chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Sleep disorder, Superinfection, White blood cell count increased
Clinical narrative: Pfizer Dose 1 3/9/21 (EN6205) Pfizer Dose 2 4/6/21 (EN6208) COVID Positive 1/21/22  1/21/22: Patient is a 79-year-old male with history of generalized anxiety, COPD, CVA, and HTN.  He also reports chronic alcohol abuse.  Reports he drinks 3 cans of beer daily.  Reports he woke up suddenly at 01:30 today with cough, shortness of breath, and chest congestion.  He denies fever, chills, nausea, vomiting, diarrhea, recent exposure to COVID.  He is fully vaccinated for COVID, but has not gotten his booster.   Patient's vitals have been stable in the ED.  He was placed on supplemental oxygen at 2L for comfort, but has no documented hypoxia.  Labs were fairly unremarkable, aside from a WBC count of 32.23.  CXR showed no acute processes, however, CTA chest showed a persistent right middle lobe infiltrate/consolidation with milder bilateral lower lobe infiltrate or atelectasis.  They recommended follow-up CT in 6-8 weeks and pulmonology follow-up at discharge to ensure resolution of right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  CT of abdomen showed no acute processes.  In the ED, the patient received 125 mg Solu-Medrol, 750 mg Levaquin, and a DuoNeb.  1/24/22: Patient is a 79-year-old male with history of COPD, HTN, CVA, and anxiety disorder who was admitted on 1/21/2022 with acute COPD exacerbation, bilateral COVID pneumonia, likely superimposed bacterial pneumonia, and sepsis.  He was admitted to the medical floor and was started on IV antibiotics, IV steroids, and remdesivir.  On admission, his CT chest showed persistent right middle lobe infiltrate/consolidation, and the radiologist recommended follow-up CT in 6-8 weeks as well as Pulmonary consult to ensure the resolution of the right middle lobe consolidation and to exclude an underlying malignancy or endobronchial obstructing process.  I discussed this with the patient, and he tells me he will follow-up with his PCP.  The patient has slowly improved over the last several days.  His WBCs are trending down, and today are at 13k.  He denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations.  He is requesting to go home today.  As he is not requiring supplemental oxygen, he will be discharged home on dexamethasone and Levaquin.  I explained to him the importance of finishing both of these medications, even if he feels like he does not need them. He verbalized understanding.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Vaccine invalid due to a possible temperature issue CDC recommendation to repeat vaccine
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Diarrhoea, Laboratory test normal
Clinical narrative: Received vaccine 04/11/2022, I did not have any trouble that day. On 04/26/2022 I started  having active diarrhea.  I have diarrhea 3 to 4 times a day.  I have had testing done from blood work, parasites, etc and everything is negative. I am scheduled to have a colonscopy on 07/18/2022 for further testing.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Laboratory test normal, Loss of personal independence in daily activities, SARS-CoV-2 test negative
Clinical narrative: Day of the vaccine she started to become fatigued. The next day at night she started to vomit. No noticeable pain or discomfort other than continuous vomiting. She went to school the next day however she did come home early. At day 3 post vaccine she started to have diarrhea as well. On Friday she started to feel better however continued to have diarrhea. On Saturday she was feeling back to normal. Went to a swimming class and in the late afternoon she began to vomit again and have diarrhea as well. We took her to ER and they did all the tests including COVID-19 tests and all were negative. They believe that it was due to a viral infection. The doctors did not believe it was due to the vaccine. She had IV fluids and was sent home. She has started feeling much better as of Saturday.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Viral infection, Vomiting
Clinical narrative: Day of the vaccine she started to become fatigued. The next day at night she started to vomit. No noticeable pain or discomfort other than continuous vomiting. She went to school the next day however she did come home early. At day 3 post vaccine she started to have diarrhea as well. On Friday she started to feel better however continued to have diarrhea. On Saturday she was feeling back to normal. Went to a swimming class and in the late afternoon she began to vomit again and have diarrhea as well. We took her to ER and they did all the tests including COVID-19 tests and all were negative. They believe that it was due to a viral infection. The doctors did not believe it was due to the vaccine. She had IV fluids and was sent home. She has started feeling much better as of Saturday.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received first booster shot at 4 month interval
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Dizziness, Dyspepsia, Dyspnoea
Clinical narrative: While I was on vacation  started having shortness of breath.  I was unable to walk up stairs or uphill.  I thought it may just be issues with elevation.  I had nausea.  On our way home, 4 days later, I was very tired and assumed it was changing time zones.  As it turns out another man I was with had COVID-19.  After getting home, I felt a bit better, but very tired.  On July 2nd, that night I woke up and had body aches all over and light headed.  I got up and then halfway through the next day I still felt the same.  I tested positive on Sunday.  As of today, my symptoms I still have fatigue and short of breath.  A lot of head congestion and nasal congestion and heartburn.  For two days, 5th and 6th, I had body aches still and a weird pain in my arms and hands.  They hurt really bad from my elbows down and a bit in my shoulders as well.  I had a fever for 2 days and it was about 101.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Gait inability, Nasal congestion, Nausea
Clinical narrative: While I was on vacation  started having shortness of breath.  I was unable to walk up stairs or uphill.  I thought it may just be issues with elevation.  I had nausea.  On our way home, 4 days later, I was very tired and assumed it was changing time zones.  As it turns out another man I was with had COVID-19.  After getting home, I felt a bit better, but very tired.  On July 2nd, that night I woke up and had body aches all over and light headed.  I got up and then halfway through the next day I still felt the same.  I tested positive on Sunday.  As of today, my symptoms I still have fatigue and short of breath.  A lot of head congestion and nasal congestion and heartburn.  For two days, 5th and 6th, I had body aches still and a weird pain in my arms and hands.  They hurt really bad from my elbows down and a bit in my shoulders as well.  I had a fever for 2 days and it was about 101.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: While I was on vacation  started having shortness of breath.  I was unable to walk up stairs or uphill.  I thought it may just be issues with elevation.  I had nausea.  On our way home, 4 days later, I was very tired and assumed it was changing time zones.  As it turns out another man I was with had COVID-19.  After getting home, I felt a bit better, but very tired.  On July 2nd, that night I woke up and had body aches all over and light headed.  I got up and then halfway through the next day I still felt the same.  I tested positive on Sunday.  As of today, my symptoms I still have fatigue and short of breath.  A lot of head congestion and nasal congestion and heartburn.  For two days, 5th and 6th, I had body aches still and a weird pain in my arms and hands.  They hurt really bad from my elbows down and a bit in my shoulders as well.  I had a fever for 2 days and it was about 101.
Age: 26.0
Sex: M
Vaccine: HPV9
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient developed urticaria on neck and bilateral upper extremities about 6 hours after HPV vaccine was given. Hives improved by the following morning but still some mild itching. Advised patient to start benadryl.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Multisystem inflammatory syndrome in children
Clinical narrative: diagnosis on 04/30/2022
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dote administered beyond-use date
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Anaemia, Asthenia, Atrial fibrillation, COVID-19
Clinical narrative: Pfizer Dose 1 4/8/21 (EN6205) Pfizer Dose 2 4/29/21 (EM9809) Pfizer Dose 3 12/16/21 (FG3527) COVID Positive 2/7/22  2/7/22: The patient is 75 year old with known history of oxygen-dependent COPD, chronic respiratory failure, personal history of non-small cell cancer, PE diabetes mellitus chronic kidney disease, diastolic heart failure, paroxysmal atrial fibrillation, aortic stenosis and other medical problems.  He was previously hospitalized on 1/27/2022.  Was treated for acute on chronic heart failure, COPD exacerbation, rapid ventricular response, likely upper GI bleed, anemia and other medical problems.  He received levofloxacin and was discharged to home on oral prednisone. He received vaccinations for  SARS-CoV-2 including booster shot.   He presented to emergency department with worsening cough and worsening shortness of breath of 4 days duration. Increased oxygen requirement.  He required to 8 L oxygen to maintain saturations.  His baseline is at 4.5 L in recent past.      Cough is mostly nonproductive.  Reports orthopnea.  Denied recent weight gain or weight loss. Denied subjective fevers.  He did report generalized weakness, tiredness, diarrhea and felt unwell.  Denied nausea or vomiting.  Denied current hematemesis, melena hematochezia.  He tested positive for  SARS-CoV-2 today.  2/22/22: 75-year-old male patient with a history of 4.5 L dependent COPD at home continuously, non-small cell lung cancer, PE, type 2 diabetes, chronic renal failure stage 3, paroxysmal atrial fibrillation, aortic stenosis was admitted to the hospital on 02/07/22 with complaints of cough and shortness of breath.  Knows to with SARS-CoV-2 virus on admission and started on treatment.  Patient completed a course of Actemra, remdesivir, doxycycline and steroids.  Patient was slowly weaned off of the BiPAP to OptiFlow.  Patient subsequently transition to nasal cannula oxygen.  And electrolyte abnormalities which were all corrected during the hospital.  Patient also had acute exacerbation of his chronic stage I diastolic heart failure with preserved ejection fraction.  Patient was diuresed while in the hospital.  Pulmonology consultation was obtained.  Patient was noted to have cavitary lesions in his lung per the CT of the chest.  The Patient's case was discussed in detail with him and his daughter and the poor prognosis without any significant recovery.  Hospice consultation was obtained and the patient with his daughter decided to be discharged to home with hospice.  All the questions were answered at the time of discharge.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Cardiac failure acute, Chronic left ventricular failure, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal
Clinical narrative: Pfizer Dose 1 4/8/21 (EN6205) Pfizer Dose 2 4/29/21 (EM9809) Pfizer Dose 3 12/16/21 (FG3527) COVID Positive 2/7/22  2/7/22: The patient is 75 year old with known history of oxygen-dependent COPD, chronic respiratory failure, personal history of non-small cell cancer, PE diabetes mellitus chronic kidney disease, diastolic heart failure, paroxysmal atrial fibrillation, aortic stenosis and other medical problems.  He was previously hospitalized on 1/27/2022.  Was treated for acute on chronic heart failure, COPD exacerbation, rapid ventricular response, likely upper GI bleed, anemia and other medical problems.  He received levofloxacin and was discharged to home on oral prednisone. He received vaccinations for  SARS-CoV-2 including booster shot.   He presented to emergency department with worsening cough and worsening shortness of breath of 4 days duration. Increased oxygen requirement.  He required to 8 L oxygen to maintain saturations.  His baseline is at 4.5 L in recent past.      Cough is mostly nonproductive.  Reports orthopnea.  Denied recent weight gain or weight loss. Denied subjective fevers.  He did report generalized weakness, tiredness, diarrhea and felt unwell.  Denied nausea or vomiting.  Denied current hematemesis, melena hematochezia.  He tested positive for  SARS-CoV-2 today.  2/22/22: 75-year-old male patient with a history of 4.5 L dependent COPD at home continuously, non-small cell lung cancer, PE, type 2 diabetes, chronic renal failure stage 3, paroxysmal atrial fibrillation, aortic stenosis was admitted to the hospital on 02/07/22 with complaints of cough and shortness of breath.  Knows to with SARS-CoV-2 virus on admission and started on treatment.  Patient completed a course of Actemra, remdesivir, doxycycline and steroids.  Patient was slowly weaned off of the BiPAP to OptiFlow.  Patient subsequently transition to nasal cannula oxygen.  And electrolyte abnormalities which were all corrected during the hospital.  Patient also had acute exacerbation of his chronic stage I diastolic heart failure with preserved ejection fraction.  Patient was diuresed while in the hospital.  Pulmonology consultation was obtained.  Patient was noted to have cavitary lesions in his lung per the CT of the chest.  The Patient's case was discussed in detail with him and his daughter and the poor prognosis without any significant recovery.  Hospice consultation was obtained and the patient with his daughter decided to be discharged to home with hospice.  All the questions were answered at the time of discharge.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Diarrhoea, Diuretic therapy, Dyspnoea
Clinical narrative: Pfizer Dose 1 4/8/21 (EN6205) Pfizer Dose 2 4/29/21 (EM9809) Pfizer Dose 3 12/16/21 (FG3527) COVID Positive 2/7/22  2/7/22: The patient is 75 year old with known history of oxygen-dependent COPD, chronic respiratory failure, personal history of non-small cell cancer, PE diabetes mellitus chronic kidney disease, diastolic heart failure, paroxysmal atrial fibrillation, aortic stenosis and other medical problems.  He was previously hospitalized on 1/27/2022.  Was treated for acute on chronic heart failure, COPD exacerbation, rapid ventricular response, likely upper GI bleed, anemia and other medical problems.  He received levofloxacin and was discharged to home on oral prednisone. He received vaccinations for  SARS-CoV-2 including booster shot.   He presented to emergency department with worsening cough and worsening shortness of breath of 4 days duration. Increased oxygen requirement.  He required to 8 L oxygen to maintain saturations.  His baseline is at 4.5 L in recent past.      Cough is mostly nonproductive.  Reports orthopnea.  Denied recent weight gain or weight loss. Denied subjective fevers.  He did report generalized weakness, tiredness, diarrhea and felt unwell.  Denied nausea or vomiting.  Denied current hematemesis, melena hematochezia.  He tested positive for  SARS-CoV-2 today.  2/22/22: 75-year-old male patient with a history of 4.5 L dependent COPD at home continuously, non-small cell lung cancer, PE, type 2 diabetes, chronic renal failure stage 3, paroxysmal atrial fibrillation, aortic stenosis was admitted to the hospital on 02/07/22 with complaints of cough and shortness of breath.  Knows to with SARS-CoV-2 virus on admission and started on treatment.  Patient completed a course of Actemra, remdesivir, doxycycline and steroids.  Patient was slowly weaned off of the BiPAP to OptiFlow.  Patient subsequently transition to nasal cannula oxygen.  And electrolyte abnormalities which were all corrected during the hospital.  Patient also had acute exacerbation of his chronic stage I diastolic heart failure with preserved ejection fraction.  Patient was diuresed while in the hospital.  Pulmonology consultation was obtained.  Patient was noted to have cavitary lesions in his lung per the CT of the chest.  The Patient's case was discussed in detail with him and his daughter and the poor prognosis without any significant recovery.  Hospice consultation was obtained and the patient with his daughter decided to be discharged to home with hospice.  All the questions were answered at the time of discharge.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Electrolyte imbalance, Fatigue, Malaise, Orthopnoea, Positive airway pressure therapy
Clinical narrative: Pfizer Dose 1 4/8/21 (EN6205) Pfizer Dose 2 4/29/21 (EM9809) Pfizer Dose 3 12/16/21 (FG3527) COVID Positive 2/7/22  2/7/22: The patient is 75 year old with known history of oxygen-dependent COPD, chronic respiratory failure, personal history of non-small cell cancer, PE diabetes mellitus chronic kidney disease, diastolic heart failure, paroxysmal atrial fibrillation, aortic stenosis and other medical problems.  He was previously hospitalized on 1/27/2022.  Was treated for acute on chronic heart failure, COPD exacerbation, rapid ventricular response, likely upper GI bleed, anemia and other medical problems.  He received levofloxacin and was discharged to home on oral prednisone. He received vaccinations for  SARS-CoV-2 including booster shot.   He presented to emergency department with worsening cough and worsening shortness of breath of 4 days duration. Increased oxygen requirement.  He required to 8 L oxygen to maintain saturations.  His baseline is at 4.5 L in recent past.      Cough is mostly nonproductive.  Reports orthopnea.  Denied recent weight gain or weight loss. Denied subjective fevers.  He did report generalized weakness, tiredness, diarrhea and felt unwell.  Denied nausea or vomiting.  Denied current hematemesis, melena hematochezia.  He tested positive for  SARS-CoV-2 today.  2/22/22: 75-year-old male patient with a history of 4.5 L dependent COPD at home continuously, non-small cell lung cancer, PE, type 2 diabetes, chronic renal failure stage 3, paroxysmal atrial fibrillation, aortic stenosis was admitted to the hospital on 02/07/22 with complaints of cough and shortness of breath.  Knows to with SARS-CoV-2 virus on admission and started on treatment.  Patient completed a course of Actemra, remdesivir, doxycycline and steroids.  Patient was slowly weaned off of the BiPAP to OptiFlow.  Patient subsequently transition to nasal cannula oxygen.  And electrolyte abnormalities which were all corrected during the hospital.  Patient also had acute exacerbation of his chronic stage I diastolic heart failure with preserved ejection fraction.  Patient was diuresed while in the hospital.  Pulmonology consultation was obtained.  Patient was noted to have cavitary lesions in his lung per the CT of the chest.  The Patient's case was discussed in detail with him and his daughter and the poor prognosis without any significant recovery.  Hospice consultation was obtained and the patient with his daughter decided to be discharged to home with hospice.  All the questions were answered at the time of discharge.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary mass, SARS-CoV-2 test positive, Upper gastrointestinal haemorrhage
Clinical narrative: Pfizer Dose 1 4/8/21 (EN6205) Pfizer Dose 2 4/29/21 (EM9809) Pfizer Dose 3 12/16/21 (FG3527) COVID Positive 2/7/22  2/7/22: The patient is 75 year old with known history of oxygen-dependent COPD, chronic respiratory failure, personal history of non-small cell cancer, PE diabetes mellitus chronic kidney disease, diastolic heart failure, paroxysmal atrial fibrillation, aortic stenosis and other medical problems.  He was previously hospitalized on 1/27/2022.  Was treated for acute on chronic heart failure, COPD exacerbation, rapid ventricular response, likely upper GI bleed, anemia and other medical problems.  He received levofloxacin and was discharged to home on oral prednisone. He received vaccinations for  SARS-CoV-2 including booster shot.   He presented to emergency department with worsening cough and worsening shortness of breath of 4 days duration. Increased oxygen requirement.  He required to 8 L oxygen to maintain saturations.  His baseline is at 4.5 L in recent past.      Cough is mostly nonproductive.  Reports orthopnea.  Denied recent weight gain or weight loss. Denied subjective fevers.  He did report generalized weakness, tiredness, diarrhea and felt unwell.  Denied nausea or vomiting.  Denied current hematemesis, melena hematochezia.  He tested positive for  SARS-CoV-2 today.  2/22/22: 75-year-old male patient with a history of 4.5 L dependent COPD at home continuously, non-small cell lung cancer, PE, type 2 diabetes, chronic renal failure stage 3, paroxysmal atrial fibrillation, aortic stenosis was admitted to the hospital on 02/07/22 with complaints of cough and shortness of breath.  Knows to with SARS-CoV-2 virus on admission and started on treatment.  Patient completed a course of Actemra, remdesivir, doxycycline and steroids.  Patient was slowly weaned off of the BiPAP to OptiFlow.  Patient subsequently transition to nasal cannula oxygen.  And electrolyte abnormalities which were all corrected during the hospital.  Patient also had acute exacerbation of his chronic stage I diastolic heart failure with preserved ejection fraction.  Patient was diuresed while in the hospital.  Pulmonology consultation was obtained.  Patient was noted to have cavitary lesions in his lung per the CT of the chest.  The Patient's case was discussed in detail with him and his daughter and the poor prognosis without any significant recovery.  Hospice consultation was obtained and the patient with his daughter decided to be discharged to home with hospice.  All the questions were answered at the time of discharge.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pyrexia
Clinical narrative: High fever, chills, extreme fatigue and headache.
Age: 4.0
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash, Swelling face, Urticaria
Clinical narrative: rash, facial swelling , hives ,Benadryl was given at the office
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Foreign travel, Productive cough, Respiratory tract congestion
Clinical narrative: I had been on a trip, returned on June 27, 2022, tested on June 28, 2022. I started feeling congested and thought I had bronchitis but decided to retest on July 2, 2022 this time the home COVID-19 test came back positive. I emailed my doctor who prescribed PAXLOVID so that I could start it the next day. I am pretty much back to normal, low on energy and small productive cough.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had been on a trip, returned on June 27, 2022, tested on June 28, 2022. I started feeling congested and thought I had bronchitis but decided to retest on July 2, 2022 this time the home COVID-19 test came back positive. I emailed my doctor who prescribed PAXLOVID so that I could start it the next day. I am pretty much back to normal, low on energy and small productive cough.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Feeling abnormal, Hallucination, Oropharyngeal pain
Clinical narrative: On June 29, 2022 the patient stated he had a sore throat. We did a rapid COVID-19 test that came back negative. He woke up at 0200 AM with a 101 degree fever and was hallucinating and did not feel good. At 0500 AM that morning he did another rapid test that came positive. On June 30, 2022 he had a telemedicine appointment at 1000 AM. The doctor said even though he was achy, tired and had a fever, it was a mild case of COVID-19. The symptoms stopped by July 5, 2022 but he was still testing positive on a rapid test. On July 8, 2022 he tested positive on another rapid test in the afternoon. On July 10, 2022 around 0800 AM he finally tested negative on a rapid test.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On June 29, 2022 the patient stated he had a sore throat. We did a rapid COVID-19 test that came back negative. He woke up at 0200 AM with a 101 degree fever and was hallucinating and did not feel good. At 0500 AM that morning he did another rapid test that came positive. On June 30, 2022 he had a telemedicine appointment at 1000 AM. The doctor said even though he was achy, tired and had a fever, it was a mild case of COVID-19. The symptoms stopped by July 5, 2022 but he was still testing positive on a rapid test. On July 8, 2022 he tested positive on another rapid test in the afternoon. On July 10, 2022 around 0800 AM he finally tested negative on a rapid test.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Dysgeusia, Feeling abnormal
Clinical narrative: I started out on Monday with the headache and progressed to a fever and not feeling great. It did progressingly get worse. Wednesday, I noticed that I lost my sense of taste and smell and I noted that there was an antiviral for people my age. I also took an at-home test and that came back positive. I went to the urgent care and they noted that I definitely had COVID-19 and didn?t retest me. They prescribed the Paxlovid and that helped me tremendously. I felt better within a few days and just hung around. Once I took the antiviral, that really seemed to help. I just had no sense of taste or smell for a month afterwards. I self-quarantined for 5 days and, then on day 8 I was still testing positive. Then a couple more days later it came back negative. Not having taste for a month was strange When I drank water, it would taste metallic and the taste would just be awful. Smell came back within about 2 weeks. But since then, i' ve been doing just fine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia, Quarantine, SARS-CoV-2 test positive
Clinical narrative: I started out on Monday with the headache and progressed to a fever and not feeling great. It did progressingly get worse. Wednesday, I noticed that I lost my sense of taste and smell and I noted that there was an antiviral for people my age. I also took an at-home test and that came back positive. I went to the urgent care and they noted that I definitely had COVID-19 and didn?t retest me. They prescribed the Paxlovid and that helped me tremendously. I felt better within a few days and just hung around. Once I took the antiviral, that really seemed to help. I just had no sense of taste or smell for a month afterwards. I self-quarantined for 5 days and, then on day 8 I was still testing positive. Then a couple more days later it came back negative. Not having taste for a month was strange When I drank water, it would taste metallic and the taste would just be awful. Smell came back within about 2 weeks. But since then, i' ve been doing just fine.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Patient received a sub-optimal COVID-19 vaccine due to a storage and handling error. Vaccine was stored in a regular freezer prior to being refrigerated and then administered. The regulatory authority requested that a VAERS form be submitted for this patient.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond use date.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: pt reports a stinging pain in arm that is sharp but resolves quickly at site of moderna booster injection.  1st occurance was 1 month after moderna booster.  It has happened 5 or 6 times since booster received, several weeks apart from each other.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Bladder catheterisation, Bradycardia, COVID-19, Calculus urinary
Clinical narrative: Pfizer Dose 1 5/15/21 (EW0170) Pfizer Dose 2 6/5/21 (EW0176) COVID Positive 4/12/2022  4/12/22: Patient is 66-year-old with known history of Addison's disease, coronary artery disease, nephrolithiasis, past history of sepsis and other medical problems.  She presented to emergency department with sudden onset right flank pain. She also has associated nausea and reports urinary hesitancy. Pain is 10/10 in severity. Had some initial relief with fentanyl in ER. Pain started couple of hours ago and  is intermittent. She reports chills and generalized aches.  She also reported nonproductive cough.  Denies fevers, dysuria, gross hematuria, chest pain, shortness of breath.  She was found to have significant pyuria and budding yeast in urine.  CT scan showed right distal ureteric stone with severe hydronephrosis.  Lab work showed acute kidney injury superimposed on chronic kidney disease.  She underwent cystoscopy and right ureteral stent placement under care of doctor.  She tested positive for  SARS-CoV-2.  She has received SARS-CoV-2 vaccines.  4/15/22: Patient is a 66-year-old female with history of CAD, DM, and Addison's disease who was admitted on 4/12/2022 with a UTI and an obstructing right ureteral stone and right hydroureteronephrosis.  Urology was consulted, and she was taken emergently to the operating room for cystoscopy with right ureteral stent placement. Foley catheter was left in place postprocedure.  The patient's initial urine culture showed 3+ organisms growing and recommended recollect.  Repeat urine culture has grown Candida and Gram-positive cocci.  ID and sensitivity is still pending.  Patient has been on Rocephin and fluconazole for the last several days.  Her Foley was removed yesterday.  She has been voiding freely and without difficulty.  She has been ambulating independently.  She reports today that she feels well.  Patient was quite bradycardic on admission.  Her home metoprolol dose was held.  Her heart rate is currently 50-70, sinus rhythm. She denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations, dysuria, fever, chills. She is requesting to go home today.  I spoke with the urologist, and he is approved the patient to be discharged. Would like her to go home on fluconazole and Duricef for 10 days.  As she was COVID positive on this admission, she will have to be set up for outpatient ureteroscopy in about 1 month. His office will call to set this up.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Candida test positive, Catheter removal, Chills, Chronic kidney disease, Computerised tomogram abdomen abnormal
Clinical narrative: Pfizer Dose 1 5/15/21 (EW0170) Pfizer Dose 2 6/5/21 (EW0176) COVID Positive 4/12/2022  4/12/22: Patient is 66-year-old with known history of Addison's disease, coronary artery disease, nephrolithiasis, past history of sepsis and other medical problems.  She presented to emergency department with sudden onset right flank pain. She also has associated nausea and reports urinary hesitancy. Pain is 10/10 in severity. Had some initial relief with fentanyl in ER. Pain started couple of hours ago and  is intermittent. She reports chills and generalized aches.  She also reported nonproductive cough.  Denies fevers, dysuria, gross hematuria, chest pain, shortness of breath.  She was found to have significant pyuria and budding yeast in urine.  CT scan showed right distal ureteric stone with severe hydronephrosis.  Lab work showed acute kidney injury superimposed on chronic kidney disease.  She underwent cystoscopy and right ureteral stent placement under care of doctor.  She tested positive for  SARS-CoV-2.  She has received SARS-CoV-2 vaccines.  4/15/22: Patient is a 66-year-old female with history of CAD, DM, and Addison's disease who was admitted on 4/12/2022 with a UTI and an obstructing right ureteral stone and right hydroureteronephrosis.  Urology was consulted, and she was taken emergently to the operating room for cystoscopy with right ureteral stent placement. Foley catheter was left in place postprocedure.  The patient's initial urine culture showed 3+ organisms growing and recommended recollect.  Repeat urine culture has grown Candida and Gram-positive cocci.  ID and sensitivity is still pending.  Patient has been on Rocephin and fluconazole for the last several days.  Her Foley was removed yesterday.  She has been voiding freely and without difficulty.  She has been ambulating independently.  She reports today that she feels well.  Patient was quite bradycardic on admission.  Her home metoprolol dose was held.  Her heart rate is currently 50-70, sinus rhythm. She denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations, dysuria, fever, chills. She is requesting to go home today.  I spoke with the urologist, and he is approved the patient to be discharged. Would like her to go home on fluconazole and Duricef for 10 days.  As she was COVID positive on this admission, she will have to be set up for outpatient ureteroscopy in about 1 month. His office will call to set this up.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Culture urine positive, Cystoscopy abnormal, Flank pain, Gram stain positive
Clinical narrative: Pfizer Dose 1 5/15/21 (EW0170) Pfizer Dose 2 6/5/21 (EW0176) COVID Positive 4/12/2022  4/12/22: Patient is 66-year-old with known history of Addison's disease, coronary artery disease, nephrolithiasis, past history of sepsis and other medical problems.  She presented to emergency department with sudden onset right flank pain. She also has associated nausea and reports urinary hesitancy. Pain is 10/10 in severity. Had some initial relief with fentanyl in ER. Pain started couple of hours ago and  is intermittent. She reports chills and generalized aches.  She also reported nonproductive cough.  Denies fevers, dysuria, gross hematuria, chest pain, shortness of breath.  She was found to have significant pyuria and budding yeast in urine.  CT scan showed right distal ureteric stone with severe hydronephrosis.  Lab work showed acute kidney injury superimposed on chronic kidney disease.  She underwent cystoscopy and right ureteral stent placement under care of doctor.  She tested positive for  SARS-CoV-2.  She has received SARS-CoV-2 vaccines.  4/15/22: Patient is a 66-year-old female with history of CAD, DM, and Addison's disease who was admitted on 4/12/2022 with a UTI and an obstructing right ureteral stone and right hydroureteronephrosis.  Urology was consulted, and she was taken emergently to the operating room for cystoscopy with right ureteral stent placement. Foley catheter was left in place postprocedure.  The patient's initial urine culture showed 3+ organisms growing and recommended recollect.  Repeat urine culture has grown Candida and Gram-positive cocci.  ID and sensitivity is still pending.  Patient has been on Rocephin and fluconazole for the last several days.  Her Foley was removed yesterday.  She has been voiding freely and without difficulty.  She has been ambulating independently.  She reports today that she feels well.  Patient was quite bradycardic on admission.  Her home metoprolol dose was held.  Her heart rate is currently 50-70, sinus rhythm. She denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations, dysuria, fever, chills. She is requesting to go home today.  I spoke with the urologist, and he is approved the patient to be discharged. Would like her to go home on fluconazole and Duricef for 10 days.  As she was COVID positive on this admission, she will have to be set up for outpatient ureteroscopy in about 1 month. His office will call to set this up.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hydronephrosis, Laboratory test abnormal, Nausea, Pain, Pyuria
Clinical narrative: Pfizer Dose 1 5/15/21 (EW0170) Pfizer Dose 2 6/5/21 (EW0176) COVID Positive 4/12/2022  4/12/22: Patient is 66-year-old with known history of Addison's disease, coronary artery disease, nephrolithiasis, past history of sepsis and other medical problems.  She presented to emergency department with sudden onset right flank pain. She also has associated nausea and reports urinary hesitancy. Pain is 10/10 in severity. Had some initial relief with fentanyl in ER. Pain started couple of hours ago and  is intermittent. She reports chills and generalized aches.  She also reported nonproductive cough.  Denies fevers, dysuria, gross hematuria, chest pain, shortness of breath.  She was found to have significant pyuria and budding yeast in urine.  CT scan showed right distal ureteric stone with severe hydronephrosis.  Lab work showed acute kidney injury superimposed on chronic kidney disease.  She underwent cystoscopy and right ureteral stent placement under care of doctor.  She tested positive for  SARS-CoV-2.  She has received SARS-CoV-2 vaccines.  4/15/22: Patient is a 66-year-old female with history of CAD, DM, and Addison's disease who was admitted on 4/12/2022 with a UTI and an obstructing right ureteral stone and right hydroureteronephrosis.  Urology was consulted, and she was taken emergently to the operating room for cystoscopy with right ureteral stent placement. Foley catheter was left in place postprocedure.  The patient's initial urine culture showed 3+ organisms growing and recommended recollect.  Repeat urine culture has grown Candida and Gram-positive cocci.  ID and sensitivity is still pending.  Patient has been on Rocephin and fluconazole for the last several days.  Her Foley was removed yesterday.  She has been voiding freely and without difficulty.  She has been ambulating independently.  She reports today that she feels well.  Patient was quite bradycardic on admission.  Her home metoprolol dose was held.  Her heart rate is currently 50-70, sinus rhythm. She denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations, dysuria, fever, chills. She is requesting to go home today.  I spoke with the urologist, and he is approved the patient to be discharged. Would like her to go home on fluconazole and Duricef for 10 days.  As she was COVID positive on this admission, she will have to be set up for outpatient ureteroscopy in about 1 month. His office will call to set this up.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ureteral stent insertion, Urinary hesitation, Urinary tract infection, Urinary tract infection fungal
Clinical narrative: Pfizer Dose 1 5/15/21 (EW0170) Pfizer Dose 2 6/5/21 (EW0176) COVID Positive 4/12/2022  4/12/22: Patient is 66-year-old with known history of Addison's disease, coronary artery disease, nephrolithiasis, past history of sepsis and other medical problems.  She presented to emergency department with sudden onset right flank pain. She also has associated nausea and reports urinary hesitancy. Pain is 10/10 in severity. Had some initial relief with fentanyl in ER. Pain started couple of hours ago and  is intermittent. She reports chills and generalized aches.  She also reported nonproductive cough.  Denies fevers, dysuria, gross hematuria, chest pain, shortness of breath.  She was found to have significant pyuria and budding yeast in urine.  CT scan showed right distal ureteric stone with severe hydronephrosis.  Lab work showed acute kidney injury superimposed on chronic kidney disease.  She underwent cystoscopy and right ureteral stent placement under care of doctor.  She tested positive for  SARS-CoV-2.  She has received SARS-CoV-2 vaccines.  4/15/22: Patient is a 66-year-old female with history of CAD, DM, and Addison's disease who was admitted on 4/12/2022 with a UTI and an obstructing right ureteral stone and right hydroureteronephrosis.  Urology was consulted, and she was taken emergently to the operating room for cystoscopy with right ureteral stent placement. Foley catheter was left in place postprocedure.  The patient's initial urine culture showed 3+ organisms growing and recommended recollect.  Repeat urine culture has grown Candida and Gram-positive cocci.  ID and sensitivity is still pending.  Patient has been on Rocephin and fluconazole for the last several days.  Her Foley was removed yesterday.  She has been voiding freely and without difficulty.  She has been ambulating independently.  She reports today that she feels well.  Patient was quite bradycardic on admission.  Her home metoprolol dose was held.  Her heart rate is currently 50-70, sinus rhythm. She denies shortness of breath at rest, dyspnea on exertion, chest pain, palpitations, dysuria, fever, chills. She is requesting to go home today.  I spoke with the urologist, and he is approved the patient to be discharged. Would like her to go home on fluconazole and Duricef for 10 days.  As she was COVID positive on this admission, she will have to be set up for outpatient ureteroscopy in about 1 month. His office will call to set this up.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Headache
Clinical narrative: Woke up 5/31 feeling congestion and sore throat.  I had body aches and I had low pulse oximeter readings for about 4 days.  I experienced shortness of breath, but never asthma.  By 6/2 coughing and headache developed.  Morning of 5/31 I tested with an At Home COVID 19 Antigen test with a strong positive.  6/5 and 6/6, also positive, but weaker.  6/7 Was first negative test.  Telemedicine with doctor on 5/31.  Doctor prescribed Paxlovid.  Still experiencing a little tickling cough.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Oxygen saturation decreased, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Woke up 5/31 feeling congestion and sore throat.  I had body aches and I had low pulse oximeter readings for about 4 days.  I experienced shortness of breath, but never asthma.  By 6/2 coughing and headache developed.  Morning of 5/31 I tested with an At Home COVID 19 Antigen test with a strong positive.  6/5 and 6/6, also positive, but weaker.  6/7 Was first negative test.  Telemedicine with doctor on 5/31.  Doctor prescribed Paxlovid.  Still experiencing a little tickling cough.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Woke up 5/31 feeling congestion and sore throat.  I had body aches and I had low pulse oximeter readings for about 4 days.  I experienced shortness of breath, but never asthma.  By 6/2 coughing and headache developed.  Morning of 5/31 I tested with an At Home COVID 19 Antigen test with a strong positive.  6/5 and 6/6, also positive, but weaker.  6/7 Was first negative test.  Telemedicine with doctor on 5/31.  Doctor prescribed Paxlovid.  Still experiencing a little tickling cough.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: all over body rash/hives
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatine phosphokinase increased, COVID-19, Escherichia infection
Clinical narrative: Pfizer Dose 1 1/20/21 (EL0140) Pfizer Dose 2 2/10/21 (EL9261) Pfizer Dose 3 12/3/21 (FG3527) COVID Positive 1/20/22  1/22/22: 85-year-old female patient with a history of hypertension, CAD, hypothyroidism, Parkinson's disease, dementia, COPD, chronic constipation, adult failure to thrive lives at a local nursing home.  Patient was sent to the emergency room via paramedics as the patient was found to be not very responsive to the staff at the nursing home. The patient normally is able to perform a few of her activities of daily living and be herself in the wheelchair around the nursing home.  The patient also verbalizes her needs at the nursing home.  The patient was diagnosed with SARS-CoV-2 infection on 1/20/2022.  Since then, patient has been weak, fatigued with no oral intake and reaching state of not being very responsive.  When the paramedics reach the nursing home, the patient's pulse ox was at 78%. Patient was placed on non-rebreather mask with 15 L of oxygen and brought to the hospital.  Upon evaluation, patient is noted to have a urinary tract infection and was given IV antibiotics.  She is also noted to have elevated CK levels with acute renal failure, hypernatremia and hyperchloremia.  Patient's son does not wish for any aggressive treatment but reported treatment with IV fluids, antibiotics.  Patient is a DNR/DNI.  If the patient is not responsive in the next 48-72 hours, the son would like to proceed with hospice care for the emergency room provider.  1/24/22: 85-year-old female patient with a history of CAD, hypothyroidism, hypertension, COPD, dementia, Parkinson's disease, chronic constipation and failure to thrive was admitted on 1/22/2022 for altered mental status.  The patient was recent diagnosed with SARS-CoV-2 infection as of 1/20/2022.  The patient was noted to have fever on admission.  She was also diagnosed with E coli tract infection and requiring significant amount of oxygen at 15 L via OxyMask.  I discussed patient's case with the son on admission who wanted to wait for for clinical to 48 hours to see how the patient responded to treatment.  The but there was no significant improvement in the patient's clinical condition and he decided to proceed with comfort care.  The patient was made comfort care as of 1/23 and transferred to the nursing home this care.  The son did not want to proceed with any further aggressive treatment and with the patient to be comfortable.  The case manager also has spoken with the son prior to discharge.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperchloraemia, Hypernatraemia, Hypophagia, Hyporesponsive to stimuli
Clinical narrative: Pfizer Dose 1 1/20/21 (EL0140) Pfizer Dose 2 2/10/21 (EL9261) Pfizer Dose 3 12/3/21 (FG3527) COVID Positive 1/20/22  1/22/22: 85-year-old female patient with a history of hypertension, CAD, hypothyroidism, Parkinson's disease, dementia, COPD, chronic constipation, adult failure to thrive lives at a local nursing home.  Patient was sent to the emergency room via paramedics as the patient was found to be not very responsive to the staff at the nursing home. The patient normally is able to perform a few of her activities of daily living and be herself in the wheelchair around the nursing home.  The patient also verbalizes her needs at the nursing home.  The patient was diagnosed with SARS-CoV-2 infection on 1/20/2022.  Since then, patient has been weak, fatigued with no oral intake and reaching state of not being very responsive.  When the paramedics reach the nursing home, the patient's pulse ox was at 78%. Patient was placed on non-rebreather mask with 15 L of oxygen and brought to the hospital.  Upon evaluation, patient is noted to have a urinary tract infection and was given IV antibiotics.  She is also noted to have elevated CK levels with acute renal failure, hypernatremia and hyperchloremia.  Patient's son does not wish for any aggressive treatment but reported treatment with IV fluids, antibiotics.  Patient is a DNR/DNI.  If the patient is not responsive in the next 48-72 hours, the son would like to proceed with hospice care for the emergency room provider.  1/24/22: 85-year-old female patient with a history of CAD, hypothyroidism, hypertension, COPD, dementia, Parkinson's disease, chronic constipation and failure to thrive was admitted on 1/22/2022 for altered mental status.  The patient was recent diagnosed with SARS-CoV-2 infection as of 1/20/2022.  The patient was noted to have fever on admission.  She was also diagnosed with E coli tract infection and requiring significant amount of oxygen at 15 L via OxyMask.  I discussed patient's case with the son on admission who wanted to wait for for clinical to 48 hours to see how the patient responded to treatment.  The but there was no significant improvement in the patient's clinical condition and he decided to proceed with comfort care.  The patient was made comfort care as of 1/23 and transferred to the nursing home this care.  The son did not want to proceed with any further aggressive treatment and with the patient to be comfortable.  The case manager also has spoken with the son prior to discharge.