chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Polyuria, Treatment noncompliance, Viral infection, Weight increased
Clinical narrative: Discharge Provider: MD Primary Care Provider:  MD Admission Date: 10/16/2022 Discharge Date: 10/20/2022 Presenting Problem: Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure (HCC)  HOSPITAL COURSE: Patient is a 43 y.o. male with past and current medical history of severe biventricular heart failure NICM EF 15%, severe VHD; severe MR and mod/severe TR, persistent afib and hx LAA thrombus on Eliquis, chronic pericardial effusion, and social history of medication noncompliance, homelessness, marijuana use, tobacco use and hx ETOH abuse who presented to the ED on 10/16 with complaints of dyspnea, orthopnea, leg swelling, weight gain and viral syndrome. He was found to be in decompensated  heart failure massively fluid overloaded due to non compliance with his medications. He was admitted for diuresis.    He was diuresed to a weight of 79.2 kg from an admit weight of 96.2 kg. Diuresed a total of net negative 19 liters during admission and symptoms significantly improved. Patient was transitioned to Torsemide 40 mg PO daily.   Upon admission, he also was diagnosed with COVID. He was treated with remdesivir 10/17-10/20 and did very well from a covid perspective. Patient on RA and lungs clear, therefore felt ok to discontinue COVID treatment at this time.   Patient w/ hx of noncompliance and not taking medications for various reasons. In an attempt to streamline and reduce burden of medications to hopefully improve compliance, ARB was discontinued and Eliquis was changed to Xarelto for once daily dosing.    The patient is homeless with issues making it to his appointments. Social work was consulted for assistance. Patient discharged with plans to stay at shelter at least 1 day with cab voucher given. Unfortunately, patient not wanting to live in shelter and has no family/friends available. Resources given by care management. Patient discharged in stable condition on 10/20/22.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: TESTED + FOR COVID ON       2-9-22  AT MED CENTER        AND DECEASED ON 2-12-22.
Age: 92.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case   All doses Moderna dose 1 2/17/21  031M20A dose 2 3/17/21 040A21A dose 3 10/27/21 039D21A dose 4 7/12/22 038A22A
Age: 65.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Herpes simplex
Clinical narrative: Multiple herpes simplex blisters , 3 so far, a new one every day
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough event
Age: 81.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Pt was given DTaP and MMR. Pt was 81 years old when given the vaccines. Given the pt's age, he should get Tdap. DTaP is intended for peds pt's to 6 years old. MMR is not required for anyone over the age of 64. Most MMR is given to pediatric patients.  Pt was not even due for any vaccines. No reactions were noted and the pt did not have any adverse events that occurred because of these immunizations.
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood pH increased, Heart rate increased, Livedo reticularis, Metabolic acidosis, Paraesthesia
Clinical narrative: Heart rate 170, mottled legs and feet (purple), tingling in face, metabolic acidosis with serum PH of 7.02
Age: 44.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin discolouration
Clinical narrative: Heart rate 170, mottled legs and feet (purple), tingling in face, metabolic acidosis with serum PH of 7.02
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Musculoskeletal stiffness, Oedema peripheral, Pyrexia
Clinical narrative: Low grade fever Mild headache Fatigue Stiff neck Edema in ankle and feet
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case    dose 1 Moderna  2/12/21  015M20A dose 2 Moderna 3/12/21  002B21A
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Admit Date: 10/16/2022  4:50 PM Discharge Date: 10/20/2022     Admitting Physician: MD Attending Physician: MD Discharge Clinician:  MD Primary Care Provider at Discharge: MD   Hospital Course:  Patient is a 77 year-old female with a medical history of COPD on 0-2L home O2, OSA on CPAP, CHF EF 55%, afib s/p pacemaker, HTN, HLD, CKD3a, hx PE/DVT on eliquis and recently diagnosed breast cancer. She came to the ER for shortness of breath.   Patient tested positive for COVID and is thought the chronic obstructive pulmonary disease exacerbation was related to this.  She was started on Decadron and remdesivir.  She was also started on azithromycin and continued on her home inhalers.  Patient finished 5 days of dexamethasone and remdesivir.  Patient was given prescription for 5 more days of dexamethasone to complete total 10 days of treatment.  Patient continued to get higher supplemental oxygen.  Patient was discharged home with COVID at home program who will be monitoring patient at home.   Patient was encouraged to use CPAP at home for obstructive sleep apnea.  Patient's other medical problems remained stable. Patient was discharged to  COVID at Home program  in stable condition.
Age: 33.0
Sex: F
Vaccine: COVID19-2
Symptoms: Herpes zoster
Clinical narrative: Shingles outbreak
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: TESTED + FOR COVID AT ARH HAZARD 2-5-22 , DECEASED 2-09-22
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 74.0
Sex: F
Vaccine: FLUA4
Symptoms: Body temperature increased, Dry skin, Ear swelling, Eye swelling, Hypersensitivity
Clinical narrative: Broke out in a rash all over face, trunk of body, arms and legs Ran a temperature from 99-101 A lot of swelling on face, especially eyes and ears Itched Dry skin
Age: 74.0
Sex: F
Vaccine: FLUA4
Symptoms: Immunisation reaction, Pruritus, Rash, Swelling face
Clinical narrative: Broke out in a rash all over face, trunk of body, arms and legs Ran a temperature from 99-101 A lot of swelling on face, especially eyes and ears Itched Dry skin
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acne, Dry skin, Skin discolouration
Clinical narrative: She got her vaccine, she had a circle on her left cheek, it turned dark and inside was like little pimples.  She put on Neosporin on it, the skin kind of lifted and she picked at it, peeled away that portion of the skin/darkened spot.  Last week about a week ago had a lot of pimples near the hairline across her forehead like pin-drop pimples, down the side of her face, down the bridge of her nose, and were itching a bit this morning.   As she scratched the ones on her nose black scabbing stuff came off.  Her sister had the vaccine with similar pimples that had pus in them.  She put alcohol on it, some other kind of ointment to help it, but nothing has helped it.  She does have an appointment with her doctor unrelated to this but will mention it.  The skin feels rough.  Her mother also has similar reactions to her daughter that is reporting this.  They also have turned dark on the side of her face. She tried to do what she was supposed to do by getting the vaccine and bothers her that all of these pimples are in her face.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Fall, Malaise
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/16/2022 Discharge Date: Oct 17, 2022  PRESENTING PROBLEM: Weakness [R53.1] COVID-19 virus detected [U07.1]   HOSPITAL COURSE:    88 y.o. female with PMH Endometrial Ca s/p TLH/BSO, cognitive impairment presented with weakness. In emergency department patient saturating well on room air, hemodynamically stable.  Lab significant for COVID-19 positive PCR, urinalysis with 15 squamous cells, chest x-ray negative for acute abnormality.  Patient was given 1 L IV fluid bolus.  Patient admitted for weakness, recurrent falls and likely placement following PT OT evaluation and care management evaluation.  Continue him monitor COVID-19 symptoms for progression.    Patient stayed in hospital for approximately 24 hours.   Patient was monitored and did well.  Stable throughout the 24 hours of stay without any episodes of hypoxia or fevers.  PTOT evaluation completed and recommended home health care.  With patient stable and home safety confirmed, patient was discharged home
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/16/2022 Discharge Date: Oct 17, 2022  PRESENTING PROBLEM: Weakness [R53.1] COVID-19 virus detected [U07.1]   HOSPITAL COURSE:    88 y.o. female with PMH Endometrial Ca s/p TLH/BSO, cognitive impairment presented with weakness. In emergency department patient saturating well on room air, hemodynamically stable.  Lab significant for COVID-19 positive PCR, urinalysis with 15 squamous cells, chest x-ray negative for acute abnormality.  Patient was given 1 L IV fluid bolus.  Patient admitted for weakness, recurrent falls and likely placement following PT OT evaluation and care management evaluation.  Continue him monitor COVID-19 symptoms for progression.    Patient stayed in hospital for approximately 24 hours.   Patient was monitored and did well.  Stable throughout the 24 hours of stay without any episodes of hypoxia or fevers.  PTOT evaluation completed and recommended home health care.  With patient stable and home safety confirmed, patient was discharged home
Age: 56.0
Sex: M
Vaccine: COVID19-2
Symptoms: Condition aggravated, Gout, Inflammation, Pain
Clinical narrative: Gout flare up in toe - inflammation and severe pain
Age: 52.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: Rash on bilateral hands, knees, left lateral thigh. Bilateral elbows and left lower ankle and foot
Age: 50.0
Sex: F
Vaccine: COVID19-2, VARZOS
Symptoms: Chills, Fatigue, Feeling hot, Loss of consciousness, Nausea
Clinical narrative: Fatigue, blacked out, extreme nausea w/ vomiting, then passed out, extremely hot then went to cold chills.
Age: 50.0
Sex: F
Vaccine: COVID19-2, VARZOS
Symptoms: Vomiting
Clinical narrative: Fatigue, blacked out, extreme nausea w/ vomiting, then passed out, extremely hot then went to cold chills.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood cholesterol increased, Blood glucose increased, Blood pressure increased, Glucose tolerance impaired, Glycosylated haemoglobin abnormal
Clinical narrative: I would say elevated blood pressure revealed January 2022 at a routine dental visit, subsequent visits to other providers also revealed elevated blood pressure. My most recent visit a healthcare provider addition of Spironolactone to Diovan may have resolved the problem.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Liver function test normal, Renal function test normal
Clinical narrative: I would say elevated blood pressure revealed January 2022 at a routine dental visit, subsequent visits to other providers also revealed elevated blood pressure. My most recent visit a healthcare provider addition of Spironolactone to Diovan may have resolved the problem.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Chills, Dyspnoea, Headache, Influenza like illness, Vomiting
Clinical narrative: Day1: flu-like symptoms.   day2:  that night, intense rigors and chills accompanied by shortness of breath lasting probably twu hours.   Followed by vomiting 4 or 5 times until about 6 am.    then headache lasting into 10/24.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Pain, Rhinorrhoea
Clinical narrative: I experienced a breakthrough case of COVID-19 with nasal congestion, coughing, runny nose, body aches and a bad taste in my mouth.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Taste disorder, Vaccine breakthrough infection
Clinical narrative: I experienced a breakthrough case of COVID-19 with nasal congestion, coughing, runny nose, body aches and a bad taste in my mouth.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Pyrexia, Respiratory tract congestion
Clinical narrative: About four months after receiving my fourth dose (second booster) of Pfizer, I contracted COVID-19. I was experiencing congestion, tightness in my chest and a low-grade fever. When I went to my local clinic, I waited in the parking lot where they came out and tested me. The doctor gave me Paxlovid. My symptoms never got worse, and they went away within a few days. I did have the persistent cough for a few weeks, but it went away after a little while.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: About four months after receiving my fourth dose (second booster) of Pfizer, I contracted COVID-19. I was experiencing congestion, tightness in my chest and a low-grade fever. When I went to my local clinic, I waited in the parking lot where they came out and tested me. The doctor gave me Paxlovid. My symptoms never got worse, and they went away within a few days. I did have the persistent cough for a few weeks, but it went away after a little while.
Age: 49.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Client was to get his 2nd COVID 19 Pfizer immunization and was given the Pfizer Bivalent immunization.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: none- no Treatment
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: TESTED + FOR COVID  2-14-22                       ; DECEASED  2-15-22
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Chills, Escherichia test positive
Clinical narrative: After the vaccine, I ran a low grade fever. Chills, and fatigue. I slept a few days. Nausea, fatigue fever, chills, swollen lymph nodes in the arm where the vaccine was given and headache. These symptoms all went away within a few days. I feel it was this bad just because I got the flu shot at the same time. After I was feeling better I took the shingle vaccine a week later. My stomach started to feel sick after this, and I was achy in my joints for a few days. By early October I was feeling fine, but then probably aroud mid October, I started to feel runned down. Then by the 15th and 16th I started urinating a lot and started throwing up a lot. I went to Urgent Care and I was diagnosed with a kidney infection. I am on antibiotics to treat it. I have heavy fatigue, pain in my lower back and in my stomach. I am, only eating liquids because solid food makes me vomit.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Hypersomnia, Hypophagia
Clinical narrative: After the vaccine, I ran a low grade fever. Chills, and fatigue. I slept a few days. Nausea, fatigue fever, chills, swollen lymph nodes in the arm where the vaccine was given and headache. These symptoms all went away within a few days. I feel it was this bad just because I got the flu shot at the same time. After I was feeling better I took the shingle vaccine a week later. My stomach started to feel sick after this, and I was achy in my joints for a few days. By early October I was feeling fine, but then probably aroud mid October, I started to feel runned down. Then by the 15th and 16th I started urinating a lot and started throwing up a lot. I went to Urgent Care and I was diagnosed with a kidney infection. I am on antibiotics to treat it. I have heavy fatigue, pain in my lower back and in my stomach. I am, only eating liquids because solid food makes me vomit.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Kidney infection, Lymphadenopathy, Nausea, Pollakiuria, Pyrexia
Clinical narrative: After the vaccine, I ran a low grade fever. Chills, and fatigue. I slept a few days. Nausea, fatigue fever, chills, swollen lymph nodes in the arm where the vaccine was given and headache. These symptoms all went away within a few days. I feel it was this bad just because I got the flu shot at the same time. After I was feeling better I took the shingle vaccine a week later. My stomach started to feel sick after this, and I was achy in my joints for a few days. By early October I was feeling fine, but then probably aroud mid October, I started to feel runned down. Then by the 15th and 16th I started urinating a lot and started throwing up a lot. I went to Urgent Care and I was diagnosed with a kidney infection. I am on antibiotics to treat it. I have heavy fatigue, pain in my lower back and in my stomach. I am, only eating liquids because solid food makes me vomit.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal, Vomiting
Clinical narrative: After the vaccine, I ran a low grade fever. Chills, and fatigue. I slept a few days. Nausea, fatigue fever, chills, swollen lymph nodes in the arm where the vaccine was given and headache. These symptoms all went away within a few days. I feel it was this bad just because I got the flu shot at the same time. After I was feeling better I took the shingle vaccine a week later. My stomach started to feel sick after this, and I was achy in my joints for a few days. By early October I was feeling fine, but then probably aroud mid October, I started to feel runned down. Then by the 15th and 16th I started urinating a lot and started throwing up a lot. I went to Urgent Care and I was diagnosed with a kidney infection. I am on antibiotics to treat it. I have heavy fatigue, pain in my lower back and in my stomach. I am, only eating liquids because solid food makes me vomit.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Dysphagia, Feeling abnormal, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: Thursday during the day I started feeling bad, I awoke with a sore throat. I went to work after testing on Wednesday with a home COVID-19 test that came back negative. I came home Thursday from work and retested, this one came back positive. I went to the quarantine room. I had body aches, swollen glands, hard to swallow, all over feeling bad. I went to the health clinic on Friday and had PCR COVID-19 test that also came back positive. I got Paxlovid that I am still currently taking, the highest my fever got is 101.3F. I have been taking over the counter medication to keep that down. I feel that I am making progress, I can swallow without cringing.
Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Thursday during the day I started feeling bad, I awoke with a sore throat. I went to work after testing on Wednesday with a home COVID-19 test that came back negative. I came home Thursday from work and retested, this one came back positive. I went to the quarantine room. I had body aches, swollen glands, hard to swallow, all over feeling bad. I went to the health clinic on Friday and had PCR COVID-19 test that also came back positive. I got Paxlovid that I am still currently taking, the highest my fever got is 101.3F. I have been taking over the counter medication to keep that down. I feel that I am making progress, I can swallow without cringing.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: PT received monovalent moderna covid vaccine instead of bivalent. Her other moderna vaccination  dates are 3/1/21, 3/29/21, 11/4/21, 7/27/22
Age: 66.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Condition aggravated, Fibromyalgia, Insomnia, Pain
Clinical narrative: Patient states that she was feeling fine the day of the vaccination and a little achy the day after. The night of 10/13/22, patient states that her long-time controlled fibromyalgia became excruciating. Patient had been on pregabalin TID before the incident and had been decreased due to sleepiness associated with it. Patient was directed to call MD to see about temporarily increasing dose of pregabalin to address pain. Patient states that she was not able to sleep due to the pain and it was the worst it has ever been in her life.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: TESTED POSITIVE FOR COVID ON  2-6-22; DECEASED 2-18-22
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, COVID-19, Cardiac device reprogramming, Dehydration, Fall
Clinical narrative: Vaccinated patient admitted to hospital with COVID detected PCR. Provider d/c note:  "Pt is a 94 YO male with a PMHx of complete AV block s/p cardiac pacemaker, paroxysmal Afib not on Eliquis, TIA, CKD stage IIIb, HTN, T2 DM, and hypothyroidism who presented with altered mental status after a ground level fall. Pt was found to have traumatic rhabdomyolysis and was given IVF. His acute metabolic encephalopathy was likely due to rhabdomyolysis in the setting of dehydration, as Pt was on lasix and HCTZ before admission. Pt's mentation improved to his baseline after fluid resuscitation. Pt's discharge was delayed due to Pt's COVID-19 requiring isolation. Pt did not require any oxygen. He did not get Remdesivir due to renal function and Paxlovid was not indicated due to Pt being  beyond 5 days of symptom onset. Of note, Cardiology was consulted due to failure to capture on tele monitoring. His pacemaker was reprogrammed to max threshhold and output without adjusting leads. He will need to follow up in the device clinic at the local Vascular Institute. Pt discharged to care facility in stable condition.  "
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mental status changes, Metabolic encephalopathy, Renal impairment, Rhabdomyolysis, SARS-CoV-2 test positive
Clinical narrative: Vaccinated patient admitted to hospital with COVID detected PCR. Provider d/c note:  "Pt is a 94 YO male with a PMHx of complete AV block s/p cardiac pacemaker, paroxysmal Afib not on Eliquis, TIA, CKD stage IIIb, HTN, T2 DM, and hypothyroidism who presented with altered mental status after a ground level fall. Pt was found to have traumatic rhabdomyolysis and was given IVF. His acute metabolic encephalopathy was likely due to rhabdomyolysis in the setting of dehydration, as Pt was on lasix and HCTZ before admission. Pt's mentation improved to his baseline after fluid resuscitation. Pt's discharge was delayed due to Pt's COVID-19 requiring isolation. Pt did not require any oxygen. He did not get Remdesivir due to renal function and Paxlovid was not indicated due to Pt being  beyond 5 days of symptom onset. Of note, Cardiology was consulted due to failure to capture on tele monitoring. His pacemaker was reprogrammed to max threshhold and output without adjusting leads. He will need to follow up in the device clinic at the local Vascular Institute. Pt discharged to care facility in stable condition.  "
Age: 26.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Injection site pain, Neck pain, Pain, Pain in extremity
Clinical narrative: My neck, shoulder, arm, and back on the left side of my body were in pain. It hurt to love any of those muscles. This is still ongoing although the pain is less now and my neck and back are the only things sore
Sex: F
Vaccine: HEP, HEP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second dose of hepatitis B vaccine too early.  Second dose scheduled at 1 to 2 months after first dose, but received second dose in error 12 days after first dose.  First dose given, but patient was transferred to ICU and given another dose prior to 10-23-22 discharge on 10-22-22.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: developed sx of sore throat, stuffy head 10/20, tested negative on binax rapid antigen 10/21, tested positive on binax rapid antigen 10/24
Age: 29.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Axillary pain, Lymphadenopathy, Night sweats, Pain in extremity, Swelling
Clinical narrative: extremely sore arm started 4 hours post shot.  dramatic swelling and moderate pain in armpit with at least one lymph node affected, started 24 hours post shot.  night sweats, 4 days post shot.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: states not feeling well- tested positive on home antigen test 10/23/22
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient received monovalent vaccine dose as booster.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: has had primary Janssen plus Janssen booster developed sx cough, runny nose, congestion, temp 100.7F  tested positive for covid on abbott id now molecular
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had a cough and a little bit of a fever, a bit tired. I used a home COVID-19 that came positive, so I an emergency clinic and they also tested and their test also came back positive. I was not prescribed any medications but did use over the medications for the cough. It took about eleven days for me to test negative.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Agonal respiration, Anticoagulant therapy, Atrial fibrillation, Blood pressure fluctuation, COVID-19
Clinical narrative: Patient with 2 COVID vaccines who admited with positive COVID test and subsequently died.  Provider d/c note; "84-year-old female with a PMH of CVA in August with PEG tube placement in September who presented with sepsis in setting of likely aspiration pneumonia, UTI with recent history of candida glabrata on prior urine culture and pylonephritis, and SMA occlusion. On admission, she was tachycardic, tachypnic and appeared in acute distress. She was discovered to be in AFib with RVR in treated with IV metoprolol. The surgery team was consulted for her SMA occlusion who determined that she was not a surgical candidate due to her complex medical history. She was started on IV heparin and given 3 L of fluid.  She was given 1 dose of doxycycline in the emergency department along with 2 g of ceftriaxone. She was also prescribed micafungin for her oral thrush infection per discussion with ID. She was also found to be COVID 19+.  Due to her supplemental oxygen requirement, she was given IV remdesivir along with dexamethasone.  Her PEG tube feeds were held due to evidence of SMA occlusion.  After admission she was reassessed by the hospitalist team on multiple occasions and noted to be medically declining.  Her clinical status was discussed with family and recommended that they pursue comfort measures.  The daughter, POA declined to pursue comfort measures stating that she wished wait for extended family to be present in the morning prior to making that decision.  On final assessment she was experiencing diaphoresis, agonal breathing with profoundly increased secretions, and fluctuating blood pressures with asystolic pauses. The patient passed at 04:31 hours and was pronounced dead by doctor. "
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Candida test positive, Cardiac arrest, Culture urine positive, Death, General physical health deterioration
Clinical narrative: Patient with 2 COVID vaccines who admited with positive COVID test and subsequently died.  Provider d/c note; "84-year-old female with a PMH of CVA in August with PEG tube placement in September who presented with sepsis in setting of likely aspiration pneumonia, UTI with recent history of candida glabrata on prior urine culture and pylonephritis, and SMA occlusion. On admission, she was tachycardic, tachypnic and appeared in acute distress. She was discovered to be in AFib with RVR in treated with IV metoprolol. The surgery team was consulted for her SMA occlusion who determined that she was not a surgical candidate due to her complex medical history. She was started on IV heparin and given 3 L of fluid.  She was given 1 dose of doxycycline in the emergency department along with 2 g of ceftriaxone. She was also prescribed micafungin for her oral thrush infection per discussion with ID. She was also found to be COVID 19+.  Due to her supplemental oxygen requirement, she was given IV remdesivir along with dexamethasone.  Her PEG tube feeds were held due to evidence of SMA occlusion.  After admission she was reassessed by the hospitalist team on multiple occasions and noted to be medically declining.  Her clinical status was discussed with family and recommended that they pursue comfort measures.  The daughter, POA declined to pursue comfort measures stating that she wished wait for extended family to be present in the morning prior to making that decision.  On final assessment she was experiencing diaphoresis, agonal breathing with profoundly increased secretions, and fluctuating blood pressures with asystolic pauses. The patient passed at 04:31 hours and was pronounced dead by doctor. "
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Mesenteric arterial occlusion, Oral candidiasis, Pneumonia aspiration, Pyelonephritis
Clinical narrative: Patient with 2 COVID vaccines who admited with positive COVID test and subsequently died.  Provider d/c note; "84-year-old female with a PMH of CVA in August with PEG tube placement in September who presented with sepsis in setting of likely aspiration pneumonia, UTI with recent history of candida glabrata on prior urine culture and pylonephritis, and SMA occlusion. On admission, she was tachycardic, tachypnic and appeared in acute distress. She was discovered to be in AFib with RVR in treated with IV metoprolol. The surgery team was consulted for her SMA occlusion who determined that she was not a surgical candidate due to her complex medical history. She was started on IV heparin and given 3 L of fluid.  She was given 1 dose of doxycycline in the emergency department along with 2 g of ceftriaxone. She was also prescribed micafungin for her oral thrush infection per discussion with ID. She was also found to be COVID 19+.  Due to her supplemental oxygen requirement, she was given IV remdesivir along with dexamethasone.  Her PEG tube feeds were held due to evidence of SMA occlusion.  After admission she was reassessed by the hospitalist team on multiple occasions and noted to be medically declining.  Her clinical status was discussed with family and recommended that they pursue comfort measures.  The daughter, POA declined to pursue comfort measures stating that she wished wait for extended family to be present in the morning prior to making that decision.  On final assessment she was experiencing diaphoresis, agonal breathing with profoundly increased secretions, and fluctuating blood pressures with asystolic pauses. The patient passed at 04:31 hours and was pronounced dead by doctor. "
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Secretion discharge, Sepsis, Tachycardia, Tachypnoea
Clinical narrative: Patient with 2 COVID vaccines who admited with positive COVID test and subsequently died.  Provider d/c note; "84-year-old female with a PMH of CVA in August with PEG tube placement in September who presented with sepsis in setting of likely aspiration pneumonia, UTI with recent history of candida glabrata on prior urine culture and pylonephritis, and SMA occlusion. On admission, she was tachycardic, tachypnic and appeared in acute distress. She was discovered to be in AFib with RVR in treated with IV metoprolol. The surgery team was consulted for her SMA occlusion who determined that she was not a surgical candidate due to her complex medical history. She was started on IV heparin and given 3 L of fluid.  She was given 1 dose of doxycycline in the emergency department along with 2 g of ceftriaxone. She was also prescribed micafungin for her oral thrush infection per discussion with ID. She was also found to be COVID 19+.  Due to her supplemental oxygen requirement, she was given IV remdesivir along with dexamethasone.  Her PEG tube feeds were held due to evidence of SMA occlusion.  After admission she was reassessed by the hospitalist team on multiple occasions and noted to be medically declining.  Her clinical status was discussed with family and recommended that they pursue comfort measures.  The daughter, POA declined to pursue comfort measures stating that she wished wait for extended family to be present in the morning prior to making that decision.  On final assessment she was experiencing diaphoresis, agonal breathing with profoundly increased secretions, and fluctuating blood pressures with asystolic pauses. The patient passed at 04:31 hours and was pronounced dead by doctor. "
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary tract infection
Clinical narrative: Patient with 2 COVID vaccines who admited with positive COVID test and subsequently died.  Provider d/c note; "84-year-old female with a PMH of CVA in August with PEG tube placement in September who presented with sepsis in setting of likely aspiration pneumonia, UTI with recent history of candida glabrata on prior urine culture and pylonephritis, and SMA occlusion. On admission, she was tachycardic, tachypnic and appeared in acute distress. She was discovered to be in AFib with RVR in treated with IV metoprolol. The surgery team was consulted for her SMA occlusion who determined that she was not a surgical candidate due to her complex medical history. She was started on IV heparin and given 3 L of fluid.  She was given 1 dose of doxycycline in the emergency department along with 2 g of ceftriaxone. She was also prescribed micafungin for her oral thrush infection per discussion with ID. She was also found to be COVID 19+.  Due to her supplemental oxygen requirement, she was given IV remdesivir along with dexamethasone.  Her PEG tube feeds were held due to evidence of SMA occlusion.  After admission she was reassessed by the hospitalist team on multiple occasions and noted to be medically declining.  Her clinical status was discussed with family and recommended that they pursue comfort measures.  The daughter, POA declined to pursue comfort measures stating that she wished wait for extended family to be present in the morning prior to making that decision.  On final assessment she was experiencing diaphoresis, agonal breathing with profoundly increased secretions, and fluctuating blood pressures with asystolic pauses. The patient passed at 04:31 hours and was pronounced dead by doctor. "
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Diarrhoea, Hyperhidrosis, Vomiting
Clinical narrative: Vomiting, Diarrhea, Sweating
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Arthralgia, Blood gases, COVID-19
Clinical narrative: 4/29/2022-Presents to ED, fall 1 week ago leg and shoulder pain.  Has productive cough, ABG 7.419/50.3/67/94 on 2L NC. CXR: perihilar interstitial opacities bilateral. Covid + test.Left R rib fx and occiptal scalp lac. Start decadron, baricitinib, remdesivir, ceftriaxone and azithromycin. Lovenox. Admit acute hypoxemic resp failure s/t Covid.  4/30/2022-Desat to 81% during HS, 02 increased to 4L, sat increased to 93%. 5/2/2022- started Po Doxy. Currently on 3L via NC. 5/5/2022- Completed remdevisir. Continued ceftriazone, doxy and baricitinib. Currently on 2L via NC. Discharged rehab.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Fall, Interstitial lung disease, Lung opacity, Pain in extremity
Clinical narrative: 4/29/2022-Presents to ED, fall 1 week ago leg and shoulder pain.  Has productive cough, ABG 7.419/50.3/67/94 on 2L NC. CXR: perihilar interstitial opacities bilateral. Covid + test.Left R rib fx and occiptal scalp lac. Start decadron, baricitinib, remdesivir, ceftriaxone and azithromycin. Lovenox. Admit acute hypoxemic resp failure s/t Covid.  4/30/2022-Desat to 81% during HS, 02 increased to 4L, sat increased to 93%. 5/2/2022- started Po Doxy. Currently on 3L via NC. 5/5/2022- Completed remdevisir. Continued ceftriazone, doxy and baricitinib. Currently on 2L via NC. Discharged rehab.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, Rib fracture, SARS-CoV-2 test positive, Skin laceration
Clinical narrative: 4/29/2022-Presents to ED, fall 1 week ago leg and shoulder pain.  Has productive cough, ABG 7.419/50.3/67/94 on 2L NC. CXR: perihilar interstitial opacities bilateral. Covid + test.Left R rib fx and occiptal scalp lac. Start decadron, baricitinib, remdesivir, ceftriaxone and azithromycin. Lovenox. Admit acute hypoxemic resp failure s/t Covid.  4/30/2022-Desat to 81% during HS, 02 increased to 4L, sat increased to 93%. 5/2/2022- started Po Doxy. Currently on 3L via NC. 5/5/2022- Completed remdevisir. Continued ceftriazone, doxy and baricitinib. Currently on 2L via NC. Discharged rehab.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Blood pressure increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: 5/3/2022-Presents to ED, sore throat, body aches, cough and diarrhea. Baseline 02 use, 1L NC sitting and 4L while ambulating. Afebrile, BP 164/78. CXR: bilateral pulmonary infiltrate. Covid + test. Admit acute resp failure s/t covid pna. Decadron and remdesivir.  5/5/2022-Currently on 2L via NC.  5/7/2022- BP increased to 175/97 prn hydralazine.  5/8/2022- O2 maintained on 15 L 98%. VSS afebrile.  5/9/2022- D/C to home, d/c decadron. D-Dimer <150.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Diarrhoea, Fibrin D dimer, Lung infiltration, Oropharyngeal pain
Clinical narrative: 5/3/2022-Presents to ED, sore throat, body aches, cough and diarrhea. Baseline 02 use, 1L NC sitting and 4L while ambulating. Afebrile, BP 164/78. CXR: bilateral pulmonary infiltrate. Covid + test. Admit acute resp failure s/t covid pna. Decadron and remdesivir.  5/5/2022-Currently on 2L via NC.  5/7/2022- BP increased to 175/97 prn hydralazine.  5/8/2022- O2 maintained on 15 L 98%. VSS afebrile.  5/9/2022- D/C to home, d/c decadron. D-Dimer <150.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: 5/3/2022-Presents to ED, sore throat, body aches, cough and diarrhea. Baseline 02 use, 1L NC sitting and 4L while ambulating. Afebrile, BP 164/78. CXR: bilateral pulmonary infiltrate. Covid + test. Admit acute resp failure s/t covid pna. Decadron and remdesivir.  5/5/2022-Currently on 2L via NC.  5/7/2022- BP increased to 175/97 prn hydralazine.  5/8/2022- O2 maintained on 15 L 98%. VSS afebrile.  5/9/2022- D/C to home, d/c decadron. D-Dimer <150.
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Soreness, redness at injection site.  Next day: circle of redness about 4" diameter and tired.  Next swelling, hot feeling and rash down arm from injection site almost to elbow
Age: 67.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth
Clinical narrative: Soreness, redness at injection site.  Next day: circle of redness about 4" diameter and tired.  Next swelling, hot feeling and rash down arm from injection site almost to elbow
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Local reaction
Clinical narrative: Local site reaction:  Erythema, swelling, pain.
Age: 30.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Fatigue
Clinical narrative: Chills, all over body fatigue
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Balance disorder, Bone pain, Gait disturbance, Gait inability, Impaired work ability
Clinical narrative: My leg muscles and bones were in pain and impaired my ability to walk. I had significant swelling in my knees. I had a severe migraine headache that lasted for 2 weeks. My balance was affected, and I was unstable on my feet. I could not sleep for 4-5 days after vaccination. Due to the migraine and inability to sleep, I could not go to work. Home duties like cooking and cleaning were very difficult to complete.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Joint swelling, Loss of personal independence in daily activities, Migraine, Myalgia, Sleep disorder
Clinical narrative: My leg muscles and bones were in pain and impaired my ability to walk. I had significant swelling in my knees. I had a severe migraine headache that lasted for 2 weeks. My balance was affected, and I was unstable on my feet. I could not sleep for 4-5 days after vaccination. Due to the migraine and inability to sleep, I could not go to work. Home duties like cooking and cleaning were very difficult to complete.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Myalgia, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: I experienced a breakthrough case of COVID-19 with severe sore throat, muscle aches all over my body, serious congestion and headaches. I was able to get PAXLOVID to relieve my symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: I experienced a breakthrough case of COVID-19 with severe sore throat, muscle aches all over my body, serious congestion and headaches. I was able to get PAXLOVID to relieve my symptoms.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiomyopathy, Echocardiogram abnormal, Ejection fraction decreased, Fluid intake restriction
Clinical narrative: "Patient with 3 COVID vaccines who admitted to hospital and had a COVID detected test.  Provider d/c note:  ""90 yo F presented to the ER for altered mental status admitted for acute metabolic encephalopathy in the setting of COVID and severe symptomatic hyponatremia.  Stroke was ruled out with MRI with urine studies consistent with SIADH picture, so fluid restriction initially started along with amitriptyline discontinuation.  Echocardiogram was done showing significant reduced ejection fraction around 30%, new as compared to previous.  Given the latter, hyponatremic likely further complicated by hypovolemic component.  Given lack of response of hyponatremia to fluid restriction and medication optimization, nephrology was consulted with initiation of salt tablets with further transition to urea packets in addition of furosemide with good, steady improvement in hyponatremia.  Discussed with family regarding new cardiomyopathy with reduced ejection fraction, and elected for medical optimization prior to discharge with outpatient cardiology follow-up with consideration of ischemic workup.  She was discharged in a stable condition with appropriate follow-up.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypovolaemia, Inappropriate antidiuretic hormone secretion, Magnetic resonance imaging head normal, Mental status changes
Clinical narrative: "Patient with 3 COVID vaccines who admitted to hospital and had a COVID detected test.  Provider d/c note:  ""90 yo F presented to the ER for altered mental status admitted for acute metabolic encephalopathy in the setting of COVID and severe symptomatic hyponatremia.  Stroke was ruled out with MRI with urine studies consistent with SIADH picture, so fluid restriction initially started along with amitriptyline discontinuation.  Echocardiogram was done showing significant reduced ejection fraction around 30%, new as compared to previous.  Given the latter, hyponatremic likely further complicated by hypovolemic component.  Given lack of response of hyponatremia to fluid restriction and medication optimization, nephrology was consulted with initiation of salt tablets with further transition to urea packets in addition of furosemide with good, steady improvement in hyponatremia.  Discussed with family regarding new cardiomyopathy with reduced ejection fraction, and elected for medical optimization prior to discharge with outpatient cardiology follow-up with consideration of ischemic workup.  She was discharged in a stable condition with appropriate follow-up.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic encephalopathy, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: "Patient with 3 COVID vaccines who admitted to hospital and had a COVID detected test.  Provider d/c note:  ""90 yo F presented to the ER for altered mental status admitted for acute metabolic encephalopathy in the setting of COVID and severe symptomatic hyponatremia.  Stroke was ruled out with MRI with urine studies consistent with SIADH picture, so fluid restriction initially started along with amitriptyline discontinuation.  Echocardiogram was done showing significant reduced ejection fraction around 30%, new as compared to previous.  Given the latter, hyponatremic likely further complicated by hypovolemic component.  Given lack of response of hyponatremia to fluid restriction and medication optimization, nephrology was consulted with initiation of salt tablets with further transition to urea packets in addition of furosemide with good, steady improvement in hyponatremia.  Discussed with family regarding new cardiomyopathy with reduced ejection fraction, and elected for medical optimization prior to discharge with outpatient cardiology follow-up with consideration of ischemic workup.  She was discharged in a stable condition with appropriate follow-up.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dosage administered beyond used date
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was administered monovalent instead of bivalent booster.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient presented to the office for administration of Moderna Bilvalent Vaccine. However when documenting the administration of the vaccine 3 hours later, it was noted that the incorrect vaccine was pulled and administered. The patient received a monovalent booster dose instead of the bivalent booster dose.  CDC was contacted and after discussing with the CDC, the patient was notified of the error and that they will be eligible for a bivalent booster dose in 2 months.  The patient remained in office for 15 minutes post vaccination and did not experience
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Bed sharing, Chest X-ray normal, Chest discomfort, Chest pain, Cough
Clinical narrative: Approximately 8 months after receiving my vaccine I tested positive for COVID-19. Started having headache late afternoon and by the evening I was feeling worse and had scratchy throat. Went to the urgent care to be tested because I knew I had an exposure. The rapid test at urgent care was positive. Worst symptoms where couching, chest burning, and SOB. Symptoms proceeded for nearly a month. I took two rounds of steroids and two inhalers during the course of my illness. Still experience mild SOB and chest discomfort, with effort.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Headache, Illness, SARS-CoV-2 test positive
Clinical narrative: Approximately 8 months after receiving my vaccine I tested positive for COVID-19. Started having headache late afternoon and by the evening I was feeling worse and had scratchy throat. Went to the urgent care to be tested because I knew I had an exposure. The rapid test at urgent care was positive. Worst symptoms where couching, chest burning, and SOB. Symptoms proceeded for nearly a month. I took two rounds of steroids and two inhalers during the course of my illness. Still experience mild SOB and chest discomfort, with effort.