chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Liver function test increased, Pneumonia, SARS-CoV-2 test positive, Sputum culture
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) COVID Positive 10/4/21  10/4/21: Patient is a direct admit from ER.  A past medical history is significant with diabetes, CKD , CAD with stents, and deficiency anemia sleep apnea, hypertension.  She presented to the ER with complaints of losing balance, generalized weakness and frequent falls at home.  She is from home with her husband who called EMS services.  Upon arrival to the ER she was noted with a black left eye and has been reporting she fell out of the bed.   Blood work was completed at ER was significant with sodium 129, creatinine 2.3, D-dimer 1.21. She also has a positive urine and a positive COVID 19 test positive.  Due to her elevated creatinine a CTA was not done.  The patient was noted hypoxia requiring 2 L nasal cannula.   Upon arrival to medical unit the patient was noted with SpO2 86% on 12 L oxygen.  Respiratory eval and treat was ordered.  She was then transferred to ICU for close monitoring. Pulmonology consultation initiated. For transferring to ICU I addressed patient's goals of care and she was to continue with full treatment.  She refused to to be intubated if needed.  I discussed the plan of care with the patient and she is agreeable to stay in hospital for further management  10/9/21: Patient is a 74-year-old female who was admitted on 10/4/2021 with acute hypoxic respiratory failure, secondary to bilateral COVID pneumonia, elevated LFTs, secondary to COVID, AKI on CKD, and E coli UTI.  She was noted to be very weak and has been suffering frequent falls.  This is thought to be complicated by excessive amounts of lorazepam at home (3mg @hs).  She was admitted to the ICU.  Critical care intensivist was consulted.  She was started on IV Levaquin, IV corticosteroids, and supplemental oxygen.  Blood cultures and sputum culture were ordered.  Lorazepam was discontinued.  Her urine culture showed positive for E coli, resistant to Levaquin. Levaquin was discontinued and Rocephin and Azithromycin were started.  The patient has slowly improved.  She is currently only requiring 4 L of supplemental oxygen by nasal cannula.  Physical therapy evaluated her and recommended SNF placement.  Her vitals have been stable otherwise.  Blood pressures were mildly elevated, so the patient's amlodipine was increased to 10 mg p.o. daily. Labs have been unremarkable.  Patient is being discharged to swing bed.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) COVID Positive 10/4/21  10/4/21: Patient is a direct admit from ER.  A past medical history is significant with diabetes, CKD , CAD with stents, and deficiency anemia sleep apnea, hypertension.  She presented to the ER with complaints of losing balance, generalized weakness and frequent falls at home.  She is from home with her husband who called EMS services.  Upon arrival to the ER she was noted with a black left eye and has been reporting she fell out of the bed.   Blood work was completed at ER was significant with sodium 129, creatinine 2.3, D-dimer 1.21. She also has a positive urine and a positive COVID 19 test positive.  Due to her elevated creatinine a CTA was not done.  The patient was noted hypoxia requiring 2 L nasal cannula.   Upon arrival to medical unit the patient was noted with SpO2 86% on 12 L oxygen.  Respiratory eval and treat was ordered.  She was then transferred to ICU for close monitoring. Pulmonology consultation initiated. For transferring to ICU I addressed patient's goals of care and she was to continue with full treatment.  She refused to to be intubated if needed.  I discussed the plan of care with the patient and she is agreeable to stay in hospital for further management  10/9/21: Patient is a 74-year-old female who was admitted on 10/4/2021 with acute hypoxic respiratory failure, secondary to bilateral COVID pneumonia, elevated LFTs, secondary to COVID, AKI on CKD, and E coli UTI.  She was noted to be very weak and has been suffering frequent falls.  This is thought to be complicated by excessive amounts of lorazepam at home (3mg @hs).  She was admitted to the ICU.  Critical care intensivist was consulted.  She was started on IV Levaquin, IV corticosteroids, and supplemental oxygen.  Blood cultures and sputum culture were ordered.  Lorazepam was discontinued.  Her urine culture showed positive for E coli, resistant to Levaquin. Levaquin was discontinued and Rocephin and Azithromycin were started.  The patient has slowly improved.  She is currently only requiring 4 L of supplemental oxygen by nasal cannula.  Physical therapy evaluated her and recommended SNF placement.  Her vitals have been stable otherwise.  Blood pressures were mildly elevated, so the patient's amlodipine was increased to 10 mg p.o. daily. Labs have been unremarkable.  Patient is being discharged to swing bed.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 11/3/21
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis
Clinical narrative: Bells/facial palsy
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Tinnitus became more severe, and has continued unrelenting at the increased level.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Symptom onset 10/31/21.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Iron deficiency anaemia, Menstruation irregular
Clinical narrative: Her menses returned after each Covid-19 vaccine dose.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/24/21 presents to ED for "shortness of breath and COVID test positive". PMHx of "asthma and HTN"
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Gastrointestinal stoma complication, SARS-CoV-2 test positive
Clinical narrative: 12/24/21 presents to ED for "ileostomy output increase". PMHx of "Cerebral palsy, spastic quadraparesis, nonverbal, w g-tube, VP shunt & ostomy, hx of SBO"
Age: 99.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/27/21 presents to ED for "acute onset shortness of breath". PMHx of "chronic diastolic CHF, CKD stage III, permanent atrial fibrillation on Eliquis, Bronchiectasis, diverticulitis, recurrent left pleural effusion, diffuse alveolar hemorrhage while on Coumadin (2/2021), pulmonary embolism (2017) on Eliquis,  hyperlipidemia, rectal prolapse"
Age: 17.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, COVID-19, Headache, SARS-CoV-2 test positive
Clinical narrative: 12/29/21 presents to ED for "3-4 month history of headaches and abnormal behavior". PMHx of "Orthostatic hypotension"
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Muscular weakness, Nerve conduction studies, Night sweats
Clinical narrative: Numbness in R hand, pinky and ring finger to start, woke up in middle of night.  Continued, then L had, pinky and ring finger.  Numbness and tingling continued to migrate through out the body, bilat arms with numbness and weakness, hands weakness. Legs and toes, numbness, tingling and weakness.  Numbness wakes person in the middle of the night. Night sweats also started at same time and have continued.  Currently almost 6 months out, lingerling on and off numbness/tingling in leg, occasional numbness in hands.  Weakness for most part has passed.  None of these happened ever before the injection
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: Numbness in R hand, pinky and ring finger to start, woke up in middle of night.  Continued, then L had, pinky and ring finger.  Numbness and tingling continued to migrate through out the body, bilat arms with numbness and weakness, hands weakness. Legs and toes, numbness, tingling and weakness.  Numbness wakes person in the middle of the night. Night sweats also started at same time and have continued.  Currently almost 6 months out, lingerling on and off numbness/tingling in leg, occasional numbness in hands.  Weakness for most part has passed.  None of these happened ever before the injection
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 10/26/21
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Pain, SARS-CoV-2 test positive
Clinical narrative: 12/17/21 presents to EC ED for "shortness of breath and body aches". PMHx of "coronary vasospasm, obesity hypertension and depression"
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/17/21 presents to ED for "generalized weakness". PMHx of "poliomyelitis, schizophrenia, DM, HTN, and HLP"
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Carotid artery disease, Condition aggravated, Embolic stroke, SARS-CoV-2 test positive
Clinical narrative: 12/22/21 presents to Neurology as transfer from Hospital "for escalation of care" "recent embolic stroke, severe carotid A disease". PMHx of "HTN, HLD, CAD (MI in 2004) s/p stent, CKD, PAfib, Carotid A disease"
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Mouth swelling, Swelling face
Clinical narrative: Swelling of face, lips and inside of mouth
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Fall, SARS-CoV-2 test positive
Clinical narrative: 12/29/21 presents to ED for "intermittent falls and worsening confusion". PMHx of "HTN, HLD NIDDM"
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: Patient received 2nd dose pfizer shot on her right arm on 8/19/2021. Ever since her 2nd dose, her right arm has been on and off hurting. There are times that she cannot move or lift her right arm and that area hurts really bad. The pain goes away for a few weeks and comes right back for another week. It is now getting very bad now that she is going to see her doctor. She has tried NSAIDS meds and cold and hot compressions and more but nothing does help to go away completely.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/27/21 presents to ED for "shortness of breath". PMHx of "of alcohol abuse and alcohol cirrhosis".
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized for Covid infection
Age: 46.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Fatigue
Clinical narrative: 12/23/21 presents to ED for "chills, body aches, fatigue, mild nonproductive cough, nausea, intermittent emesis and poor appetite". PMHx of "HTN, TIIDM, GCA, bladder CA"
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 12/23/21 presents to ED for "chills, body aches, fatigue, mild nonproductive cough, nausea, intermittent emesis and poor appetite". PMHx of "HTN, TIIDM, GCA, bladder CA"
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Heavy menstrual bleeding
Clinical narrative: Was given my first set of Covid Vaccines april 9th and 30th 2021. Since then I had longer period cycles and missed periods. I have always been on a 28 day cycle since I was 14.   Got boosted on December 21st and have not had a cycle since novemever 15th
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Asymptomatic COVID-19, Cardiomegaly, Chest X-ray abnormal, Dizziness
Clinical narrative: Patient presented to the hospital 1/24/22 from hematologist office due to low HBG 7.1 without apparent bleeding.  History of GI bleed, takes iron supplements.  Presented due to progressively feeling worse, weak, lightheaded, exertional SOB.  + blood in stool.  Chest xray on 1/27 IMPRESSION:  1. Cardiomegaly and minimal vascular congestion of concern for minimal/early developing congestive heart failure.  Patient treated with Lasix and improving.  Pt treated for GI bleed - asymptomic for COVID; discharge 1/29/22.  Previously vaccinated Pfizer 2/10/21 & 3/3/21.  Discharged 1/29/22
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea exertional, Feeling abnormal, Gastrointestinal haemorrhage, Haematochezia, Haemoglobin decreased
Clinical narrative: Patient presented to the hospital 1/24/22 from hematologist office due to low HBG 7.1 without apparent bleeding.  History of GI bleed, takes iron supplements.  Presented due to progressively feeling worse, weak, lightheaded, exertional SOB.  + blood in stool.  Chest xray on 1/27 IMPRESSION:  1. Cardiomegaly and minimal vascular congestion of concern for minimal/early developing congestive heart failure.  Patient treated with Lasix and improving.  Pt treated for GI bleed - asymptomic for COVID; discharge 1/29/22.  Previously vaccinated Pfizer 2/10/21 & 3/3/21.  Discharged 1/29/22
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Visceral congestion
Clinical narrative: Patient presented to the hospital 1/24/22 from hematologist office due to low HBG 7.1 without apparent bleeding.  History of GI bleed, takes iron supplements.  Presented due to progressively feeling worse, weak, lightheaded, exertional SOB.  + blood in stool.  Chest xray on 1/27 IMPRESSION:  1. Cardiomegaly and minimal vascular congestion of concern for minimal/early developing congestive heart failure.  Patient treated with Lasix and improving.  Pt treated for GI bleed - asymptomic for COVID; discharge 1/29/22.  Previously vaccinated Pfizer 2/10/21 & 3/3/21.  Discharged 1/29/22
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Feeling hot, Pruritus, Urticaria
Clinical narrative: started to notice itchy patches and hives that would travel  all over my body, hands and feet especially. Itchy scalp and hot ears. Still experiencing everyday.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood creatinine increased, Dyspnoea, Fibrin D dimer increased, Full blood count normal
Clinical narrative: covid vax 2 given 2/16/21, and #3 ? mfg or lot # given 8/21/21  Sudden onset shortness of breath, called EMS, D-dimer was noted to be elevated at 32,072 on 15 June 2021 and a VQ scan showed high risk for bilateral pulmonary emboli, he was started on a heparin drip and transitioned to Eliquis, aspirin was continued that he was on prior to admission, and symptoms of shortness of breath continue to improve on anticoagulation  He has not had Covid but has had his Covid vaccines completed 16 February 2021, CBC normal, creatinine 1.37, GFR greater than 60, no travel or hormone use or recent surgeries though he is immobile on a regular basis, weight is just over 120 kg  December 2021 will transition to Eliquis 2.5 mg twice daily plus baby aspirin
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Glomerular filtration rate normal, Immobile, Ventilation/perfusion scan abnormal
Clinical narrative: covid vax 2 given 2/16/21, and #3 ? mfg or lot # given 8/21/21  Sudden onset shortness of breath, called EMS, D-dimer was noted to be elevated at 32,072 on 15 June 2021 and a VQ scan showed high risk for bilateral pulmonary emboli, he was started on a heparin drip and transitioned to Eliquis, aspirin was continued that he was on prior to admission, and symptoms of shortness of breath continue to improve on anticoagulation  He has not had Covid but has had his Covid vaccines completed 16 February 2021, CBC normal, creatinine 1.37, GFR greater than 60, no travel or hormone use or recent surgeries though he is immobile on a regular basis, weight is just over 120 kg  December 2021 will transition to Eliquis 2.5 mg twice daily plus baby aspirin
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site rash, Peripheral swelling, Pyrexia, Rash
Clinical narrative: pt states after she received her booster shot that her left arm became red and swollen.  She called the location where she got her vaccine where they connected her to the emergency room.  She was told to take Benadryl. It took about a week and 1/2 for the swelling to go down.  Once the swelling went down then she developed a bumps rash like the measles around the injection site and forearm.  Her arm was hot and she had mild fever.  This lasted a 2 or 3 days.  She says she believes the person giving her the injection did not know what they were doing.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: pt states after she received her booster shot that her left arm became red and swollen.  She called the location where she got her vaccine where they connected her to the emergency room.  She was told to take Benadryl. It took about a week and 1/2 for the swelling to go down.  Once the swelling went down then she developed a bumps rash like the measles around the injection site and forearm.  Her arm was hot and she had mild fever.  This lasted a 2 or 3 days.  She says she believes the person giving her the injection did not know what they were doing.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperpyrexia, Incoherent
Clinical narrative: High fever (103 when I was finally coherent enough to take it). Aunts who were staying with me at the time were unable to wake me and were frantically trying to get me to agree to go to the hospital, they were from several states away so didn't know where the local hospital was and I wasn't coherent enough to tell them. This was terrifying for them and me. Once I was coherent again the next day, I took aspirin for the fever (I am allergic to Tylenol).
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Aggression, Pyrexia, Rhinorrhoea, Somnolence, Vomiting
Clinical narrative: Fever 101.6 treated with childrens tylenol Vomiting-1-2 days Fussiness-1 week Sleeping more-1 week Runny nose-3+weeks
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Blood bicarbonate normal, Blood glucose increased, Blood urea increased, COVID-19
Clinical narrative: Hospitalized 01/21/2022; COVID-19 positive 01/21/2022; fully vaccinated    Admission Date: 1/21/2022 Discharge Date: 01/29/2022 PRESENTING PROBLEM:  Acute respiratory failure with hypoxia  [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   82 y/o male hx of HFrEF with EF 29% s/p ICD, CAD, persistent a fib, who presented with dyspnea. He tested positive for COVID 2 days PTA. Home oxygen was 75% on day of admission. He received original vaccine series in 4/2021 but no booster. Upon arrival he was placed on NRB with improvement in oxygen saturations. He had WBC of 12.84, bicarb 28, BUN 21. CXR showed severe COVID 19. He was started on dexamethasone and admitted for further management. He was also started on remdesivir.  Initially was requiring higher oxygen via high-flow nasal cannula, his steroids were switched to IV Solu-Medrol due to increased oxygen requirement.  Diuresed with IV Lasix, oxygen requirement gradually improved, steroids were eventually switched to prednisone and gradually tapered.  Diabetes management evaluated the patient due to high blood sugars during the hospitalization he was on Lantus with correction scale.  Eventually oxygen requirement improved down to 2 L, evaluated by Pulmonary rehab recommended 2 L oxygen all the time.  Diabetes management recommended NPH 70/30, 24 units 2 times a day along with metformin 1000 mg 2 times a day upon discharge.  Evaluated by PT and OT recommended home care, Care Management arranged for home care, instructions discussed in detail with patient he verbalized understanding, discharge home today in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Condition aggravated, Diabetes mellitus, Dyspnoea
Clinical narrative: Hospitalized 01/21/2022; COVID-19 positive 01/21/2022; fully vaccinated    Admission Date: 1/21/2022 Discharge Date: 01/29/2022 PRESENTING PROBLEM:  Acute respiratory failure with hypoxia  [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   82 y/o male hx of HFrEF with EF 29% s/p ICD, CAD, persistent a fib, who presented with dyspnea. He tested positive for COVID 2 days PTA. Home oxygen was 75% on day of admission. He received original vaccine series in 4/2021 but no booster. Upon arrival he was placed on NRB with improvement in oxygen saturations. He had WBC of 12.84, bicarb 28, BUN 21. CXR showed severe COVID 19. He was started on dexamethasone and admitted for further management. He was also started on remdesivir.  Initially was requiring higher oxygen via high-flow nasal cannula, his steroids were switched to IV Solu-Medrol due to increased oxygen requirement.  Diuresed with IV Lasix, oxygen requirement gradually improved, steroids were eventually switched to prednisone and gradually tapered.  Diabetes management evaluated the patient due to high blood sugars during the hospitalization he was on Lantus with correction scale.  Eventually oxygen requirement improved down to 2 L, evaluated by Pulmonary rehab recommended 2 L oxygen all the time.  Diabetes management recommended NPH 70/30, 24 units 2 times a day along with metformin 1000 mg 2 times a day upon discharge.  Evaluated by PT and OT recommended home care, Care Management arranged for home care, instructions discussed in detail with patient he verbalized understanding, discharge home today in stable condition.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Polyuria, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Hospitalized 01/21/2022; COVID-19 positive 01/21/2022; fully vaccinated    Admission Date: 1/21/2022 Discharge Date: 01/29/2022 PRESENTING PROBLEM:  Acute respiratory failure with hypoxia  [J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE:   82 y/o male hx of HFrEF with EF 29% s/p ICD, CAD, persistent a fib, who presented with dyspnea. He tested positive for COVID 2 days PTA. Home oxygen was 75% on day of admission. He received original vaccine series in 4/2021 but no booster. Upon arrival he was placed on NRB with improvement in oxygen saturations. He had WBC of 12.84, bicarb 28, BUN 21. CXR showed severe COVID 19. He was started on dexamethasone and admitted for further management. He was also started on remdesivir.  Initially was requiring higher oxygen via high-flow nasal cannula, his steroids were switched to IV Solu-Medrol due to increased oxygen requirement.  Diuresed with IV Lasix, oxygen requirement gradually improved, steroids were eventually switched to prednisone and gradually tapered.  Diabetes management evaluated the patient due to high blood sugars during the hospitalization he was on Lantus with correction scale.  Eventually oxygen requirement improved down to 2 L, evaluated by Pulmonary rehab recommended 2 L oxygen all the time.  Diabetes management recommended NPH 70/30, 24 units 2 times a day along with metformin 1000 mg 2 times a day upon discharge.  Evaluated by PT and OT recommended home care, Care Management arranged for home care, instructions discussed in detail with patient he verbalized understanding, discharge home today in stable condition.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for Covid infection
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin weeping
Clinical narrative: Feet and lower leg swollen up and weeping a clear fluid. enough each day to wet socks. I NEVER EVER had this problem in my whole life . Antibiotics and rash ointment. Outcome still have it now
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenitis, Tenderness
Clinical narrative: Pain and tenderness in armpit (axillary lynph node inflamation) a few days after vaccination lastin up to 6 days post vaccination. resolved.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Pruritus, Throat tightness, Vaccine positive rechallenge
Clinical narrative: Patient began to experience throat tightness, facial flushing, itching, and dizziness at 10:50.  Notes he experienced these same symptoms after his second dose of this vaccine.  Vital signs stable with BP 136/90, HR 91, RR 17 98% O2 sat on RA.  Patient received 25mg of IM diphenhydramine at 10:50.  Patient reported a worsening of symptoms despite diphenhydramine administration and required an additional dose of diphenhydramine administered at 11:26.  Vital signs remained stable throughout.  Symptoms improved after second administration of diphenhydramine.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 29.0
Sex: M
Vaccine: UNK
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient given booster Covid-19 vaccine too early
Age: 69.0
Sex: M
Vaccine: VARZOS
Symptoms: Extra dose administered
Clinical narrative: Patient notified nurse that he was due for a second Shingrix. The nurse gave him a dose of Shingrix. Once this was given and entered for billing, it was discovered this was actually a third dose. Pharmacist in charge was notified. Staff contacted the facility in which the patient lives and spoke with the charge nurse. She stated the patient had not experienced any side effects and even asked the patient while on the phone. Staff also notified the patient's primary care physician.
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 PCR test result
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for Covid infection
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Death, Hemiparesis, Magnetic resonance imaging normal
Clinical narrative: covid vax pfizer 4/23/21, lot EW0162, and in f/u covid vax pfizer 11/12/21, lot # FJ8757 on 18 December 2021 he had acute onset left dense hemiparesis with near anarthria, MR imaging at hospital on 16 December 2021 without restricted diffusion or evidence of intracranial hemorrhage appears to have been before this most recent fixed left dense hemiparesis, does have a history of hypertension and diabetes not well controlled and medication noncompliance with myeloma diagnosed in November 2005 status post auto transplant 2006, he died on 22 December 2021 due to head bleed
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 01/01/22 presents to ED for "shortness of breath". PMHx of "atrial fibrillation with RVR, chronic diastolic heart failure, type 2 diabetes mellitus, DVT, hyperlipidemia, hypertension, anxiety, restrictive lung disease, pulmonary embolism on L quests, renal mass, liver nodules, liver mass, and superobesity"
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 45.0
Sex: F
Vaccine: FLUR4
Symptoms: Dry mouth, Eye pain, Feeling of body temperature change, Head discomfort, Headache
Clinical narrative: 3 am: Sleep disturbed, woke with night sweats. face hot, dry mouth, legs hot. felt feverish, had no fever. nausea. feeling hot/cold. headache, head pressure, eye pain, eye pressure. soreness of injection site. sleepy. slept most of the next day. symptoms resolved the following evening.
Age: 45.0
Sex: F
Vaccine: FLUR4
Symptoms: Hypersomnia, Injection site pain, Nausea, Night sweats, Ocular discomfort
Clinical narrative: 3 am: Sleep disturbed, woke with night sweats. face hot, dry mouth, legs hot. felt feverish, had no fever. nausea. feeling hot/cold. headache, head pressure, eye pain, eye pressure. soreness of injection site. sleepy. slept most of the next day. symptoms resolved the following evening.
Age: 45.0
Sex: F
Vaccine: FLUR4
Symptoms: Pyrexia, Skin warm, Sleep disorder, Somnolence
Clinical narrative: 3 am: Sleep disturbed, woke with night sweats. face hot, dry mouth, legs hot. felt feverish, had no fever. nausea. feeling hot/cold. headache, head pressure, eye pain, eye pressure. soreness of injection site. sleepy. slept most of the next day. symptoms resolved the following evening.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Hypoaesthesia, SARS-CoV-2 test positive
Clinical narrative: 12/28/21 presents to ED for "right facial numbness". PMHx of "HTN"
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the local Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: 12/28/21 for "Altered Mental Status". PMHx of "HTN and L eye blindness".
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 10/21/21
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Headache
Clinical narrative: Severe headaches,  agitation, rapid
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood test, Burning sensation, Chest pain, Chills
Clinical narrative: October - December: Chest Pain Heart Rate Problems (walking short distances would make HR 110+ / resting heart rate around 90) Palpitations/Arrhythmias Shortness of Breath Headaches Muscle pain Muscle twitching Joint pain Brain fog/memory problems Dizziness Nausea Muscle weakness Vision problems Loss of appetite Insomnia Fatigue Sweating/chills Heavy limbs (feels like pools of blood in extremities)  January: Chest pain Shortness of Breath Headaches Muscle pain Dizziness Nausea Muscle weakness Muscle tightening Digestion/GI problems Loss of appetite Insomnia Fatigue Heavy limbs (feels like pools of blood in extremities) Nerve pain/problems Burning sensations across body  Note: Visited ER 8-10x since October. Diagnosed with "anxiety", prescribed .25mg Xanax and helped for a few weeks then stopped. Other prescribed drugs from ER and doctor visits include Hydroxyzine (didn't work), Citalopram (didn't work), Sertraline (didn't work), Alprazolam (worked some then stopped working - similar to Xanax), Omeprazole (helping some GI issues), melatonin (worked some then stopped working). She is now taking Gabapentin and Mirtazapine (9 days to date), which is helping with insomnia, appetite, nerve pain, and burning sensations across her body.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Dizziness, Dyspepsia, Dyspnoea, Fatigue
Clinical narrative: October - December: Chest Pain Heart Rate Problems (walking short distances would make HR 110+ / resting heart rate around 90) Palpitations/Arrhythmias Shortness of Breath Headaches Muscle pain Muscle twitching Joint pain Brain fog/memory problems Dizziness Nausea Muscle weakness Vision problems Loss of appetite Insomnia Fatigue Sweating/chills Heavy limbs (feels like pools of blood in extremities)  January: Chest pain Shortness of Breath Headaches Muscle pain Dizziness Nausea Muscle weakness Muscle tightening Digestion/GI problems Loss of appetite Insomnia Fatigue Heavy limbs (feels like pools of blood in extremities) Nerve pain/problems Burning sensations across body  Note: Visited ER 8-10x since October. Diagnosed with "anxiety", prescribed .25mg Xanax and helped for a few weeks then stopped. Other prescribed drugs from ER and doctor visits include Hydroxyzine (didn't work), Citalopram (didn't work), Sertraline (didn't work), Alprazolam (worked some then stopped working - similar to Xanax), Omeprazole (helping some GI issues), melatonin (worked some then stopped working). She is now taking Gabapentin and Mirtazapine (9 days to date), which is helping with insomnia, appetite, nerve pain, and burning sensations across her body.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Headache, Heart rate irregular, Hyperhidrosis, Insomnia
Clinical narrative: October - December: Chest Pain Heart Rate Problems (walking short distances would make HR 110+ / resting heart rate around 90) Palpitations/Arrhythmias Shortness of Breath Headaches Muscle pain Muscle twitching Joint pain Brain fog/memory problems Dizziness Nausea Muscle weakness Vision problems Loss of appetite Insomnia Fatigue Sweating/chills Heavy limbs (feels like pools of blood in extremities)  January: Chest pain Shortness of Breath Headaches Muscle pain Dizziness Nausea Muscle weakness Muscle tightening Digestion/GI problems Loss of appetite Insomnia Fatigue Heavy limbs (feels like pools of blood in extremities) Nerve pain/problems Burning sensations across body  Note: Visited ER 8-10x since October. Diagnosed with "anxiety", prescribed .25mg Xanax and helped for a few weeks then stopped. Other prescribed drugs from ER and doctor visits include Hydroxyzine (didn't work), Citalopram (didn't work), Sertraline (didn't work), Alprazolam (worked some then stopped working - similar to Xanax), Omeprazole (helping some GI issues), melatonin (worked some then stopped working). She is now taking Gabapentin and Mirtazapine (9 days to date), which is helping with insomnia, appetite, nerve pain, and burning sensations across her body.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Muscle tightness, Muscle twitching, Muscular weakness, Myalgia
Clinical narrative: October - December: Chest Pain Heart Rate Problems (walking short distances would make HR 110+ / resting heart rate around 90) Palpitations/Arrhythmias Shortness of Breath Headaches Muscle pain Muscle twitching Joint pain Brain fog/memory problems Dizziness Nausea Muscle weakness Vision problems Loss of appetite Insomnia Fatigue Sweating/chills Heavy limbs (feels like pools of blood in extremities)  January: Chest pain Shortness of Breath Headaches Muscle pain Dizziness Nausea Muscle weakness Muscle tightening Digestion/GI problems Loss of appetite Insomnia Fatigue Heavy limbs (feels like pools of blood in extremities) Nerve pain/problems Burning sensations across body  Note: Visited ER 8-10x since October. Diagnosed with "anxiety", prescribed .25mg Xanax and helped for a few weeks then stopped. Other prescribed drugs from ER and doctor visits include Hydroxyzine (didn't work), Citalopram (didn't work), Sertraline (didn't work), Alprazolam (worked some then stopped working - similar to Xanax), Omeprazole (helping some GI issues), melatonin (worked some then stopped working). She is now taking Gabapentin and Mirtazapine (9 days to date), which is helping with insomnia, appetite, nerve pain, and burning sensations across her body.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Neuralgia, Palpitations, Visual impairment
Clinical narrative: October - December: Chest Pain Heart Rate Problems (walking short distances would make HR 110+ / resting heart rate around 90) Palpitations/Arrhythmias Shortness of Breath Headaches Muscle pain Muscle twitching Joint pain Brain fog/memory problems Dizziness Nausea Muscle weakness Vision problems Loss of appetite Insomnia Fatigue Sweating/chills Heavy limbs (feels like pools of blood in extremities)  January: Chest pain Shortness of Breath Headaches Muscle pain Dizziness Nausea Muscle weakness Muscle tightening Digestion/GI problems Loss of appetite Insomnia Fatigue Heavy limbs (feels like pools of blood in extremities) Nerve pain/problems Burning sensations across body  Note: Visited ER 8-10x since October. Diagnosed with "anxiety", prescribed .25mg Xanax and helped for a few weeks then stopped. Other prescribed drugs from ER and doctor visits include Hydroxyzine (didn't work), Citalopram (didn't work), Sertraline (didn't work), Alprazolam (worked some then stopped working - similar to Xanax), Omeprazole (helping some GI issues), melatonin (worked some then stopped working). She is now taking Gabapentin and Mirtazapine (9 days to date), which is helping with insomnia, appetite, nerve pain, and burning sensations across her body.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Wheezing
Clinical narrative: Shortness of breath, wheezing, chest tightness starting Friday evening 1/29/2022.  No prior h/o asthma.  No prior reaction to primary Pfizer Covid-19 vaccination series.  Seen in clinic 1/31/2022 and given nebulizer treatment with albuterol.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Artery dissection, Blood test, Cardiac monitoring, Cerebrovascular accident
Clinical narrative: Hearing Loss (within 2 weeks) Stroke (within 3 months) Seizures (within 3 months) Arterial Dissection (within 3 months)
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Deafness, Electrocardiogram, Electroencephalogram, Laboratory test
Clinical narrative: Hearing Loss (within 2 weeks) Stroke (within 3 months) Seizures (within 3 months) Arterial Dissection (within 3 months)
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Seizure
Clinical narrative: Hearing Loss (within 2 weeks) Stroke (within 3 months) Seizures (within 3 months) Arterial Dissection (within 3 months)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Pruritus, Rash, Urticaria
Clinical narrative: I woke up extremely itchy, started to develop hives all over my body along with a rash. I had to take 2-3 doses of Zyrtec per day to get the hives to go away along with hydrocortisone cream for the itching. I still experience urticaria and dermatographia (it has been over a month since the reaction started) and take daily Zyrtec. The Zyrtec helps, but the rash still comes through despite the medication,
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for Covid infection
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: symptom onset 11/7/21
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/25/21 presents to ED for "shortness of breath". PMHx of "OSA on CPAP, asthma, unprovoked PE in 2008 and was on 2 years of anticoagulation"
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 12/25/21 presents to ED for "worsening SOB". PMHx of "CHF, CKD (previously required HD), COPD on home 02 at 2L"
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: CPhT, administered 0.25ml of Pfizer instead of 0.3ml for a booster shot. Patient was notified of error and did not want to come back in for the additional 0.05ml dose that was shorted.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Muscle contractions involuntary, Oropharyngeal pain
Clinical narrative: 12/29/21 presents to Triage for "with contractions" "Exposed to COVID-19 a few days ago, tested positive on 12/27, only symptoms are fatigue, runny nose, sore throat". PMHx of "Lupus"
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 12/29/21 presents to Triage for "with contractions" "Exposed to COVID-19 a few days ago, tested positive on 12/27, only symptoms are fatigue, runny nose, sore throat". PMHx of "Lupus"
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Arthralgia, Burning sensation, Chest X-ray, Chest discomfort
Clinical narrative: Adverse events occurred after Christmas Day, 2021 and before New Year's Day, 2022:  Woke up in morning with the following adverse reactions:  sore throat, esophageal tightness, chest tightness, scalp and ears:  tingling, burning, itching, red, swelling, hives followed by the same on my upper and lower torso, arms, hands, legs, thighs, feet and face.  All symptoms intense - from a number standpoint, 10's across the line.  I then noticed extreme fatigue, blurred vision and joint pain in my knees and fingers.  On day two of these symptoms I went to Urgent Care and was prescribed 5 days of prednisone, Benadryl and topical anti itch cream (cortisone and calamine).  I am still experiencing all of these symptoms as of today (1/31/2022).  After 3 days of still experiencing the symptoms with no relief, I went to ER.  My treatment consisted of intravenous water, Benadryl and steroid.  Prescribed more steroids and Benadryl for home.  Still, nothing.  Symptoms remained.  Decided to go again to ER because of no change and was given the same thing and told there was nothing else they could do - told to make an appointment with doctor and allergist.  Made appointment with family doctor and was put on Dosapin a medication used for depression.  Doctor told me that he was getting one or two people a week coming in with the same symptoms as was told that it could be from vaccine and that his some of his patients were having luck with this medicine.  I was told to take for three months and then come back for follow up.  The dosapin helped a bit but put my entire body on lock down, mentally and physically, I could not do anything except sleep and felt like I was not coherent at all.  I immediately called the doctor and he said to go off it and take Benadryl and anti itch cream and prescribed me to also take Zytec.  Nothing was relieving my symptoms still!  I decided to go to an allergist, whom I found out, suffered the same symptoms!  The doctor prescribed me what he took - Benadryl, Zyzal, Zyrtec, Pepcid and anti itch creme (cortisone and calamine).  I also made an appointment, per his request, for allergy testing.  I was told that I had to go off all histamines for 7 - 10 days prior to testing.  I was on my second day of not taking the histamines and I felt like I just wanted to die!  All of the above symptoms were multiplied by 2 - they were so intense and unbearable.  I called the testing site and told them I would have to wait until I was cleared up due to the face that my symptoms were so unbearable without the antihistamine medications prescribed.  As of today (1/31/2022), I am still having the same symptoms - they come and go and decide where they want to go on my body - there is no relief.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Erythema, Fatigue, Feeling abnormal, Full blood count
Clinical narrative: Adverse events occurred after Christmas Day, 2021 and before New Year's Day, 2022:  Woke up in morning with the following adverse reactions:  sore throat, esophageal tightness, chest tightness, scalp and ears:  tingling, burning, itching, red, swelling, hives followed by the same on my upper and lower torso, arms, hands, legs, thighs, feet and face.  All symptoms intense - from a number standpoint, 10's across the line.  I then noticed extreme fatigue, blurred vision and joint pain in my knees and fingers.  On day two of these symptoms I went to Urgent Care and was prescribed 5 days of prednisone, Benadryl and topical anti itch cream (cortisone and calamine).  I am still experiencing all of these symptoms as of today (1/31/2022).  After 3 days of still experiencing the symptoms with no relief, I went to ER.  My treatment consisted of intravenous water, Benadryl and steroid.  Prescribed more steroids and Benadryl for home.  Still, nothing.  Symptoms remained.  Decided to go again to ER because of no change and was given the same thing and told there was nothing else they could do - told to make an appointment with doctor and allergist.  Made appointment with family doctor and was put on Dosapin a medication used for depression.  Doctor told me that he was getting one or two people a week coming in with the same symptoms as was told that it could be from vaccine and that his some of his patients were having luck with this medicine.  I was told to take for three months and then come back for follow up.  The dosapin helped a bit but put my entire body on lock down, mentally and physically, I could not do anything except sleep and felt like I was not coherent at all.  I immediately called the doctor and he said to go off it and take Benadryl and anti itch cream and prescribed me to also take Zytec.  Nothing was relieving my symptoms still!  I decided to go to an allergist, whom I found out, suffered the same symptoms!  The doctor prescribed me what he took - Benadryl, Zyzal, Zyrtec, Pepcid and anti itch creme (cortisone and calamine).  I also made an appointment, per his request, for allergy testing.  I was told that I had to go off all histamines for 7 - 10 days prior to testing.  I was on my second day of not taking the histamines and I felt like I just wanted to die!  All of the above symptoms were multiplied by 2 - they were so intense and unbearable.  I called the testing site and told them I would have to wait until I was cleared up due to the face that my symptoms were so unbearable without the antihistamine medications prescribed.  As of today (1/31/2022), I am still having the same symptoms - they come and go and decide where they want to go on my body - there is no relief.