chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Agitation, Angiogram pulmonary abnormal, Bradycardia, COVID-19
Clinical narrative: Admission Date: 11/12/2022 Discharge Date: Nov 20, 2022 COVID positive 11/12/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Acute respiratory failure, unspecified whether with hypoxia or hypercapnia [J96.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: 73 y/o male wheelchair-bound nursing home resident who has a history of dementia, morbid obesity, DM-1, HTN and GERD. He presented to the  ED 11/12 via EMS after being found hypoxic by staff with O2 sats in the 80-84% range along with decreased mental status. Initial workup revealed positive COVID PCR, leukocytosis and CTA which was negative for PE and showed lower RUL and bilateral lower lobe consolidation. He was initially placed BIPAP with inability to tolerate and changed to NC/NRB with stability in o2 saturations. His stay was complicated with recurrent hypoxia due to removing his oxygen in a delirious state. He was put on soft wrist restraints in discussion with his family. He remained agitated stating that he wants to die. Pulmonology was consulted due to severe bibasilar PNA and started on empiric rocephin/azithromycin with IV solumedrol. He was placed on endotool with expectation of hyperglycemia secondary to steroids. Palliative care was consulted due to his critical status with patient expressing wishes of comfort care. He was delerious in making these statements but does have baseline dementia. Family was engaged and agreed to a trial of aggressive care. ICU was consulted for precedex gtt which helped with his agitation. He complained of chest pain and stat ekg showed NSR  and flat troponins. He remained on telemetry without incidence. His IV steroids were weaned and o2 weaned. Restraints were discontinued and precedex gtt discontinued as the patient calmed down. IV haldol PRN utilized to stabilize agitation associated with illness and dementia. On 11/14/22 he was weaned off bipap and NC/NRB and did well on NC alone.His steroids were weaned further and he will complete a 5 day course of antibiotics for complicated PNA. Pulmonology signed off.  He was transferred out of intensive care unit.   He finished 5 day course of remdesivir and will finish steroids post discharge by 11/23.  Patient did have episodes of bradycardia, unclear etiology, possibilities include Precedex drip but no ongoing Toprol and possibly also having OSA pathophysiology.  Toprol was discontinued, his heart rates remained in 60s and 70s, replaced by losartan which she was on prior.  Ultimately was transitioned off EndoTool switched to 2 injectables.  His COVID isolation would end on 11/23 he was discharged back to LTC and 11/20
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiac telemetry, Chest pain, Condition aggravated, Delirium
Clinical narrative: Admission Date: 11/12/2022 Discharge Date: Nov 20, 2022 COVID positive 11/12/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Acute respiratory failure, unspecified whether with hypoxia or hypercapnia [J96.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: 73 y/o male wheelchair-bound nursing home resident who has a history of dementia, morbid obesity, DM-1, HTN and GERD. He presented to the  ED 11/12 via EMS after being found hypoxic by staff with O2 sats in the 80-84% range along with decreased mental status. Initial workup revealed positive COVID PCR, leukocytosis and CTA which was negative for PE and showed lower RUL and bilateral lower lobe consolidation. He was initially placed BIPAP with inability to tolerate and changed to NC/NRB with stability in o2 saturations. His stay was complicated with recurrent hypoxia due to removing his oxygen in a delirious state. He was put on soft wrist restraints in discussion with his family. He remained agitated stating that he wants to die. Pulmonology was consulted due to severe bibasilar PNA and started on empiric rocephin/azithromycin with IV solumedrol. He was placed on endotool with expectation of hyperglycemia secondary to steroids. Palliative care was consulted due to his critical status with patient expressing wishes of comfort care. He was delerious in making these statements but does have baseline dementia. Family was engaged and agreed to a trial of aggressive care. ICU was consulted for precedex gtt which helped with his agitation. He complained of chest pain and stat ekg showed NSR  and flat troponins. He remained on telemetry without incidence. His IV steroids were weaned and o2 weaned. Restraints were discontinued and precedex gtt discontinued as the patient calmed down. IV haldol PRN utilized to stabilize agitation associated with illness and dementia. On 11/14/22 he was weaned off bipap and NC/NRB and did well on NC alone.His steroids were weaned further and he will complete a 5 day course of antibiotics for complicated PNA. Pulmonology signed off.  He was transferred out of intensive care unit.   He finished 5 day course of remdesivir and will finish steroids post discharge by 11/23.  Patient did have episodes of bradycardia, unclear etiology, possibilities include Precedex drip but no ongoing Toprol and possibly also having OSA pathophysiology.  Toprol was discontinued, his heart rates remained in 60s and 70s, replaced by losartan which she was on prior.  Ultimately was transitioned off EndoTool switched to 2 injectables.  His COVID isolation would end on 11/23 he was discharged back to LTC and 11/20
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dementia, Device intolerance, Electrocardiogram normal, Hypoxia, Illness
Clinical narrative: Admission Date: 11/12/2022 Discharge Date: Nov 20, 2022 COVID positive 11/12/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Acute respiratory failure, unspecified whether with hypoxia or hypercapnia [J96.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: 73 y/o male wheelchair-bound nursing home resident who has a history of dementia, morbid obesity, DM-1, HTN and GERD. He presented to the  ED 11/12 via EMS after being found hypoxic by staff with O2 sats in the 80-84% range along with decreased mental status. Initial workup revealed positive COVID PCR, leukocytosis and CTA which was negative for PE and showed lower RUL and bilateral lower lobe consolidation. He was initially placed BIPAP with inability to tolerate and changed to NC/NRB with stability in o2 saturations. His stay was complicated with recurrent hypoxia due to removing his oxygen in a delirious state. He was put on soft wrist restraints in discussion with his family. He remained agitated stating that he wants to die. Pulmonology was consulted due to severe bibasilar PNA and started on empiric rocephin/azithromycin with IV solumedrol. He was placed on endotool with expectation of hyperglycemia secondary to steroids. Palliative care was consulted due to his critical status with patient expressing wishes of comfort care. He was delerious in making these statements but does have baseline dementia. Family was engaged and agreed to a trial of aggressive care. ICU was consulted for precedex gtt which helped with his agitation. He complained of chest pain and stat ekg showed NSR  and flat troponins. He remained on telemetry without incidence. His IV steroids were weaned and o2 weaned. Restraints were discontinued and precedex gtt discontinued as the patient calmed down. IV haldol PRN utilized to stabilize agitation associated with illness and dementia. On 11/14/22 he was weaned off bipap and NC/NRB and did well on NC alone.His steroids were weaned further and he will complete a 5 day course of antibiotics for complicated PNA. Pulmonology signed off.  He was transferred out of intensive care unit.   He finished 5 day course of remdesivir and will finish steroids post discharge by 11/23.  Patient did have episodes of bradycardia, unclear etiology, possibilities include Precedex drip but no ongoing Toprol and possibly also having OSA pathophysiology.  Toprol was discontinued, his heart rates remained in 60s and 70s, replaced by losartan which she was on prior.  Ultimately was transitioned off EndoTool switched to 2 injectables.  His COVID isolation would end on 11/23 he was discharged back to LTC and 11/20
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Laboratory test abnormal, Leukocytosis, Lung consolidation, Medical device removal
Clinical narrative: Admission Date: 11/12/2022 Discharge Date: Nov 20, 2022 COVID positive 11/12/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Acute respiratory failure, unspecified whether with hypoxia or hypercapnia [J96.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: 73 y/o male wheelchair-bound nursing home resident who has a history of dementia, morbid obesity, DM-1, HTN and GERD. He presented to the  ED 11/12 via EMS after being found hypoxic by staff with O2 sats in the 80-84% range along with decreased mental status. Initial workup revealed positive COVID PCR, leukocytosis and CTA which was negative for PE and showed lower RUL and bilateral lower lobe consolidation. He was initially placed BIPAP with inability to tolerate and changed to NC/NRB with stability in o2 saturations. His stay was complicated with recurrent hypoxia due to removing his oxygen in a delirious state. He was put on soft wrist restraints in discussion with his family. He remained agitated stating that he wants to die. Pulmonology was consulted due to severe bibasilar PNA and started on empiric rocephin/azithromycin with IV solumedrol. He was placed on endotool with expectation of hyperglycemia secondary to steroids. Palliative care was consulted due to his critical status with patient expressing wishes of comfort care. He was delerious in making these statements but does have baseline dementia. Family was engaged and agreed to a trial of aggressive care. ICU was consulted for precedex gtt which helped with his agitation. He complained of chest pain and stat ekg showed NSR  and flat troponins. He remained on telemetry without incidence. His IV steroids were weaned and o2 weaned. Restraints were discontinued and precedex gtt discontinued as the patient calmed down. IV haldol PRN utilized to stabilize agitation associated with illness and dementia. On 11/14/22 he was weaned off bipap and NC/NRB and did well on NC alone.His steroids were weaned further and he will complete a 5 day course of antibiotics for complicated PNA. Pulmonology signed off.  He was transferred out of intensive care unit.   He finished 5 day course of remdesivir and will finish steroids post discharge by 11/23.  Patient did have episodes of bradycardia, unclear etiology, possibilities include Precedex drip but no ongoing Toprol and possibly also having OSA pathophysiology.  Toprol was discontinued, his heart rates remained in 60s and 70s, replaced by losartan which she was on prior.  Ultimately was transitioned off EndoTool switched to 2 injectables.  His COVID isolation would end on 11/23 he was discharged back to LTC and 11/20
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Patient restraint, Pneumonia, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 11/12/2022 Discharge Date: Nov 20, 2022 COVID positive 11/12/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Acute respiratory failure, unspecified whether with hypoxia or hypercapnia [J96.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: 73 y/o male wheelchair-bound nursing home resident who has a history of dementia, morbid obesity, DM-1, HTN and GERD. He presented to the  ED 11/12 via EMS after being found hypoxic by staff with O2 sats in the 80-84% range along with decreased mental status. Initial workup revealed positive COVID PCR, leukocytosis and CTA which was negative for PE and showed lower RUL and bilateral lower lobe consolidation. He was initially placed BIPAP with inability to tolerate and changed to NC/NRB with stability in o2 saturations. His stay was complicated with recurrent hypoxia due to removing his oxygen in a delirious state. He was put on soft wrist restraints in discussion with his family. He remained agitated stating that he wants to die. Pulmonology was consulted due to severe bibasilar PNA and started on empiric rocephin/azithromycin with IV solumedrol. He was placed on endotool with expectation of hyperglycemia secondary to steroids. Palliative care was consulted due to his critical status with patient expressing wishes of comfort care. He was delerious in making these statements but does have baseline dementia. Family was engaged and agreed to a trial of aggressive care. ICU was consulted for precedex gtt which helped with his agitation. He complained of chest pain and stat ekg showed NSR  and flat troponins. He remained on telemetry without incidence. His IV steroids were weaned and o2 weaned. Restraints were discontinued and precedex gtt discontinued as the patient calmed down. IV haldol PRN utilized to stabilize agitation associated with illness and dementia. On 11/14/22 he was weaned off bipap and NC/NRB and did well on NC alone.His steroids were weaned further and he will complete a 5 day course of antibiotics for complicated PNA. Pulmonology signed off.  He was transferred out of intensive care unit.   He finished 5 day course of remdesivir and will finish steroids post discharge by 11/23.  Patient did have episodes of bradycardia, unclear etiology, possibilities include Precedex drip but no ongoing Toprol and possibly also having OSA pathophysiology.  Toprol was discontinued, his heart rates remained in 60s and 70s, replaced by losartan which she was on prior.  Ultimately was transitioned off EndoTool switched to 2 injectables.  His COVID isolation would end on 11/23 he was discharged back to LTC and 11/20
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Suicidal ideation, Troponin normal
Clinical narrative: Admission Date: 11/12/2022 Discharge Date: Nov 20, 2022 COVID positive 11/12/2022  PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] Acute respiratory failure, unspecified whether with hypoxia or hypercapnia [J96.00] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: 73 y/o male wheelchair-bound nursing home resident who has a history of dementia, morbid obesity, DM-1, HTN and GERD. He presented to the  ED 11/12 via EMS after being found hypoxic by staff with O2 sats in the 80-84% range along with decreased mental status. Initial workup revealed positive COVID PCR, leukocytosis and CTA which was negative for PE and showed lower RUL and bilateral lower lobe consolidation. He was initially placed BIPAP with inability to tolerate and changed to NC/NRB with stability in o2 saturations. His stay was complicated with recurrent hypoxia due to removing his oxygen in a delirious state. He was put on soft wrist restraints in discussion with his family. He remained agitated stating that he wants to die. Pulmonology was consulted due to severe bibasilar PNA and started on empiric rocephin/azithromycin with IV solumedrol. He was placed on endotool with expectation of hyperglycemia secondary to steroids. Palliative care was consulted due to his critical status with patient expressing wishes of comfort care. He was delerious in making these statements but does have baseline dementia. Family was engaged and agreed to a trial of aggressive care. ICU was consulted for precedex gtt which helped with his agitation. He complained of chest pain and stat ekg showed NSR  and flat troponins. He remained on telemetry without incidence. His IV steroids were weaned and o2 weaned. Restraints were discontinued and precedex gtt discontinued as the patient calmed down. IV haldol PRN utilized to stabilize agitation associated with illness and dementia. On 11/14/22 he was weaned off bipap and NC/NRB and did well on NC alone.His steroids were weaned further and he will complete a 5 day course of antibiotics for complicated PNA. Pulmonology signed off.  He was transferred out of intensive care unit.   He finished 5 day course of remdesivir and will finish steroids post discharge by 11/23.  Patient did have episodes of bradycardia, unclear etiology, possibilities include Precedex drip but no ongoing Toprol and possibly also having OSA pathophysiology.  Toprol was discontinued, his heart rates remained in 60s and 70s, replaced by losartan which she was on prior.  Ultimately was transitioned off EndoTool switched to 2 injectables.  His COVID isolation would end on 11/23 he was discharged back to LTC and 11/20
Age: 13.0
Sex: F
Vaccine: HEP, IPV, MMRV, TDAP
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Proquad was given to a patient older than 12 years of age. Patient has not presented with any complications. This dose was given to complete the 2 dose varicella series and as the first dose for the MMR series. MMR will be administered to the patient to restart the series and Varivax will be administered to the patient to complete the 2 dose series.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Syringe issue, Underdose
Clinical narrative: went to inject syringe into patients arm and noticed as I depressed the syringe it leaked and ran down patients arm
Age: 31.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Abdominal pain, Abdominal pain lower, Appendicectomy, Appendicitis, Blood test
Clinical narrative: Appendicitis. At 11am Sunday nausea and vomiting starting with sharp pain in lower abdomen  that would come and go. At about 530pm  cramping like pain began throughout the whole abdomen and by 830 was mostly on the lower right abdomen continuing to get worse. Arrived at the ER just before 930pm. Hospital was very busy so it took a long time for tests. Pain meds: dilauded, saline fluids, and zofran were given between 10-1030pm. Blood work and urine tests performed. CT scan performed. Around 1230am I was informed that inflamed appendix was confirmed, morphine was given around this time. Around 130am I met the surgeon, he ordered antibiotics and more dilauded. I was put in a room around 4am and given diapause?s every 2 hours until surgery (saline fluids continued and were constant through whole treatment). Another round of IV antibiotics were given around 11am. Surgery prep began around 1230pm, surgery performed around 130pm and I was back in my room around 2pm. I was discharged at 530pm with a prescription for Percocet. The surgery performed was a laparoscopic appendectomy. Appendix was confirmed to be inflamed and at risk of rupture (but had not yet ruptured) and the surgery was necessary.
Age: 31.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Computerised tomogram abdomen abnormal, Laparoscopic surgery, Nausea, Urine analysis, Vomiting
Clinical narrative: Appendicitis. At 11am Sunday nausea and vomiting starting with sharp pain in lower abdomen  that would come and go. At about 530pm  cramping like pain began throughout the whole abdomen and by 830 was mostly on the lower right abdomen continuing to get worse. Arrived at the ER just before 930pm. Hospital was very busy so it took a long time for tests. Pain meds: dilauded, saline fluids, and zofran were given between 10-1030pm. Blood work and urine tests performed. CT scan performed. Around 1230am I was informed that inflamed appendix was confirmed, morphine was given around this time. Around 130am I met the surgeon, he ordered antibiotics and more dilauded. I was put in a room around 4am and given diapause?s every 2 hours until surgery (saline fluids continued and were constant through whole treatment). Another round of IV antibiotics were given around 11am. Surgery prep began around 1230pm, surgery performed around 130pm and I was back in my room around 2pm. I was discharged at 530pm with a prescription for Percocet. The surgery performed was a laparoscopic appendectomy. Appendix was confirmed to be inflamed and at risk of rupture (but had not yet ruptured) and the surgery was necessary.
Age: 31.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: White blood cell count
Clinical narrative: Appendicitis. At 11am Sunday nausea and vomiting starting with sharp pain in lower abdomen  that would come and go. At about 530pm  cramping like pain began throughout the whole abdomen and by 830 was mostly on the lower right abdomen continuing to get worse. Arrived at the ER just before 930pm. Hospital was very busy so it took a long time for tests. Pain meds: dilauded, saline fluids, and zofran were given between 10-1030pm. Blood work and urine tests performed. CT scan performed. Around 1230am I was informed that inflamed appendix was confirmed, morphine was given around this time. Around 130am I met the surgeon, he ordered antibiotics and more dilauded. I was put in a room around 4am and given diapause?s every 2 hours until surgery (saline fluids continued and were constant through whole treatment). Another round of IV antibiotics were given around 11am. Surgery prep began around 1230pm, surgery performed around 130pm and I was back in my room around 2pm. I was discharged at 530pm with a prescription for Percocet. The surgery performed was a laparoscopic appendectomy. Appendix was confirmed to be inflamed and at risk of rupture (but had not yet ruptured) and the surgery was necessary.
Age: 57.0
Sex: U
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Interchange of vaccine products
Clinical narrative: Covid-19 Bivalent booster given instead of Moderna Covid-19 Vaccine for second dose in primary series.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Feeling abnormal, Oropharyngeal pain
Clinical narrative: I had a sore shoulder for a day but that was it.  On 09/21/2022, I had a sore throat, congestion, brain was fuzzy and a cough. On 09/22/2022, I tested positive for COVID-19 with a home test. I contacted my doctor and was given a prescription for Paxlovid. It really helped to shorten the duration of the virus. As of today, I continue to have a cough.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had a sore shoulder for a day but that was it.  On 09/21/2022, I had a sore throat, congestion, brain was fuzzy and a cough. On 09/22/2022, I tested positive for COVID-19 with a home test. I contacted my doctor and was given a prescription for Paxlovid. It really helped to shorten the duration of the virus. As of today, I continue to have a cough.
Age: 73.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pruritus
Clinical narrative: Pt reports having patches of itchy skin all over his body happening a few weeks after receiving his covid booster.
Age: 72.0
Sex: U
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Interchange of vaccine products
Clinical narrative: Covid-19 Bivalent booster given instead of Moderna Covid-19 Vaccine for first dose in primary series.
Age: 90.0
Sex: F
Vaccine: FLU4
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid abnormal, Cerebellar artery occlusion, Cerebral hypoperfusion, Chest X-ray
Clinical narrative: The patient went to bed in her usual state of health around 930 or 10 PM on 11/20.  She woke up 11/21 with slurred speech.  She was unable to get out of bed.  EMS mediately activated and noticed right-sided facial droop and right upper extremity weakness.  In the ED she also has dizziness, headache, nausea, and vomiting.  Vomiting is induced by movement.  She endorses generalized body tingles, but not necessarily paresthesias.  She has chronic unchanged constipation, last bowel movement yesterday.  She denies chest pain, shortness of breath, diarrhea, melena, hematochezia, dysuria.
Age: 90.0
Sex: F
Vaccine: FLU4
Symptoms: Constipation, Dizziness, Dysarthria, Echocardiogram, Facial paralysis
Clinical narrative: The patient went to bed in her usual state of health around 930 or 10 PM on 11/20.  She woke up 11/21 with slurred speech.  She was unable to get out of bed.  EMS mediately activated and noticed right-sided facial droop and right upper extremity weakness.  In the ED she also has dizziness, headache, nausea, and vomiting.  Vomiting is induced by movement.  She endorses generalized body tingles, but not necessarily paresthesias.  She has chronic unchanged constipation, last bowel movement yesterday.  She denies chest pain, shortness of breath, diarrhea, melena, hematochezia, dysuria.
Age: 90.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Hemiparesis, Laboratory test normal, Magnetic resonance imaging head, Mobility decreased
Clinical narrative: The patient went to bed in her usual state of health around 930 or 10 PM on 11/20.  She woke up 11/21 with slurred speech.  She was unable to get out of bed.  EMS mediately activated and noticed right-sided facial droop and right upper extremity weakness.  In the ED she also has dizziness, headache, nausea, and vomiting.  Vomiting is induced by movement.  She endorses generalized body tingles, but not necessarily paresthesias.  She has chronic unchanged constipation, last bowel movement yesterday.  She denies chest pain, shortness of breath, diarrhea, melena, hematochezia, dysuria.
Age: 90.0
Sex: F
Vaccine: FLU4
Symptoms: Muscular weakness, Nausea, Paraesthesia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: The patient went to bed in her usual state of health around 930 or 10 PM on 11/20.  She woke up 11/21 with slurred speech.  She was unable to get out of bed.  EMS mediately activated and noticed right-sided facial droop and right upper extremity weakness.  In the ED she also has dizziness, headache, nausea, and vomiting.  Vomiting is induced by movement.  She endorses generalized body tingles, but not necessarily paresthesias.  She has chronic unchanged constipation, last bowel movement yesterday.  She denies chest pain, shortness of breath, diarrhea, melena, hematochezia, dysuria.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac ablation, Cardiac pacemaker evaluation, Cardioversion, Fatigue
Clinical narrative: I had a headache and body aches the first night. After a couple weeks I was still very tired and wasn't bouncing back. The did a remote device check on pacemaker and they called me and told me that I was in AFIB since the middle of December. They were monitoring me every week hoping it would regulate, but it didn't. I went to the doctor. I was scheduled for an oblation 03/31/22 and got that done. About 10 days later, HCF to have my pacemaker checked and everything was fine. A week later, my daughter came to my house, and I was unconscious. She called the EMT, and they took me to the HCF and was scheduled for a Cardio Conversion. They did that and it went back into rhythm. That is when they increased my COREG dosage and took me off losartan. I am doing better now but have small bouts of AFIB still.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test, Loss of consciousness, Pain
Clinical narrative: I had a headache and body aches the first night. After a couple weeks I was still very tired and wasn't bouncing back. The did a remote device check on pacemaker and they called me and told me that I was in AFIB since the middle of December. They were monitoring me every week hoping it would regulate, but it didn't. I went to the doctor. I was scheduled for an oblation 03/31/22 and got that done. About 10 days later, HCF to have my pacemaker checked and everything was fine. A week later, my daughter came to my house, and I was unconscious. She called the EMT, and they took me to the HCF and was scheduled for a Cardio Conversion. They did that and it went back into rhythm. That is when they increased my COREG dosage and took me off losartan. I am doing better now but have small bouts of AFIB still.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bladder catheterisation, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Information provided in this adverse event note, is per web report received by Regulatory Authority from submitting facility. Covid-19 vaccination information is provided by information that is in Regulatory Authority Immunization Registry.  PER WEB REPORT received: ?Hospitalized 11/7/2022 presented with increased weakness for the past 1 to 2 days. Associated symptoms included chest congestion, throat soreness, nonproductive cough. He denies any associated headaches, dizziness or lightheadedness, fever or chills, sinus congestion or runny nose, chest pain or shortness of breath or palpitations, nausea or vomiting, stomach pain, urinary symptoms, diarrhea, or increased leg swelling. Patient?s chest x-ray does show vascular congestion and mild interstitial edema. However, patient overall did not appear to be fluid overloaded. BNP mildly elevated at 721, though without available reference to compare. I suspect that this value is elevated at his baseline. Blood pressure overall well controlled at home, per wife. It is possible that recent COVID-19 infection may be causing increased cardiac stress. Patient positive for COVID-19 (vaccinated x4) [Janssen 3/19/2021 1805031 / public; Pfizer 11/30/21 FH8027; Pfizer tris 12+ 4/21/2022 (lot number not available in IR); Pfizer tris+ 8/25/2022 FJ4991] Symptom onset 11/5/2022. Weakness is likely secondary to COVID infection. He has not required any oxygen in the hospital and vital signs are very stable. Does not appear to be a good candidate for steroids at this time. Patient had episode of urine with some bloody clots in it. However today Foley bag had no evidence of blood or clots in it. Patient denies any urinary symptoms, UA did show some blood but culture was not indicated, unlikely that this is UTI.?
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Culture urine negative, Echocardiogram, Haemorrhage urinary tract, Laboratory test
Clinical narrative: Information provided in this adverse event note, is per web report received by Regulatory Authority from submitting facility. Covid-19 vaccination information is provided by information that is in Regulatory Authority Immunization Registry.  PER WEB REPORT received: ?Hospitalized 11/7/2022 presented with increased weakness for the past 1 to 2 days. Associated symptoms included chest congestion, throat soreness, nonproductive cough. He denies any associated headaches, dizziness or lightheadedness, fever or chills, sinus congestion or runny nose, chest pain or shortness of breath or palpitations, nausea or vomiting, stomach pain, urinary symptoms, diarrhea, or increased leg swelling. Patient?s chest x-ray does show vascular congestion and mild interstitial edema. However, patient overall did not appear to be fluid overloaded. BNP mildly elevated at 721, though without available reference to compare. I suspect that this value is elevated at his baseline. Blood pressure overall well controlled at home, per wife. It is possible that recent COVID-19 infection may be causing increased cardiac stress. Patient positive for COVID-19 (vaccinated x4) [Janssen 3/19/2021 1805031 / public; Pfizer 11/30/21 FH8027; Pfizer tris 12+ 4/21/2022 (lot number not available in IR); Pfizer tris+ 8/25/2022 FJ4991] Symptom onset 11/5/2022. Weakness is likely secondary to COVID infection. He has not required any oxygen in the hospital and vital signs are very stable. Does not appear to be a good candidate for steroids at this time. Patient had episode of urine with some bloody clots in it. However today Foley bag had no evidence of blood or clots in it. Patient denies any urinary symptoms, UA did show some blood but culture was not indicated, unlikely that this is UTI.?
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pulmonary congestion, Pulmonary oedema, Respiratory tract congestion
Clinical narrative: Information provided in this adverse event note, is per web report received by Regulatory Authority from submitting facility. Covid-19 vaccination information is provided by information that is in Regulatory Authority Immunization Registry.  PER WEB REPORT received: ?Hospitalized 11/7/2022 presented with increased weakness for the past 1 to 2 days. Associated symptoms included chest congestion, throat soreness, nonproductive cough. He denies any associated headaches, dizziness or lightheadedness, fever or chills, sinus congestion or runny nose, chest pain or shortness of breath or palpitations, nausea or vomiting, stomach pain, urinary symptoms, diarrhea, or increased leg swelling. Patient?s chest x-ray does show vascular congestion and mild interstitial edema. However, patient overall did not appear to be fluid overloaded. BNP mildly elevated at 721, though without available reference to compare. I suspect that this value is elevated at his baseline. Blood pressure overall well controlled at home, per wife. It is possible that recent COVID-19 infection may be causing increased cardiac stress. Patient positive for COVID-19 (vaccinated x4) [Janssen 3/19/2021 1805031 / public; Pfizer 11/30/21 FH8027; Pfizer tris 12+ 4/21/2022 (lot number not available in IR); Pfizer tris+ 8/25/2022 FJ4991] Symptom onset 11/5/2022. Weakness is likely secondary to COVID infection. He has not required any oxygen in the hospital and vital signs are very stable. Does not appear to be a good candidate for steroids at this time. Patient had episode of urine with some bloody clots in it. However today Foley bag had no evidence of blood or clots in it. Patient denies any urinary symptoms, UA did show some blood but culture was not indicated, unlikely that this is UTI.?
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: Information provided in this adverse event note, is per web report received by Regulatory Authority from submitting facility. Covid-19 vaccination information is provided by information that is in Regulatory Authority Immunization Registry.  PER WEB REPORT received: ?Hospitalized 11/7/2022 presented with increased weakness for the past 1 to 2 days. Associated symptoms included chest congestion, throat soreness, nonproductive cough. He denies any associated headaches, dizziness or lightheadedness, fever or chills, sinus congestion or runny nose, chest pain or shortness of breath or palpitations, nausea or vomiting, stomach pain, urinary symptoms, diarrhea, or increased leg swelling. Patient?s chest x-ray does show vascular congestion and mild interstitial edema. However, patient overall did not appear to be fluid overloaded. BNP mildly elevated at 721, though without available reference to compare. I suspect that this value is elevated at his baseline. Blood pressure overall well controlled at home, per wife. It is possible that recent COVID-19 infection may be causing increased cardiac stress. Patient positive for COVID-19 (vaccinated x4) [Janssen 3/19/2021 1805031 / public; Pfizer 11/30/21 FH8027; Pfizer tris 12+ 4/21/2022 (lot number not available in IR); Pfizer tris+ 8/25/2022 FJ4991] Symptom onset 11/5/2022. Weakness is likely secondary to COVID infection. He has not required any oxygen in the hospital and vital signs are very stable. Does not appear to be a good candidate for steroids at this time. Patient had episode of urine with some bloody clots in it. However today Foley bag had no evidence of blood or clots in it. Patient denies any urinary symptoms, UA did show some blood but culture was not indicated, unlikely that this is UTI.?
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given the pediatric dose .25ml of COVID 19 bivalent vaccine . not the adult dose of .50ml
Age: 76.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient presented to clinic for High Dose Flu Vaccine that was adminstered in the Right Deltoid. When documenting adminsistration in the patient's chart, it was discovered that the patient had also received a High Dose Flu Vaccine on 10/24/22. This was reviewed with the ordering provider and it was determined that this would not be harmful to the patinet. When this was discussed with the patient, she was adamant that she had not received the previous High Dose Flu Vaccine on 10/24/22 despite there being documented administration and a signed flu consent in the patient's chart on 10/24/22. Patinet was stable with no side effects and no adverse effects at the time of leaving the clinic more than 30 minutes later.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Interchange of vaccine products
Clinical narrative: Moderna COVID19 monovalent vaccine was administered instead of the bivalent vaccine
Age: 81.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product storage error
Clinical narrative: Patient was given a dose from a Pfizer Bivalent Vial on 11/21/2022 that had originally been opened on 11/20/2022 but was not wasted at the end of the day.  The patient receiving the dose on the morning of 11/21/2022 received it from  the already punctured vial that had been sitting since the day prior on 11/20/2022. Called Pfizer and they said stability data at room temperature was okay for 24 hours. Per Pfizer information and professional judgement, do not need to repeat the dose according to CDC data.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Vaccinated and boosted.   COVID breakthrough infection
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Echocardiogram abnormal, Pericardial effusion, Pulmonary embolism
Clinical narrative: One week after vaccine, I was diagnosed with pulmonary embolism. Then today, echo showed small pericardial effusion
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given the pediatric dose .25ml of COVID 19 bivalent vaccine . not the adult dose of .50ml
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19-2, COVID19-2
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted.   COVID breakthrough infection
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Moderna COVID19 monovalent vaccine was administered instead of the bivalent vaccine
Age: 89.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given the pediatric dose .25ml of COVID 19 bivalent vaccine . not the adult dose of .50ml
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: no signs or symptoms.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated.  Boosted.   COVID breakthrough infection
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given the pediatric dose .25ml of COVID 19 bivalent vaccine . not the adult dose of .50ml
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer COVID19 monovalent vaccine was administered instead of the bivalent vaccine
Age: 74.0
Sex: F
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Patient given 0.3mls dose of pediatric Pfizer (orange cap) undiluted bivalent booster and not the adult (grey cap) Pfizer bivalent booster.
Age: 87.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient was given the pediatric dose .25ml of COVID 19 bivalent vaccine . not the adult dose of .50ml
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Lethargy, Pain
Clinical narrative: I experienced Joint pain, mild fever, fatigue and a headache. I also had pains in my leg. The pains only lasted for a day but I was extremely tired and lethargic.  I had my flu shot 2 weeks prior to getting the covid shot also.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: I experienced Joint pain, mild fever, fatigue and a headache. I also had pains in my leg. The pains only lasted for a day but I was extremely tired and lethargic.  I had my flu shot 2 weeks prior to getting the covid shot also.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Nurse administered vaccine to pt while father was holding them. After injection of the needle, nurse started to push plunger however pt moved his arm away. Pt received less than half dose, some vaccine content plunged out of syringe and last of vaccine content still remained in syringe. In accordance to CDC guidelines, OK to repeat dose immediately. Upon pt education with father, father OK'd us to repeat dose. Repeat dose successful.
Age: 42.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Arthralgia, Injection site erythema, Injection site induration, Injection site swelling, Myalgia
Clinical narrative: Intense left arm pain in joints and muscles began on 11/20/2022. Swollen armpit and red swollen and hard injection site area also on left.
Age: 42.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Oedema peripheral, Pain in extremity
Clinical narrative: Intense left arm pain in joints and muscles began on 11/20/2022. Swollen armpit and red swollen and hard injection site area also on left.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, Fatigue, Feeling abnormal, Headache, Immediate post-injection reaction
Clinical narrative: 10/15/2022 I had a headache almost immediately with aches and pains and my fingertips had a burning sensation and heart palpitations and tachycardia within a few hours of getting the vaccine. I had a sharp pain running up and down the left side of my neck. I had some fatigue and brain fog. That evening I developed a fever peaking at 102. I took TYLENOL and the next morning the fever was broken. The rest of the symptoms lasted about 10 days. Saw Dr. about heart issues 11/14. She referred me to a cardiologist.
Age: 39.0
Sex: F
Vaccine: COVID19-2
Symptoms: Neck pain, Pain in extremity, Palpitations, Pyrexia, Tachycardia
Clinical narrative: 10/15/2022 I had a headache almost immediately with aches and pains and my fingertips had a burning sensation and heart palpitations and tachycardia within a few hours of getting the vaccine. I had a sharp pain running up and down the left side of my neck. I had some fatigue and brain fog. That evening I developed a fever peaking at 102. I took TYLENOL and the next morning the fever was broken. The rest of the symptoms lasted about 10 days. Saw Dr. about heart issues 11/14. She referred me to a cardiologist.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Product preparation issue
Clinical narrative: Patient given 0.3mls dose of pediatric Pfizer (orange cap) undiluted bivalent booster and not the adult (grey cap) Pfizer bivalent booster.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Myalgia, Nasal congestion
Clinical narrative: I started out with a stuffing nose on 11/13/2022 but I tested negative for COVID-19. Then 2 days later I woke up with a sore throat, sneezing, coughing, tired, and muscle aches. On that same day I tested positive for COVID-19. I called my doctor, and she prescribed me Paxlovid. I still have a little stuffy nose and cough.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing
Clinical narrative: I started out with a stuffing nose on 11/13/2022 but I tested negative for COVID-19. Then 2 days later I woke up with a sore throat, sneezing, coughing, tired, and muscle aches. On that same day I tested positive for COVID-19. I called my doctor, and she prescribed me Paxlovid. I still have a little stuffy nose and cough.
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Malaise, Pyrexia
Clinical narrative: She was very tired and was on the sofa all the time and didn't want to eat, and had a fever. After that on the following day I called the doctor, I thought she was a bit better and planned to take her to the doctor. As the day progressed she was getting better Mon/Tuesday. By Wednesday morning my other child started feeling ill, so I took them to the doctor and got her tested. Each child was sick for about 2 days, then I got COVID-19 and then my husband.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Anaemia vitamin B12 deficiency, Asthenia, Blood calcium normal, Blood gases normal
Clinical narrative: Clinical Summary Patient is a 95 y.o. female with a history of cognitive impairment, HTN, HLD, hypothyroidism, iron deficiency anemia, chronic pain syndrome who presented to the  local ED from her PCP's office with several weeks of fatigue, nausea, poor appetite, memory loss. Patient found to be COVID-19 positive. Patient was transferred to a hospital 11/2/2022 for further evaluation/treatment. Patient did not require O2 and remained stable except for nausea. Discharged home per patient preference with rec to follow up with PCP.   1. COVID-19: Presented as above. Symptom onset 2 weeks PTA with worsening 7 days PTA, positive test 11/2/22.  Vaccinated with Pfizer x2. Stable on room air. CXR at hospital non-acute. Supportive care, pulmonary hygiene. No indication for Decadron, Remdesivir on admit. Monitored pulse ox, remained on RA.  2. Acute Encephalopathy on chronic cognitive impairment: Patient on aricept for memory issues prior to admission per PCP. At baseline lives alone and manages most of her needs on her own, daughter visits frequently. Some baseline forgetfulness. Negative: UA, Calcium, Flu, Troponin, VBG, Chem, WBC. Abnormal: TSH (see below). Suspect infectious and metabolic due to COVID on chronic memory issues. Supportive care with return to baseline.   3. Generalized weakness/debility: Reported on admission, likely in the setting of viral infection as above. Supportive care. PT/OT/CM consulted. 4. Lactic acidosis: Admit lactate 2.5 at hospital, likely due to above. S/p 1L NS bolus at hospital. BP stable on admit. 5. Chronic iron and B12 deficiency anemia: Admit Hgb 11.7, improved from 10.3 10/10/22. No evidence of acute blood loss, asymptomatic. Continued home B12 and iron supplementation. Monitored, consider transfusion for Hgb <7.   6. HTN: Per history. Uncontrolled at hospital. Continued home CCB. Monitored and titrated as needed.  7. Hypothyroidism: Per history. TSH 26, free T4 0.8 (10/10/22), continued home synthroid. 8. Anxiety/depression: Per history. Resumed home meds.   9. Chronic pain syndrome: With opiate dependence by history. Reviewed report and patient is getting consistent fills of Tramadol 50mg (#60, 30d supply) with last fill 10/26/22. Continued on admission.