chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Hospitalized (11.22.21);  COVID-19 positive (11.22.21);  fully vaccinated  ED 11.22.21:  CC - Shortness of breath - diagnosis COVID-19 - transferred to hospital for admission Admission Date: 11/22/2021 Discharge Date: Nov 24, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE:  71 y.o. male with PMHxof CLL not currently on treatment, RUE DVT, HTN, HLD who presents with shortness of breath. He states his symptoms started about 1.5 to 2 weeks PTA. He has been having gradually worsening shortness of breath, associated with cough, poor appetite, weakness, fatigue. He says at baseline he goes on lengthy walks with his dog but now gets very short of breath when just ambulating across the room.   He went to the ED vitals significant for tachypnea and hypoxia with SpO2 82 percent. He improved with 6 liters NC. Labs with normal WBC count. CMP with bicarb 18, BUN 32, creatinine 1.44, AST 106, ALT 100, normal NT-proBNP and troponin 25 then 22 with negative delta. EKG with NSR, T-wave inversions. He was COVID positive. CTA thorax with no evidence of acute PE, but showed extensive ground glass airspace opacities and new bronchiectasis in right middle and b/l lower lobes. He was given IV dexamethasone and admitted for further evaluation, patient remain stable on 6 liters and symptoms start improving , his Oxygen weaned to 4 liters and CPR was trending down , he was evaluated by Pulmonary rehab and will need 2 liters at rest and 4 liters with activity, patient was discharged on stable condition
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Incorrect dose administered, Pain
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Computerised tomogram head normal, Condition aggravated, Dry eye, Dysphagia
Clinical narrative: Patient was vaccinated with Moderna COVID booster vaccine on 11/16/21 at an outside facility. On 11/25/21, the patient was discharged from another facility after reporting to the ED with new left Bell's palsy symptoms. She reported this visit to her PCP on 11/26/21. No treatment was provided for Bell's palsy from this facility. On 11/27/21, she experienced worsened left facial numbness, left facial droop, spreading paresthesia and numbness/pins and needles throughout left arm and reported to ED. Other symptoms the patient presented to ED with were trouble swallowing, fatigue, myalgias, and pain from dry left eye. Patient was admitted to hospital on 11/28/21 for one day for observation and began prednisone 40 mg by mouth once daily and valacyclovir 1 gram by mouth twice daily. Patient will be completing a seven day course of both medications. She will also use saline eye drops every hour and as needed for left eye dryness. Of note, the patient has history of right Bell's palsy experienced in 05/2021.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye pain, Facial paralysis, Fatigue, Hypoaesthesia, Myalgia
Clinical narrative: Patient was vaccinated with Moderna COVID booster vaccine on 11/16/21 at an outside facility. On 11/25/21, the patient was discharged from another facility after reporting to the ED with new left Bell's palsy symptoms. She reported this visit to her PCP on 11/26/21. No treatment was provided for Bell's palsy from this facility. On 11/27/21, she experienced worsened left facial numbness, left facial droop, spreading paresthesia and numbness/pins and needles throughout left arm and reported to ED. Other symptoms the patient presented to ED with were trouble swallowing, fatigue, myalgias, and pain from dry left eye. Patient was admitted to hospital on 11/28/21 for one day for observation and began prednisone 40 mg by mouth once daily and valacyclovir 1 gram by mouth twice daily. Patient will be completing a seven day course of both medications. She will also use saline eye drops every hour and as needed for left eye dryness. Of note, the patient has history of right Bell's palsy experienced in 05/2021.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient was vaccinated with Moderna COVID booster vaccine on 11/16/21 at an outside facility. On 11/25/21, the patient was discharged from another facility after reporting to the ED with new left Bell's palsy symptoms. She reported this visit to her PCP on 11/26/21. No treatment was provided for Bell's palsy from this facility. On 11/27/21, she experienced worsened left facial numbness, left facial droop, spreading paresthesia and numbness/pins and needles throughout left arm and reported to ED. Other symptoms the patient presented to ED with were trouble swallowing, fatigue, myalgias, and pain from dry left eye. Patient was admitted to hospital on 11/28/21 for one day for observation and began prednisone 40 mg by mouth once daily and valacyclovir 1 gram by mouth twice daily. Patient will be completing a seven day course of both medications. She will also use saline eye drops every hour and as needed for left eye dryness. Of note, the patient has history of right Bell's palsy experienced in 05/2021.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Blood magnesium, Computerised tomogram, Differential white blood cell count, Facial paralysis
Clinical narrative: Patient was vaccinated with Moderna COVID booster vaccine on 11/16/21 at an outside facility. On 11/25/21, the patient was discharged from another facility after reporting to the ED with new left Bell's palsy symptoms. She reported this visit to her PCP on 11/26/21. No treatment was provided for Bell's palsy from this facility. On 11/27/21, she experienced worsened left facial numbness, left facial droop, spreading paresthesia and numbness/pins and needles throughout left arm and reported to ED. Other symptoms the patient presented to ED with were trouble swallowing, fatigue, myalgias, and pain from dry left eye. Patient was admitted to hospital on 11/28/21 for one day for observation and began prednisone 40 mg by mouth once daily and valacyclovir 1 gram by mouth twice daily. Patient will be completing a seven day course of both medications. She will also use saline eye drops every hour and as needed for left eye dryness. Of note, the patient has history of right Bell's palsy experienced in 05/2021.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Magnetic resonance imaging, Metabolic function test, SARS-CoV-2 test, Troponin
Clinical narrative: Patient was vaccinated with Moderna COVID booster vaccine on 11/16/21 at an outside facility. On 11/25/21, the patient was discharged from another facility after reporting to the ED with new left Bell's palsy symptoms. She reported this visit to her PCP on 11/26/21. No treatment was provided for Bell's palsy from this facility. On 11/27/21, she experienced worsened left facial numbness, left facial droop, spreading paresthesia and numbness/pins and needles throughout left arm and reported to ED. Other symptoms the patient presented to ED with were trouble swallowing, fatigue, myalgias, and pain from dry left eye. Patient was admitted to hospital on 11/28/21 for one day for observation and began prednisone 40 mg by mouth once daily and valacyclovir 1 gram by mouth twice daily. Patient will be completing a seven day course of both medications. She will also use saline eye drops every hour and as needed for left eye dryness. Of note, the patient has history of right Bell's palsy experienced in 05/2021.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis
Clinical narrative: Patient was vaccinated with Moderna COVID booster vaccine on 11/16/21 at an outside facility. On 11/25/21, the patient was discharged from another facility after reporting to the ED with new left Bell's palsy symptoms. She reported this visit to her PCP on 11/26/21. No treatment was provided for Bell's palsy from this facility. On 11/27/21, she experienced worsened left facial numbness, left facial droop, spreading paresthesia and numbness/pins and needles throughout left arm and reported to ED. Other symptoms the patient presented to ED with were trouble swallowing, fatigue, myalgias, and pain from dry left eye. Patient was admitted to hospital on 11/28/21 for one day for observation and began prednisone 40 mg by mouth once daily and valacyclovir 1 gram by mouth twice daily. Patient will be completing a seven day course of both medications. She will also use saline eye drops every hour and as needed for left eye dryness. Of note, the patient has history of right Bell's palsy experienced in 05/2021.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: My son got symptoms couple of days after bad wizen couldn?t breathe bad sore throat coughing uncontrollably and very very tired I took him to the medical facility on the 17th and his covid test was neg
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: On 11/23/21 at 415 I had given a 12 year old a pediatric dose Covid instead of an adult dose. She Turned 12 on 9/26/21.   I spoke to doctor since he is the PCP as well. I documented this correctly as a Peds dose,  but have not notified the pt yet as I am unsure what needs to be told.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted for 3 seconds
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19
Clinical narrative: COVID-19 infection, asymtomatic
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chills, Headache, Impaired work ability
Clinical narrative: Woke up about 3am on 23rd with body aches, chills, headache.  Had to leave work early that day due to inability to work.  Woke between 1-3:00 am on the 24th with large hives over entire body, each hive with burning, itching and pain and all of my joints were very painful.  Continued to have very bad headache also.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pruritus, Urticaria
Clinical narrative: Woke up about 3am on 23rd with body aches, chills, headache.  Had to leave work early that day due to inability to work.  Woke between 1-3:00 am on the 24th with large hives over entire body, each hive with burning, itching and pain and all of my joints were very painful.  Continued to have very bad headache also.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Rash, Skin discolouration
Clinical narrative: Both my arms started to swell up which kind of looked like a rash. My neck was red and I had some red marks on both my legs. I was itchy in all these spots.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival cyst, Hypersensitivity, Lacrimation increased, X-ray
Clinical narrative: I have been having weepy eyes. Went to the eye doctor and I received a steroid for what was diagnosed as allergies. I was also diagnosed from my dentist as having a cyst in the gum of the front right side of my teeth. Sent to a surgeon.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Bradykinesia, Dizziness, Dyspnoea, Impaired work ability, Sluggishness
Clinical narrative: I noticed I was getting shortness of breath and dizzy and it was in the afternoon 11/16/2021. I did use my inhaler and it did seem to help relieve my symptoms somewhat temporarily. I went ahead and scheduled an appointment with my provider, and with my symptoms, I took prednisone. On Wednesday, I followed up with him and I ended up taking prednisone for 12 days and taper. Before I saw him on Wednesday, I was also experiencing dizziness here and there. I felt like I was really slow and sluggish. My symptoms continued into Thursday with the dizziness and sluggishness. I did start to feel better on Friday, but I did miss work Thursday & Friday because of the symptoms. Since I've gotten the vaccination, I've gotten dizziness here and there. But that was the first time I had to get attention for it because of the shortness of breath with the symptoms as well as the sluggishness.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Decreased appetite, Diarrhoea
Clinical narrative: Chief Complaint  Pt with weakness and cough.  History of Present Illness  Patient is a pleasant 99-year-old female patient of Dr. with a past medical history as listed and reviewed below who presented to our emergency department tonight via EMS with reports that she has been more somnolent with a loose cough.  Normally she uses a walker but was apparently requiring more assistance today and she endorses "my legs aren't very strong."  She relates that she had at least one loose BM earlier today as well as anorexia.  In the emergency department, she was noted to have low oxygen saturations as low as 87% to the low 90s on room air, which corrected with a nasal cannula.  She demonstrated a slight leukocytosis, with lymphopenia and tested positive for COVID-19.  Electrolytes also reveal an AKI on her CKD 3.  Review of records indicates that she had at least 1 dose of the Moderna SARS-CoV-2 vaccine on March 4.  Patient is admitted for further evaluation and management.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Electrolyte imbalance, Leukocytosis, Lymphopenia, Muscular weakness, Oxygen saturation decreased
Clinical narrative: Chief Complaint  Pt with weakness and cough.  History of Present Illness  Patient is a pleasant 99-year-old female patient of Dr. with a past medical history as listed and reviewed below who presented to our emergency department tonight via EMS with reports that she has been more somnolent with a loose cough.  Normally she uses a walker but was apparently requiring more assistance today and she endorses "my legs aren't very strong."  She relates that she had at least one loose BM earlier today as well as anorexia.  In the emergency department, she was noted to have low oxygen saturations as low as 87% to the low 90s on room air, which corrected with a nasal cannula.  She demonstrated a slight leukocytosis, with lymphopenia and tested positive for COVID-19.  Electrolytes also reveal an AKI on her CKD 3.  Review of records indicates that she had at least 1 dose of the Moderna SARS-CoV-2 vaccine on March 4.  Patient is admitted for further evaluation and management.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Somnolence
Clinical narrative: Chief Complaint  Pt with weakness and cough.  History of Present Illness  Patient is a pleasant 99-year-old female patient of Dr. with a past medical history as listed and reviewed below who presented to our emergency department tonight via EMS with reports that she has been more somnolent with a loose cough.  Normally she uses a walker but was apparently requiring more assistance today and she endorses "my legs aren't very strong."  She relates that she had at least one loose BM earlier today as well as anorexia.  In the emergency department, she was noted to have low oxygen saturations as low as 87% to the low 90s on room air, which corrected with a nasal cannula.  She demonstrated a slight leukocytosis, with lymphopenia and tested positive for COVID-19.  Electrolytes also reveal an AKI on her CKD 3.  Review of records indicates that she had at least 1 dose of the Moderna SARS-CoV-2 vaccine on March 4.  Patient is admitted for further evaluation and management.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Rash, Rash erythematous
Clinical narrative: I broke out in a rush like red, they described it like muzzel rush on my chest stomach and down your back and I also had lymph nodes on my right side under my armpit and it was very noticeable and I also had a headache for a couple days but it was gone by Saturday afternoon. I contacted NP on Saturday morning when I woke up with a rash and she said it was something normal with the vaccination and if I would get very itchy to take Benadryl but if it got any worse to contact her which it didn't.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood culture, Brain natriuretic peptide increased, COVID-19, Cardiac failure, Cardiac pacemaker insertion
Clinical narrative: Chief Complaint  Reports cough and SOA x2 days. Positive covid test this morning. Pt reports increased weight gain and unable to take diuretics d/t being tired. Reports hx of diabetes and CHF.  History of Present Illness  89-year-old female with past medical history significant for atrial fibrillation, sick sinus syndrome (s/p pacemaker), chronic diastolic heart failure, sleep apnea, presented with worsening cough, shortness of breath, concerning for heart failure.  Patient reports developing a nonproductive cough shortness of breath on 11/23.  She reports having a mild headache, but no fevers.  She reports taking all of her medications as directed.  She went to see her cardiologist on 11/24, and at that time patient was on room air, weight was up 4 kg from October 2021.  No significant medication changes were made at that time, although there was discussion about possible referral for AV nodal ablation.  There is also documentation that patient may be a appropriate candidate for hospice given her decompensated heart failure and advanced age and multiple medical comorbidities.  Patient with back to her assisted living center.  Patient awoke on the morning of November 25 more short of breath, had a cough productive of clear sputum.  Patient was also tachycardic with heart rate in the 120s.  She presented to the emergency department for evaluation.  In the ER, patient had crackles on her lungs, and chest x-ray revealed evidence of worsening heart failure with central pulmonary hypertension and basilar pulmonary congestion and small dependent effusions on both sides.  Radiology read as a right upper lobe mediastinal airspace infiltrate with some lobar consolidation, potentially representing ammonia.  Patient was also found to be Covid positive.  Patient initially required no oxygen in ER, but then desaturated to 88% and was placed on 2 L of oxygen.  Patient had blood cultures obtained and started on Rocephin for possible pneumonia coverage.  Patient admitted to hospitalist service for management.   On my interview, patient reports feeling tired, denies chest pain.  She does report shortness of breath and difficulty breathing with exertion.  She reports taking her medications daily except for the morning of November 25.  Reports receiving a flu shot this year, but has not yet received booster.  She denies known sick contacts with Covid.  I spoke with patient's son, who confirmed her DNR status.   Patient has history of episodes of hypertensive emergency and flash pulmonary edema.  Blood pressure in ER stable in the 120s-140s, no severe hypertension noted.  Admission BNP 8188, baseline BNP 3000.  Patient was last hospitalized at from 10/16 through 10/19 for heart failure.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: Chief Complaint  Reports cough and SOA x2 days. Positive covid test this morning. Pt reports increased weight gain and unable to take diuretics d/t being tired. Reports hx of diabetes and CHF.  History of Present Illness  89-year-old female with past medical history significant for atrial fibrillation, sick sinus syndrome (s/p pacemaker), chronic diastolic heart failure, sleep apnea, presented with worsening cough, shortness of breath, concerning for heart failure.  Patient reports developing a nonproductive cough shortness of breath on 11/23.  She reports having a mild headache, but no fevers.  She reports taking all of her medications as directed.  She went to see her cardiologist on 11/24, and at that time patient was on room air, weight was up 4 kg from October 2021.  No significant medication changes were made at that time, although there was discussion about possible referral for AV nodal ablation.  There is also documentation that patient may be a appropriate candidate for hospice given her decompensated heart failure and advanced age and multiple medical comorbidities.  Patient with back to her assisted living center.  Patient awoke on the morning of November 25 more short of breath, had a cough productive of clear sputum.  Patient was also tachycardic with heart rate in the 120s.  She presented to the emergency department for evaluation.  In the ER, patient had crackles on her lungs, and chest x-ray revealed evidence of worsening heart failure with central pulmonary hypertension and basilar pulmonary congestion and small dependent effusions on both sides.  Radiology read as a right upper lobe mediastinal airspace infiltrate with some lobar consolidation, potentially representing ammonia.  Patient was also found to be Covid positive.  Patient initially required no oxygen in ER, but then desaturated to 88% and was placed on 2 L of oxygen.  Patient had blood cultures obtained and started on Rocephin for possible pneumonia coverage.  Patient admitted to hospitalist service for management.   On my interview, patient reports feeling tired, denies chest pain.  She does report shortness of breath and difficulty breathing with exertion.  She reports taking her medications daily except for the morning of November 25.  Reports receiving a flu shot this year, but has not yet received booster.  She denies known sick contacts with Covid.  I spoke with patient's son, who confirmed her DNR status.   Patient has history of episodes of hypertensive emergency and flash pulmonary edema.  Blood pressure in ER stable in the 120s-140s, no severe hypertension noted.  Admission BNP 8188, baseline BNP 3000.  Patient was last hospitalized at from 10/16 through 10/19 for heart failure.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Lung consolidation, Lung infiltration, Multimorbidity
Clinical narrative: Chief Complaint  Reports cough and SOA x2 days. Positive covid test this morning. Pt reports increased weight gain and unable to take diuretics d/t being tired. Reports hx of diabetes and CHF.  History of Present Illness  89-year-old female with past medical history significant for atrial fibrillation, sick sinus syndrome (s/p pacemaker), chronic diastolic heart failure, sleep apnea, presented with worsening cough, shortness of breath, concerning for heart failure.  Patient reports developing a nonproductive cough shortness of breath on 11/23.  She reports having a mild headache, but no fevers.  She reports taking all of her medications as directed.  She went to see her cardiologist on 11/24, and at that time patient was on room air, weight was up 4 kg from October 2021.  No significant medication changes were made at that time, although there was discussion about possible referral for AV nodal ablation.  There is also documentation that patient may be a appropriate candidate for hospice given her decompensated heart failure and advanced age and multiple medical comorbidities.  Patient with back to her assisted living center.  Patient awoke on the morning of November 25 more short of breath, had a cough productive of clear sputum.  Patient was also tachycardic with heart rate in the 120s.  She presented to the emergency department for evaluation.  In the ER, patient had crackles on her lungs, and chest x-ray revealed evidence of worsening heart failure with central pulmonary hypertension and basilar pulmonary congestion and small dependent effusions on both sides.  Radiology read as a right upper lobe mediastinal airspace infiltrate with some lobar consolidation, potentially representing ammonia.  Patient was also found to be Covid positive.  Patient initially required no oxygen in ER, but then desaturated to 88% and was placed on 2 L of oxygen.  Patient had blood cultures obtained and started on Rocephin for possible pneumonia coverage.  Patient admitted to hospitalist service for management.   On my interview, patient reports feeling tired, denies chest pain.  She does report shortness of breath and difficulty breathing with exertion.  She reports taking her medications daily except for the morning of November 25.  Reports receiving a flu shot this year, but has not yet received booster.  She denies known sick contacts with Covid.  I spoke with patient's son, who confirmed her DNR status.   Patient has history of episodes of hypertensive emergency and flash pulmonary edema.  Blood pressure in ER stable in the 120s-140s, no severe hypertension noted.  Admission BNP 8188, baseline BNP 3000.  Patient was last hospitalized at from 10/16 through 10/19 for heart failure.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, Pleural effusion, Productive cough, Pulmonary congestion, Pulmonary hypertension
Clinical narrative: Chief Complaint  Reports cough and SOA x2 days. Positive covid test this morning. Pt reports increased weight gain and unable to take diuretics d/t being tired. Reports hx of diabetes and CHF.  History of Present Illness  89-year-old female with past medical history significant for atrial fibrillation, sick sinus syndrome (s/p pacemaker), chronic diastolic heart failure, sleep apnea, presented with worsening cough, shortness of breath, concerning for heart failure.  Patient reports developing a nonproductive cough shortness of breath on 11/23.  She reports having a mild headache, but no fevers.  She reports taking all of her medications as directed.  She went to see her cardiologist on 11/24, and at that time patient was on room air, weight was up 4 kg from October 2021.  No significant medication changes were made at that time, although there was discussion about possible referral for AV nodal ablation.  There is also documentation that patient may be a appropriate candidate for hospice given her decompensated heart failure and advanced age and multiple medical comorbidities.  Patient with back to her assisted living center.  Patient awoke on the morning of November 25 more short of breath, had a cough productive of clear sputum.  Patient was also tachycardic with heart rate in the 120s.  She presented to the emergency department for evaluation.  In the ER, patient had crackles on her lungs, and chest x-ray revealed evidence of worsening heart failure with central pulmonary hypertension and basilar pulmonary congestion and small dependent effusions on both sides.  Radiology read as a right upper lobe mediastinal airspace infiltrate with some lobar consolidation, potentially representing ammonia.  Patient was also found to be Covid positive.  Patient initially required no oxygen in ER, but then desaturated to 88% and was placed on 2 L of oxygen.  Patient had blood cultures obtained and started on Rocephin for possible pneumonia coverage.  Patient admitted to hospitalist service for management.   On my interview, patient reports feeling tired, denies chest pain.  She does report shortness of breath and difficulty breathing with exertion.  She reports taking her medications daily except for the morning of November 25.  Reports receiving a flu shot this year, but has not yet received booster.  She denies known sick contacts with Covid.  I spoke with patient's son, who confirmed her DNR status.   Patient has history of episodes of hypertensive emergency and flash pulmonary edema.  Blood pressure in ER stable in the 120s-140s, no severe hypertension noted.  Admission BNP 8188, baseline BNP 3000.  Patient was last hospitalized at from 10/16 through 10/19 for heart failure.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rales, SARS-CoV-2 test positive, Tachycardia, Weight increased
Clinical narrative: Chief Complaint  Reports cough and SOA x2 days. Positive covid test this morning. Pt reports increased weight gain and unable to take diuretics d/t being tired. Reports hx of diabetes and CHF.  History of Present Illness  89-year-old female with past medical history significant for atrial fibrillation, sick sinus syndrome (s/p pacemaker), chronic diastolic heart failure, sleep apnea, presented with worsening cough, shortness of breath, concerning for heart failure.  Patient reports developing a nonproductive cough shortness of breath on 11/23.  She reports having a mild headache, but no fevers.  She reports taking all of her medications as directed.  She went to see her cardiologist on 11/24, and at that time patient was on room air, weight was up 4 kg from October 2021.  No significant medication changes were made at that time, although there was discussion about possible referral for AV nodal ablation.  There is also documentation that patient may be a appropriate candidate for hospice given her decompensated heart failure and advanced age and multiple medical comorbidities.  Patient with back to her assisted living center.  Patient awoke on the morning of November 25 more short of breath, had a cough productive of clear sputum.  Patient was also tachycardic with heart rate in the 120s.  She presented to the emergency department for evaluation.  In the ER, patient had crackles on her lungs, and chest x-ray revealed evidence of worsening heart failure with central pulmonary hypertension and basilar pulmonary congestion and small dependent effusions on both sides.  Radiology read as a right upper lobe mediastinal airspace infiltrate with some lobar consolidation, potentially representing ammonia.  Patient was also found to be Covid positive.  Patient initially required no oxygen in ER, but then desaturated to 88% and was placed on 2 L of oxygen.  Patient had blood cultures obtained and started on Rocephin for possible pneumonia coverage.  Patient admitted to hospitalist service for management.   On my interview, patient reports feeling tired, denies chest pain.  She does report shortness of breath and difficulty breathing with exertion.  She reports taking her medications daily except for the morning of November 25.  Reports receiving a flu shot this year, but has not yet received booster.  She denies known sick contacts with Covid.  I spoke with patient's son, who confirmed her DNR status.   Patient has history of episodes of hypertensive emergency and flash pulmonary edema.  Blood pressure in ER stable in the 120s-140s, no severe hypertension noted.  Admission BNP 8188, baseline BNP 3000.  Patient was last hospitalized at from 10/16 through 10/19 for heart failure.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Received booster moderna vaccine in R arm. Had normal pain/sore arm at injection site x2 days. Day 3 pain moved higher up on arm, more in shoulder/joint area. Progressively over the last 3 weeks pain has persisted and gotten worse. Lost full range of motion of arm. Painful, cannot put weight on it, and cannot sleep on it. Noticing I am starting to compensate on left side of body for it.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives all over body- started about 3 days post vaccine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: this is not an adverse event with the vaccine itself,  patient got the vaccine while waiting for the covid test results, she was tested on friday and received her results on sunday 28 that she is covid positive , she received her vaccine on 27th november saturday
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness
Clinical narrative: muscle weakness in arms and core muscles.  Unable to pick myself up to get out of bed for several hours
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blister
Clinical narrative: Small blisters on hands 3-5 mins after dose was administered.  Gave liquid Benadryl and they were gone in 5 mins.  Called patient 2 hours later at home then he was doing well with no issues.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, Endotracheal intubation
Clinical narrative: Onset of COVID symptoms 11/8, tested positive for COVID 11/10/21.  admitted from the floor earlier today for acute hypoxic respiratory failure secondary to Covid PNA. Patient was initially a transfer from a hospital on 11/13. Admitted after he needed NIPPV.  Intubated 11/17 and paralyzed and proned 11/17.  Deceased 11/28/21.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Malaise, Mechanical ventilation, Paralysis, SARS-CoV-2 test positive
Clinical narrative: Onset of COVID symptoms 11/8, tested positive for COVID 11/10/21.  admitted from the floor earlier today for acute hypoxic respiratory failure secondary to Covid PNA. Patient was initially a transfer from a hospital on 11/13. Admitted after he needed NIPPV.  Intubated 11/17 and paralyzed and proned 11/17.  Deceased 11/28/21.
Age: 48.0
Sex: U
Vaccine: COVID19
Symptoms: Immunodeficiency
Clinical narrative: immunocompromised received 1/2 dose
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received Moderna 3rd dose at 0.5mL
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: NASAL CONGESTION, DRY COUGH, FATIGUE
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Magnetic resonance imaging
Clinical narrative: left Bell's Palsy
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Sex: M
Vaccine: UNK, COVID19
Symptoms: Tinnitus
Clinical narrative: I have tinnitus that appeared 6 hours after the second Pfizer shot and decreased slightly over the next 6 months and then came back even worse 6 hours after the Booster. Please provide me with detailed instructions on how to report this side affect to the appropriate governmental body.  Ringing on his  both ears.
Sex: M
Vaccine: UNK, COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: I have tinnitus that appeared 6 hours after the second Pfizer shot and decreased slightly over the next 6 months and then came back even worse 6 hours after the Booster. Please provide me with detailed instructions on how to report this side affect to the appropriate governmental body.  Ringing on his  both ears.
Age: 64.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Tinnitus
Clinical narrative: Patient is having  tinnitus that appeared 6 hours after the second Pfizer shot and decreased slightly over the next 6 months and then came back even worse 6 hours after the Booster. Has a ringing on both ears.
Age: 64.0
Sex: M
Vaccine: UNK, COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Patient is having  tinnitus that appeared 6 hours after the second Pfizer shot and decreased slightly over the next 6 months and then came back even worse 6 hours after the Booster. Has a ringing on both ears.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Incorrect route of product administration, Injection site bruising, Injection site erythema, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Infection / Cellulitis (diagnosed by MD)-, Additional Details: Pt reports needing antibiotic for surface infection. Also reports bruising and that injection was given too low.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Infection / Cellulitis (diagnosed by MD)-, Additional Details: Pt reports needing antibiotic for surface infection. Also reports bruising and that injection was given too low.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Extra dose administered, Insomnia, Nasopharyngitis, Oropharyngeal pain
Clinical narrative: About a month after receiving the booster, my head started filling up and I could not breathe, or sleep. It started draining by Friday. I was getting a little bit of a sore throat up at the top of my throat. I went in and saw the doctor last Monday and he gave me an antibiotic, nasal spray, and pills for congestion. I did take Nyquil at night, because that helped me go to sleep for at least 3-4 hours. They swabbed me and took my temperature. I cannot remember if they took any blood. I was tired on Saturday. I think it is just a cold.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: About a month after receiving the booster, my head started filling up and I could not breathe, or sleep. It started draining by Friday. I was getting a little bit of a sore throat up at the top of my throat. I went in and saw the doctor last Monday and he gave me an antibiotic, nasal spray, and pills for congestion. I did take Nyquil at night, because that helped me go to sleep for at least 3-4 hours. They swabbed me and took my temperature. I cannot remember if they took any blood. I was tired on Saturday. I think it is just a cold.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nasopharyngitis
Clinical narrative: cold like symptoms starting on 11/21/21
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Throat tightness
Clinical narrative: right cheek tenseness, sensation of throat tightness
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Hypoxia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency room on 11/17/2021 with worsening shortness of breath and hypoxia. She had tested positive for COVID-19 on 11/15/2021. Patient was admitted for further management. She was treated with dexamethasone and supplemental oxygen. Patient was discharged home on 11/26/2021.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Head discomfort
Clinical narrative: I started having chills, dizziness, and fatigue by the third day. I then started having a lot of head pressure, along with the dizziness. I am scheduled to see an ENT doctor on 12/07/2021.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received Moderna 3rd dose at 0.5mL
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Severe upper arm pain shots across back and front Depending
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Additional Details: Family member called 4 days post vaccination that patient experienced shortness of breath/chest pain a couple days post moderna booster vaccine administration (with abnormal EKG). The patient is currently admitted at hospital and is being monitored by the doctor.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Face injury, Mouth injury, Pain in jaw, Syncope
Clinical narrative: Following a Phizer Covid vx patient fainted. During the fall patient hit his jaw on the sharps container on the left side of his mouth. A small laceration was noted. Patient denies headache or pain anywhere other than his jaw. Slight abrasion noted to left elbow. 98/52 P 89  SPO2 95%
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Dysmenorrhoea, Laboratory test, Postmenopause, Vaginal haemorrhage
Clinical narrative: Symptoms:  Vaginal bleeding and discharge (17 years post menopause) menstrual cramping. Symptoms lasted  off and on for 6 months post vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Swelling face
Clinical narrative: Localized swelling in face where I have hyaluronic acid dermal fillers (undereye/upper cheek). Began overnight after dose approximately 18 hours after vaccine administered.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Diarrhoea, Fatigue, Full blood count, Leukopenia
Clinical narrative: nausea, occasional emesis, malaise, fatigue, generalized weakness, loose bowel movements, thrombocytopenia and leukopenia
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Metabolic function test, Nausea, Thrombocytopenia, Vomiting
Clinical narrative: nausea, occasional emesis, malaise, fatigue, generalized weakness, loose bowel movements, thrombocytopenia and leukopenia
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 27.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt stated that 2nd dose was more than 6 months ago, upon review of vaccine record it was actually 5 months ago. No physical reactions were observed or reported.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Chills, Dyspnoea
Clinical narrative: Fever Chills Muscle aches Headache  Fatigue Difficulty breathing Chest pain
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Fever Chills Muscle aches Headache  Fatigue Difficulty breathing Chest pain
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Confusional state, Movement disorder, Nervous system disorder, Paralysis
Clinical narrative: The evening of the second shot I had a high fever (over 102) and chills, which I expected.  But when I tried to get out of bed, I could not move at all. Couldn?t even lift a finger. I was paralyzed.  At first I thought it was about ten minutes but I believe it was about a half hour or so before the paralysis was over.  For months later I had confusion and several neurological problems.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The evening of the second shot I had a high fever (over 102) and chills, which I expected.  But when I tried to get out of bed, I could not move at all. Couldn?t even lift a finger. I was paralyzed.  At first I thought it was about ten minutes but I believe it was about a half hour or so before the paralysis was over.  For months later I had confusion and several neurological problems.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Reporting system indicates adolescent received a pediatric dose for first immunization.  CDC card also shows pediatric dose.  Contacted family and will follow CDC guidelines to not repeat dose but to assure adolescent/adult dose at second shot in series.  Family will be provided with written documentation at second shot clinic.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acquired claw toe
Clinical narrative: Clawing of the toes
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema
Clinical narrative: Flare up of eczema.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Myocarditis, Troponin, Vomiting
Clinical narrative: Presented with chest pain and emesis. Diagnosed with myopericarditis and admitted for observation and management with NSAIDs
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, Bradycardia, Chest pain, Electrocardiogram ambulatory
Clinical narrative: ABOUT 2 MONTHS AFTER VACCINATION PATIENT DEVELOPED ELEVATED BLOOD PRESSURE, JAW PAIN, CHEST PAIN AND BACK PAIN AND WENT TO THE ED. FROM THERE PATIENT WAS SENT TO DR. ON JULY 2, 2021 AND WILL PROBABLY NEED A PACEMAKER IN THE FUTURE.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Tachycardia
Clinical narrative: ABOUT 2 MONTHS AFTER VACCINATION PATIENT DEVELOPED ELEVATED BLOOD PRESSURE, JAW PAIN, CHEST PAIN AND BACK PAIN AND WENT TO THE ED. FROM THERE PATIENT WAS SENT TO DR. ON JULY 2, 2021 AND WILL PROBABLY NEED A PACEMAKER IN THE FUTURE.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters.  Booster dose should have been 0.25 milliliters.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood folate, Blood test, Blood thyroid stimulating hormone, C-reactive protein
Clinical narrative: - 9/19/2021 - tingling in bilateral hands/fingers - 9/23/2021 - left hand/ulnar nerve numbness - In the days following - Then tingling in left and right feet. Then right hand/ulnar nerve numbness. Then muscles spasms in right and left calves. Then muscle spasms throughout body. - 9/25/2021 - chest pain. Seen in urgent care. Cardiac work up negative. Provider advised pain could be due to inflammation, chostocondritis. - 10/6/2021 - primary care provider visit. Referred to neurology for EMG. - 10/9/2021 - chest pain. Seen in Emergency Room. Cardiac workup negative.  Advised to follow up with PCP and neurology. - 11/29/2021 - seen by neurology. EMG done. Showed nerve entrapment in left elbow, confirmed muscle spasms, nerve damage in right lower extremity.  - Sporadic numbness/tingling, muscle cramps/twitches in limbs continues.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Costochondritis, Electrocardiogram, Electromyogram abnormal
Clinical narrative: - 9/19/2021 - tingling in bilateral hands/fingers - 9/23/2021 - left hand/ulnar nerve numbness - In the days following - Then tingling in left and right feet. Then right hand/ulnar nerve numbness. Then muscles spasms in right and left calves. Then muscle spasms throughout body. - 9/25/2021 - chest pain. Seen in urgent care. Cardiac work up negative. Provider advised pain could be due to inflammation, chostocondritis. - 10/6/2021 - primary care provider visit. Referred to neurology for EMG. - 10/9/2021 - chest pain. Seen in Emergency Room. Cardiac workup negative.  Advised to follow up with PCP and neurology. - 11/29/2021 - seen by neurology. EMG done. Showed nerve entrapment in left elbow, confirmed muscle spasms, nerve damage in right lower extremity.  - Sporadic numbness/tingling, muscle cramps/twitches in limbs continues.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Full blood count, Hypoaesthesia, Inflammation, Lipase
Clinical narrative: - 9/19/2021 - tingling in bilateral hands/fingers - 9/23/2021 - left hand/ulnar nerve numbness - In the days following - Then tingling in left and right feet. Then right hand/ulnar nerve numbness. Then muscles spasms in right and left calves. Then muscle spasms throughout body. - 9/25/2021 - chest pain. Seen in urgent care. Cardiac work up negative. Provider advised pain could be due to inflammation, chostocondritis. - 10/6/2021 - primary care provider visit. Referred to neurology for EMG. - 10/9/2021 - chest pain. Seen in Emergency Room. Cardiac workup negative.  Advised to follow up with PCP and neurology. - 11/29/2021 - seen by neurology. EMG done. Showed nerve entrapment in left elbow, confirmed muscle spasms, nerve damage in right lower extremity.  - Sporadic numbness/tingling, muscle cramps/twitches in limbs continues.