chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Facial pain, Headache, Pain in jaw, Pruritus
Clinical narrative: 3/28 Pt developed whole body rash. 3/29 MD visit Patient has diffused itchy rashes that started last night. No wheezing, shortness of breath, or fever.  Pt speaks full sentences over the phone and provides clear history. No acute distress. No face swollen. No wheezing. ASSESSMENT AND PLAN:  Acute urticaria Consulted allergy specialist, recommendation as follow: Zyrtec 40 mg qd, 20 mg if 20-50 rashes Allegra 180 mg x4  Hydroxyzine 50 mg qhs 2 wks up to 4-6 wks Sedation, avoid driving 4/7 repeat visit w/ MD Per pt "My hives and itching cleared up completely by Friday. The antihistamine was drying me out so much I stopped taking it on Sunday. Yesterday and today I have a really bad headache with a lot of pain in my face. Today is worse. I have pain behind my eyes and my jaw. Motrin or pseudophed don't provide any relief. I tried steam and a nasal rinse. There is a lot of light sensitivity. I don't know if this a migraine or sinus. " Patient had migraine on Sat, imitrex worked for one day but not anymore.  The HA started at the time tapered zyrtec from 40 mg to 30 mg then stopped w/in a few days. Not worse HA ever, no fever, no extremity weakness or numbness. Pt speaks full sentences over the phone and provides clear history. ASSESSMENT AND PLAN: Likely allergy and migraine Will continue current migraine management and restart zyrtec, 20 mg once a day for a wk then 10 mg once a day for 2 weeks.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: 3/28 Pt developed whole body rash. 3/29 MD visit Patient has diffused itchy rashes that started last night. No wheezing, shortness of breath, or fever.  Pt speaks full sentences over the phone and provides clear history. No acute distress. No face swollen. No wheezing. ASSESSMENT AND PLAN:  Acute urticaria Consulted allergy specialist, recommendation as follow: Zyrtec 40 mg qd, 20 mg if 20-50 rashes Allegra 180 mg x4  Hydroxyzine 50 mg qhs 2 wks up to 4-6 wks Sedation, avoid driving 4/7 repeat visit w/ MD Per pt "My hives and itching cleared up completely by Friday. The antihistamine was drying me out so much I stopped taking it on Sunday. Yesterday and today I have a really bad headache with a lot of pain in my face. Today is worse. I have pain behind my eyes and my jaw. Motrin or pseudophed don't provide any relief. I tried steam and a nasal rinse. There is a lot of light sensitivity. I don't know if this a migraine or sinus. " Patient had migraine on Sat, imitrex worked for one day but not anymore.  The HA started at the time tapered zyrtec from 40 mg to 30 mg then stopped w/in a few days. Not worse HA ever, no fever, no extremity weakness or numbness. Pt speaks full sentences over the phone and provides clear history. ASSESSMENT AND PLAN: Likely allergy and migraine Will continue current migraine management and restart zyrtec, 20 mg once a day for a wk then 10 mg once a day for 2 weeks.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Complained of itchy throat approximately 20 minutes after receiving Moderna 0.5 ml Vaccine. Benadryl 25 mg given PO
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: 4TH DOSE OF PFIZER GIVEN
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Myalgia, Myocardial infarction, Oxygen saturation decreased
Clinical narrative: Athralgia, myalgia, fatigue. heart attack, Low SPO2
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Pain in extremity
Clinical narrative: Began experiencing severe stomach pain during the night, that day he would not eat anything and would not get off the couch. Also complained of legs hurting. Temperature: 99.1.  Called the doctor and was scheduled for the next day. He continued to have stomach and leg pain but less severe. 1/25 was the first say with no stomach pain.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: congestion, cough
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Eczema, Enanthema, Pruritus, Pyrexia, Rash
Clinical narrative: patient developed widespread severe rash and fever within 24 hrs of receiving 2nd COVID vaccine.  treated with steroids  as started to have mucosal involvement.  SOmewhat urticarial in nature as was itchy.   Turned into severe eczematoid appearing rash.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: patient developed widespread severe rash and fever within 24 hrs of receiving 2nd COVID vaccine.  treated with steroids  as started to have mucosal involvement.  SOmewhat urticarial in nature as was itchy.   Turned into severe eczematoid appearing rash.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None at the moment that we are aware of
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Pain, Skin ulcer
Clinical narrative: Sores on my upper torso, waist, legs hands and feet. Started with a few and grew to hundreds. Took methotrexate to stop the spread. Sores started to get better but then got COVID-19 in Nov 2021. Sores came back worse. Now I have severe joint pain in my hands and feet. Unbearable pain every minute of every day.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Leukoplakia, Oral pain, Tongue cancer recurrent
Clinical narrative: Took pfizer booster in August, by December had leukoplakia and mouth pain, diagnosed with tongue cancer recurrence
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Blood calcium normal, Blood creatinine normal, Blood glucose normal, Blood immunoglobulin A decreased
Clinical narrative: Reactivation of zoster infection 1 week after first dose.  Patient with residual pain and numbness to chest wall.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin G normal, Blood immunoglobulin M normal, C-reactive protein decreased, Complement factor C3, Complement factor C4
Clinical narrative: Reactivation of zoster infection 1 week after first dose.  Patient with residual pain and numbness to chest wall.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Glomerular filtration rate normal, HIV test negative, HLA-B*27 assay, Haemoglobin normal
Clinical narrative: Reactivation of zoster infection 1 week after first dose.  Patient with residual pain and numbness to chest wall.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatitis viral test negative, Herpes zoster reactivation, Hypoaesthesia, Liver function test normal, Musculoskeletal chest pain
Clinical narrative: Reactivation of zoster infection 1 week after first dose.  Patient with residual pain and numbness to chest wall.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, White blood cell count normal
Clinical narrative: Reactivation of zoster infection 1 week after first dose.  Patient with residual pain and numbness to chest wall.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: fever, cough
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: tingling in arm, back
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Hyperacusis, Tinnitus
Clinical narrative: I right after noticed sensitivity to loud sound and within 2-3 weeks noticed tinnitus in my ears, mainly in my right ear and continues currently.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Myalgia, SARS-CoV-2 test positive
Clinical narrative: cough, myalgias
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient stopped by the pharmacy to describe a reaction that appeared after leaving the pharmacy (given in past date of 10/28/21) just so we would have the information.  Patient experienced "pins and needles" feeling in hands and around eyes.  Patient is no longer feeling the effects.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Blood bicarbonate increased, Blood pH decreased, COVID-19
Clinical narrative: Hospitalized (1.11.22 - 1.13.22);  COVID-19 positive (1.11.22);  Fully vaccinated (no booster) Admission Date: 1/11/2022 Discharge Date: 01/13/2022 HOSPITAL COURSE: Per HPI: "Patient is a 79 y.o. male with a past medical history of oxygen-dependent chronic obstructive pulmonary disease, noncompliance, hypertension, choledocholithiasis, hepatitis-B, carotid stenosis who presents today with shortness of breath History was obtained from patient and also from patient's daughter.  Patient has been having trouble with shortness of breath and chest discomfort, orthopnea for the last 2 weeks.  It has been slowly worsening.  Patient is supposed to be on oxygen but does not wear it.  Patient is supposed to be on blood pressure medicine but he does not take it.  He has been vaccinated in March.  Given his noncompliance it has been frustrating to take care of him.  He denies cough, fevers to me, he denies nausea, vomiting, diarrhea, abdominal pain, daughter tells me that he typically denies all complaints.  He was admitted in March 2021 with choledocholithiasis, after the procedure he was drowsy and had to be intubated for 2 days.  He had some form of pulmonary edema. His oxygen saturation was 77% on room air, he was put on non-rebreather on which she was 100%, now is down to 99% on 4 L oxygen, blood pressure was 189/66, now down to 172/56 mm, pH 7.34, pCO2 72, bicarbonate 32, WBC 7.5, proBNP 179, troponin 15, EKG looks unremarkable, chest x-ray shows right greater than left streaky opacities suspicious for pneumonia versus asymmetric edema.  COVID-19 test is positive.  He has been given Solu-Medrol and nebulizer treatment.  Patient does not use inhalers or nebulizers at home although he supposed to   " Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure related to COVID-19 pneumonia with history of chronic obstructive pulmonary disease coming in additionally with chronic obstructive pulmonary disease exacerbation.  Patient was initially started on Solu-Medrol with rapid improvement in his oxygenation initially requiring 6 L weaned to room air within 24-48 hours of admission.  Patient transition to Decadron to complete a total of 10 days of steroids.  Initial CT angiogram negative for pulmonary embolism did show dilated pulmonary with suspicion for pulmonary arterial hypertension.  Patient should also have repeat follow-up CT scan in 3 months for regular opacity will defer to primary care physician on follow-up, recommend follow-up with primary care physician in the next 1 week.  Patient also coming in with hypertensive urgency started on Norvasc which he takes at home and blood pressure remained controlled throughout his stay.  Recommend outpatient follow-up for previously diagnosed hepatitis-B.  Care discussed with his daughter as well as the patient agreeable with discharge in medically stable for discharge on 01/13.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Hospitalized (1.11.22 - 1.13.22);  COVID-19 positive (1.11.22);  Fully vaccinated (no booster) Admission Date: 1/11/2022 Discharge Date: 01/13/2022 HOSPITAL COURSE: Per HPI: "Patient is a 79 y.o. male with a past medical history of oxygen-dependent chronic obstructive pulmonary disease, noncompliance, hypertension, choledocholithiasis, hepatitis-B, carotid stenosis who presents today with shortness of breath History was obtained from patient and also from patient's daughter.  Patient has been having trouble with shortness of breath and chest discomfort, orthopnea for the last 2 weeks.  It has been slowly worsening.  Patient is supposed to be on oxygen but does not wear it.  Patient is supposed to be on blood pressure medicine but he does not take it.  He has been vaccinated in March.  Given his noncompliance it has been frustrating to take care of him.  He denies cough, fevers to me, he denies nausea, vomiting, diarrhea, abdominal pain, daughter tells me that he typically denies all complaints.  He was admitted in March 2021 with choledocholithiasis, after the procedure he was drowsy and had to be intubated for 2 days.  He had some form of pulmonary edema. His oxygen saturation was 77% on room air, he was put on non-rebreather on which she was 100%, now is down to 99% on 4 L oxygen, blood pressure was 189/66, now down to 172/56 mm, pH 7.34, pCO2 72, bicarbonate 32, WBC 7.5, proBNP 179, troponin 15, EKG looks unremarkable, chest x-ray shows right greater than left streaky opacities suspicious for pneumonia versus asymmetric edema.  COVID-19 test is positive.  He has been given Solu-Medrol and nebulizer treatment.  Patient does not use inhalers or nebulizers at home although he supposed to   " Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure related to COVID-19 pneumonia with history of chronic obstructive pulmonary disease coming in additionally with chronic obstructive pulmonary disease exacerbation.  Patient was initially started on Solu-Medrol with rapid improvement in his oxygenation initially requiring 6 L weaned to room air within 24-48 hours of admission.  Patient transition to Decadron to complete a total of 10 days of steroids.  Initial CT angiogram negative for pulmonary embolism did show dilated pulmonary with suspicion for pulmonary arterial hypertension.  Patient should also have repeat follow-up CT scan in 3 months for regular opacity will defer to primary care physician on follow-up, recommend follow-up with primary care physician in the next 1 week.  Patient also coming in with hypertensive urgency started on Norvasc which he takes at home and blood pressure remained controlled throughout his stay.  Recommend outpatient follow-up for previously diagnosed hepatitis-B.  Care discussed with his daughter as well as the patient agreeable with discharge in medically stable for discharge on 01/13.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Electrocardiogram normal, Endotracheal intubation, Hypertensive urgency
Clinical narrative: Hospitalized (1.11.22 - 1.13.22);  COVID-19 positive (1.11.22);  Fully vaccinated (no booster) Admission Date: 1/11/2022 Discharge Date: 01/13/2022 HOSPITAL COURSE: Per HPI: "Patient is a 79 y.o. male with a past medical history of oxygen-dependent chronic obstructive pulmonary disease, noncompliance, hypertension, choledocholithiasis, hepatitis-B, carotid stenosis who presents today with shortness of breath History was obtained from patient and also from patient's daughter.  Patient has been having trouble with shortness of breath and chest discomfort, orthopnea for the last 2 weeks.  It has been slowly worsening.  Patient is supposed to be on oxygen but does not wear it.  Patient is supposed to be on blood pressure medicine but he does not take it.  He has been vaccinated in March.  Given his noncompliance it has been frustrating to take care of him.  He denies cough, fevers to me, he denies nausea, vomiting, diarrhea, abdominal pain, daughter tells me that he typically denies all complaints.  He was admitted in March 2021 with choledocholithiasis, after the procedure he was drowsy and had to be intubated for 2 days.  He had some form of pulmonary edema. His oxygen saturation was 77% on room air, he was put on non-rebreather on which she was 100%, now is down to 99% on 4 L oxygen, blood pressure was 189/66, now down to 172/56 mm, pH 7.34, pCO2 72, bicarbonate 32, WBC 7.5, proBNP 179, troponin 15, EKG looks unremarkable, chest x-ray shows right greater than left streaky opacities suspicious for pneumonia versus asymmetric edema.  COVID-19 test is positive.  He has been given Solu-Medrol and nebulizer treatment.  Patient does not use inhalers or nebulizers at home although he supposed to   " Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure related to COVID-19 pneumonia with history of chronic obstructive pulmonary disease coming in additionally with chronic obstructive pulmonary disease exacerbation.  Patient was initially started on Solu-Medrol with rapid improvement in his oxygenation initially requiring 6 L weaned to room air within 24-48 hours of admission.  Patient transition to Decadron to complete a total of 10 days of steroids.  Initial CT angiogram negative for pulmonary embolism did show dilated pulmonary with suspicion for pulmonary arterial hypertension.  Patient should also have repeat follow-up CT scan in 3 months for regular opacity will defer to primary care physician on follow-up, recommend follow-up with primary care physician in the next 1 week.  Patient also coming in with hypertensive urgency started on Norvasc which he takes at home and blood pressure remained controlled throughout his stay.  Recommend outpatient follow-up for previously diagnosed hepatitis-B.  Care discussed with his daughter as well as the patient agreeable with discharge in medically stable for discharge on 01/13.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Lung opacity, Oedema, Orthopnoea, PCO2 increased
Clinical narrative: Hospitalized (1.11.22 - 1.13.22);  COVID-19 positive (1.11.22);  Fully vaccinated (no booster) Admission Date: 1/11/2022 Discharge Date: 01/13/2022 HOSPITAL COURSE: Per HPI: "Patient is a 79 y.o. male with a past medical history of oxygen-dependent chronic obstructive pulmonary disease, noncompliance, hypertension, choledocholithiasis, hepatitis-B, carotid stenosis who presents today with shortness of breath History was obtained from patient and also from patient's daughter.  Patient has been having trouble with shortness of breath and chest discomfort, orthopnea for the last 2 weeks.  It has been slowly worsening.  Patient is supposed to be on oxygen but does not wear it.  Patient is supposed to be on blood pressure medicine but he does not take it.  He has been vaccinated in March.  Given his noncompliance it has been frustrating to take care of him.  He denies cough, fevers to me, he denies nausea, vomiting, diarrhea, abdominal pain, daughter tells me that he typically denies all complaints.  He was admitted in March 2021 with choledocholithiasis, after the procedure he was drowsy and had to be intubated for 2 days.  He had some form of pulmonary edema. His oxygen saturation was 77% on room air, he was put on non-rebreather on which she was 100%, now is down to 99% on 4 L oxygen, blood pressure was 189/66, now down to 172/56 mm, pH 7.34, pCO2 72, bicarbonate 32, WBC 7.5, proBNP 179, troponin 15, EKG looks unremarkable, chest x-ray shows right greater than left streaky opacities suspicious for pneumonia versus asymmetric edema.  COVID-19 test is positive.  He has been given Solu-Medrol and nebulizer treatment.  Patient does not use inhalers or nebulizers at home although he supposed to   " Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure related to COVID-19 pneumonia with history of chronic obstructive pulmonary disease coming in additionally with chronic obstructive pulmonary disease exacerbation.  Patient was initially started on Solu-Medrol with rapid improvement in his oxygenation initially requiring 6 L weaned to room air within 24-48 hours of admission.  Patient transition to Decadron to complete a total of 10 days of steroids.  Initial CT angiogram negative for pulmonary embolism did show dilated pulmonary with suspicion for pulmonary arterial hypertension.  Patient should also have repeat follow-up CT scan in 3 months for regular opacity will defer to primary care physician on follow-up, recommend follow-up with primary care physician in the next 1 week.  Patient also coming in with hypertensive urgency started on Norvasc which he takes at home and blood pressure remained controlled throughout his stay.  Recommend outpatient follow-up for previously diagnosed hepatitis-B.  Care discussed with his daughter as well as the patient agreeable with discharge in medically stable for discharge on 01/13.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Productive cough, Prohormone brain natriuretic peptide increased, Pulmonary artery dilatation, Pulmonary oedema
Clinical narrative: Hospitalized (1.11.22 - 1.13.22);  COVID-19 positive (1.11.22);  Fully vaccinated (no booster) Admission Date: 1/11/2022 Discharge Date: 01/13/2022 HOSPITAL COURSE: Per HPI: "Patient is a 79 y.o. male with a past medical history of oxygen-dependent chronic obstructive pulmonary disease, noncompliance, hypertension, choledocholithiasis, hepatitis-B, carotid stenosis who presents today with shortness of breath History was obtained from patient and also from patient's daughter.  Patient has been having trouble with shortness of breath and chest discomfort, orthopnea for the last 2 weeks.  It has been slowly worsening.  Patient is supposed to be on oxygen but does not wear it.  Patient is supposed to be on blood pressure medicine but he does not take it.  He has been vaccinated in March.  Given his noncompliance it has been frustrating to take care of him.  He denies cough, fevers to me, he denies nausea, vomiting, diarrhea, abdominal pain, daughter tells me that he typically denies all complaints.  He was admitted in March 2021 with choledocholithiasis, after the procedure he was drowsy and had to be intubated for 2 days.  He had some form of pulmonary edema. His oxygen saturation was 77% on room air, he was put on non-rebreather on which she was 100%, now is down to 99% on 4 L oxygen, blood pressure was 189/66, now down to 172/56 mm, pH 7.34, pCO2 72, bicarbonate 32, WBC 7.5, proBNP 179, troponin 15, EKG looks unremarkable, chest x-ray shows right greater than left streaky opacities suspicious for pneumonia versus asymmetric edema.  COVID-19 test is positive.  He has been given Solu-Medrol and nebulizer treatment.  Patient does not use inhalers or nebulizers at home although he supposed to   " Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure related to COVID-19 pneumonia with history of chronic obstructive pulmonary disease coming in additionally with chronic obstructive pulmonary disease exacerbation.  Patient was initially started on Solu-Medrol with rapid improvement in his oxygenation initially requiring 6 L weaned to room air within 24-48 hours of admission.  Patient transition to Decadron to complete a total of 10 days of steroids.  Initial CT angiogram negative for pulmonary embolism did show dilated pulmonary with suspicion for pulmonary arterial hypertension.  Patient should also have repeat follow-up CT scan in 3 months for regular opacity will defer to primary care physician on follow-up, recommend follow-up with primary care physician in the next 1 week.  Patient also coming in with hypertensive urgency started on Norvasc which he takes at home and blood pressure remained controlled throughout his stay.  Recommend outpatient follow-up for previously diagnosed hepatitis-B.  Care discussed with his daughter as well as the patient agreeable with discharge in medically stable for discharge on 01/13.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Somnolence, Treatment noncompliance, Troponin increased
Clinical narrative: Hospitalized (1.11.22 - 1.13.22);  COVID-19 positive (1.11.22);  Fully vaccinated (no booster) Admission Date: 1/11/2022 Discharge Date: 01/13/2022 HOSPITAL COURSE: Per HPI: "Patient is a 79 y.o. male with a past medical history of oxygen-dependent chronic obstructive pulmonary disease, noncompliance, hypertension, choledocholithiasis, hepatitis-B, carotid stenosis who presents today with shortness of breath History was obtained from patient and also from patient's daughter.  Patient has been having trouble with shortness of breath and chest discomfort, orthopnea for the last 2 weeks.  It has been slowly worsening.  Patient is supposed to be on oxygen but does not wear it.  Patient is supposed to be on blood pressure medicine but he does not take it.  He has been vaccinated in March.  Given his noncompliance it has been frustrating to take care of him.  He denies cough, fevers to me, he denies nausea, vomiting, diarrhea, abdominal pain, daughter tells me that he typically denies all complaints.  He was admitted in March 2021 with choledocholithiasis, after the procedure he was drowsy and had to be intubated for 2 days.  He had some form of pulmonary edema. His oxygen saturation was 77% on room air, he was put on non-rebreather on which she was 100%, now is down to 99% on 4 L oxygen, blood pressure was 189/66, now down to 172/56 mm, pH 7.34, pCO2 72, bicarbonate 32, WBC 7.5, proBNP 179, troponin 15, EKG looks unremarkable, chest x-ray shows right greater than left streaky opacities suspicious for pneumonia versus asymmetric edema.  COVID-19 test is positive.  He has been given Solu-Medrol and nebulizer treatment.  Patient does not use inhalers or nebulizers at home although he supposed to   " Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure related to COVID-19 pneumonia with history of chronic obstructive pulmonary disease coming in additionally with chronic obstructive pulmonary disease exacerbation.  Patient was initially started on Solu-Medrol with rapid improvement in his oxygenation initially requiring 6 L weaned to room air within 24-48 hours of admission.  Patient transition to Decadron to complete a total of 10 days of steroids.  Initial CT angiogram negative for pulmonary embolism did show dilated pulmonary with suspicion for pulmonary arterial hypertension.  Patient should also have repeat follow-up CT scan in 3 months for regular opacity will defer to primary care physician on follow-up, recommend follow-up with primary care physician in the next 1 week.  Patient also coming in with hypertensive urgency started on Norvasc which he takes at home and blood pressure remained controlled throughout his stay.  Recommend outpatient follow-up for previously diagnosed hepatitis-B.  Care discussed with his daughter as well as the patient agreeable with discharge in medically stable for discharge on 01/13.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Hospitalized (1.11.22 - 1.13.22);  COVID-19 positive (1.11.22);  Fully vaccinated (no booster) Admission Date: 1/11/2022 Discharge Date: 01/13/2022 HOSPITAL COURSE: Per HPI: "Patient is a 79 y.o. male with a past medical history of oxygen-dependent chronic obstructive pulmonary disease, noncompliance, hypertension, choledocholithiasis, hepatitis-B, carotid stenosis who presents today with shortness of breath History was obtained from patient and also from patient's daughter.  Patient has been having trouble with shortness of breath and chest discomfort, orthopnea for the last 2 weeks.  It has been slowly worsening.  Patient is supposed to be on oxygen but does not wear it.  Patient is supposed to be on blood pressure medicine but he does not take it.  He has been vaccinated in March.  Given his noncompliance it has been frustrating to take care of him.  He denies cough, fevers to me, he denies nausea, vomiting, diarrhea, abdominal pain, daughter tells me that he typically denies all complaints.  He was admitted in March 2021 with choledocholithiasis, after the procedure he was drowsy and had to be intubated for 2 days.  He had some form of pulmonary edema. His oxygen saturation was 77% on room air, he was put on non-rebreather on which she was 100%, now is down to 99% on 4 L oxygen, blood pressure was 189/66, now down to 172/56 mm, pH 7.34, pCO2 72, bicarbonate 32, WBC 7.5, proBNP 179, troponin 15, EKG looks unremarkable, chest x-ray shows right greater than left streaky opacities suspicious for pneumonia versus asymmetric edema.  COVID-19 test is positive.  He has been given Solu-Medrol and nebulizer treatment.  Patient does not use inhalers or nebulizers at home although he supposed to   " Interim hospital course:  Patient hospitalized for acute hypoxic respiratory failure related to COVID-19 pneumonia with history of chronic obstructive pulmonary disease coming in additionally with chronic obstructive pulmonary disease exacerbation.  Patient was initially started on Solu-Medrol with rapid improvement in his oxygenation initially requiring 6 L weaned to room air within 24-48 hours of admission.  Patient transition to Decadron to complete a total of 10 days of steroids.  Initial CT angiogram negative for pulmonary embolism did show dilated pulmonary with suspicion for pulmonary arterial hypertension.  Patient should also have repeat follow-up CT scan in 3 months for regular opacity will defer to primary care physician on follow-up, recommend follow-up with primary care physician in the next 1 week.  Patient also coming in with hypertensive urgency started on Norvasc which he takes at home and blood pressure remained controlled throughout his stay.  Recommend outpatient follow-up for previously diagnosed hepatitis-B.  Care discussed with his daughter as well as the patient agreeable with discharge in medically stable for discharge on 01/13.
Age: 81.0
Sex: U
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: Asymptomatic
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Fatigue, congestion and cough.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Bradycardia, COVID-19 pneumonia, Cardio-respiratory arrest, Death
Clinical narrative: pt to ED with c/o decreased oral intake and increasing SOB; O2 sats 72% in ED; placed on NRB mask; COVID pneumonia; BiPAP; transferred to ICU; long complicated course; pt's condition worsened; acute on chronic renal failure; pt experienced bradycardia and coded; pt died in the hosp
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, General physical health deterioration, Hypophagia, Intensive care, Positive airway pressure therapy
Clinical narrative: pt to ED with c/o decreased oral intake and increasing SOB; O2 sats 72% in ED; placed on NRB mask; COVID pneumonia; BiPAP; transferred to ICU; long complicated course; pt's condition worsened; acute on chronic renal failure; pt experienced bradycardia and coded; pt died in the hosp
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient states he received the Pfizer two dose series - dose 1 = 2/11/21, dose 2 = 3/4/21. Patient asymptomatic for Covid-19, PCR test performed per hospital surveillance, positive result incidental.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Oropharyngeal pain, Pyrexia
Clinical narrative: chills, fever, congestion, sore throat, cough
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: chills, fever, congestion, sore throat, cough
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: No adverse reaction reported. Pt is 12 yrs old, so he is eligible for pfizer dose for 12 and up, but he received pfizer pediatric dose for 5-11 years old.  It was first dose.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient reported "tingling" in her fingers and toes.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Neuralgia, Spinal X-ray normal
Clinical narrative: nerve type pain in dermatome of previous HZV infection ; intermittent ; started within 2 weeks of Moderna COVID booster ( full dose) and intermittent x 5 months ; no rash
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: COVID
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient came in requesting 4th dose after receiving 3 doses Pfizer, wanting to switch to Moderna.  This was our first patient requesting a 4th dose.  He said his Oncologist recommended he get a "full dose".  He was able to register on the website for it.  (Staff had not received any notification that our clinic would be starting 4th doses for the immunocompromised yet).  We later learned from the CDC recommendations that a booster dose (.25 ml) be given for the 4th dose.      I spoke to patient today, he is happy with the dose he received and is not having any unusual side-effects.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Swelling face, Urticaria
Clinical narrative: Extensive hives all over the body and minimal facial swelling.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Angiogram pulmonary abnormal, Anosmia, Anticoagulant therapy, Base excess
Clinical narrative: Patient is 26 years old  female at 31w4d.   Hospitalized (1.13.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admission Date: 1/13/2022 Discharge Date: 1/15/2022 RECOMMENDED FOLLOW-UP: - will plan to follow up for regularly scheduled OB Visits  ASSESSMENT / PLAN: Patient is a 26 y.o. female at 31w2d who presents with coughing, fever, congestion, loss of smell, SOB, chest pain with coughing, and nausea.  1. COVID-19 in pregnancy  - Patient endorses symptoms since 1/11/22 (day 3 of symptoms), +COVID-19 PCR 1/12/22  - Symptoms of: shortness of breath, cough, rever, loss of taste or smell, nausea and congestion/runny nose - Vaccinated x 2 Pfizer  - Vitals: SpO2: 97 % BP 117/72  | Pulse 111  | Temp 36.9 °C (Oral)  | Resp 16  | Ht 1.651 m  | Wt 75.3 kg  | SpO2 97%  | BMI 27.62 kg/m²  HOSPITAL COURSE: The patient is a 26 y.o.  female at 31w4d who presented with symptomatic Covid in pregnancy. She was admitted and treated with remdesivir and dexamethasone for two days. Following treatment she voiced significant improvement in shortness of breath and was deemed stable for discharge. Will plan to discharge on Lovenox for 10 days.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood bicarbonate, Blood gases, COVID-19, Chest pain, Cough
Clinical narrative: Patient is 26 years old  female at 31w4d.   Hospitalized (1.13.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admission Date: 1/13/2022 Discharge Date: 1/15/2022 RECOMMENDED FOLLOW-UP: - will plan to follow up for regularly scheduled OB Visits  ASSESSMENT / PLAN: Patient is a 26 y.o. female at 31w2d who presents with coughing, fever, congestion, loss of smell, SOB, chest pain with coughing, and nausea.  1. COVID-19 in pregnancy  - Patient endorses symptoms since 1/11/22 (day 3 of symptoms), +COVID-19 PCR 1/12/22  - Symptoms of: shortness of breath, cough, rever, loss of taste or smell, nausea and congestion/runny nose - Vaccinated x 2 Pfizer  - Vitals: SpO2: 97 % BP 117/72  | Pulse 111  | Temp 36.9 °C (Oral)  | Resp 16  | Ht 1.651 m  | Wt 75.3 kg  | SpO2 97%  | BMI 27.62 kg/m²  HOSPITAL COURSE: The patient is a 26 y.o.  female at 31w4d who presented with symptomatic Covid in pregnancy. She was admitted and treated with remdesivir and dexamethasone for two days. Following treatment she voiced significant improvement in shortness of breath and was deemed stable for discharge. Will plan to discharge on Lovenox for 10 days.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram T wave abnormal, Electrocardiogram abnormal, Exposure during pregnancy, Fatigue
Clinical narrative: Patient is 26 years old  female at 31w4d.   Hospitalized (1.13.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admission Date: 1/13/2022 Discharge Date: 1/15/2022 RECOMMENDED FOLLOW-UP: - will plan to follow up for regularly scheduled OB Visits  ASSESSMENT / PLAN: Patient is a 26 y.o. female at 31w2d who presents with coughing, fever, congestion, loss of smell, SOB, chest pain with coughing, and nausea.  1. COVID-19 in pregnancy  - Patient endorses symptoms since 1/11/22 (day 3 of symptoms), +COVID-19 PCR 1/12/22  - Symptoms of: shortness of breath, cough, rever, loss of taste or smell, nausea and congestion/runny nose - Vaccinated x 2 Pfizer  - Vitals: SpO2: 97 % BP 117/72  | Pulse 111  | Temp 36.9 °C (Oral)  | Resp 16  | Ht 1.651 m  | Wt 75.3 kg  | SpO2 97%  | BMI 27.62 kg/m²  HOSPITAL COURSE: The patient is a 26 y.o.  female at 31w4d who presented with symptomatic Covid in pregnancy. She was admitted and treated with remdesivir and dexamethasone for two days. Following treatment she voiced significant improvement in shortness of breath and was deemed stable for discharge. Will plan to discharge on Lovenox for 10 days.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Granulomatous liver disease, Hepatic calcification, Nausea, Oropharyngeal pain, PCO2
Clinical narrative: Patient is 26 years old  female at 31w4d.   Hospitalized (1.13.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admission Date: 1/13/2022 Discharge Date: 1/15/2022 RECOMMENDED FOLLOW-UP: - will plan to follow up for regularly scheduled OB Visits  ASSESSMENT / PLAN: Patient is a 26 y.o. female at 31w2d who presents with coughing, fever, congestion, loss of smell, SOB, chest pain with coughing, and nausea.  1. COVID-19 in pregnancy  - Patient endorses symptoms since 1/11/22 (day 3 of symptoms), +COVID-19 PCR 1/12/22  - Symptoms of: shortness of breath, cough, rever, loss of taste or smell, nausea and congestion/runny nose - Vaccinated x 2 Pfizer  - Vitals: SpO2: 97 % BP 117/72  | Pulse 111  | Temp 36.9 °C (Oral)  | Resp 16  | Ht 1.651 m  | Wt 75.3 kg  | SpO2 97%  | BMI 27.62 kg/m²  HOSPITAL COURSE: The patient is a 26 y.o.  female at 31w4d who presented with symptomatic Covid in pregnancy. She was admitted and treated with remdesivir and dexamethasone for two days. Following treatment she voiced significant improvement in shortness of breath and was deemed stable for discharge. Will plan to discharge on Lovenox for 10 days.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: PO2, Pulmonary mass, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Patient is 26 years old  female at 31w4d.   Hospitalized (1.13.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admission Date: 1/13/2022 Discharge Date: 1/15/2022 RECOMMENDED FOLLOW-UP: - will plan to follow up for regularly scheduled OB Visits  ASSESSMENT / PLAN: Patient is a 26 y.o. female at 31w2d who presents with coughing, fever, congestion, loss of smell, SOB, chest pain with coughing, and nausea.  1. COVID-19 in pregnancy  - Patient endorses symptoms since 1/11/22 (day 3 of symptoms), +COVID-19 PCR 1/12/22  - Symptoms of: shortness of breath, cough, rever, loss of taste or smell, nausea and congestion/runny nose - Vaccinated x 2 Pfizer  - Vitals: SpO2: 97 % BP 117/72  | Pulse 111  | Temp 36.9 °C (Oral)  | Resp 16  | Ht 1.651 m  | Wt 75.3 kg  | SpO2 97%  | BMI 27.62 kg/m²  HOSPITAL COURSE: The patient is a 26 y.o.  female at 31w4d who presented with symptomatic Covid in pregnancy. She was admitted and treated with remdesivir and dexamethasone for two days. Following treatment she voiced significant improvement in shortness of breath and was deemed stable for discharge. Will plan to discharge on Lovenox for 10 days.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sinus congestion, Sinus tachycardia, Splenic calcification, Splenic granuloma, Streptococcus test negative
Clinical narrative: Patient is 26 years old  female at 31w4d.   Hospitalized (1.13.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admission Date: 1/13/2022 Discharge Date: 1/15/2022 RECOMMENDED FOLLOW-UP: - will plan to follow up for regularly scheduled OB Visits  ASSESSMENT / PLAN: Patient is a 26 y.o. female at 31w2d who presents with coughing, fever, congestion, loss of smell, SOB, chest pain with coughing, and nausea.  1. COVID-19 in pregnancy  - Patient endorses symptoms since 1/11/22 (day 3 of symptoms), +COVID-19 PCR 1/12/22  - Symptoms of: shortness of breath, cough, rever, loss of taste or smell, nausea and congestion/runny nose - Vaccinated x 2 Pfizer  - Vitals: SpO2: 97 % BP 117/72  | Pulse 111  | Temp 36.9 °C (Oral)  | Resp 16  | Ht 1.651 m  | Wt 75.3 kg  | SpO2 97%  | BMI 27.62 kg/m²  HOSPITAL COURSE: The patient is a 26 y.o.  female at 31w4d who presented with symptomatic Covid in pregnancy. She was admitted and treated with remdesivir and dexamethasone for two days. Following treatment she voiced significant improvement in shortness of breath and was deemed stable for discharge. Will plan to discharge on Lovenox for 10 days.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler normal, pH body fluid
Clinical narrative: Patient is 26 years old  female at 31w4d.   Hospitalized (1.13.22);  COVID-19 positive (1.12.22); fully vaccinated (no booster) Admission Date: 1/13/2022 Discharge Date: 1/15/2022 RECOMMENDED FOLLOW-UP: - will plan to follow up for regularly scheduled OB Visits  ASSESSMENT / PLAN: Patient is a 26 y.o. female at 31w2d who presents with coughing, fever, congestion, loss of smell, SOB, chest pain with coughing, and nausea.  1. COVID-19 in pregnancy  - Patient endorses symptoms since 1/11/22 (day 3 of symptoms), +COVID-19 PCR 1/12/22  - Symptoms of: shortness of breath, cough, rever, loss of taste or smell, nausea and congestion/runny nose - Vaccinated x 2 Pfizer  - Vitals: SpO2: 97 % BP 117/72  | Pulse 111  | Temp 36.9 °C (Oral)  | Resp 16  | Ht 1.651 m  | Wt 75.3 kg  | SpO2 97%  | BMI 27.62 kg/m²  HOSPITAL COURSE: The patient is a 26 y.o.  female at 31w4d who presented with symptomatic Covid in pregnancy. She was admitted and treated with remdesivir and dexamethasone for two days. Following treatment she voiced significant improvement in shortness of breath and was deemed stable for discharge. Will plan to discharge on Lovenox for 10 days.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered after stored at freezer temperature for too long. Patient advised and may get revaccinated.
Sex: U
Vaccine: COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test
Clinical narrative: No adverse effects from any of the 3 doses except a sore arm the next day
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Cold sweat, Dyspnoea, Feeling abnormal
Clinical narrative: Severe intermittent chest pains on the 17th January.  Followed by a wave of cold sweats and clammy feeling yuk. I was driving a car when this came on. Not stressed not doing physical activity.   I was at work mine where it's mandatory to be vaccinated or I loose my job)  I went to the paramedics,  by the time I got there the pain had stopped so of course the checks came up fine.    3 days later I was driving my car on the highway... I experienced Severe chest pains again and shortness of breath.  I called 000 and an ambulance came to meet me at the side of the road.  By the time they came the pain had passed. I asked her to listen to my heart to make sure is ok.. she said ohhh I can't listen to your heart I don't have the things.. :/ ?   I went to see my doctor yesterday as I'm extremely concerned to have the 2nd does of vaccine!! I have a heart specialist appointment on the 2nd of Feb.    My chest is tight and feels uncomfortable,  it's definitely done something to me!!  A man just died last week at a neighboring mine from a heart attack,  his co workers said he just had the vax the day before!!?
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Bursitis, Gait disturbance, Inflammation
Clinical narrative: Symptoms: pain in the right and left hip-bursitis Inflammation in both thighs-difficulty walking- heaviness and severe pain in the legs-tendinosis-cramp in the legs- pain in the lower back and buttocks. Change of color in the legs.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Limb discomfort, Magnetic resonance imaging abnormal, Muscle spasms, Musculoskeletal pain
Clinical narrative: Symptoms: pain in the right and left hip-bursitis Inflammation in both thighs-difficulty walking- heaviness and severe pain in the legs-tendinosis-cramp in the legs- pain in the lower back and buttocks. Change of color in the legs.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Skin discolouration, Swelling, Tendon disorder
Clinical narrative: Symptoms: pain in the right and left hip-bursitis Inflammation in both thighs-difficulty walking- heaviness and severe pain in the legs-tendinosis-cramp in the legs- pain in the lower back and buttocks. Change of color in the legs.
Age: 51.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Pyrexia
Clinical narrative: Slight fever, chills, muscle and joint pain, fatigue. Started about 12 hours post-vaccination and lasted until 48 hours post-vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: VACCINE ADMINISTERED WAS STORED AT FREEZER TEMPERATURE FOR TOO LONG.  PATIENT HAS BEEN ADVISED AND MAY GET REVACCINATED.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Audiogram abnormal, Tinnitus
Clinical narrative: Tinitus, ringing in ear.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Pfizer 5-11 orange top and should have received Pfizer 12+ gray top
Age: 60.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Muscular weakness
Clinical narrative: Patient reports that about a week receiving the two vaccines in the same day she started experiencing a loss in upper arm strength and upper leg strength.  It has not recovered and it has been six weeks.