chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Allergy to chemicals, Blood cholesterol increased, Blood test, Cardiac monitoring, Computerised tomogram normal
Clinical narrative: I had my last booster and flu shot on same date. Since then I have had to call the emergency number 3 times due to my heart beating super fast. It was worse than heart palpitations. The last time I called was last week. I think that it was a change in my blood pressure. I was light headed and felt I would pass out and my vision was blurry. I also had pressure in the top of my head. The medics came over and checked my blood pressure. They determined it was high but it was ok. I still asked to be taken to the ER. They kept me there for 4 or 5 hours and gave me a prescription for migraine. The symptoms returned shortly after they gave me the medicine. I was sent to have a CT scan performed. The results were normal. I scheduled an appointment with my doctor after that. He referred me to an ophthalmologist. The ER prescribed 2 medications for migraines but I have not taken them. In November I had a heart ultrasound done and was placed on a heart monitor for 1 week. I went to see a cardiologist. He advised the heart ultrasound was normal. I called the ER because my heart was beating like crazy for more than a minute. I had no stress factors that contributed. I have also been experiencing extreme fatigue so I had a full panel blood test and determined that my Vitamin D was low and that cholesterol was slightly high. I do still the pressure in my head and my eyes. It feels like my eyes have changed and it comes and goes. I have also experienced brain fog and extreme fatigue. I had a change in my periods. They are extremely painful and they are showing up a week earlier.  When I drink wine, it seems that I am having an allergic reaction. After having half a glass of wine, I started having the palpitations and feeling like I am having a hangover.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Dysmenorrhoea, Echocardiogram normal, Fatigue, Feeling abnormal
Clinical narrative: I had my last booster and flu shot on same date. Since then I have had to call the emergency number 3 times due to my heart beating super fast. It was worse than heart palpitations. The last time I called was last week. I think that it was a change in my blood pressure. I was light headed and felt I would pass out and my vision was blurry. I also had pressure in the top of my head. The medics came over and checked my blood pressure. They determined it was high but it was ok. I still asked to be taken to the ER. They kept me there for 4 or 5 hours and gave me a prescription for migraine. The symptoms returned shortly after they gave me the medicine. I was sent to have a CT scan performed. The results were normal. I scheduled an appointment with my doctor after that. He referred me to an ophthalmologist. The ER prescribed 2 medications for migraines but I have not taken them. In November I had a heart ultrasound done and was placed on a heart monitor for 1 week. I went to see a cardiologist. He advised the heart ultrasound was normal. I called the ER because my heart was beating like crazy for more than a minute. I had no stress factors that contributed. I have also been experiencing extreme fatigue so I had a full panel blood test and determined that my Vitamin D was low and that cholesterol was slightly high. I do still the pressure in my head and my eyes. It feels like my eyes have changed and it comes and goes. I have also experienced brain fog and extreme fatigue. I had a change in my periods. They are extremely painful and they are showing up a week earlier.  When I drink wine, it seems that I am having an allergic reaction. After having half a glass of wine, I started having the palpitations and feeling like I am having a hangover.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Hangover, Head discomfort, Heart rate increased, Hypersensitivity, Hypertension
Clinical narrative: I had my last booster and flu shot on same date. Since then I have had to call the emergency number 3 times due to my heart beating super fast. It was worse than heart palpitations. The last time I called was last week. I think that it was a change in my blood pressure. I was light headed and felt I would pass out and my vision was blurry. I also had pressure in the top of my head. The medics came over and checked my blood pressure. They determined it was high but it was ok. I still asked to be taken to the ER. They kept me there for 4 or 5 hours and gave me a prescription for migraine. The symptoms returned shortly after they gave me the medicine. I was sent to have a CT scan performed. The results were normal. I scheduled an appointment with my doctor after that. He referred me to an ophthalmologist. The ER prescribed 2 medications for migraines but I have not taken them. In November I had a heart ultrasound done and was placed on a heart monitor for 1 week. I went to see a cardiologist. He advised the heart ultrasound was normal. I called the ER because my heart was beating like crazy for more than a minute. I had no stress factors that contributed. I have also been experiencing extreme fatigue so I had a full panel blood test and determined that my Vitamin D was low and that cholesterol was slightly high. I do still the pressure in my head and my eyes. It feels like my eyes have changed and it comes and goes. I have also experienced brain fog and extreme fatigue. I had a change in my periods. They are extremely painful and they are showing up a week earlier.  When I drink wine, it seems that I am having an allergic reaction. After having half a glass of wine, I started having the palpitations and feeling like I am having a hangover.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Menstruation irregular, Migraine, Ocular discomfort, Palpitations, Presyncope
Clinical narrative: I had my last booster and flu shot on same date. Since then I have had to call the emergency number 3 times due to my heart beating super fast. It was worse than heart palpitations. The last time I called was last week. I think that it was a change in my blood pressure. I was light headed and felt I would pass out and my vision was blurry. I also had pressure in the top of my head. The medics came over and checked my blood pressure. They determined it was high but it was ok. I still asked to be taken to the ER. They kept me there for 4 or 5 hours and gave me a prescription for migraine. The symptoms returned shortly after they gave me the medicine. I was sent to have a CT scan performed. The results were normal. I scheduled an appointment with my doctor after that. He referred me to an ophthalmologist. The ER prescribed 2 medications for migraines but I have not taken them. In November I had a heart ultrasound done and was placed on a heart monitor for 1 week. I went to see a cardiologist. He advised the heart ultrasound was normal. I called the ER because my heart was beating like crazy for more than a minute. I had no stress factors that contributed. I have also been experiencing extreme fatigue so I had a full panel blood test and determined that my Vitamin D was low and that cholesterol was slightly high. I do still the pressure in my head and my eyes. It feels like my eyes have changed and it comes and goes. I have also experienced brain fog and extreme fatigue. I had a change in my periods. They are extremely painful and they are showing up a week earlier.  When I drink wine, it seems that I am having an allergic reaction. After having half a glass of wine, I started having the palpitations and feeling like I am having a hangover.
Age: 47.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Treatment noncompliance, Vision blurred, Vitamin D decreased
Clinical narrative: I had my last booster and flu shot on same date. Since then I have had to call the emergency number 3 times due to my heart beating super fast. It was worse than heart palpitations. The last time I called was last week. I think that it was a change in my blood pressure. I was light headed and felt I would pass out and my vision was blurry. I also had pressure in the top of my head. The medics came over and checked my blood pressure. They determined it was high but it was ok. I still asked to be taken to the ER. They kept me there for 4 or 5 hours and gave me a prescription for migraine. The symptoms returned shortly after they gave me the medicine. I was sent to have a CT scan performed. The results were normal. I scheduled an appointment with my doctor after that. He referred me to an ophthalmologist. The ER prescribed 2 medications for migraines but I have not taken them. In November I had a heart ultrasound done and was placed on a heart monitor for 1 week. I went to see a cardiologist. He advised the heart ultrasound was normal. I called the ER because my heart was beating like crazy for more than a minute. I had no stress factors that contributed. I have also been experiencing extreme fatigue so I had a full panel blood test and determined that my Vitamin D was low and that cholesterol was slightly high. I do still the pressure in my head and my eyes. It feels like my eyes have changed and it comes and goes. I have also experienced brain fog and extreme fatigue. I had a change in my periods. They are extremely painful and they are showing up a week earlier.  When I drink wine, it seems that I am having an allergic reaction. After having half a glass of wine, I started having the palpitations and feeling like I am having a hangover.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Critical illness, Death
Clinical narrative: Presented with SOB, cough x 1 week; Covid + ED; admitted to ICU with Covid PNA; tx with zithromax, rocephin, steroids, remdesivir, singulair, zinc, maxipime, supplemental O2; intubated 9/11; IgG infusion;currently remains intubated with worsening renal function; on pressors; critically ill;  After discussions with the husband, he expressed that she would not have wanted dialysis. Palliative care assisted in family meetings and the family elected to transition to comfort measures. She was made DNR and therapy was discontinued. She was declared deceased on 9/29/21 at 11:09.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, Immunoglobulin therapy, Intensive care, Renal impairment
Clinical narrative: Presented with SOB, cough x 1 week; Covid + ED; admitted to ICU with Covid PNA; tx with zithromax, rocephin, steroids, remdesivir, singulair, zinc, maxipime, supplemental O2; intubated 9/11; IgG infusion;currently remains intubated with worsening renal function; on pressors; critically ill;  After discussions with the husband, he expressed that she would not have wanted dialysis. Palliative care assisted in family meetings and the family elected to transition to comfort measures. She was made DNR and therapy was discontinued. She was declared deceased on 9/29/21 at 11:09.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Therapy cessation
Clinical narrative: Presented with SOB, cough x 1 week; Covid + ED; admitted to ICU with Covid PNA; tx with zithromax, rocephin, steroids, remdesivir, singulair, zinc, maxipime, supplemental O2; intubated 9/11; IgG infusion;currently remains intubated with worsening renal function; on pressors; critically ill;  After discussions with the husband, he expressed that she would not have wanted dialysis. Palliative care assisted in family meetings and the family elected to transition to comfort measures. She was made DNR and therapy was discontinued. She was declared deceased on 9/29/21 at 11:09.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test abnormal
Clinical narrative: Admitted for worsening SOB, tested positive in ER. Fully vaccinated. Treated with increased O2 (on 3L at home), steroids, remdesivir, zinc, singulair. Eventually improved, weaned O2 down and was discharged home.
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Irritability, Myalgia, Nausea, Neuralgia
Clinical narrative: Severe Nerve pain (alleviated with Lyrica), Nausea, muscle aches, fever chills, headache, irritability,
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia
Clinical narrative: Severe Nerve pain (alleviated with Lyrica), Nausea, muscle aches, fever chills, headache, irritability,
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Bacteraemia, Blood culture positive, Blood lactic acid, COVID-19
Clinical narrative: Summary from hospital stay "On admit pt was febrile, tachypneic, Lactate 4.0 and AAOx3. UA showed infection and pt was started on Rocephin. Admitted for sepsis. Blood Cx showed streptococcus, with adequate coverage with Rocephin which was comntinued. Hx of chronic diabetic foot wounds, we considered this the likely source of his bacteremia. Wound care was consulted. Today, blood cx are still negative at 48 hrs so pt stable for discharge on oral antibiotics. Will need follow up for wound care and this has been set up both for at home as well as at the wound clinic. He will start Amoxicillin 500 TID for 13 days. "
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac pacemaker insertion, Cardiac valve disease, Diabetic neuropathy, Hypoacusis, Hypomagnesaemia
Clinical narrative: Summary from hospital stay "On admit pt was febrile, tachypneic, Lactate 4.0 and AAOx3. UA showed infection and pt was started on Rocephin. Admitted for sepsis. Blood Cx showed streptococcus, with adequate coverage with Rocephin which was comntinued. Hx of chronic diabetic foot wounds, we considered this the likely source of his bacteremia. Wound care was consulted. Today, blood cx are still negative at 48 hrs so pt stable for discharge on oral antibiotics. Will need follow up for wound care and this has been set up both for at home as well as at the wound clinic. He will start Amoxicillin 500 TID for 13 days. "
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyponatraemia, Metabolic encephalopathy, Normochromic normocytic anaemia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Summary from hospital stay "On admit pt was febrile, tachypneic, Lactate 4.0 and AAOx3. UA showed infection and pt was started on Rocephin. Admitted for sepsis. Blood Cx showed streptococcus, with adequate coverage with Rocephin which was comntinued. Hx of chronic diabetic foot wounds, we considered this the likely source of his bacteremia. Wound care was consulted. Today, blood cx are still negative at 48 hrs so pt stable for discharge on oral antibiotics. Will need follow up for wound care and this has been set up both for at home as well as at the wound clinic. He will start Amoxicillin 500 TID for 13 days. "
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sepsis, Streptococcal infection, Streptococcus test positive, Tachypnoea, Troponin increased
Clinical narrative: Summary from hospital stay "On admit pt was febrile, tachypneic, Lactate 4.0 and AAOx3. UA showed infection and pt was started on Rocephin. Admitted for sepsis. Blood Cx showed streptococcus, with adequate coverage with Rocephin which was comntinued. Hx of chronic diabetic foot wounds, we considered this the likely source of his bacteremia. Wound care was consulted. Today, blood cx are still negative at 48 hrs so pt stable for discharge on oral antibiotics. Will need follow up for wound care and this has been set up both for at home as well as at the wound clinic. He will start Amoxicillin 500 TID for 13 days. "
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urinary tract infection, Urine analysis abnormal
Clinical narrative: Summary from hospital stay "On admit pt was febrile, tachypneic, Lactate 4.0 and AAOx3. UA showed infection and pt was started on Rocephin. Admitted for sepsis. Blood Cx showed streptococcus, with adequate coverage with Rocephin which was comntinued. Hx of chronic diabetic foot wounds, we considered this the likely source of his bacteremia. Wound care was consulted. Today, blood cx are still negative at 48 hrs so pt stable for discharge on oral antibiotics. Will need follow up for wound care and this has been set up both for at home as well as at the wound clinic. He will start Amoxicillin 500 TID for 13 days. "
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB; Covid + in ED; Admitted to medical facility with Covid PNA, tx with steroids, merrem, remdesivir, pulmicort, Vit C, Baricitinib, symbicort, zinc; supplemental O2 required..up to 12 LPM; back to 4LPM baseline at d/c The facility that she came from will not be able to take her for 10 days after the initial COVID test.  She is able to go to another facility for now until she is able to go back to her skilled nursing facility.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Death, Liver function test increased, Sepsis, Unresponsive to stimuli
Clinical narrative: Admitted for sepsis due to covid pneumonia. Fully vaccinated. Treated with cefepime, steroids, singulari, zinc, remdesivir (stopped mid-treatment due to elevated LFTs). Initially looked to be stabilizing but was found unresponsive 9/11 with oxygen removed. Pt had expired.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Ankle fracture, COVID-19, COVID-19 pneumonia, Death, Inappropriate schedule of product administration
Clinical narrative: Originally admitted with ankle fx, found to be COVID+ into stay, during routine testing for DC to SNF. Fully vaccinated in June. Dx with COVID pna 9/9. Treated with steroids, zinc, remdesivir, monoclonal antiboides, O2. Oxygen requirements increased, pt was placed on comfort care and expired in hospital 9/15.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Originally admitted with ankle fx, found to be COVID+ into stay, during routine testing for DC to SNF. Fully vaccinated in June. Dx with COVID pna 9/9. Treated with steroids, zinc, remdesivir, monoclonal antiboides, O2. Oxygen requirements increased, pt was placed on comfort care and expired in hospital 9/15.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, COVID-19 pneumonia, Decreased appetite, Flatulence
Clinical narrative: Admitted for COVID pneumonitis. Diagnosed 3 days PTA. Fully vaccinated. Treated with lovenox, lasix, vit-c, zinc, steroids, O2. No remdesivir due to acute renal failure. Weaned to RA eventually and discharged to SNF. When seen this morning he denied any shortness of breath, chest pain or cough.  He was on 0.5 L of supplemental oxygen during my visit but then that was also turned off.  No nausea.  Reported that his appetite is back once he had a bowel movement yesterday morning.  No abdominal pain.  Passing flatus.  He is overall feeling better and his eager to go to skilled nursing facility to recover further.  Called and updated daughter in detail.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19: I took a rapid test at home and went to the pharmacy and received Paxlovid.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Chest X-ray abnormal, Cough, Rhinorrhoea
Clinical narrative: Developed sniffles starting about 1/18/22; tested negative on 3 home tests for COVID-19 from about 1/18/22 through 1/21/22; over the week of 1/24/22-1/28/22, developed persistent cough. Went to urgent care Saturday, 1/29/22. X-ray suggested bronchitis. Treated with antibiotic for 10 days but symptoms persisted for about another month.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error
Clinical narrative: (ADMINISTRATION ERROR *  49 Y/O MALE RECEIVED SECOND BOOSTER DOSE (PFIZER) BEFORE 50 YEARS OF AGE, RECOMMENDED BY CDC
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood pressure increased, Disorientation, Dizziness, Fatigue
Clinical narrative: I started feeling really fatigue. I went to bed early. Around midnight I got up to go to the bathroom I felt like I was drugged, I lost my stability and I bumped into the door frame of the bathroom. I felt disoriented and felt like my blood pressure was spiking, but I couldn't take my BP because I was so disoriented. I needed to call off of work that day. I went back to sleep and when I woke up I felt a little better, but still dizzy. By midnight the following evening I was feeling better. It did take a couple of days to get over feeling severe fatigue. I called my doctor's office to let them know what happened, but by the time I could see them I felt better. They advised to watch my blood pressure and when I checked it was back to normal.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability
Clinical narrative: I started feeling really fatigue. I went to bed early. Around midnight I got up to go to the bathroom I felt like I was drugged, I lost my stability and I bumped into the door frame of the bathroom. I felt disoriented and felt like my blood pressure was spiking, but I couldn't take my BP because I was so disoriented. I needed to call off of work that day. I went back to sleep and when I woke up I felt a little better, but still dizzy. By midnight the following evening I was feeling better. It did take a couple of days to get over feeling severe fatigue. I called my doctor's office to let them know what happened, but by the time I could see them I felt better. They advised to watch my blood pressure and when I checked it was back to normal.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bacterial infection, COVID-19 pneumonia
Clinical narrative: Admitted for COVID pneumonia with secondary bacterial infection. Steroids, LMWH, vit-c, vit-d, zinc. Azithro, rocephin, doxy. Did not require oxygen. Improved and discharged to rehab.  He was seen by infectious disease. He did not require any oxygen therapy. He was weak and was seen by physical therapy and occupational therapy. He has been accepted to a HCF for rehab as family was not able to care for him at home. He is felt stable to discharge at this time on oral steroid taper and antibiotics. Discussed with daughter at time of discharge.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cardiac failure, Cough
Clinical narrative: Presented with cough x2 weeks, also n/v, weakness, sob; Covid + in ED ; Admit 9/20 tele with Covid PNA; outside of time frame for remdesivir, tx with 9/20 merrem 9/21 zithromax, steroids, LMWH, singulair,  zinc; O2: Initially 3 LPM O2 then HF O2 35/60 by 9/21; back to 5-6 LPM 9/26 and down to 3 LPM at d/c;
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Nausea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Presented with cough x2 weeks, also n/v, weakness, sob; Covid + in ED ; Admit 9/20 tele with Covid PNA; outside of time frame for remdesivir, tx with 9/20 merrem 9/21 zithromax, steroids, LMWH, singulair,  zinc; O2: Initially 3 LPM O2 then HF O2 35/60 by 9/21; back to 5-6 LPM 9/26 and down to 3 LPM at d/c;
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Nausea
Clinical narrative: Dizzy, nausea and metallic taste in the mouth.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presented with increased SOB x 4 days, normally on 2 LPM O2 at home; + Covid ED; Admit 9/20 medical Covid infection and COPD exacerbation; Tx: 9/20 maxipime, steroids, symbicort, singulair, zinc O2: 4 lpm with admission; down to 2 LPM (baseline) at dc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, COVID-19, Cellulitis, Condition aggravated, Dehydration
Clinical narrative: Provider notes: "Patient is a 64-year-old female with a past medical history of obesity, type 2 diabetes mellitus who presented with MRSA bacteremia from left upper extremity cellulitis. Completed > 2 week course of daptomycin. Had issues with hypertension which improved mostly with adding diuretic and BB. Unfortunately, became dehydrated and had mild AKI which improved with IV fluids.  Had Issues with dizziness, suspect to be secondary to sinuses (chronic problem) and improved with treatment of sinuses.   Her long-acting insulin regimen has been decreased at this time, with A1 c 7.2.  She has been restarted on her home meds.  This regimen will need to be titrated over time.  The patient has been asked to check her blood sugars 3 times a day and before bed and report these to PCP.   Home care has been arranged, and the patient has been in contact with her caregivers and they plan to meet her at home today."
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Glycosylated haemoglobin decreased, Hypertension, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: Provider notes: "Patient is a 64-year-old female with a past medical history of obesity, type 2 diabetes mellitus who presented with MRSA bacteremia from left upper extremity cellulitis. Completed > 2 week course of daptomycin. Had issues with hypertension which improved mostly with adding diuretic and BB. Unfortunately, became dehydrated and had mild AKI which improved with IV fluids.  Had Issues with dizziness, suspect to be secondary to sinuses (chronic problem) and improved with treatment of sinuses.   Her long-acting insulin regimen has been decreased at this time, with A1 c 7.2.  She has been restarted on her home meds.  This regimen will need to be titrated over time.  The patient has been asked to check her blood sugars 3 times a day and before bed and report these to PCP.   Home care has been arranged, and the patient has been in contact with her caregivers and they plan to meet her at home today."
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcal bacteraemia
Clinical narrative: Provider notes: "Patient is a 64-year-old female with a past medical history of obesity, type 2 diabetes mellitus who presented with MRSA bacteremia from left upper extremity cellulitis. Completed > 2 week course of daptomycin. Had issues with hypertension which improved mostly with adding diuretic and BB. Unfortunately, became dehydrated and had mild AKI which improved with IV fluids.  Had Issues with dizziness, suspect to be secondary to sinuses (chronic problem) and improved with treatment of sinuses.   Her long-acting insulin regimen has been decreased at this time, with A1 c 7.2.  She has been restarted on her home meds.  This regimen will need to be titrated over time.  The patient has been asked to check her blood sugars 3 times a day and before bed and report these to PCP.   Home care has been arranged, and the patient has been in contact with her caregivers and they plan to meet her at home today."
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Faecaloma, Hypoxia, Proctalgia
Clinical narrative: Presented with weakness and rectal pain, fever in ED and hypoxic; Covid + in ED; Admited 9/17 medical  for Covid infection ; tx with 9/17 Vit C, Vit D3, steroids, LMWH,  singulair, zinc; also treated for fecal impaction; Remained on RA for O2 during stay Order to receive monoclonal antibodies after d/c
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with weakness and rectal pain, fever in ED and hypoxic; Covid + in ED; Admited 9/17 medical  for Covid infection ; tx with 9/17 Vit C, Vit D3, steroids, LMWH,  singulair, zinc; also treated for fecal impaction; Remained on RA for O2 during stay Order to receive monoclonal antibodies after d/c
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Chills, Dysphagia, Glycosylated haemoglobin
Clinical narrative: When this all started on 04/21/2022, I had a very sore throat and it hurt when I swallowed. I had a lot of nasal drainage, slight nausea and a mild fever (99.2) where I normally run 97, chills, fatigue and just generally not feeling well. Also, I had a dull headache. I took an at home test but I couldn't tell if it was positive or not. So, I called my doctor's office who had me come in to get a test and on 04/21/2022 I tested positive for COVID-19. I went home after that and took Tylenol if I needed. The doctors office called the next day to check in. I decided to take the oral medicine by Pfizer (5 day medication). It took about 4 days for the sore throat to go away and then I saw the doctors on 04/27/2022 which was an already scheduled regular visit and, when I took another at home test on 04/28/2022 it was negative.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Metabolic function test, Nausea, Oropharyngeal pain
Clinical narrative: When this all started on 04/21/2022, I had a very sore throat and it hurt when I swallowed. I had a lot of nasal drainage, slight nausea and a mild fever (99.2) where I normally run 97, chills, fatigue and just generally not feeling well. Also, I had a dull headache. I took an at home test but I couldn't tell if it was positive or not. So, I called my doctor's office who had me come in to get a test and on 04/21/2022 I tested positive for COVID-19. I went home after that and took Tylenol if I needed. The doctors office called the next day to check in. I decided to take the oral medicine by Pfizer (5 day medication). It took about 4 days for the sore throat to go away and then I saw the doctors on 04/27/2022 which was an already scheduled regular visit and, when I took another at home test on 04/28/2022 it was negative.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: When this all started on 04/21/2022, I had a very sore throat and it hurt when I swallowed. I had a lot of nasal drainage, slight nausea and a mild fever (99.2) where I normally run 97, chills, fatigue and just generally not feeling well. Also, I had a dull headache. I took an at home test but I couldn't tell if it was positive or not. So, I called my doctor's office who had me come in to get a test and on 04/21/2022 I tested positive for COVID-19. I went home after that and took Tylenol if I needed. The doctors office called the next day to check in. I decided to take the oral medicine by Pfizer (5 day medication). It took about 4 days for the sore throat to go away and then I saw the doctors on 04/27/2022 which was an already scheduled regular visit and, when I took another at home test on 04/28/2022 it was negative.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Joint injury, Limb injury, Pain, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Presented with weakness and cough; Covid + 1 wk PTA, previously tx with zithromax PTA; sent to ED from monoclonal antibody infusion center due to hypoxia, Admit 9/23 tele with Covid PNA; tx with 9/23 Eliquis, Vit C, Vit D3, singulair, zithromax, maxipime, steroids, doxycycline, remdesivir, zinc, started 9/24 actemra 1 dose; O2 requirements: initially on 4 LPM O2; up to max 15 LPM by 9/24; then weaned slowly back to RA at rest; needs 2-4 LPM with activity by time of D/D
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Presented with weakness and cough; Covid + 1 wk PTA, previously tx with zithromax PTA; sent to ED from monoclonal antibody infusion center due to hypoxia, Admit 9/23 tele with Covid PNA; tx with 9/23 Eliquis, Vit C, Vit D3, singulair, zithromax, maxipime, steroids, doxycycline, remdesivir, zinc, started 9/24 actemra 1 dose; O2 requirements: initially on 4 LPM O2; up to max 15 LPM by 9/24; then weaned slowly back to RA at rest; needs 2-4 LPM with activity by time of D/D
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Confusional state, Cough, Diarrhoea
Clinical narrative: Presented with confusion and weakness, cough, SOB, diarrhea x 2 days; Covid + ED; Admit 9/22 medical with Covid infection; tx : 9/22 Rocephin, vancomycin, 9/22 No supplemental O2 needed;
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presented with confusion and weakness, cough, SOB, diarrhea x 2 days; Covid + ED; Admit 9/22 medical with Covid infection; tx : 9/22 Rocephin, vancomycin, 9/22 No supplemental O2 needed;
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: *ADMINISTRATION ERROR*  48 Y/O FEMALE PATIENT RECEIVED SECOND BOOSTER DOSE (PFIZER) BEFORE 50 YEARS OF AGE, RECOMMENDED BY CDC.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling, Scab, Tenderness, Throat irritation
Clinical narrative: On 4/26/2022, patient received his first MODERNA vaccination (0.5mL, Part 1). Two days after, patient reported swelling of his upper right lips and itchiness in his throat. Patient took Benadryl, which helped with patient's swelling and itchiness. Patient denies having issues with breathing during the event, which might be partially due to patient ingesting Benadryl during the event. Patient reported and showed that swelling of lips has subsided for patient to where the lips has mostly returned to regular size. Patient reports today (5/4/2022) that currently there is still itchiness in his upper right lip region, his lips still feel tender. Crusting(?) in upper lip region was observed among the patient's moustache hairs. Patient denies any follow up reactions similar to initial adverse event. Patient denies having any previous vaccinations prior to his first MODERNA vaccine and reports that this is not only his first MODERNA vaccination, but also his first ever vaccine in his life.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, diarrhea; Covid + in ED; admit 9/17 medical with Covid infection Tx with 9/17 steroids started , 9/18 Rocephin, singulair, zinc started; initially on 3 LPM O2; down to RA by d/c
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, COVID-19, Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: presented with fever, hypoxia, nstemi,; + Covid at NH PTA; Admit 9/13 medical with Covid infection; tx with 9/14 remdesivir, steroids, singulair, zinc; O2 at 2 LPM initially, weaned to RA by discharge
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: Presented with SOB x 4 days, hypoxic in ED; SpO2 39% improved with NRB mask ; Covid + in ED; Admit 9/15 to ICU with Covid PNA; tx with 9/15 Baricitinib, maxipime, remdesivir, steroids, doxycycline, LMWH, singulair, zinc started 9/16 Vanc started; O2: intially on HF O2 via NRB and Bipap; intubated 9/16 100% FiO2; pt progressed to ARDS and Multiorgan failure with inability to wean from vent; Comfort Care on 9/30; Died @ 14:50 9/30
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Hypoxia, Intensive care, Mechanical ventilation, Multiple organ dysfunction syndrome
Clinical narrative: Presented with SOB x 4 days, hypoxic in ED; SpO2 39% improved with NRB mask ; Covid + in ED; Admit 9/15 to ICU with Covid PNA; tx with 9/15 Baricitinib, maxipime, remdesivir, steroids, doxycycline, LMWH, singulair, zinc started 9/16 Vanc started; O2: intially on HF O2 via NRB and Bipap; intubated 9/16 100% FiO2; pt progressed to ARDS and Multiorgan failure with inability to wean from vent; Comfort Care on 9/30; Died @ 14:50 9/30
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB x 4 days, hypoxic in ED; SpO2 39% improved with NRB mask ; Covid + in ED; Admit 9/15 to ICU with Covid PNA; tx with 9/15 Baricitinib, maxipime, remdesivir, steroids, doxycycline, LMWH, singulair, zinc started 9/16 Vanc started; O2: intially on HF O2 via NRB and Bipap; intubated 9/16 100% FiO2; pt progressed to ARDS and Multiorgan failure with inability to wean from vent; Comfort Care on 9/30; Died @ 14:50 9/30
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Malaise, Rhinorrhoea
Clinical narrative: On Sunday you started getting a headache, cough and runny nose. I was able to still do my daily activities at the time. By Wednesday I was not feeling as well so I took a home COVID-19 test and it came back positive.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: On Sunday you started getting a headache, cough and runny nose. I was able to still do my daily activities at the time. By Wednesday I was not feeling as well so I took a home COVID-19 test and it came back positive.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Respiratory distress
Clinical narrative: Shortness of breath, respiratory distress
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age, Product administration error
Clinical narrative: *ADMINISTRATION ERROR*  48 Y/O FEMALE PATIENT RECEIVED SECOND BOOSTER (PFIZER) BEFORE 50 YEARS OF AGE, AS RECOMMENDED BY CDC.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: NONE
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Bell's palsy, Fatigue, Hemiplegia
Clinical narrative: I developed Bell's Palsy. paralyzed left side, loss of taste on the left side. I have been real tired. Prescribed prednisone.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Electroencephalogram abnormal, Heart rate increased
Clinical narrative: Atrial Fibrillation 3 days post injection.  Elevated heart rate prior to a-fib
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: slight headache and tired home test positive for Covid on April 30, 2022.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site pain, Pyrexia
Clinical narrative: I had pain at the injection site that lasted a day. I had a slight fever and some sweating. I took a Tylenol and slept it off. I was fine the next day.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, SARS-CoV-2 test positive
Clinical narrative: I woke up with a headache and slight cough and the cough got worse throughout the course of the day. I went and got tested. Doctor prescribed the antiviral drug and prednisone. For two days the coughing was bad, like a really bad upper respiratory cold. Today is the first day I'm not coughing at all and I feel pretty good today.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Muscle spasms, Pyrexia
Clinical narrative: On 05/02/2022 I began to cough and get a runny nose. By the evening I began coughing a lot. In the morning of 05/03/2022 I took two at-home tests and tested Positive. After that, we decided to do a PCR. My PCR test came back positive. I called my PCP and he prescribed Paxlovid and some OTC medications to treat the cough and fever. I went into quarantine and by today I have felt better. I could also feel my fever had broke and the feeling of being sick is completely gone but I was advised to continue to Quarantine for five days. I am traveling.  After my 4th dose I did have some lower back muscle spasm and have been taking some ibuprofen. I feel recovered but I am sure my doctor would say I am not.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: On 05/02/2022 I began to cough and get a runny nose. By the evening I began coughing a lot. In the morning of 05/03/2022 I took two at-home tests and tested Positive. After that, we decided to do a PCR. My PCR test came back positive. I called my PCP and he prescribed Paxlovid and some OTC medications to treat the cough and fever. I went into quarantine and by today I have felt better. I could also feel my fever had broke and the feeling of being sick is completely gone but I was advised to continue to Quarantine for five days. I am traveling.  After my 4th dose I did have some lower back muscle spasm and have been taking some ibuprofen. I feel recovered but I am sure my doctor would say I am not.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Cerebral infarction, Cough, Delirium
Clinical narrative: Provider discharge summary "Patient had been under hospice care at a local extended care facility due to history of Vascular dementia with behavior disturbance and Hemiplegia, Dysphagia as late effects of cerebral infarction developed Hypoxia.  This appears due to a COVID-19 virus infection.  He has been started on DECADRON and REMDESIVIR. He improved and was able to be weaned off supplemental oxygen.  He completed his course of DECADRON in the hospital.  The patient was medically stable for discharge on 4/29/22 but the facility where he had been residing initially refused to take the patient back and as such his hospital stay was inappropriately lengthened.      Continuing medications for dementia: QUETIAPINE GABAPENTIN DIVALPROEX ESCITALOPRAM  BUPROPION  For history of stroke on ASPIRIN, CLOPIDOGREL,.   For hyperglycemia on sliding scale but had not required much coverage. "
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Delusion, Dysphagia, Haematuria, Hemiplegia, Hyperglycaemia
Clinical narrative: Provider discharge summary "Patient had been under hospice care at a local extended care facility due to history of Vascular dementia with behavior disturbance and Hemiplegia, Dysphagia as late effects of cerebral infarction developed Hypoxia.  This appears due to a COVID-19 virus infection.  He has been started on DECADRON and REMDESIVIR. He improved and was able to be weaned off supplemental oxygen.  He completed his course of DECADRON in the hospital.  The patient was medically stable for discharge on 4/29/22 but the facility where he had been residing initially refused to take the patient back and as such his hospital stay was inappropriately lengthened.      Continuing medications for dementia: QUETIAPINE GABAPENTIN DIVALPROEX ESCITALOPRAM  BUPROPION  For history of stroke on ASPIRIN, CLOPIDOGREL,.   For hyperglycemia on sliding scale but had not required much coverage. "
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Neuropsychiatric symptoms, SARS-CoV-2 test positive, Vascular dementia
Clinical narrative: Provider discharge summary "Patient had been under hospice care at a local extended care facility due to history of Vascular dementia with behavior disturbance and Hemiplegia, Dysphagia as late effects of cerebral infarction developed Hypoxia.  This appears due to a COVID-19 virus infection.  He has been started on DECADRON and REMDESIVIR. He improved and was able to be weaned off supplemental oxygen.  He completed his course of DECADRON in the hospital.  The patient was medically stable for discharge on 4/29/22 but the facility where he had been residing initially refused to take the patient back and as such his hospital stay was inappropriately lengthened.      Continuing medications for dementia: QUETIAPINE GABAPENTIN DIVALPROEX ESCITALOPRAM  BUPROPION  For history of stroke on ASPIRIN, CLOPIDOGREL,.   For hyperglycemia on sliding scale but had not required much coverage. "
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Cardiac disorder, Cellulitis, Chills, Implantable cardiac monitor insertion
Clinical narrative: I got the vaccination on Monday. On Wednesday I developed fever, chills, body aches. On Friday I was admitted to the Hospital for cellulitis in my right leg. In addition, I have an implanted loop recorder that detected a 4-second flatline sometime on the 20th and as a result of that, I will have a pacemaker installed.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Pain, Pyrexia
Clinical narrative: I got the vaccination on Monday. On Wednesday I developed fever, chills, body aches. On Friday I was admitted to the Hospital for cellulitis in my right leg. In addition, I have an implanted loop recorder that detected a 4-second flatline sometime on the 20th and as a result of that, I will have a pacemaker installed.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Back pain, Blood test, C-reactive protein increased, Cholelithiasis
Clinical narrative: Flare-up of autoimmune pain, most dramatically from fibromyalgia trigger points; existing fibromyalgia points in both shoulder blades became extremely painful, radiating across my entire back, including my cervical spine, where I also have arthritis; pronounced muscle weakness in arms and legs, as well as widespread myalgia, and profound malaise and fatigue; difficulty in walking -- gait was shuffling and unsteady, resulting in one major fall, but without serious injury; difficulty in getting out of bed or rising from chairs or in/out of vehicles; inflammation of lymphatic system, including inflamed nodes in both armpits and breasts; sporadic flare-up of lymph nodes continue through May 2022; extreme fatigue for more than 12 weeks; muscle weakness and fatigue is lingering, as of the filing of this report in May 2022.  Both existing PAC and PVC cardiac arrhythmias increased, but apparently left no additional damage.  Increased symptoms of Sjogren's, extremely dry eyes and resultant diminished visual acuity; cannot currently see well enough to drive safely at night, with difficulty seeing street signs in daytime; prescription eye drops are not helping much.  As of May 2022, my vision has diminished to 20/30 and 20/40.  I now must wear glasses to drive during daylight and at night.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Corrective lens user, Dry eye, Dyspepsia, Emotional disorder
Clinical narrative: Flare-up of autoimmune pain, most dramatically from fibromyalgia trigger points; existing fibromyalgia points in both shoulder blades became extremely painful, radiating across my entire back, including my cervical spine, where I also have arthritis; pronounced muscle weakness in arms and legs, as well as widespread myalgia, and profound malaise and fatigue; difficulty in walking -- gait was shuffling and unsteady, resulting in one major fall, but without serious injury; difficulty in getting out of bed or rising from chairs or in/out of vehicles; inflammation of lymphatic system, including inflamed nodes in both armpits and breasts; sporadic flare-up of lymph nodes continue through May 2022; extreme fatigue for more than 12 weeks; muscle weakness and fatigue is lingering, as of the filing of this report in May 2022.  Both existing PAC and PVC cardiac arrhythmias increased, but apparently left no additional damage.  Increased symptoms of Sjogren's, extremely dry eyes and resultant diminished visual acuity; cannot currently see well enough to drive safely at night, with difficulty seeing street signs in daytime; prescription eye drops are not helping much.  As of May 2022, my vision has diminished to 20/30 and 20/40.  I now must wear glasses to drive during daylight and at night.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Fatigue, Fibromyalgia, Gait disturbance, Gallbladder disorder
Clinical narrative: Flare-up of autoimmune pain, most dramatically from fibromyalgia trigger points; existing fibromyalgia points in both shoulder blades became extremely painful, radiating across my entire back, including my cervical spine, where I also have arthritis; pronounced muscle weakness in arms and legs, as well as widespread myalgia, and profound malaise and fatigue; difficulty in walking -- gait was shuffling and unsteady, resulting in one major fall, but without serious injury; difficulty in getting out of bed or rising from chairs or in/out of vehicles; inflammation of lymphatic system, including inflamed nodes in both armpits and breasts; sporadic flare-up of lymph nodes continue through May 2022; extreme fatigue for more than 12 weeks; muscle weakness and fatigue is lingering, as of the filing of this report in May 2022.  Both existing PAC and PVC cardiac arrhythmias increased, but apparently left no additional damage.  Increased symptoms of Sjogren's, extremely dry eyes and resultant diminished visual acuity; cannot currently see well enough to drive safely at night, with difficulty seeing street signs in daytime; prescription eye drops are not helping much.  As of May 2022, my vision has diminished to 20/30 and 20/40.  I now must wear glasses to drive during daylight and at night.