chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Product administered at inappropriate site, Shoulder operation, Tendon disorder, Tendon rupture
Clinical narrative: When I got the shot, she gave me the shot in the wrong spot. I had pain down my left arm, under arm was swelling up my lymph nodes and pain. I called my gynae and she said I have to wait 4 weeks and I went to my gynae Jan 8th, 2022, for my swollen arm. And I had a mammogram and I had to get an ultrasound Jan 18th because you had nonspecific lymph nodes on left arm and still getting pain. On Jan 25 I went to the PCP and she said put heat and ice on it. On Feb 4th went for another ultrasound for the left arm and it was benign. On March 28 at 1:30 I made an appointment to see a shoulder surgeon he gave me a cortisone shot in my shoulder and it worked for a week in result I had to get an MRI on March 25th they found a tear in there versal in the tendon and I had tendinosis and versal fluid. So, I had to have surgery to repair my left shoulder on April 27th.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: When I got the shot, she gave me the shot in the wrong spot. I had pain down my left arm, under arm was swelling up my lymph nodes and pain. I called my gynae and she said I have to wait 4 weeks and I went to my gynae Jan 8th, 2022, for my swollen arm. And I had a mammogram and I had to get an ultrasound Jan 18th because you had nonspecific lymph nodes on left arm and still getting pain. On Jan 25 I went to the PCP and she said put heat and ice on it. On Feb 4th went for another ultrasound for the left arm and it was benign. On March 28 at 1:30 I made an appointment to see a shoulder surgeon he gave me a cortisone shot in my shoulder and it worked for a week in result I had to get an MRI on March 25th they found a tear in there versal in the tendon and I had tendinosis and versal fluid. So, I had to have surgery to repair my left shoulder on April 27th.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received the 5th dose of the Covid vaccine on this day. It was not in our records that the patient received a 4th dose at her living facility in May of 2022 already; verified this in electronic immunization records and our EHR.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac stress test, Echocardiogram, Ejection fraction, Electrocardiogram
Clinical narrative: VACCINE CAUSED HEART PROBLEMS  - Conclusion minimal ectopy. Symptoms correspond to sinus rhythm or sinus tachycardia or rare PVCs.  PCP - PRESCRIBED RX = PROPRANOLOL 20MG X 1 TABLET 2 TIMES A DAY TO CONTROL TACYCARDIA AND PALPITATIONS.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Extrasystoles, Palpitations, Sinus rhythm, Sinus tachycardia
Clinical narrative: VACCINE CAUSED HEART PROBLEMS  - Conclusion minimal ectopy. Symptoms correspond to sinus rhythm or sinus tachycardia or rare PVCs.  PCP - PRESCRIBED RX = PROPRANOLOL 20MG X 1 TABLET 2 TIMES A DAY TO CONTROL TACYCARDIA AND PALPITATIONS.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Ventricular extrasystoles
Clinical narrative: VACCINE CAUSED HEART PROBLEMS  - Conclusion minimal ectopy. Symptoms correspond to sinus rhythm or sinus tachycardia or rare PVCs.  PCP - PRESCRIBED RX = PROPRANOLOL 20MG X 1 TABLET 2 TIMES A DAY TO CONTROL TACYCARDIA AND PALPITATIONS.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood erythropoietin, Blood lactate dehydrogenase, Blood test, Dizziness, Dyspnoea
Clinical narrative: With my regular check up with primary care, they did lab work. The blood work showed a drop in hemoglobin down to 9. I still have more tests, but I don't have all the results yet. The hematologist also noted some tear-drop shaped blood cells. They ran the tests for them but haven't gotten the results back yet for that either. The hematologist requested additional tests. The additional tests were for erythropoietin level, reticulocyte count, LDH, and haptoglobin, waiting for results. Tests were done two days ago. The hematologist also said depending on the results, we may also need to do a bone marrow test. My PCP is thinking that some of the symptoms I've been complaining about is the result of the hemoglobin level. Symptoms have been feeling cold a lot lately, out of breath at times without doing anything, and getting dizzy a lot.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Haemoglobin decreased, Haptoglobin, Laboratory test, Reticulocyte count
Clinical narrative: With my regular check up with primary care, they did lab work. The blood work showed a drop in hemoglobin down to 9. I still have more tests, but I don't have all the results yet. The hematologist also noted some tear-drop shaped blood cells. They ran the tests for them but haven't gotten the results back yet for that either. The hematologist requested additional tests. The additional tests were for erythropoietin level, reticulocyte count, LDH, and haptoglobin, waiting for results. Tests were done two days ago. The hematologist also said depending on the results, we may also need to do a bone marrow test. My PCP is thinking that some of the symptoms I've been complaining about is the result of the hemoglobin level. Symptoms have been feeling cold a lot lately, out of breath at times without doing anything, and getting dizzy a lot.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Patient sat down in waiting area of pharmacy after receiving vaccine. Within a few minutes patient was feeling faint, lightheaded, and dizzy. Patient fainted and did not respond verbally for a few minutes. EMS was called. Within few minutes, patient came to and became responsive. EMS checked out patient and patient refused to be transported to hospital.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient's mother did not disclose that patient already had its booster dose. Booster dose was completed at a pharmacy and not entered into patient's chart. This equated to the patients 4th dose.  Staff discovered it was an extra booster when mother handed over vaccine record card that showed the three previous doses. Patient was monitored for 40 mins in office and mother was explained situation too. Patient and mother had no concerns. Told to contact office should symptoms arise. No contact has been made dose 1: 6/25/21 dose 2: 7/16/21 booster 1: 1/14/22 booster 2: 6/8/22
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product storage error
Clinical narrative: Patient arrived for 4th booster. Right patient, dose, Med, Route and time completed.  However, the Moderna that was used was left out for over 24 hours. 27 hours approximately.  Patient notified that dose may not be viable and he may need to come back to the clinic an get another one.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Aspiration pleural cavity, COVID-19, Death, Endotracheal intubation
Clinical narrative: Pt had a positive COVID test on 8/31/21 and was hospitalized, treated and dc'd; 9/26/21 Pt was brought back to ED from for low BP and increased pulse; presumptive dx of sepsis; given ABX; found to have a low Hgb and HCT; transfused with packed RBCs;  pleural effusion; thoracentesis; acute renal failure; did not want dialysis; on 10/3/21 his respiratory status deteriorated; transferred to ICU and was intubated; MRSA infection; status changed to comfort measures and he passed away in the hospital on 10/5/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Heart rate increased, Hypotension, Intensive care
Clinical narrative: Pt had a positive COVID test on 8/31/21 and was hospitalized, treated and dc'd; 9/26/21 Pt was brought back to ED from for low BP and increased pulse; presumptive dx of sepsis; given ABX; found to have a low Hgb and HCT; transfused with packed RBCs;  pleural effusion; thoracentesis; acute renal failure; did not want dialysis; on 10/3/21 his respiratory status deteriorated; transferred to ICU and was intubated; MRSA infection; status changed to comfort measures and he passed away in the hospital on 10/5/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, Red blood cell transfusion, Respiratory disorder, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pt had a positive COVID test on 8/31/21 and was hospitalized, treated and dc'd; 9/26/21 Pt was brought back to ED from for low BP and increased pulse; presumptive dx of sepsis; given ABX; found to have a low Hgb and HCT; transfused with packed RBCs;  pleural effusion; thoracentesis; acute renal failure; did not want dialysis; on 10/3/21 his respiratory status deteriorated; transferred to ICU and was intubated; MRSA infection; status changed to comfort measures and he passed away in the hospital on 10/5/21.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcal infection
Clinical narrative: Pt had a positive COVID test on 8/31/21 and was hospitalized, treated and dc'd; 9/26/21 Pt was brought back to ED from for low BP and increased pulse; presumptive dx of sepsis; given ABX; found to have a low Hgb and HCT; transfused with packed RBCs;  pleural effusion; thoracentesis; acute renal failure; did not want dialysis; on 10/3/21 his respiratory status deteriorated; transferred to ICU and was intubated; MRSA infection; status changed to comfort measures and he passed away in the hospital on 10/5/21.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Lymphadenopathy
Clinical narrative: Swollen lymph nodes in neck, I was told this would go away in a few days and a year later they are still swollen. Feels like a hard marble in my neck
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Feeling abnormal, Headache, Loss of consciousness
Clinical narrative: My neck swelled up on the inside and it was a really weird feeling. I was having difficulty breathing, it felt like a tube was in my throat. I had a pain going from my neck to the side of my skull. I eventually consciousness. The call center wouldn't let me talk to a doctor. I passed out, and finally was seen by a doctor. When I regained consciousness again, the doctor performed a mini examination on me by feeling the side of my throat. The doctor administered a prednisone shot for me; I took about two weeks to recover from that. I did notice the series of the vaccine that I have extreme heart palpitations and anxiety caused my symptoms to being worse since receiving the vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Oropharyngeal discomfort, Palpitations, Swelling
Clinical narrative: My neck swelled up on the inside and it was a really weird feeling. I was having difficulty breathing, it felt like a tube was in my throat. I had a pain going from my neck to the side of my skull. I eventually consciousness. The call center wouldn't let me talk to a doctor. I passed out, and finally was seen by a doctor. When I regained consciousness again, the doctor performed a mini examination on me by feeling the side of my throat. The doctor administered a prednisone shot for me; I took about two weeks to recover from that. I did notice the series of the vaccine that I have extreme heart palpitations and anxiety caused my symptoms to being worse since receiving the vaccine.
Age: 0.33
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13
Symptoms: No adverse event, Wrong product administered
Clinical narrative: none, patient was given the wrong vaccine for their age group.  At 4 months patient should have been given Pentacel, but patient was given Kinrix which is for children ages 4 to 6 years.  Pt had  no side effects/adverse reactions from the vaccine.  Patient is scheduled to follow up with his PCP to be revaccinated.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Mass, SARS-CoV-2 test
Clinical narrative: I have strong immune response. The next day I had a softball size lump on my shoulder. I caught the Omicron variant after the 2nd dose of the Moderna vaccine. The doctor said to give it time to go away. My doctor thought that I was having a immune response due to being fully vaccinated and having COVID-19. She indicated that my immune system was hyperactive. I was prescribed 50mg Hydroxyzine to take every 6 hours. All of my symptoms have subsided and I have completely recovered.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Electrocardiogram, Headache, Hyperhidrosis
Clinical narrative: Brief Notes: Patient initially was here for COVID vaccine Non-Provider visit.    Immediately, after vaccine she started having sweats, dyspnea and anxiety.    BP 138/100, hr 80, O2 97% CHEST: RRR without murmur LUNGS: CTA SKIN: No erythema, swelling.    EKG NSR with rate 73.    Pt had similar reaction after her first COVID vaccine. She went to ER after 2 days. Work up was negative. She was told this to be secondary to her Fibromyalgia.    Cold rags, water was provided.  Patient rested.  With observation, symptoms did improve.  She has mild headache, otherwise no chest pain, dyspnea, dizziness, nausea after 10 minutes.    Patient was observed for 30 minutes.  Did well with ambulation Discharged home with significant other Signs and symptoms to seek immediate medical attention discussed in detail.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Similar reaction on previous exposure to drug, Sinus rhythm
Clinical narrative: Brief Notes: Patient initially was here for COVID vaccine Non-Provider visit.    Immediately, after vaccine she started having sweats, dyspnea and anxiety.    BP 138/100, hr 80, O2 97% CHEST: RRR without murmur LUNGS: CTA SKIN: No erythema, swelling.    EKG NSR with rate 73.    Pt had similar reaction after her first COVID vaccine. She went to ER after 2 days. Work up was negative. She was told this to be secondary to her Fibromyalgia.    Cold rags, water was provided.  Patient rested.  With observation, symptoms did improve.  She has mild headache, otherwise no chest pain, dyspnea, dizziness, nausea after 10 minutes.    Patient was observed for 30 minutes.  Did well with ambulation Discharged home with significant other Signs and symptoms to seek immediate medical attention discussed in detail.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, COVID-19 pneumonia, Computerised tomogram head normal
Clinical narrative: 1/17/21 pt presents to ED with diarrhea, nausea, hx of a fall within last few days where he hit his head; unsure if lost consciousness; found to be positive for COVID; on 2L O2 via NC; AKI; AHRF secondary to COVID pneumonia; CT of head is negative for acute pathology; COVID treatment protocol followed; pt's overall condition worsened; worsened respiratory status; status changed to comfort measures only and pt expired in the hospital
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Fall, General physical health deterioration, Head injury
Clinical narrative: 1/17/21 pt presents to ED with diarrhea, nausea, hx of a fall within last few days where he hit his head; unsure if lost consciousness; found to be positive for COVID; on 2L O2 via NC; AKI; AHRF secondary to COVID pneumonia; CT of head is negative for acute pathology; COVID treatment protocol followed; pt's overall condition worsened; worsened respiratory status; status changed to comfort measures only and pt expired in the hospital
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive
Clinical narrative: 1/17/21 pt presents to ED with diarrhea, nausea, hx of a fall within last few days where he hit his head; unsure if lost consciousness; found to be positive for COVID; on 2L O2 via NC; AKI; AHRF secondary to COVID pneumonia; CT of head is negative for acute pathology; COVID treatment protocol followed; pt's overall condition worsened; worsened respiratory status; status changed to comfort measures only and pt expired in the hospital
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Extra dose administered
Clinical narrative: Child may have received two Menactra vaccines.
Age: 34.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Chills, Cough, Fatigue, Impaired work ability
Clinical narrative: My 1st and 2nd dose was Pfizer. I started getting symptoms of postnasal drip which was mild. Then the next day, I was tired and achy. 2 days later the cough started and a severe runny nose. I took an at home COVID-19 test that was positive. The cough got worse and worse while lots of mucus. I took DAYQUIL and was worried about getting my children sick. I also had chills and intense jaw pain that developed. I was out of work for 2 weeks. I was in communication from my doctor and received a prescription for PAXLOVID but once I read the side effects, it is not recommended for breast feeding so I did not take it. The fatigue and cough lasted longer than 2 weeks. My other symptoms lasted the first week. I still have a residual cough.
Age: 34.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain, Pain in jaw, Productive cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: My 1st and 2nd dose was Pfizer. I started getting symptoms of postnasal drip which was mild. Then the next day, I was tired and achy. 2 days later the cough started and a severe runny nose. I took an at home COVID-19 test that was positive. The cough got worse and worse while lots of mucus. I took DAYQUIL and was worried about getting my children sick. I also had chills and intense jaw pain that developed. I was out of work for 2 weeks. I was in communication from my doctor and received a prescription for PAXLOVID but once I read the side effects, it is not recommended for breast feeding so I did not take it. The fatigue and cough lasted longer than 2 weeks. My other symptoms lasted the first week. I still have a residual cough.
Age: 34.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Upper-airway cough syndrome
Clinical narrative: My 1st and 2nd dose was Pfizer. I started getting symptoms of postnasal drip which was mild. Then the next day, I was tired and achy. 2 days later the cough started and a severe runny nose. I took an at home COVID-19 test that was positive. The cough got worse and worse while lots of mucus. I took DAYQUIL and was worried about getting my children sick. I also had chills and intense jaw pain that developed. I was out of work for 2 weeks. I was in communication from my doctor and received a prescription for PAXLOVID but once I read the side effects, it is not recommended for breast feeding so I did not take it. The fatigue and cough lasted longer than 2 weeks. My other symptoms lasted the first week. I still have a residual cough.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Vaccination site bruising, Vaccination site erythema, Vaccination site warmth
Clinical narrative: PER PT SHE IS EXPERIENCING A FEW SIDE EFFECTS OF THIS VACCINE.  1. SOREARM - USE ICE PAK AND ARNICA PAIN OINTMENT  2. VACCINATION SITE IS HOT, RED AND BACK/BLUE MARK ABOUT 3 INCHES
Age: 51.0
Sex: F
Vaccine: TYP
Symptoms: Diarrhoea, Headache, Muscle spasms, Nausea, Pyrexia
Clinical narrative: Patient took dose #1 on 6/1/22. On 6/2, started developing severe diarrhea, cramping, nausea, headache, and fever reaching 103 degF. The diarrhea improved and patient took dose #2 on 6/3/22, but continued to have a headache to this date. The fever lasted total 3 days.  Patient took tylenol for her symptoms, which helped. She did not have to seek medical attention.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: Sunday, June 5, 2022 late that night I had a scratchy throat. Monday I had to start blowing my nose a lot, and developed a cough that increased throughout the day. On Wednesday I took a home COVID-19 test in the morning it came back positive, I retested in the afternoon it also came back positive. After the second test came back positive I called my Primary Care Physician, after a series of questions he prescribed PAXLOVID that I am currently taking. I started taking this yesterday so I cannot give information on the efficacy of the medication.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Oligomenorrhoea
Clinical narrative: Since I got the vaccine my menstrual cycle has been completely messed up. My cycle used to be 29-31 days and since I got vaccinated they have almost DOUBLED. My current cycle is at 58 days so far. My period was supposed to start 23 days ago, but I?m still waiting on it. My last cycle was 46 days. The one before that was 51 days.  My husband and I want to start trying for a baby soon, I?m very concerned how this is going to affect that. I wasn?t going to report this even, but after dealing with this for a year now I thought it would be a good idea to report it. Even though it?s not life threatening, if it affects women?s ability to conceive a baby then it is a big deal.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram normal, Dysstasia, Fatigue, Laboratory test normal
Clinical narrative: Starting 2 days after the vaccine dose, I had severe fatigue that went on to last at least 7 days. Then, it slowly faded. About the same onset of time, I had sort of weakness. I couldn't even stand up for very long periods of time. Holding my arms up to wash my hair, my arms would get really fatigued. I would describe it as a muscle fatigue. I had zero strength. Going up my floor of stairs in my house, I would get really tired. It was kind of all over in all muscle groups but more noticeable in my shoulders and thighs, large muscle groups that I wouldn't expect a lot of fatigue from. It's a remarkable change for me because I run and hike around 40 miles per week. So, not even being able to hold my arms up to wash my hair is extremely unusual.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle fatigue
Clinical narrative: Starting 2 days after the vaccine dose, I had severe fatigue that went on to last at least 7 days. Then, it slowly faded. About the same onset of time, I had sort of weakness. I couldn't even stand up for very long periods of time. Holding my arms up to wash my hair, my arms would get really fatigued. I would describe it as a muscle fatigue. I had zero strength. Going up my floor of stairs in my house, I would get really tired. It was kind of all over in all muscle groups but more noticeable in my shoulders and thighs, large muscle groups that I wouldn't expect a lot of fatigue from. It's a remarkable change for me because I run and hike around 40 miles per week. So, not even being able to hold my arms up to wash my hair is extremely unusual.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Contusion, Erythema, Laboratory test normal, Purpura, Skin reaction
Clinical narrative: Topical skin reaction, red spots that look similar to bruising or purpura. Not itching. Usually shows on chest and arms. The reaction seemed worsen after each dose. Hematologist said all lab work was normal and dermatologist said it looked like purpura.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Cough, Fatigue, Headache
Clinical narrative: COVID-19 Breakthrough. Last Saturday night I got a sore throat. On Sunday in the morning, I woke up with congestion and runny nose. Then that afternoon I had fatigue, muscle soreness, lost of taste (I couldn't taste anything sweet), and headache. By Monday afternoon, pretty much everything was gone except for congestion and a little cough.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: COVID-19 Breakthrough. Last Saturday night I got a sore throat. On Sunday in the morning, I woke up with congestion and runny nose. Then that afternoon I had fatigue, muscle soreness, lost of taste (I couldn't taste anything sweet), and headache. By Monday afternoon, pretty much everything was gone except for congestion and a little cough.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID-19 Breakthrough. Last Saturday night I got a sore throat. On Sunday in the morning, I woke up with congestion and runny nose. Then that afternoon I had fatigue, muscle soreness, lost of taste (I couldn't taste anything sweet), and headache. By Monday afternoon, pretty much everything was gone except for congestion and a little cough.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood lactic acid increased, COVID-19, Computerised tomogram thorax abnormal, Lactic acidosis
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/2/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: Non-small cell carcinoma of lung, stage 4, unspecified laterality (HCC)    HOSPITAL COURSE: Patient is a 85 y.o. with a history of stage IV squamous cell carcinoma of the lung, a gastric cancer status post resection, Sjogren's on Plaquenil, breast cancer, hypertension, hyperlipidemia, PVD presented to the hospital with abdominal pain.  She was septic on admission with a leukocytosis of 33 and a lactic acidosis of 3.2 which resolved with fluid resuscitation.  COVID testing was positive.  CT imaging was consistent with post obstruction pneumonia secondary to lung mass.  Pulmonology was consulted and recommended broad-spectrum antibiotics, she completed 5 days of Zosyn.  GI was consulted due to melena and recommended proton pump inhibitor therapy and to defer endoscopy.  On admission, she was adamant about full code status.  Palliative Care and heme Onc had an extensive goals of care discussion regarding the prognosis of her cancer.  They told her that with or without palliative chemotherapy her likely prognosis is within the span of weeks to months.  She and her family chose to pursue do not resuscitate while admitted and hospice on discharge.   On 06/08/2022 she was discharged in stable condition to home with hospice.   Medications were reviewed and all questions were answered.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Leukocytosis, Melaena, Non-small cell lung cancer stage IV, Pneumonia, Pulmonary mass
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/2/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: Non-small cell carcinoma of lung, stage 4, unspecified laterality (HCC)    HOSPITAL COURSE: Patient is a 85 y.o. with a history of stage IV squamous cell carcinoma of the lung, a gastric cancer status post resection, Sjogren's on Plaquenil, breast cancer, hypertension, hyperlipidemia, PVD presented to the hospital with abdominal pain.  She was septic on admission with a leukocytosis of 33 and a lactic acidosis of 3.2 which resolved with fluid resuscitation.  COVID testing was positive.  CT imaging was consistent with post obstruction pneumonia secondary to lung mass.  Pulmonology was consulted and recommended broad-spectrum antibiotics, she completed 5 days of Zosyn.  GI was consulted due to melena and recommended proton pump inhibitor therapy and to defer endoscopy.  On admission, she was adamant about full code status.  Palliative Care and heme Onc had an extensive goals of care discussion regarding the prognosis of her cancer.  They told her that with or without palliative chemotherapy her likely prognosis is within the span of weeks to months.  She and her family chose to pursue do not resuscitate while admitted and hospice on discharge.   On 06/08/2022 she was discharged in stable condition to home with hospice.   Medications were reviewed and all questions were answered.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, White blood cell count increased
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/2/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: Non-small cell carcinoma of lung, stage 4, unspecified laterality (HCC)    HOSPITAL COURSE: Patient is a 85 y.o. with a history of stage IV squamous cell carcinoma of the lung, a gastric cancer status post resection, Sjogren's on Plaquenil, breast cancer, hypertension, hyperlipidemia, PVD presented to the hospital with abdominal pain.  She was septic on admission with a leukocytosis of 33 and a lactic acidosis of 3.2 which resolved with fluid resuscitation.  COVID testing was positive.  CT imaging was consistent with post obstruction pneumonia secondary to lung mass.  Pulmonology was consulted and recommended broad-spectrum antibiotics, she completed 5 days of Zosyn.  GI was consulted due to melena and recommended proton pump inhibitor therapy and to defer endoscopy.  On admission, she was adamant about full code status.  Palliative Care and heme Onc had an extensive goals of care discussion regarding the prognosis of her cancer.  They told her that with or without palliative chemotherapy her likely prognosis is within the span of weeks to months.  She and her family chose to pursue do not resuscitate while admitted and hospice on discharge.   On 06/08/2022 she was discharged in stable condition to home with hospice.   Medications were reviewed and all questions were answered.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes virus infection
Clinical narrative: In 12/28 I had a herpes outbreak. After that I went to my doctor who prescribe me VALTREX. I felt much better after a week.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Fatigue, Mobility decreased, Pain in extremity, Pyrexia
Clinical narrative: I had the sore arm, slight fever, and fatigue. About 2 days later, I had extreme fatigue in my central muscles, the large muscles in my legs and arms. Difficulty standing for any length of time, going up and down stairs, or holding my arms above my head for any length of time.
Age: 52.0
Sex: F
Vaccine: HEP, HEP
Symptoms: No adverse event, Underdose
Clinical narrative: Patient has had no adverse reactions.  Patient was mistakenly administered a 0.5ml pediatrics dose of Hep B  instead of 1ml adult dose
Age: 52.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age, Product use issue
Clinical narrative: Patient has had no adverse reactions.  Patient was mistakenly administered a 0.5ml pediatrics dose of Hep B  instead of 1ml adult dose
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was vaccinated and was <5 years of age.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Cold sweat, Injection site erythema, Injection site mass, Injection site pain, Injection site swelling
Clinical narrative: cold sweats, fever of 100.9 at highest,  knot at injection site,, soreness, redness, pain, swelling
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Pyrexia
Clinical narrative: cold sweats, fever of 100.9 at highest,  knot at injection site,, soreness, redness, pain, swelling
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered past the expiration or beyond-use date
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, COVID-19, Chest X-ray normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/6/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19 virus infection COVID-19    HOSPITAL COURSE: 79 y/o F with a PMHx of chronic lower back pain, progressive age-related cognitive decline, depression, overactive bladder and recurrent UTI who presented with weakness. She also reported associated subjective fevers, chills, headache, shortness of breath, confusion, fatigue, and frequent falls. She also had diarrhea prior to presentation.   In the ED patient was found to be afebrile with vital signs WNL.  Ambulatory pulse ox showed oxygen saturation dropped to 86% on room air.  CBC WNL.  CMP with hyponatremia 130 and AKI with creatinine 1.58 otherwise WNL. COVID-19 PCR was positive. CXR negative for acute changes. Urine culture from 6/3 was significant for Enterococcus. EKG showed sinus rhythm with Qtc 443. Patient was given Decadron, 1L IVF bolus, fosfomycin and transferred to a hospital for observation.   Patient's diarrhea resolved and her symptoms improved. AKI and hyponatremia were most likely due to GI losses from diarrhea and were improving with IV fluids. She was not requiring oxygen and did not complain of SOB. PT/OT recommended home with assist and a 4-wheeled walker. Home care was arranged and a walker was delivered. Patient was discharged home in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Confusional state, Culture urine positive, Diarrhoea, Dyspnoea
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/6/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19 virus infection COVID-19    HOSPITAL COURSE: 79 y/o F with a PMHx of chronic lower back pain, progressive age-related cognitive decline, depression, overactive bladder and recurrent UTI who presented with weakness. She also reported associated subjective fevers, chills, headache, shortness of breath, confusion, fatigue, and frequent falls. She also had diarrhea prior to presentation.   In the ED patient was found to be afebrile with vital signs WNL.  Ambulatory pulse ox showed oxygen saturation dropped to 86% on room air.  CBC WNL.  CMP with hyponatremia 130 and AKI with creatinine 1.58 otherwise WNL. COVID-19 PCR was positive. CXR negative for acute changes. Urine culture from 6/3 was significant for Enterococcus. EKG showed sinus rhythm with Qtc 443. Patient was given Decadron, 1L IVF bolus, fosfomycin and transferred to a hospital for observation.   Patient's diarrhea resolved and her symptoms improved. AKI and hyponatremia were most likely due to GI losses from diarrhea and were improving with IV fluids. She was not requiring oxygen and did not complain of SOB. PT/OT recommended home with assist and a 4-wheeled walker. Home care was arranged and a walker was delivered. Patient was discharged home in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Enterococcus test positive, Fall, Fatigue, Full blood count normal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/6/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19 virus infection COVID-19    HOSPITAL COURSE: 79 y/o F with a PMHx of chronic lower back pain, progressive age-related cognitive decline, depression, overactive bladder and recurrent UTI who presented with weakness. She also reported associated subjective fevers, chills, headache, shortness of breath, confusion, fatigue, and frequent falls. She also had diarrhea prior to presentation.   In the ED patient was found to be afebrile with vital signs WNL.  Ambulatory pulse ox showed oxygen saturation dropped to 86% on room air.  CBC WNL.  CMP with hyponatremia 130 and AKI with creatinine 1.58 otherwise WNL. COVID-19 PCR was positive. CXR negative for acute changes. Urine culture from 6/3 was significant for Enterococcus. EKG showed sinus rhythm with Qtc 443. Patient was given Decadron, 1L IVF bolus, fosfomycin and transferred to a hospital for observation.   Patient's diarrhea resolved and her symptoms improved. AKI and hyponatremia were most likely due to GI losses from diarrhea and were improving with IV fluids. She was not requiring oxygen and did not complain of SOB. PT/OT recommended home with assist and a 4-wheeled walker. Home care was arranged and a walker was delivered. Patient was discharged home in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyponatraemia, Metabolic function test abnormal, Oxygen saturation decreased, Pyrexia
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/6/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19 virus infection COVID-19    HOSPITAL COURSE: 79 y/o F with a PMHx of chronic lower back pain, progressive age-related cognitive decline, depression, overactive bladder and recurrent UTI who presented with weakness. She also reported associated subjective fevers, chills, headache, shortness of breath, confusion, fatigue, and frequent falls. She also had diarrhea prior to presentation.   In the ED patient was found to be afebrile with vital signs WNL.  Ambulatory pulse ox showed oxygen saturation dropped to 86% on room air.  CBC WNL.  CMP with hyponatremia 130 and AKI with creatinine 1.58 otherwise WNL. COVID-19 PCR was positive. CXR negative for acute changes. Urine culture from 6/3 was significant for Enterococcus. EKG showed sinus rhythm with Qtc 443. Patient was given Decadron, 1L IVF bolus, fosfomycin and transferred to a hospital for observation.   Patient's diarrhea resolved and her symptoms improved. AKI and hyponatremia were most likely due to GI losses from diarrhea and were improving with IV fluids. She was not requiring oxygen and did not complain of SOB. PT/OT recommended home with assist and a 4-wheeled walker. Home care was arranged and a walker was delivered. Patient was discharged home in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus rhythm, Walking aid user
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/6/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19 virus infection COVID-19    HOSPITAL COURSE: 79 y/o F with a PMHx of chronic lower back pain, progressive age-related cognitive decline, depression, overactive bladder and recurrent UTI who presented with weakness. She also reported associated subjective fevers, chills, headache, shortness of breath, confusion, fatigue, and frequent falls. She also had diarrhea prior to presentation.   In the ED patient was found to be afebrile with vital signs WNL.  Ambulatory pulse ox showed oxygen saturation dropped to 86% on room air.  CBC WNL.  CMP with hyponatremia 130 and AKI with creatinine 1.58 otherwise WNL. COVID-19 PCR was positive. CXR negative for acute changes. Urine culture from 6/3 was significant for Enterococcus. EKG showed sinus rhythm with Qtc 443. Patient was given Decadron, 1L IVF bolus, fosfomycin and transferred to a hospital for observation.   Patient's diarrhea resolved and her symptoms improved. AKI and hyponatremia were most likely due to GI losses from diarrhea and were improving with IV fluids. She was not requiring oxygen and did not complain of SOB. PT/OT recommended home with assist and a 4-wheeled walker. Home care was arranged and a walker was delivered. Patient was discharged home in stable condition.
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Acute respiratory failure, Angiogram cerebral normal, Arteriogram carotid normal, Asthenia, Asthma
Clinical narrative: Admission Date: 6/7/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: 66-year-old female with a past medical history significant for CML as well as self-reported history of asthma and previous COVID-19 vaccination who presents due to complaints of generalized weakness as well as headache and neck pain.   Patient states he has been at her baseline state of health up until the morning of 06/06/2022.  She states he has been feeling well has had no complaints that she thought were related to infection.  However, after awakening 06/06/2022, she complained of generalized weakness.  She states that while she normally ambulates around the house with no assistive devices although she does use a cane and walker outside the house, she felt like her legs at home today were much weaker than usual.  She had no numbness or tingling.  She did report a headache with some neck pain but she had no visual changes and no photophobia.  With her symptoms she was concerned that she may have had a stroke and because of this, she presented to the emergency department.   In the emergency department the patient was hemodynamically stable and afebrile.  Low suspicion was had for a stroke based on the patient's clinical exam and she did undergo CT angiography of the head and neck as well as CT of the head unenhanced.  No acute pathology was seen on imaging.  However, the patient did test positive for COVID-19 and with ambulation, her oxygen saturation would drop to the mid 80% range and she would become quite tachycardic.  Because of this, she was thought to warrant observation in the hospital and she was started on dexamethasone by the ER provider.   in-house:  patient presented with generalized weakness as well as headache and neck pain, she was admitted for acute hypoxemic respiratory failure secondary to what was suspected to be a COVID-19 mediated asthma exacerbation. patient was started on prednisone (she was given a dose of dexamethasone in the ED) and nebulizers; micro studies were sent were sent as well. a CXR was obtained and steroids were switched to dexamethasone, procalcitonin and the rest of her 'COVID labs' (d-dimer, ESR, and troponin) were unremarkable. pulmonary rehab saw her and set her up with home oxygen, suspect a component of her hypoxemia (if not all of it) is related to underlying lung disease. patient was arranged to be followed by 'Transition to Home' service. at the time of discharge patient was in good spirits and eager to leave. she said she felt slightly weak (ambulated the halls fine) and head her usual daily morning SOB. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: COVID-19, Chest X-ray, Computerised tomogram head normal, Condition aggravated, Dyspnoea
Clinical narrative: Admission Date: 6/7/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: 66-year-old female with a past medical history significant for CML as well as self-reported history of asthma and previous COVID-19 vaccination who presents due to complaints of generalized weakness as well as headache and neck pain.   Patient states he has been at her baseline state of health up until the morning of 06/06/2022.  She states he has been feeling well has had no complaints that she thought were related to infection.  However, after awakening 06/06/2022, she complained of generalized weakness.  She states that while she normally ambulates around the house with no assistive devices although she does use a cane and walker outside the house, she felt like her legs at home today were much weaker than usual.  She had no numbness or tingling.  She did report a headache with some neck pain but she had no visual changes and no photophobia.  With her symptoms she was concerned that she may have had a stroke and because of this, she presented to the emergency department.   In the emergency department the patient was hemodynamically stable and afebrile.  Low suspicion was had for a stroke based on the patient's clinical exam and she did undergo CT angiography of the head and neck as well as CT of the head unenhanced.  No acute pathology was seen on imaging.  However, the patient did test positive for COVID-19 and with ambulation, her oxygen saturation would drop to the mid 80% range and she would become quite tachycardic.  Because of this, she was thought to warrant observation in the hospital and she was started on dexamethasone by the ER provider.   in-house:  patient presented with generalized weakness as well as headache and neck pain, she was admitted for acute hypoxemic respiratory failure secondary to what was suspected to be a COVID-19 mediated asthma exacerbation. patient was started on prednisone (she was given a dose of dexamethasone in the ED) and nebulizers; micro studies were sent were sent as well. a CXR was obtained and steroids were switched to dexamethasone, procalcitonin and the rest of her 'COVID labs' (d-dimer, ESR, and troponin) were unremarkable. pulmonary rehab saw her and set her up with home oxygen, suspect a component of her hypoxemia (if not all of it) is related to underlying lung disease. patient was arranged to be followed by 'Transition to Home' service. at the time of discharge patient was in good spirits and eager to leave. she said she felt slightly weak (ambulated the halls fine) and head her usual daily morning SOB. all questions and concerns addressed, all meds and follow-ups reviewed.
Age: 66.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Fibrin D dimer normal, Headache, Hypoxia, Muscular weakness, Neck pain
Clinical narrative: Admission Date: 6/7/2022 Discharge Date: Jun 8, 2022  PRESENTING PROBLEM: COVID-19    HOSPITAL COURSE: 66-year-old female with a past medical history significant for CML as well as self-reported history of asthma and previous COVID-19 vaccination who presents due to complaints of generalized weakness as well as headache and neck pain.   Patient states he has been at her baseline state of health up until the morning of 06/06/2022.  She states he has been feeling well has had no complaints that she thought were related to infection.  However, after awakening 06/06/2022, she complained of generalized weakness.  She states that while she normally ambulates around the house with no assistive devices although she does use a cane and walker outside the house, she felt like her legs at home today were much weaker than usual.  She had no numbness or tingling.  She did report a headache with some neck pain but she had no visual changes and no photophobia.  With her symptoms she was concerned that she may have had a stroke and because of this, she presented to the emergency department.   In the emergency department the patient was hemodynamically stable and afebrile.  Low suspicion was had for a stroke based on the patient's clinical exam and she did undergo CT angiography of the head and neck as well as CT of the head unenhanced.  No acute pathology was seen on imaging.  However, the patient did test positive for COVID-19 and with ambulation, her oxygen saturation would drop to the mid 80% range and she would become quite tachycardic.  Because of this, she was thought to warrant observation in the hospital and she was started on dexamethasone by the ER provider.   in-house:  patient presented with generalized weakness as well as headache and neck pain, she was admitted for acute hypoxemic respiratory failure secondary to what was suspected to be a COVID-19 mediated asthma exacerbation. patient was started on prednisone (she was given a dose of dexamethasone in the ED) and nebulizers; micro studies were sent were sent as well. a CXR was obtained and steroids were switched to dexamethasone, procalcitonin and the rest of her 'COVID labs' (d-dimer, ESR, and troponin) were unremarkable. pulmonary rehab saw her and set her up with home oxygen, suspect a component of her hypoxemia (if not all of it) is related to underlying lung disease. patient was arranged to be followed by 'Transition to Home' service. at the time of discharge patient was in good spirits and eager to leave. she said she felt slightly weak (ambulated the halls fine) and head her usual daily morning SOB. all questions and concerns addressed, all meds and follow-ups reviewed.