chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Feeling abnormal, Headache, Nasopharyngitis
Clinical narrative: I woke up on the 19th and felt like I had a really bad cold all of a sudden. I had a headache, congestion and coughing but I just assumed it was a cold. I took a shower and some medication but was still feeling badly so I tested for COVID-19 with an at home test which came back positive. I spoke with my doctor over the phone who prescribed Paxlovid. I had to wait 72 hours to begin that treatment since I had already taken the migraine medication. So I began that treatment on 4/29. I still have a bit of a cough but am otherwise feeling better.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I woke up on the 19th and felt like I had a really bad cold all of a sudden. I had a headache, congestion and coughing but I just assumed it was a cold. I took a shower and some medication but was still feeling badly so I tested for COVID-19 with an at home test which came back positive. I spoke with my doctor over the phone who prescribed Paxlovid. I had to wait 72 hours to begin that treatment since I had already taken the migraine medication. So I began that treatment on 4/29. I still have a bit of a cough but am otherwise feeling better.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Herpes zoster
Clinical narrative: Starting the night of receiving the vaccine, I developed a warm sensation all over my body. The next day I went to work and I had to keep drinking fluids but I couldn't get rid of that warm feeling. This lasted for a couple days then resolved its own. This past Monday (05/02/2022) I developed another shingles episode less than a month from receiving my last booster dose. I have been having episodes since my gastric sleeve surgery (2018) but its been awhile since I have had one. It always pops up on the left arm, which happens to be the same arm I got the vaccine in.
Age: 31.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: I had COVID-19. I was really tired and exhausted. By Sunday, I had a bad throat pain. By Monday, My body started aching. I didn't have a thermometer but I knew I had a fever. I also had night sweats. These symptoms lasted for about 2-3 days. The congestion and cough lasted for about 10 days. I felt short of breath as well. I was also extremely congested. I also had a really bad headache.
Age: 31.0
Sex: U
Vaccine: COVID19
Symptoms: Night sweats, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: I had COVID-19. I was really tired and exhausted. By Sunday, I had a bad throat pain. By Monday, My body started aching. I didn't have a thermometer but I knew I had a fever. I also had night sweats. These symptoms lasted for about 2-3 days. The congestion and cough lasted for about 10 days. I felt short of breath as well. I was also extremely congested. I also had a really bad headache.
Age: 31.0
Sex: U
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had COVID-19. I was really tired and exhausted. By Sunday, I had a bad throat pain. By Monday, My body started aching. I didn't have a thermometer but I knew I had a fever. I also had night sweats. These symptoms lasted for about 2-3 days. The congestion and cough lasted for about 10 days. I felt short of breath as well. I was also extremely congested. I also had a really bad headache.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: Patient was administered vaccine that was greater than 12 hours post first vial puncture. Patient did not exhibit any adverse reaction post administration.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Increased appetite, Malaise, Pyrexia, Weight decreased
Clinical narrative: I had a fever and fatigue for awhile. Then that went away I just had an unusually healthy appetite and gained 40 pounds with a lot of fatigue. I just didn't feel well. This lasted about 6 months and I now I've lost 20 lbs. since then.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Weight increased
Clinical narrative: I had a fever and fatigue for awhile. Then that went away I just had an unusually healthy appetite and gained 40 pounds with a lot of fatigue. I just didn't feel well. This lasted about 6 months and I now I've lost 20 lbs. since then.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered vaccine that was greater than 12 hours post first vial puncture. Patient did not exhibit any adverse reaction post administration.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Cardiac disorder, Cardio-respiratory arrest, Feeling abnormal
Clinical narrative: I woke up at 2AM I could tell that my heart was not feeling right. I took three aspirins and my wife and I drove to the ER of the closest hospital. They found that I was in A-Fib and needed surgery. I was transferred from the local hospital to another one. There I flatlined in the ER waiting to be admitted to my room. Three days after being admitted I had a heart defibrillator and pace maker implanted in my chest. I also contracted COVID-19.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Implantable defibrillator insertion, Sleep disorder
Clinical narrative: I woke up at 2AM I could tell that my heart was not feeling right. I took three aspirins and my wife and I drove to the ER of the closest hospital. They found that I was in A-Fib and needed surgery. I was transferred from the local hospital to another one. There I flatlined in the ER waiting to be admitted to my room. Three days after being admitted I had a heart defibrillator and pace maker implanted in my chest. I also contracted COVID-19.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Asthma, Blood sodium decreased, Body temperature increased, COVID-19
Clinical narrative: Provider discharge summary "Per HPI, a 20 YO female with h/o asthma presenting to the ED for evaluation of shortness of breath.   Pt states she developed shortness of breath with associated productive cough which progressively worsened over time. She was unable to get any sleep last night due to her symptoms. She also complains of pleuritic chest pain worse with cough.Trial of rescue inhaler and nebulizer treatment without improvement in symptoms. She was seen in the ED on 1/1 for similar symptoms, tested positive for COVID, discharged home on short course of prednisone at that time which she completed. She has had multiple ER visits due to asthma exacerbation and 2 hospitalizations in the past year.    In the ED, pt is tachycardic though able to maintain adequate saturation on RA. Low grade temp of 100.1F on admission. Lab work significant for WBC 17.8, Na 132, procal 0.27, D-dimer 770. CTA chest showed mixed solid and groundglass opacities, mildly enlarged mediastinal and hilar lymph nodes. Negative for PE.    Hospital Course: Asthma exacerbation: possibly related to residual COVID-19 URI, though superimposed bacterial pneumonia cannot be ruled out with presence of low-grade temp, leukocytosis, borderline procalcitonin. Tachycardia likely related to serial breathing tx. Pt received serial nebulizer tx, steroids, Mg in the ED. Patient was admitted to the hospital and started on scheduled inhaler treatments along with steroid therapy. Patient was also started on empiric abx for leukocytosis and mildly elevated procalcitonin with eventual improvement in symptoms. Pt discharged on remainder course of steroids/antibiotics to complete 5 day course of therapy. "
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Condition aggravated, Dyspnoea, Fibrin D dimer, Hilar lymphadenopathy
Clinical narrative: Provider discharge summary "Per HPI, a 20 YO female with h/o asthma presenting to the ED for evaluation of shortness of breath.   Pt states she developed shortness of breath with associated productive cough which progressively worsened over time. She was unable to get any sleep last night due to her symptoms. She also complains of pleuritic chest pain worse with cough.Trial of rescue inhaler and nebulizer treatment without improvement in symptoms. She was seen in the ED on 1/1 for similar symptoms, tested positive for COVID, discharged home on short course of prednisone at that time which she completed. She has had multiple ER visits due to asthma exacerbation and 2 hospitalizations in the past year.    In the ED, pt is tachycardic though able to maintain adequate saturation on RA. Low grade temp of 100.1F on admission. Lab work significant for WBC 17.8, Na 132, procal 0.27, D-dimer 770. CTA chest showed mixed solid and groundglass opacities, mildly enlarged mediastinal and hilar lymph nodes. Negative for PE.    Hospital Course: Asthma exacerbation: possibly related to residual COVID-19 URI, though superimposed bacterial pneumonia cannot be ruled out with presence of low-grade temp, leukocytosis, borderline procalcitonin. Tachycardia likely related to serial breathing tx. Pt received serial nebulizer tx, steroids, Mg in the ED. Patient was admitted to the hospital and started on scheduled inhaler treatments along with steroid therapy. Patient was also started on empiric abx for leukocytosis and mildly elevated procalcitonin with eventual improvement in symptoms. Pt discharged on remainder course of steroids/antibiotics to complete 5 day course of therapy. "
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Insomnia, Leukocytosis, Lung opacity, Lymphadenopathy mediastinal
Clinical narrative: Provider discharge summary "Per HPI, a 20 YO female with h/o asthma presenting to the ED for evaluation of shortness of breath.   Pt states she developed shortness of breath with associated productive cough which progressively worsened over time. She was unable to get any sleep last night due to her symptoms. She also complains of pleuritic chest pain worse with cough.Trial of rescue inhaler and nebulizer treatment without improvement in symptoms. She was seen in the ED on 1/1 for similar symptoms, tested positive for COVID, discharged home on short course of prednisone at that time which she completed. She has had multiple ER visits due to asthma exacerbation and 2 hospitalizations in the past year.    In the ED, pt is tachycardic though able to maintain adequate saturation on RA. Low grade temp of 100.1F on admission. Lab work significant for WBC 17.8, Na 132, procal 0.27, D-dimer 770. CTA chest showed mixed solid and groundglass opacities, mildly enlarged mediastinal and hilar lymph nodes. Negative for PE.    Hospital Course: Asthma exacerbation: possibly related to residual COVID-19 URI, though superimposed bacterial pneumonia cannot be ruled out with presence of low-grade temp, leukocytosis, borderline procalcitonin. Tachycardia likely related to serial breathing tx. Pt received serial nebulizer tx, steroids, Mg in the ED. Patient was admitted to the hospital and started on scheduled inhaler treatments along with steroid therapy. Patient was also started on empiric abx for leukocytosis and mildly elevated procalcitonin with eventual improvement in symptoms. Pt discharged on remainder course of steroids/antibiotics to complete 5 day course of therapy. "
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Microcytosis, Pleuritic pain, Pregnancy, Procalcitonin increased, Productive cough
Clinical narrative: Provider discharge summary "Per HPI, a 20 YO female with h/o asthma presenting to the ED for evaluation of shortness of breath.   Pt states she developed shortness of breath with associated productive cough which progressively worsened over time. She was unable to get any sleep last night due to her symptoms. She also complains of pleuritic chest pain worse with cough.Trial of rescue inhaler and nebulizer treatment without improvement in symptoms. She was seen in the ED on 1/1 for similar symptoms, tested positive for COVID, discharged home on short course of prednisone at that time which she completed. She has had multiple ER visits due to asthma exacerbation and 2 hospitalizations in the past year.    In the ED, pt is tachycardic though able to maintain adequate saturation on RA. Low grade temp of 100.1F on admission. Lab work significant for WBC 17.8, Na 132, procal 0.27, D-dimer 770. CTA chest showed mixed solid and groundglass opacities, mildly enlarged mediastinal and hilar lymph nodes. Negative for PE.    Hospital Course: Asthma exacerbation: possibly related to residual COVID-19 URI, though superimposed bacterial pneumonia cannot be ruled out with presence of low-grade temp, leukocytosis, borderline procalcitonin. Tachycardia likely related to serial breathing tx. Pt received serial nebulizer tx, steroids, Mg in the ED. Patient was admitted to the hospital and started on scheduled inhaler treatments along with steroid therapy. Patient was also started on empiric abx for leukocytosis and mildly elevated procalcitonin with eventual improvement in symptoms. Pt discharged on remainder course of steroids/antibiotics to complete 5 day course of therapy. "
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rubella antibody test, SARS-CoV-2 test positive, Streptococcus test positive, Substance use, Tachycardia
Clinical narrative: Provider discharge summary "Per HPI, a 20 YO female with h/o asthma presenting to the ED for evaluation of shortness of breath.   Pt states she developed shortness of breath with associated productive cough which progressively worsened over time. She was unable to get any sleep last night due to her symptoms. She also complains of pleuritic chest pain worse with cough.Trial of rescue inhaler and nebulizer treatment without improvement in symptoms. She was seen in the ED on 1/1 for similar symptoms, tested positive for COVID, discharged home on short course of prednisone at that time which she completed. She has had multiple ER visits due to asthma exacerbation and 2 hospitalizations in the past year.    In the ED, pt is tachycardic though able to maintain adequate saturation on RA. Low grade temp of 100.1F on admission. Lab work significant for WBC 17.8, Na 132, procal 0.27, D-dimer 770. CTA chest showed mixed solid and groundglass opacities, mildly enlarged mediastinal and hilar lymph nodes. Negative for PE.    Hospital Course: Asthma exacerbation: possibly related to residual COVID-19 URI, though superimposed bacterial pneumonia cannot be ruled out with presence of low-grade temp, leukocytosis, borderline procalcitonin. Tachycardia likely related to serial breathing tx. Pt received serial nebulizer tx, steroids, Mg in the ED. Patient was admitted to the hospital and started on scheduled inhaler treatments along with steroid therapy. Patient was also started on empiric abx for leukocytosis and mildly elevated procalcitonin with eventual improvement in symptoms. Pt discharged on remainder course of steroids/antibiotics to complete 5 day course of therapy. "
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Upper respiratory tract infection, Urine analysis abnormal, White blood cell count increased
Clinical narrative: Provider discharge summary "Per HPI, a 20 YO female with h/o asthma presenting to the ED for evaluation of shortness of breath.   Pt states she developed shortness of breath with associated productive cough which progressively worsened over time. She was unable to get any sleep last night due to her symptoms. She also complains of pleuritic chest pain worse with cough.Trial of rescue inhaler and nebulizer treatment without improvement in symptoms. She was seen in the ED on 1/1 for similar symptoms, tested positive for COVID, discharged home on short course of prednisone at that time which she completed. She has had multiple ER visits due to asthma exacerbation and 2 hospitalizations in the past year.    In the ED, pt is tachycardic though able to maintain adequate saturation on RA. Low grade temp of 100.1F on admission. Lab work significant for WBC 17.8, Na 132, procal 0.27, D-dimer 770. CTA chest showed mixed solid and groundglass opacities, mildly enlarged mediastinal and hilar lymph nodes. Negative for PE.    Hospital Course: Asthma exacerbation: possibly related to residual COVID-19 URI, though superimposed bacterial pneumonia cannot be ruled out with presence of low-grade temp, leukocytosis, borderline procalcitonin. Tachycardia likely related to serial breathing tx. Pt received serial nebulizer tx, steroids, Mg in the ED. Patient was admitted to the hospital and started on scheduled inhaler treatments along with steroid therapy. Patient was also started on empiric abx for leukocytosis and mildly elevated procalcitonin with eventual improvement in symptoms. Pt discharged on remainder course of steroids/antibiotics to complete 5 day course of therapy. "
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: Patient was administered vaccine that was greater than 12 hours post first vial puncture. Patient did not exhibit any adverse reaction post administration.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Fatigue, Headache, Magnetic resonance imaging
Clinical narrative: Headache above eyes into temples, fatigue, muscle aches
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Headache above eyes into temples, fatigue, muscle aches
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Borrelia test negative, Cardiac disorder, Cardiac monitoring normal, Cardiac stress test normal, Dizziness
Clinical narrative: I received my vaccine. Immediately following the shot, my left side of body went numb with electricity and pins/needles. That covered the entire left side of body from head to toe. Five days later, my arm numbness was all better but I then had cardiac issues and still do 9 months later. My heart has heart palpitations, a racing heart, dizziness, white spots upon standing, heart races when I walk, hands get blotchy just walking a short distance, SPO2 levels drop when walking, temperature regulation issues/excessive sweat like I just worked out after only walking a little bit, circulation issues to hands and feet, extreme fatigue. My doctor gave me Metoprolol to keep my heart rate down. There has not been a diagnosis yet. There has also not been a happy outcome yet as I am not healing. I need some help.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Echocardiogram normal, Electric shock sensation, Electrocardiogram normal, Fatigue
Clinical narrative: I received my vaccine. Immediately following the shot, my left side of body went numb with electricity and pins/needles. That covered the entire left side of body from head to toe. Five days later, my arm numbness was all better but I then had cardiac issues and still do 9 months later. My heart has heart palpitations, a racing heart, dizziness, white spots upon standing, heart races when I walk, hands get blotchy just walking a short distance, SPO2 levels drop when walking, temperature regulation issues/excessive sweat like I just worked out after only walking a little bit, circulation issues to hands and feet, extreme fatigue. My doctor gave me Metoprolol to keep my heart rate down. There has not been a diagnosis yet. There has also not been a happy outcome yet as I am not healing. I need some help.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hyperhidrosis, Hypoaesthesia, Immediate post-injection reaction, Inflammatory marker test
Clinical narrative: I received my vaccine. Immediately following the shot, my left side of body went numb with electricity and pins/needles. That covered the entire left side of body from head to toe. Five days later, my arm numbness was all better but I then had cardiac issues and still do 9 months later. My heart has heart palpitations, a racing heart, dizziness, white spots upon standing, heart races when I walk, hands get blotchy just walking a short distance, SPO2 levels drop when walking, temperature regulation issues/excessive sweat like I just worked out after only walking a little bit, circulation issues to hands and feet, extreme fatigue. My doctor gave me Metoprolol to keep my heart rate down. There has not been a diagnosis yet. There has also not been a happy outcome yet as I am not healing. I need some help.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Palpitations, Paraesthesia, Peripheral vascular disorder, Rash macular
Clinical narrative: I received my vaccine. Immediately following the shot, my left side of body went numb with electricity and pins/needles. That covered the entire left side of body from head to toe. Five days later, my arm numbness was all better but I then had cardiac issues and still do 9 months later. My heart has heart palpitations, a racing heart, dizziness, white spots upon standing, heart races when I walk, hands get blotchy just walking a short distance, SPO2 levels drop when walking, temperature regulation issues/excessive sweat like I just worked out after only walking a little bit, circulation issues to hands and feet, extreme fatigue. My doctor gave me Metoprolol to keep my heart rate down. There has not been a diagnosis yet. There has also not been a happy outcome yet as I am not healing. I need some help.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor negative, Temperature regulation disorder, Troponin normal
Clinical narrative: I received my vaccine. Immediately following the shot, my left side of body went numb with electricity and pins/needles. That covered the entire left side of body from head to toe. Five days later, my arm numbness was all better but I then had cardiac issues and still do 9 months later. My heart has heart palpitations, a racing heart, dizziness, white spots upon standing, heart races when I walk, hands get blotchy just walking a short distance, SPO2 levels drop when walking, temperature regulation issues/excessive sweat like I just worked out after only walking a little bit, circulation issues to hands and feet, extreme fatigue. My doctor gave me Metoprolol to keep my heart rate down. There has not been a diagnosis yet. There has also not been a happy outcome yet as I am not healing. I need some help.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: *ADMINISTRATION ERROR*   38 Y/O MALE PATIENT RECEIVED SECOND BOOSTER DOSE (MODERNA) BEFORE 5O YEARS OF AGE AS RECOMMENDED BY CDC.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: 04/14/2022 Diagnosed with breakthrough case of COVID-19.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site rash, Musculoskeletal stiffness, Myalgia, Pain, Peripheral swelling
Clinical narrative: He had a low grade fever and figured. the most alarming was the axillary was swollen  and warm to touch by 4 inch by 4inch, next morning the clavicle and next area were swollen and warm to touch the deltoid did develop a rash on the left upper up where the injection was administered. More like a blotchy rash. Did put some corbadasole on it. Generalize myalgia with achiness and stiffness which not common for him. Very uncommon.  As of today the rash is fading but the swelling in the arm pit and left clavicle are still remains.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Rash macular, Skin warm, Swelling
Clinical narrative: He had a low grade fever and figured. the most alarming was the axillary was swollen  and warm to touch by 4 inch by 4inch, next morning the clavicle and next area were swollen and warm to touch the deltoid did develop a rash on the left upper up where the injection was administered. More like a blotchy rash. Did put some corbadasole on it. Generalize myalgia with achiness and stiffness which not common for him. Very uncommon.  As of today the rash is fading but the swelling in the arm pit and left clavicle are still remains.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, COVID-19 pneumonia, Chest tube insertion, Cough
Clinical narrative: Presented with cough, dyspnes, body aches, diarrhea x1 week; Covid + ED: Admit on 9/14 with Covid PNA; supplemental O2, steroids, Zinc, Vitamin C, Remdesivir, actemra, singulair, and LMWH. O2 requirements increased from 3 lpm to 6 lpm to 7 lpm to 8 lpm to 15 lpm by 9/21.  9/24 ICU on BiPAP 100%; 9/25 intubated; bilateral pneumothorax and bilateral chest tubes 9/26   placement of larger chest tubes bilaterally. started on Veletri.  She met criteria for ARDS and continued on lung protective ventilation.  She had large AL's bilaterally and required high PEEP and FiO2.  An additional L chest tube was placed on 10/1.  Her vasopressor requirements worsened to needing Levophed, vasopressin and epinephrine gtts. family opted for comfort care and cessation of artificial support.   died at 03:45pm on 10/2/2021 with her family at bedside.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Diarrhoea, Dyspnoea, Endotracheal intubation, Fraction of inspired oxygen
Clinical narrative: Presented with cough, dyspnes, body aches, diarrhea x1 week; Covid + ED: Admit on 9/14 with Covid PNA; supplemental O2, steroids, Zinc, Vitamin C, Remdesivir, actemra, singulair, and LMWH. O2 requirements increased from 3 lpm to 6 lpm to 7 lpm to 8 lpm to 15 lpm by 9/21.  9/24 ICU on BiPAP 100%; 9/25 intubated; bilateral pneumothorax and bilateral chest tubes 9/26   placement of larger chest tubes bilaterally. started on Veletri.  She met criteria for ARDS and continued on lung protective ventilation.  She had large AL's bilaterally and required high PEEP and FiO2.  An additional L chest tube was placed on 10/1.  Her vasopressor requirements worsened to needing Levophed, vasopressin and epinephrine gtts. family opted for comfort care and cessation of artificial support.   died at 03:45pm on 10/2/2021 with her family at bedside.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Intensive care, Mechanical ventilation, Pain, Pneumothorax
Clinical narrative: Presented with cough, dyspnes, body aches, diarrhea x1 week; Covid + ED: Admit on 9/14 with Covid PNA; supplemental O2, steroids, Zinc, Vitamin C, Remdesivir, actemra, singulair, and LMWH. O2 requirements increased from 3 lpm to 6 lpm to 7 lpm to 8 lpm to 15 lpm by 9/21.  9/24 ICU on BiPAP 100%; 9/25 intubated; bilateral pneumothorax and bilateral chest tubes 9/26   placement of larger chest tubes bilaterally. started on Veletri.  She met criteria for ARDS and continued on lung protective ventilation.  She had large AL's bilaterally and required high PEEP and FiO2.  An additional L chest tube was placed on 10/1.  Her vasopressor requirements worsened to needing Levophed, vasopressin and epinephrine gtts. family opted for comfort care and cessation of artificial support.   died at 03:45pm on 10/2/2021 with her family at bedside.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Positive end-expiratory pressure, SARS-CoV-2 test positive, Withdrawal of life support
Clinical narrative: Presented with cough, dyspnes, body aches, diarrhea x1 week; Covid + ED: Admit on 9/14 with Covid PNA; supplemental O2, steroids, Zinc, Vitamin C, Remdesivir, actemra, singulair, and LMWH. O2 requirements increased from 3 lpm to 6 lpm to 7 lpm to 8 lpm to 15 lpm by 9/21.  9/24 ICU on BiPAP 100%; 9/25 intubated; bilateral pneumothorax and bilateral chest tubes 9/26   placement of larger chest tubes bilaterally. started on Veletri.  She met criteria for ARDS and continued on lung protective ventilation.  She had large AL's bilaterally and required high PEEP and FiO2.  An additional L chest tube was placed on 10/1.  Her vasopressor requirements worsened to needing Levophed, vasopressin and epinephrine gtts. family opted for comfort care and cessation of artificial support.   died at 03:45pm on 10/2/2021 with her family at bedside.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Decreased appetite, Diarrhoea, Myalgia
Clinical narrative: I am a teacher. When I was at school one day I started to feel feverish with a runny nose and cough. I went to the school nurse and got my temperature checked. The nurse said I had a little bit of a fever. She did a rapid COVID-19 test at school, and it was negative. She said that I could go home. Yesterday my symptoms started to get worse and worse. My temperature was at 101.7 degrees. I had bad coughing, congestion, feeling very weak, achy, horrible diarrhea, and a loss of appetite. I took some OTC Tylenol and Imodium. The Imodium seems to be working. I've been drinking a lot of ginger ale. The fever is gone now. I still have some weakness and muscles aches, but the coughing, congestion, and diarrhea is better now. I do plan on possibly taking the rest of the school week off.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: I am a teacher. When I was at school one day I started to feel feverish with a runny nose and cough. I went to the school nurse and got my temperature checked. The nurse said I had a little bit of a fever. She did a rapid COVID-19 test at school, and it was negative. She said that I could go home. Yesterday my symptoms started to get worse and worse. My temperature was at 101.7 degrees. I had bad coughing, congestion, feeling very weak, achy, horrible diarrhea, and a loss of appetite. I took some OTC Tylenol and Imodium. The Imodium seems to be working. I've been drinking a lot of ginger ale. The fever is gone now. I still have some weakness and muscles aches, but the coughing, congestion, and diarrhea is better now. I do plan on possibly taking the rest of the school week off.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Laboratory test, Pyrexia
Clinical narrative: Fever, cough, chills, fatigue.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Provider discharge summary "patient is a 81 y/o male with a history of renal transplant who was admitted to the hospital on 1/14/22 due to shortness of breath and diarrhea. On arrival he was diagnosed with COVID and Ecoli diarrhea. He was started on supportive therapy and steroids. He was also treated with antibiotics for a possible superimposed bacterial pneumonia. Due to concern for baseline dementia he was seen by speech therapy and was determined to have a MOCA score of 14/30 consistent with mild dementia. His symptoms continued to improve over the course of his stay and the patient was on room air at time of discharge. His stay was slightly prolonged due to finding placement and waiting until the patient was cleared from COVID quarantine by infection prevention. Of note his home clonidine was held during this admission and BP remained moderately well controlled, this can be restarted outpatient if needed.    Patient/family verbalized understanding and agreement to the above discharge plan. All questions were answered at time of discharge. "
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Presented with AMS, + Covid ED; Admit 9/15 medical with Covid PNA; tx 9/15 maxipime, steroids, LMWH, zince started  9/16 remdesivir started,  9/18 singulair started; Minimal supplemental O2 required; back to RA at time of D/D
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Myalgia, Oropharyngeal pain
Clinical narrative: I contracted COVID-19 4/30/2022 with symptoms of fever, congestion, sore throat, myalgia, headache, cough, and my symptoms are beginning to resolve. I began taking Paxlovid 5/1/2022.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 4/30/2022 with symptoms of fever, congestion, sore throat, myalgia, headache, cough, and my symptoms are beginning to resolve. I began taking Paxlovid 5/1/2022.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, Pyrexia
Clinical narrative: The morning after receiving her 4th Pfizer covid-19 vaccine she developed shortness of breath and low grade fever.
Age: 58.0
Sex: M
Vaccine: PNC20, VARZOS
Symptoms: Dizziness
Clinical narrative: Patient felt lightheadedness, dizziness so he sat down on the floor.  He was alert and conscious the entire time.  He said he did not eat this morning.   He said that he gets nervous and anxiety with vaccinations and blood draws.   I gave him water and Coconut water to drink.  I offered him a snack but he declined.  He felt better after several minutes.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Presented with weakness; Covid +: Admitted to tele  with Covid infection and subsequently, Covid PNA;  tx with remdesivir, steroids, zinc; no O2 initially, but progressed to requiring minimal O2, was weaned off O2 by time of d/c;
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Product administration error
Clinical narrative: *ADMINISTRATION ERROR*   77 Y/O MALE PATIENT RECEIVED THE VACCINE BEFORE RECOMMENDED TIME OF 4 MONTHS BETWEEN DOSES, AS ESTABLISHED BY CDC. FIRST BOOSTER DOSE WAS ON 1/18/2022 AND HIS VACCINE WAS 04/01/2022
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Culture, Dyspnoea, Productive cough
Clinical narrative: Presented with increasing SOB, productive cough, fever; Covid + PTA (8/25) and received monoclonal antibodies PTA; ; admitted With Covid PNA; treated with Merrem, Vanc, Zithromax, No O2 required  Patient is a 34 y.o. female who was admitted with cavitary pna after covid.  Cultures obtained and she was started on Vanc and merrem.  She immediately felt better.  Was adamant about going home. Will go home on levaquin/doxycycline pending cultures.  Leave midline in    Disposition: She will be discharged today to home
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with increasing SOB, productive cough, fever; Covid + PTA (8/25) and received monoclonal antibodies PTA; ; admitted With Covid PNA; treated with Merrem, Vanc, Zithromax, No O2 required  Patient is a 34 y.o. female who was admitted with cavitary pna after covid.  Cultures obtained and she was started on Vanc and merrem.  She immediately felt better.  Was adamant about going home. Will go home on levaquin/doxycycline pending cultures.  Leave midline in    Disposition: She will be discharged today to home
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Fatigue, Headache, Nausea
Clinical narrative: Presented with headache, bodyaches, nausea, fatigue, fever x 3 days; Covid + in ED; admitted for Covid PNA; tx with zithromax, rocephin, Vit C, zinc, steorids, remdesivir, actemra, minimal supplemental O2.  She is now improved, off oxygen and doing good. She is being discharged on home oxygen for prn use. She will follow up with PCP and nephrology. Nephro cleared her for discharge.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with headache, bodyaches, nausea, fatigue, fever x 3 days; Covid + in ED; admitted for Covid PNA; tx with zithromax, rocephin, Vit C, zinc, steorids, remdesivir, actemra, minimal supplemental O2.  She is now improved, off oxygen and doing good. She is being discharged on home oxygen for prn use. She will follow up with PCP and nephrology. Nephro cleared her for discharge.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Back pain, COVID-19, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: Presented  with SOB and back pain, Covd +; Admit to Facility with Covid PNA; tx with Vit C, Vit D, steroids,  zinc, minimal O2 supplement Patient was in volume overload with acute diastolic congestive heart failure.  Patient attended 2 dialysis sessions with improvement of the symptoms.  She also had mild COVID pneumonia. Patient is fully vaccinated. On the day of discharge he was requiring 2 L oxygen and she has been discharged after the oxygen was arranged.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dialysis, Dyspnoea, Hypervolaemia, SARS-CoV-2 test positive
Clinical narrative: Presented  with SOB and back pain, Covd +; Admit to Facility with Covid PNA; tx with Vit C, Vit D, steroids,  zinc, minimal O2 supplement Patient was in volume overload with acute diastolic congestive heart failure.  Patient attended 2 dialysis sessions with improvement of the symptoms.  She also had mild COVID pneumonia. Patient is fully vaccinated. On the day of discharge he was requiring 2 L oxygen and she has been discharged after the oxygen was arranged.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Altered state of consciousness, Anticonvulsant drug level below therapeutic, Anticonvulsant drug level decreased, Anxiety, Benign prostatic hyperplasia
Clinical narrative: Provider Summary: Patient is a 86 YO year old male with a PMH of Seizure disorder on phenytoin, vascular dementia, chronic dysarthria, right hemiparesis, HTN, and HLD who presented to Hospital after having a witnessed seizure. Throughout the stay, Pt was unable to participate meaningfully in conversation. His phenytoin level was found to be low. Neurology was consulted and they recommended adding Keppra 500 mg BID. Pt did not have additional seizures while inpatient. Per discussion with Neurology team, will increase Phenytoin to 400 mg QD after discharge, as his Dilantin level was consistently subtherapeutic.    His blood cultures from admission showed 2/2 staph hominis and he was started on Vancomycin on 1/15. 1/2 Repeat blood culture was positive, but it grew Staph epi. On the day of discharge, the Hospitalist team discussed with Infectious Disease who agreed that it was likely not a true bacteremia, as the cultures both showed 2 strains of staph hominis without the Pt showing signs of systemic infection so the decision was made to not give antibiotics after discharge. Discussed with Pt's guardian regarding his scrotal enlargement and large right inguinal hernia seen on CT and she was agreeable to referral to General Surgery for hernia repair.    Of note, he was noted to have COVID-19 infection with mild hypoxia requiring 2L NC on admission, which resolved on 1/15 and he stopped requiring oxygen.    Discharged to the living facility in stable condition. "
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood culture positive, COVID-19, COVID-19 pneumonia, Computerised tomogram abdomen abnormal, Condition aggravated
Clinical narrative: Provider Summary: Patient is a 86 YO year old male with a PMH of Seizure disorder on phenytoin, vascular dementia, chronic dysarthria, right hemiparesis, HTN, and HLD who presented to Hospital after having a witnessed seizure. Throughout the stay, Pt was unable to participate meaningfully in conversation. His phenytoin level was found to be low. Neurology was consulted and they recommended adding Keppra 500 mg BID. Pt did not have additional seizures while inpatient. Per discussion with Neurology team, will increase Phenytoin to 400 mg QD after discharge, as his Dilantin level was consistently subtherapeutic.    His blood cultures from admission showed 2/2 staph hominis and he was started on Vancomycin on 1/15. 1/2 Repeat blood culture was positive, but it grew Staph epi. On the day of discharge, the Hospitalist team discussed with Infectious Disease who agreed that it was likely not a true bacteremia, as the cultures both showed 2 strains of staph hominis without the Pt showing signs of systemic infection so the decision was made to not give antibiotics after discharge. Discussed with Pt's guardian regarding his scrotal enlargement and large right inguinal hernia seen on CT and she was agreeable to referral to General Surgery for hernia repair.    Of note, he was noted to have COVID-19 infection with mild hypoxia requiring 2L NC on admission, which resolved on 1/15 and he stopped requiring oxygen.    Discharged to the living facility in stable condition. "
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Depression, Hypoxia, Inguinal hernia, SARS-CoV-2 test positive, Scrotal swelling
Clinical narrative: Provider Summary: Patient is a 86 YO year old male with a PMH of Seizure disorder on phenytoin, vascular dementia, chronic dysarthria, right hemiparesis, HTN, and HLD who presented to Hospital after having a witnessed seizure. Throughout the stay, Pt was unable to participate meaningfully in conversation. His phenytoin level was found to be low. Neurology was consulted and they recommended adding Keppra 500 mg BID. Pt did not have additional seizures while inpatient. Per discussion with Neurology team, will increase Phenytoin to 400 mg QD after discharge, as his Dilantin level was consistently subtherapeutic.    His blood cultures from admission showed 2/2 staph hominis and he was started on Vancomycin on 1/15. 1/2 Repeat blood culture was positive, but it grew Staph epi. On the day of discharge, the Hospitalist team discussed with Infectious Disease who agreed that it was likely not a true bacteremia, as the cultures both showed 2 strains of staph hominis without the Pt showing signs of systemic infection so the decision was made to not give antibiotics after discharge. Discussed with Pt's guardian regarding his scrotal enlargement and large right inguinal hernia seen on CT and she was agreeable to referral to General Surgery for hernia repair.    Of note, he was noted to have COVID-19 infection with mild hypoxia requiring 2L NC on admission, which resolved on 1/15 and he stopped requiring oxygen.    Discharged to the living facility in stable condition. "
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure, Staphylococcus test positive
Clinical narrative: Provider Summary: Patient is a 86 YO year old male with a PMH of Seizure disorder on phenytoin, vascular dementia, chronic dysarthria, right hemiparesis, HTN, and HLD who presented to Hospital after having a witnessed seizure. Throughout the stay, Pt was unable to participate meaningfully in conversation. His phenytoin level was found to be low. Neurology was consulted and they recommended adding Keppra 500 mg BID. Pt did not have additional seizures while inpatient. Per discussion with Neurology team, will increase Phenytoin to 400 mg QD after discharge, as his Dilantin level was consistently subtherapeutic.    His blood cultures from admission showed 2/2 staph hominis and he was started on Vancomycin on 1/15. 1/2 Repeat blood culture was positive, but it grew Staph epi. On the day of discharge, the Hospitalist team discussed with Infectious Disease who agreed that it was likely not a true bacteremia, as the cultures both showed 2 strains of staph hominis without the Pt showing signs of systemic infection so the decision was made to not give antibiotics after discharge. Discussed with Pt's guardian regarding his scrotal enlargement and large right inguinal hernia seen on CT and she was agreeable to referral to General Surgery for hernia repair.    Of note, he was noted to have COVID-19 infection with mild hypoxia requiring 2L NC on admission, which resolved on 1/15 and he stopped requiring oxygen.    Discharged to the living facility in stable condition. "
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, COVID-19 pneumonia, Cardiac arrest, Death
Clinical narrative: Presented with SOB x 6 days: + covid PTA 6 days; Admitted to tele with Covid PNA; tx with maxipime, steroids, remdesivir, vanc, Vit D, doxycycline, singulair, zinc, clindamycin; intially LF O2; HF O2; 9/15 increasing O2 needs to HF O2; + GI bleed 9/16; 9/20 tx to PCU due to increasing hypoxia and need for further HF O2 and possible intubation; 9/22 back to tele; 9/23 back to HF O2; 9/24 pt desired DNR order then changed back to full resuscitation status; 9/25 pt on HF o2; desat with repositioning; emergency intubation; after intubation, pt became bradycardic/hypotensive; multiple Cardiac arrests with ultimately asystole and death
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Gastrointestinal haemorrhage, Hypotension, Hypoxia
Clinical narrative: Presented with SOB x 6 days: + covid PTA 6 days; Admitted to tele with Covid PNA; tx with maxipime, steroids, remdesivir, vanc, Vit D, doxycycline, singulair, zinc, clindamycin; intially LF O2; HF O2; 9/15 increasing O2 needs to HF O2; + GI bleed 9/16; 9/20 tx to PCU due to increasing hypoxia and need for further HF O2 and possible intubation; 9/22 back to tele; 9/23 back to HF O2; 9/24 pt desired DNR order then changed back to full resuscitation status; 9/25 pt on HF o2; desat with repositioning; emergency intubation; after intubation, pt became bradycardic/hypotensive; multiple Cardiac arrests with ultimately asystole and death
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB x 6 days: + covid PTA 6 days; Admitted to tele with Covid PNA; tx with maxipime, steroids, remdesivir, vanc, Vit D, doxycycline, singulair, zinc, clindamycin; intially LF O2; HF O2; 9/15 increasing O2 needs to HF O2; + GI bleed 9/16; 9/20 tx to PCU due to increasing hypoxia and need for further HF O2 and possible intubation; 9/22 back to tele; 9/23 back to HF O2; 9/24 pt desired DNR order then changed back to full resuscitation status; 9/25 pt on HF o2; desat with repositioning; emergency intubation; after intubation, pt became bradycardic/hypotensive; multiple Cardiac arrests with ultimately asystole and death
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature abnormal, COVID-19, COVID-19 pneumonia, Dyspnoea, Hypoxia
Clinical narrative: Presented with SOB, hypoxia; + Covid 4 days PTA; Admit with Covid PNA to tele; tx with maxipime, rocephin, steroids, remdesivir, zithromax, singulair, zinc, minimal supplemental O2 Patient is instructed to self-isolate for 24 hours after temperature returning to normal, symptoms continuing to improve AND 14 days from the onset of symptoms. Disposition: He will be discharged today to home.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, hypoxia; + Covid 4 days PTA; Admit with Covid PNA to tele; tx with maxipime, rocephin, steroids, remdesivir, zithromax, singulair, zinc, minimal supplemental O2 Patient is instructed to self-isolate for 24 hours after temperature returning to normal, symptoms continuing to improve AND 14 days from the onset of symptoms. Disposition: He will be discharged today to home.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Headache, Impaired work ability, Nausea
Clinical narrative: I have a pre existing condition during the time I got the vaccine (1st dose) and by that time my condition has become worse than it was and I experienced the following symptoms: Fatigue, Headache, Arm pain there was also a major increase in pelvic pain, I was feeling nauseous most of the time as well to the point that I could not work.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pelvic pain, SARS-CoV-2 test
Clinical narrative: I have a pre existing condition during the time I got the vaccine (1st dose) and by that time my condition has become worse than it was and I experienced the following symptoms: Fatigue, Headache, Arm pain there was also a major increase in pelvic pain, I was feeling nauseous most of the time as well to the point that I could not work.