chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Feeling abnormal, Headache, Pain, Pain in extremity
Clinical narrative: Sugar taste in mouth with injection, sore arm. 10 hours later, onset of fever (104 degrees). Severe headache, body aches, brain fog. Taking advil and tylonol.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Sugar taste in mouth with injection, sore arm. 10 hours later, onset of fever (104 degrees). Severe headache, body aches, brain fog. Taking advil and tylonol.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sudden death
Clinical narrative: 10 days after receiving shot 2/2 of the Pfizer MRNA Covid vaccine, my mother died suddenly without any explanation. Based on her history of high blood pressure and high cholesterol, the ER physicians guessed that she died of either a heart attack or stroke. My father did not opt for an autopsy. Her death in relation to timing of her covid vaccines appear to suggest that if she died of a heart attack or stroke, the covid vaccine contributed to some sort of hypercoagulation that made her prone to clots.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Neuralgia, Paraesthesia
Clinical narrative: persistent tingling, numbness, nerve pain in arm which shot was administered
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Chest discomfort, Dyspnoea at rest, Fatigue
Clinical narrative: This is a 27y.o. male without a significant past medical history who presents to with a chief complaint of hypoxia at rest. Pt notes increasing fatigue, generalized myalgias, productive cough w/ intermittently clear / green sputum, subjective fevers, and rhinorrhea/nasal congestion that onset 11/27. He was noted to be COVID positive outpatient. Patient's wife is an RN in the ED and took his pulse ox which demonstrated O2 sats in the 80s while at rest, prompting further evaluation in the ED. Associated symptoms include chest heaviness that has since resolved, tachycardia w/ rate up to 130s, dyspnea at rest that is not significantly exacerbated w/ ambulation, occasional wheeze, and diaphoresis w/ warmth sensation, however did not take his temperature outpatient. No sick contacts. No recent travel although was at a wedding recently, denies extended periods of lack of ambulation, flights nor car rides. No cigarette use / significant tobacco use. He has received 1 of 2 doses of the COVID vaccine. Upon arrival to the ED: Vitals: T 98.6°F, BP 128/80, HR 117, RR 22, SpO2 95% on room air, although noted to drop O2 sats to the 80s. Lab work obtained and remarkable for: CBC unremarkable. BMP unremarkable Imaging demonstrates: CXR: no acute cardiopulmonary process. Patient placed on supplemental O2, started on decadron. Infectious Disease has been consulted.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Full blood count normal, Hyperhidrosis, Hypoxia, Laboratory test abnormal
Clinical narrative: This is a 27y.o. male without a significant past medical history who presents to with a chief complaint of hypoxia at rest. Pt notes increasing fatigue, generalized myalgias, productive cough w/ intermittently clear / green sputum, subjective fevers, and rhinorrhea/nasal congestion that onset 11/27. He was noted to be COVID positive outpatient. Patient's wife is an RN in the ED and took his pulse ox which demonstrated O2 sats in the 80s while at rest, prompting further evaluation in the ED. Associated symptoms include chest heaviness that has since resolved, tachycardia w/ rate up to 130s, dyspnea at rest that is not significantly exacerbated w/ ambulation, occasional wheeze, and diaphoresis w/ warmth sensation, however did not take his temperature outpatient. No sick contacts. No recent travel although was at a wedding recently, denies extended periods of lack of ambulation, flights nor car rides. No cigarette use / significant tobacco use. He has received 1 of 2 doses of the COVID vaccine. Upon arrival to the ED: Vitals: T 98.6°F, BP 128/80, HR 117, RR 22, SpO2 95% on room air, although noted to drop O2 sats to the 80s. Lab work obtained and remarkable for: CBC unremarkable. BMP unremarkable Imaging demonstrates: CXR: no acute cardiopulmonary process. Patient placed on supplemental O2, started on decadron. Infectious Disease has been consulted.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Myalgia, Nasal congestion, Productive cough, Pyrexia
Clinical narrative: This is a 27y.o. male without a significant past medical history who presents to with a chief complaint of hypoxia at rest. Pt notes increasing fatigue, generalized myalgias, productive cough w/ intermittently clear / green sputum, subjective fevers, and rhinorrhea/nasal congestion that onset 11/27. He was noted to be COVID positive outpatient. Patient's wife is an RN in the ED and took his pulse ox which demonstrated O2 sats in the 80s while at rest, prompting further evaluation in the ED. Associated symptoms include chest heaviness that has since resolved, tachycardia w/ rate up to 130s, dyspnea at rest that is not significantly exacerbated w/ ambulation, occasional wheeze, and diaphoresis w/ warmth sensation, however did not take his temperature outpatient. No sick contacts. No recent travel although was at a wedding recently, denies extended periods of lack of ambulation, flights nor car rides. No cigarette use / significant tobacco use. He has received 1 of 2 doses of the COVID vaccine. Upon arrival to the ED: Vitals: T 98.6°F, BP 128/80, HR 117, RR 22, SpO2 95% on room air, although noted to drop O2 sats to the 80s. Lab work obtained and remarkable for: CBC unremarkable. BMP unremarkable Imaging demonstrates: CXR: no acute cardiopulmonary process. Patient placed on supplemental O2, started on decadron. Infectious Disease has been consulted.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, Tachycardia, Wheezing
Clinical narrative: This is a 27y.o. male without a significant past medical history who presents to with a chief complaint of hypoxia at rest. Pt notes increasing fatigue, generalized myalgias, productive cough w/ intermittently clear / green sputum, subjective fevers, and rhinorrhea/nasal congestion that onset 11/27. He was noted to be COVID positive outpatient. Patient's wife is an RN in the ED and took his pulse ox which demonstrated O2 sats in the 80s while at rest, prompting further evaluation in the ED. Associated symptoms include chest heaviness that has since resolved, tachycardia w/ rate up to 130s, dyspnea at rest that is not significantly exacerbated w/ ambulation, occasional wheeze, and diaphoresis w/ warmth sensation, however did not take his temperature outpatient. No sick contacts. No recent travel although was at a wedding recently, denies extended periods of lack of ambulation, flights nor car rides. No cigarette use / significant tobacco use. He has received 1 of 2 doses of the COVID vaccine. Upon arrival to the ED: Vitals: T 98.6°F, BP 128/80, HR 117, RR 22, SpO2 95% on room air, although noted to drop O2 sats to the 80s. Lab work obtained and remarkable for: CBC unremarkable. BMP unremarkable Imaging demonstrates: CXR: no acute cardiopulmonary process. Patient placed on supplemental O2, started on decadron. Infectious Disease has been consulted.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Lymphadenopathy, Pain
Clinical narrative: Chills, headache, body aches, swollen lymph nodes, redness at injection site
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: There was NO adverse event. The parent was not truthful about her son's age and told us he was 11 multiple times. She asked several times to make sure he was getting Pfizer for kids. The patient turned out to be 13. He was given the wrong shot. We were advised by VAERS customer service to report this anyway.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Systemic: Allergic: Rash Generalized-Medium, Additional Details: symptoms began later that day after pt left. Pharmacist on duty, told to take Benadryl and follow up with Urgent Care/ER if unresolved. no noted shortness of breath.
Age: 56.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 53.0
Sex: M
Vaccine: FLUC4
Symptoms: Extra dose administered
Clinical narrative: Patient had already received a flu shot this season and received a second one
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 75.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Herpes zoster, Injection site rash, Nausea
Clinical narrative: Pt. states that after receiving the 2nd dose of Shingrix 12/07/2021, started experiencing symptoms that evening of fatigue, nausea, and rash at the injection site. Primary visit 12/11/2021 diagnosed with Shingles outbreak. Gabapentin (for pain), Lidocaine, and Valacyclovir for 7 days.
Age: 80.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain
Clinical narrative: Headache, body aches, pain throughout body, chills, fatigue.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Pain
Clinical narrative: Vaccine booster administered 12/09/21. Pain in shoulder started 12/11/21. Client stated it radiated down her shoulder and back. Ibuprofen was taken with no improvement. Pain is still present. Wasn't sure how far the injection was from her shoulder.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Hyperaesthesia teeth, Laboratory test, Pain in jaw
Clinical narrative: Gums in her mouth started to hurt. Real bad cold sensitivity on her from teeth also pain to the gums upper and lower jaw.  Went to dentist and nothing was found that could have been causing the pain or sensitivity.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Dry throat, Dysphagia
Clinical narrative: Horrible. Thought I was going to die. My muscles were paralyzed or frozen I could not even move. I thought I was going to die. I had trouble walking. Had the chills and fever that finally broke after 2 days. My left arm was painful all the way down to my wrist. My throat was dry and hard to swallow.  I also have a cough. I also had headache 24 hours. Felt nausea but never threw up..  No energy for 3 days
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Gait disturbance, Headache, Mobility decreased, Nausea
Clinical narrative: Horrible. Thought I was going to die. My muscles were paralyzed or frozen I could not even move. I thought I was going to die. I had trouble walking. Had the chills and fever that finally broke after 2 days. My left arm was painful all the way down to my wrist. My throat was dry and hard to swallow.  I also have a cough. I also had headache 24 hours. Felt nausea but never threw up..  No energy for 3 days
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Paralysis, Pyrexia
Clinical narrative: Horrible. Thought I was going to die. My muscles were paralyzed or frozen I could not even move. I thought I was going to die. I had trouble walking. Had the chills and fever that finally broke after 2 days. My left arm was painful all the way down to my wrist. My throat was dry and hard to swallow.  I also have a cough. I also had headache 24 hours. Felt nausea but never threw up..  No energy for 3 days
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Magnetic resonance imaging head normal, Nystagmus, Scan with contrast normal
Clinical narrative: Diplopia, nystagmus. Hospitalized, treated with IV steroids x 3 days, resolutions of symptoms.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure during pregnancy, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: SORE THROAT, COUGH, RUNNY NOSE.  CURRENTLY PREGNANT
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: SORE THROAT, COUGH, RUNNY NOSE.  CURRENTLY PREGNANT
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: I have not had a period for months due to having an IUD in place and since my Moderna booster have now had a heavy period with strong period symptoms & have not seen this as a side effect on CDC.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Blood calcium decreased, COVID-19, Chest X-ray abnormal
Clinical narrative: This is a 64y.o. female with a past medical history of hyperlipidemia, hypertension presenting to the emergency department today with shortness of breath and chest pain. Patient states that on Thursday the 25th she tested positive for Covid here in the emergency department. Patient stated that the emergency department was busy in full she thought that she could get well at home by continuing supportive care at home. Starting today the 30th patient stated that she began to feel increasingly short of breath and experiencing intermittent sharp chest pains. Patient describes the pains as being in the center of her chest and lasting only a few seconds. Patient is also endorsing a nonproductive cough that has recently worsened today. Patient has been taking Tylenol and Motrin at home to mitigate her fever. Patient states that she had a fever of 101 earlier today. Patient is also endorsing chills. Patient states that she is nauseous and has lost her taste and smell. Patient has been able to eat but less than her normal appetite. Patient is able to drink fluids. Patient currently denying headache, sore throat, abdominal pain, vomiting, supination, diarrhea, change in her urinary habits, and increased lower extremity swelling. Patient does note she has chronic lymphedema of bilateral lower extremities but it is mild. Patient has been vaccinated against Covid.   Patient was evaluated in the emergency department and was found to have a hemoglobin of 11.6, a d-dimer of 605, and a calcium of 8.1. Patient was requiring 2 L of oxygen nasal cannula to maintain saturations in the mid 90s. Patient also had chest x-ray done that showed hazy bibasilar airspace disease.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Cough, Decreased appetite, Dyspnoea
Clinical narrative: This is a 64y.o. female with a past medical history of hyperlipidemia, hypertension presenting to the emergency department today with shortness of breath and chest pain. Patient states that on Thursday the 25th she tested positive for Covid here in the emergency department. Patient stated that the emergency department was busy in full she thought that she could get well at home by continuing supportive care at home. Starting today the 30th patient stated that she began to feel increasingly short of breath and experiencing intermittent sharp chest pains. Patient describes the pains as being in the center of her chest and lasting only a few seconds. Patient is also endorsing a nonproductive cough that has recently worsened today. Patient has been taking Tylenol and Motrin at home to mitigate her fever. Patient states that she had a fever of 101 earlier today. Patient is also endorsing chills. Patient states that she is nauseous and has lost her taste and smell. Patient has been able to eat but less than her normal appetite. Patient is able to drink fluids. Patient currently denying headache, sore throat, abdominal pain, vomiting, supination, diarrhea, change in her urinary habits, and increased lower extremity swelling. Patient does note she has chronic lymphedema of bilateral lower extremities but it is mild. Patient has been vaccinated against Covid.   Patient was evaluated in the emergency department and was found to have a hemoglobin of 11.6, a d-dimer of 605, and a calcium of 8.1. Patient was requiring 2 L of oxygen nasal cannula to maintain saturations in the mid 90s. Patient also had chest x-ray done that showed hazy bibasilar airspace disease.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Haemoglobin decreased, Influenza A virus test negative, Influenza B virus test, Lung disorder
Clinical narrative: This is a 64y.o. female with a past medical history of hyperlipidemia, hypertension presenting to the emergency department today with shortness of breath and chest pain. Patient states that on Thursday the 25th she tested positive for Covid here in the emergency department. Patient stated that the emergency department was busy in full she thought that she could get well at home by continuing supportive care at home. Starting today the 30th patient stated that she began to feel increasingly short of breath and experiencing intermittent sharp chest pains. Patient describes the pains as being in the center of her chest and lasting only a few seconds. Patient is also endorsing a nonproductive cough that has recently worsened today. Patient has been taking Tylenol and Motrin at home to mitigate her fever. Patient states that she had a fever of 101 earlier today. Patient is also endorsing chills. Patient states that she is nauseous and has lost her taste and smell. Patient has been able to eat but less than her normal appetite. Patient is able to drink fluids. Patient currently denying headache, sore throat, abdominal pain, vomiting, supination, diarrhea, change in her urinary habits, and increased lower extremity swelling. Patient does note she has chronic lymphedema of bilateral lower extremities but it is mild. Patient has been vaccinated against Covid.   Patient was evaluated in the emergency department and was found to have a hemoglobin of 11.6, a d-dimer of 605, and a calcium of 8.1. Patient was requiring 2 L of oxygen nasal cannula to maintain saturations in the mid 90s. Patient also had chest x-ray done that showed hazy bibasilar airspace disease.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 64y.o. female with a past medical history of hyperlipidemia, hypertension presenting to the emergency department today with shortness of breath and chest pain. Patient states that on Thursday the 25th she tested positive for Covid here in the emergency department. Patient stated that the emergency department was busy in full she thought that she could get well at home by continuing supportive care at home. Starting today the 30th patient stated that she began to feel increasingly short of breath and experiencing intermittent sharp chest pains. Patient describes the pains as being in the center of her chest and lasting only a few seconds. Patient is also endorsing a nonproductive cough that has recently worsened today. Patient has been taking Tylenol and Motrin at home to mitigate her fever. Patient states that she had a fever of 101 earlier today. Patient is also endorsing chills. Patient states that she is nauseous and has lost her taste and smell. Patient has been able to eat but less than her normal appetite. Patient is able to drink fluids. Patient currently denying headache, sore throat, abdominal pain, vomiting, supination, diarrhea, change in her urinary habits, and increased lower extremity swelling. Patient does note she has chronic lymphedema of bilateral lower extremities but it is mild. Patient has been vaccinated against Covid.   Patient was evaluated in the emergency department and was found to have a hemoglobin of 11.6, a d-dimer of 605, and a calcium of 8.1. Patient was requiring 2 L of oxygen nasal cannula to maintain saturations in the mid 90s. Patient also had chest x-ray done that showed hazy bibasilar airspace disease.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Confirmed COVID positive admission post vaccination.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event, Product administration error
Clinical narrative: This was a vaccine administration error. Second Pfizer dose given 6 days before the minimum interval. The patient contacted immediately. No adverse event associated with this error.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Carotid artery occlusion, Ischaemic stroke, Pneumonia pneumococcal, SARS-CoV-2 test positive
Clinical narrative: Admitted on 12/9/21 for a ischemic stroke (near occluded right cervical internal carotid artery) but also found to have moderate COVID-19 infection (despite being fully vaccinated although due for booster on date of positive COVID swab) with superimposed Strep pneumococcal pneumonia. Being
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Diarrhoea, Eructation, Erythema, Eye pain, Fatigue
Clinical narrative: Swelling of arm redness. Severe headache, vomiting diarrhea, burping. Couldn't eat for 3 days, eye pain itching all over body and lips tingling, fatique
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Feeding disorder, Headache, Paraesthesia oral, Peripheral swelling, Pruritus
Clinical narrative: Swelling of arm redness. Severe headache, vomiting diarrhea, burping. Couldn't eat for 3 days, eye pain itching all over body and lips tingling, fatique
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: Swelling of arm redness. Severe headache, vomiting diarrhea, burping. Couldn't eat for 3 days, eye pain itching all over body and lips tingling, fatique
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Palpitations, Vaccination site mass
Clinical narrative: Large lump under skin at vaccine site, exhaustion, metallic taste in my mouth that isn't going away. Increased heart palpitations
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Acute respiratory failure, Anticoagulant therapy, Asthenia
Clinical narrative: Chief Complaint   pt presents for SOB, cough, abd pain, fever; tested positive for covid 4 days ago; received both covid vaccines  History of Present Illness      Patient is a 82-year-old male with a past medical history of hypertension, hyperlipidemia, type 2 diabetes presented to Hospital endorsing shortness of breath, fever, cough since past 4 days.  Patient stated that he and his wife started experiencing generalized body aches, cough with greenish productive sputum since past 1 week.  Stated that he was having low-grade fever with chills and has been experiencing worsening weakness and generalized malaise.  He was tested positive for COVID-19 on 11/11.  Stated that his shortness of breath progressively worsened which prompted him to visit Hospital.  In the ED patient's white blood cell count was 14.3K but otherwise unremarkable CBC.  D-dimer was elevated to 3.52, CMP revealed creatinine of 2.13.  Patient was requiring 6 L oxygen to maintain saturation greater than 92%.  Patient spiked temperature to 38.9 °C on ED arrival.  Patient was given dexamethasone and admitted to stepdown unit for further care.  CT PE: No evidence of PE but bilateral extensive multifocal infiltrates consistent with COVID-19 pneumonia.  Review of Systems     14 point review of systems negative except for HPI  Physical Exam  Vitals & Measurements  T: 38.9 °C  HR: 104  RR: 12  BP: 134/67  SpO2: 91%  WT: 111.8 kg      Gen: AO x3, NAD  HEENT: MMM, EMOI, PERRLA  Neck: Supple, No LAD  CVS: S1,S2 positive, No MRG  Lungs: Coarse breath sounds thought ling fields, No accessory muscle use  Abd: Soft, NT, ND, no organomegaly, bowel sounds positive  Neuro: Non focal  Extremities: Warm and dry, no edema  Assessment/Plan       82 Y old M admitted to hospital for further management of acute hypoxia 2/2 COVID PNA   Problem list:  Acute hypoxic respiratory failure:  COVID 19 PNA: Symptom onset -- > 11/8 Tested positive -- >11/11 Current O2 requirement -- > 6L Vaccination status -- > Yes  Will cover pt empirically with Levaquin for possible superimposed CAP CTPE -- > no PE Bronchodilator therapy protocol Continue dexamethasone 6 mg daily 6 min walk test before discharge Consider Baricitinib/Tocilizumab if symptoms were to worsen  Will trend inflammatory markers  Remdesivir -- > Hold 2/2 poor renal function   AKI?:  Gentle hydration  Pt received contrast for CTPE, at high risk for contrast induced nephropathy  Will trend Cr   DM2: Hold OGHA's  Insulin sliding scale for now  Hypoglycemic precautions   HTN: Hold ACEI's and HCTZ   HLD: Lipitor 20 mg daily  F: As above  E: Replete PRN  N: regular diet  GI: Not indicated  DVT: Heparin  Fall precautions  Code status: Full code
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, COVID-19 pneumonia, Chills, Computerised tomogram thorax abnormal
Clinical narrative: Chief Complaint   pt presents for SOB, cough, abd pain, fever; tested positive for covid 4 days ago; received both covid vaccines  History of Present Illness      Patient is a 82-year-old male with a past medical history of hypertension, hyperlipidemia, type 2 diabetes presented to Hospital endorsing shortness of breath, fever, cough since past 4 days.  Patient stated that he and his wife started experiencing generalized body aches, cough with greenish productive sputum since past 1 week.  Stated that he was having low-grade fever with chills and has been experiencing worsening weakness and generalized malaise.  He was tested positive for COVID-19 on 11/11.  Stated that his shortness of breath progressively worsened which prompted him to visit Hospital.  In the ED patient's white blood cell count was 14.3K but otherwise unremarkable CBC.  D-dimer was elevated to 3.52, CMP revealed creatinine of 2.13.  Patient was requiring 6 L oxygen to maintain saturation greater than 92%.  Patient spiked temperature to 38.9 °C on ED arrival.  Patient was given dexamethasone and admitted to stepdown unit for further care.  CT PE: No evidence of PE but bilateral extensive multifocal infiltrates consistent with COVID-19 pneumonia.  Review of Systems     14 point review of systems negative except for HPI  Physical Exam  Vitals & Measurements  T: 38.9 °C  HR: 104  RR: 12  BP: 134/67  SpO2: 91%  WT: 111.8 kg      Gen: AO x3, NAD  HEENT: MMM, EMOI, PERRLA  Neck: Supple, No LAD  CVS: S1,S2 positive, No MRG  Lungs: Coarse breath sounds thought ling fields, No accessory muscle use  Abd: Soft, NT, ND, no organomegaly, bowel sounds positive  Neuro: Non focal  Extremities: Warm and dry, no edema  Assessment/Plan       82 Y old M admitted to hospital for further management of acute hypoxia 2/2 COVID PNA   Problem list:  Acute hypoxic respiratory failure:  COVID 19 PNA: Symptom onset -- > 11/8 Tested positive -- >11/11 Current O2 requirement -- > 6L Vaccination status -- > Yes  Will cover pt empirically with Levaquin for possible superimposed CAP CTPE -- > no PE Bronchodilator therapy protocol Continue dexamethasone 6 mg daily 6 min walk test before discharge Consider Baricitinib/Tocilizumab if symptoms were to worsen  Will trend inflammatory markers  Remdesivir -- > Hold 2/2 poor renal function   AKI?:  Gentle hydration  Pt received contrast for CTPE, at high risk for contrast induced nephropathy  Will trend Cr   DM2: Hold OGHA's  Insulin sliding scale for now  Hypoglycemic precautions   HTN: Hold ACEI's and HCTZ   HLD: Lipitor 20 mg daily  F: As above  E: Replete PRN  N: regular diet  GI: Not indicated  DVT: Heparin  Fall precautions  Code status: Full code
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fibrin D dimer increased, Full blood count abnormal, Lung infiltration, Malaise
Clinical narrative: Chief Complaint   pt presents for SOB, cough, abd pain, fever; tested positive for covid 4 days ago; received both covid vaccines  History of Present Illness      Patient is a 82-year-old male with a past medical history of hypertension, hyperlipidemia, type 2 diabetes presented to Hospital endorsing shortness of breath, fever, cough since past 4 days.  Patient stated that he and his wife started experiencing generalized body aches, cough with greenish productive sputum since past 1 week.  Stated that he was having low-grade fever with chills and has been experiencing worsening weakness and generalized malaise.  He was tested positive for COVID-19 on 11/11.  Stated that his shortness of breath progressively worsened which prompted him to visit Hospital.  In the ED patient's white blood cell count was 14.3K but otherwise unremarkable CBC.  D-dimer was elevated to 3.52, CMP revealed creatinine of 2.13.  Patient was requiring 6 L oxygen to maintain saturation greater than 92%.  Patient spiked temperature to 38.9 °C on ED arrival.  Patient was given dexamethasone and admitted to stepdown unit for further care.  CT PE: No evidence of PE but bilateral extensive multifocal infiltrates consistent with COVID-19 pneumonia.  Review of Systems     14 point review of systems negative except for HPI  Physical Exam  Vitals & Measurements  T: 38.9 °C  HR: 104  RR: 12  BP: 134/67  SpO2: 91%  WT: 111.8 kg      Gen: AO x3, NAD  HEENT: MMM, EMOI, PERRLA  Neck: Supple, No LAD  CVS: S1,S2 positive, No MRG  Lungs: Coarse breath sounds thought ling fields, No accessory muscle use  Abd: Soft, NT, ND, no organomegaly, bowel sounds positive  Neuro: Non focal  Extremities: Warm and dry, no edema  Assessment/Plan       82 Y old M admitted to hospital for further management of acute hypoxia 2/2 COVID PNA   Problem list:  Acute hypoxic respiratory failure:  COVID 19 PNA: Symptom onset -- > 11/8 Tested positive -- >11/11 Current O2 requirement -- > 6L Vaccination status -- > Yes  Will cover pt empirically with Levaquin for possible superimposed CAP CTPE -- > no PE Bronchodilator therapy protocol Continue dexamethasone 6 mg daily 6 min walk test before discharge Consider Baricitinib/Tocilizumab if symptoms were to worsen  Will trend inflammatory markers  Remdesivir -- > Hold 2/2 poor renal function   AKI?:  Gentle hydration  Pt received contrast for CTPE, at high risk for contrast induced nephropathy  Will trend Cr   DM2: Hold OGHA's  Insulin sliding scale for now  Hypoglycemic precautions   HTN: Hold ACEI's and HCTZ   HLD: Lipitor 20 mg daily  F: As above  E: Replete PRN  N: regular diet  GI: Not indicated  DVT: Heparin  Fall precautions  Code status: Full code
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Metabolic function test abnormal, Pain, Productive cough, Pyrexia
Clinical narrative: Chief Complaint   pt presents for SOB, cough, abd pain, fever; tested positive for covid 4 days ago; received both covid vaccines  History of Present Illness      Patient is a 82-year-old male with a past medical history of hypertension, hyperlipidemia, type 2 diabetes presented to Hospital endorsing shortness of breath, fever, cough since past 4 days.  Patient stated that he and his wife started experiencing generalized body aches, cough with greenish productive sputum since past 1 week.  Stated that he was having low-grade fever with chills and has been experiencing worsening weakness and generalized malaise.  He was tested positive for COVID-19 on 11/11.  Stated that his shortness of breath progressively worsened which prompted him to visit Hospital.  In the ED patient's white blood cell count was 14.3K but otherwise unremarkable CBC.  D-dimer was elevated to 3.52, CMP revealed creatinine of 2.13.  Patient was requiring 6 L oxygen to maintain saturation greater than 92%.  Patient spiked temperature to 38.9 °C on ED arrival.  Patient was given dexamethasone and admitted to stepdown unit for further care.  CT PE: No evidence of PE but bilateral extensive multifocal infiltrates consistent with COVID-19 pneumonia.  Review of Systems     14 point review of systems negative except for HPI  Physical Exam  Vitals & Measurements  T: 38.9 °C  HR: 104  RR: 12  BP: 134/67  SpO2: 91%  WT: 111.8 kg      Gen: AO x3, NAD  HEENT: MMM, EMOI, PERRLA  Neck: Supple, No LAD  CVS: S1,S2 positive, No MRG  Lungs: Coarse breath sounds thought ling fields, No accessory muscle use  Abd: Soft, NT, ND, no organomegaly, bowel sounds positive  Neuro: Non focal  Extremities: Warm and dry, no edema  Assessment/Plan       82 Y old M admitted to hospital for further management of acute hypoxia 2/2 COVID PNA   Problem list:  Acute hypoxic respiratory failure:  COVID 19 PNA: Symptom onset -- > 11/8 Tested positive -- >11/11 Current O2 requirement -- > 6L Vaccination status -- > Yes  Will cover pt empirically with Levaquin for possible superimposed CAP CTPE -- > no PE Bronchodilator therapy protocol Continue dexamethasone 6 mg daily 6 min walk test before discharge Consider Baricitinib/Tocilizumab if symptoms were to worsen  Will trend inflammatory markers  Remdesivir -- > Hold 2/2 poor renal function   AKI?:  Gentle hydration  Pt received contrast for CTPE, at high risk for contrast induced nephropathy  Will trend Cr   DM2: Hold OGHA's  Insulin sliding scale for now  Hypoglycemic precautions   HTN: Hold ACEI's and HCTZ   HLD: Lipitor 20 mg daily  F: As above  E: Replete PRN  N: regular diet  GI: Not indicated  DVT: Heparin  Fall precautions  Code status: Full code
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Renal impairment, SARS-CoV-2 test positive, Sputum discoloured, White blood cell count decreased
Clinical narrative: Chief Complaint   pt presents for SOB, cough, abd pain, fever; tested positive for covid 4 days ago; received both covid vaccines  History of Present Illness      Patient is a 82-year-old male with a past medical history of hypertension, hyperlipidemia, type 2 diabetes presented to Hospital endorsing shortness of breath, fever, cough since past 4 days.  Patient stated that he and his wife started experiencing generalized body aches, cough with greenish productive sputum since past 1 week.  Stated that he was having low-grade fever with chills and has been experiencing worsening weakness and generalized malaise.  He was tested positive for COVID-19 on 11/11.  Stated that his shortness of breath progressively worsened which prompted him to visit Hospital.  In the ED patient's white blood cell count was 14.3K but otherwise unremarkable CBC.  D-dimer was elevated to 3.52, CMP revealed creatinine of 2.13.  Patient was requiring 6 L oxygen to maintain saturation greater than 92%.  Patient spiked temperature to 38.9 °C on ED arrival.  Patient was given dexamethasone and admitted to stepdown unit for further care.  CT PE: No evidence of PE but bilateral extensive multifocal infiltrates consistent with COVID-19 pneumonia.  Review of Systems     14 point review of systems negative except for HPI  Physical Exam  Vitals & Measurements  T: 38.9 °C  HR: 104  RR: 12  BP: 134/67  SpO2: 91%  WT: 111.8 kg      Gen: AO x3, NAD  HEENT: MMM, EMOI, PERRLA  Neck: Supple, No LAD  CVS: S1,S2 positive, No MRG  Lungs: Coarse breath sounds thought ling fields, No accessory muscle use  Abd: Soft, NT, ND, no organomegaly, bowel sounds positive  Neuro: Non focal  Extremities: Warm and dry, no edema  Assessment/Plan       82 Y old M admitted to hospital for further management of acute hypoxia 2/2 COVID PNA   Problem list:  Acute hypoxic respiratory failure:  COVID 19 PNA: Symptom onset -- > 11/8 Tested positive -- >11/11 Current O2 requirement -- > 6L Vaccination status -- > Yes  Will cover pt empirically with Levaquin for possible superimposed CAP CTPE -- > no PE Bronchodilator therapy protocol Continue dexamethasone 6 mg daily 6 min walk test before discharge Consider Baricitinib/Tocilizumab if symptoms were to worsen  Will trend inflammatory markers  Remdesivir -- > Hold 2/2 poor renal function   AKI?:  Gentle hydration  Pt received contrast for CTPE, at high risk for contrast induced nephropathy  Will trend Cr   DM2: Hold OGHA's  Insulin sliding scale for now  Hypoglycemic precautions   HTN: Hold ACEI's and HCTZ   HLD: Lipitor 20 mg daily  F: As above  E: Replete PRN  N: regular diet  GI: Not indicated  DVT: Heparin  Fall precautions  Code status: Full code
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Nasal congestion, Oropharyngeal pain
Clinical narrative: FEVER, NASAL CONGESTION, SORE THROAT, COUGH, DIARRHEA, FEVER
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: FEVER, NASAL CONGESTION, SORE THROAT, COUGH, DIARRHEA, FEVER
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: My lymph nodes in my neck are still enlarged as of today's date 12/13/21.  Left side lymph node is still slightly tender.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administer COVID 19 Moderna Vaccination to patient that was expired on 08/31/2021
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Lot # 053E21A was administered outside the 30-day Use by Date.  A case was opened with Moderna ID Case ID CEA-1261.  "The vaccine administered maintained the activity necessary to protect against the SARS-CoV-2 (Covid-19) virus at time of administration."
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Fatigue, Myalgia, Nausea
Clinical narrative: Fatigue, Diarrhea, nauseated, extremely sore muscles
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID+ received monoclonal antibody therapy
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Heart rate increased, Paraesthesia
Clinical narrative: Felt tingly all over in pelvis, arms, face and mouth.  Heart rate up a little (100) but felt anxious. It subsided with in a few minutes
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Days following the booster, I developed a case of shingles.  Taking a 7 day, every 8 hour, Valacyclovir for treatment.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Asthenia, Chills, Diarrhoea
Clinical narrative: All day on December 11, experienced common symptoms of fatigue, body aches, chills etc.  However at approx. 2:00 am on December 12, in addition to continued body aches, had awful stomach pain - felt like my intestines were inflamed - could not get comfortable to sleep.  Throughout the rest of the day (December 12) had constant diarrhea that was reminiscent of colonoscopy prep, along with continued weakness and fatigue.  It has improved slightly but still continues to date along with intermittent abdominal cramps.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Sleep disorder
Clinical narrative: All day on December 11, experienced common symptoms of fatigue, body aches, chills etc.  However at approx. 2:00 am on December 12, in addition to continued body aches, had awful stomach pain - felt like my intestines were inflamed - could not get comfortable to sleep.  Throughout the rest of the day (December 12) had constant diarrhea that was reminiscent of colonoscopy prep, along with continued weakness and fatigue.  It has improved slightly but still continues to date along with intermittent abdominal cramps.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Electromyogram, Magnetic resonance imaging, Pain in extremity, Ultrasound scan
Clinical narrative: I got my vaccine booster on September 8th. By September 11th, I started to get significant pain on the soles of my feet that has persisted until the present day, and has in fact spread to both of my legs up to about the thighs.  There is some debate amongst my medical providers as to whether this was due to the medication regimen I was on at the time, to this vaccine, or to a lower back problem that has since been diagnosed.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate decreased, Interchange of vaccine products, Pulse abnormal
Clinical narrative: Patient was gasping for air, pulse was weak and thready. Took patients vitals and they were 60/30 @ 1330 Took again it was 100/60 @ 1335. Patient used her own inhaler 4 times. Epinephrine was given at 13:47.  Right after the Epinephrine was given the ambulance arrived.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis, Hyperaesthesia, Mechanical urticaria
Clinical narrative: about 2 weeks after moderna booster shot I have developed  strong case of dermatographia.   Any touch of my skin causes it to be inflamed.  This condition has been going on for 1.5 weeks so far.  Prior to this I have never had any allergic reactions
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-thyroid antibody decreased, Atrioventricular block first degree, Bacteroides bacteraemia, Bacteroides test positive, Blood alkaline phosphatase increased
Clinical narrative: This is a 62y.o. male with a past medical history of liver transplant (2007) 2/2 alpha-1 antitrypsin, ESRD on HD TTSa 2/2 FSGS from transplant anti-rejection drugs, legally blind?, A flutter on eliquis, DVT on eliquis who presented from dialysis for hypotension. He reports some lightheadedness with his head turning. He also reports some nausea and diarrhea for the last few days. He denies any dyspnea, chest pain, palpitations, abdominal pain. He was recently admitted to Hospital for presumably his COVID infection.    Further chart review-  Patient previously hospitalized at Hospital and was noted to have Bacteroides fragilis bacteremia that was susceptible to meropenem, clindamycin, Unasyn, and metronidazole.    ED Course:  Vitals on arrival: 85/49, HR: 78, RR: 18, SPO2 0.88% on room air. Patient was placed on 5 L nasal cannula with increased to 96%. Blood pressure has remained low with MAP 56-66. He was given 500 mL normal saline bolus x2 and additional 250 mL bolus  with minimal improvement in blood pressure to 88/59, MAP: 69.  CBC remarkable for 3 BC: 15.7, hemoglobin: 11.8, baseline 11 , platelet: 457. BMP remarkable for sodium: 139, potassium: 5.2, chloride: 97, CO2: 14 with ATG: 23, BUN: 118, creatinine: 12.61. VBG: 7.33/32/16. Beta hydroxybutyrate: 0.24 hepatic function panel remarkable for alkaline phosphatase: 127. Lipase: 104, alkaline phosphatase: 6.5 troponin: 0.07, 0.07, 0.07. Blood cultures were obtained. Imaging: EKG: first degree AV block, CXR: consolidative process in LLL Medications: Cefepime, vancomycin started
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride decreased, Blood creatinine increased, Blood culture, Blood gases, Blood ketone body
Clinical narrative: This is a 62y.o. male with a past medical history of liver transplant (2007) 2/2 alpha-1 antitrypsin, ESRD on HD TTSa 2/2 FSGS from transplant anti-rejection drugs, legally blind?, A flutter on eliquis, DVT on eliquis who presented from dialysis for hypotension. He reports some lightheadedness with his head turning. He also reports some nausea and diarrhea for the last few days. He denies any dyspnea, chest pain, palpitations, abdominal pain. He was recently admitted to Hospital for presumably his COVID infection.    Further chart review-  Patient previously hospitalized at Hospital and was noted to have Bacteroides fragilis bacteremia that was susceptible to meropenem, clindamycin, Unasyn, and metronidazole.    ED Course:  Vitals on arrival: 85/49, HR: 78, RR: 18, SPO2 0.88% on room air. Patient was placed on 5 L nasal cannula with increased to 96%. Blood pressure has remained low with MAP 56-66. He was given 500 mL normal saline bolus x2 and additional 250 mL bolus  with minimal improvement in blood pressure to 88/59, MAP: 69.  CBC remarkable for 3 BC: 15.7, hemoglobin: 11.8, baseline 11 , platelet: 457. BMP remarkable for sodium: 139, potassium: 5.2, chloride: 97, CO2: 14 with ATG: 23, BUN: 118, creatinine: 12.61. VBG: 7.33/32/16. Beta hydroxybutyrate: 0.24 hepatic function panel remarkable for alkaline phosphatase: 127. Lipase: 104, alkaline phosphatase: 6.5 troponin: 0.07, 0.07, 0.07. Blood cultures were obtained. Imaging: EKG: first degree AV block, CXR: consolidative process in LLL Medications: Cefepime, vancomycin started
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium increased, Blood sodium normal, Blood urea increased, COVID-19, Carbon dioxide decreased
Clinical narrative: This is a 62y.o. male with a past medical history of liver transplant (2007) 2/2 alpha-1 antitrypsin, ESRD on HD TTSa 2/2 FSGS from transplant anti-rejection drugs, legally blind?, A flutter on eliquis, DVT on eliquis who presented from dialysis for hypotension. He reports some lightheadedness with his head turning. He also reports some nausea and diarrhea for the last few days. He denies any dyspnea, chest pain, palpitations, abdominal pain. He was recently admitted to Hospital for presumably his COVID infection.    Further chart review-  Patient previously hospitalized at Hospital and was noted to have Bacteroides fragilis bacteremia that was susceptible to meropenem, clindamycin, Unasyn, and metronidazole.    ED Course:  Vitals on arrival: 85/49, HR: 78, RR: 18, SPO2 0.88% on room air. Patient was placed on 5 L nasal cannula with increased to 96%. Blood pressure has remained low with MAP 56-66. He was given 500 mL normal saline bolus x2 and additional 250 mL bolus  with minimal improvement in blood pressure to 88/59, MAP: 69.  CBC remarkable for 3 BC: 15.7, hemoglobin: 11.8, baseline 11 , platelet: 457. BMP remarkable for sodium: 139, potassium: 5.2, chloride: 97, CO2: 14 with ATG: 23, BUN: 118, creatinine: 12.61. VBG: 7.33/32/16. Beta hydroxybutyrate: 0.24 hepatic function panel remarkable for alkaline phosphatase: 127. Lipase: 104, alkaline phosphatase: 6.5 troponin: 0.07, 0.07, 0.07. Blood cultures were obtained. Imaging: EKG: first degree AV block, CXR: consolidative process in LLL Medications: Cefepime, vancomycin started
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Diarrhoea, Dizziness, Electrocardiogram abnormal, Full blood count
Clinical narrative: This is a 62y.o. male with a past medical history of liver transplant (2007) 2/2 alpha-1 antitrypsin, ESRD on HD TTSa 2/2 FSGS from transplant anti-rejection drugs, legally blind?, A flutter on eliquis, DVT on eliquis who presented from dialysis for hypotension. He reports some lightheadedness with his head turning. He also reports some nausea and diarrhea for the last few days. He denies any dyspnea, chest pain, palpitations, abdominal pain. He was recently admitted to Hospital for presumably his COVID infection.    Further chart review-  Patient previously hospitalized at Hospital and was noted to have Bacteroides fragilis bacteremia that was susceptible to meropenem, clindamycin, Unasyn, and metronidazole.    ED Course:  Vitals on arrival: 85/49, HR: 78, RR: 18, SPO2 0.88% on room air. Patient was placed on 5 L nasal cannula with increased to 96%. Blood pressure has remained low with MAP 56-66. He was given 500 mL normal saline bolus x2 and additional 250 mL bolus  with minimal improvement in blood pressure to 88/59, MAP: 69.  CBC remarkable for 3 BC: 15.7, hemoglobin: 11.8, baseline 11 , platelet: 457. BMP remarkable for sodium: 139, potassium: 5.2, chloride: 97, CO2: 14 with ATG: 23, BUN: 118, creatinine: 12.61. VBG: 7.33/32/16. Beta hydroxybutyrate: 0.24 hepatic function panel remarkable for alkaline phosphatase: 127. Lipase: 104, alkaline phosphatase: 6.5 troponin: 0.07, 0.07, 0.07. Blood cultures were obtained. Imaging: EKG: first degree AV block, CXR: consolidative process in LLL Medications: Cefepime, vancomycin started