chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Cardiac disorder, Cardiac pacemaker insertion, Cough
Clinical narrative: I got COVID-19 and it was like a sinus infection. I had a cough as well. I also received a positive COVID-19 test at my doctors office. On 5/26/2022, I started getting symptoms of shortness of breath. I was getting easily winded when doing activities and I got very hot. I felt palpitations. Then it happened again the next day and I got lightheaded. Everyday this would happen when I would walk up and down stairs as well as palpitations. My heart rate dropped down to 60 according to my smart watch. I went to my doctor and they ran an EKG. I started to get winded and it showed up on the monitor. I was advised to go to the ER and they performed an EKG as well on 6/5/2022. My heartrate went from 80 down to 40 then back up to 80 within every 15 seconds. The ER doctor stated that he has not seen that before. He thought it was something electrical in my heart. I also had blood work. I was admitted overnight and the next day, I had a pacemaker placement put in.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Dyspnoea exertional, Electrocardiogram abnormal, Feeling hot
Clinical narrative: I got COVID-19 and it was like a sinus infection. I had a cough as well. I also received a positive COVID-19 test at my doctors office. On 5/26/2022, I started getting symptoms of shortness of breath. I was getting easily winded when doing activities and I got very hot. I felt palpitations. Then it happened again the next day and I got lightheaded. Everyday this would happen when I would walk up and down stairs as well as palpitations. My heart rate dropped down to 60 according to my smart watch. I went to my doctor and they ran an EKG. I started to get winded and it showed up on the monitor. I was advised to go to the ER and they performed an EKG as well on 6/5/2022. My heartrate went from 80 down to 40 then back up to 80 within every 15 seconds. The ER doctor stated that he has not seen that before. He thought it was something electrical in my heart. I also had blood work. I was admitted overnight and the next day, I had a pacemaker placement put in.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate decreased, Palpitations, SARS-CoV-2 test positive
Clinical narrative: I got COVID-19 and it was like a sinus infection. I had a cough as well. I also received a positive COVID-19 test at my doctors office. On 5/26/2022, I started getting symptoms of shortness of breath. I was getting easily winded when doing activities and I got very hot. I felt palpitations. Then it happened again the next day and I got lightheaded. Everyday this would happen when I would walk up and down stairs as well as palpitations. My heart rate dropped down to 60 according to my smart watch. I went to my doctor and they ran an EKG. I started to get winded and it showed up on the monitor. I was advised to go to the ER and they performed an EKG as well on 6/5/2022. My heartrate went from 80 down to 40 then back up to 80 within every 15 seconds. The ER doctor stated that he has not seen that before. He thought it was something electrical in my heart. I also had blood work. I was admitted overnight and the next day, I had a pacemaker placement put in.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered the Pfizer vaccine after the Beyond Use Date of 5/10/2022.   The patient had no other adverse events.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Dysphonia
Clinical narrative: I was having a sore throat which lasted for a few days. By Monday it was worse and I took a home COVID-19 test and that was negative. I ended up going to the Doctor and they tested me and it was positive. The next day I was violently ill and was trying to throw up but I was so weak I was just on the floor and could not even  lift my head to throw up in the toilet. I could not move or get up. My husband who was also positive called EMS who was able to get me up but I was able to sit and talk with them and we did not end up taking me to the ER. I was having a horrible cough and headache at this point and was so tired. I had no appetite and ended up calling my doctor back because I was still so sick. As of now I do not have the cough but my voice is gruff and I am still fatigued all the time. I have brain fog and it is hard to hold a conversation. I know that most things I do will make me exhausted so I have to pick and choose what I do because I still have this lingering fatigue. While I have tested negative I am still impacted with lingering issues and would say I have not recovered.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Illness, Mobility decreased
Clinical narrative: I was having a sore throat which lasted for a few days. By Monday it was worse and I took a home COVID-19 test and that was negative. I ended up going to the Doctor and they tested me and it was positive. The next day I was violently ill and was trying to throw up but I was so weak I was just on the floor and could not even  lift my head to throw up in the toilet. I could not move or get up. My husband who was also positive called EMS who was able to get me up but I was able to sit and talk with them and we did not end up taking me to the ER. I was having a horrible cough and headache at this point and was so tired. I had no appetite and ended up calling my doctor back because I was still so sick. As of now I do not have the cough but my voice is gruff and I am still fatigued all the time. I have brain fog and it is hard to hold a conversation. I know that most things I do will make me exhausted so I have to pick and choose what I do because I still have this lingering fatigue. While I have tested negative I am still impacted with lingering issues and would say I have not recovered.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive, Sick relative, Speech disorder, Vomiting
Clinical narrative: I was having a sore throat which lasted for a few days. By Monday it was worse and I took a home COVID-19 test and that was negative. I ended up going to the Doctor and they tested me and it was positive. The next day I was violently ill and was trying to throw up but I was so weak I was just on the floor and could not even  lift my head to throw up in the toilet. I could not move or get up. My husband who was also positive called EMS who was able to get me up but I was able to sit and talk with them and we did not end up taking me to the ER. I was having a horrible cough and headache at this point and was so tired. I had no appetite and ended up calling my doctor back because I was still so sick. As of now I do not have the cough but my voice is gruff and I am still fatigued all the time. I have brain fog and it is hard to hold a conversation. I know that most things I do will make me exhausted so I have to pick and choose what I do because I still have this lingering fatigue. While I have tested negative I am still impacted with lingering issues and would say I have not recovered.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Aphonia, COVID-19, Exposure to SARS-CoV-2, Fatigue, Nasopharyngitis
Clinical narrative: I attended a wedding reception and later found out that multiple people in attendance tested positive for COVID-19. The last date I was around someone who tested positive was 05/30/2022. The first time I noticed any symptoms was 06/02/2022 and I felt like I was getting a cold. I had runny nose and congestion, and mild fatigue. The next day symptoms got really bad and I started losing my voice, but I was testing negative for COVID-19 until 06/04/2022. On that day, I had a virtual telehealth appointment. My doctor was concerned about a reaction between Paxlovid and the medication I currently take so I received a monoclonal antibody infusion on 06/07/2022 around 9AM and by that evening, I was already beginning to feel better and each day my symptoms continued to improve.  I continued to test positive for COVID-19 until 06/10/2022.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I attended a wedding reception and later found out that multiple people in attendance tested positive for COVID-19. The last date I was around someone who tested positive was 05/30/2022. The first time I noticed any symptoms was 06/02/2022 and I felt like I was getting a cold. I had runny nose and congestion, and mild fatigue. The next day symptoms got really bad and I started losing my voice, but I was testing negative for COVID-19 until 06/04/2022. On that day, I had a virtual telehealth appointment. My doctor was concerned about a reaction between Paxlovid and the medication I currently take so I received a monoclonal antibody infusion on 06/07/2022 around 9AM and by that evening, I was already beginning to feel better and each day my symptoms continued to improve.  I continued to test positive for COVID-19 until 06/10/2022.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered the Pfizer vaccine after the Beyond Use Date of 5/10/2022.   The patient had no other adverse events.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered the Pfizer vaccine after the Beyond Use Date of 5/10/2022.   The patient had no other adverse events.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Needle issue
Clinical narrative: Patient was stuck with an empty needle.  Patient was given proper dose.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered the Pfizer vaccine after the Beyond Use Date of 5/10/2022.   The patient had no other adverse events.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Dose #1 given on 3/4/2021.  Pfizer Lot: EN6198 given in right deltoid
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood magnesium, Blood thyroid stimulating hormone, COVID-19, Cardiac stress test normal
Clinical narrative: Pseudotumor cerebri Log  Feb 16,2022  s/s: neck pain 6/10, left shoulder, left arm pain 6/10, numbness/tingle to fingertips 2,3,4. TX: Bio freeze to neck, ibuprofen 2 tabs, appoint scheduled with Dr. Feb 23, 2022 Dr. - X-ray C-spine C-5 stenosis.  Ordered Physical Therapy  March 5, 2022 PT @11:30 March 10,2022 PT@12:30 March 17,2022 ***PT@8:30-first time with mechanical machine traction on cervical neck Massage ***March 18,2022***ER visit @0430 woke up with left facial tingle and numbness in addition to left sided numbness Worked for 11 hoursincreased blurred vision, headache, left sided increased numbness, severe neck pain and shoulder pain, tinnitus. ER  March 24, 2022- Lumbar Puncture opening pressures 24cm /H2O 30cc removed 11cm/H2O.  All symptoms subsided. Medications:  Diamox 750mg BID PO Foricet PRN ***March 30-31,2022***ER visit CT negative EKG 49 VBGH-Lumbar Puncture opening pressures 19 cm/H2O 30 cc removed 6 cm/H2O April 5,2022 PCP appointment- Sleep study appointment, cardiology appointment April 6, 2022 Mammogram- negative April 14, 2022 Dr.- Changed Diamox to Topamax d/t side effects of Diamox  April 15,2022 Cortisol 10.2 April 22,2022 Dr.- Order rotational CT scan for possible Craniocervical instability and EMG May 2, 2022 Cervical Spinal flex/ext:  moderate C5/6 degenerative disc disease. Slight subluxation at some levels during flex/ext, without sign instability. Ext: slight retrolisthesis at c3/4 (2mm) C4/5 (1.5 mm) and C5/6 (1.5 mm) May 3, 2022 Dr.- pulmonologist/sleep study  May 13, 2022 MRI-mild straightening of cervical lordotic curature. No large disc herniation, cord compression or cord signal adnormality. C5-6 degeneratie disc disease w/mild diffuse disc bulging. C6-7 mild central disc bulge No significant facet arthropathy, foraminal stenosis or nerve root compression. May 25, 2022 Nuclear stress test:  Normal study, low risk, LVEF 69% May 26, 2022 Woke up this morning feeling almost normal, slight headache to left but energy uplifted.  HR check 65 compared to 45 as before.  Only difference was the cardiolite medication given yesterday for the nuclear stress test to raise my HR. LABS: TSH, T4, T3, Mag Stopped Topamax. Only on Diamox June 1, 2022 DR. (cardiac)- Echo rescheduled due to wearing Zio Holter monitor for 14 days. (SR 43-168 HR with x1 episode SVT) June 7, 2022 DR. (Neurosurgeon)- Improved symptoms so no shunt at this time. June  DR.-reorder Diamox medication. Annual training waiver June 29, 2022 Covid symptoms July 3, 2022 Tested positive for covid July 12, 2022 Future fitting
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cervical spinal stenosis, Computerised tomogram normal, Ejection fraction, Electrocardiogram, Electrocardiogram ambulatory abnormal
Clinical narrative: Pseudotumor cerebri Log  Feb 16,2022  s/s: neck pain 6/10, left shoulder, left arm pain 6/10, numbness/tingle to fingertips 2,3,4. TX: Bio freeze to neck, ibuprofen 2 tabs, appoint scheduled with Dr. Feb 23, 2022 Dr. - X-ray C-spine C-5 stenosis.  Ordered Physical Therapy  March 5, 2022 PT @11:30 March 10,2022 PT@12:30 March 17,2022 ***PT@8:30-first time with mechanical machine traction on cervical neck Massage ***March 18,2022***ER visit @0430 woke up with left facial tingle and numbness in addition to left sided numbness Worked for 11 hoursincreased blurred vision, headache, left sided increased numbness, severe neck pain and shoulder pain, tinnitus. ER  March 24, 2022- Lumbar Puncture opening pressures 24cm /H2O 30cc removed 11cm/H2O.  All symptoms subsided. Medications:  Diamox 750mg BID PO Foricet PRN ***March 30-31,2022***ER visit CT negative EKG 49 VBGH-Lumbar Puncture opening pressures 19 cm/H2O 30 cc removed 6 cm/H2O April 5,2022 PCP appointment- Sleep study appointment, cardiology appointment April 6, 2022 Mammogram- negative April 14, 2022 Dr.- Changed Diamox to Topamax d/t side effects of Diamox  April 15,2022 Cortisol 10.2 April 22,2022 Dr.- Order rotational CT scan for possible Craniocervical instability and EMG May 2, 2022 Cervical Spinal flex/ext:  moderate C5/6 degenerative disc disease. Slight subluxation at some levels during flex/ext, without sign instability. Ext: slight retrolisthesis at c3/4 (2mm) C4/5 (1.5 mm) and C5/6 (1.5 mm) May 3, 2022 Dr.- pulmonologist/sleep study  May 13, 2022 MRI-mild straightening of cervical lordotic curature. No large disc herniation, cord compression or cord signal adnormality. C5-6 degeneratie disc disease w/mild diffuse disc bulging. C6-7 mild central disc bulge No significant facet arthropathy, foraminal stenosis or nerve root compression. May 25, 2022 Nuclear stress test:  Normal study, low risk, LVEF 69% May 26, 2022 Woke up this morning feeling almost normal, slight headache to left but energy uplifted.  HR check 65 compared to 45 as before.  Only difference was the cardiolite medication given yesterday for the nuclear stress test to raise my HR. LABS: TSH, T4, T3, Mag Stopped Topamax. Only on Diamox June 1, 2022 DR. (cardiac)- Echo rescheduled due to wearing Zio Holter monitor for 14 days. (SR 43-168 HR with x1 episode SVT) June 7, 2022 DR. (Neurosurgeon)- Improved symptoms so no shunt at this time. June  DR.-reorder Diamox medication. Annual training waiver June 29, 2022 Covid symptoms July 3, 2022 Tested positive for covid July 12, 2022 Future fitting
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypoaesthesia, Injection site pain, Intervertebral disc degeneration, Intervertebral disc protrusion
Clinical narrative: Pseudotumor cerebri Log  Feb 16,2022  s/s: neck pain 6/10, left shoulder, left arm pain 6/10, numbness/tingle to fingertips 2,3,4. TX: Bio freeze to neck, ibuprofen 2 tabs, appoint scheduled with Dr. Feb 23, 2022 Dr. - X-ray C-spine C-5 stenosis.  Ordered Physical Therapy  March 5, 2022 PT @11:30 March 10,2022 PT@12:30 March 17,2022 ***PT@8:30-first time with mechanical machine traction on cervical neck Massage ***March 18,2022***ER visit @0430 woke up with left facial tingle and numbness in addition to left sided numbness Worked for 11 hoursincreased blurred vision, headache, left sided increased numbness, severe neck pain and shoulder pain, tinnitus. ER  March 24, 2022- Lumbar Puncture opening pressures 24cm /H2O 30cc removed 11cm/H2O.  All symptoms subsided. Medications:  Diamox 750mg BID PO Foricet PRN ***March 30-31,2022***ER visit CT negative EKG 49 VBGH-Lumbar Puncture opening pressures 19 cm/H2O 30 cc removed 6 cm/H2O April 5,2022 PCP appointment- Sleep study appointment, cardiology appointment April 6, 2022 Mammogram- negative April 14, 2022 Dr.- Changed Diamox to Topamax d/t side effects of Diamox  April 15,2022 Cortisol 10.2 April 22,2022 Dr.- Order rotational CT scan for possible Craniocervical instability and EMG May 2, 2022 Cervical Spinal flex/ext:  moderate C5/6 degenerative disc disease. Slight subluxation at some levels during flex/ext, without sign instability. Ext: slight retrolisthesis at c3/4 (2mm) C4/5 (1.5 mm) and C5/6 (1.5 mm) May 3, 2022 Dr.- pulmonologist/sleep study  May 13, 2022 MRI-mild straightening of cervical lordotic curature. No large disc herniation, cord compression or cord signal adnormality. C5-6 degeneratie disc disease w/mild diffuse disc bulging. C6-7 mild central disc bulge No significant facet arthropathy, foraminal stenosis or nerve root compression. May 25, 2022 Nuclear stress test:  Normal study, low risk, LVEF 69% May 26, 2022 Woke up this morning feeling almost normal, slight headache to left but energy uplifted.  HR check 65 compared to 45 as before.  Only difference was the cardiolite medication given yesterday for the nuclear stress test to raise my HR. LABS: TSH, T4, T3, Mag Stopped Topamax. Only on Diamox June 1, 2022 DR. (cardiac)- Echo rescheduled due to wearing Zio Holter monitor for 14 days. (SR 43-168 HR with x1 episode SVT) June 7, 2022 DR. (Neurosurgeon)- Improved symptoms so no shunt at this time. June  DR.-reorder Diamox medication. Annual training waiver June 29, 2022 Covid symptoms July 3, 2022 Tested positive for covid July 12, 2022 Future fitting
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging spinal abnormal, Malaise, Mammogram normal, Neck pain
Clinical narrative: Pseudotumor cerebri Log  Feb 16,2022  s/s: neck pain 6/10, left shoulder, left arm pain 6/10, numbness/tingle to fingertips 2,3,4. TX: Bio freeze to neck, ibuprofen 2 tabs, appoint scheduled with Dr. Feb 23, 2022 Dr. - X-ray C-spine C-5 stenosis.  Ordered Physical Therapy  March 5, 2022 PT @11:30 March 10,2022 PT@12:30 March 17,2022 ***PT@8:30-first time with mechanical machine traction on cervical neck Massage ***March 18,2022***ER visit @0430 woke up with left facial tingle and numbness in addition to left sided numbness Worked for 11 hoursincreased blurred vision, headache, left sided increased numbness, severe neck pain and shoulder pain, tinnitus. ER  March 24, 2022- Lumbar Puncture opening pressures 24cm /H2O 30cc removed 11cm/H2O.  All symptoms subsided. Medications:  Diamox 750mg BID PO Foricet PRN ***March 30-31,2022***ER visit CT negative EKG 49 VBGH-Lumbar Puncture opening pressures 19 cm/H2O 30 cc removed 6 cm/H2O April 5,2022 PCP appointment- Sleep study appointment, cardiology appointment April 6, 2022 Mammogram- negative April 14, 2022 Dr.- Changed Diamox to Topamax d/t side effects of Diamox  April 15,2022 Cortisol 10.2 April 22,2022 Dr.- Order rotational CT scan for possible Craniocervical instability and EMG May 2, 2022 Cervical Spinal flex/ext:  moderate C5/6 degenerative disc disease. Slight subluxation at some levels during flex/ext, without sign instability. Ext: slight retrolisthesis at c3/4 (2mm) C4/5 (1.5 mm) and C5/6 (1.5 mm) May 3, 2022 Dr.- pulmonologist/sleep study  May 13, 2022 MRI-mild straightening of cervical lordotic curature. No large disc herniation, cord compression or cord signal adnormality. C5-6 degeneratie disc disease w/mild diffuse disc bulging. C6-7 mild central disc bulge No significant facet arthropathy, foraminal stenosis or nerve root compression. May 25, 2022 Nuclear stress test:  Normal study, low risk, LVEF 69% May 26, 2022 Woke up this morning feeling almost normal, slight headache to left but energy uplifted.  HR check 65 compared to 45 as before.  Only difference was the cardiolite medication given yesterday for the nuclear stress test to raise my HR. LABS: TSH, T4, T3, Mag Stopped Topamax. Only on Diamox June 1, 2022 DR. (cardiac)- Echo rescheduled due to wearing Zio Holter monitor for 14 days. (SR 43-168 HR with x1 episode SVT) June 7, 2022 DR. (Neurosurgeon)- Improved symptoms so no shunt at this time. June  DR.-reorder Diamox medication. Annual training waiver June 29, 2022 Covid symptoms July 3, 2022 Tested positive for covid July 12, 2022 Future fitting
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, SARS-CoV-2 test positive, Spinal X-ray abnormal, Supraventricular tachycardia
Clinical narrative: Pseudotumor cerebri Log  Feb 16,2022  s/s: neck pain 6/10, left shoulder, left arm pain 6/10, numbness/tingle to fingertips 2,3,4. TX: Bio freeze to neck, ibuprofen 2 tabs, appoint scheduled with Dr. Feb 23, 2022 Dr. - X-ray C-spine C-5 stenosis.  Ordered Physical Therapy  March 5, 2022 PT @11:30 March 10,2022 PT@12:30 March 17,2022 ***PT@8:30-first time with mechanical machine traction on cervical neck Massage ***March 18,2022***ER visit @0430 woke up with left facial tingle and numbness in addition to left sided numbness Worked for 11 hoursincreased blurred vision, headache, left sided increased numbness, severe neck pain and shoulder pain, tinnitus. ER  March 24, 2022- Lumbar Puncture opening pressures 24cm /H2O 30cc removed 11cm/H2O.  All symptoms subsided. Medications:  Diamox 750mg BID PO Foricet PRN ***March 30-31,2022***ER visit CT negative EKG 49 VBGH-Lumbar Puncture opening pressures 19 cm/H2O 30 cc removed 6 cm/H2O April 5,2022 PCP appointment- Sleep study appointment, cardiology appointment April 6, 2022 Mammogram- negative April 14, 2022 Dr.- Changed Diamox to Topamax d/t side effects of Diamox  April 15,2022 Cortisol 10.2 April 22,2022 Dr.- Order rotational CT scan for possible Craniocervical instability and EMG May 2, 2022 Cervical Spinal flex/ext:  moderate C5/6 degenerative disc disease. Slight subluxation at some levels during flex/ext, without sign instability. Ext: slight retrolisthesis at c3/4 (2mm) C4/5 (1.5 mm) and C5/6 (1.5 mm) May 3, 2022 Dr.- pulmonologist/sleep study  May 13, 2022 MRI-mild straightening of cervical lordotic curature. No large disc herniation, cord compression or cord signal adnormality. C5-6 degeneratie disc disease w/mild diffuse disc bulging. C6-7 mild central disc bulge No significant facet arthropathy, foraminal stenosis or nerve root compression. May 25, 2022 Nuclear stress test:  Normal study, low risk, LVEF 69% May 26, 2022 Woke up this morning feeling almost normal, slight headache to left but energy uplifted.  HR check 65 compared to 45 as before.  Only difference was the cardiolite medication given yesterday for the nuclear stress test to raise my HR. LABS: TSH, T4, T3, Mag Stopped Topamax. Only on Diamox June 1, 2022 DR. (cardiac)- Echo rescheduled due to wearing Zio Holter monitor for 14 days. (SR 43-168 HR with x1 episode SVT) June 7, 2022 DR. (Neurosurgeon)- Improved symptoms so no shunt at this time. June  DR.-reorder Diamox medication. Annual training waiver June 29, 2022 Covid symptoms July 3, 2022 Tested positive for covid July 12, 2022 Future fitting
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thyroxine, Tinnitus, Traction, Tri-iodothyronine, Vision blurred
Clinical narrative: Pseudotumor cerebri Log  Feb 16,2022  s/s: neck pain 6/10, left shoulder, left arm pain 6/10, numbness/tingle to fingertips 2,3,4. TX: Bio freeze to neck, ibuprofen 2 tabs, appoint scheduled with Dr. Feb 23, 2022 Dr. - X-ray C-spine C-5 stenosis.  Ordered Physical Therapy  March 5, 2022 PT @11:30 March 10,2022 PT@12:30 March 17,2022 ***PT@8:30-first time with mechanical machine traction on cervical neck Massage ***March 18,2022***ER visit @0430 woke up with left facial tingle and numbness in addition to left sided numbness Worked for 11 hoursincreased blurred vision, headache, left sided increased numbness, severe neck pain and shoulder pain, tinnitus. ER  March 24, 2022- Lumbar Puncture opening pressures 24cm /H2O 30cc removed 11cm/H2O.  All symptoms subsided. Medications:  Diamox 750mg BID PO Foricet PRN ***March 30-31,2022***ER visit CT negative EKG 49 VBGH-Lumbar Puncture opening pressures 19 cm/H2O 30 cc removed 6 cm/H2O April 5,2022 PCP appointment- Sleep study appointment, cardiology appointment April 6, 2022 Mammogram- negative April 14, 2022 Dr.- Changed Diamox to Topamax d/t side effects of Diamox  April 15,2022 Cortisol 10.2 April 22,2022 Dr.- Order rotational CT scan for possible Craniocervical instability and EMG May 2, 2022 Cervical Spinal flex/ext:  moderate C5/6 degenerative disc disease. Slight subluxation at some levels during flex/ext, without sign instability. Ext: slight retrolisthesis at c3/4 (2mm) C4/5 (1.5 mm) and C5/6 (1.5 mm) May 3, 2022 Dr.- pulmonologist/sleep study  May 13, 2022 MRI-mild straightening of cervical lordotic curature. No large disc herniation, cord compression or cord signal adnormality. C5-6 degeneratie disc disease w/mild diffuse disc bulging. C6-7 mild central disc bulge No significant facet arthropathy, foraminal stenosis or nerve root compression. May 25, 2022 Nuclear stress test:  Normal study, low risk, LVEF 69% May 26, 2022 Woke up this morning feeling almost normal, slight headache to left but energy uplifted.  HR check 65 compared to 45 as before.  Only difference was the cardiolite medication given yesterday for the nuclear stress test to raise my HR. LABS: TSH, T4, T3, Mag Stopped Topamax. Only on Diamox June 1, 2022 DR. (cardiac)- Echo rescheduled due to wearing Zio Holter monitor for 14 days. (SR 43-168 HR with x1 episode SVT) June 7, 2022 DR. (Neurosurgeon)- Improved symptoms so no shunt at this time. June  DR.-reorder Diamox medication. Annual training waiver June 29, 2022 Covid symptoms July 3, 2022 Tested positive for covid July 12, 2022 Future fitting
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered the Pfizer vaccine after the Beyond Use Date of 5/10/2022.   The patient had no other adverse events.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Heart rate increased, Palpitations
Clinical narrative: The evening of the vaccine maybe 2 hours later, I was sitting down eating. My heart rate increased from 70 to 90 on my Fitbit. Then it went up to 100. I could feel it pounding. I was just sitting. All of a sudden it just stopped. Then I also had a pacemaker put in and did a VAERS report after the 3rd dose.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, C-reactive protein, COVID-19, Central venous catheterisation, Chest X-ray normal
Clinical narrative: Provider summary "84-year-old female with history of chronic obstructive pulmonary disease, hypertension, bladder cancer, coronary artery disease who was sent in to the hospital on 06/21 from wound clinic due to worsening right chronic heel ulcer which patient was found to have sepsis and started on antibiotics and general surgery consulted who performed debridement on 06/22 which showed evidence of osteomyelitis.  Patient required 2nd debridement right heel wound on 06/24.  Wound cultures growing several blocks including Enterococcus faecalis and ID (Dr. was contacted) who recommended vancomycin and ertapenem for 6 weeks (through 8/4) Sepsis resolved during course of hospitalization with antibiotics.  PICC line placed and home antibiotics arranged with weekly complete blood count, CMP, CRP.   Wound care took over care of patient's right heel wound from General surgery and will continue outpatient management the patient does have follow-up on 07/08 with another Dr.  During hospitalization patient was also found to have new onset DM 2 with an A1c of 6.8. Patient however with relatively poor oral intake and well-controlled blood sugars during hospitalization so did not start patient on metformin.   Patient ended up developing cough and a rhinorrhea on 06/28 and ended up testing positive for COVID although chest x-ray unremarkable and patient not hypoxic and was prescribed Paxlovid course on discharge (not available in the hospital).  I did discuss risks and benefits with patient and family regarding this medication and provided printed information about this medication."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Culture wound positive, Debridement, Enterococcus test positive, Full blood count
Clinical narrative: Provider summary "84-year-old female with history of chronic obstructive pulmonary disease, hypertension, bladder cancer, coronary artery disease who was sent in to the hospital on 06/21 from wound clinic due to worsening right chronic heel ulcer which patient was found to have sepsis and started on antibiotics and general surgery consulted who performed debridement on 06/22 which showed evidence of osteomyelitis.  Patient required 2nd debridement right heel wound on 06/24.  Wound cultures growing several blocks including Enterococcus faecalis and ID (Dr. was contacted) who recommended vancomycin and ertapenem for 6 weeks (through 8/4) Sepsis resolved during course of hospitalization with antibiotics.  PICC line placed and home antibiotics arranged with weekly complete blood count, CMP, CRP.   Wound care took over care of patient's right heel wound from General surgery and will continue outpatient management the patient does have follow-up on 07/08 with another Dr.  During hospitalization patient was also found to have new onset DM 2 with an A1c of 6.8. Patient however with relatively poor oral intake and well-controlled blood sugars during hospitalization so did not start patient on metformin.   Patient ended up developing cough and a rhinorrhea on 06/28 and ended up testing positive for COVID although chest x-ray unremarkable and patient not hypoxic and was prescribed Paxlovid course on discharge (not available in the hospital).  I did discuss risks and benefits with patient and family regarding this medication and provided printed information about this medication."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin increased, Hypophagia, Metabolic function test, Osteomyelitis, Rhinorrhoea
Clinical narrative: Provider summary "84-year-old female with history of chronic obstructive pulmonary disease, hypertension, bladder cancer, coronary artery disease who was sent in to the hospital on 06/21 from wound clinic due to worsening right chronic heel ulcer which patient was found to have sepsis and started on antibiotics and general surgery consulted who performed debridement on 06/22 which showed evidence of osteomyelitis.  Patient required 2nd debridement right heel wound on 06/24.  Wound cultures growing several blocks including Enterococcus faecalis and ID (Dr. was contacted) who recommended vancomycin and ertapenem for 6 weeks (through 8/4) Sepsis resolved during course of hospitalization with antibiotics.  PICC line placed and home antibiotics arranged with weekly complete blood count, CMP, CRP.   Wound care took over care of patient's right heel wound from General surgery and will continue outpatient management the patient does have follow-up on 07/08 with another Dr.  During hospitalization patient was also found to have new onset DM 2 with an A1c of 6.8. Patient however with relatively poor oral intake and well-controlled blood sugars during hospitalization so did not start patient on metformin.   Patient ended up developing cough and a rhinorrhea on 06/28 and ended up testing positive for COVID although chest x-ray unremarkable and patient not hypoxic and was prescribed Paxlovid course on discharge (not available in the hospital).  I did discuss risks and benefits with patient and family regarding this medication and provided printed information about this medication."
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Skin ulcer, Type 2 diabetes mellitus
Clinical narrative: Provider summary "84-year-old female with history of chronic obstructive pulmonary disease, hypertension, bladder cancer, coronary artery disease who was sent in to the hospital on 06/21 from wound clinic due to worsening right chronic heel ulcer which patient was found to have sepsis and started on antibiotics and general surgery consulted who performed debridement on 06/22 which showed evidence of osteomyelitis.  Patient required 2nd debridement right heel wound on 06/24.  Wound cultures growing several blocks including Enterococcus faecalis and ID (Dr. was contacted) who recommended vancomycin and ertapenem for 6 weeks (through 8/4) Sepsis resolved during course of hospitalization with antibiotics.  PICC line placed and home antibiotics arranged with weekly complete blood count, CMP, CRP.   Wound care took over care of patient's right heel wound from General surgery and will continue outpatient management the patient does have follow-up on 07/08 with another Dr.  During hospitalization patient was also found to have new onset DM 2 with an A1c of 6.8. Patient however with relatively poor oral intake and well-controlled blood sugars during hospitalization so did not start patient on metformin.   Patient ended up developing cough and a rhinorrhea on 06/28 and ended up testing positive for COVID although chest x-ray unremarkable and patient not hypoxic and was prescribed Paxlovid course on discharge (not available in the hospital).  I did discuss risks and benefits with patient and family regarding this medication and provided printed information about this medication."
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Femur fracture, Fracture treatment, SARS-CoV-2 test positive
Clinical narrative: Patient was transferred to hospital from another hospital due to need for repair of right femur fracture. Outlying facility did not feel comfortable performing surgery due to patient testing positive for covid.  Patient had surgery for repair on 6-25. Patient tested positive for covid on 6-24.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Haemorrhagic disorder, Myocarditis, SARS-CoV-2 test positive
Clinical narrative: Subsequent Covid-19 infection resulting in Hemorrhagic Myocarditis and death.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Illness, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I contracted COVID-19 on 06/01/2022 with symptoms of fatigue, sore throat, and runny nose. I had a telemedicine visit and was prescribed Paxlovid on 06/02/2022. I was ill for 3 to 4 days before my symptoms began to resolve. On 06/12/2022 my symptoms returned for another 3 days before resolving. I am fully recovered now with no lingering symptoms.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I contracted COVID-19 on 06/01/2022 with symptoms of fatigue, sore throat, and runny nose. I had a telemedicine visit and was prescribed Paxlovid on 06/02/2022. I was ill for 3 to 4 days before my symptoms began to resolve. On 06/12/2022 my symptoms returned for another 3 days before resolving. I am fully recovered now with no lingering symptoms.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, COVID-19 pneumonia, Fall
Clinical narrative: Provider summary "84 YO male with history of hypertension, Alzheimer's, BPH, recent diagnosis of atrial fibrillation presented to the hospital after fall from stairs   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  found to have COVID pneumonia, acute respiratory failure overnight, has acute T2 fracture and nondisplaced left rib 5th and 7th fractures, had AFib with RVR"
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Rib fracture, SARS-CoV-2 test positive, Thoracic vertebral fracture
Clinical narrative: Provider summary "84 YO male with history of hypertension, Alzheimer's, BPH, recent diagnosis of atrial fibrillation presented to the hospital after fall from stairs   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  found to have COVID pneumonia, acute respiratory failure overnight, has acute T2 fracture and nondisplaced left rib 5th and 7th fractures, had AFib with RVR"
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient was administered the Pfizer vaccine after the Beyond Use Date of 5/10/2022.   The patient had no other adverse events.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: I came down with Covid.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood test, Chest X-ray, Chills, Dyspnoea, Electrocardiogram
Clinical narrative: The first I used vaccine, I have a pain. A 3-4 days pain. I try to measure temperature, it was slight 96.1, there was no temperature. After the 4th day, I wake up very tired, very cold with chills in my back. I took baby asprin. That was almost 2 weeks. Then yesterday, I start to feel like I couldn't take a deep breath. I try to take deep breath and couldn't. I have blurry vision on saturday and day before. I then almost fainted, I laid down. I did a covid test, it was negative. I laid down, i take lots of water. Then that afternoon, I took baby asprin. Then on Monday, it happen again. I went to the doctor yesterday. He did the ekg, the bloodwork, the chest xray. Before that, I have never been sick or on any medication. My symptoms was, short of breath, chills, and tiredness, and blurry vision.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Feeling cold, Pain, Presyncope, SARS-CoV-2 test negative
Clinical narrative: The first I used vaccine, I have a pain. A 3-4 days pain. I try to measure temperature, it was slight 96.1, there was no temperature. After the 4th day, I wake up very tired, very cold with chills in my back. I took baby asprin. That was almost 2 weeks. Then yesterday, I start to feel like I couldn't take a deep breath. I try to take deep breath and couldn't. I have blurry vision on saturday and day before. I then almost fainted, I laid down. I did a covid test, it was negative. I laid down, i take lots of water. Then that afternoon, I took baby asprin. Then on Monday, it happen again. I went to the doctor yesterday. He did the ekg, the bloodwork, the chest xray. Before that, I have never been sick or on any medication. My symptoms was, short of breath, chills, and tiredness, and blurry vision.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Vision blurred
Clinical narrative: The first I used vaccine, I have a pain. A 3-4 days pain. I try to measure temperature, it was slight 96.1, there was no temperature. After the 4th day, I wake up very tired, very cold with chills in my back. I took baby asprin. That was almost 2 weeks. Then yesterday, I start to feel like I couldn't take a deep breath. I try to take deep breath and couldn't. I have blurry vision on saturday and day before. I then almost fainted, I laid down. I did a covid test, it was negative. I laid down, i take lots of water. Then that afternoon, I took baby asprin. Then on Monday, it happen again. I went to the doctor yesterday. He did the ekg, the bloodwork, the chest xray. Before that, I have never been sick or on any medication. My symptoms was, short of breath, chills, and tiredness, and blurry vision.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Blood culture positive, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 6/24/2022 Discharge Date: Jun 26, 2022  PRESENTING PROBLEM: Acute confusion [R41.0] Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   78-year-old female with past medical history significant for hypothyroidism, autoimmune hepatitis who presented to emergency department on 06/24 with upper respiratory symptoms including dyspnea, cough, fatigue.  In emergency department she appears slightly confused.  She was found to be hypoxic requiring 2 L nasal cannula.  Labs were relatively unremarkable.  COVID test did return positive.  Urinalysis showed positive nitrites and small leukocytes with 16 wbc's concerning for infection.  Chest x-ray showed patchy infiltrates versus atelectasis in the right lung base.  Patient was admitted to Medicine Service for further assessment management COVID pneumonia.  She was treated with dexamethasone with improvement in respiratory status and symptoms.  Blood cultures obtained grew 1/2 coag-negative staph likely contaminant.  Urine cultures growing Klebsiella confirming urinary tract infection.  Patient had been started on Rocephin and this was continued while inpatient.  Symptoms improved by the following morning.  She was no longer confused.  Felt stronger.  Urine cultures susceptibilities resulted and patient was transitioned to Keflex to complete an additional 3 days of discharge.  Physical therapy work with patient and recommended home with assist.  Patient discharged home in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cough, Culture urine positive, Cystitis, Dyspnoea
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 6/24/2022 Discharge Date: Jun 26, 2022  PRESENTING PROBLEM: Acute confusion [R41.0] Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   78-year-old female with past medical history significant for hypothyroidism, autoimmune hepatitis who presented to emergency department on 06/24 with upper respiratory symptoms including dyspnea, cough, fatigue.  In emergency department she appears slightly confused.  She was found to be hypoxic requiring 2 L nasal cannula.  Labs were relatively unremarkable.  COVID test did return positive.  Urinalysis showed positive nitrites and small leukocytes with 16 wbc's concerning for infection.  Chest x-ray showed patchy infiltrates versus atelectasis in the right lung base.  Patient was admitted to Medicine Service for further assessment management COVID pneumonia.  She was treated with dexamethasone with improvement in respiratory status and symptoms.  Blood cultures obtained grew 1/2 coag-negative staph likely contaminant.  Urine cultures growing Klebsiella confirming urinary tract infection.  Patient had been started on Rocephin and this was continued while inpatient.  Symptoms improved by the following morning.  She was no longer confused.  Felt stronger.  Urine cultures susceptibilities resulted and patient was transitioned to Keflex to complete an additional 3 days of discharge.  Physical therapy work with patient and recommended home with assist.  Patient discharged home in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hypoxia, Klebsiella test positive, Lung infiltration, Nitrite urine present
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 6/24/2022 Discharge Date: Jun 26, 2022  PRESENTING PROBLEM: Acute confusion [R41.0] Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   78-year-old female with past medical history significant for hypothyroidism, autoimmune hepatitis who presented to emergency department on 06/24 with upper respiratory symptoms including dyspnea, cough, fatigue.  In emergency department she appears slightly confused.  She was found to be hypoxic requiring 2 L nasal cannula.  Labs were relatively unremarkable.  COVID test did return positive.  Urinalysis showed positive nitrites and small leukocytes with 16 wbc's concerning for infection.  Chest x-ray showed patchy infiltrates versus atelectasis in the right lung base.  Patient was admitted to Medicine Service for further assessment management COVID pneumonia.  She was treated with dexamethasone with improvement in respiratory status and symptoms.  Blood cultures obtained grew 1/2 coag-negative staph likely contaminant.  Urine cultures growing Klebsiella confirming urinary tract infection.  Patient had been started on Rocephin and this was continued while inpatient.  Symptoms improved by the following morning.  She was no longer confused.  Felt stronger.  Urine cultures susceptibilities resulted and patient was transitioned to Keflex to complete an additional 3 days of discharge.  Physical therapy work with patient and recommended home with assist.  Patient discharged home in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory symptom, SARS-CoV-2 test positive, Staphylococcus test positive, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 6/24/2022 Discharge Date: Jun 26, 2022  PRESENTING PROBLEM: Acute confusion [R41.0] Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   78-year-old female with past medical history significant for hypothyroidism, autoimmune hepatitis who presented to emergency department on 06/24 with upper respiratory symptoms including dyspnea, cough, fatigue.  In emergency department she appears slightly confused.  She was found to be hypoxic requiring 2 L nasal cannula.  Labs were relatively unremarkable.  COVID test did return positive.  Urinalysis showed positive nitrites and small leukocytes with 16 wbc's concerning for infection.  Chest x-ray showed patchy infiltrates versus atelectasis in the right lung base.  Patient was admitted to Medicine Service for further assessment management COVID pneumonia.  She was treated with dexamethasone with improvement in respiratory status and symptoms.  Blood cultures obtained grew 1/2 coag-negative staph likely contaminant.  Urine cultures growing Klebsiella confirming urinary tract infection.  Patient had been started on Rocephin and this was continued while inpatient.  Symptoms improved by the following morning.  She was no longer confused.  Felt stronger.  Urine cultures susceptibilities resulted and patient was transitioned to Keflex to complete an additional 3 days of discharge.  Physical therapy work with patient and recommended home with assist.  Patient discharged home in stable condition.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase positive, White blood cells urine positive
Clinical narrative: Discharge Provider: MD Primary Care Provider: DO Admission Date: 6/24/2022 Discharge Date: Jun 26, 2022  PRESENTING PROBLEM: Acute confusion [R41.0] Hypoxia [R09.02] Acute cystitis without hematuria [N30.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   78-year-old female with past medical history significant for hypothyroidism, autoimmune hepatitis who presented to emergency department on 06/24 with upper respiratory symptoms including dyspnea, cough, fatigue.  In emergency department she appears slightly confused.  She was found to be hypoxic requiring 2 L nasal cannula.  Labs were relatively unremarkable.  COVID test did return positive.  Urinalysis showed positive nitrites and small leukocytes with 16 wbc's concerning for infection.  Chest x-ray showed patchy infiltrates versus atelectasis in the right lung base.  Patient was admitted to Medicine Service for further assessment management COVID pneumonia.  She was treated with dexamethasone with improvement in respiratory status and symptoms.  Blood cultures obtained grew 1/2 coag-negative staph likely contaminant.  Urine cultures growing Klebsiella confirming urinary tract infection.  Patient had been started on Rocephin and this was continued while inpatient.  Symptoms improved by the following morning.  She was no longer confused.  Felt stronger.  Urine cultures susceptibilities resulted and patient was transitioned to Keflex to complete an additional 3 days of discharge.  Physical therapy work with patient and recommended home with assist.  Patient discharged home in stable condition.