chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Angiogram cerebral normal, Aphasia, Bladder catheterisation, Blood pressure increased, Computerised tomogram head abnormal
Clinical narrative: 1/19/2023 - 1/20/2023 (23 hours) Hospital Emergency CHIEF COMPLAINT: POSSIBLE STROKE  The patient is a pleasant 85-year-old female who presents to the ER as a stroke alert.  She was seen in the Trauma Bay hot spot along with Stroke Neurology.  Patient reports that she was at home with her husband and around 16:30 today she started feeling confused.  She felt like she was having difficulty getting some of her words out.  Patient denies any unilateral numbness or weakness.  No headaches.  On initial exam, stroke scale is 3. Patient has some partial hemianopsia which appears chronic per previous records.  Patient also had 1 point off for knowing her age as well as 1 for mild aphasia.   After evaluation, patient is taken emergently to CT scan for CT head without contrast as well as advanced imaging.   Patient's records were reviewed.  Patient is on aspirin and Plavix.  No other obvious blood thinners.   In reviewing patient's records it does state she has had previous hemianopsia consistent with her symptoms today.   Patient's blood pressure would intermittently spike into the 190s to 200 systolic.  It would then come back down into the 160s.   After CT scan, patient was taken back to an ER room.  After speaking with the patient further, she feels more that she is confused rather than actually having difficulty speaking.   CT head came back showing no acute abnormalities.  CT angiogram and perfusion came back showing no large vessel occlusion or perfusion changes.   At this point, we did discuss giving TNK to this patient for mild language changes.  It does seem that patient's symptoms more consistent with confusion than actual dysarthria or aphasia.  Also patient's blood pressure does intermittently spike into the 200.  She is given IV labetalol.   After discussion with Stroke Neurology, it was felt symptoms are most likely secondary to patient's confusion from hypertension urgency.  However, we could have further discussion with the patient and shared decision making regarding giving IV TNK in the event of potential stroke.   At this point, patient was continually complained that she had to urinate but could not go.  At that point nursing staff did perform urine catheterization.  Approximately 1 L of urine was removed.  Patient did feel significantly improved after this.   We did discuss risks and benefits with patient and family at bedside.  In having these discussions, patient was actually able to speak quite fluently.  She would intermittently problems remembering things but was having less problem with her speech.  We did talk about risks and benefits of TNK and did offer this to the patient.  Given that the patient is already on aspirin and Plavix, she was more concerned about potential risk of bleeding.  Ultimately, she declined IV TNK.   The patient will be admitted for further blood pressure management and further workup.
Age: 84.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Confusional state, Hemianopia, Hypertensive urgency, NIH stroke scale, Perfusion brain scan normal
Clinical narrative: 1/19/2023 - 1/20/2023 (23 hours) Hospital Emergency CHIEF COMPLAINT: POSSIBLE STROKE  The patient is a pleasant 85-year-old female who presents to the ER as a stroke alert.  She was seen in the Trauma Bay hot spot along with Stroke Neurology.  Patient reports that she was at home with her husband and around 16:30 today she started feeling confused.  She felt like she was having difficulty getting some of her words out.  Patient denies any unilateral numbness or weakness.  No headaches.  On initial exam, stroke scale is 3. Patient has some partial hemianopsia which appears chronic per previous records.  Patient also had 1 point off for knowing her age as well as 1 for mild aphasia.   After evaluation, patient is taken emergently to CT scan for CT head without contrast as well as advanced imaging.   Patient's records were reviewed.  Patient is on aspirin and Plavix.  No other obvious blood thinners.   In reviewing patient's records it does state she has had previous hemianopsia consistent with her symptoms today.   Patient's blood pressure would intermittently spike into the 190s to 200 systolic.  It would then come back down into the 160s.   After CT scan, patient was taken back to an ER room.  After speaking with the patient further, she feels more that she is confused rather than actually having difficulty speaking.   CT head came back showing no acute abnormalities.  CT angiogram and perfusion came back showing no large vessel occlusion or perfusion changes.   At this point, we did discuss giving TNK to this patient for mild language changes.  It does seem that patient's symptoms more consistent with confusion than actual dysarthria or aphasia.  Also patient's blood pressure does intermittently spike into the 200.  She is given IV labetalol.   After discussion with Stroke Neurology, it was felt symptoms are most likely secondary to patient's confusion from hypertension urgency.  However, we could have further discussion with the patient and shared decision making regarding giving IV TNK in the event of potential stroke.   At this point, patient was continually complained that she had to urinate but could not go.  At that point nursing staff did perform urine catheterization.  Approximately 1 L of urine was removed.  Patient did feel significantly improved after this.   We did discuss risks and benefits with patient and family at bedside.  In having these discussions, patient was actually able to speak quite fluently.  She would intermittently problems remembering things but was having less problem with her speech.  We did talk about risks and benefits of TNK and did offer this to the patient.  Given that the patient is already on aspirin and Plavix, she was more concerned about potential risk of bleeding.  Ultimately, she declined IV TNK.   The patient will be admitted for further blood pressure management and further workup.
Age: 84.0
Sex: F
Vaccine: COVID19-2, FLUA4
Symptoms: Urinary retention
Clinical narrative: 1/19/2023 - 1/20/2023 (23 hours) Hospital Emergency CHIEF COMPLAINT: POSSIBLE STROKE  The patient is a pleasant 85-year-old female who presents to the ER as a stroke alert.  She was seen in the Trauma Bay hot spot along with Stroke Neurology.  Patient reports that she was at home with her husband and around 16:30 today she started feeling confused.  She felt like she was having difficulty getting some of her words out.  Patient denies any unilateral numbness or weakness.  No headaches.  On initial exam, stroke scale is 3. Patient has some partial hemianopsia which appears chronic per previous records.  Patient also had 1 point off for knowing her age as well as 1 for mild aphasia.   After evaluation, patient is taken emergently to CT scan for CT head without contrast as well as advanced imaging.   Patient's records were reviewed.  Patient is on aspirin and Plavix.  No other obvious blood thinners.   In reviewing patient's records it does state she has had previous hemianopsia consistent with her symptoms today.   Patient's blood pressure would intermittently spike into the 190s to 200 systolic.  It would then come back down into the 160s.   After CT scan, patient was taken back to an ER room.  After speaking with the patient further, she feels more that she is confused rather than actually having difficulty speaking.   CT head came back showing no acute abnormalities.  CT angiogram and perfusion came back showing no large vessel occlusion or perfusion changes.   At this point, we did discuss giving TNK to this patient for mild language changes.  It does seem that patient's symptoms more consistent with confusion than actual dysarthria or aphasia.  Also patient's blood pressure does intermittently spike into the 200.  She is given IV labetalol.   After discussion with Stroke Neurology, it was felt symptoms are most likely secondary to patient's confusion from hypertension urgency.  However, we could have further discussion with the patient and shared decision making regarding giving IV TNK in the event of potential stroke.   At this point, patient was continually complained that she had to urinate but could not go.  At that point nursing staff did perform urine catheterization.  Approximately 1 L of urine was removed.  Patient did feel significantly improved after this.   We did discuss risks and benefits with patient and family at bedside.  In having these discussions, patient was actually able to speak quite fluently.  She would intermittently problems remembering things but was having less problem with her speech.  We did talk about risks and benefits of TNK and did offer this to the patient.  Given that the patient is already on aspirin and Plavix, she was more concerned about potential risk of bleeding.  Ultimately, she declined IV TNK.   The patient will be admitted for further blood pressure management and further workup.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Acute kidney injury, Aspiration pleural cavity, Blood creatinine increased, COVID-19, Cough
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "82-year-old gentleman with past medical history significant for chronic obstructive pulmonary disease, coronary artery disease, CVA, ventricular tachycardia status post ICD, hypertension, OSA on oxygen at night as well as orthostatic hypotension.  He presented to the emergency department on 01/01/2023 with a chief complaint of worsening shortness of Breath.  Patient was recently in the emergency department and was diagnosed with COVID, he was not hypoxic so he was sent home nebulizers.  He states over last couple days his symptoms have gotten progressively worse so they decided to return to the emergency department.  Wife and daughter are at bedside.  He admits to a cough which is nonproductive.  He denies any chest pain, abdominal pain, nausea or vomiting.  He does admit to a few episodes of diarrhea this morning.  On arrival to the emergency department he was noted to be fluid overloaded as well as COVID positive and was given a dose of Lasix.  He will be admitted to the floor for further monitoring.   Patient was given a couple doses of lasix with minimal improvement and an increase in his creatinine levels which resulted in patient undergoing a thoracentesis from which he received tremendous benefit. Patient was kept an additional day for observation as he had returned to his baseline O2 requirement of 1-2L NC. The following day patient was discharged after working with therapies. While there was some discussion on possible rehab prior to discharge home, family and patient reported good support at home and deferred option. Patient further continued to have a stable mild AKI with Cr. 1.3 and a repeat BMP for 1 week from discharge was ordered. "
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: Diarrhoea, Dyspnoea, Hypervolaemia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "82-year-old gentleman with past medical history significant for chronic obstructive pulmonary disease, coronary artery disease, CVA, ventricular tachycardia status post ICD, hypertension, OSA on oxygen at night as well as orthostatic hypotension.  He presented to the emergency department on 01/01/2023 with a chief complaint of worsening shortness of Breath.  Patient was recently in the emergency department and was diagnosed with COVID, he was not hypoxic so he was sent home nebulizers.  He states over last couple days his symptoms have gotten progressively worse so they decided to return to the emergency department.  Wife and daughter are at bedside.  He admits to a cough which is nonproductive.  He denies any chest pain, abdominal pain, nausea or vomiting.  He does admit to a few episodes of diarrhea this morning.  On arrival to the emergency department he was noted to be fluid overloaded as well as COVID positive and was given a dose of Lasix.  He will be admitted to the floor for further monitoring.   Patient was given a couple doses of lasix with minimal improvement and an increase in his creatinine levels which resulted in patient undergoing a thoracentesis from which he received tremendous benefit. Patient was kept an additional day for observation as he had returned to his baseline O2 requirement of 1-2L NC. The following day patient was discharged after working with therapies. While there was some discussion on possible rehab prior to discharge home, family and patient reported good support at home and deferred option. Patient further continued to have a stable mild AKI with Cr. 1.3 and a repeat BMP for 1 week from discharge was ordered. "
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: CSF test, Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Myelitis transverse
Clinical narrative: Transverse myelitis involving the conus medullaris and cauda equina with MRI demonstrating enhancement of the distal thoracic spinal cord and the cauda equina
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Atrial fibrillation, COVID-19, Cardiac disorder, Cardiac stress test abnormal
Clinical narrative: On 11/18/2021 I received my Covid-19 vaccine. On 10/14/2022 I began to feel tired with a tightness in my chest. I decided to take my blood pressure which was 200/120. I went to the emergency room and was tested with an EKG and stress test. I was diagnosed with Atrial fibrillation. I was admitted to the hospital for 2 days and then released. I had to take off work for 1 week for rest.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram abnormal, Fatigue, Impaired work ability
Clinical narrative: On 11/18/2021 I received my Covid-19 vaccine. On 10/14/2022 I began to feel tired with a tightness in my chest. I decided to take my blood pressure which was 200/120. I went to the emergency room and was tested with an EKG and stress test. I was diagnosed with Atrial fibrillation. I was admitted to the hospital for 2 days and then released. I had to take off work for 1 week for rest.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood fibrinogen increased, Blood glucose normal, Blood lactic acid, C-reactive protein increased
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "85-year-old recently widowed male with past medical history significant for coronary disease status post remote stenting, primary hypertension, borderline Type 2 diabetes mellitus, and hyperlipidemia presenting with a several day history of generalized weakness with significant chills with progressive decreased activity tolerance.  His weakness got so bad at home and he could get out of his chair today.  Therefore, his family brought him to the ER for evaluation.  On interview patient also reports some last about loss of appetite over the past few days and some recent weight loss since passing of his wife within the last month.  Patient denies had   On presentation to the ER patient was found to be COVID-19 positive.  He also was found to have a fever of 40° Celsius, mild sinus tachycardia, lymphopenia to 300, thrombocytopenia to 118 and blood sugar of 154.   CXR showed possible early left lower lobe infiltrate.  He was also found to have hypoxia to 85% and was titrated to 4 liters by nasal cannula.  He had some mild intermittent hypotension with a lactate of 2.2 which improved to 1.7.  I had them add on a CRP which was 11.7 with D-dimer of 1,00 and fibrinogen of 473.    Patient was started on treatment for Covid-19 including supportive management with O2 and dexamethasone and Remdesivir. He was further treated with CAP coverage for LLL pneumonia for possible concomitant bacterial pneumonia. Patient responded very well to therapy and did not require supplemental O2 for the remainder of his hospitalization. He continued to receive both antiviral and antibiotic medication. Patient was discharged after working with therapies and reassurance from family and patient that he was near his baseline. "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chills, Decreased activity, Decreased appetite
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "85-year-old recently widowed male with past medical history significant for coronary disease status post remote stenting, primary hypertension, borderline Type 2 diabetes mellitus, and hyperlipidemia presenting with a several day history of generalized weakness with significant chills with progressive decreased activity tolerance.  His weakness got so bad at home and he could get out of his chair today.  Therefore, his family brought him to the ER for evaluation.  On interview patient also reports some last about loss of appetite over the past few days and some recent weight loss since passing of his wife within the last month.  Patient denies had   On presentation to the ER patient was found to be COVID-19 positive.  He also was found to have a fever of 40° Celsius, mild sinus tachycardia, lymphopenia to 300, thrombocytopenia to 118 and blood sugar of 154.   CXR showed possible early left lower lobe infiltrate.  He was also found to have hypoxia to 85% and was titrated to 4 liters by nasal cannula.  He had some mild intermittent hypotension with a lactate of 2.2 which improved to 1.7.  I had them add on a CRP which was 11.7 with D-dimer of 1,00 and fibrinogen of 473.    Patient was started on treatment for Covid-19 including supportive management with O2 and dexamethasone and Remdesivir. He was further treated with CAP coverage for LLL pneumonia for possible concomitant bacterial pneumonia. Patient responded very well to therapy and did not require supplemental O2 for the remainder of his hospitalization. He continued to receive both antiviral and antibiotic medication. Patient was discharged after working with therapies and reassurance from family and patient that he was near his baseline. "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer, Hypotension, Hypoxia, Lymphocyte count decreased, Lymphopenia
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "85-year-old recently widowed male with past medical history significant for coronary disease status post remote stenting, primary hypertension, borderline Type 2 diabetes mellitus, and hyperlipidemia presenting with a several day history of generalized weakness with significant chills with progressive decreased activity tolerance.  His weakness got so bad at home and he could get out of his chair today.  Therefore, his family brought him to the ER for evaluation.  On interview patient also reports some last about loss of appetite over the past few days and some recent weight loss since passing of his wife within the last month.  Patient denies had   On presentation to the ER patient was found to be COVID-19 positive.  He also was found to have a fever of 40° Celsius, mild sinus tachycardia, lymphopenia to 300, thrombocytopenia to 118 and blood sugar of 154.   CXR showed possible early left lower lobe infiltrate.  He was also found to have hypoxia to 85% and was titrated to 4 liters by nasal cannula.  He had some mild intermittent hypotension with a lactate of 2.2 which improved to 1.7.  I had them add on a CRP which was 11.7 with D-dimer of 1,00 and fibrinogen of 473.    Patient was started on treatment for Covid-19 including supportive management with O2 and dexamethasone and Remdesivir. He was further treated with CAP coverage for LLL pneumonia for possible concomitant bacterial pneumonia. Patient responded very well to therapy and did not require supplemental O2 for the remainder of his hospitalization. He continued to receive both antiviral and antibiotic medication. Patient was discharged after working with therapies and reassurance from family and patient that he was near his baseline. "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Pneumonia, Pyrexia, SARS-CoV-2 test positive, Sinus tachycardia
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "85-year-old recently widowed male with past medical history significant for coronary disease status post remote stenting, primary hypertension, borderline Type 2 diabetes mellitus, and hyperlipidemia presenting with a several day history of generalized weakness with significant chills with progressive decreased activity tolerance.  His weakness got so bad at home and he could get out of his chair today.  Therefore, his family brought him to the ER for evaluation.  On interview patient also reports some last about loss of appetite over the past few days and some recent weight loss since passing of his wife within the last month.  Patient denies had   On presentation to the ER patient was found to be COVID-19 positive.  He also was found to have a fever of 40° Celsius, mild sinus tachycardia, lymphopenia to 300, thrombocytopenia to 118 and blood sugar of 154.   CXR showed possible early left lower lobe infiltrate.  He was also found to have hypoxia to 85% and was titrated to 4 liters by nasal cannula.  He had some mild intermittent hypotension with a lactate of 2.2 which improved to 1.7.  I had them add on a CRP which was 11.7 with D-dimer of 1,00 and fibrinogen of 473.    Patient was started on treatment for Covid-19 including supportive management with O2 and dexamethasone and Remdesivir. He was further treated with CAP coverage for LLL pneumonia for possible concomitant bacterial pneumonia. Patient responded very well to therapy and did not require supplemental O2 for the remainder of his hospitalization. He continued to receive both antiviral and antibiotic medication. Patient was discharged after working with therapies and reassurance from family and patient that he was near his baseline. "
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Thrombocytopenia, Weight decreased
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "85-year-old recently widowed male with past medical history significant for coronary disease status post remote stenting, primary hypertension, borderline Type 2 diabetes mellitus, and hyperlipidemia presenting with a several day history of generalized weakness with significant chills with progressive decreased activity tolerance.  His weakness got so bad at home and he could get out of his chair today.  Therefore, his family brought him to the ER for evaluation.  On interview patient also reports some last about loss of appetite over the past few days and some recent weight loss since passing of his wife within the last month.  Patient denies had   On presentation to the ER patient was found to be COVID-19 positive.  He also was found to have a fever of 40° Celsius, mild sinus tachycardia, lymphopenia to 300, thrombocytopenia to 118 and blood sugar of 154.   CXR showed possible early left lower lobe infiltrate.  He was also found to have hypoxia to 85% and was titrated to 4 liters by nasal cannula.  He had some mild intermittent hypotension with a lactate of 2.2 which improved to 1.7.  I had them add on a CRP which was 11.7 with D-dimer of 1,00 and fibrinogen of 473.    Patient was started on treatment for Covid-19 including supportive management with O2 and dexamethasone and Remdesivir. He was further treated with CAP coverage for LLL pneumonia for possible concomitant bacterial pneumonia. Patient responded very well to therapy and did not require supplemental O2 for the remainder of his hospitalization. He continued to receive both antiviral and antibiotic medication. Patient was discharged after working with therapies and reassurance from family and patient that he was near his baseline. "
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented to ER on 2/7/23 for fever and cough evaluation. Note states this started 3 days prior to this (2/4/23). Lives alone
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Catheterisation cardiac abnormal, Chest discomfort, Chest pain
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Patient is a 57-year-old male with no personal history of coronary artery disease who presented with sudden onset of chest pain.  He developed pressure in his chest which will come from napping in the afternoon.  He did experience some paresthesias in his shoulders, and presented to the emergency department for evaluation.  Administration of aspirin provided some relief, patient had troponins drawn which were elevated to 22 with a 2 hour were repeat showing 35, positive delta.  EKG showed normal sinus rhythm without ischemic changes.  Hospitalist Service asked to admit, Cardiology consulted for further workup.   Patient underwent left heart catheterization, which showed 95 percent occlusion of LAD, drug-eluting stent was placed.  Patient was started on aspirin and Brilinta, plan to continue for 1 year followed by aspirin monotherapy afterwards.  Recommend continuing high-intensity statin, beta-blocker.  Goal-directed medical therapy would also include ACE/ARB, patient did not have hypertension and was started on low-dose lisinopril.  Prior to discharge she received 30 day supply of aspirin and Brilinta the hospital pharmacy.  Set up with a cardiology follow-up for post PCI care   On day of discharge patient denied any chest pain or discomfort.  He was noted to have COVID-19 positive test, but he denied having any respiratory symptoms at time discharge.  He was in isolation during the hospital stay, was recommended to self quarantine for 5 days from onset of symptoms which was 12/31 - hospital discharge was day 5"
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Coronary arterial stent insertion, Coronary artery occlusion, Electrocardiogram normal, Paraesthesia, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Patient is a 57-year-old male with no personal history of coronary artery disease who presented with sudden onset of chest pain.  He developed pressure in his chest which will come from napping in the afternoon.  He did experience some paresthesias in his shoulders, and presented to the emergency department for evaluation.  Administration of aspirin provided some relief, patient had troponins drawn which were elevated to 22 with a 2 hour were repeat showing 35, positive delta.  EKG showed normal sinus rhythm without ischemic changes.  Hospitalist Service asked to admit, Cardiology consulted for further workup.   Patient underwent left heart catheterization, which showed 95 percent occlusion of LAD, drug-eluting stent was placed.  Patient was started on aspirin and Brilinta, plan to continue for 1 year followed by aspirin monotherapy afterwards.  Recommend continuing high-intensity statin, beta-blocker.  Goal-directed medical therapy would also include ACE/ARB, patient did not have hypertension and was started on low-dose lisinopril.  Prior to discharge she received 30 day supply of aspirin and Brilinta the hospital pharmacy.  Set up with a cardiology follow-up for post PCI care   On day of discharge patient denied any chest pain or discomfort.  He was noted to have COVID-19 positive test, but he denied having any respiratory symptoms at time discharge.  He was in isolation during the hospital stay, was recommended to self quarantine for 5 days from onset of symptoms which was 12/31 - hospital discharge was day 5"
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sinus rhythm, Troponin increased
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Patient is a 57-year-old male with no personal history of coronary artery disease who presented with sudden onset of chest pain.  He developed pressure in his chest which will come from napping in the afternoon.  He did experience some paresthesias in his shoulders, and presented to the emergency department for evaluation.  Administration of aspirin provided some relief, patient had troponins drawn which were elevated to 22 with a 2 hour were repeat showing 35, positive delta.  EKG showed normal sinus rhythm without ischemic changes.  Hospitalist Service asked to admit, Cardiology consulted for further workup.   Patient underwent left heart catheterization, which showed 95 percent occlusion of LAD, drug-eluting stent was placed.  Patient was started on aspirin and Brilinta, plan to continue for 1 year followed by aspirin monotherapy afterwards.  Recommend continuing high-intensity statin, beta-blocker.  Goal-directed medical therapy would also include ACE/ARB, patient did not have hypertension and was started on low-dose lisinopril.  Prior to discharge she received 30 day supply of aspirin and Brilinta the hospital pharmacy.  Set up with a cardiology follow-up for post PCI care   On day of discharge patient denied any chest pain or discomfort.  He was noted to have COVID-19 positive test, but he denied having any respiratory symptoms at time discharge.  He was in isolation during the hospital stay, was recommended to self quarantine for 5 days from onset of symptoms which was 12/31 - hospital discharge was day 5"
Age: 45.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: The medication/ vaccine was expired at the time of administration, We discovered this after the patient had left.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atypical pneumonia, COVID-19, Computerised tomogram thorax abnormal, Death
Clinical narrative: 3RD MODERNA COVID VACCINE GIVEN 10/25/21, LOT #012F21A; 4TH MODERNA COVID VACCINE GIVEN 4/5/22, LOT #033K21-2A; 8/5/22 pt seen in cardiology office with increasing SOB; sent to hospital; CT showed atypical pneumonia; negative COVID test; started on IV ABX, steroids, heparin; 8/16/22 pt had a positive COVID test; pt's respiratory condition deteriorated requiring maximum O2 support; transitioned to full DNR; pt passed away in the hospital; PCP on file.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 3RD MODERNA COVID VACCINE GIVEN 10/25/21, LOT #012F21A; 4TH MODERNA COVID VACCINE GIVEN 4/5/22, LOT #033K21-2A; 8/5/22 pt seen in cardiology office with increasing SOB; sent to hospital; CT showed atypical pneumonia; negative COVID test; started on IV ABX, steroids, heparin; 8/16/22 pt had a positive COVID test; pt's respiratory condition deteriorated requiring maximum O2 support; transitioned to full DNR; pt passed away in the hospital; PCP on file.
Age: 94.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Death on 02/03/2023
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray, Headache, Pain
Clinical narrative: Presented to ED with weakness from an assisted living. Generalized body aches and headaches started on 2/5/23.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Presented to ED with weakness from an assisted living. Generalized body aches and headaches started on 2/5/23.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Reason for Admission: Ground level fall  82 YO female with h/o subarachnoid hemorrhage 2/2 to intracranial aneurysm, Antithrombin 3 deficiency, CKD3, HTN, OA, HLD, T2DM who is presenting to the ED for evaluation of generalized weakness   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for COVID pneumonia, superadded bacterial pneumonia, congestive heart failure transferred to care tel when off COVID isolation Acute hypoxic respiratory failure-resolved, required high-flow nasal cannula oxygen, on admission, in the setting of COVID positive, partially vaccinated On dexamethasone"
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Pneumonia bacterial, SARS-CoV-2 test positive
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Reason for Admission: Ground level fall  82 YO female with h/o subarachnoid hemorrhage 2/2 to intracranial aneurysm, Antithrombin 3 deficiency, CKD3, HTN, OA, HLD, T2DM who is presenting to the ED for evaluation of generalized weakness   Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures)  treated for COVID pneumonia, superadded bacterial pneumonia, congestive heart failure transferred to care tel when off COVID isolation Acute hypoxic respiratory failure-resolved, required high-flow nasal cannula oxygen, on admission, in the setting of COVID positive, partially vaccinated On dexamethasone"
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Electrocardiogram, Influenza like illness, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: After second dose of Moderna Covid-19, I had a fever, flu like symptoms, riggers, and extremely strong heart palpitations. Since, the vaccine my periods have also been enitrely different and I routinely have spotting during ovulation - which I did not before. Within the last few months I've been having heart palpitations (mostly during my period) similar to the heart palpitations that I had after my COVID-19 vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: After second dose of Moderna Covid-19, I had a fever, flu like symptoms, riggers, and extremely strong heart palpitations. Since, the vaccine my periods have also been enitrely different and I routinely have spotting during ovulation - which I did not before. Within the last few months I've been having heart palpitations (mostly during my period) similar to the heart palpitations that I had after my COVID-19 vaccine.
Age: 38.0
Sex: F
Vaccine: HPV9
Symptoms: Injected limb mobility decreased, Loss of personal independence in daily activities, Pain, Periarthritis
Clinical narrative: Patient stated that she had a "frozen shoulder" and could not lift her arm above her head for almost two months after receiving the vaccine on 12/15/2022. She stated that the pain started the day of vaccination, and she stated that perhaps the vaccine was placed too high on her arm. She stated that she could feel the vaccine moving into her rotator cuff. She stated that she had difficulty lifting any heavy objects with her left arm.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood pressure increased, Blood test, Feeling abnormal, Immunisation reaction, Myalgia
Clinical narrative: Muscle aches & brain fog starting 3-4 days after vaccine. Right arm pain/tenderness starting then also.  Heart palpitations starting 4 days after, also slightly elevated blood pressure. 5 days after injection severe blood pressure spike 177/86.  Calls to primary care doctor . Emailed cardiologist who suggested this was reaction to Shingrix.  Neither recommended ER visit (!?!)  Only alternative - self treat with V8 low sodium (high potassium) juice, & lots of beet juice, magnesium supplement, shower.  BP fell to 160/80  Took  .125mg Klonopin that night in order to sleep. Follwing day, BP tracked from 160/80 to 148/80.  By next day BP almost normal. Saw primary care doctor that day (already had routine physical scheduled).  Blood tests at his office.
Age: 67.0
Sex: M
Vaccine: VARZOS
Symptoms: Pain in extremity, Palpitations, Tenderness
Clinical narrative: Muscle aches & brain fog starting 3-4 days after vaccine. Right arm pain/tenderness starting then also.  Heart palpitations starting 4 days after, also slightly elevated blood pressure. 5 days after injection severe blood pressure spike 177/86.  Calls to primary care doctor . Emailed cardiologist who suggested this was reaction to Shingrix.  Neither recommended ER visit (!?!)  Only alternative - self treat with V8 low sodium (high potassium) juice, & lots of beet juice, magnesium supplement, shower.  BP fell to 160/80  Took  .125mg Klonopin that night in order to sleep. Follwing day, BP tracked from 160/80 to 148/80.  By next day BP almost normal. Saw primary care doctor that day (already had routine physical scheduled).  Blood tests at his office.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: pt resides in a local Community Living Center; pt had a positive COVID test on 8/24/22 and passed away in the facility of respiratory failure on 8/25/22
Age: 50.0
Sex: F
Vaccine: DTAP, VARZOS
Symptoms: Chills, Fatigue, Headache, Myalgia, Pain
Clinical narrative: Monday morning--extreme tiredness, chills, body aches, headache, muscle aches Tuesday afternoon--hives on chest, neck, back, stomach, thighs, arms Wednesday--hives continue Thursday--hives continue
Age: 50.0
Sex: F
Vaccine: DTAP, VARZOS
Symptoms: Urticaria
Clinical narrative: Monday morning--extreme tiredness, chills, body aches, headache, muscle aches Tuesday afternoon--hives on chest, neck, back, stomach, thighs, arms Wednesday--hives continue Thursday--hives continue
Age: 85.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Ear pain, Headache, Hyperhidrosis, Vomiting
Clinical narrative: pt c/o sweats, chills, ha, vomiting, ears hurting, on 2/7/23 the night of vaccine
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angiogram pulmonary normal, Cerebral infarction, Echocardiogram normal, Implantable cardiac monitor insertion, Ischaemic stroke
Clinical narrative: Patient had been experiencing right upper extremity weakness and tingling in his hands and feet starting on 12/20/22.  He presented to ER on 12/31/22 and underwent MRI brain revealed acute infarction within the left frontal and parietal lobes and left centrum semiovale. He underwent extensive testing including transesophageal echocardiogram, CT pulmonary angiography, implantable loop recorder, and limited hemeatologic workup which all returned broadly normal without causal evidence for this ischemic stroke.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Laboratory test normal, Magnetic resonance imaging head abnormal, Muscular weakness, Paraesthesia
Clinical narrative: Patient had been experiencing right upper extremity weakness and tingling in his hands and feet starting on 12/20/22.  He presented to ER on 12/31/22 and underwent MRI brain revealed acute infarction within the left frontal and parietal lobes and left centrum semiovale. He underwent extensive testing including transesophageal echocardiogram, CT pulmonary angiography, implantable loop recorder, and limited hemeatologic workup which all returned broadly normal without causal evidence for this ischemic stroke.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Blood gases abnormal, COVID-19, Central venous catheterisation, Chest pain
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Patient is a 70-year-old male with history end-stage renal disease on hemodialysis, chronic obstructive pulmonary disease, type 2 diabetes, hypertension, coronary artery disease, left BKA, vascular dementia.  Presents to the emergency department with complaints of chest pain shortness a breath after dialysis.  ABG done in the emergency department which shows hypoxemia.  Initial troponin elevated at 386, repeat down to 334.  Hemoglobin 10.1 appropriate for renal disease.  Nasal swab positive for COVID-19.  Patient started on IV steroids, remdesivir given his high risk of lung complications, admitted for further workup.   Patient improved from a respiratory standpoint, acute hypoxic respiratory failure resolved.  Patient was treated with as needed inhalers plus his scheduled dose inhalers.  Nicotine patch for smoking history.   Had dialysis on his regular scheduled day as well as inpatient, he was stable from a renal standpoint.  Av fistula right side noted to have scabbing over it, patient had a right IJ PermCath placed by Interventional Radiology on 01/05.  Immediately following this he was noted to be bleeding quite a bit.  Pressure was held and he stopped, however overnight he had continued oozing from the site.  Taken back down to Interventional Radiology where slip knot was placed.    Patient resides at home with family, once he finished remdesivir infusions and was stable, he was discharged back home in stable and improved condition."
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Haemoglobin decreased, Hypoxia, Jugular vein haemorrhage, PO2 decreased
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Patient is a 70-year-old male with history end-stage renal disease on hemodialysis, chronic obstructive pulmonary disease, type 2 diabetes, hypertension, coronary artery disease, left BKA, vascular dementia.  Presents to the emergency department with complaints of chest pain shortness a breath after dialysis.  ABG done in the emergency department which shows hypoxemia.  Initial troponin elevated at 386, repeat down to 334.  Hemoglobin 10.1 appropriate for renal disease.  Nasal swab positive for COVID-19.  Patient started on IV steroids, remdesivir given his high risk of lung complications, admitted for further workup.   Patient improved from a respiratory standpoint, acute hypoxic respiratory failure resolved.  Patient was treated with as needed inhalers plus his scheduled dose inhalers.  Nicotine patch for smoking history.   Had dialysis on his regular scheduled day as well as inpatient, he was stable from a renal standpoint.  Av fistula right side noted to have scabbing over it, patient had a right IJ PermCath placed by Interventional Radiology on 01/05.  Immediately following this he was noted to be bleeding quite a bit.  Pressure was held and he stopped, however overnight he had continued oozing from the site.  Taken back down to Interventional Radiology where slip knot was placed.    Patient resides at home with family, once he finished remdesivir infusions and was stable, he was discharged back home in stable and improved condition."
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Scab, Therapeutic embolisation, Troponin
Clinical narrative: Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR.  Provider d/c note:  "Patient is a 70-year-old male with history end-stage renal disease on hemodialysis, chronic obstructive pulmonary disease, type 2 diabetes, hypertension, coronary artery disease, left BKA, vascular dementia.  Presents to the emergency department with complaints of chest pain shortness a breath after dialysis.  ABG done in the emergency department which shows hypoxemia.  Initial troponin elevated at 386, repeat down to 334.  Hemoglobin 10.1 appropriate for renal disease.  Nasal swab positive for COVID-19.  Patient started on IV steroids, remdesivir given his high risk of lung complications, admitted for further workup.   Patient improved from a respiratory standpoint, acute hypoxic respiratory failure resolved.  Patient was treated with as needed inhalers plus his scheduled dose inhalers.  Nicotine patch for smoking history.   Had dialysis on his regular scheduled day as well as inpatient, he was stable from a renal standpoint.  Av fistula right side noted to have scabbing over it, patient had a right IJ PermCath placed by Interventional Radiology on 01/05.  Immediately following this he was noted to be bleeding quite a bit.  Pressure was held and he stopped, however overnight he had continued oozing from the site.  Taken back down to Interventional Radiology where slip knot was placed.    Patient resides at home with family, once he finished remdesivir infusions and was stable, he was discharged back home in stable and improved condition."
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Computerised tomogram, Haemorrhagic stroke, Magnetic resonance imaging head abnormal, Pain
Clinical narrative: Sharp shooting pain from left temple Blurry eyesight
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Sharp shooting pain from left temple Blurry eyesight
Age: 62.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardiac arrest
Clinical narrative: Patient experienced Cadiac Arrest on same day vaccine was administered after leaving our facility
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Fall, Full blood count, Loss of consciousness, Mobility decreased
Clinical narrative: I started having incidents of blacking out and falling down once a day.  After that it happened four times in one day.  I couldn't get up and they called an ambulance and took me to hospital.  At the hospital, I was there for 8 days of diagnostics before I was discharged.  They discharged me with diagnosis of Syncope.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: I started having incidents of blacking out and falling down once a day.  After that it happened four times in one day.  I couldn't get up and they called an ambulance and took me to hospital.  At the hospital, I was there for 8 days of diagnostics before I was discharged.  They discharged me with diagnosis of Syncope.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: Symptoms began after 20 minutes from receiving vaccination to left deltoid. Pain from site radiated through arm, towards armpit and left chest. I was told to take ibuprofen if needed for pain when I left the facility. A few hours later I began to have SOB, even at resting positions. Pain had now spread to back shoulder, and left side of my neck. SOB became very apparent at night while laying down, having extreme pressure on entire chest but more present at center to left of chest. Tingling and loss of sensation occurred off and on to left arm down to fingertips. Pain was 100/10 from site to chest, left shoulder, back and left side of neck. Headache began on frontal area, and left side of face became slightly numb to touch at times. Piercing headache moved to left temple radiating through the forntal, temporal area of head, to behind the ear and jaw.  Contacted the Nurse Advice line, in audible distress, labored breathing. Was placed on hold to contact a Dr. and was asked if I had Aspirin available to take. Possibly Nitro as well. They stated if I needed to head to ER to do so, but I no longer had coverage, and was also told an urgent message would be sent to a DR. to schedule and appointment the following day. I never received a call. Until a few days later my primary stated she needed to schedule a appt to see me for heart palpitations which was never a symptom I mentioned with the adverse reaction.