chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Blood pressure increased, Cardiac stress test abnormal, Cardiovascular disorder
Clinical narrative: I was first just blaming it on stress. I would not sleep well, could not get comfortable. Had a lot of anxiety. I would wake up in the middle of the night, gasping for breathe. I was at work a few days later, and my heart rate was really high. They did an EKG on me and it was abnormal. They scheduled me for an echo and a stress test. Both came back abnormal. I had a problem with the blood flow to my heart. They referred me to a heart specialist, who thought I had a electrical problem. But after all the tests came back and they said it was normal but I still feel that my heart is stopping and my blood pressure is still higher. I feel weak and my heart rate is all over the place.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Heart rate abnormal
Clinical narrative: I was first just blaming it on stress. I would not sleep well, could not get comfortable. Had a lot of anxiety. I would wake up in the middle of the night, gasping for breathe. I was at work a few days later, and my heart rate was really high. They did an EKG on me and it was abnormal. They scheduled me for an echo and a stress test. Both came back abnormal. I had a problem with the blood flow to my heart. They referred me to a heart specialist, who thought I had a electrical problem. But after all the tests came back and they said it was normal but I still feel that my heart is stopping and my blood pressure is still higher. I feel weak and my heart rate is all over the place.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Insomnia
Clinical narrative: I was first just blaming it on stress. I would not sleep well, could not get comfortable. Had a lot of anxiety. I would wake up in the middle of the night, gasping for breathe. I was at work a few days later, and my heart rate was really high. They did an EKG on me and it was abnormal. They scheduled me for an echo and a stress test. Both came back abnormal. I had a problem with the blood flow to my heart. They referred me to a heart specialist, who thought I had a electrical problem. But after all the tests came back and they said it was normal but I still feel that my heart is stopping and my blood pressure is still higher. I feel weak and my heart rate is all over the place.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Bronchitis, COVID-19, Inappropriate schedule of product administration
Clinical narrative: Admit for COVID-19 infection with bronchitis. Found to have bilat PE; 2/2 COVID-19. Fully vaccinated. Started on Eliquis, steroids, Singulair and zinc. Did not require O2. Improved. Discharged home.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Arrived in COPD exacerbation requiring higher O2 than baseline. Fully vaccinated in Apr. Found to be COVID+ and with bilat pna. Steroids, remdesivir, zithromax, O2, plasma. Improved and discharged home.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Transfusion
Clinical narrative: Arrived in COPD exacerbation requiring higher O2 than baseline. Fully vaccinated in Apr. Found to be COVID+ and with bilat pna. Steroids, remdesivir, zithromax, O2, plasma. Improved and discharged home.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Explorative laparotomy, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Admit for PNA, eventually tested positive for COVID-19 and DX with COVID-19 PNA, SBO and sepsis. Fully vaccinated. Steroids, cefepime. Exploratory lap 8/27. Patient was discharged to nursing home.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Small intestinal obstruction
Clinical narrative: Admit for PNA, eventually tested positive for COVID-19 and DX with COVID-19 PNA, SBO and sepsis. Fully vaccinated. Steroids, cefepime. Exploratory lap 8/27. Patient was discharged to nursing home.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient did not have any type of reaction. Patient received the wrong dose for his age group during his first COVID vaccine. Patient later came in for his second dose and received the proper dosing for his age.
Age: 21.0
Sex: F
Vaccine: UNK, UNK, UNK
Symptoms: Anticoagulant therapy, Cough, Dizziness, Dyspnoea, Intensive care
Clinical narrative: Suffered an acute massive pulmonary embolism.  Two-weeks prior to returning to campus, I immediately start with symptoms of shortage of breathe, dry coughing, and dizziness.   Hospitalized for six(6) days of which, I spent three days in ICU.  Dr. had to perform an emergency caterization to remove the massive blood clot from my lungs.  Additionally, they found other smallers clots that they used Heparin and other blood thinners to resolve the clots.  Currently I am on Eliquis twice a day and plan to be seen as a follow up with Hemologist.  Lot number  - First Vaccination was EW0186                            Second Vaccination lot number is EW0191
Age: 21.0
Sex: F
Vaccine: UNK, UNK, UNK
Symptoms: Pulmonary embolism, Pulmonary thrombosis, Thrombectomy
Clinical narrative: Suffered an acute massive pulmonary embolism.  Two-weeks prior to returning to campus, I immediately start with symptoms of shortage of breathe, dry coughing, and dizziness.   Hospitalized for six(6) days of which, I spent three days in ICU.  Dr. had to perform an emergency caterization to remove the massive blood clot from my lungs.  Additionally, they found other smallers clots that they used Heparin and other blood thinners to resolve the clots.  Currently I am on Eliquis twice a day and plan to be seen as a follow up with Hemologist.  Lot number  - First Vaccination was EW0186                            Second Vaccination lot number is EW0191
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admit for COVID pna. Fully vaccinated. Treated with steroids, updrafts, vit-c, vit-d, zinc, singulair, rocephin and doxy, remdesivir. Improved and discharged with HH.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Covid vaccine x 2. Tested positive for Covid on 01/22/2022. Admitted to the Hospital in on 01/27/2022. Expired on 02/01/2022 while still hospitalized.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Fall, Head injury, Influenza A virus test negative
Clinical narrative: Automobile Versus Pedestrian     Pt arrived to ED via EMS, activated as a level II trauma, Pt hit by car while crossing the street. est 45 mph. -Thinners/+LOC.      HPI  Patient is a 28-year-old male with past medical history of schizophrenia presenting after being pedestrian struck by a vehicle. He was reportedly crossing Road when a vehicle driving approximately 40-50 miles per hour struck him on on the left side of his body, causing him to fall to his right side. He states he did lose consciousness. There is evidence of head injury. Patient is currently complaining of right hip pain. No complaints otherwise.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Injury, Loss of consciousness, Respiratory syncytial virus test negative, Road traffic accident
Clinical narrative: Automobile Versus Pedestrian     Pt arrived to ED via EMS, activated as a level II trauma, Pt hit by car while crossing the street. est 45 mph. -Thinners/+LOC.      HPI  Patient is a 28-year-old male with past medical history of schizophrenia presenting after being pedestrian struck by a vehicle. He was reportedly crossing Road when a vehicle driving approximately 40-50 miles per hour struck him on on the left side of his body, causing him to fall to his right side. He states he did lose consciousness. There is evidence of head injury. Patient is currently complaining of right hip pain. No complaints otherwise.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Automobile Versus Pedestrian     Pt arrived to ED via EMS, activated as a level II trauma, Pt hit by car while crossing the street. est 45 mph. -Thinners/+LOC.      HPI  Patient is a 28-year-old male with past medical history of schizophrenia presenting after being pedestrian struck by a vehicle. He was reportedly crossing Road when a vehicle driving approximately 40-50 miles per hour struck him on on the left side of his body, causing him to fall to his right side. He states he did lose consciousness. There is evidence of head injury. Patient is currently complaining of right hip pain. No complaints otherwise.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Bronchial secretion retention, Burning sensation, Chest pain
Clinical narrative: 12/24/2021 Fatigue  12/30/2021 pain in chest in back and burning under sternia ; call the doctors office and referred to emergency room, went to ER two EKG in chest one at beginning the another two hours later when she was having the same feeling in chest prior to going to the hospital,  Premature Atrial Complexes,  CTscan of lungs for blood clots and it was negative for clots. scan , saw scans showed pulmonary noggles and mucus plugging of the brocueous started Dixycycline 12/31/2021 . Set-up a necluar stress test for heart on 01/07/2022. Primary physician on 01/20/2022,  recommended ECO cardiogram and  lack of energy with shortness and breath 01/31/2021 ECO cardiogram found out that she, wanted to know the heart function and had leaking heart valve and was not concerned about ECO cardiogram.  Can past your self at home with cores but when she is out and about with shortness of breath and she is wearing theNn95 mask.  Pulmonary is 02/17/2022 CTscans are coming up for her lungs.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Fatigue
Clinical narrative: 12/24/2021 Fatigue  12/30/2021 pain in chest in back and burning under sternia ; call the doctors office and referred to emergency room, went to ER two EKG in chest one at beginning the another two hours later when she was having the same feeling in chest prior to going to the hospital,  Premature Atrial Complexes,  CTscan of lungs for blood clots and it was negative for clots. scan , saw scans showed pulmonary noggles and mucus plugging of the brocueous started Dixycycline 12/31/2021 . Set-up a necluar stress test for heart on 01/07/2022. Primary physician on 01/20/2022,  recommended ECO cardiogram and  lack of energy with shortness and breath 01/31/2021 ECO cardiogram found out that she, wanted to know the heart function and had leaking heart valve and was not concerned about ECO cardiogram.  Can past your self at home with cores but when she is out and about with shortness of breath and she is wearing theNn95 mask.  Pulmonary is 02/17/2022 CTscans are coming up for her lungs.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Heart valve incompetence, Pulmonary mass, SARS-CoV-2 test negative, Scan abnormal, Supraventricular extrasystoles
Clinical narrative: 12/24/2021 Fatigue  12/30/2021 pain in chest in back and burning under sternia ; call the doctors office and referred to emergency room, went to ER two EKG in chest one at beginning the another two hours later when she was having the same feeling in chest prior to going to the hospital,  Premature Atrial Complexes,  CTscan of lungs for blood clots and it was negative for clots. scan , saw scans showed pulmonary noggles and mucus plugging of the brocueous started Dixycycline 12/31/2021 . Set-up a necluar stress test for heart on 01/07/2022. Primary physician on 01/20/2022,  recommended ECO cardiogram and  lack of energy with shortness and breath 01/31/2021 ECO cardiogram found out that she, wanted to know the heart function and had leaking heart valve and was not concerned about ECO cardiogram.  Can past your self at home with cores but when she is out and about with shortness of breath and she is wearing theNn95 mask.  Pulmonary is 02/17/2022 CTscans are coming up for her lungs.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Haemorrhage intracranial, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Admit originally for intracranial hemorrhage and pna. Found to be COVID + after admit. Fully vaccinated. COVID pna with possible aspiration pna as well. Was on RA to start but did eventually require O2 by NC. Started on steroids, cefepime, merrem, zinc, vit-D, singulair. Palliative care following. D/C to inpatient hospice.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Child almost 12, but was 11 and received adult (12 and over dose)
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Admit for COVID pna. Fully vaccinated 1/2021. O2, steroids, vit-c, vit-d, zinc, rocephin, doxy. Out of window for remdesivir. Improved and weaned to RA. Discharged home.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test negative, Erythema of eyelid, Eye swelling, Eyelids pruritus, Ocular hyperaemia
Clinical narrative: Received shot at 3:30 on Friday afternoon. By Friday evening, my eyelids were very red, scaly, swollen and itchy. By Saturday morning, the redness and swelling were below my eye as well.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Skin exfoliation, Swelling of eyelid
Clinical narrative: Received shot at 3:30 on Friday afternoon. By Friday evening, my eyelids were very red, scaly, swollen and itchy. By Saturday morning, the redness and swelling were below my eye as well.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Transfusion
Clinical narrative: Admit for COVID pna. Fully vaccinated. Treated with steroids, O2, remdesivir, abx, zinc, plasma. Improved and weaned to RA. Discharged home.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Pneumonia bacterial, Septic shock
Clinical narrative: Admit for COVID pna and septic shock, also with bacterial pna. Treated with HFO2, steroids, rocephin, doxy, cefepime, vit-c, singulair, zinc. Eventually improved and was weaned to RA. Discharged home.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Admit for bilat pna. Fully vaccinated. Tested positive after admit and dx with COVID pna. Treated with steroids, O2, remdesivir, vit-c, vit-d, zinc. Eventually improved to RA and was discharged home.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Feeling abnormal, Hypoxia
Clinical narrative: On 1/19/2022 patient presented to ER for mild hypoxemia associated with SARS CoV-2 infection. Patient described feeling poorly for several weeks. Patient developed covid pneumonia. Patient was treated with Remdesivir and Decadron and was discharged on 1/25/2022. Patient returned to ER 1/28/2022 with ongoing weakness, low grade fevers 99.0. Patient readmitted to hospital.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: On 1/19/2022 patient presented to ER for mild hypoxemia associated with SARS CoV-2 infection. Patient described feeling poorly for several weeks. Patient developed covid pneumonia. Patient was treated with Remdesivir and Decadron and was discharged on 1/25/2022. Patient returned to ER 1/28/2022 with ongoing weakness, low grade fevers 99.0. Patient readmitted to hospital.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, COVID-19 pneumonia, Cough, Death
Clinical narrative: presented with SOB x 5 days, fever, hypoxia, cough; + Covid; admit with Covid PNA; tx with singulair, maxipime, steroid, remdesivir, zinc, actemra, zyvox, merrem, vanc; maintained on high flow O2 initially; moved to ICU 9/14; intubated; COVID ARDS- FiO2 @ 70% currently.Despite all measures, she continued to deteriorate and became moribund on 11/5/2021. After a long battle with her illness, her family felt that she had fought enough and opted for comfort measures. She was pronounced deceased on 11/5/2021
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Endotracheal intubation, General physical health deterioration, Hypoxia, Illness
Clinical narrative: presented with SOB x 5 days, fever, hypoxia, cough; + Covid; admit with Covid PNA; tx with singulair, maxipime, steroid, remdesivir, zinc, actemra, zyvox, merrem, vanc; maintained on high flow O2 initially; moved to ICU 9/14; intubated; COVID ARDS- FiO2 @ 70% currently.Despite all measures, she continued to deteriorate and became moribund on 11/5/2021. After a long battle with her illness, her family felt that she had fought enough and opted for comfort measures. She was pronounced deceased on 11/5/2021
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: presented with SOB x 5 days, fever, hypoxia, cough; + Covid; admit with Covid PNA; tx with singulair, maxipime, steroid, remdesivir, zinc, actemra, zyvox, merrem, vanc; maintained on high flow O2 initially; moved to ICU 9/14; intubated; COVID ARDS- FiO2 @ 70% currently.Despite all measures, she continued to deteriorate and became moribund on 11/5/2021. After a long battle with her illness, her family felt that she had fought enough and opted for comfort measures. She was pronounced deceased on 11/5/2021
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Mobility decreased, Pain, Shoulder injury related to vaccine administration
Clinical narrative: I experienced shoulder pain it felt like a stinging burning pain. The pain woke me up and lasted for 2-3 hours but came and went frequently. No discoloration just nonstop pain.  I took 800ml of Tylenol within 24 hours of getting the shot; the medication didn?t help. Unable to move my arm.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE REACTION COVID 19 VACCINE ADMINISTRATION ERROR PATIENT NOT 18 YEARS OF AGE OR OLDER
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Bladder catheterisation, COVID-19, Cough, Dyspnoea
Clinical narrative: This is a 77y.o. male with a past medical history significant for diabetes type 2, persistent atrial fibrillation, congestive heart failure with reduced EF,  Coronary artery disease, dyslipidemia, hypertension, history of myocardial infarction, post polio syndrome, prostate cancer status postradiation, sleep apnea on CPAP, valvular heart disease tricuspid regurgitation.  He presents to a local HCF on 1/12/2022 for evaluation of edema.  He is concerned that he is fluid overloaded with his history of congestive heart failure.  Patient states that he has been hospitalized recurrently for severe fluid overload, in the past requiring Lasix IV with Foley catheter placements.  Per reports in the emergency department he was requesting both of these.  Reports that since last discharge he has gained approximately 30 to 40 pounds.  He admits to leg and abdominal swelling with shortness of breath.  He is complaining of orthopnea. He states that he has had decreased urinary response to his lasix as of recently. States that he is retaining urine, has the urge to go but is unable to do so. He states that he was seen and evaluated by a urologist for the issue and instructed him to straight cath. He does state that he tested for COVID approximately 5 days ago, however is unsure of the results obtained. He does endorse a cough but thins it is because of fluid retention.  He is currently denying any chest pain.  Denies any fevers, chills, cough, nasal congestion, nausea, vomiting, diarrhea, abdominal pain.  He states that he did try getting in contact with his cardiologist today but however was not able to do so.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Fluid retention, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Micturition urgency
Clinical narrative: This is a 77y.o. male with a past medical history significant for diabetes type 2, persistent atrial fibrillation, congestive heart failure with reduced EF,  Coronary artery disease, dyslipidemia, hypertension, history of myocardial infarction, post polio syndrome, prostate cancer status postradiation, sleep apnea on CPAP, valvular heart disease tricuspid regurgitation.  He presents to a local HCF on 1/12/2022 for evaluation of edema.  He is concerned that he is fluid overloaded with his history of congestive heart failure.  Patient states that he has been hospitalized recurrently for severe fluid overload, in the past requiring Lasix IV with Foley catheter placements.  Per reports in the emergency department he was requesting both of these.  Reports that since last discharge he has gained approximately 30 to 40 pounds.  He admits to leg and abdominal swelling with shortness of breath.  He is complaining of orthopnea. He states that he has had decreased urinary response to his lasix as of recently. States that he is retaining urine, has the urge to go but is unable to do so. He states that he was seen and evaluated by a urologist for the issue and instructed him to straight cath. He does state that he tested for COVID approximately 5 days ago, however is unsure of the results obtained. He does endorse a cough but thins it is because of fluid retention.  He is currently denying any chest pain.  Denies any fevers, chills, cough, nasal congestion, nausea, vomiting, diarrhea, abdominal pain.  He states that he did try getting in contact with his cardiologist today but however was not able to do so.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema, Orthopnoea, Peripheral swelling, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 77y.o. male with a past medical history significant for diabetes type 2, persistent atrial fibrillation, congestive heart failure with reduced EF,  Coronary artery disease, dyslipidemia, hypertension, history of myocardial infarction, post polio syndrome, prostate cancer status postradiation, sleep apnea on CPAP, valvular heart disease tricuspid regurgitation.  He presents to a local HCF on 1/12/2022 for evaluation of edema.  He is concerned that he is fluid overloaded with his history of congestive heart failure.  Patient states that he has been hospitalized recurrently for severe fluid overload, in the past requiring Lasix IV with Foley catheter placements.  Per reports in the emergency department he was requesting both of these.  Reports that since last discharge he has gained approximately 30 to 40 pounds.  He admits to leg and abdominal swelling with shortness of breath.  He is complaining of orthopnea. He states that he has had decreased urinary response to his lasix as of recently. States that he is retaining urine, has the urge to go but is unable to do so. He states that he was seen and evaluated by a urologist for the issue and instructed him to straight cath. He does state that he tested for COVID approximately 5 days ago, however is unsure of the results obtained. He does endorse a cough but thins it is because of fluid retention.  He is currently denying any chest pain.  Denies any fevers, chills, cough, nasal congestion, nausea, vomiting, diarrhea, abdominal pain.  He states that he did try getting in contact with his cardiologist today but however was not able to do so.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Therapeutic response decreased, Urinary retention, Weight increased
Clinical narrative: This is a 77y.o. male with a past medical history significant for diabetes type 2, persistent atrial fibrillation, congestive heart failure with reduced EF,  Coronary artery disease, dyslipidemia, hypertension, history of myocardial infarction, post polio syndrome, prostate cancer status postradiation, sleep apnea on CPAP, valvular heart disease tricuspid regurgitation.  He presents to a local HCF on 1/12/2022 for evaluation of edema.  He is concerned that he is fluid overloaded with his history of congestive heart failure.  Patient states that he has been hospitalized recurrently for severe fluid overload, in the past requiring Lasix IV with Foley catheter placements.  Per reports in the emergency department he was requesting both of these.  Reports that since last discharge he has gained approximately 30 to 40 pounds.  He admits to leg and abdominal swelling with shortness of breath.  He is complaining of orthopnea. He states that he has had decreased urinary response to his lasix as of recently. States that he is retaining urine, has the urge to go but is unable to do so. He states that he was seen and evaluated by a urologist for the issue and instructed him to straight cath. He does state that he tested for COVID approximately 5 days ago, however is unsure of the results obtained. He does endorse a cough but thins it is because of fluid retention.  He is currently denying any chest pain.  Denies any fevers, chills, cough, nasal congestion, nausea, vomiting, diarrhea, abdominal pain.  He states that he did try getting in contact with his cardiologist today but however was not able to do so.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest tube insertion, Death, Haematuria
Clinical narrative: Presented with fever, hematuria; Covid + in ED;dx with Covid PNA; tx with Vit C, Zithromax, maxipime, Vit D3, Veletri, steroids, zinc, rocephin, remdisivir, doxycycline, baricitnib; initially maintained sats on room air; increasing hypoxia appx day 5 of hosp; started remdesivir; to ICU Day 13, high flow O2: 9.16 remains in ICU; FiO2 requirements slightly improved; Despite maximum effort, the patient's respiratory status continued to worsen in which he developed a left pneumothorax in which a chest tube was placed. developed a right pneumothorax in which in another chest tube was placed on the right side.  Transitioned over to comfort care; expired 10/5/21.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Pneumothorax, Pyrexia, Respiratory disorder
Clinical narrative: Presented with fever, hematuria; Covid + in ED;dx with Covid PNA; tx with Vit C, Zithromax, maxipime, Vit D3, Veletri, steroids, zinc, rocephin, remdisivir, doxycycline, baricitnib; initially maintained sats on room air; increasing hypoxia appx day 5 of hosp; started remdesivir; to ICU Day 13, high flow O2: 9.16 remains in ICU; FiO2 requirements slightly improved; Despite maximum effort, the patient's respiratory status continued to worsen in which he developed a left pneumothorax in which a chest tube was placed. developed a right pneumothorax in which in another chest tube was placed on the right side.  Transitioned over to comfort care; expired 10/5/21.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented with fever, hematuria; Covid + in ED;dx with Covid PNA; tx with Vit C, Zithromax, maxipime, Vit D3, Veletri, steroids, zinc, rocephin, remdisivir, doxycycline, baricitnib; initially maintained sats on room air; increasing hypoxia appx day 5 of hosp; started remdesivir; to ICU Day 13, high flow O2: 9.16 remains in ICU; FiO2 requirements slightly improved; Despite maximum effort, the patient's respiratory status continued to worsen in which he developed a left pneumothorax in which a chest tube was placed. developed a right pneumothorax in which in another chest tube was placed on the right side.  Transitioned over to comfort care; expired 10/5/21.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Given Covid Vaccine on left arm no symptoms no reactions given expired vaccine 1-2 day
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea
Clinical narrative: Presented w/SOB, cough. COVID in August w/no improvement. Admit for COVID PNA. Hx of HTN, CAD. Tx w/O2, abx, Vit C, D, zinc, neb, remdesivir.  Disposition:She will be discharged today to home with hospice
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Fall, SARS-CoV-2 test positive
Clinical narrative: Admit for fall, syncope at home. COVID+ and found to have COVID PNA. Tx w/abx, steroid, remdesivir, baricitinib, O2. Hx COPD, Afib, emphysema. Acute on chronic resp fx. She is now improved and has achieved maximal hospital benefit. She is being discharged to facility to continue recovery
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Admit for fall, syncope at home. COVID+ and found to have COVID PNA. Tx w/abx, steroid, remdesivir, baricitinib, O2. Hx COPD, Afib, emphysema. Acute on chronic resp fx. She is now improved and has achieved maximal hospital benefit. She is being discharged to facility to continue recovery
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 12 y/o male patient came to clinic to get his booster (Pfizer) . Pfizer 1st dose was administered on 8/18/2021, 2nd dose was administered on 9/8/2021 and pt. was scheduled to receive his booster Pfizer instead pt. received a Moderna vaccine (0.25ml)
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Arthralgia, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Presented for weakness, chills, Arthralgia. MD states no PMH. Admit for severe COVID PNA, hypoxia, rhabdo and coagulopathy d/t COVID. Tx w/O2, steroid, abx, no remdesivir d/t AKI. DC to acute rehab on 2L O2.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Coagulopathy, Hypoxia, Rhabdomyolysis
Clinical narrative: Presented for weakness, chills, Arthralgia. MD states no PMH. Admit for severe COVID PNA, hypoxia, rhabdo and coagulopathy d/t COVID. Tx w/O2, steroid, abx, no remdesivir d/t AKI. DC to acute rehab on 2L O2.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Flushing, Heart rate increased, Hypertension
Clinical narrative: Patient began complaining of feeling flushed and high HR 127 and high BP 167/100 30 minutes after receiving vaccine. Stated she had been having this issue intermittently since her second covid vaccine dose. Stated she was anxious and sob. Was taken to ER and then later that night at 2330 she went to ER for the same symptoms where "she got a shot in her butt to calm her down" She is seeing her PMD 2/14/22 at 1530.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Dose 1 given 3/19/2021 lot # 040A21A Moderna. Patient died at Medical center from Covid 19 complications
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Patient reports pain radiating down and through left arm without regard to activity or time of day since the time of vaccination.
Age: 12.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Dizziness, Erythema, Induration, Injection site pruritus, Pain
Clinical narrative: Induration, erythema, pain, pruritis at injection site. Lightheadedness.  Mild symptoms several hours after vaccination, worsening the following morning.  Went to ED, supportive care provided.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cholecystitis acute, Condition aggravated
Clinical narrative: Patient is a 88 y.o. female admitted with acute cholecystitis. Initially treated with abx and surgery consulted. However, upon discussion with family, true goal is comfort measures. Dc all meds with family permission and will return to facility with palliative care intentions.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Computerised tomogram head, Computerised tomogram neck, Headache, Hypoaesthesia
Clinical narrative: headache, visual disturbance, RUE numbness, expressive aphasia of acute onset 2/11/2022
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Visual impairment
Clinical narrative: headache, visual disturbance, RUE numbness, expressive aphasia of acute onset 2/11/2022
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: RN administered 12+ dose Pfizer vaccine to patient. NP immediately recognized that vaccine count did not match up and inquired further with RN who at that time realized she had given the wrong strength of vaccine ot the patient.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Gianotti-Crosti syndrome, Rash, Rash pruritic
Clinical narrative: Patient developed a rash that was concentrated on her knees and elbows, and also presented at lower density on her ankles and knees. This rash was first observed by me on Wednesday, February 9th in the evening, and had worsened by Thursday morning and even more by Thursday night. I took her to her pediatrician (Friday 2/11 at 4 pm local time), who said her rash was consistent with Gianotti Crosti syndrome. Patient was prescribed Kenalog (tramcinolone 0.025%, 2x/day) and was also instructed to take Zyrtec.  Her rash is still present and is extremely itchy, although it has not spread further.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Blood test, Urticaria
Clinical narrative: Hives every day for over 6 months. Often 50+ hives on various areas of the body.  Allergy testing showed nothing causing it.  One year later, still getting hives, but less frequently.  Hives do not lessen with allergy medication. Only had hives once in my life before this & it was over 10 years ago.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Myalgia, Partial seizures
Clinical narrative: "Chills, couldn't get warm." Patient believes she had partial seizure possibly two partial seizures where "her spine arch up backwards and she had no control of it." No LOC or incontinence with episode. It happened during Friday night ; unknow time. Patient's muscles were sore next day and temp was 99.0 F on Saturday
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Brain natriuretic peptide increased, COVID-19, Condition aggravated, Cough
Clinical narrative: The patient is a 59 y.o. male with PMH of afib not currently on anticoag (s/p successful DCCV in May 2021 and has been on off DOAC since that time), non-ischemic CMP w/ improved LVEF w/ medical therapy, CKD3a, HTN, valvular disease that improved w/ medical therapy and LVEF who presents with wheezing and dyspnea.   Patient felt in his normal state of health this past week (recently recovered from PCR proven influenza A infection). He awoke this morning and felt like he couldn't catch his breath. Felt audibly wheezy. Called family for a ride to the ER, but they were taking too long so he called EMS instead for concern of worsening respiratory status. Came in to the ED for evaluation. Upon arrival, he was tachycardic and EKG showed afib w/ RVR. Vitals otherwise stable. Given neb with improvement in respiratory status. Labs w/ mildly elevated BNP, so he was also given lasix 60 mg IV alongside methylpred IV given his wheezing. Stable on RA. His viral panel screen did return w/ a positive COVID PCR. Started on a dilt gtt as well for his RVR and admitted to the GM service. Patient tells me that he has been compliant with his meds. Weight stable, but does endorse more orthopnea. No fevers, chills, sweats, n/v/d, change in taste/smell. No recent travel. No cp or palpitations. Has been coughing today which is new. Never smoker. No hx of asthma either.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Influenza, Influenza A virus test positive, Orthopnoea
Clinical narrative: The patient is a 59 y.o. male with PMH of afib not currently on anticoag (s/p successful DCCV in May 2021 and has been on off DOAC since that time), non-ischemic CMP w/ improved LVEF w/ medical therapy, CKD3a, HTN, valvular disease that improved w/ medical therapy and LVEF who presents with wheezing and dyspnea.   Patient felt in his normal state of health this past week (recently recovered from PCR proven influenza A infection). He awoke this morning and felt like he couldn't catch his breath. Felt audibly wheezy. Called family for a ride to the ER, but they were taking too long so he called EMS instead for concern of worsening respiratory status. Came in to the ED for evaluation. Upon arrival, he was tachycardic and EKG showed afib w/ RVR. Vitals otherwise stable. Given neb with improvement in respiratory status. Labs w/ mildly elevated BNP, so he was also given lasix 60 mg IV alongside methylpred IV given his wheezing. Stable on RA. His viral panel screen did return w/ a positive COVID PCR. Started on a dilt gtt as well for his RVR and admitted to the GM service. Patient tells me that he has been compliant with his meds. Weight stable, but does endorse more orthopnea. No fevers, chills, sweats, n/v/d, change in taste/smell. No recent travel. No cp or palpitations. Has been coughing today which is new. Never smoker. No hx of asthma either.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Wheezing
Clinical narrative: The patient is a 59 y.o. male with PMH of afib not currently on anticoag (s/p successful DCCV in May 2021 and has been on off DOAC since that time), non-ischemic CMP w/ improved LVEF w/ medical therapy, CKD3a, HTN, valvular disease that improved w/ medical therapy and LVEF who presents with wheezing and dyspnea.   Patient felt in his normal state of health this past week (recently recovered from PCR proven influenza A infection). He awoke this morning and felt like he couldn't catch his breath. Felt audibly wheezy. Called family for a ride to the ER, but they were taking too long so he called EMS instead for concern of worsening respiratory status. Came in to the ED for evaluation. Upon arrival, he was tachycardic and EKG showed afib w/ RVR. Vitals otherwise stable. Given neb with improvement in respiratory status. Labs w/ mildly elevated BNP, so he was also given lasix 60 mg IV alongside methylpred IV given his wheezing. Stable on RA. His viral panel screen did return w/ a positive COVID PCR. Started on a dilt gtt as well for his RVR and admitted to the GM service. Patient tells me that he has been compliant with his meds. Weight stable, but does endorse more orthopnea. No fevers, chills, sweats, n/v/d, change in taste/smell. No recent travel. No cp or palpitations. Has been coughing today which is new. Never smoker. No hx of asthma either.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, COVID-19, Cardiac failure acute, Chest pain
Clinical narrative: Patient is a 77y.o. year old  female with a history of pulmonary fibrosis who initially presented to the hospital on 12/18/21 with chest pain, shortness of breath, and syncope. SARS CoV 2 by NAA was negative at presentation. She is normally on home oxygen 2 L NC. She was admitted to the hospital with the diagnosis of NSTEMI, acute on chronic diastolic heart failure, AKI, syncope. On 1/8, her roommate tested positive for Covid 19, and the patient was tested secondary to her exposure, and her test was positive as well. Of note, the patient is fully vaccinated (Moderna x 2), although she had not received a booster. At present, the patient states that her breathing feels comfortable and essentially unchanged from yesterday, if not slightly better. On review of her vitals since presentation, it appears that her O2 requirements have been fluctuating from as low is 3 L NC, up to as high as HFNC at 95% O2. Most recently, it appears that she was on approximately 7 L NC, but was bumped to 15 L NC early this a.m., followed by a switch to HFNC FiO2 0.95, 60 L/m with an O2 sat in the upper 90s. ID is consulted regarding the above scenario. Her husband was at bedside, and we had a long discussion regarding the above situation. That discussion included several of her children who were on a conference call.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Influenza A virus test negative, Influenza B virus test, Left ventricular failure
Clinical narrative: Patient is a 77y.o. year old  female with a history of pulmonary fibrosis who initially presented to the hospital on 12/18/21 with chest pain, shortness of breath, and syncope. SARS CoV 2 by NAA was negative at presentation. She is normally on home oxygen 2 L NC. She was admitted to the hospital with the diagnosis of NSTEMI, acute on chronic diastolic heart failure, AKI, syncope. On 1/8, her roommate tested positive for Covid 19, and the patient was tested secondary to her exposure, and her test was positive as well. Of note, the patient is fully vaccinated (Moderna x 2), although she had not received a booster. At present, the patient states that her breathing feels comfortable and essentially unchanged from yesterday, if not slightly better. On review of her vitals since presentation, it appears that her O2 requirements have been fluctuating from as low is 3 L NC, up to as high as HFNC at 95% O2. Most recently, it appears that she was on approximately 7 L NC, but was bumped to 15 L NC early this a.m., followed by a switch to HFNC FiO2 0.95, 60 L/m with an O2 sat in the upper 90s. ID is consulted regarding the above scenario. Her husband was at bedside, and we had a long discussion regarding the above situation. That discussion included several of her children who were on a conference call.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Syncope
Clinical narrative: Patient is a 77y.o. year old  female with a history of pulmonary fibrosis who initially presented to the hospital on 12/18/21 with chest pain, shortness of breath, and syncope. SARS CoV 2 by NAA was negative at presentation. She is normally on home oxygen 2 L NC. She was admitted to the hospital with the diagnosis of NSTEMI, acute on chronic diastolic heart failure, AKI, syncope. On 1/8, her roommate tested positive for Covid 19, and the patient was tested secondary to her exposure, and her test was positive as well. Of note, the patient is fully vaccinated (Moderna x 2), although she had not received a booster. At present, the patient states that her breathing feels comfortable and essentially unchanged from yesterday, if not slightly better. On review of her vitals since presentation, it appears that her O2 requirements have been fluctuating from as low is 3 L NC, up to as high as HFNC at 95% O2. Most recently, it appears that she was on approximately 7 L NC, but was bumped to 15 L NC early this a.m., followed by a switch to HFNC FiO2 0.95, 60 L/m with an O2 sat in the upper 90s. ID is consulted regarding the above scenario. Her husband was at bedside, and we had a long discussion regarding the above situation. That discussion included several of her children who were on a conference call.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Cardiac operation, Cardiac stress test, Chest pain
Clinical narrative: Instantaneously my BP shot up to 250/180, massive headache, nauseous and dizziness. Paramedics on-site assessed me for an hour. I was sent home. On March 3, 2021, I had chest pain, and called 911. I was hospitalized for a week. They thought I could be having a heart attack. Stress test was borderline. Blood levels didn't indicate a heart attack. After a week, they sent me home. April 10th, I started having trouble breathing. April 12th, my breathing became even more difficult. April 14th, I had trouble breathing again. I was near a doctors office, they did an EKG, which indicated I was having a heart attack. An ambulance was called. April 16th, I had open heart surgery. April 17 & 19th, stents were placed. I was 10 days in the hospital the second time.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Electrocardiogram abnormal, Headache, Laboratory test
Clinical narrative: Instantaneously my BP shot up to 250/180, massive headache, nauseous and dizziness. Paramedics on-site assessed me for an hour. I was sent home. On March 3, 2021, I had chest pain, and called 911. I was hospitalized for a week. They thought I could be having a heart attack. Stress test was borderline. Blood levels didn't indicate a heart attack. After a week, they sent me home. April 10th, I started having trouble breathing. April 12th, my breathing became even more difficult. April 14th, I had trouble breathing again. I was near a doctors office, they did an EKG, which indicated I was having a heart attack. An ambulance was called. April 16th, I had open heart surgery. April 17 & 19th, stents were placed. I was 10 days in the hospital the second time.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial infarction, Nausea, Stent placement
Clinical narrative: Instantaneously my BP shot up to 250/180, massive headache, nauseous and dizziness. Paramedics on-site assessed me for an hour. I was sent home. On March 3, 2021, I had chest pain, and called 911. I was hospitalized for a week. They thought I could be having a heart attack. Stress test was borderline. Blood levels didn't indicate a heart attack. After a week, they sent me home. April 10th, I started having trouble breathing. April 12th, my breathing became even more difficult. April 14th, I had trouble breathing again. I was near a doctors office, they did an EKG, which indicated I was having a heart attack. An ambulance was called. April 16th, I had open heart surgery. April 17 & 19th, stents were placed. I was 10 days in the hospital the second time.
Age: 52.0
Sex: F
Vaccine: TDAP
Symptoms: Mass, Pain, Skin warm
Clinical narrative: sore lump that is warm to touch, no treatment advised to start cold compresses and OTC ibuprofen
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Erythema, Pruritus, Urticaria
Clinical narrative: Spontaneous urticaria.  Redness and itching.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd dose was administered 9 days early.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Covid vaccine x 3 (pfizer). Tested positive for Covid on 01/27/2022. Admitted to hospital on 02/02/2022. Expired on 02/04/2022 while still hospitalized.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Hypersomnia, Pain
Clinical narrative: This was my 4th shot.  Chills and shivering temporarily night of 2/7/22.  2/8/22, severe fatigue, minor body aches, slept all day and night.  2/9/22, continued fatigue, minor body/joint aches, awake about half the day.    I had the same reaction to my 3rd shot back in August 2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea exertional, Facial paralysis, Hemiparesis, Influenza A virus test negative
Clinical narrative: This is a 75y.o. male with PMHx significant for Afib s/p AV nodal ablation, heart failure with preserved ejection fraction, hypertension, hyperlipidemia, BPH, arthritis and other comorbidities. Patient present to the ED with White's of left-sided hemiparesis with left-sided facial droop. Patient stated his visiting physician was at his home when he began developing left-sided hemiparesis and left-sided facial droop. The physician called EMS and the patient was transported to the hospital. Upon arrival patient's symptoms had resolved. During the encounter patient was neurologically intact. Patient was able tentatively move all extremities, and no facial droop was present. Patient noted he is expecting some shortness of breath with activity and intermittent chest pain. He denies any fever, chills, cough, nausea vomiting or diarrhea. Patient has received 2 doses of Covid vaccination, however no booster.