiety, anorexia, repeated falls, oxygen dependence.  Patient expired on 02/12/2022.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Muscular weakness, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient was a resident who tested positive for Covid-19 on 01/24/2022.  Patient went on hospice with a primary hospice diagnosis of chronic obstructive pulmonary disease, respiratory failure with hypoxia, Covid-19, muscle weakness, anxiety, anorexia, repeated falls, oxygen dependence.  Patient expired on 02/12/2022.
Age: 1.08
Sex: F
Vaccine: MMRV, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient was given an MMRV and Varicella on the same visit date 7/1/2022.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Headache
Clinical narrative: 6/14/2022 sore throat. Tested with at home kit, negative. By the end of the day 6/15 I had headache, sore throat, nasal congestion, cough. 6/16 tested again, positive. Doctor determined that PAXLOVID not appropriate to use due to symptoms not being severe. Prescribed cough pills. I lost sense of smell and taste 6/17. On 6/20 sense of smell returned. 6/27 nurse practitioner advised that sense of taste could take up to 90 days to return. Still had sore throat which prompted to call. Throat has returned to normal. Everything is normal except taste has not returned as of 7/1.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: 6/14/2022 sore throat. Tested with at home kit, negative. By the end of the day 6/15 I had headache, sore throat, nasal congestion, cough. 6/16 tested again, positive. Doctor determined that PAXLOVID not appropriate to use due to symptoms not being severe. Prescribed cough pills. I lost sense of smell and taste 6/17. On 6/20 sense of smell returned. 6/27 nurse practitioner advised that sense of taste could take up to 90 days to return. Still had sore throat which prompted to call. Throat has returned to normal. Everything is normal except taste has not returned as of 7/1.
Age: 4.0
Sex: M
Vaccine: VARCEL
Symptoms: CSF test abnormal, Varicella meningitis, Varicella virus test positive
Clinical narrative: Patient developed varicella meningitis at age 16
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT GOT VACCINE THAT WAS OUT OF TEMPERATURE STORAGE RANGE
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine invalid due to a possible temperature issue Regulatory authority recommendation to repeat vaccine
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain in extremity, Palpitations, Peripheral swelling, Vertigo
Clinical narrative: Achy swollen left leg  tiredness vertigo and heart palpitations
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Mobility decreased, Pain, Pain in extremity
Clinical narrative: The day I got my vaccine I was doing fine. Later in that day I was lifting my arm open a blind and it was very painful. It was sore and then it has progressed from sore to painful. I have restrictive movement. I have pain when I am sleeping or move in certain ways like lifting up or reaching out. Sometimes I have to ask for help getting clothing off from my spouse. Yesterday I finally reached out to my doctor for help. I had waited so long because I thought it would go away but for the last month I have been worn out and it just hurts all the time. I am seeing the provider later today. I have been taking 600mg ibuprofen and that does help but it just does not cut it and mostly dulls the pain.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: The day I got my vaccine I was doing fine. Later in that day I was lifting my arm open a blind and it was very painful. It was sore and then it has progressed from sore to painful. I have restrictive movement. I have pain when I am sleeping or move in certain ways like lifting up or reaching out. Sometimes I have to ask for help getting clothing off from my spouse. Yesterday I finally reached out to my doctor for help. I had waited so long because I thought it would go away but for the last month I have been worn out and it just hurts all the time. I am seeing the provider later today. I have been taking 600mg ibuprofen and that does help but it just does not cut it and mostly dulls the pain.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Death, Respiratory failure
Clinical narrative: Patient tested positive for Covid-19 on 01/16/2022 and was treated for Covid-19 at Medical Center.  He was admitted for weakness, respiratory failure d/t Covid PNA.  He was treated with remdesivir and steroids and improved and then was placed Health Center for Rehab and Healing for PT and OT.  Patient expired on 02/09/2022.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for Covid-19 on 01/16/2022 and was treated for Covid-19 at Medical Center.  He was admitted for weakness, respiratory failure d/t Covid PNA.  He was treated with remdesivir and steroids and improved and then was placed Health Center for Rehab and Healing for PT and OT.  Patient expired on 02/09/2022.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood thyroid stimulating hormone increased, Extra dose administered, Gait disturbance, Hepatic enzyme abnormal
Clinical narrative: 2 days after May 26th 4th dose of Pfizer  on May 28th both hands became numb/tingling and are still that way today.  It is constant not intermittent.  Since then on June 26th I am having weakness in legs an unstable in walking/balance issues in addition to the numbness of my hands.  Dr. advised to take vitamin B12 which. Have taken every day 500 mcg since June 1 however it hasn't improved.  B12 levels have increased though from 302 to 400.  Liver enzymes were also elevated and TSH Thyroid was elevated
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Muscular weakness, Paraesthesia
Clinical narrative: 2 days after May 26th 4th dose of Pfizer  on May 28th both hands became numb/tingling and are still that way today.  It is constant not intermittent.  Since then on June 26th I am having weakness in legs an unstable in walking/balance issues in addition to the numbness of my hands.  Dr. advised to take vitamin B12 which. Have taken every day 500 mcg since June 1 however it hasn't improved.  B12 levels have increased though from 302 to 400.  Liver enzymes were also elevated and TSH Thyroid was elevated
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19 7 months post Vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: PATIENT GOT A BOOSTER PFIZER VACCINE THAT WAS OUT OF TEMPERATURE  RANGE
Age: 14.0
Sex: F
Vaccine: COVID19, HPV9
Symptoms: Dizziness
Clinical narrative: Patient was seen today at Immunization Clinic to receive immunizations; HPV #2 and Gray Top Pfizer booster. Patient with guardians. Patient emailed COVID-19 record that was received in "private". Patient observed for 15 minutes in exam room and during the time created a new COVID-19 Card to reflect all three immunizations and waited for email to retrieve COVID-19 information. Updated immunization record received and Instructed guardian of child all immunizations are up-to date and walked them out to the waiting area. During that time patient and guardians was walking passed the Immunization front desk and patient started to feel dizzy. The front desk notified me my patient was feeling dizzy. I was able to quickly go to the front desk and have the patient sit down in one of the chairs and put the patients legs up. Given patient water and a lolly pop to while sitting. Vital signs; SPO2 97% RA, BP 77/43 in right arm, Pulse 51 @ 933am. 2nd set of vitals SPO2 97% Room air: BP 71/44 right arm. Pulse: 53 @ 9:35am. Took patient into exam 12 and had her Supine position: BP: 108/60 Pulse right arm: Pulse: 75 @ 9:44am. 4th set of vitals: Fowler's position: BP 98/62 right arm Pulse: 81 @ 9:50am. 5th set of vitals: Fowler's position: BP 96/68 right are, Pulse: 84 @ 9:56am. Patient states she was feeling much better and was able to stand up without feeling dizzy. Patient and guardians were comfortable leaving to go home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Sensitive skin, Urticaria
Clinical narrative: 14 days following the shot I developed widespread hives, worse with any skin touch or pressure , such as wearing glasses. These hives were only partially relieved with long acting antihistamines, and famotidine. Hives lasted approximately 4 months,  gradually tapering after 2 months. Initially I thought this might have been a reaction to metropolol that I took intermittantly, however on rechallenge with metoprolol the hives did not recur.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Bladder catheterisation, COVID-19, Computerised tomogram abdomen normal
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) Pfizer Dose 3 11/16/21 (FH8028) COVID Positive 1/23/22  1/23/22: This is a 75 years old female presented to the emergency department because of nausea and vomiting.  The patient has a history significant for COPD, congestive heart failure, atrial fibrillation, coronary artery disease, hypertension, diabetes mellitus, chronic anticoagulation.  There is documentation that the patient is on Eliquis and previously was prescribed Coumadin.  Per record it seems that she is supposed to be on Eliquis per the most recent hospitalization course  The patient is not a very good historian and keeps looking at her daughter to provide answers to questions.  The daughter appears exhausted in the room and is sleeping during the encounter  Patient has been sick for the past week with nausea, vomiting, reduced appetite and decreased oral intake.  She is also complaining of abdominal pain associated with diarrhea and cough.  She denies chest pain, shortness of breath, changes in stool colors, headache, dizziness.  She was found in the emergency department to be dehydrated with resultant acute kidney injury.  She has a chronic indwelling Foley catheter.  Urinalysis suggestive of a possible urinary tract infection.  She does have a history of ESBL UTI for which she was given Invanz at the last hospitalization.  CT abdomen pelvis did not show anything acute.  She is up-to-date with COVID-19 vaccinations.  She was given IV fluid boluses as well as Levaquin prior to being admitted to the hospitalist service for further evaluation and treatment  1/31/22: Patient is a 75-year-old female history of neurogenic bladder with chronic indwelling Foley catheter and CKD stage IV admitted to the hospital for acute complicated UTI associated with chronic indwelling Foley catheter patient was treated with IV antibiotics, her hospitalization was noted for COVID-19 infection without any respiratory symptoms.  As time progressed patient clinically improved, prior to discharge patient completed IV antibiotics.  Patient was evaluated by therapy recommended skilled nursing facility, however on January 31st patient requested to be discharged to home with VNA. Patient will be discharged home with VNA recommended follow-up with PCP within 1 week.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dehydration, Hypophagia, Inappropriate schedule of product administration
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) Pfizer Dose 3 11/16/21 (FH8028) COVID Positive 1/23/22  1/23/22: This is a 75 years old female presented to the emergency department because of nausea and vomiting.  The patient has a history significant for COPD, congestive heart failure, atrial fibrillation, coronary artery disease, hypertension, diabetes mellitus, chronic anticoagulation.  There is documentation that the patient is on Eliquis and previously was prescribed Coumadin.  Per record it seems that she is supposed to be on Eliquis per the most recent hospitalization course  The patient is not a very good historian and keeps looking at her daughter to provide answers to questions.  The daughter appears exhausted in the room and is sleeping during the encounter  Patient has been sick for the past week with nausea, vomiting, reduced appetite and decreased oral intake.  She is also complaining of abdominal pain associated with diarrhea and cough.  She denies chest pain, shortness of breath, changes in stool colors, headache, dizziness.  She was found in the emergency department to be dehydrated with resultant acute kidney injury.  She has a chronic indwelling Foley catheter.  Urinalysis suggestive of a possible urinary tract infection.  She does have a history of ESBL UTI for which she was given Invanz at the last hospitalization.  CT abdomen pelvis did not show anything acute.  She is up-to-date with COVID-19 vaccinations.  She was given IV fluid boluses as well as Levaquin prior to being admitted to the hospitalist service for further evaluation and treatment  1/31/22: Patient is a 75-year-old female history of neurogenic bladder with chronic indwelling Foley catheter and CKD stage IV admitted to the hospital for acute complicated UTI associated with chronic indwelling Foley catheter patient was treated with IV antibiotics, her hospitalization was noted for COVID-19 infection without any respiratory symptoms.  As time progressed patient clinically improved, prior to discharge patient completed IV antibiotics.  Patient was evaluated by therapy recommended skilled nursing facility, however on January 31st patient requested to be discharged to home with VNA. Patient will be discharged home with VNA recommended follow-up with PCP within 1 week.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, SARS-CoV-2 test positive, Urine analysis abnormal, Vomiting
Clinical narrative: Pfizer Dose 1 4/15/21 (EW0153) Pfizer Dose 2 5/7/21 (ER8736) Pfizer Dose 3 11/16/21 (FH8028) COVID Positive 1/23/22  1/23/22: This is a 75 years old female presented to the emergency department because of nausea and vomiting.  The patient has a history significant for COPD, congestive heart failure, atrial fibrillation, coronary artery disease, hypertension, diabetes mellitus, chronic anticoagulation.  There is documentation that the patient is on Eliquis and previously was prescribed Coumadin.  Per record it seems that she is supposed to be on Eliquis per the most recent hospitalization course  The patient is not a very good historian and keeps looking at her daughter to provide answers to questions.  The daughter appears exhausted in the room and is sleeping during the encounter  Patient has been sick for the past week with nausea, vomiting, reduced appetite and decreased oral intake.  She is also complaining of abdominal pain associated with diarrhea and cough.  She denies chest pain, shortness of breath, changes in stool colors, headache, dizziness.  She was found in the emergency department to be dehydrated with resultant acute kidney injury.  She has a chronic indwelling Foley catheter.  Urinalysis suggestive of a possible urinary tract infection.  She does have a history of ESBL UTI for which she was given Invanz at the last hospitalization.  CT abdomen pelvis did not show anything acute.  She is up-to-date with COVID-19 vaccinations.  She was given IV fluid boluses as well as Levaquin prior to being admitted to the hospitalist service for further evaluation and treatment  1/31/22: Patient is a 75-year-old female history of neurogenic bladder with chronic indwelling Foley catheter and CKD stage IV admitted to the hospital for acute complicated UTI associated with chronic indwelling Foley catheter patient was treated with IV antibiotics, her hospitalization was noted for COVID-19 infection without any respiratory symptoms.  As time progressed patient clinically improved, prior to discharge patient completed IV antibiotics.  Patient was evaluated by therapy recommended skilled nursing facility, however on January 31st patient requested to be discharged to home with VNA. Patient will be discharged home with VNA recommended follow-up with PCP within 1 week.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, COVID-19, Death
Clinical narrative: /Patient was admitted to a Medical Center on 09/25/2021 for acute hypoxemic respiratory failure d/t Covid-19.  She was started on Decadorn but did not quality for remdesivir d/t her liver and kidney disease.  Patient was attempted to be diuresed but developed an acute kidney injury and Nephrology felt she may have hepatic renal syndrome.  She was noted to have a significant decline and functional status and increased weakness during hospitalization.  On 10/05/2021 patient was placed on V60 machine, and expired on 10/06/2021.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Mechanical ventilation, Polyuria
Clinical narrative: /Patient was admitted to a Medical Center on 09/25/2021 for acute hypoxemic respiratory failure d/t Covid-19.  She was started on Decadorn but did not quality for remdesivir d/t her liver and kidney disease.  Patient was attempted to be diuresed but developed an acute kidney injury and Nephrology felt she may have hepatic renal syndrome.  She was noted to have a significant decline and functional status and increased weakness during hospitalization.  On 10/05/2021 patient was placed on V60 machine, and expired on 10/06/2021.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I started getting symptoms of runny nose. I tested because I had a friend to test positive 3 days prior. I took 2 at home COVID-19 test that was positive. My symptoms progressed to a sore throat and a cough. I called my doctor and was prescribed PAXLOVID for 5 days. My symptoms lasted for approximately 6-9 days.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started getting symptoms of runny nose. I tested because I had a friend to test positive 3 days prior. I took 2 at home COVID-19 test that was positive. My symptoms progressed to a sore throat and a cough. I called my doctor and was prescribed PAXLOVID for 5 days. My symptoms lasted for approximately 6-9 days.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Laboratory test abnormal, Pain, Respiratory tract congestion
Clinical narrative: Aches, congestion, fatigue
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, COVID-19 pneumonia, Dyspnoea, Dyspnoea exertional
Clinical narrative: Pfizer Dose 1 1/15/21 (NA) Pfizer Dose 2 2/4/21 (NA) Pfizer Dose 3 10/27/21 (FF2593) COVID Positive 3/6/22  3/6/22: A 94-year-old gentleman presented to hospital from nursing home with a history of increasing shortness of breath and hypoxia noted by the nursing staff.  As per medic, patient was noted to desaturate in the 80s on room air.  In the emergency room, he was started on oxygen via nasal cannula that rapidly increased to 15 L high-flow.  He is a poor historian.  Reports shortness of breath.  He was previously on hospice. That was discontinued just about 2 weeks ago.  Patient reports increasing generalized fatigue over the past week as well as exertional dyspnea.  He was apparently complaining of an abdominal pain 2 days ago.  He has a history of Alzheimer disease and pancreatic mass.  3/14/22: A 94-year-old male with dementia with COVID-19 pneumonia and hypoxia requiring oxygen.He is s/p remdesivir ,antibiotics and dexamethasone though did not complete 10 day course steroids as he clinically improved . He is DNR DNI. He needs to be prompted to eat because he would not eat on his own. Otherwise he is hemodynamically stable on room air. He will discharge back to facility.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Eating disorder, Fatigue, Hypoxia, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 1/15/21 (NA) Pfizer Dose 2 2/4/21 (NA) Pfizer Dose 3 10/27/21 (FF2593) COVID Positive 3/6/22  3/6/22: A 94-year-old gentleman presented to hospital from nursing home with a history of increasing shortness of breath and hypoxia noted by the nursing staff.  As per medic, patient was noted to desaturate in the 80s on room air.  In the emergency room, he was started on oxygen via nasal cannula that rapidly increased to 15 L high-flow.  He is a poor historian.  Reports shortness of breath.  He was previously on hospice. That was discontinued just about 2 weeks ago.  Patient reports increasing generalized fatigue over the past week as well as exertional dyspnea.  He was apparently complaining of an abdominal pain 2 days ago.  He has a history of Alzheimer disease and pancreatic mass.  3/14/22: A 94-year-old male with dementia with COVID-19 pneumonia and hypoxia requiring oxygen.He is s/p remdesivir ,antibiotics and dexamethasone though did not complete 10 day course steroids as he clinically improved . He is DNR DNI. He needs to be prompted to eat because he would not eat on his own. Otherwise he is hemodynamically stable on room air. He will discharge back to facility.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Laryngitis, Nasopharyngitis
Clinical narrative: On June 26, 2022, I felt like I was getting a cold and had a sore throat on the next day I had laryngitis, congestion, sneezing, a bad cold. I took the home COVID-19 test that came back positive, I called in to the doctors to let them know because I needed to cancel an upcoming surgery. I was prescribed Paxlovid that I started taking immediately. I am feeling much better just a little tired and foggy.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: On June 26, 2022, I felt like I was getting a cold and had a sore throat on the next day I had laryngitis, congestion, sneezing, a bad cold. I took the home COVID-19 test that came back positive, I called in to the doctors to let them know because I needed to cancel an upcoming surgery. I was prescribed Paxlovid that I started taking immediately. I am feeling much better just a little tired and foggy.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Peripheral coldness, Pyrexia, Vomiting
Clinical narrative: Mom states child started with fever in 30-45 min after receiving vaccine, body got ice cold, then 12 hours later started vomiting that continued for two more days.  Then all resolved.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Feeling cold, Pyrexia, Vomiting
Clinical narrative: Mom states child started with fever in 30-45 min after receiving vaccine, body got ice cold, then 12 hours later started vomiting that continued for two more days.  Then all resolved.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Illness, SARS-CoV-2 test positive
Clinical narrative: Patient was a resident of Health and Rehab Center who tested positive for Covid-19 on 01/13/2022 at facility.  Patient was not hospitalized for illness and expired at facility on 01/15/2022.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cerebral infarction, Computerised tomogram head abnormal, Confusional state, Delirium
Clinical narrative: Moderna Dose 1 2/10/21 (038K20A) Moderna Dose 2 3/10/21 (038A21A) Moderna Dose 3 11/6/21 (012F21A) COVID Positive 1/23/22  1/23/22: Patient is an 88-year-old male who presents to the emergency room due to some increasing confusion.  Patient was recently admitted to a care facility and was also recently diagnosed with a urinary tract infection but the patient has been refusing to take all of his medications.  There have been no complaints of abdominal pain with no reported fever, chills or night sweats.  No chest pain or shortness of breath.  A full history of present illness is significantly limited due to the patient's severe dementia.  Patient's medical history, current medications, previous imaging studies, vital signs, laboratory studies along with previous hospitalization notes have been personally reviewed.  1/29/22: 88 yo male with demential , seizure disorder and progressive decline in memory and functional status transferred from outside hospital for complicated UTI and delirium. Patient completed course of antibiotics, has impulsive behavior and was not taking enough po. Slept well with start of Haldol. Head CT showed left parietooccipital infarct with encephalomalacia. Discussed goals of care with patient's wife and grand daughter, family would like to purse hospice. Patient discharged to LTC facility with hospice.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalomalacia, Hypophagia, Impulsive behaviour, Loss of personal independence in daily activities, Memory impairment
Clinical narrative: Moderna Dose 1 2/10/21 (038K20A) Moderna Dose 2 3/10/21 (038A21A) Moderna Dose 3 11/6/21 (012F21A) COVID Positive 1/23/22  1/23/22: Patient is an 88-year-old male who presents to the emergency room due to some increasing confusion.  Patient was recently admitted to a care facility and was also recently diagnosed with a urinary tract infection but the patient has been refusing to take all of his medications.  There have been no complaints of abdominal pain with no reported fever, chills or night sweats.  No chest pain or shortness of breath.  A full history of present illness is significantly limited due to the patient's severe dementia.  Patient's medical history, current medications, previous imaging studies, vital signs, laboratory studies along with previous hospitalization notes have been personally reviewed.  1/29/22: 88 yo male with demential , seizure disorder and progressive decline in memory and functional status transferred from outside hospital for complicated UTI and delirium. Patient completed course of antibiotics, has impulsive behavior and was not taking enough po. Slept well with start of Haldol. Head CT showed left parietooccipital infarct with encephalomalacia. Discussed goals of care with patient's wife and grand daughter, family would like to purse hospice. Patient discharged to LTC facility with hospice.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Refusal of treatment by patient, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Moderna Dose 1 2/10/21 (038K20A) Moderna Dose 2 3/10/21 (038A21A) Moderna Dose 3 11/6/21 (012F21A) COVID Positive 1/23/22  1/23/22: Patient is an 88-year-old male who presents to the emergency room due to some increasing confusion.  Patient was recently admitted to a care facility and was also recently diagnosed with a urinary tract infection but the patient has been refusing to take all of his medications.  There have been no complaints of abdominal pain with no reported fever, chills or night sweats.  No chest pain or shortness of breath.  A full history of present illness is significantly limited due to the patient's severe dementia.  Patient's medical history, current medications, previous imaging studies, vital signs, laboratory studies along with previous hospitalization notes have been personally reviewed.  1/29/22: 88 yo male with demential , seizure disorder and progressive decline in memory and functional status transferred from outside hospital for complicated UTI and delirium. Patient completed course of antibiotics, has impulsive behavior and was not taking enough po. Slept well with start of Haldol. Head CT showed left parietooccipital infarct with encephalomalacia. Discussed goals of care with patient's wife and grand daughter, family would like to purse hospice. Patient discharged to LTC facility with hospice.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Decreased activity, Discomfort, Dysgeusia
Clinical narrative: I first noticed symptoms on 6/9/2022. It came on rather quickly. I had chest congestion, lack of energy, head felt full. I was very uncomfortable. I had no energy at all, I was very lethargic. I thought it was a cold but since my wife tested positive I went and got tested. The doctor put me on Paxlovid, which left a metal taste in my mouth. I went through quarantine and then went to a cabin and there I tried to do some activity and felt crummy again. I went back to the urgent care and they checked again and they found I was positive again. I feel  a lot better today. The doctor told me it was a rebound and they have been seeing it often with this new strain.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Feeling abnormal, Head discomfort, Lethargy, Malaise
Clinical narrative: I first noticed symptoms on 6/9/2022. It came on rather quickly. I had chest congestion, lack of energy, head felt full. I was very uncomfortable. I had no energy at all, I was very lethargic. I thought it was a cold but since my wife tested positive I went and got tested. The doctor put me on Paxlovid, which left a metal taste in my mouth. I went through quarantine and then went to a cabin and there I tried to do some activity and felt crummy again. I went back to the urgent care and they checked again and they found I was positive again. I feel  a lot better today. The doctor told me it was a rebound and they have been seeing it often with this new strain.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Quarantine, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I first noticed symptoms on 6/9/2022. It came on rather quickly. I had chest congestion, lack of energy, head felt full. I was very uncomfortable. I had no energy at all, I was very lethargic. I thought it was a cold but since my wife tested positive I went and got tested. The doctor put me on Paxlovid, which left a metal taste in my mouth. I went through quarantine and then went to a cabin and there I tried to do some activity and felt crummy again. I went back to the urgent care and they checked again and they found I was positive again. I feel  a lot better today. The doctor told me it was a rebound and they have been seeing it often with this new strain.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient had breakthrough infection and passes away.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Blood gases, COVID-19, COVID-19 pneumonia
Clinical narrative: Moderna Dose 1 3/11/21 (010A21A) Moderna Dose 2 4/22/21 (044B21A) COVID Positive 1/12/22  1/12/22: This is a 74 yo male patient who presented to the emergency department tonight because of shortness of breath  The patient has a past medical history of COPD, congestive heart failure, hypertension.  There is documentation that he is on Eliquis however unclear medical reason.  The patient arrived to the emergency department via ambulance with a chief complaint of shortness of breath that started 2 days ago.  At the time of encounter the patient is on BiPAP, is lethargic however easily awakens, appears fatigued. History is limited due to patient's clinical condition. History is obtained by discussion with ED provider. Patient does not have much medical record available recently.  When he was found by the ambulance he was found to be hypoxic on room air satting in the 50s.  He was placed on BiPAP and continued on BiPAP when he arrived to the emergency department.  ABGs were serially checked with improvement following BiPAP therapy.  He underwent chest x-ray with initial concerns for empyema therefore CT chest was ordered.  No PE was found however noted concerns for possible empyema for which he was given vancomycin and zosyn.  Patient also tested positive for COVID-19  1/17/22: 74-year-old male who is a patient with a PMH of paroxysmal atrial fibrillation on Eliquis, COPD, severe CHF with EF of 20-25% who was admitted from Facility due to no available beds due to acute respiratory distress and hypoxia secondary to COVID-19 pneumonia.  Patient was treated with azithromycin and ceftriaxone which then switched to vancomycin and Zosyn.  He was with hypoxia requiring BiPAP for some time, did not receive remdesivir due to acute kidney injury, no Baricitinib due to empyema, pulmonology were consult.  Patient successfully weaned off oxygen, discussed with pulmonologist regarding loculated right pleural effusion and possibility of empyema.  Pulmonologist found patient appropriate for discharge with close follow-up with his primary pulmonologist.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax abnormal, Dyspnoea, Fatigue, Hypoxia
Clinical narrative: Moderna Dose 1 3/11/21 (010A21A) Moderna Dose 2 4/22/21 (044B21A) COVID Positive 1/12/22  1/12/22: This is a 74 yo male patient who presented to the emergency department tonight because of shortness of breath  The patient has a past medical history of COPD, congestive heart failure, hypertension.  There is documentation that he is on Eliquis however unclear medical reason.  The patient arrived to the emergency department via ambulance with a chief complaint of shortness of breath that started 2 days ago.  At the time of encounter the patient is on BiPAP, is lethargic however easily awakens, appears fatigued. History is limited due to patient's clinical condition. History is obtained by discussion with ED provider. Patient does not have much medical record available recently.  When he was found by the ambulance he was found to be hypoxic on room air satting in the 50s.  He was placed on BiPAP and continued on BiPAP when he arrived to the emergency department.  ABGs were serially checked with improvement following BiPAP therapy.  He underwent chest x-ray with initial concerns for empyema therefore CT chest was ordered.  No PE was found however noted concerns for possible empyema for which he was given vancomycin and zosyn.  Patient also tested positive for COVID-19  1/17/22: 74-year-old male who is a patient with a PMH of paroxysmal atrial fibrillation on Eliquis, COPD, severe CHF with EF of 20-25% who was admitted from Facility due to no available beds due to acute respiratory distress and hypoxia secondary to COVID-19 pneumonia.  Patient was treated with azithromycin and ceftriaxone which then switched to vancomycin and Zosyn.  He was with hypoxia requiring BiPAP for some time, did not receive remdesivir due to acute kidney injury, no Baricitinib due to empyema, pulmonology were consult.  Patient successfully weaned off oxygen, discussed with pulmonologist regarding loculated right pleural effusion and possibility of empyema.  Pulmonologist found patient appropriate for discharge with close follow-up with his primary pulmonologist.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pleural effusion, Poor quality sleep, Positive airway pressure therapy, Respiratory distress
Clinical narrative: Moderna Dose 1 3/11/21 (010A21A) Moderna Dose 2 4/22/21 (044B21A) COVID Positive 1/12/22  1/12/22: This is a 74 yo male patient who presented to the emergency department tonight because of shortness of breath  The patient has a past medical history of COPD, congestive heart failure, hypertension.  There is documentation that he is on Eliquis however unclear medical reason.  The patient arrived to the emergency department via ambulance with a chief complaint of shortness of breath that started 2 days ago.  At the time of encounter the patient is on BiPAP, is lethargic however easily awakens, appears fatigued. History is limited due to patient's clinical condition. History is obtained by discussion with ED provider. Patient does not have much medical record available recently.  When he was found by the ambulance he was found to be hypoxic on room air satting in the 50s.  He was placed on BiPAP and continued on BiPAP when he arrived to the emergency department.  ABGs were serially checked with improvement following BiPAP therapy.  He underwent chest x-ray with initial concerns for empyema therefore CT chest was ordered.  No PE was found however noted concerns for possible empyema for which he was given vancomycin and zosyn.  Patient also tested positive for COVID-19  1/17/22: 74-year-old male who is a patient with a PMH of paroxysmal atrial fibrillation on Eliquis, COPD, severe CHF with EF of 20-25% who was admitted from Facility due to no available beds due to acute respiratory distress and hypoxia secondary to COVID-19 pneumonia.  Patient was treated with azithromycin and ceftriaxone which then switched to vancomycin and Zosyn.  He was with hypoxia requiring BiPAP for some time, did not receive remdesivir due to acute kidney injury, no Baricitinib due to empyema, pulmonology were consult.  Patient successfully weaned off oxygen, discussed with pulmonologist regarding loculated right pleural effusion and possibility of empyema.  Pulmonologist found patient appropriate for discharge with close follow-up with his primary pulmonologist.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Moderna Dose 1 3/11/21 (010A21A) Moderna Dose 2 4/22/21 (044B21A) COVID Positive 1/12/22  1/12/22: This is a 74 yo male patient who presented to the emergency department tonight because of shortness of breath  The patient has a past medical history of COPD, congestive heart failure, hypertension.  There is documentation that he is on Eliquis however unclear medical reason.  The patient arrived to the emergency department via ambulance with a chief complaint of shortness of breath that started 2 days ago.  At the time of encounter the patient is on BiPAP, is lethargic however easily awakens, appears fatigued. History is limited due to patient's clinical condition. History is obtained by discussion with ED provider. Patient does not have much medical record available recently.  When he was found by the ambulance he was found to be hypoxic on room air satting in the 50s.  He was placed on BiPAP and continued on BiPAP when he arrived to the emergency department.  ABGs were serially checked with improvement following BiPAP therapy.  He underwent chest x-ray with initial concerns for empyema therefore CT chest was ordered.  No PE was found however noted concerns for possible empyema for which he was given vancomycin and zosyn.  Patient also tested positive for COVID-19  1/17/22: 74-year-old male who is a patient with a PMH of paroxysmal atrial fibrillation on Eliquis, COPD, severe CHF with EF of 20-25% who was admitted from Facility due to no available beds due to acute respiratory distress and hypoxia secondary to COVID-19 pneumonia.  Patient was treated with azithromycin and ceftriaxone which then switched to vancomycin and Zosyn.  He was with hypoxia requiring BiPAP for some time, did not receive remdesivir due to acute kidney injury, no Baricitinib due to empyema, pulmonology were consult.  Patient successfully weaned off oxygen, discussed with pulmonologist regarding loculated right pleural effusion and possibility of empyema.  Pulmonologist found patient appropriate for discharge with close follow-up with his primary pulmonologist.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer vaccine was expired (6/29/2022) patient had no adverse reactions after 35 minutes. Patient was informed. Pfizer and CDC were made aware.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: I contracted COVID-19 on 06/21/2022 with symptoms of fatigue, body aches, headache, fever of 101.8 at highest point, chills, congestion, and diarrhea. I was prescribed Paxlovid on 06/23/2022 and 15 to 20 I took my first dose I began violently throwing up, so I only took 4 doses of it. I was ill for 6 days before my symptoms began to resolve. I am still experiencing lingering fatigue and congestion. I am not fully recovered yet.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/21/2022 with symptoms of fatigue, body aches, headache, fever of 101.8 at highest point, chills, congestion, and diarrhea. I was prescribed Paxlovid on 06/23/2022 and 15 to 20 I took my first dose I began violently throwing up, so I only took 4 doses of it. I was ill for 6 days before my symptoms began to resolve. I am still experiencing lingering fatigue and congestion. I am not fully recovered yet.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I contracted COVID-19 on 06/21/2022 with symptoms of fatigue, body aches, headache, fever of 101.8 at highest point, chills, congestion, and diarrhea. I was prescribed Paxlovid on 06/23/2022 and 15 to 20 I took my first dose I began violently throwing up, so I only took 4 doses of it. I was ill for 6 days before my symptoms began to resolve. I am still experiencing lingering fatigue and congestion. I am not fully recovered yet.
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, COVID-19, Chest X-ray abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: Pfizer Dose 1 1/14/21 (NA) Pfizer Dose 2 2/4/21 (NA) Pfizer Dose 3 10/27/21 (FF2593) COVID Positive 1/15/22 COVID positive 2/6/22  2/5/22: Patient is a 101-year-old female with past medical history of arthritis, osteopenia, hypertension, and atrial fibrillation.  She presented to the emergency department on 02/05/2022 with chief complaint of loose stools and lower extremity edema.  Patient is extremely hard of hearing /essentially deaf and is also a poor historian.  Therefore, history is limited to my discussion with the ED provider. Patient's only complaint when I attempted to talk with her was generalized weakness.  She kept asking repeatedly why it was difficult for her to stand on her legs anymore. In the emergency department, her vital signs were normal and stable with the exception of some mildly low blood pressures.  Her lowest recorded blood pressure was 89/73 but this did improve.  X-rays of her lumbar spine were notable for osteopenia and unchanged compression deformities with no acute findings.  Chest x-ray was notable for bibasilar atelectasis or infiltrate.  CT abdomen and pelvis with contrast was most notable for fecal impaction creating colonic and small-bowel obstruction and pneumatosis of the cecum and ascending colon.  There were multiple other incidental findings as well.    Her lab work was otherwise unremarkable.  General surgery was consulted from the ED.  They recommended conservative management with laxative and enemas.  In the ED, the patient was administered ertapenem for possible colitis given the pneumatosis was mentioned on CT.  She was also administered a Fleet enema and 500 cc of NS.  She was admitted for further monitoring and management due to her old age, frail condition, and borderline hypotension.  2/6/22: Pt was admitted and was started on bowel protocol  She subsequently successfully had a large bowel movement  She remains vitally stable and voiced readiness to discharge back to the nursing home  Antibiotics for UTI  Discussed with her daughter over telephone  Code status DNR  f/u pcp within 3-5d  CBC, CMP post discharge