chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotonia, Loss of consciousness
Clinical narrative: PATIENT PASSED OUT AFTER  RECEIVING THE VACCINE COLLAPSED IN THE CHAIR AND WAS UNCONSCIOUS THEN PHARMACIST ADMINSTERED EPINEPHRINE THEN PATIENT REGAINED CONSCIUOUSNESS AND  HE FELT FINE  DURATION FOR LESS THAN A MIN
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site pain
Clinical narrative: I couldn't relate the two at the time thought maybe I slept on my shoulder. The pain I was experiencing was at the injection thinking it would go away. After time I went to a Orthopedic doctor was prescribed Meloxicam for one month. When the dosage was completed the pain returned I went back to the doctor. I was referred to the physical therapy. My right arm still has discomfort from the site of the injection especially when lying down at night. I'm scheduled for tomorrow to have MRI done.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Covid vaccine given one day past 72 days use by date.  No ill effects.  Physician notified and physician notified parent.  Pfizer notified as well.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: fully vaccinated with moderna vaccine. Tested positive for covid on 12/29/2021. Admitted to Hospital on 01/15/2022. Expired on 01/24/2022 while still hospitalized.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Death, Diarrhoea, Dyspnoea
Clinical narrative: fully vaccinated with moderna vaccine. Tested positive for covid on 12/29/2021. Admitted to Hospital on 01/15/2022. Expired on 01/24/2022 while still hospitalized.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Intensive care, Mechanical ventilation, Rash
Clinical narrative: fully vaccinated with moderna vaccine. Tested positive for covid on 12/29/2021. Admitted to Hospital on 01/15/2022. Expired on 01/24/2022 while still hospitalized.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Renal failure, SARS-CoV-2 test positive
Clinical narrative: fully vaccinated with moderna vaccine. Tested positive for covid on 12/29/2021. Admitted to Hospital on 01/15/2022. Expired on 01/24/2022 while still hospitalized.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Hyperhidrosis, Joint injury, Limb injury
Clinical narrative: Severe joint pain leading to joint damage to the shoulder in the arm the vaccine was given.   Chills, sweating, racing heart rate.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Severe joint pain leading to joint damage to the shoulder in the arm the vaccine was given.   Chills, sweating, racing heart rate.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood sodium decreased, C-reactive protein increased, COVID-19, Catheter site pain
Clinical narrative: This is a 62y.o. male with hx of COPD on 2-3L Home O2 and HTN, who presents to Facility with a chief complaint of respiratory distress. Patient arrived via EMS with SpO2 of 57%, which did not resolved with NRB and positional changes. Initial CXR demonstrated small left basilar pneumothorax with no appreciable mediastinal shift -- ER resident then placed L Chest Tube, which the patient tolerated with no reported issues, where SpO2 returned to low 90s. Patient currently on 1L NC, SpO2 96% and in no respiratory distress.   Upon my examination s/p chest tube placement, patient denies any current SOB, palpitations, headache, or COV -- does not some tenderness at the site where the chest tube was placed.   Patient found to be COVID+, received 2nd dose of Pfizer vaccine in April 2021. States for the last ~5 days he has had increasing SOB -- denies any fever/chills, productive cough, N/V/D   Upon arrival to the ED:  o Vitals: T 97.1°F, BP 145/104, HR 114, RR 18, SpO2 57% on RA.  o Lab work obtained and remarkable for:  ? COVID+ | WBC 14.4, Neutrophils 12.8 | Hgb 8.7 | Na 129 ? D-Dimer 1041, LDH 535, CRP 12.9 o Imaging demonstrates: ? CXR: small left basilar pneumothorax with no appreciable mediastinal shift o ID and Surgery has been consulted
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest tube insertion, Dyspnoea, Fibrin D dimer, Haemoglobin decreased
Clinical narrative: This is a 62y.o. male with hx of COPD on 2-3L Home O2 and HTN, who presents to Facility with a chief complaint of respiratory distress. Patient arrived via EMS with SpO2 of 57%, which did not resolved with NRB and positional changes. Initial CXR demonstrated small left basilar pneumothorax with no appreciable mediastinal shift -- ER resident then placed L Chest Tube, which the patient tolerated with no reported issues, where SpO2 returned to low 90s. Patient currently on 1L NC, SpO2 96% and in no respiratory distress.   Upon my examination s/p chest tube placement, patient denies any current SOB, palpitations, headache, or COV -- does not some tenderness at the site where the chest tube was placed.   Patient found to be COVID+, received 2nd dose of Pfizer vaccine in April 2021. States for the last ~5 days he has had increasing SOB -- denies any fever/chills, productive cough, N/V/D   Upon arrival to the ED:  o Vitals: T 97.1°F, BP 145/104, HR 114, RR 18, SpO2 57% on RA.  o Lab work obtained and remarkable for:  ? COVID+ | WBC 14.4, Neutrophils 12.8 | Hgb 8.7 | Na 129 ? D-Dimer 1041, LDH 535, CRP 12.9 o Imaging demonstrates: ? CXR: small left basilar pneumothorax with no appreciable mediastinal shift o ID and Surgery has been consulted
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Neutrophil count increased, Oxygen saturation decreased
Clinical narrative: This is a 62y.o. male with hx of COPD on 2-3L Home O2 and HTN, who presents to Facility with a chief complaint of respiratory distress. Patient arrived via EMS with SpO2 of 57%, which did not resolved with NRB and positional changes. Initial CXR demonstrated small left basilar pneumothorax with no appreciable mediastinal shift -- ER resident then placed L Chest Tube, which the patient tolerated with no reported issues, where SpO2 returned to low 90s. Patient currently on 1L NC, SpO2 96% and in no respiratory distress.   Upon my examination s/p chest tube placement, patient denies any current SOB, palpitations, headache, or COV -- does not some tenderness at the site where the chest tube was placed.   Patient found to be COVID+, received 2nd dose of Pfizer vaccine in April 2021. States for the last ~5 days he has had increasing SOB -- denies any fever/chills, productive cough, N/V/D   Upon arrival to the ED:  o Vitals: T 97.1°F, BP 145/104, HR 114, RR 18, SpO2 57% on RA.  o Lab work obtained and remarkable for:  ? COVID+ | WBC 14.4, Neutrophils 12.8 | Hgb 8.7 | Na 129 ? D-Dimer 1041, LDH 535, CRP 12.9 o Imaging demonstrates: ? CXR: small left basilar pneumothorax with no appreciable mediastinal shift o ID and Surgery has been consulted
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumothorax, Respiratory distress, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: This is a 62y.o. male with hx of COPD on 2-3L Home O2 and HTN, who presents to Facility with a chief complaint of respiratory distress. Patient arrived via EMS with SpO2 of 57%, which did not resolved with NRB and positional changes. Initial CXR demonstrated small left basilar pneumothorax with no appreciable mediastinal shift -- ER resident then placed L Chest Tube, which the patient tolerated with no reported issues, where SpO2 returned to low 90s. Patient currently on 1L NC, SpO2 96% and in no respiratory distress.   Upon my examination s/p chest tube placement, patient denies any current SOB, palpitations, headache, or COV -- does not some tenderness at the site where the chest tube was placed.   Patient found to be COVID+, received 2nd dose of Pfizer vaccine in April 2021. States for the last ~5 days he has had increasing SOB -- denies any fever/chills, productive cough, N/V/D   Upon arrival to the ED:  o Vitals: T 97.1°F, BP 145/104, HR 114, RR 18, SpO2 57% on RA.  o Lab work obtained and remarkable for:  ? COVID+ | WBC 14.4, Neutrophils 12.8 | Hgb 8.7 | Na 129 ? D-Dimer 1041, LDH 535, CRP 12.9 o Imaging demonstrates: ? CXR: small left basilar pneumothorax with no appreciable mediastinal shift o ID and Surgery has been consulted
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaemia, Aphasia, Arterial haemorrhage, Asymptomatic COVID-19, Blood sodium decreased
Clinical narrative: Acute cerebrovascular accident (CVA) due to embolism of left middle cerebral artery Patient is a 57 yo female with PMH of multiple CVAs on coumadin, cold agglutinin disease, HTN, DM type 1, who presented with right sided hemiparesis, global aphasia, left gaze deviation.  She is 10 days s/p initial COVID positive test but has been asymptomatic. She had recent admission at hospital where she required multiple transfusions.  Records have been requested but not yet obtained. In ER, workup revealed large vessel occlusion. INR was 1.0. She underwent successful M1 embolectomy by IR.  She was admitted to ICU post embolectomy.  She initially had improvement in NIH but this morning had sudden decline in neurologic status and NIHSS.  She was taken for stat CT head which revealed bleeding along left MCA distribution with ventricular compression and 5mm midline shift.  She was intubated and hyperventilated. Hypertonic saline initiated with target Na 150-155. Sodium prior to initiation of hypertonic saline was 133.  Facility was contacted regarding transfer for neurosurgical evaluation and accepted.  Pt the developed fever of 104.  She had no leukocytosis.  Blood cultures and procalcitonin have been ordered.  Fever may be related to ICH but Vanc and Rocephin have been administered pending results.  Pt also had significant anemia on presentation with Hgb <7.  She is being transfused pRBCs with blood warmer given cold agglutinin disease.  HH will need to be followed after transfer.  Pt will fly to facility, accepting physician
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain compression, Cerebral artery embolism, Cerebral haemorrhage, Cerebral mass effect, Cerebrovascular accident
Clinical narrative: Acute cerebrovascular accident (CVA) due to embolism of left middle cerebral artery Patient is a 57 yo female with PMH of multiple CVAs on coumadin, cold agglutinin disease, HTN, DM type 1, who presented with right sided hemiparesis, global aphasia, left gaze deviation.  She is 10 days s/p initial COVID positive test but has been asymptomatic. She had recent admission at hospital where she required multiple transfusions.  Records have been requested but not yet obtained. In ER, workup revealed large vessel occlusion. INR was 1.0. She underwent successful M1 embolectomy by IR.  She was admitted to ICU post embolectomy.  She initially had improvement in NIH but this morning had sudden decline in neurologic status and NIHSS.  She was taken for stat CT head which revealed bleeding along left MCA distribution with ventricular compression and 5mm midline shift.  She was intubated and hyperventilated. Hypertonic saline initiated with target Na 150-155. Sodium prior to initiation of hypertonic saline was 133.  Facility was contacted regarding transfer for neurosurgical evaluation and accepted.  Pt the developed fever of 104.  She had no leukocytosis.  Blood cultures and procalcitonin have been ordered.  Fever may be related to ICH but Vanc and Rocephin have been administered pending results.  Pt also had significant anemia on presentation with Hgb <7.  She is being transfused pRBCs with blood warmer given cold agglutinin disease.  HH will need to be followed after transfer.  Pt will fly to facility, accepting physician
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cold type haemolytic anaemia, Computerised tomogram head abnormal, Condition aggravated, Endotracheal intubation, Gaze palsy
Clinical narrative: Acute cerebrovascular accident (CVA) due to embolism of left middle cerebral artery Patient is a 57 yo female with PMH of multiple CVAs on coumadin, cold agglutinin disease, HTN, DM type 1, who presented with right sided hemiparesis, global aphasia, left gaze deviation.  She is 10 days s/p initial COVID positive test but has been asymptomatic. She had recent admission at hospital where she required multiple transfusions.  Records have been requested but not yet obtained. In ER, workup revealed large vessel occlusion. INR was 1.0. She underwent successful M1 embolectomy by IR.  She was admitted to ICU post embolectomy.  She initially had improvement in NIH but this morning had sudden decline in neurologic status and NIHSS.  She was taken for stat CT head which revealed bleeding along left MCA distribution with ventricular compression and 5mm midline shift.  She was intubated and hyperventilated. Hypertonic saline initiated with target Na 150-155. Sodium prior to initiation of hypertonic saline was 133.  Facility was contacted regarding transfer for neurosurgical evaluation and accepted.  Pt the developed fever of 104.  She had no leukocytosis.  Blood cultures and procalcitonin have been ordered.  Fever may be related to ICH but Vanc and Rocephin have been administered pending results.  Pt also had significant anemia on presentation with Hgb <7.  She is being transfused pRBCs with blood warmer given cold agglutinin disease.  HH will need to be followed after transfer.  Pt will fly to facility, accepting physician
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin decreased, Hemiparesis, Hyperventilation, Intensive care, International normalised ratio normal
Clinical narrative: Acute cerebrovascular accident (CVA) due to embolism of left middle cerebral artery Patient is a 57 yo female with PMH of multiple CVAs on coumadin, cold agglutinin disease, HTN, DM type 1, who presented with right sided hemiparesis, global aphasia, left gaze deviation.  She is 10 days s/p initial COVID positive test but has been asymptomatic. She had recent admission at hospital where she required multiple transfusions.  Records have been requested but not yet obtained. In ER, workup revealed large vessel occlusion. INR was 1.0. She underwent successful M1 embolectomy by IR.  She was admitted to ICU post embolectomy.  She initially had improvement in NIH but this morning had sudden decline in neurologic status and NIHSS.  She was taken for stat CT head which revealed bleeding along left MCA distribution with ventricular compression and 5mm midline shift.  She was intubated and hyperventilated. Hypertonic saline initiated with target Na 150-155. Sodium prior to initiation of hypertonic saline was 133.  Facility was contacted regarding transfer for neurosurgical evaluation and accepted.  Pt the developed fever of 104.  She had no leukocytosis.  Blood cultures and procalcitonin have been ordered.  Fever may be related to ICH but Vanc and Rocephin have been administered pending results.  Pt also had significant anemia on presentation with Hgb <7.  She is being transfused pRBCs with blood warmer given cold agglutinin disease.  HH will need to be followed after transfer.  Pt will fly to facility, accepting physician
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: NIH stroke scale abnormal, Neurological symptom, Packed red blood cell transfusion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Acute cerebrovascular accident (CVA) due to embolism of left middle cerebral artery Patient is a 57 yo female with PMH of multiple CVAs on coumadin, cold agglutinin disease, HTN, DM type 1, who presented with right sided hemiparesis, global aphasia, left gaze deviation.  She is 10 days s/p initial COVID positive test but has been asymptomatic. She had recent admission at hospital where she required multiple transfusions.  Records have been requested but not yet obtained. In ER, workup revealed large vessel occlusion. INR was 1.0. She underwent successful M1 embolectomy by IR.  She was admitted to ICU post embolectomy.  She initially had improvement in NIH but this morning had sudden decline in neurologic status and NIHSS.  She was taken for stat CT head which revealed bleeding along left MCA distribution with ventricular compression and 5mm midline shift.  She was intubated and hyperventilated. Hypertonic saline initiated with target Na 150-155. Sodium prior to initiation of hypertonic saline was 133.  Facility was contacted regarding transfer for neurosurgical evaluation and accepted.  Pt the developed fever of 104.  She had no leukocytosis.  Blood cultures and procalcitonin have been ordered.  Fever may be related to ICH but Vanc and Rocephin have been administered pending results.  Pt also had significant anemia on presentation with Hgb <7.  She is being transfused pRBCs with blood warmer given cold agglutinin disease.  HH will need to be followed after transfer.  Pt will fly to facility, accepting physician
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thromboembolectomy, Vascular occlusion
Clinical narrative: Acute cerebrovascular accident (CVA) due to embolism of left middle cerebral artery Patient is a 57 yo female with PMH of multiple CVAs on coumadin, cold agglutinin disease, HTN, DM type 1, who presented with right sided hemiparesis, global aphasia, left gaze deviation.  She is 10 days s/p initial COVID positive test but has been asymptomatic. She had recent admission at hospital where she required multiple transfusions.  Records have been requested but not yet obtained. In ER, workup revealed large vessel occlusion. INR was 1.0. She underwent successful M1 embolectomy by IR.  She was admitted to ICU post embolectomy.  She initially had improvement in NIH but this morning had sudden decline in neurologic status and NIHSS.  She was taken for stat CT head which revealed bleeding along left MCA distribution with ventricular compression and 5mm midline shift.  She was intubated and hyperventilated. Hypertonic saline initiated with target Na 150-155. Sodium prior to initiation of hypertonic saline was 133.  Facility was contacted regarding transfer for neurosurgical evaluation and accepted.  Pt the developed fever of 104.  She had no leukocytosis.  Blood cultures and procalcitonin have been ordered.  Fever may be related to ICH but Vanc and Rocephin have been administered pending results.  Pt also had significant anemia on presentation with Hgb <7.  She is being transfused pRBCs with blood warmer given cold agglutinin disease.  HH will need to be followed after transfer.  Pt will fly to facility, accepting physician
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Headache, Pruritus, Pyrexia
Clinical narrative: 8 hours after getting vaccination: Chills, headaches, fever - took ibuprohen/tylenol 36 hours after getting vaccination: Coughing, right eyelid itching,  hives and swelling by the right cheek bone - took non drowsy allergy medicine
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: 8 hours after getting vaccination: Chills, headaches, fever - took ibuprohen/tylenol 36 hours after getting vaccination: Coughing, right eyelid itching,  hives and swelling by the right cheek bone - took non drowsy allergy medicine
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Presented with SOB; admit with Covid PNA; tx with supplemental O2, maxipime, steroids, remdesivir, Vit C, Zinc presented to hospital with SOB, found to have acute hypoxemic resp failure secondary to covid-19 pneumonia. ID was consulted and pt received few doses of IV dexamethasone and remdesivir. Pt was weaned down on supplemetnal O2, and was eventually discharged home with home O2 in good spirits.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test positive, Erythema, Food allergy, Pruritus, Sensitive skin
Clinical narrative: After receiving the Moderna Booster, about 2 weeks later I experienced random itching that resulted in hives.   My skin has become sensitive (not painful) and turns red upon touch.   Hives develop in small places then expand when scratching or coming into contact with surfaces.   It appears to happen in waves.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: After receiving the Moderna Booster, about 2 weeks later I experienced random itching that resulted in hives.   My skin has become sensitive (not painful) and turns red upon touch.   Hives develop in small places then expand when scratching or coming into contact with surfaces.   It appears to happen in waves.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Condition aggravated, Dyspnoea, Leukocytosis
Clinical narrative: presented with dyspnea x2 days: admitted with exacerbation of pulmonary fibrosis due to covid 19 infection & Covid PNA; dx with covid 2 days PTA; tx with maxipime, remdesivir, Vit C, zithromax, rocephin, Vit D, steroids, zinc. patient's family declined to go to rehab, patient family is arranging for him to Rehab from home, ordered recommended home such as bedside commode, wheelchair and son will hire additional help at home to get around with a disability. Leukocytosis secondary to steroids with underlying history of lymphoma.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary fibrosis
Clinical narrative: presented with dyspnea x2 days: admitted with exacerbation of pulmonary fibrosis due to covid 19 infection & Covid PNA; dx with covid 2 days PTA; tx with maxipime, remdesivir, Vit C, zithromax, rocephin, Vit D, steroids, zinc. patient's family declined to go to rehab, patient family is arranging for him to Rehab from home, ordered recommended home such as bedside commode, wheelchair and son will hire additional help at home to get around with a disability. Leukocytosis secondary to steroids with underlying history of lymphoma.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chondropathy, Computerised tomogram, Ear inflammation, Ear swelling
Clinical narrative: On 12/23/2021, I had left ear inflammation and swelling. The next day, I went to Urgent Care. They told me that it was not an infection and that it was from my mask. I had not worn my mask, so I did not believe that was correct. I went to my doctor on 12/28, Dr., and was diagnosed with relapsing polychrondritis. This is Deterioration of the cartilage may affect any site of the body where cartilage is present. I am now in my second month of seeing specialists because this attacks the any cartilage throughout my body.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Polychondritis, Pulmonary function test
Clinical narrative: On 12/23/2021, I had left ear inflammation and swelling. The next day, I went to Urgent Care. They told me that it was not an infection and that it was from my mask. I had not worn my mask, so I did not believe that was correct. I went to my doctor on 12/28, Dr., and was diagnosed with relapsing polychrondritis. This is Deterioration of the cartilage may affect any site of the body where cartilage is present. I am now in my second month of seeing specialists because this attacks the any cartilage throughout my body.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Dyspnoea, Pyrexia
Clinical narrative: presented with SOB, cough, fever x3 days; admitted with Covid PNA; tx with merrem, steroid, zinc,  He was ambulated and was able to maintain oxygenation during ambulation even on room air. At this point he was advised to continue treatment at home as no additional hospital treatment was necessary.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE "PRIVATE" REPORT.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vial with BUD 2/12/22 was given to Covid Vaccine Clinic on morning of 2/14/22. Booster 4th dose for immunocompromised individuals was administered to patient at 0859 this AM. Error was discovered at 0915 when doing daily routine vaccine inventory. Expired vials quarantined. Moderna contacted and awaiting further guidance. Reporting via VAERS.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Inflammatory marker test
Clinical narrative: Presented with SOB, cough, fever x5 days; tested Covid-19 + PTA at PCP office; admit with Covid-19 PNA; TX with steroids, vitamin C, Maxipime, doxycycline, Zinc, and supplemental low dose O2. Patient overall improved, inflammatory markers improved, oxygen requirements improved. Patient is currently on 2 L oxygen which is almost close to his baseline, patient is feeling significantly improved, comfortable in going home, patient is discharged with dexamethasone, doxycycline for the next 5 days.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Presented with SOB, cough, fever x5 days; tested Covid-19 + PTA at PCP office; admit with Covid-19 PNA; TX with steroids, vitamin C, Maxipime, doxycycline, Zinc, and supplemental low dose O2. Patient overall improved, inflammatory markers improved, oxygen requirements improved. Patient is currently on 2 L oxygen which is almost close to his baseline, patient is feeling significantly improved, comfortable in going home, patient is discharged with dexamethasone, doxycycline for the next 5 days.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac arrest, Cardiac monitoring normal, Cardiac pacemaker insertion, Cardiac stress test normal, Computerised tomogram coronary artery normal
Clinical narrative: March 3, 2021 Syncope episode, heart stopped for 7 seconds, pacemaker implanted on March 4, 2121. Respiratory issues since second vaccine to include Shortness of breath, fatigue, palpitations, dizziness, and light headedness.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Palpitations, Respiratory disorder
Clinical narrative: March 3, 2021 Syncope episode, heart stopped for 7 seconds, pacemaker implanted on March 4, 2121. Respiratory issues since second vaccine to include Shortness of breath, fatigue, palpitations, dizziness, and light headedness.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Spirometry normal, Syncope
Clinical narrative: March 3, 2021 Syncope episode, heart stopped for 7 seconds, pacemaker implanted on March 4, 2121. Respiratory issues since second vaccine to include Shortness of breath, fatigue, palpitations, dizziness, and light headedness.
Age: 5.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Covid Vaccine given one day past use by date (after 72 days in refrigerator). Physician made aware and notified parent. Nothing further to be done at this time.
Age: 28.0
Sex: F
Vaccine: HEP
Symptoms: Dizziness, Headache, Hypotension, Loss of consciousness
Clinical narrative: Within 15 minutes of vaccine, donor experienced dizziness, headache, hypotension, and LOC <30 sec.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Body tinea, Cellulitis, Cerebral haemorrhage, Clostridium difficile infection, Cognitive disorder
Clinical narrative: 10/27/21 hemorrhagic stroke. Significant residual effects of stroke. He was hospitalized for 3 months. Paralyzed on left side and has significant cognitive deficit. He had a large 7 cm brain bleed. He had only 10% survival rate. He had a 2nd stroke as well. He had CDIF and ring worm in the hospital. He had cellulitis. He had a peg tube. He had a fever of 108 in the hospital. He was intubated 2 times.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Endotracheal intubation, Gastrostomy, Haemorrhagic stroke, Hemiplegia
Clinical narrative: 10/27/21 hemorrhagic stroke. Significant residual effects of stroke. He was hospitalized for 3 months. Paralyzed on left side and has significant cognitive deficit. He had a large 7 cm brain bleed. He had only 10% survival rate. He had a 2nd stroke as well. He had CDIF and ring worm in the hospital. He had cellulitis. He had a peg tube. He had a fever of 108 in the hospital. He was intubated 2 times.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging, Pyrexia
Clinical narrative: 10/27/21 hemorrhagic stroke. Significant residual effects of stroke. He was hospitalized for 3 months. Paralyzed on left side and has significant cognitive deficit. He had a large 7 cm brain bleed. He had only 10% survival rate. He had a 2nd stroke as well. He had CDIF and ring worm in the hospital. He had cellulitis. He had a peg tube. He had a fever of 108 in the hospital. He was intubated 2 times.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Muscle spasms, Nausea, Urinary incontinence, Vomiting
Clinical narrative: Severe chills and loss of bladder control. Nausea and vomiting for two weeks after shot. Muscles spasms so severe I thought my back was going to break.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Death, Dyspnoea
Clinical narrative: COVID + 5 days PTA, admit with worsening SOB and COVID pna. Fully vaccinated 4/2021. Admitted from rehab facility where she was discharged to from prior admission for UTI. Treated with steroids, vit-C, zinc, Eliquis, O2, rocephin, doxy, eventual remdesivir. Deteriorating condition, placed on hospice. She failed to improve and her husband decided to pursue hospice care.She expired at 2003 on 9/11/2021
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: COVID + 5 days PTA, admit with worsening SOB and COVID pna. Fully vaccinated 4/2021. Admitted from rehab facility where she was discharged to from prior admission for UTI. Treated with steroids, vit-C, zinc, Eliquis, O2, rocephin, doxy, eventual remdesivir. Deteriorating condition, placed on hospice. She failed to improve and her husband decided to pursue hospice care.She expired at 2003 on 9/11/2021
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had no AE to the vaccine. I had a positive COVID exposure a few days prior and on 1/12 I started having a cough and chest congestion developed which resulted in me taking a COVID test at home and it was positive.  On 1/14 I had a PCR test that was positive to COVID as well.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: I had no AE to the vaccine. I had a positive COVID exposure a few days prior and on 1/12 I started having a cough and chest congestion developed which resulted in me taking a COVID test at home and it was positive.  On 1/14 I had a PCR test that was positive to COVID as well.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Escherichia infection, Pneumonia bacterial, Respiratory failure
Clinical narrative: COVID infection one month PTA, discharged on home O2. Currently with COVID infection, resp failure with bacterial pna, Afib with RVR. Fully vaccinated. HFNC, steroids, zinc, vit-c. Severe sepsis 2/2 E coli. Documented as "improving". Patient doesn't want to go to SNF or LTAC She has 24/7 care. Will need repeat PT eval. She is very eager to be discharged She will need Home with HHC ongoing PT
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: COVID infection one month PTA, discharged on home O2. Currently with COVID infection, resp failure with bacterial pna, Afib with RVR. Fully vaccinated. HFNC, steroids, zinc, vit-c. Severe sepsis 2/2 E coli. Documented as "improving". Patient doesn't want to go to SNF or LTAC She has 24/7 care. Will need repeat PT eval. She is very eager to be discharged She will need Home with HHC ongoing PT
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vial with BUD 2/12/22 was given to Covid Vaccine Clinic on morning of 2/14/22. Booster 4th dose for immunocompromised individuals was administered to patient at 0901 this AM. Error was discovered at 0915 when doing daily routine vaccine inventory. Expired vials quarantined. Moderna contacted and awaiting further guidance. Reporting via VAERS.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Covid vaccine x 3 (pfizer). Tested positive for Covid on 01/24/2022. Admitted to hospital on 01/24/2022. Expired on 01/25/2022 while still hospitalized.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary thrombosis
Clinical narrative: Presented to the Hospital ER and transferred to Hospital with blood clots-one lung full of clots.  In hospital for one week.  Was told he had a 30% chance of survival.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray normal, Convalescent plasma transfusion, Respiratory failure
Clinical narrative: Admit with COVID infection and resp failure. Given plasma, steroids, rocephin and zithromax, vit-c, vit-d, zing and singulair.  Leading to acute respiratory failure with hypoxia. Chest x-ray does not reveal any evidence of pulmonary infiltrates. Continue oxygen via nasal cannula at home. Status post 1 unit of convalescent plasma transfusion during this admission. Patient did not require remdesivir. Patient has been advised to complete the course of oral steroids as an outpatient along with vitamin supplements. Improved and discharged home.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE "PRIVATE" REPORT.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Immunodeficiency
Clinical narrative: Moderna vial with BUD 2/12/22 was given to Covid Vaccine Clinic on morning of 2/14/22. Booster 4th dose for immunocompromised individuals was administered to patient at 0856 this AM. Error was discovered at 0915 when doing daily routine vaccine inventory. Expired vials quarantined. Moderna contacted and awaiting further guidance. Reporting via VAERS.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal, Dyspnoea, Influenza A virus test negative
Clinical narrative: This is a 89y.o. male with significant past medical history  hypertension, CAD, atrial fibrillation, and PPM that presented to the hospital with chief complaint of shortness of breath. He reports for the past 3 days he had has worsening shortness of breath and lower extremity edema. Endorses associated symptoms of nasal congestion, orthopnea, and wheezing. He denies any fever, chills, chest pain, palpitations, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary complaints.    In the ED, patient normotensive, afebrile, stable SPO2 on supplemental oxygen. BNP 2905. COVID detected. CXR with trace pleural effusions and airspace disease. He has been admitted for further evaluation and management with cardiology consultation.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Lung disorder, Nasal congestion, Oedema peripheral, Orthopnoea
Clinical narrative: This is a 89y.o. male with significant past medical history  hypertension, CAD, atrial fibrillation, and PPM that presented to the hospital with chief complaint of shortness of breath. He reports for the past 3 days he had has worsening shortness of breath and lower extremity edema. Endorses associated symptoms of nasal congestion, orthopnea, and wheezing. He denies any fever, chills, chest pain, palpitations, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary complaints.    In the ED, patient normotensive, afebrile, stable SPO2 on supplemental oxygen. BNP 2905. COVID detected. CXR with trace pleural effusions and airspace disease. He has been admitted for further evaluation and management with cardiology consultation.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural effusion, SARS-CoV-2 test positive, Wheezing
Clinical narrative: This is a 89y.o. male with significant past medical history  hypertension, CAD, atrial fibrillation, and PPM that presented to the hospital with chief complaint of shortness of breath. He reports for the past 3 days he had has worsening shortness of breath and lower extremity edema. Endorses associated symptoms of nasal congestion, orthopnea, and wheezing. He denies any fever, chills, chest pain, palpitations, cough, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary complaints.    In the ED, patient normotensive, afebrile, stable SPO2 on supplemental oxygen. BNP 2905. COVID detected. CXR with trace pleural effusions and airspace disease. He has been admitted for further evaluation and management with cardiology consultation.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Given Covid Vaccine on Left arm no symptoms or reactions given expired vaccine
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody positive, Arthralgia, C-reactive protein increased, Joint swelling, Peripheral swelling
Clinical narrative: joint pain and swelling in the hands, shoulders, knees, and hips
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Swelling
Clinical narrative: joint pain and swelling in the hands, shoulders, knees, and hips
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with Covid vaccine x 3 (Moderna). Tested positive for Covid on 01/18/2022. Admitted to hospital on 01/18/2022. Expired on 01/25/2022 while still hospitalized.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, COVID-19, SARS-CoV-2 test positive
Clinical narrative: This 74 year old woman with stage 4 CKD was admitted with acute kidney injury. She was seen by nephrology. Her Aldactone and ARB were stopped and when able her Lasix was increased. Admission creatinine was 2.7; it is at baseline of 1.9 today. She did test positive for Covid-19 and is vaccinated. No treatment required. Follow up with PCP and nephrology.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pain in extremity, Pyrexia
Clinical narrative: Sore arm, high fever, SEVERE hip pain, general joint pain, and severe headache. All lasting 24-48 hours.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE IS ADMINISTERED DUE TO MISUNDERSTANDING WHEN STABLISHING THE EXPIRATION DATE IN THE REPORT.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic intramural haematoma, Atelectasis, Atrophy, Blood creatinine increased, COVID-19
Clinical narrative: History of Present Illness:  This is a 84y.o. female with past medical history significant for history of GI bleed, HTN presents to the hospital with hematochezia noted at nursing facility. Patient is a poor historian, A/O ×1 to self only and unable to provide significant history. History was supplemented upon chart review and discussion with patient's daughter over the telephone. She states that the patient was recently hospitalized at Hospital for hypertensive emergency with adjustments made to patient's oral antihypertensive regimen. Following hospitalization, patient was discharged to care of where patient was being treated for presumed bacterial pneumonia with antibiotic therapy and antitussive therapy. Patient was noted to have bright red blood in her stool today at the nursing home prompting evaluation within the ED. Patient's daughter unaware of any significant hematochezia, melena, hematemesis. Patient's daughter states that prior to hospitalization, she was A/O ×3 and independent with all activities of daily living. Since hospitalization, patient has had an abrupt decline in her mentation, A/O ×1-2. Upon chart review, patient was evaluated at hospital on 10/2020 for acute GI bleed with colonoscopy and EGD demonstrating pandiverticulosis, hemorrhoids, esophageal mass measuring 7×7 mm, GE junction ulcer measuring 10×10 mm, gastric atrophy, deformed pylorus. Unfortunately unable to locate the results of pathology on chart review and patient's daughter unaware of results at this time. Patient also completed vascular surgery evaluation for questionable intramural hematoma involving the infrarenal abdominal aorta, unclear of any acute intervention or need for outpatient follow-up. Evaluation in the ED, vital signs initial BP 134/76, RR 18, HR 99, afebrile, stable SPO2 on room air. Workup significant for normocytic hypochromic anemia, hemoglobin 6.7, 1 unit PRBC to be transfusion repeat hemoglobin thereafter. Suspect CTD at baseline, creatinine 1.43 on prior admission at Facility receiving in 10/2020, creatinine of 1.10 on admission today. Incidentally found to be covert positive, chest x-ray demonstrating left basilar atelectasis, 2/2 Pfizer vaccine completed. Patient to be admitted to internal medicine with consult placed to GI given hematochezia and prior endoscopic history.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Colonoscopy abnormal, Connective tissue disorder, Diverticulum, Gastric ulcer
Clinical narrative: History of Present Illness:  This is a 84y.o. female with past medical history significant for history of GI bleed, HTN presents to the hospital with hematochezia noted at nursing facility. Patient is a poor historian, A/O ×1 to self only and unable to provide significant history. History was supplemented upon chart review and discussion with patient's daughter over the telephone. She states that the patient was recently hospitalized at Hospital for hypertensive emergency with adjustments made to patient's oral antihypertensive regimen. Following hospitalization, patient was discharged to care of where patient was being treated for presumed bacterial pneumonia with antibiotic therapy and antitussive therapy. Patient was noted to have bright red blood in her stool today at the nursing home prompting evaluation within the ED. Patient's daughter unaware of any significant hematochezia, melena, hematemesis. Patient's daughter states that prior to hospitalization, she was A/O ×3 and independent with all activities of daily living. Since hospitalization, patient has had an abrupt decline in her mentation, A/O ×1-2. Upon chart review, patient was evaluated at hospital on 10/2020 for acute GI bleed with colonoscopy and EGD demonstrating pandiverticulosis, hemorrhoids, esophageal mass measuring 7×7 mm, GE junction ulcer measuring 10×10 mm, gastric atrophy, deformed pylorus. Unfortunately unable to locate the results of pathology on chart review and patient's daughter unaware of results at this time. Patient also completed vascular surgery evaluation for questionable intramural hematoma involving the infrarenal abdominal aorta, unclear of any acute intervention or need for outpatient follow-up. Evaluation in the ED, vital signs initial BP 134/76, RR 18, HR 99, afebrile, stable SPO2 on room air. Workup significant for normocytic hypochromic anemia, hemoglobin 6.7, 1 unit PRBC to be transfusion repeat hemoglobin thereafter. Suspect CTD at baseline, creatinine 1.43 on prior admission at Facility receiving in 10/2020, creatinine of 1.10 on admission today. Incidentally found to be covert positive, chest x-ray demonstrating left basilar atelectasis, 2/2 Pfizer vaccine completed. Patient to be admitted to internal medicine with consult placed to GI given hematochezia and prior endoscopic history.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Gastrointestinal haemorrhage, Haematochezia, Haemoglobin decreased, Haemorrhoids
Clinical narrative: History of Present Illness:  This is a 84y.o. female with past medical history significant for history of GI bleed, HTN presents to the hospital with hematochezia noted at nursing facility. Patient is a poor historian, A/O ×1 to self only and unable to provide significant history. History was supplemented upon chart review and discussion with patient's daughter over the telephone. She states that the patient was recently hospitalized at Hospital for hypertensive emergency with adjustments made to patient's oral antihypertensive regimen. Following hospitalization, patient was discharged to care of where patient was being treated for presumed bacterial pneumonia with antibiotic therapy and antitussive therapy. Patient was noted to have bright red blood in her stool today at the nursing home prompting evaluation within the ED. Patient's daughter unaware of any significant hematochezia, melena, hematemesis. Patient's daughter states that prior to hospitalization, she was A/O ×3 and independent with all activities of daily living. Since hospitalization, patient has had an abrupt decline in her mentation, A/O ×1-2. Upon chart review, patient was evaluated at hospital on 10/2020 for acute GI bleed with colonoscopy and EGD demonstrating pandiverticulosis, hemorrhoids, esophageal mass measuring 7×7 mm, GE junction ulcer measuring 10×10 mm, gastric atrophy, deformed pylorus. Unfortunately unable to locate the results of pathology on chart review and patient's daughter unaware of results at this time. Patient also completed vascular surgery evaluation for questionable intramural hematoma involving the infrarenal abdominal aorta, unclear of any acute intervention or need for outpatient follow-up. Evaluation in the ED, vital signs initial BP 134/76, RR 18, HR 99, afebrile, stable SPO2 on room air. Workup significant for normocytic hypochromic anemia, hemoglobin 6.7, 1 unit PRBC to be transfusion repeat hemoglobin thereafter. Suspect CTD at baseline, creatinine 1.43 on prior admission at Facility receiving in 10/2020, creatinine of 1.10 on admission today. Incidentally found to be covert positive, chest x-ray demonstrating left basilar atelectasis, 2/2 Pfizer vaccine completed. Patient to be admitted to internal medicine with consult placed to GI given hematochezia and prior endoscopic history.