chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Provider hospital summary "Patient is a 74-year-old male with a past medical history of hypertension, asthma who presented with a extensive left lower extremity DVT.  Interventional radiology performed thrombectomy and angioplasty on 11/24.  Unable to place a stent at this time as they did not have the correct size of 16 mm.  Patient will need to remain on anticoagulation and follow-up with Interventional Radiology as an outpatient have stent placed.   this was emphasized with patient and contact information for Dr. was placed on AVS.  Patient is to remain on Eliquis strictly until stent can be placed and this was also emphasized to patient.  Some concern for May Thurner syndrome.  Transition from heparin drip to Eliquis on 11/24.  Pharmacy was contacted and did not have supply of Eliquis until 11/26 around noon.  Patient was discharged with 2 doses of Eliquis to get him through until that time.   Patient had some melena/weight loss/failure to thrive and GI was consulted.  He will need follow-up colonoscopy for screening purposes as an outpatient, deferred as patient was COVID positive.  His blood clot could have been caused by COVID certainly, but worried there may be possible malignancy.  His CA 19-9 was elevated and will need further evaluation and workup.  He will also need age-appropriate cancer screening.   Patient was incidentally found to have COVID and receive regenerate and therapy in the hospital."
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Pneumonia due to COVID-19 virus, received dexamethasone and remdesivir during hospital stay. Discharged home. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after receiving booster dose of vaccination.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, COVID-19, Chest X-ray abnormal, Diarrhoea, Dyspnoea
Clinical narrative: Patient presented to the ER for chief complaint of fatigue, diarrhea, and dyspnea. Patient was seen by his PCP and referred to the EC for further evaluation.  Symptoms started a few days prior to presentation.  Patient had positive contact with his wife with COVID-19.   Chest x-ray shows right mid lower lung infiltrate. Patient was found to be positive for COVID-19. He was hypoxic and was started on supplemental O2 and Decadron. While admitted, patient developed atrial flutter with rapid response. Cardiology was consulted and patient has been started on diltiazem. His HR improved as did his respiratory status and he was able to be weaned to room air. Decadron was discontinued as he was no longer hypoxic and he was discharged home.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Hypoxia, Lung infiltration, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the ER for chief complaint of fatigue, diarrhea, and dyspnea. Patient was seen by his PCP and referred to the EC for further evaluation.  Symptoms started a few days prior to presentation.  Patient had positive contact with his wife with COVID-19.   Chest x-ray shows right mid lower lung infiltrate. Patient was found to be positive for COVID-19. He was hypoxic and was started on supplemental O2 and Decadron. While admitted, patient developed atrial flutter with rapid response. Cardiology was consulted and patient has been started on diltiazem. His HR improved as did his respiratory status and he was able to be weaned to room air. Decadron was discontinued as he was no longer hypoxic and he was discharged home.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Discomfort, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: frequent sinus problems after a cold that started January 4, 2022 (congestion, sore throat, facial pressure)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus disorder, Streptococcus test negative
Clinical narrative: frequent sinus problems after a cold that started January 4, 2022 (congestion, sore throat, facial pressure)
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Pain
Clinical narrative: Supratrochlear gland is painful during some movements, mainly in left arm, sometimes in right,
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Leukaemia, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility for treatment of leukemia and was covid positive.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arthralgia, Blood test, Computerised tomogram, Electrocardiogram
Clinical narrative: I experienced a lot of joint muscle pain to the extent I couldn't walk and had muscle spasms. I had gone to the doctor, had MRI, X-rays, referred to Physical therapy for moderate relief and epidural. I fell out on November 15, 2021 at the store and went to the hospital. They found out I had blood clots in my lungs prescribed me Eliquis. I stopped taking Eliquis February 16, 2022.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Epidural injection, Fall, Gait inability, Magnetic resonance imaging, Muscle spasms
Clinical narrative: I experienced a lot of joint muscle pain to the extent I couldn't walk and had muscle spasms. I had gone to the doctor, had MRI, X-rays, referred to Physical therapy for moderate relief and epidural. I fell out on November 15, 2021 at the store and went to the hospital. They found out I had blood clots in my lungs prescribed me Eliquis. I stopped taking Eliquis February 16, 2022.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pulmonary thrombosis, X-ray
Clinical narrative: I experienced a lot of joint muscle pain to the extent I couldn't walk and had muscle spasms. I had gone to the doctor, had MRI, X-rays, referred to Physical therapy for moderate relief and epidural. I fell out on November 15, 2021 at the store and went to the hospital. They found out I had blood clots in my lungs prescribed me Eliquis. I stopped taking Eliquis February 16, 2022.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Febrile convulsion, Focal dyscognitive seizures, Pyrexia, Seizure, Vagal nerve stimulator implantation
Clinical narrative: Patient  who presented with recurrent partial complex seizures and fevers following his second Covid vaccination, Neurology was consulted and overall presentation was thought to be secondary to breakthrough febrile seizures. He had several more episodes during his stay and so he was started on gabapentin, continued on Lamictal Keppra and felbamate and his vagal nerve stimulator was titrated up to the settings below.  He did quite well with this and seem to be back to his baseline.  He will follow up with his primary neurologist after discharge. ED visit to hospital admission the day after COVID vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Dyspnoea exertional, SARS-CoV-2 test positive
Clinical narrative: Provider hospital summary "Patient is a 67-year-old female with history of diabetes, hypertension, thrombocytopenia presented with shortness of breath with exertion.  Patient's symptoms started 11 days prior to admission.  Patient is vaccinated for COVID-19.  Patient was found to be positive on 11/18 and she was being quarantined at home.  Due to worsening shortness of breath she went to a walk-in clinic and her oxygen saturation was 88%.  Patient was initially sent to ER.  Later on she was transferred to Hospital for further monitoring.  Patient improved rapidly.  Next morning she was insisting to go home.  She will be provided a course of dexamethasone on discharge.  Home oxygen will be arranged."
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Chills, Decreased appetite, Dizziness, Fatigue
Clinical narrative: Redness/pain at site of injection, fever, chills, loss of appetite, dizziness, extreme tiredness, headache, and high blood sugar.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Pyrexia
Clinical narrative: Redness/pain at site of injection, fever, chills, loss of appetite, dizziness, extreme tiredness, headache, and high blood sugar.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was given 0.2 ml of undiluted Pfizer Covid (5-11y) vaccine. No side effects were reported.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Comminuted fracture, Craniotomy, Extradural haematoma, Facial bones fracture, Fracture treatment
Clinical narrative: Admitted after motorcycle accident. He was found to have suffered a large epidural hematoma, sagittal sinus fracture, comminuted bifrontal fractures, and frontal sinus fractures. He was taken to the OR on 09/15/2021 for bifrontal craniotomy and repair of his facial fractures. He also required placement of a trach on 09/15/2021. It was determined that admission to Rehabilitation was necessary to allow for safe discharge back to home. 11/2/21- ED visit for acute headache - treated and released. Received second COVID vaccine while in the hospital,
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Road traffic accident, Skull fracture, Tracheostomy
Clinical narrative: Admitted after motorcycle accident. He was found to have suffered a large epidural hematoma, sagittal sinus fracture, comminuted bifrontal fractures, and frontal sinus fractures. He was taken to the OR on 09/15/2021 for bifrontal craniotomy and repair of his facial fractures. He also required placement of a trach on 09/15/2021. It was determined that admission to Rehabilitation was necessary to allow for safe discharge back to home. 11/2/21- ED visit for acute headache - treated and released. Received second COVID vaccine while in the hospital,
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cardiac telemetry normal, Hypotension
Clinical narrative: Provider hospital summary "Patient is a 85 y/o male w/ history of prostate cancer on Xtandi, Hypertension, CKD III, hyperlipidemia presented 11/24 with weakness, syncope, hypotension, hypoxia and known history of COVID 19 infection. He is admitted for acute hypoxic respiratory insufficiency and debility.    During his hospitalization stay, he received IV Regeneron and was monitored closely. His oxygen requirement has been minimal and did not need O2 supplementation at discharge. Orthostatic hypotension test was negative and no evidence of arrhythmia on telemetry were revealed. No further presyncope or syncopal episode noted while inpatient after holding all anti-hypertensive medications. He was able to ambulate in the room and work with therapy without difficulties. All his anti hypertensive except his diuretic was restarted on discharge. He is advised to discuss re initiation of his diuretic with is PRIMARY CARE PHYSICIAN."
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, SARS-CoV-2 test positive, Syncope
Clinical narrative: Provider hospital summary "Patient is a 85 y/o male w/ history of prostate cancer on Xtandi, Hypertension, CKD III, hyperlipidemia presented 11/24 with weakness, syncope, hypotension, hypoxia and known history of COVID 19 infection. He is admitted for acute hypoxic respiratory insufficiency and debility.    During his hospitalization stay, he received IV Regeneron and was monitored closely. His oxygen requirement has been minimal and did not need O2 supplementation at discharge. Orthostatic hypotension test was negative and no evidence of arrhythmia on telemetry were revealed. No further presyncope or syncopal episode noted while inpatient after holding all anti-hypertensive medications. He was able to ambulate in the room and work with therapy without difficulties. All his anti hypertensive except his diuretic was restarted on discharge. He is advised to discuss re initiation of his diuretic with is PRIMARY CARE PHYSICIAN."
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility with covid infection
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Chills, Crying, Dyspnoea exertional
Clinical narrative: Patient stated that next morning 2/11 she woke up with fatigue, chills, swollen under Left  arm (lymph node area on same side shot was given), also complained of headaches. chills went away on 2/13. On 2/14 felt weakness with SOB with walking. she saw Dr. on 2/12, her Blood pressure was elevated and they did EKG. she left crying office and went home. Dr. told her to fill out a Vaers form for the vaccine but she has no access to internet at home. So she came in to health department to report. She also developed a couple itchy bumps on bilateral ribs.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Headache, Lymphadenopathy, Rash
Clinical narrative: Patient stated that next morning 2/11 she woke up with fatigue, chills, swollen under Left  arm (lymph node area on same side shot was given), also complained of headaches. chills went away on 2/13. On 2/14 felt weakness with SOB with walking. she saw Dr. on 2/12, her Blood pressure was elevated and they did EKG. she left crying office and went home. Dr. told her to fill out a Vaers form for the vaccine but she has no access to internet at home. So she came in to health department to report. She also developed a couple itchy bumps on bilateral ribs.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Patient stated that next morning 2/11 she woke up with fatigue, chills, swollen under Left  arm (lymph node area on same side shot was given), also complained of headaches. chills went away on 2/13. On 2/14 felt weakness with SOB with walking. she saw Dr. on 2/12, her Blood pressure was elevated and they did EKG. she left crying office and went home. Dr. told her to fill out a Vaers form for the vaccine but she has no access to internet at home. So she came in to health department to report. She also developed a couple itchy bumps on bilateral ribs.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Electric shock sensation, Paraesthesia
Clinical narrative: tingling under skin on right side of neck. Similar to a low voltage electricity as used in acupuncture.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Catheterisation cardiac
Clinical narrative: Patient presented with NSTEMI. Cardiology was consulted and he underwent a left heart cath. He remained hemodynamically stable and is being discharged back to his assisted living with skilled nursing. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: On 01/14/2022 patient received a first dose of Moderna Covid-19 shot by the nurse that day. At the time patient was 12 years old and ineligible to receive a Moderna Vaccination due to age. On 02/11/2022, patient came in with mom and brother to receive his second dose. On 02/11/22, it was then realized that the patient had been given the wrong vaccine on 01/14/22 when looking at past consent form, covid vaccination card, and immunization record. Mom and patient were informed of the error. Both mom and patient state they did not notice any abnormal adverse events since receiving first dose. Patient also claims he has not had any heaviness in chest or the feeling of a rapid heart rate. No adverse event occurred and no treatment was needed.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Fatigue, Nasopharyngitis, Pyrexia
Clinical narrative: After the vaccine it felt like I had a really bad cold with congestion. I had a fever, and I was tired. That lasted for 1 day. When I caught covid recently I had a fever, night sweats, chills, shortness of breath, and a dry cough. It kept me out of work for 10 days. I called my doctor and was prescribed Benzonatate, for my cough, and an inhaler. Over the past week I've tested negative for covid, but I still have a dry cough.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: After the vaccine it felt like I had a really bad cold with congestion. I had a fever, and I was tired. That lasted for 1 day. When I caught covid recently I had a fever, night sweats, chills, shortness of breath, and a dry cough. It kept me out of work for 10 days. I called my doctor and was prescribed Benzonatate, for my cough, and an inhaler. Over the past week I've tested negative for covid, but I still have a dry cough.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pt previously received Orange top Pfizer. Provider ordered the second vaccine without realizing that the patient had a birthday.  Mother of child confirmed age of 11 several times to both provider and MA prior to vaccine administration. Provider realized error as the vaccine was being given. Again, confirmed age with mother of child who contiued to say 11 years old, not twelve. Upon review of her age again and confirmation of birthday, realized that pt was 12, not 11 and that birthdate was correct. Pt received Orange top pfizer instead of grey top pfizer.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Injection site mass, Muscular weakness, Pain
Clinical narrative: Sore arm, lump at injection site, headache, body ache, and muscle weakness.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm, lump at injection site, headache, body ache, and muscle weakness.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Cough, Death
Clinical narrative: This patient was fully vaccinated/booster with Pfizer, life long non smoker presented to the ED 1/ 13/22 with sob and cough that worsened. He was also very weak but no reports of any fall s. Checked for COVID and saw his PCP on 1/12/22  prior to ED visit. He was placed on CPAP in the field/EMS and did not do well. Seen in ER for SOB and pulse OX 88%-90% unable to get satisfactory O2 and patient required intubation in ER. Repeat chest x-ray showed persisting infiltrates.  Patient was admitted to ICU.  treated with dexamethasone in case patient is suffering from COVID related respiratory failure. Pt terminally extubated at 1920. Pt expired at 2030.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Endotracheal intubation, Intensive care, Laboratory test
Clinical narrative: This patient was fully vaccinated/booster with Pfizer, life long non smoker presented to the ED 1/ 13/22 with sob and cough that worsened. He was also very weak but no reports of any fall s. Checked for COVID and saw his PCP on 1/12/22  prior to ED visit. He was placed on CPAP in the field/EMS and did not do well. Seen in ER for SOB and pulse OX 88%-90% unable to get satisfactory O2 and patient required intubation in ER. Repeat chest x-ray showed persisting infiltrates.  Patient was admitted to ICU.  treated with dexamethasone in case patient is suffering from COVID related respiratory failure. Pt terminally extubated at 1920. Pt expired at 2030.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Positive airway pressure therapy, Respiratory failure, SARS-CoV-2 test
Clinical narrative: This patient was fully vaccinated/booster with Pfizer, life long non smoker presented to the ED 1/ 13/22 with sob and cough that worsened. He was also very weak but no reports of any fall s. Checked for COVID and saw his PCP on 1/12/22  prior to ED visit. He was placed on CPAP in the field/EMS and did not do well. Seen in ER for SOB and pulse OX 88%-90% unable to get satisfactory O2 and patient required intubation in ER. Repeat chest x-ray showed persisting infiltrates.  Patient was admitted to ICU.  treated with dexamethasone in case patient is suffering from COVID related respiratory failure. Pt terminally extubated at 1920. Pt expired at 2030.
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Aspiration, Atelectasis, COVID-19, COVID-19 pneumonia
Clinical narrative: Provider hospital summary "This is a 80 YO male with h/o Dementia, Parkinson's, Normocytic Anemia, HLD who is presenting to the ED for evaluation of shortness of breath and altered mentation. He was brought in to the ED for evaluation and found to be hypoxic requiring BiPap therapy but fairly quickly weaned down to 4L NC. He was found to be COVID +. He states he "feels better". He is not oriented to place or time but is able to follow simple commands. He was unsure if he was vaccinated but per chart review he received the Moderna vaccine (2/2) in February and March of 2021. CTA completed in the ED was negative for PE but demonstrated a LLL infiltrate. He is to be admitted for sepsis, hypoxia in setting of CAP and COVID 19 Pneumonia.    Upon admission, patient was completed 10 days of decadron and 5 days of remdesivir, PPI for peptic ulcer disease prophylaxis with steroid. His CAP was initially treated with Ceftriaxone 11/24-26 and doxycycline 11/24-28. Repeated CXR later on shows worsening infiltrates and CT showed likely aspiration with material in left bronchus. Patient then suspected Aspiration pneumonia. Patient then started on Zosyn, Give Tessalon, Robitussin, Flutter therapy. CXR 11/30: Markedly improved aeration of the left lung base compared to the prior CT and chest x-ray. Mild residual atelectasis in both lung bases. Zosyn stopped 12/1. SLP evaluated patient, recommends Level 2 mechanically altered, nectar thick. Patient's respiratory function improved significantly, but still require 2-3L NC for maintenance. However, patient continue to have day by day baseline sundowning, confusion, delirium 2/2 his Parkinson's disease and dementia. Patient was then added Seroquel 25 mg nightly without clear improvement. Patient's wife initially resisted to allow patient to go to SNF, then agreed to go to facility due to significant caregiving challenges to the family. Patient will be discharged today to SNF and then will be admitted to SNF later. He will follow up with Neurology with Dr.."
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Confusional state, Delirium, Dementia
Clinical narrative: Provider hospital summary "This is a 80 YO male with h/o Dementia, Parkinson's, Normocytic Anemia, HLD who is presenting to the ED for evaluation of shortness of breath and altered mentation. He was brought in to the ED for evaluation and found to be hypoxic requiring BiPap therapy but fairly quickly weaned down to 4L NC. He was found to be COVID +. He states he "feels better". He is not oriented to place or time but is able to follow simple commands. He was unsure if he was vaccinated but per chart review he received the Moderna vaccine (2/2) in February and March of 2021. CTA completed in the ED was negative for PE but demonstrated a LLL infiltrate. He is to be admitted for sepsis, hypoxia in setting of CAP and COVID 19 Pneumonia.    Upon admission, patient was completed 10 days of decadron and 5 days of remdesivir, PPI for peptic ulcer disease prophylaxis with steroid. His CAP was initially treated with Ceftriaxone 11/24-26 and doxycycline 11/24-28. Repeated CXR later on shows worsening infiltrates and CT showed likely aspiration with material in left bronchus. Patient then suspected Aspiration pneumonia. Patient then started on Zosyn, Give Tessalon, Robitussin, Flutter therapy. CXR 11/30: Markedly improved aeration of the left lung base compared to the prior CT and chest x-ray. Mild residual atelectasis in both lung bases. Zosyn stopped 12/1. SLP evaluated patient, recommends Level 2 mechanically altered, nectar thick. Patient's respiratory function improved significantly, but still require 2-3L NC for maintenance. However, patient continue to have day by day baseline sundowning, confusion, delirium 2/2 his Parkinson's disease and dementia. Patient was then added Seroquel 25 mg nightly without clear improvement. Patient's wife initially resisted to allow patient to go to SNF, then agreed to go to facility due to significant caregiving challenges to the family. Patient will be discharged today to SNF and then will be admitted to SNF later. He will follow up with Neurology with Dr.."
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dyspnoea, Hypoxia, Lung infiltration, Mental status changes
Clinical narrative: Provider hospital summary "This is a 80 YO male with h/o Dementia, Parkinson's, Normocytic Anemia, HLD who is presenting to the ED for evaluation of shortness of breath and altered mentation. He was brought in to the ED for evaluation and found to be hypoxic requiring BiPap therapy but fairly quickly weaned down to 4L NC. He was found to be COVID +. He states he "feels better". He is not oriented to place or time but is able to follow simple commands. He was unsure if he was vaccinated but per chart review he received the Moderna vaccine (2/2) in February and March of 2021. CTA completed in the ED was negative for PE but demonstrated a LLL infiltrate. He is to be admitted for sepsis, hypoxia in setting of CAP and COVID 19 Pneumonia.    Upon admission, patient was completed 10 days of decadron and 5 days of remdesivir, PPI for peptic ulcer disease prophylaxis with steroid. His CAP was initially treated with Ceftriaxone 11/24-26 and doxycycline 11/24-28. Repeated CXR later on shows worsening infiltrates and CT showed likely aspiration with material in left bronchus. Patient then suspected Aspiration pneumonia. Patient then started on Zosyn, Give Tessalon, Robitussin, Flutter therapy. CXR 11/30: Markedly improved aeration of the left lung base compared to the prior CT and chest x-ray. Mild residual atelectasis in both lung bases. Zosyn stopped 12/1. SLP evaluated patient, recommends Level 2 mechanically altered, nectar thick. Patient's respiratory function improved significantly, but still require 2-3L NC for maintenance. However, patient continue to have day by day baseline sundowning, confusion, delirium 2/2 his Parkinson's disease and dementia. Patient was then added Seroquel 25 mg nightly without clear improvement. Patient's wife initially resisted to allow patient to go to SNF, then agreed to go to facility due to significant caregiving challenges to the family. Patient will be discharged today to SNF and then will be admitted to SNF later. He will follow up with Neurology with Dr.."
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Parkinson's disease, Peptic ulcer, Pneumonia, Pneumonia aspiration, Positive airway pressure therapy
Clinical narrative: Provider hospital summary "This is a 80 YO male with h/o Dementia, Parkinson's, Normocytic Anemia, HLD who is presenting to the ED for evaluation of shortness of breath and altered mentation. He was brought in to the ED for evaluation and found to be hypoxic requiring BiPap therapy but fairly quickly weaned down to 4L NC. He was found to be COVID +. He states he "feels better". He is not oriented to place or time but is able to follow simple commands. He was unsure if he was vaccinated but per chart review he received the Moderna vaccine (2/2) in February and March of 2021. CTA completed in the ED was negative for PE but demonstrated a LLL infiltrate. He is to be admitted for sepsis, hypoxia in setting of CAP and COVID 19 Pneumonia.    Upon admission, patient was completed 10 days of decadron and 5 days of remdesivir, PPI for peptic ulcer disease prophylaxis with steroid. His CAP was initially treated with Ceftriaxone 11/24-26 and doxycycline 11/24-28. Repeated CXR later on shows worsening infiltrates and CT showed likely aspiration with material in left bronchus. Patient then suspected Aspiration pneumonia. Patient then started on Zosyn, Give Tessalon, Robitussin, Flutter therapy. CXR 11/30: Markedly improved aeration of the left lung base compared to the prior CT and chest x-ray. Mild residual atelectasis in both lung bases. Zosyn stopped 12/1. SLP evaluated patient, recommends Level 2 mechanically altered, nectar thick. Patient's respiratory function improved significantly, but still require 2-3L NC for maintenance. However, patient continue to have day by day baseline sundowning, confusion, delirium 2/2 his Parkinson's disease and dementia. Patient was then added Seroquel 25 mg nightly without clear improvement. Patient's wife initially resisted to allow patient to go to SNF, then agreed to go to facility due to significant caregiving challenges to the family. Patient will be discharged today to SNF and then will be admitted to SNF later. He will follow up with Neurology with Dr.."
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory disorder, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Provider hospital summary "This is a 80 YO male with h/o Dementia, Parkinson's, Normocytic Anemia, HLD who is presenting to the ED for evaluation of shortness of breath and altered mentation. He was brought in to the ED for evaluation and found to be hypoxic requiring BiPap therapy but fairly quickly weaned down to 4L NC. He was found to be COVID +. He states he "feels better". He is not oriented to place or time but is able to follow simple commands. He was unsure if he was vaccinated but per chart review he received the Moderna vaccine (2/2) in February and March of 2021. CTA completed in the ED was negative for PE but demonstrated a LLL infiltrate. He is to be admitted for sepsis, hypoxia in setting of CAP and COVID 19 Pneumonia.    Upon admission, patient was completed 10 days of decadron and 5 days of remdesivir, PPI for peptic ulcer disease prophylaxis with steroid. His CAP was initially treated with Ceftriaxone 11/24-26 and doxycycline 11/24-28. Repeated CXR later on shows worsening infiltrates and CT showed likely aspiration with material in left bronchus. Patient then suspected Aspiration pneumonia. Patient then started on Zosyn, Give Tessalon, Robitussin, Flutter therapy. CXR 11/30: Markedly improved aeration of the left lung base compared to the prior CT and chest x-ray. Mild residual atelectasis in both lung bases. Zosyn stopped 12/1. SLP evaluated patient, recommends Level 2 mechanically altered, nectar thick. Patient's respiratory function improved significantly, but still require 2-3L NC for maintenance. However, patient continue to have day by day baseline sundowning, confusion, delirium 2/2 his Parkinson's disease and dementia. Patient was then added Seroquel 25 mg nightly without clear improvement. Patient's wife initially resisted to allow patient to go to SNF, then agreed to go to facility due to significant caregiving challenges to the family. Patient will be discharged today to SNF and then will be admitted to SNF later. He will follow up with Neurology with Dr.."
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Cardiac arrest, Chest pain
Clinical narrative: pt admitted to hosp with c/o productive cough, SOB, moderate dyspnea on exertion, wheezing, weakness, myalgias x approximately 2 wks; positive COVID test in ED; O2 sats at 74% on 4 L/min O2; treated with Decadron, antibiotics, nebulizer treatments; during hospitalization, pt c/o chest pain and went into cardiac arrest; unable to be resuscitated; passed away in the hospital of COVID pneumonia
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Dyspnoea exertional, Myalgia, Productive cough
Clinical narrative: pt admitted to hosp with c/o productive cough, SOB, moderate dyspnea on exertion, wheezing, weakness, myalgias x approximately 2 wks; positive COVID test in ED; O2 sats at 74% on 4 L/min O2; treated with Decadron, antibiotics, nebulizer treatments; during hospitalization, pt c/o chest pain and went into cardiac arrest; unable to be resuscitated; passed away in the hospital of COVID pneumonia
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Resuscitation, SARS-CoV-2 test positive, Wheezing
Clinical narrative: pt admitted to hosp with c/o productive cough, SOB, moderate dyspnea on exertion, wheezing, weakness, myalgias x approximately 2 wks; positive COVID test in ED; O2 sats at 74% on 4 L/min O2; treated with Decadron, antibiotics, nebulizer treatments; during hospitalization, pt c/o chest pain and went into cardiac arrest; unable to be resuscitated; passed away in the hospital of COVID pneumonia
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Walking aid user
Clinical narrative: Patient  presented to ER with difficulty breathing. He received 3 days of abx and completed his azithromycin.  He has worked with PT and will use a FWW to ambulate.  ON day of discharge, he was no longer requiring O2. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, not boosted.   COVID infection breakthrough
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Fatigue, Myocardial infarction
Clinical narrative: Severe fatigue and worsening  for 5 , followed by Fatal heart attack.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Diarrhoea, Headache
Clinical narrative: Within 24hrs after receiving the booster i began experiencing side effects.  They quickly became debilitating and remained so for 48hrs.  The side effects included lethargy, fever of 101°,  chills, headache, body aches, nausea, diarrhea, loss of appetite, and jaw pain.  The reason I am reporting this is because these were much more severe than than what I experienced after the 2nd dose but, according to any information I was able to access, there was nothing stating that booster side effects could be significantly worse than the 2nd does.  Additionally, there was no mention of the jaw pain.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Nausea, Pain, Pain in jaw, Pyrexia
Clinical narrative: Within 24hrs after receiving the booster i began experiencing side effects.  They quickly became debilitating and remained so for 48hrs.  The side effects included lethargy, fever of 101°,  chills, headache, body aches, nausea, diarrhea, loss of appetite, and jaw pain.  The reason I am reporting this is because these were much more severe than than what I experienced after the 2nd dose but, according to any information I was able to access, there was nothing stating that booster side effects could be significantly worse than the 2nd does.  Additionally, there was no mention of the jaw pain.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Blood cholesterol increased, Blood creatine increased, Condition aggravated, Dizziness
Clinical narrative: Passing kidney stones which hasn?t happend in 8 months Heart arithmia, rapid heart beat when doing anything, extreme lightheadedness
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Heart rate increased, Nephrolithiasis
Clinical narrative: Passing kidney stones which hasn?t happend in 8 months Heart arithmia, rapid heart beat when doing anything, extreme lightheadedness
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Chest X-ray abnormal, Dyspnoea, Hypoxia
Clinical narrative: Patient is a 51 y White or Caucasian male admitted 1/22/2022 initially presenting with c/o SOB, TBI and is a quadriplegic s/p MVA. Patient arrived hypoxic, not on home O2, placed on supplmental O2.  CXR noting B/L lung atelectasis.  Patient admitted with consult to ID. Patient was started on IV Unasyn. Patient was weaned to room air, he can be downgraded from moderate care.  Aspiration pneumonia likely- ordered Unasyn. Patient went home on PO abx augmentin and another 5 days of steroids
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration, SARS-CoV-2 test positive
Clinical narrative: Patient is a 51 y White or Caucasian male admitted 1/22/2022 initially presenting with c/o SOB, TBI and is a quadriplegic s/p MVA. Patient arrived hypoxic, not on home O2, placed on supplmental O2.  CXR noting B/L lung atelectasis.  Patient admitted with consult to ID. Patient was started on IV Unasyn. Patient was weaned to room air, he can be downgraded from moderate care.  Aspiration pneumonia likely- ordered Unasyn. Patient went home on PO abx augmentin and another 5 days of steroids
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Glossodynia, Headache, Immediate post-injection reaction, Pain in extremity
Clinical narrative: Immediately after the vaccination got a headache and sore arm and the next day my arm had 3 inch red bump. Also had a fever and it was 105.6 and then the fever came down. Then the next morning I had a big blister on the side of my tongue and that still remains tender in that spot. Had a headache for the next 30 days and a fever on and off since getting vaccinated.  Also is having intermittent fevers still as of today 02.23.22
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Rash erythematous, Tongue blistering, Viral titre
Clinical narrative: Immediately after the vaccination got a headache and sore arm and the next day my arm had 3 inch red bump. Also had a fever and it was 105.6 and then the fever came down. Then the next morning I had a big blister on the side of my tongue and that still remains tender in that spot. Had a headache for the next 30 days and a fever on and off since getting vaccinated.  Also is having intermittent fevers still as of today 02.23.22
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated on 2/8/22. Not boosted. COVID-19 infection breakthrough.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Client received 2 doses of other COVID vaccine and requested a booster dose of Moderna vaccine. Administered dose of Moderna COVID vaccine. After client left realized that a full 0.5 ml dose of Moderna was administered instead of 0.25 ml booster dose.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Bradycardia, COVID-19, Cough
Clinical narrative: Provider hospital summary "73-year-old female with the rheumatoid arthritis on Humira, who completed the COVID vaccine serious several months ago developed shortness of breath and cough and was tested positive for COVID-19 on 11/21/2021.  Patient was not able to get Regeneron. Patient later got worse at home and  presented with shortness of breath and generalized weakness and diarrhea on 11/26/2021. I think patient had acute respiratory failure as evidenced by ED note " Resp: 24, SpO2: 91 % (88% SpO2 when ambulating)".  Patient was given dexamethasone, she received 3 doses of remdesivir, her oxygen requirements decreased to room air on 11/29/2021 and patient is being discharged home.  She is still somewhat did has generalized weakness.  Physical therapy recommended that she gets outpatient PT OT, however I do not think patient can get out of the house with isolation requirements and without taxing effort due to her illness.  We will order home care with nurse and PT OT.  Patient will continue dexamethasone and cough medications at home as well as incentive spirometer. During the hospital stay patient was noted at times to have episodes of bradycardia down to 46, asymptomatic. Diarrhea resolved. BP medications had to be held due to hypotension"
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Hypotension, Illness, SARS-CoV-2 test positive
Clinical narrative: Provider hospital summary "73-year-old female with the rheumatoid arthritis on Humira, who completed the COVID vaccine serious several months ago developed shortness of breath and cough and was tested positive for COVID-19 on 11/21/2021.  Patient was not able to get Regeneron. Patient later got worse at home and  presented with shortness of breath and generalized weakness and diarrhea on 11/26/2021. I think patient had acute respiratory failure as evidenced by ED note " Resp: 24, SpO2: 91 % (88% SpO2 when ambulating)".  Patient was given dexamethasone, she received 3 doses of remdesivir, her oxygen requirements decreased to room air on 11/29/2021 and patient is being discharged home.  She is still somewhat did has generalized weakness.  Physical therapy recommended that she gets outpatient PT OT, however I do not think patient can get out of the house with isolation requirements and without taxing effort due to her illness.  We will order home care with nurse and PT OT.  Patient will continue dexamethasone and cough medications at home as well as incentive spirometer. During the hospital stay patient was noted at times to have episodes of bradycardia down to 46, asymptomatic. Diarrhea resolved. BP medications had to be held due to hypotension"
Age: 63.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Brain abscess, Craniotomy, Drainage
Clinical narrative: Brain abscess, status post craniotomy and drainage. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Dyspnoea, Echocardiogram, Heart rate increased
Clinical narrative: After receiving vaccine, I was working in the yard, removing trees and could not catch my breath.  After a certain point, I sat down and it took about 30 minutes to start to breath normal.  Caught covid at end of December and had pneumonia.  Doctor also said I had a-fib.  Never had this issue before the shot.  Spent 9 days in bed with fever (102-103) then went to emergency and was admintted to the hospital.  There I found out I had a-fib.  Pulse rate ranges from 54 to 120 with the highest of 172 (only measured once).  I now take cardizem and another heart/bp medicine plus lasix, xeralto, potasium, and other vitamins.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pneumonia, Pyrexia
Clinical narrative: After receiving vaccine, I was working in the yard, removing trees and could not catch my breath.  After a certain point, I sat down and it took about 30 minutes to start to breath normal.  Caught covid at end of December and had pneumonia.  Doctor also said I had a-fib.  Never had this issue before the shot.  Spent 9 days in bed with fever (102-103) then went to emergency and was admintted to the hospital.  There I found out I had a-fib.  Pulse rate ranges from 54 to 120 with the highest of 172 (only measured once).  I now take cardizem and another heart/bp medicine plus lasix, xeralto, potasium, and other vitamins.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Vaccine positive rechallenge
Clinical narrative: This was a Moderna booster. After vaccine was given, I took 25mg Benadryl, another 25mg at bedtime. The next day I had a full rash on both forearms. Benadryl was required every 6 hours x 2 days. Rash was gone by day 3. This happened after dose 1 and 2 of Moderna. However, the rash lasted 1 day and was only on the arm that received the vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Interchange of vaccine products
Clinical narrative: Client received 2 doses of Sinovac COVID vaccine in country and requested a booster dose of Moderna vaccine. Administered dose of Moderna COVID vaccine. After client left realized that a full 0.5 ml dose of Moderna was administered instead of 0.25 ml booster dose.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Death
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/27/2021, 2/16/2021 and 8/14/2021. Presented to ED 2/11/22 c/o SOB, O2 sats in 30s on arrival. Admitted for acute hypoxemic resp failure 2/2 covid PNA. Oxygenation demands escalated to Bipap w/eventual intubation on admission day 2. Received inhaled epoprostenol and one day of remdesivir. Started on empiric antibiotics. Large DVT resulting in Phlegmasia cerulea dolens dx'd 2/12/22 c/b multiple PEs on CTA and sepsis. 2/13/22 pressor requirements increased with MAPs below 60 tx'd w/3 pressors. Transiioned to comfort care, expired 2/14/22.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Deep vein thrombosis, Dyspnoea, Endotracheal intubation, Positive airway pressure therapy, Pulmonary embolism
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/27/2021, 2/16/2021 and 8/14/2021. Presented to ED 2/11/22 c/o SOB, O2 sats in 30s on arrival. Admitted for acute hypoxemic resp failure 2/2 covid PNA. Oxygenation demands escalated to Bipap w/eventual intubation on admission day 2. Received inhaled epoprostenol and one day of remdesivir. Started on empiric antibiotics. Large DVT resulting in Phlegmasia cerulea dolens dx'd 2/12/22 c/b multiple PEs on CTA and sepsis. 2/13/22 pressor requirements increased with MAPs below 60 tx'd w/3 pressors. Transiioned to comfort care, expired 2/14/22.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/27/2021, 2/16/2021 and 8/14/2021. Presented to ED 2/11/22 c/o SOB, O2 sats in 30s on arrival. Admitted for acute hypoxemic resp failure 2/2 covid PNA. Oxygenation demands escalated to Bipap w/eventual intubation on admission day 2. Received inhaled epoprostenol and one day of remdesivir. Started on empiric antibiotics. Large DVT resulting in Phlegmasia cerulea dolens dx'd 2/12/22 c/b multiple PEs on CTA and sepsis. 2/13/22 pressor requirements increased with MAPs below 60 tx'd w/3 pressors. Transiioned to comfort care, expired 2/14/22.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Knee arthroplasty
Clinical narrative: Robotic assisted left total knee replacement. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Blood alkaline phosphatase increased, Blood creatinine increased, Blood glucose normal
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 8/31/21 and 9/21/21. Covid+ 1/23/22. Admitted to ED on 1/26/22 for AMS. Minimally responsive and hypotensive on admission, dx'd w/septic shock 2/2 Covid19 c/b severely hypernatremic & dehydrated w/acute kidney failure, NSTEMI (likely demand), transaminitis and metabolic encephalopathy. Initial labs showed:  Na+ 186, glu 161, BUN 184, Cr. 7.04, Alk Phos 190, trop 0.21, procal 0.57, COVID positive. Transitioned to comfort care. Treated with vancomycin and zosyn. Pt expired on 2/9/2022.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium increased, Blood urea increased, COVID-19, Death, Dehydration
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 8/31/21 and 9/21/21. Covid+ 1/23/22. Admitted to ED on 1/26/22 for AMS. Minimally responsive and hypotensive on admission, dx'd w/septic shock 2/2 Covid19 c/b severely hypernatremic & dehydrated w/acute kidney failure, NSTEMI (likely demand), transaminitis and metabolic encephalopathy. Initial labs showed:  Na+ 186, glu 161, BUN 184, Cr. 7.04, Alk Phos 190, trop 0.21, procal 0.57, COVID positive. Transitioned to comfort care. Treated with vancomycin and zosyn. Pt expired on 2/9/2022.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypernatraemia, Hyporesponsive to stimuli, Hypotension, Mental status changes, Metabolic encephalopathy
Clinical narrative: Pfizer COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccine on 8/31/21 and 9/21/21. Covid+ 1/23/22. Admitted to ED on 1/26/22 for AMS. Minimally responsive and hypotensive on admission, dx'd w/septic shock 2/2 Covid19 c/b severely hypernatremic & dehydrated w/acute kidney failure, NSTEMI (likely demand), transaminitis and metabolic encephalopathy. Initial labs showed:  Na+ 186, glu 161, BUN 184, Cr. 7.04, Alk Phos 190, trop 0.21, procal 0.57, COVID positive. Transitioned to comfort care. Treated with vancomycin and zosyn. Pt expired on 2/9/2022.