chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Lung consolidation, Lung infiltration, Mechanical ventilation, Pleural effusion
Clinical narrative: Patient, 65 year old male, PMH TBI/SC injury to C7, Tracheostomy dependent quadriplegic admitted with increasing oxygen requirements. Treating acute on chronic respiratory failure secondary to COVID-19 pneumonia/aspiration pneumonia. Acute on chronic hypoxic respiratory failure, Aspiration pneumonia, COVID-19 Pneumonia-polymicrobial bacteremia, Initially ICU admission ventilated, Currently on O2 at 10 LPM, Continue dexamethasone decreased dose to 4 mg daily, taper dose, Blood cultures with enterococci and staph, TEE negative for endocarditis, ID following. Recommending 7-day course of ampicillin given rapid improvement, completed antibiotics on 1/11/2020. Bacteremia likely transient. Appreciate ID input, Patient has increased secretions, started on cefepime on 1/14, ID was re-consulted. Chest x-ray showed multiple infiltrates, CT chest without contrast showed left lower lobe consolidation, mild bilateral pleural effusions. Sputum cultures grew Pseudomonas, pansensitive, continue cefepime for now, change antibiotics as per ID. Consulted pulmonology for evaluating the need for bronchoscopy/mucous plugging, seen appreciate input. Patient has no fevers, low procalcitonin, Pseudomonas likely colonization. Patient appears to be volume up, continue Lasix diuresis, adjust as needed. Hypernatremia, improved, AKI - likely prerenal, Improving, Baseline normal creatinine, continue to monitor, Steroid-induced hyperglycemia, Insulin-dependent DM2, Remains hyperglycemic, Continue NPH 30 U q8h, Glargine 20 U QAM/15 U at bedtime. History of spinal cord injury with quadriplegia, History of traumatic brain injury, Schizoaffective disorder, Continue valproic acid, Latuda, clonazepam, Dyslipidemia, History of coronary artery disease, Continue Lipitor, aspirin. CODE STATUS: Full DVT prophylaxis: Heparin sub Q. Discharge plan: Plan to discharge back to group home when stable, needs hypoxia improvement, currently on 10 L of oxygen, baseline at 5 L.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration, Procalcitonin decreased, Pseudomonas test positive, Respiratory failure, Sputum culture positive
Clinical narrative: Patient, 65 year old male, PMH TBI/SC injury to C7, Tracheostomy dependent quadriplegic admitted with increasing oxygen requirements. Treating acute on chronic respiratory failure secondary to COVID-19 pneumonia/aspiration pneumonia. Acute on chronic hypoxic respiratory failure, Aspiration pneumonia, COVID-19 Pneumonia-polymicrobial bacteremia, Initially ICU admission ventilated, Currently on O2 at 10 LPM, Continue dexamethasone decreased dose to 4 mg daily, taper dose, Blood cultures with enterococci and staph, TEE negative for endocarditis, ID following. Recommending 7-day course of ampicillin given rapid improvement, completed antibiotics on 1/11/2020. Bacteremia likely transient. Appreciate ID input, Patient has increased secretions, started on cefepime on 1/14, ID was re-consulted. Chest x-ray showed multiple infiltrates, CT chest without contrast showed left lower lobe consolidation, mild bilateral pleural effusions. Sputum cultures grew Pseudomonas, pansensitive, continue cefepime for now, change antibiotics as per ID. Consulted pulmonology for evaluating the need for bronchoscopy/mucous plugging, seen appreciate input. Patient has no fevers, low procalcitonin, Pseudomonas likely colonization. Patient appears to be volume up, continue Lasix diuresis, adjust as needed. Hypernatremia, improved, AKI - likely prerenal, Improving, Baseline normal creatinine, continue to monitor, Steroid-induced hyperglycemia, Insulin-dependent DM2, Remains hyperglycemic, Continue NPH 30 U q8h, Glargine 20 U QAM/15 U at bedtime. History of spinal cord injury with quadriplegia, History of traumatic brain injury, Schizoaffective disorder, Continue valproic acid, Latuda, clonazepam, Dyslipidemia, History of coronary artery disease, Continue Lipitor, aspirin. CODE STATUS: Full DVT prophylaxis: Heparin sub Q. Discharge plan: Plan to discharge back to group home when stable, needs hypoxia improvement, currently on 10 L of oxygen, baseline at 5 L.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Staphylococcus test positive
Clinical narrative: Patient, 65 year old male, PMH TBI/SC injury to C7, Tracheostomy dependent quadriplegic admitted with increasing oxygen requirements. Treating acute on chronic respiratory failure secondary to COVID-19 pneumonia/aspiration pneumonia. Acute on chronic hypoxic respiratory failure, Aspiration pneumonia, COVID-19 Pneumonia-polymicrobial bacteremia, Initially ICU admission ventilated, Currently on O2 at 10 LPM, Continue dexamethasone decreased dose to 4 mg daily, taper dose, Blood cultures with enterococci and staph, TEE negative for endocarditis, ID following. Recommending 7-day course of ampicillin given rapid improvement, completed antibiotics on 1/11/2020. Bacteremia likely transient. Appreciate ID input, Patient has increased secretions, started on cefepime on 1/14, ID was re-consulted. Chest x-ray showed multiple infiltrates, CT chest without contrast showed left lower lobe consolidation, mild bilateral pleural effusions. Sputum cultures grew Pseudomonas, pansensitive, continue cefepime for now, change antibiotics as per ID. Consulted pulmonology for evaluating the need for bronchoscopy/mucous plugging, seen appreciate input. Patient has no fevers, low procalcitonin, Pseudomonas likely colonization. Patient appears to be volume up, continue Lasix diuresis, adjust as needed. Hypernatremia, improved, AKI - likely prerenal, Improving, Baseline normal creatinine, continue to monitor, Steroid-induced hyperglycemia, Insulin-dependent DM2, Remains hyperglycemic, Continue NPH 30 U q8h, Glargine 20 U QAM/15 U at bedtime. History of spinal cord injury with quadriplegia, History of traumatic brain injury, Schizoaffective disorder, Continue valproic acid, Latuda, clonazepam, Dyslipidemia, History of coronary artery disease, Continue Lipitor, aspirin. CODE STATUS: Full DVT prophylaxis: Heparin sub Q. Discharge plan: Plan to discharge back to group home when stable, needs hypoxia improvement, currently on 10 L of oxygen, baseline at 5 L.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest
Clinical narrative: Cardiac arrest - ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Seizure
Clinical narrative: Patient was fine immediately after vaccine- about 2-3 minutes later she starting seizing, lost consciousness and fell over. It all lasted just a few minutes- she regained consciousness and was talking and upright by the time EMTs arrived. EMT arrived and assessed patient and she refused transport to hospital for further evaluation as she said this happens every time.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchial disorder, Condition aggravated, Cough, Feeling hot, Headache
Clinical narrative: I had swollen arm and hot , fever - Booster Covid flu, aches and pains, nausea, headache all for 2 days.  25Dec2021 - I had a stuffy nose, post nasal drip. Took cold medicine and the cough stayed. I got tested on 25Dec2021 and was negative, it could be sinus or bronchitis . Got antibiotics. Everything went away except the cough. On New Year, had virtual visit with urgent care. It still wont go away even with asthma treatment.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Nasal congestion, Nausea, Pain, Peripheral swelling
Clinical narrative: I had swollen arm and hot , fever - Booster Covid flu, aches and pains, nausea, headache all for 2 days.  25Dec2021 - I had a stuffy nose, post nasal drip. Took cold medicine and the cough stayed. I got tested on 25Dec2021 and was negative, it could be sinus or bronchitis . Got antibiotics. Everything went away except the cough. On New Year, had virtual visit with urgent care. It still wont go away even with asthma treatment.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sinus disorder, Upper-airway cough syndrome, Vaccine positive rechallenge
Clinical narrative: I had swollen arm and hot , fever - Booster Covid flu, aches and pains, nausea, headache all for 2 days.  25Dec2021 - I had a stuffy nose, post nasal drip. Took cold medicine and the cough stayed. I got tested on 25Dec2021 and was negative, it could be sinus or bronchitis . Got antibiotics. Everything went away except the cough. On New Year, had virtual visit with urgent care. It still wont go away even with asthma treatment.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Fatigue, Peripheral swelling
Clinical narrative: I got a raised red mark on my arm, the size of a softball. I became extremely fatigued & noticed I was short of breath. I happened to be going to see my pulmonologist.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Amnesia, Dizziness, Electrocardiogram normal, Fall, Fatigue
Clinical narrative: A few minutes after receiving my COVID Vaccination, I was told to stand by a table to get my Vaccination card. During that time, I got really light headed and really sick. I needed to sit down, but fell over before I could get to my chair. So I crawled over to try and get to the chair, and ended up passing out in the chair. Then I fell over and hit my head and passed out again. The pharmacy associate told me I was unconscious for about 3 minutes.  After I woke up, another customer called 911 and I was sent to the hospital in an ambulance. When I got to the hospital, the monitored my heart, gave me IV fluids, for I was throwing up all the way there. They did an EKG, and at first it was not normal. And after that I cannot remember what happened at all. I still do not feel well. Headaches, fatigue, nausea, and sleeping since I got my vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Gait disturbance, Head injury, Headache, Illness, Loss of consciousness
Clinical narrative: A few minutes after receiving my COVID Vaccination, I was told to stand by a table to get my Vaccination card. During that time, I got really light headed and really sick. I needed to sit down, but fell over before I could get to my chair. So I crawled over to try and get to the chair, and ended up passing out in the chair. Then I fell over and hit my head and passed out again. The pharmacy associate told me I was unconscious for about 3 minutes.  After I woke up, another customer called 911 and I was sent to the hospital in an ambulance. When I got to the hospital, the monitored my heart, gave me IV fluids, for I was throwing up all the way there. They did an EKG, and at first it was not normal. And after that I cannot remember what happened at all. I still do not feel well. Headaches, fatigue, nausea, and sleeping since I got my vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Nausea, Somnolence, Vomiting
Clinical narrative: A few minutes after receiving my COVID Vaccination, I was told to stand by a table to get my Vaccination card. During that time, I got really light headed and really sick. I needed to sit down, but fell over before I could get to my chair. So I crawled over to try and get to the chair, and ended up passing out in the chair. Then I fell over and hit my head and passed out again. The pharmacy associate told me I was unconscious for about 3 minutes.  After I woke up, another customer called 911 and I was sent to the hospital in an ambulance. When I got to the hospital, the monitored my heart, gave me IV fluids, for I was throwing up all the way there. They did an EKG, and at first it was not normal. And after that I cannot remember what happened at all. I still do not feel well. Headaches, fatigue, nausea, and sleeping since I got my vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Depressed level of consciousness, Dyskinesia, Fall, Nausea, Posture abnormal
Clinical narrative: A few minutes after receiving my COVID Vaccination, I was told to stand by a table to get my Vaccination card. During that time, I got really light headed and really sick. I needed to sit down, but fell over before I could get to my chair. So I crawled over to try and get to the chair, and ended up passing out in the chair. Then I fell over and hit my head and passed out again. The pharmacy associate told me I was unconscious for about 3 minutes.  After I woke up, another customer called 911 and I was sent to the hospital in an ambulance. When I got to the hospital, the monitored my heart, gave me IV fluids, for I was throwing up all the way there. They did an EKG, and at first it was not normal. And after that I cannot remember what happened at all. I still do not feel well. Headaches, fatigue, nausea, and sleeping since I got my vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Syncope, Unresponsive to stimuli, Vomiting
Clinical narrative: A few minutes after receiving my COVID Vaccination, I was told to stand by a table to get my Vaccination card. During that time, I got really light headed and really sick. I needed to sit down, but fell over before I could get to my chair. So I crawled over to try and get to the chair, and ended up passing out in the chair. Then I fell over and hit my head and passed out again. The pharmacy associate told me I was unconscious for about 3 minutes.  After I woke up, another customer called 911 and I was sent to the hospital in an ambulance. When I got to the hospital, the monitored my heart, gave me IV fluids, for I was throwing up all the way there. They did an EKG, and at first it was not normal. And after that I cannot remember what happened at all. I still do not feel well. Headaches, fatigue, nausea, and sleeping since I got my vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bradycardia, Flushing, Hyperhidrosis, Hyporesponsive to stimuli, Hypotension
Clinical narrative: A few minutes after receiving my COVID Vaccination, I was told to stand by a table to get my Vaccination card. During that time, I got really light headed and really sick. I needed to sit down, but fell over before I could get to my chair. So I crawled over to try and get to the chair, and ended up passing out in the chair. Then I fell over and hit my head and passed out again. The pharmacy associate told me I was unconscious for about 3 minutes.  After I woke up, another customer called 911 and I was sent to the hospital in an ambulance. When I got to the hospital, the monitored my heart, gave me IV fluids, for I was throwing up all the way there. They did an EKG, and at first it was not normal. And after that I cannot remember what happened at all. I still do not feel well. Headaches, fatigue, nausea, and sleeping since I got my vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Loss of consciousness, Speech disorder, Syncope, Unresponsive to stimuli
Clinical narrative: A few minutes after receiving my COVID Vaccination, I was told to stand by a table to get my Vaccination card. During that time, I got really light headed and really sick. I needed to sit down, but fell over before I could get to my chair. So I crawled over to try and get to the chair, and ended up passing out in the chair. Then I fell over and hit my head and passed out again. The pharmacy associate told me I was unconscious for about 3 minutes.  After I woke up, another customer called 911 and I was sent to the hospital in an ambulance. When I got to the hospital, the monitored my heart, gave me IV fluids, for I was throwing up all the way there. They did an EKG, and at first it was not normal. And after that I cannot remember what happened at all. I still do not feel well. Headaches, fatigue, nausea, and sleeping since I got my vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and painful lymph node under left armpit beginning 2 days after booster administration
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: PT GOT UNDILUTED VACCINE.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cardiac failure, Cardiac ventricular thrombosis, Catheterisation cardiac, Cerebrovascular accident
Clinical narrative: Had a stroke 12/26/2021.  Had not been feeling well for several weeks & possibly even a few months in hind sight.  Did have COVID in August one month before the vaccine, which has been shown to increase adverse events, so am including that information here. Was flown to and admitted to hospital.  Diagnosed with Myocarditis, extremely high blood pressure, heart failure, and a clot in his left ventricle.  Was given TPA, placed on multiple blood pressure meds, diuretics, and additional blood thinners over the course of several days.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Echocardiogram, Hypertension, Magnetic resonance imaging, Malaise
Clinical narrative: Had a stroke 12/26/2021.  Had not been feeling well for several weeks & possibly even a few months in hind sight.  Did have COVID in August one month before the vaccine, which has been shown to increase adverse events, so am including that information here. Was flown to and admitted to hospital.  Diagnosed with Myocarditis, extremely high blood pressure, heart failure, and a clot in his left ventricle.  Was given TPA, placed on multiple blood pressure meds, diuretics, and additional blood thinners over the course of several days.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, X-ray
Clinical narrative: Had a stroke 12/26/2021.  Had not been feeling well for several weeks & possibly even a few months in hind sight.  Did have COVID in August one month before the vaccine, which has been shown to increase adverse events, so am including that information here. Was flown to and admitted to hospital.  Diagnosed with Myocarditis, extremely high blood pressure, heart failure, and a clot in his left ventricle.  Was given TPA, placed on multiple blood pressure meds, diuretics, and additional blood thinners over the course of several days.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dizziness, Headache, Laboratory test, Tachycardia
Clinical narrative: Severe headaches, tachycardia that persists at rest, dizziness.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Autopsy, Bladder catheterisation, Blood creatinine increased
Clinical narrative: 91 y.o. female who was admitted on 1/2/2022 to the outside local Medical Center due to cough and shortness of breath. She was found to have COVID positive. She was started on steroid and antibiotics for possible superimposed bacterial infection. Patient found to be hypoxic. Echocardiogram was done and found to have severely decreased ejection fraction with global hypokinesis. Cardiology was consulted and recommended diuretics. Prognosis was discussed with patient and family members, patient transitioned to comfort care. Palliative care team was able to assist the patient who was found to be a systolic at 14:75 with family at the bedside. Patient was pronounced dead at 14:65. Family and loved ones at the bedside. Autopsy offered. #Pneumonia pneumonia, Chest x-ray with bilateral infiltrates more pronounced on the left. Likely from Covid. Decadron 6 mg daily, Trend Covid labs including CRP and D-dimer, As needed supplemental oxygen, Avoid aggressive volume replacement, #Acute on Chronic respiratory failure, #Increased Dyspnea with orthopnea, #COPD- likely multifactorial. CHF exacerbation vs underlying PNA- BNP 2,914- ECHO done and showed severely decrease SEF with global hypokinesis- Cardiology consulted- she was given Lasix 20 mg IV TID- Foley cath. was placed to monitor I&O- she was started on ceftriaxone and Azithiram for possible CAP. #DM2: allergy to NovoLog and changed to Humulin- SSI- Likely needs scheduled insulin with steroids. #Hypertension- BP currently mildly up- Resume home meds. #AKI on CKD 3:- Creatinine slightly up from baseline-Likely secondary to prerenal AKI. #Chronic microcytic anemia- Likely related to known HO CLL- Hgb at baseline. #History of CLL- Gets monthly Fulvestrant- Follow with Oncology as OP. #Hypothyroidism- Resume home meds.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Brain natriuretic peptide increased, C-reactive protein, COVID-19, Cardiac arrest
Clinical narrative: 91 y.o. female who was admitted on 1/2/2022 to the outside local Medical Center due to cough and shortness of breath. She was found to have COVID positive. She was started on steroid and antibiotics for possible superimposed bacterial infection. Patient found to be hypoxic. Echocardiogram was done and found to have severely decreased ejection fraction with global hypokinesis. Cardiology was consulted and recommended diuretics. Prognosis was discussed with patient and family members, patient transitioned to comfort care. Palliative care team was able to assist the patient who was found to be a systolic at 14:75 with family at the bedside. Patient was pronounced dead at 14:65. Family and loved ones at the bedside. Autopsy offered. #Pneumonia pneumonia, Chest x-ray with bilateral infiltrates more pronounced on the left. Likely from Covid. Decadron 6 mg daily, Trend Covid labs including CRP and D-dimer, As needed supplemental oxygen, Avoid aggressive volume replacement, #Acute on Chronic respiratory failure, #Increased Dyspnea with orthopnea, #COPD- likely multifactorial. CHF exacerbation vs underlying PNA- BNP 2,914- ECHO done and showed severely decrease SEF with global hypokinesis- Cardiology consulted- she was given Lasix 20 mg IV TID- Foley cath. was placed to monitor I&O- she was started on ceftriaxone and Azithiram for possible CAP. #DM2: allergy to NovoLog and changed to Humulin- SSI- Likely needs scheduled insulin with steroids. #Hypertension- BP currently mildly up- Resume home meds. #AKI on CKD 3:- Creatinine slightly up from baseline-Likely secondary to prerenal AKI. #Chronic microcytic anemia- Likely related to known HO CLL- Hgb at baseline. #History of CLL- Gets monthly Fulvestrant- Follow with Oncology as OP. #Hypothyroidism- Resume home meds.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Cough, Death
Clinical narrative: 91 y.o. female who was admitted on 1/2/2022 to the outside local Medical Center due to cough and shortness of breath. She was found to have COVID positive. She was started on steroid and antibiotics for possible superimposed bacterial infection. Patient found to be hypoxic. Echocardiogram was done and found to have severely decreased ejection fraction with global hypokinesis. Cardiology was consulted and recommended diuretics. Prognosis was discussed with patient and family members, patient transitioned to comfort care. Palliative care team was able to assist the patient who was found to be a systolic at 14:75 with family at the bedside. Patient was pronounced dead at 14:65. Family and loved ones at the bedside. Autopsy offered. #Pneumonia pneumonia, Chest x-ray with bilateral infiltrates more pronounced on the left. Likely from Covid. Decadron 6 mg daily, Trend Covid labs including CRP and D-dimer, As needed supplemental oxygen, Avoid aggressive volume replacement, #Acute on Chronic respiratory failure, #Increased Dyspnea with orthopnea, #COPD- likely multifactorial. CHF exacerbation vs underlying PNA- BNP 2,914- ECHO done and showed severely decrease SEF with global hypokinesis- Cardiology consulted- she was given Lasix 20 mg IV TID- Foley cath. was placed to monitor I&O- she was started on ceftriaxone and Azithiram for possible CAP. #DM2: allergy to NovoLog and changed to Humulin- SSI- Likely needs scheduled insulin with steroids. #Hypertension- BP currently mildly up- Resume home meds. #AKI on CKD 3:- Creatinine slightly up from baseline-Likely secondary to prerenal AKI. #Chronic microcytic anemia- Likely related to known HO CLL- Hgb at baseline. #History of CLL- Gets monthly Fulvestrant- Follow with Oncology as OP. #Hypothyroidism- Resume home meds.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Fibrin D dimer, Haemoglobin normal
Clinical narrative: 91 y.o. female who was admitted on 1/2/2022 to the outside local Medical Center due to cough and shortness of breath. She was found to have COVID positive. She was started on steroid and antibiotics for possible superimposed bacterial infection. Patient found to be hypoxic. Echocardiogram was done and found to have severely decreased ejection fraction with global hypokinesis. Cardiology was consulted and recommended diuretics. Prognosis was discussed with patient and family members, patient transitioned to comfort care. Palliative care team was able to assist the patient who was found to be a systolic at 14:75 with family at the bedside. Patient was pronounced dead at 14:65. Family and loved ones at the bedside. Autopsy offered. #Pneumonia pneumonia, Chest x-ray with bilateral infiltrates more pronounced on the left. Likely from Covid. Decadron 6 mg daily, Trend Covid labs including CRP and D-dimer, As needed supplemental oxygen, Avoid aggressive volume replacement, #Acute on Chronic respiratory failure, #Increased Dyspnea with orthopnea, #COPD- likely multifactorial. CHF exacerbation vs underlying PNA- BNP 2,914- ECHO done and showed severely decrease SEF with global hypokinesis- Cardiology consulted- she was given Lasix 20 mg IV TID- Foley cath. was placed to monitor I&O- she was started on ceftriaxone and Azithiram for possible CAP. #DM2: allergy to NovoLog and changed to Humulin- SSI- Likely needs scheduled insulin with steroids. #Hypertension- BP currently mildly up- Resume home meds. #AKI on CKD 3:- Creatinine slightly up from baseline-Likely secondary to prerenal AKI. #Chronic microcytic anemia- Likely related to known HO CLL- Hgb at baseline. #History of CLL- Gets monthly Fulvestrant- Follow with Oncology as OP. #Hypothyroidism- Resume home meds.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lung infiltration, Microcytic anaemia, Orthopnoea, Pneumonia
Clinical narrative: 91 y.o. female who was admitted on 1/2/2022 to the outside local Medical Center due to cough and shortness of breath. She was found to have COVID positive. She was started on steroid and antibiotics for possible superimposed bacterial infection. Patient found to be hypoxic. Echocardiogram was done and found to have severely decreased ejection fraction with global hypokinesis. Cardiology was consulted and recommended diuretics. Prognosis was discussed with patient and family members, patient transitioned to comfort care. Palliative care team was able to assist the patient who was found to be a systolic at 14:75 with family at the bedside. Patient was pronounced dead at 14:65. Family and loved ones at the bedside. Autopsy offered. #Pneumonia pneumonia, Chest x-ray with bilateral infiltrates more pronounced on the left. Likely from Covid. Decadron 6 mg daily, Trend Covid labs including CRP and D-dimer, As needed supplemental oxygen, Avoid aggressive volume replacement, #Acute on Chronic respiratory failure, #Increased Dyspnea with orthopnea, #COPD- likely multifactorial. CHF exacerbation vs underlying PNA- BNP 2,914- ECHO done and showed severely decrease SEF with global hypokinesis- Cardiology consulted- she was given Lasix 20 mg IV TID- Foley cath. was placed to monitor I&O- she was started on ceftriaxone and Azithiram for possible CAP. #DM2: allergy to NovoLog and changed to Humulin- SSI- Likely needs scheduled insulin with steroids. #Hypertension- BP currently mildly up- Resume home meds. #AKI on CKD 3:- Creatinine slightly up from baseline-Likely secondary to prerenal AKI. #Chronic microcytic anemia- Likely related to known HO CLL- Hgb at baseline. #History of CLL- Gets monthly Fulvestrant- Follow with Oncology as OP. #Hypothyroidism- Resume home meds.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ventricular hypokinesia
Clinical narrative: 91 y.o. female who was admitted on 1/2/2022 to the outside local Medical Center due to cough and shortness of breath. She was found to have COVID positive. She was started on steroid and antibiotics for possible superimposed bacterial infection. Patient found to be hypoxic. Echocardiogram was done and found to have severely decreased ejection fraction with global hypokinesis. Cardiology was consulted and recommended diuretics. Prognosis was discussed with patient and family members, patient transitioned to comfort care. Palliative care team was able to assist the patient who was found to be a systolic at 14:75 with family at the bedside. Patient was pronounced dead at 14:65. Family and loved ones at the bedside. Autopsy offered. #Pneumonia pneumonia, Chest x-ray with bilateral infiltrates more pronounced on the left. Likely from Covid. Decadron 6 mg daily, Trend Covid labs including CRP and D-dimer, As needed supplemental oxygen, Avoid aggressive volume replacement, #Acute on Chronic respiratory failure, #Increased Dyspnea with orthopnea, #COPD- likely multifactorial. CHF exacerbation vs underlying PNA- BNP 2,914- ECHO done and showed severely decrease SEF with global hypokinesis- Cardiology consulted- she was given Lasix 20 mg IV TID- Foley cath. was placed to monitor I&O- she was started on ceftriaxone and Azithiram for possible CAP. #DM2: allergy to NovoLog and changed to Humulin- SSI- Likely needs scheduled insulin with steroids. #Hypertension- BP currently mildly up- Resume home meds. #AKI on CKD 3:- Creatinine slightly up from baseline-Likely secondary to prerenal AKI. #Chronic microcytic anemia- Likely related to known HO CLL- Hgb at baseline. #History of CLL- Gets monthly Fulvestrant- Follow with Oncology as OP. #Hypothyroidism- Resume home meds.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Oral pain, Rash
Clinical narrative: Rash of both hands  (primary encounter diagnosis), Sore mouth, Shortness of breath. Appears to be experiencing an immune reaction to her first covid-19 vaccine, and this is presenting in a rather odd fashion.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Bowel movement irregularity, Dyspepsia, Gastrointestinal disorder
Clinical narrative: Gastrointestinal issues, nausea, bowel movement problems, indigestion, and abdominal pain.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal examination, Magnetic resonance imaging, Nausea
Clinical narrative: Gastrointestinal issues, nausea, bowel movement problems, indigestion, and abdominal pain.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Received Moderna vaccine at the age of 17 years
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-thyroid antibody, Antinuclear antibody positive, Antiphospholipid antibodies negative, Biopsy skin abnormal, Erythema multiforme
Clinical narrative: For all three shots (the 2 initial ones and the booster), I developed Oral Erythema Multiforme within days of receiving the shot. This meant gum and mouth lesions, bleeding gums, pain while eating/drinking, and a host of other oral problems. Each time, I had symptoms for weeks. My treatment was going on dexamethasone rinse and clobetsol gel for weeks until symptoms resolved.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival bleeding, Herpes simplex test negative, Oral disorder, Pain
Clinical narrative: For all three shots (the 2 initial ones and the booster), I developed Oral Erythema Multiforme within days of receiving the shot. This meant gum and mouth lesions, bleeding gums, pain while eating/drinking, and a host of other oral problems. Each time, I had symptoms for weeks. My treatment was going on dexamethasone rinse and clobetsol gel for weeks until symptoms resolved.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Pt states that he states he received 2 doses of COVID vaccine. Now hospitalized with chest pain.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia
Clinical narrative: Anemia - ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: This 17 year old patient came into the office for a covid booster vaccine. I was only administering Moderna vaccines on Friday 1/14/22. I gave him the low dose moderna vaccine (0.25). He did NOT have any adverse reaction to the vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Pneumothorax, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Dose 2 given 4/2/21.  Patient admitted to Hospital with breakthrough covid19 illness, acute respiratory failure, partial lung collapse
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rosacea
Clinical narrative: That same week after vaccine I had rosacea and had never had it before. It was on my cheeks and forehead and it got worse and I tried different things from pharmacy but nothing helped. I went to see dermatologist and she prescribed different things like antibiotics and creams and sun care products and they didn't do anything too much and the only thing that helped was ice packs. It started to fade around October/November and it was manageable and I kept my skin moisturized and used the cooling gel packs. I would say it lasted about 6 months.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: I have noticed a ringing in my ears consistently since June, and in fact, am noticing it right now as I right this. I had not noticed this at all prior to taking the vaccine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Asthenia, Fatigue, Heavy menstrual bleeding, Loss of consciousness
Clinical narrative: A week later I got very very weak and tired. My mensural cycle started bleeding very heavily. I had a sore throat. I passed out and was rushed to the ER in need of a blood transfusion. I was sick for over 60 says  I have lost all of my hair
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Transfusion
Clinical narrative: A week later I got very very weak and tired. My mensural cycle started bleeding very heavily. I had a sore throat. I passed out and was rushed to the ER in need of a blood transfusion. I was sick for over 60 says  I have lost all of my hair
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Paraesthesia
Clinical narrative: My face was red and prickly after getting the vaccine and I'm still trying to keep my face dry with cool packs but it's still really red. It is still ongoing.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: Persistent atrial fibrillation. Hospital admission. This event was within 6 weeks of receiving the COVID vaccine.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Antinuclear antibody, Full blood count, Pruritus, Rash, Urticaria
Clinical narrative: Severe rash and hives until 1/17/22 severe itching and breakout treated with Pepcid 10 mg bid Zyrtec 10 mg bid Atarax  25 mg tid pen Montelukast qd 2 rounds of prednisone Strongly severe  1/9/22-1/15/22
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Meningioma, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 1/05/2022 for meningioma brain and treatment of such.  Tested 1/13 due to a procedure tested positive for COVID asymptomatic.  Remdesivir started for 3 day course.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abnormal sensation in eye, Eye pain, Heavy menstrual bleeding, Menstruation irregular, Photophobia
Clinical narrative: After receiving my second shot in June 2021 I experienced extreme eye sensitivity and pain for hours after the shot until the next day. Also 24 hours after receiving my second shot I got my period two weeks early. My period lasted six weeks and five days exactly. I experienced very heavy blood flow during my time as well as many blood clots. My normal period is not very heavy and only lasts 4-5 days due to it being regulated by birth control. Recently, on January 6th at 9 a.m. I received my booster shot. At 8 p.m. on January 6th I experienced extreme light sensitivity and eye pain which lasted until 12 p.m. the following day. At 4 p.m. on January 7th a little over 24 hours after receiving my booster I got my period three weeks early. As of today January 17, 2022 I still have my period. I am still taking the same birth control I was taking back on June 24th when I received my second shot of Moderna.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Palpitations
Clinical narrative: Patient reported a racing heart, pounding heart, and chest ache. It was suggested the patient see his MD immediately, and get back to us. Patient has not returned out call to let us know what tests, treatments, or outcomes he received.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Type 1 diabetes mellitus
Clinical narrative: trigger of diabetes type 1
Age: 33.0
Sex: U
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: During a review of the Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Benign hepatic neoplasm, Computerised tomogram abnormal, Constipation, Fatigue
Clinical narrative: Mid July I started feeling tired, sick after I would eat and experiencing  bloating in my stomach and started having constipation issues and continued to feel bad.  And I went to have a check up in September 2021. They did blood work and everything was normal except my liver enzymes were high. They did an ultrasound of my liver and determined I had a fatty liver. They told me to change my diet to see if I would feel better. In November, I started feeling worse.  The week of Thanksgiving, I went back to the doctor. They noticed that my liver enzymes were even higher. They did a CT scan and they found 2 benign tumors in my liver. They found some other spots that were uncharacterized on the CT scan,  they were not sure what they were. The doctor told me to continue with the strict diet. I will  go for another check up in February 2022  to do an MRI, to see evaluate those spots, and compare and see if anything has changed from the prior test.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hepatic enzyme increased, Hepatic steatosis, Liver disorder, Nausea
Clinical narrative: Mid July I started feeling tired, sick after I would eat and experiencing  bloating in my stomach and started having constipation issues and continued to feel bad.  And I went to have a check up in September 2021. They did blood work and everything was normal except my liver enzymes were high. They did an ultrasound of my liver and determined I had a fatty liver. They told me to change my diet to see if I would feel better. In November, I started feeling worse.  The week of Thanksgiving, I went back to the doctor. They noticed that my liver enzymes were even higher. They did a CT scan and they found 2 benign tumors in my liver. They found some other spots that were uncharacterized on the CT scan,  they were not sure what they were. The doctor told me to continue with the strict diet. I will  go for another check up in February 2022  to do an MRI, to see evaluate those spots, and compare and see if anything has changed from the prior test.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound liver abnormal
Clinical narrative: Mid July I started feeling tired, sick after I would eat and experiencing  bloating in my stomach and started having constipation issues and continued to feel bad.  And I went to have a check up in September 2021. They did blood work and everything was normal except my liver enzymes were high. They did an ultrasound of my liver and determined I had a fatty liver. They told me to change my diet to see if I would feel better. In November, I started feeling worse.  The week of Thanksgiving, I went back to the doctor. They noticed that my liver enzymes were even higher. They did a CT scan and they found 2 benign tumors in my liver. They found some other spots that were uncharacterized on the CT scan,  they were not sure what they were. The doctor told me to continue with the strict diet. I will  go for another check up in February 2022  to do an MRI, to see evaluate those spots, and compare and see if anything has changed from the prior test.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anti-thyroid antibody, Antibody test, Antinuclear antibody, Blood immunoglobulin E, Laboratory test
Clinical narrative: On 11/9/2021 the patient woke up with urticaria (face and lips swollen, whelps on trunk and extremities) and was treated for urticaria, but once off the steroids her symptoms returned.  She has struggled with chronic urticaria from 11/9/2021 through present 1/17/2022. She has seen an allergist and had extensive lab testing to rule out other treatable causes and none found. Pt is having to stay on a daily antihistamine and H2 Blocker to keep symptoms controlled.  The allergist she is seeing has 3 other patients who have experienced new onset of Urticaria after Covid vaccines or boosters.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lip swelling, Rheumatoid factor, Swelling face, Thyroxine free, Urticaria
Clinical narrative: On 11/9/2021 the patient woke up with urticaria (face and lips swollen, whelps on trunk and extremities) and was treated for urticaria, but once off the steroids her symptoms returned.  She has struggled with chronic urticaria from 11/9/2021 through present 1/17/2022. She has seen an allergist and had extensive lab testing to rule out other treatable causes and none found. Pt is having to stay on a daily antihistamine and H2 Blocker to keep symptoms controlled.  The allergist she is seeing has 3 other patients who have experienced new onset of Urticaria after Covid vaccines or boosters.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria chronic, Vitamin D
Clinical narrative: On 11/9/2021 the patient woke up with urticaria (face and lips swollen, whelps on trunk and extremities) and was treated for urticaria, but once off the steroids her symptoms returned.  She has struggled with chronic urticaria from 11/9/2021 through present 1/17/2022. She has seen an allergist and had extensive lab testing to rule out other treatable causes and none found. Pt is having to stay on a daily antihistamine and H2 Blocker to keep symptoms controlled.  The allergist she is seeing has 3 other patients who have experienced new onset of Urticaria after Covid vaccines or boosters.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Alanine aminotransferase increased, Alcohol abuse, Alcoholic liver disease, Aortic dissection
Clinical narrative: DISCHARGE DIAGNOSES: Gastritis  Transaminitis Covid 19 infection DM II Hypertensive urgency Etoh abuse Hypokalemia Hyponatremia HOSPITAL COURSE:     Gastric/chest discomfort associated with persistent vomiting -Likely due to acute gastritis due to alcohol abuse -This is a second visit to the ER complaining of similar symptoms and last alcohol intake was 2 days PTA and symptoms had been there for 3 days now. -Started Maalox as needed and pantoprazole 40 mg IV every 12 hours -CT aortic dissection protocol is ordered at ER and showed no acute changes -Patient had abdominal ultrasound and showed no acute changes.  - Feeling much better now. Reports symptoms have resolved.    Covid 19 infection Patient returned positive for COVID-19.  He is relatively asymptomatic other than a mild cough.  Saturating well on room air. Advised to quarantine for 5 days.      Hypertensive urgency Resume PTA lisinopril. -CT aortic dissection showed no acute changes. - Follow up with PCP   Alcohol abuse -Started CIWA protocol including thiamine, vitamins and folic acid.  -CIWA scores have been low.  Advised to significantly cut back on his alcohol use and follow-up with his PCP.      Diabetes mellitus -Resume Jardiance and Metformin.    Transaminitis -AST is 100 and ALT is 71 likely secondary to alcoholic liver disease.  Advised to significantly cut back on his alcohol use and follow-up with PCP.    Hypokalemia -Resolved.     Hyponatremia -Follow up with PCP.     Patient is in stable condition and ready for discharge to home.  He will follow closely with his PCP.  All questions answered to the best my abilities and patient's satisfaction.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, COVID-19, Chest discomfort, Computerised tomogram thorax abnormal, Cough
Clinical narrative: DISCHARGE DIAGNOSES: Gastritis  Transaminitis Covid 19 infection DM II Hypertensive urgency Etoh abuse Hypokalemia Hyponatremia HOSPITAL COURSE:     Gastric/chest discomfort associated with persistent vomiting -Likely due to acute gastritis due to alcohol abuse -This is a second visit to the ER complaining of similar symptoms and last alcohol intake was 2 days PTA and symptoms had been there for 3 days now. -Started Maalox as needed and pantoprazole 40 mg IV every 12 hours -CT aortic dissection protocol is ordered at ER and showed no acute changes -Patient had abdominal ultrasound and showed no acute changes.  - Feeling much better now. Reports symptoms have resolved.    Covid 19 infection Patient returned positive for COVID-19.  He is relatively asymptomatic other than a mild cough.  Saturating well on room air. Advised to quarantine for 5 days.      Hypertensive urgency Resume PTA lisinopril. -CT aortic dissection showed no acute changes. - Follow up with PCP   Alcohol abuse -Started CIWA protocol including thiamine, vitamins and folic acid.  -CIWA scores have been low.  Advised to significantly cut back on his alcohol use and follow-up with his PCP.      Diabetes mellitus -Resume Jardiance and Metformin.    Transaminitis -AST is 100 and ALT is 71 likely secondary to alcoholic liver disease.  Advised to significantly cut back on his alcohol use and follow-up with PCP.    Hypokalemia -Resolved.     Hyponatremia -Follow up with PCP.     Patient is in stable condition and ready for discharge to home.  He will follow closely with his PCP.  All questions answered to the best my abilities and patient's satisfaction.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Gastric disorder, Gastritis, Hypertensive urgency, Hypokalaemia, Hyponatraemia
Clinical narrative: DISCHARGE DIAGNOSES: Gastritis  Transaminitis Covid 19 infection DM II Hypertensive urgency Etoh abuse Hypokalemia Hyponatremia HOSPITAL COURSE:     Gastric/chest discomfort associated with persistent vomiting -Likely due to acute gastritis due to alcohol abuse -This is a second visit to the ER complaining of similar symptoms and last alcohol intake was 2 days PTA and symptoms had been there for 3 days now. -Started Maalox as needed and pantoprazole 40 mg IV every 12 hours -CT aortic dissection protocol is ordered at ER and showed no acute changes -Patient had abdominal ultrasound and showed no acute changes.  - Feeling much better now. Reports symptoms have resolved.    Covid 19 infection Patient returned positive for COVID-19.  He is relatively asymptomatic other than a mild cough.  Saturating well on room air. Advised to quarantine for 5 days.      Hypertensive urgency Resume PTA lisinopril. -CT aortic dissection showed no acute changes. - Follow up with PCP   Alcohol abuse -Started CIWA protocol including thiamine, vitamins and folic acid.  -CIWA scores have been low.  Advised to significantly cut back on his alcohol use and follow-up with his PCP.      Diabetes mellitus -Resume Jardiance and Metformin.    Transaminitis -AST is 100 and ALT is 71 likely secondary to alcoholic liver disease.  Advised to significantly cut back on his alcohol use and follow-up with PCP.    Hypokalemia -Resolved.     Hyponatremia -Follow up with PCP.     Patient is in stable condition and ready for discharge to home.  He will follow closely with his PCP.  All questions answered to the best my abilities and patient's satisfaction.