chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Scan myocardial perfusion, Single functional kidney, Urosepsis, Vitamin B12 normal
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 yo female, with PMH significant for OSA on CPAP, asthma, bipolar depression, HTN, who presented from nursing home to the ED today due to decreased responsiveness and fevers   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) treated in intensive care unit setting initially for urosepsis, E coli bacteremia, NSTEMI 1/7 Transferred to general floor   1/8 Underwent nuclear cardiac stress tests-ischemia of the lateral wall, mild   1/ 10 Seen by Cardiology, started on beta-blocker   1/11 Planned discharge to SNF on hold due to rising leukocytosis, leukocytosis improved down to 14 K the time of discharge     Altered mental status, Improving gradually, most likely due to urosepsis Has significantly improved   History of bipolar depression Continue with Tegretol and Cymbalta   History of asthma Oxygen p.r.n., albuterol inhalers   History of OSA On CPAP   NSTEMI Appreciate cardiology consultation, echo showed normal LVEF of 55-60%, mild AS Giving IV heparin for 48 hours On aspirin, beta-blocker  nuclear stress test,1/ 9 , as Cardiology, mild reversible defect, in the lateral wall consistent with mild ischemia, Cardiology recommended to treated medically , with beta-blocker, patient already on aspirin Urosepsis with E coli bacteremia Was on Levophed in intensive care unit setting Weaned of Levophed On ceftriaxone from 01/05, anticipate total course of antibiotic of 10 days at least Leukocytosis improving, has normalized 1/11 significant rise in leukocytosis to 19 K, planned discharge to SNF on hold  No fever, patient does not look toxic, currently on IV Rocephin Has anion gap acidosis with bicarb of 15, check lactic acid, do sepsis workup, including blood culture   History of hypertension PTA antihypertensives on hold   Acute kidney injury, solitary right kidney, status post left nephrectomy Due to urosepsis, improving renal function   Possible cognition impairment, move Moca scoring by speech, checked  vitamin B12.  Normal     Condition at the time of discharge-   Vss  Constitutional:  No distress, elderly, 2 liters/minute HENT:  Normocephalic, Atraumatic, Pupils Reactive, Normal oropharynx, Nose normal.  Cardiovascular:  Normal heart rate, Normal rhythm, No murmurs, No rubs, No gallops.  Respiratory:  Normal breath sounds, No respiratory distress, No wheezing, No chest tenderness.  GI:  Bowel sounds normal, Soft, No tenderness, No masses, No pulsatile masses.  Extremities:  Intact distal pulses, No edema, No tenderness, No cyanosis, No clubbing.  Neurologic:  Alert & oriented x 2 , confused at times,  No focal deficits noted. Skin:  Warm and dry   Issues Requiring Follow Up: (Who, what, when, and how communicated?)  Losartan & Aldactone are on hold  till f/u BMP & CBC , renal function improvement To follow-up on tolerance and efficacy of Augmentin"
Age: 79.0
Sex: M
Vaccine: FLUA4
Symptoms: Gastrostomy, Guillain-Barre syndrome, Quadriplegia, Tracheostomy
Clinical narrative: unclear if reaction was due to flu vaccine or Dupixent for atopic dermatitis pt developed Guillain-Barre syndrome resulting in quadriplegia, requiring trach/PEG
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Wrong product administered
Clinical narrative: Patient came in December for a redo of all vaccines due to stem cell transplant. He was to get his second dose, in the primary series of 3,  in January, rather, he received a booster.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Depressed mood, Disturbance in attention, Feeling abnormal, Suicidal ideation
Clinical narrative: On Sunday evening I was feeling off and down (like depressed), like I had no desire to live. I finally went to sleep and woke up and tried to work. I couldn't focus and was overwhelmed with sadness. I felt like I could just drive my car off a cliff. I have never felt like THIS before. I called my work crisis line and they didn't answer. I drove to the crisis center, but then our work's crisis line called me back and she was such a peach, seriously a gem, she perfectly described how I was feeling in her own words. She calmed me down a bit and I called the doctor's office. I got an appointment that day and he told me to take a lorazepam (I have them for panic attacks with anxiety), but I thought lorazepam makes you feel down (because I take it when I'm "up" or panicking). I took 1/2mg and was feeling so much better. I then saw my therapist on Tuesday evening and we talked through the concerns. While I have anxiety/panic disorder, I have never felt so LOW.  Thanks for listening!
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Costochondritis, Fatigue, Feeling abnormal
Clinical narrative: After receiving the fourth dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain. I had Costochondritis, and I was given methocarbamol for the prior doses so I just used these medications to treat the pain. This event lasted for 2.5 days in total.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain
Clinical narrative: After receiving the fourth dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain. I had Costochondritis, and I was given methocarbamol for the prior doses so I just used these medications to treat the pain. This event lasted for 2.5 days in total.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Arteriogram carotid abnormal, Asthenia, COVID-19, Carotid artery stenosis
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note: "67-year-old female past medical history tobacco use hypertension drainage presented for chief complaint of weakness/pre syncope and altered mental status.  She is noted have some difficulty with speaking very full code stroke was called.  CT was performed negative.  CTA was performed showing bilateral carotid stenosis.  She was seen by vascular surgery for her carotid stenosis with plans for right ICA.  Patient required washout of Plavix prior to procedure.  She was seen by a PT and OT services deemed appropriate for outpatient therapy.  Patient received right CEA underwent normal postoperative course and was discharged."
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carotid endarterectomy, Computerised tomogram head normal, Condition aggravated, Mental status changes, Presyncope
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note: "67-year-old female past medical history tobacco use hypertension drainage presented for chief complaint of weakness/pre syncope and altered mental status.  She is noted have some difficulty with speaking very full code stroke was called.  CT was performed negative.  CTA was performed showing bilateral carotid stenosis.  She was seen by vascular surgery for her carotid stenosis with plans for right ICA.  Patient required washout of Plavix prior to procedure.  She was seen by a PT and OT services deemed appropriate for outpatient therapy.  Patient received right CEA underwent normal postoperative course and was discharged."
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note: "67-year-old female past medical history tobacco use hypertension drainage presented for chief complaint of weakness/pre syncope and altered mental status.  She is noted have some difficulty with speaking very full code stroke was called.  CT was performed negative.  CTA was performed showing bilateral carotid stenosis.  She was seen by vascular surgery for her carotid stenosis with plans for right ICA.  Patient required washout of Plavix prior to procedure.  She was seen by a PT and OT services deemed appropriate for outpatient therapy.  Patient received right CEA underwent normal postoperative course and was discharged."
Age: 1.33
Sex: F
Vaccine: MMR, PNC15, VARCEL
Symptoms: Febrile convulsion, Influenza virus test negative, Laboratory test, Pyrexia, Respiratory syncytial virus test negative
Clinical narrative: Patient had a febrile seizure on 2/22/23 beginning at 6:47pm.   She was transported by EMS to local hospital.  She had fever upon arrival to the hospital, Tmax 104.7.  Per parents, work-up was negative for acute infection.  She was discharged home.
Age: 1.33
Sex: F
Vaccine: MMR, PNC15, VARCEL
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Patient had a febrile seizure on 2/22/23 beginning at 6:47pm.   She was transported by EMS to local hospital.  She had fever upon arrival to the hospital, Tmax 104.7.  Per parents, work-up was negative for acute infection.  She was discharged home.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Injection site erythema
Clinical narrative: Patient had redness measuring 7-8 cm around injection site, shortness of breath.  Emergency services were notified and she was transported to Medical Center.  She was admitted for Acute Hypoxic Respiratory Failure and COPD Exacerbation.  She is still admitted at Medical Center.
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Laboratory test
Clinical narrative: Patient had redness measuring 7-8 cm around injection site, shortness of breath.  Emergency services were notified and she was transported to Medical Center.  She was admitted for Acute Hypoxic Respiratory Failure and COPD Exacerbation.  She is still admitted at Medical Center.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: CLIENT STATED HAD NOT HAD A FLU SHOT FOR SEVERAL YEARS. SHOT ADMINISTERD WITHOUT ADVERSE RESPONSE. UPON DATA ENTRY NOTED CLIENT HAD RECEIVED FLU SHOT 10/19/2022 APPROPRIATE PROTCOL FOLLOWED FOR BEST PRACTICES.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Fatigue, Feeling abnormal, Myalgia
Clinical narrative: After receiving the fifth dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain. I did not take the methocarbamol instead I used cannabis which helped, and I had zero pain and the other medication had a side effect of depression. The pain only lasted for about two days.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Substance use
Clinical narrative: After receiving the fifth dose of Pfizer I started having brain fog, fatigue, chills and the next day I had all over body, joint, and muscle pain. I did not take the methocarbamol instead I used cannabis which helped, and I had zero pain and the other medication had a side effect of depression. The pain only lasted for about two days.
Age: 0.5
Sex: M
Vaccine: HIBV
Symptoms: Extra dose administered, No adverse event, Vaccination error
Clinical narrative: Patient was given a dose of Pedvax Hib at 6 months in error.  Did not require a 3rd dose.
Age: 74.0
Sex: F
Vaccine: FLU4, PNC20
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: Nurse: Patient received flu and Prevnar 20 vaccine on the 2/16/23 in left deltoid region.  Patient reports she notice a little redness the day after vaccine. Since then the injection site has been getting redder, and hotter, with increase pain within the last 3 days. Site assessed.  Warm to touch. Red patch ~9cm(w)/6cm(h), with pain around injection site.   MD:  O: 3-4cm red, warm, indurated, tender patch on left upper arm    A/P:  - duricef bid x 1 week  - has hydrocortisone cream at home, can also use for burning / itch  - Discussed red flag symptoms, ER/UCC precautions, and return precautions if not improving in 2 days
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 14.0
Sex: F
Vaccine: HPV9
Symptoms: Amenorrhoea, Hormone therapy, Polycystic ovaries
Clinical narrative: My daughter developed amenorrhea and was diagnosed with PCOS (Polycystic Ovary Syndrome) 2 months after receiving the HPV (Gardasil) vaccine.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient given wrong COVID Booster dose. Given 12 yrs and they are 11yrs old.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Headache, SARS-CoV-2 test positive
Clinical narrative: Patient presented to ED via EMS with a severe headache. Has history of seizures. Admitted to our inpatient medical unit. Has Covid 19 vaccine listed on her allergies. Note states patient developed unspecified shock requiring vasopressin support after the vaccine administration.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Bone pain, COVID-19, Cough, Oropharyngeal pain, Pain
Clinical narrative: I started having sore throat, postnasal drip, fever (100-101), runny nose, cough, body pain and bone discomfort. I went to urgent care, and they were closed then I went again on Monday. I was given albuterol inhaler, azelastine, benzonatate, lidocaine, prednisone, and ipratropium. It is helping and I started recovering over the course of three days. I am surprised that I got COVID-19 30 days after getting the vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test, Upper-airway cough syndrome
Clinical narrative: I started having sore throat, postnasal drip, fever (100-101), runny nose, cough, body pain and bone discomfort. I went to urgent care, and they were closed then I went again on Monday. I was given albuterol inhaler, azelastine, benzonatate, lidocaine, prednisone, and ipratropium. It is helping and I started recovering over the course of three days. I am surprised that I got COVID-19 30 days after getting the vaccine.
Sex: U
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event, Product label issue
Clinical narrative: No adverse reaction. Patient received monovalent, instead of bivalent dose due to labeling error on the part of the staff member who opened the vial for the day.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Immunisation reaction, Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Mother reported increased swelling, redness, warmth day after vaccination. Patient scheduled for appointment 2/22/23 and noted to have swelling, warmth and blistering of injection site. Provider believed likely to be an exaggerated immunization reaction. However, given severity of reaction, treated empirically with Bactrim for possibility of cellulitis.
Age: 2.0
Sex: F
Vaccine: FLU4
Symptoms: Skin warm, Swelling
Clinical narrative: Mother reported increased swelling, redness, warmth day after vaccination. Patient scheduled for appointment 2/22/23 and noted to have swelling, warmth and blistering of injection site. Provider believed likely to be an exaggerated immunization reaction. However, given severity of reaction, treated empirically with Bactrim for possibility of cellulitis.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood creatinine increased, Blood electrolytes abnormal, Blood glucose increased, Blood sodium decreased
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 YO female with past medical history significant for CAD s/p CABGx2, aortic stenosis s/p AVR, arthritis, DM2 with neuropathy, HLD, hypertension, PVD, and renal artery stenosis, hx of UTIs, with baseline dementia, who presented to ED with progressive weakness and AMS that began 3-4 days ago. She reports that she was sick on the 12/22 from a respiratory infection likely bacteria because she was on antibiotics (unsure which one prescribed in the clinic), but did not require oxygen at home or hospitalization.  Since this infection she has not been the same. She has been more week, shaky, and confused. Daughter reports patient has been having loose stools. Denies any falls, recent travels, or sick contacts. She has not been eating and drinking since about Christmas time. She has not had anything to eat or drink today. Denies fever, chills, chest pain, shortness of breath or any other complaints.    Initial vitals were stable. Leukocytosis 15.4, elevated glucose, slight increase in Cr from baseline  0.8-1.0, and hyponatremia 130 were noted on labs. TSH significantly decrease <0.01, and free T4 elevated to 2.2. UA negative for infection, but has some hyaline casts. CT head with no acute findings. Per duaghter the patient cannot care for herself at home. She will be admitted to secure placement or establish home care as well as to be worked up and treated for thyroid and electrolyte abnormal labs.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Patient was admitted to the medical service.  She was given IV hydration.  She was treated with insulin for her DM - metformin was held.  She was treatedly with methimazole, but this was discontinued.  She was considered for an ECF, but covid was positive.  Her activity level improved.  She was d/c home."
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone decreased, COVID-19, Computerised tomogram head normal, Confusional state, Diarrhoea
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 YO female with past medical history significant for CAD s/p CABGx2, aortic stenosis s/p AVR, arthritis, DM2 with neuropathy, HLD, hypertension, PVD, and renal artery stenosis, hx of UTIs, with baseline dementia, who presented to ED with progressive weakness and AMS that began 3-4 days ago. She reports that she was sick on the 12/22 from a respiratory infection likely bacteria because she was on antibiotics (unsure which one prescribed in the clinic), but did not require oxygen at home or hospitalization.  Since this infection she has not been the same. She has been more week, shaky, and confused. Daughter reports patient has been having loose stools. Denies any falls, recent travels, or sick contacts. She has not been eating and drinking since about Christmas time. She has not had anything to eat or drink today. Denies fever, chills, chest pain, shortness of breath or any other complaints.    Initial vitals were stable. Leukocytosis 15.4, elevated glucose, slight increase in Cr from baseline  0.8-1.0, and hyponatremia 130 were noted on labs. TSH significantly decrease <0.01, and free T4 elevated to 2.2. UA negative for infection, but has some hyaline casts. CT head with no acute findings. Per duaghter the patient cannot care for herself at home. She will be admitted to secure placement or establish home care as well as to be worked up and treated for thyroid and electrolyte abnormal labs.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Patient was admitted to the medical service.  She was given IV hydration.  She was treated with insulin for her DM - metformin was held.  She was treatedly with methimazole, but this was discontinued.  She was considered for an ECF, but covid was positive.  Her activity level improved.  She was d/c home."
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyponatraemia, Hypophagia, Impaired self-care, Leukocytosis, Mental status changes
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 YO female with past medical history significant for CAD s/p CABGx2, aortic stenosis s/p AVR, arthritis, DM2 with neuropathy, HLD, hypertension, PVD, and renal artery stenosis, hx of UTIs, with baseline dementia, who presented to ED with progressive weakness and AMS that began 3-4 days ago. She reports that she was sick on the 12/22 from a respiratory infection likely bacteria because she was on antibiotics (unsure which one prescribed in the clinic), but did not require oxygen at home or hospitalization.  Since this infection she has not been the same. She has been more week, shaky, and confused. Daughter reports patient has been having loose stools. Denies any falls, recent travels, or sick contacts. She has not been eating and drinking since about Christmas time. She has not had anything to eat or drink today. Denies fever, chills, chest pain, shortness of breath or any other complaints.    Initial vitals were stable. Leukocytosis 15.4, elevated glucose, slight increase in Cr from baseline  0.8-1.0, and hyponatremia 130 were noted on labs. TSH significantly decrease <0.01, and free T4 elevated to 2.2. UA negative for infection, but has some hyaline casts. CT head with no acute findings. Per duaghter the patient cannot care for herself at home. She will be admitted to secure placement or establish home care as well as to be worked up and treated for thyroid and electrolyte abnormal labs.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Patient was admitted to the medical service.  She was given IV hydration.  She was treated with insulin for her DM - metformin was held.  She was treatedly with methimazole, but this was discontinued.  She was considered for an ECF, but covid was positive.  Her activity level improved.  She was d/c home."
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Thyroxine free increased, Tremor, Urinary casts, Urine analysis abnormal
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 YO female with past medical history significant for CAD s/p CABGx2, aortic stenosis s/p AVR, arthritis, DM2 with neuropathy, HLD, hypertension, PVD, and renal artery stenosis, hx of UTIs, with baseline dementia, who presented to ED with progressive weakness and AMS that began 3-4 days ago. She reports that she was sick on the 12/22 from a respiratory infection likely bacteria because she was on antibiotics (unsure which one prescribed in the clinic), but did not require oxygen at home or hospitalization.  Since this infection she has not been the same. She has been more week, shaky, and confused. Daughter reports patient has been having loose stools. Denies any falls, recent travels, or sick contacts. She has not been eating and drinking since about Christmas time. She has not had anything to eat or drink today. Denies fever, chills, chest pain, shortness of breath or any other complaints.    Initial vitals were stable. Leukocytosis 15.4, elevated glucose, slight increase in Cr from baseline  0.8-1.0, and hyponatremia 130 were noted on labs. TSH significantly decrease <0.01, and free T4 elevated to 2.2. UA negative for infection, but has some hyaline casts. CT head with no acute findings. Per duaghter the patient cannot care for herself at home. She will be admitted to secure placement or establish home care as well as to be worked up and treated for thyroid and electrolyte abnormal labs.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Patient was admitted to the medical service.  She was given IV hydration.  She was treated with insulin for her DM - metformin was held.  She was treatedly with methimazole, but this was discontinued.  She was considered for an ECF, but covid was positive.  Her activity level improved.  She was d/c home."
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "86 YO female with past medical history significant for CAD s/p CABGx2, aortic stenosis s/p AVR, arthritis, DM2 with neuropathy, HLD, hypertension, PVD, and renal artery stenosis, hx of UTIs, with baseline dementia, who presented to ED with progressive weakness and AMS that began 3-4 days ago. She reports that she was sick on the 12/22 from a respiratory infection likely bacteria because she was on antibiotics (unsure which one prescribed in the clinic), but did not require oxygen at home or hospitalization.  Since this infection she has not been the same. She has been more week, shaky, and confused. Daughter reports patient has been having loose stools. Denies any falls, recent travels, or sick contacts. She has not been eating and drinking since about Christmas time. She has not had anything to eat or drink today. Denies fever, chills, chest pain, shortness of breath or any other complaints.    Initial vitals were stable. Leukocytosis 15.4, elevated glucose, slight increase in Cr from baseline  0.8-1.0, and hyponatremia 130 were noted on labs. TSH significantly decrease <0.01, and free T4 elevated to 2.2. UA negative for infection, but has some hyaline casts. CT head with no acute findings. Per duaghter the patient cannot care for herself at home. She will be admitted to secure placement or establish home care as well as to be worked up and treated for thyroid and electrolyte abnormal labs.      Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  Patient was admitted to the medical service.  She was given IV hydration.  She was treated with insulin for her DM - metformin was held.  She was treatedly with methimazole, but this was discontinued.  She was considered for an ECF, but covid was positive.  Her activity level improved.  She was d/c home."
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute left ventricular failure, Aortic valve incompetence, Aortic valve sclerosis, Asthenia, Cardiac assistance device user
Clinical narrative: Symptoms began with  intermittent nausea, vomiting for 5 days. She has had intermittent food and liquid particle emesis. Associated symptoms included some shortness of breath, dry nonproductive cough; increased lower extremity edema, weakness, fatigue; admitted to hospital with acute diastolic heart failure with pulmonary edema, pleural effusions.  Patient had an ECHO showing a decrease in EF from 50-51% to 20-25%  Hospital course:  Patient was admitted and monitored on telemetry. She was started on Lasix and losartan was changed to Entresto. She showed steady progressive improvement and was able to come off oxygen fairly quickly. No chest pain or shortness of breath. She had a urinary tract infection on admission, which was treated with 3 days of Rocephin. Kidney function  remained stable. Cardiology was consulted and evaluated the patient.  Cardiology and care management team coordinated for patient to discharge with LifeVest given her significantly reduced EF, which is new.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cardiac telemetry, Circulatory collapse, Cough, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Symptoms began with  intermittent nausea, vomiting for 5 days. She has had intermittent food and liquid particle emesis. Associated symptoms included some shortness of breath, dry nonproductive cough; increased lower extremity edema, weakness, fatigue; admitted to hospital with acute diastolic heart failure with pulmonary edema, pleural effusions.  Patient had an ECHO showing a decrease in EF from 50-51% to 20-25%  Hospital course:  Patient was admitted and monitored on telemetry. She was started on Lasix and losartan was changed to Entresto. She showed steady progressive improvement and was able to come off oxygen fairly quickly. No chest pain or shortness of breath. She had a urinary tract infection on admission, which was treated with 3 days of Rocephin. Kidney function  remained stable. Cardiology was consulted and evaluated the patient.  Cardiology and care management team coordinated for patient to discharge with LifeVest given her significantly reduced EF, which is new.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ejection fraction decreased, Fatigue, Inferior vena cava dilatation, Left atrial enlargement, Left ventricular dysfunction
Clinical narrative: Symptoms began with  intermittent nausea, vomiting for 5 days. She has had intermittent food and liquid particle emesis. Associated symptoms included some shortness of breath, dry nonproductive cough; increased lower extremity edema, weakness, fatigue; admitted to hospital with acute diastolic heart failure with pulmonary edema, pleural effusions.  Patient had an ECHO showing a decrease in EF from 50-51% to 20-25%  Hospital course:  Patient was admitted and monitored on telemetry. She was started on Lasix and losartan was changed to Entresto. She showed steady progressive improvement and was able to come off oxygen fairly quickly. No chest pain or shortness of breath. She had a urinary tract infection on admission, which was treated with 3 days of Rocephin. Kidney function  remained stable. Cardiology was consulted and evaluated the patient.  Cardiology and care management team coordinated for patient to discharge with LifeVest given her significantly reduced EF, which is new.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Left ventricular enlargement, Mitral valve incompetence, Nausea, Oedema peripheral, Pericardial effusion
Clinical narrative: Symptoms began with  intermittent nausea, vomiting for 5 days. She has had intermittent food and liquid particle emesis. Associated symptoms included some shortness of breath, dry nonproductive cough; increased lower extremity edema, weakness, fatigue; admitted to hospital with acute diastolic heart failure with pulmonary edema, pleural effusions.  Patient had an ECHO showing a decrease in EF from 50-51% to 20-25%  Hospital course:  Patient was admitted and monitored on telemetry. She was started on Lasix and losartan was changed to Entresto. She showed steady progressive improvement and was able to come off oxygen fairly quickly. No chest pain or shortness of breath. She had a urinary tract infection on admission, which was treated with 3 days of Rocephin. Kidney function  remained stable. Cardiology was consulted and evaluated the patient.  Cardiology and care management team coordinated for patient to discharge with LifeVest given her significantly reduced EF, which is new.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pleural effusion, Pulmonary arterial pressure, Pulmonary hypertension, Pulmonary oedema, Renal function test
Clinical narrative: Symptoms began with  intermittent nausea, vomiting for 5 days. She has had intermittent food and liquid particle emesis. Associated symptoms included some shortness of breath, dry nonproductive cough; increased lower extremity edema, weakness, fatigue; admitted to hospital with acute diastolic heart failure with pulmonary edema, pleural effusions.  Patient had an ECHO showing a decrease in EF from 50-51% to 20-25%  Hospital course:  Patient was admitted and monitored on telemetry. She was started on Lasix and losartan was changed to Entresto. She showed steady progressive improvement and was able to come off oxygen fairly quickly. No chest pain or shortness of breath. She had a urinary tract infection on admission, which was treated with 3 days of Rocephin. Kidney function  remained stable. Cardiology was consulted and evaluated the patient.  Cardiology and care management team coordinated for patient to discharge with LifeVest given her significantly reduced EF, which is new.
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Right atrial pressure increased, Tricuspid valve incompetence, Urinary tract infection, Vomiting
Clinical narrative: Symptoms began with  intermittent nausea, vomiting for 5 days. She has had intermittent food and liquid particle emesis. Associated symptoms included some shortness of breath, dry nonproductive cough; increased lower extremity edema, weakness, fatigue; admitted to hospital with acute diastolic heart failure with pulmonary edema, pleural effusions.  Patient had an ECHO showing a decrease in EF from 50-51% to 20-25%  Hospital course:  Patient was admitted and monitored on telemetry. She was started on Lasix and losartan was changed to Entresto. She showed steady progressive improvement and was able to come off oxygen fairly quickly. No chest pain or shortness of breath. She had a urinary tract infection on admission, which was treated with 3 days of Rocephin. Kidney function  remained stable. Cardiology was consulted and evaluated the patient.  Cardiology and care management team coordinated for patient to discharge with LifeVest given her significantly reduced EF, which is new.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Alopecia, Arthralgia, Back pain, Blood test, Condition aggravated
Clinical narrative: Severe ongoing Lupus flare. Hip pain, back pain, shoulder pain, hand twist pain, hair loss, scalp sores, initia lly given up to 5mg. Prednisone daily to control flare. Methotrexate increased over course of year mg until an episode of leukopenia. (7.5.-22.5mg). Had to pause because I developed shingles. Without methotrexate symptoms returned. After 3 weeks acyclovir returned to methotrexate. Symptoms are better controlled with methotrexate but not in remission.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Herpes zoster, Leukopenia, Pain in extremity, Skin lesion, Systemic lupus erythematosus
Clinical narrative: Severe ongoing Lupus flare. Hip pain, back pain, shoulder pain, hand twist pain, hair loss, scalp sores, initia lly given up to 5mg. Prednisone daily to control flare. Methotrexate increased over course of year mg until an episode of leukopenia. (7.5.-22.5mg). Had to pause because I developed shingles. Without methotrexate symptoms returned. After 3 weeks acyclovir returned to methotrexate. Symptoms are better controlled with methotrexate but not in remission.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Death
Clinical narrative: PATIENT PASSED ON 06/06/2022
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event, Product label issue
Clinical narrative: No adverse reaction. Patient received monovalent vaccine instead of bivalent booster.  Mislabeled by the person who opened the vial for the day.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Arthralgia, Autoimmune disorder, C-reactive protein, Laboratory test, Pericardial effusion
Clinical narrative: Joint pain treated with prednisone x2, autoimmune markers completed, was hospitalized in October for bilateral lobe pneumonia, bilateral pleural effusions, and fluid around my heart.  Was told this was caused by my autoimmune system.  I spent 2 weeks in the hospital.  I was diagnosed with Lupus in November 2022.  I am currently dealing with excruciating joint pain, had swelling, LE swelling.  I am currently taking Hydrochloriquin, cell-cept, prednisone for Lupus.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19-2
Symptoms: Peripheral swelling, Pleural effusion, Pneumonia, Swelling, Systemic lupus erythematosus
Clinical narrative: Joint pain treated with prednisone x2, autoimmune markers completed, was hospitalized in October for bilateral lobe pneumonia, bilateral pleural effusions, and fluid around my heart.  Was told this was caused by my autoimmune system.  I spent 2 weeks in the hospital.  I was diagnosed with Lupus in November 2022.  I am currently dealing with excruciating joint pain, had swelling, LE swelling.  I am currently taking Hydrochloriquin, cell-cept, prednisone for Lupus.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Myalgia, Pain
Clinical narrative: muscle is in pain, not sore , but really painful. different movements create different levels of pain. ever present not intermittent
Age: 68.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Myalgia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: muscle is in pain, not sore , but really painful. different movements create different levels of pain. ever present not intermittent
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 17.0
Sex: M
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse event occurred, no treatment
Age: 18.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Magnetic resonance imaging normal, Ultrasound scan normal, X-ray limb normal
Clinical narrative: Patient went to the ER 2 months after vaccine was administered.  Presented with 1 month of increasing pain in her left shoulder. She had an XR of left shoulder and no acute bony abnormality. US impression no significant effusion. Patient had MRI and no acute findings to directly explain the patients symptoms. She had an appointment with PCP 1/19/23 and prednisone injections were offered. She then followed up for injection on 2/1/23 and kenalog injection was administered.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Malaise, Syncope
Clinical narrative: During the 15 minute waiting period after vaccination, patient became light headed and fainted. Patient was sitting in a chair, communicated that she was feeling unwell, and did not fall or hit her head. Patient came to in under 30 seconds, and vitals were taken. Patient was laid down and vitals normalized. Patient was dizzy and shaken up, but otherwise alright. Patient was given food and water and supervised for about 30 minutes while resting. Patient felt ok, and got picked up and went home. Patient was dizzy for about a week after this occurrence, but eventually felt better.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Autoimmune disorder, Blood test, COVID-19, Condition aggravated
Clinical narrative: passing out- great pain,= caused gout...not in 2022 & 2023 auto immune compromised, acerbated arthritis...now has caused Thyroid issues...enlarged thyroid and nodules
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Goitre, Gout, Hyperthyroidism, Loss of consciousness, Pain
Clinical narrative: passing out- great pain,= caused gout...not in 2022 & 2023 auto immune compromised, acerbated arthritis...now has caused Thyroid issues...enlarged thyroid and nodules
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid mass, Ultrasound scan
Clinical narrative: passing out- great pain,= caused gout...not in 2022 & 2023 auto immune compromised, acerbated arthritis...now has caused Thyroid issues...enlarged thyroid and nodules
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 71.0
Sex: F
Vaccine: HEPAB, PNC20, VARZOS
Symptoms: Feeding disorder, Malaise, Pain in extremity
Clinical narrative: Patient reported sore arm, feeling sick and inability to eat.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Food allergy, Laboratory test, Milk allergy, Urticaria, Vaccination site erythema
Clinical narrative: hives all over my body, became allergic to cow milk, eggs. wheat, soreness and redness of the vaccinated  area
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: hives all over my body, became allergic to cow milk, eggs. wheat, soreness and redness of the vaccinated  area
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Acute kidney injury, Anaemia, Asymptomatic COVID-19, Blood magnesium increased
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "57 YO female with past medical history significant for R breast high grade ductal carcinoma in situ (ER+, PR+) s/p partial mastectomy (2011) followed by radiation and chemo, chemo induced anemia, left bracheocephalic dvt (on Xarelto), hepatic flexure colon cancer s/p right colectomy, with recurrent malignant neoplasm of the colon with mets to the lungs, adrenals,  and lymph nodes who presented to SJ ED on 1/12 with complaints of intermittent abdominal pain that began 2 weeks ago. 3-4 days ago she began having nausea and non-bloody vomiting and decreased po intake. She reports that her abdominal pain continued to progress and became persistent driving her to come to the ED. The patient reports compliance with her medications, but she has been holding her rivaroxaban (xarelto) for 1.5 weeks in anticipation for a dental procedure. Her last chemo was 12/21/2022 as per Dr. notes.    On presentation she was tachycardic. Work up revealed SBO on CT abdomen/pelvis likely secondary to cancer vs adhesions from previous surgery. CXR shows L basilar consolidation and right suprahilar soft tissue mass. Lesions have increased in size since previous imagining in early December.    Patient also tested positive for COVID but has been asymptomatic respiratory wise. She is fully vaccinated and boosted. She does endorse being around a lot of family and friends over the holidays.    Labs revealed an AKI, leukocytosis, thrombocytosis and anemia. Procal and magnesium was elevated. She was given 2L of NS, zofran,  and fentanyl. General surgery was consulted, NGT was placed to LIS. Patient will be admitted to medicine service in anticipation for possible surgery in the near future. Dr. has been contacted by our team.    Of note in the ED she became very tachy cardiac via monitor, however, repeat EKG was reassuring."
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram abdomen abnormal, Condition aggravated, Electrocardiogram abnormal, Gastrointestinal tube insertion
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "57 YO female with past medical history significant for R breast high grade ductal carcinoma in situ (ER+, PR+) s/p partial mastectomy (2011) followed by radiation and chemo, chemo induced anemia, left bracheocephalic dvt (on Xarelto), hepatic flexure colon cancer s/p right colectomy, with recurrent malignant neoplasm of the colon with mets to the lungs, adrenals,  and lymph nodes who presented to SJ ED on 1/12 with complaints of intermittent abdominal pain that began 2 weeks ago. 3-4 days ago she began having nausea and non-bloody vomiting and decreased po intake. She reports that her abdominal pain continued to progress and became persistent driving her to come to the ED. The patient reports compliance with her medications, but she has been holding her rivaroxaban (xarelto) for 1.5 weeks in anticipation for a dental procedure. Her last chemo was 12/21/2022 as per Dr. notes.    On presentation she was tachycardic. Work up revealed SBO on CT abdomen/pelvis likely secondary to cancer vs adhesions from previous surgery. CXR shows L basilar consolidation and right suprahilar soft tissue mass. Lesions have increased in size since previous imagining in early December.    Patient also tested positive for COVID but has been asymptomatic respiratory wise. She is fully vaccinated and boosted. She does endorse being around a lot of family and friends over the holidays.    Labs revealed an AKI, leukocytosis, thrombocytosis and anemia. Procal and magnesium was elevated. She was given 2L of NS, zofran,  and fentanyl. General surgery was consulted, NGT was placed to LIS. Patient will be admitted to medicine service in anticipation for possible surgery in the near future. Dr. has been contacted by our team.    Of note in the ED she became very tachy cardiac via monitor, however, repeat EKG was reassuring."
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Laboratory test abnormal, Leukocytosis, Lung consolidation, Nausea
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "57 YO female with past medical history significant for R breast high grade ductal carcinoma in situ (ER+, PR+) s/p partial mastectomy (2011) followed by radiation and chemo, chemo induced anemia, left bracheocephalic dvt (on Xarelto), hepatic flexure colon cancer s/p right colectomy, with recurrent malignant neoplasm of the colon with mets to the lungs, adrenals,  and lymph nodes who presented to SJ ED on 1/12 with complaints of intermittent abdominal pain that began 2 weeks ago. 3-4 days ago she began having nausea and non-bloody vomiting and decreased po intake. She reports that her abdominal pain continued to progress and became persistent driving her to come to the ED. The patient reports compliance with her medications, but she has been holding her rivaroxaban (xarelto) for 1.5 weeks in anticipation for a dental procedure. Her last chemo was 12/21/2022 as per Dr. notes.    On presentation she was tachycardic. Work up revealed SBO on CT abdomen/pelvis likely secondary to cancer vs adhesions from previous surgery. CXR shows L basilar consolidation and right suprahilar soft tissue mass. Lesions have increased in size since previous imagining in early December.    Patient also tested positive for COVID but has been asymptomatic respiratory wise. She is fully vaccinated and boosted. She does endorse being around a lot of family and friends over the holidays.    Labs revealed an AKI, leukocytosis, thrombocytosis and anemia. Procal and magnesium was elevated. She was given 2L of NS, zofran,  and fentanyl. General surgery was consulted, NGT was placed to LIS. Patient will be admitted to medicine service in anticipation for possible surgery in the near future. Dr. has been contacted by our team.    Of note in the ED she became very tachy cardiac via monitor, however, repeat EKG was reassuring."