chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Photophobia, Restlessness, Tremor, Vibratory sense increased, Vision blurred
Clinical narrative: A few days after the vaccine, I began having slight tremors in my hands, slight brain fog, cognitive issues, slight dizziness, slight vision issues, memory issues, feeling overwhelmed, noise and light sensitivity, and increased pain in my hip and leg.  I startled easily.   The symptoms increased over the next weeks and months.  On January 5th or 6th, I woke up with excruciating pain in my left arm (the arm that I was given the vaccines) that I could not relieve with any type of therapy.  It finally dissipated approximately three days later but I am left with muscle loss and numbness in the palm and last three fingers of my left hand.  On May 9th, I began a diet as well as numerous supplements.  On May 10th, I had full-blown brain fog, cognitive issues, dizziness, tremors and vibrations, extreme hypersensitivity to everything (on guard), blurred and cloudy vision, pain in joints and muscles, with anxiety.  Since May 18th, I have been unable to leave the house.  I have never been unable to leave my home and this is quite isolating and unnerving.  I have since found out that I have H pylori as well as low lactobacillus.  Additionally, I am not able to absorb nutrients, and I am exhausted and fatigued.  I am unable to relax or be calm and unable to sleep due to muscle tightness and pain in muscles and joints.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Visual impairment
Clinical narrative: A few days after the vaccine, I began having slight tremors in my hands, slight brain fog, cognitive issues, slight dizziness, slight vision issues, memory issues, feeling overwhelmed, noise and light sensitivity, and increased pain in my hip and leg.  I startled easily.   The symptoms increased over the next weeks and months.  On January 5th or 6th, I woke up with excruciating pain in my left arm (the arm that I was given the vaccines) that I could not relieve with any type of therapy.  It finally dissipated approximately three days later but I am left with muscle loss and numbness in the palm and last three fingers of my left hand.  On May 9th, I began a diet as well as numerous supplements.  On May 10th, I had full-blown brain fog, cognitive issues, dizziness, tremors and vibrations, extreme hypersensitivity to everything (on guard), blurred and cloudy vision, pain in joints and muscles, with anxiety.  Since May 18th, I have been unable to leave the house.  I have never been unable to leave my home and this is quite isolating and unnerving.  I have since found out that I have H pylori as well as low lactobacillus.  Additionally, I am not able to absorb nutrients, and I am exhausted and fatigued.  I am unable to relax or be calm and unable to sleep due to muscle tightness and pain in muscles and joints.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: per death certificate pt passed away at home of COVID 19
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Back pain, Blood test normal, Chest pain, Differential white blood cell count, Dyspepsia
Clinical narrative: Friday - Vaccine Saturday - tired, headache, just rundown feeling Sunday - felt fine until evening., then rash appeared and severe heartburn, swollen lymph node in left armpit (same as previous dose) Monday - felt fine until evening (rash from previous day decreased), then rash came back and severe heartburn with radiating chest pain and shooting pain in back between shoulder blades.  Doctor advised benadryl and zantac regularly. Went to ER around 9:30 after trying to go to bed early and chest pain being severe.  EKG and bloodwork didn't indicate heart attack, chest pain subsides, went home before seeing doctor due to test results and feeling better (and 7 hour wait to see doctor). Tuesday - slept for 8 hours, then woke up with rash worsening, pain in throat, face swollen, neck swollen, difficulty swallowing, went to urgent care and they prescribed steroids
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dysphagia, Electrocardiogram normal, Fatigue, Feeling abnormal, Full blood count
Clinical narrative: Friday - Vaccine Saturday - tired, headache, just rundown feeling Sunday - felt fine until evening., then rash appeared and severe heartburn, swollen lymph node in left armpit (same as previous dose) Monday - felt fine until evening (rash from previous day decreased), then rash came back and severe heartburn with radiating chest pain and shooting pain in back between shoulder blades.  Doctor advised benadryl and zantac regularly. Went to ER around 9:30 after trying to go to bed early and chest pain being severe.  EKG and bloodwork didn't indicate heart attack, chest pain subsides, went home before seeing doctor due to test results and feeling better (and 7 hour wait to see doctor). Tuesday - slept for 8 hours, then woke up with rash worsening, pain in throat, face swollen, neck swollen, difficulty swallowing, went to urgent care and they prescribed steroids
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Lymphadenopathy, Metabolic function test, Oropharyngeal pain, Pain
Clinical narrative: Friday - Vaccine Saturday - tired, headache, just rundown feeling Sunday - felt fine until evening., then rash appeared and severe heartburn, swollen lymph node in left armpit (same as previous dose) Monday - felt fine until evening (rash from previous day decreased), then rash came back and severe heartburn with radiating chest pain and shooting pain in back between shoulder blades.  Doctor advised benadryl and zantac regularly. Went to ER around 9:30 after trying to go to bed early and chest pain being severe.  EKG and bloodwork didn't indicate heart attack, chest pain subsides, went home before seeing doctor due to test results and feeling better (and 7 hour wait to see doctor). Tuesday - slept for 8 hours, then woke up with rash worsening, pain in throat, face swollen, neck swollen, difficulty swallowing, went to urgent care and they prescribed steroids
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Swelling, Swelling face, Troponin, Troponin I
Clinical narrative: Friday - Vaccine Saturday - tired, headache, just rundown feeling Sunday - felt fine until evening., then rash appeared and severe heartburn, swollen lymph node in left armpit (same as previous dose) Monday - felt fine until evening (rash from previous day decreased), then rash came back and severe heartburn with radiating chest pain and shooting pain in back between shoulder blades.  Doctor advised benadryl and zantac regularly. Went to ER around 9:30 after trying to go to bed early and chest pain being severe.  EKG and bloodwork didn't indicate heart attack, chest pain subsides, went home before seeing doctor due to test results and feeling better (and 7 hour wait to see doctor). Tuesday - slept for 8 hours, then woke up with rash worsening, pain in throat, face swollen, neck swollen, difficulty swallowing, went to urgent care and they prescribed steroids
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood gases, COVID-19, COVID-19 pneumonia
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: NP Admission Date: 9/4/2022 Discharge Date: 9/7/2022  PRESENTING PROBLEM: AKI (acute kidney injury) Acute respiratory failure with hypoxia Sepsis due to pneumonia Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung COVID-19 Severe sepsis COVID-19 virus infection   HOSPITAL COURSE: Patient is a 60 y.o. female who presented to the emergency department with complaints of shortness of breath and wheezing.  Patient has past medical history of chronic obstructive pulmonary disease, hyperlipidemia, hypertension, hypothyroidism, metastatic renal cell carcinoma, obesity, tobacco abuse, and chronic respiratory failure. Patient had complaints of shortness of breath and wheezing that had been going on for approximately 1 day and presented to the emergency department via EMS for evaluation.  In the emergency department, patient was febrile, tachycardic, tachypneic, and was on BiPAP to me oxygen demands.  This was subsequently weaned to her baseline oxygen requirement of 4 liters/minute via nasal cannula.  Complete blood count was unremarkable.  CMP showed acute kidney injury, hyponatremia.  Lactic acidosis was also observed.  Troponin was indeterminate at 70 and a repeat was 66. COVID-19 was positive.  Chest x-ray showed increased airspace disease in both lungs consistent with pneumonia.  Procalcitonin was 1.28.  IV fluid boluses and antibiotic therapy  was initiated in the emergency department.  Upon arrival to the unit, patient was very lethargic and hypotensive.  ABG revealed metabolic acidosis.  Since patient remains hypotensive, despite hydration, she was moved to the intensive care unit for vasopressor therapy.  Suspect lethargy is secondary to metabolic processes.  Suspicion of bilateral bacterial pneumonia superimposed on COVID-19 resulting in septic shock and COVID-19 pneumonia.   Patient's hyponatremia resolved with further IV fluid resuscitation and she was able to be weaned off Levophed drip. She was treated with IV Azithromycin and Cefepime and transitioned to oral Ceftin and Doxycycline to complete a 7-day course of antibiotics, as recommended by the antibiotic stewardship team. She received dexamethasone and aggressive pulmonary toilet while inpatient. She remained stable on her 3-4L 02 per nasal cannula, shortness of breath and wheezing beyond her baseline resolved.   Her blood pressure remained stable off of her blood pressure medications; so losartan and amlodipine were discontinued at discharge, hydrochlorothiazide will be continued. The patient understands she is to keep a blood pressure log and follow up with her PCP as soon as possible for continued monitoring of blood pressure.   PT and OT evaluated the patient while in the hospital and recommended that same care services she had prior to admission, home health OT and RN to continue management of pressure wounds on buttocks.  The patient was discharged home in stable condition with the above mentioned care plan in place.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Full blood count normal, Hyponatraemia, Hypotension
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: NP Admission Date: 9/4/2022 Discharge Date: 9/7/2022  PRESENTING PROBLEM: AKI (acute kidney injury) Acute respiratory failure with hypoxia Sepsis due to pneumonia Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung COVID-19 Severe sepsis COVID-19 virus infection   HOSPITAL COURSE: Patient is a 60 y.o. female who presented to the emergency department with complaints of shortness of breath and wheezing.  Patient has past medical history of chronic obstructive pulmonary disease, hyperlipidemia, hypertension, hypothyroidism, metastatic renal cell carcinoma, obesity, tobacco abuse, and chronic respiratory failure. Patient had complaints of shortness of breath and wheezing that had been going on for approximately 1 day and presented to the emergency department via EMS for evaluation.  In the emergency department, patient was febrile, tachycardic, tachypneic, and was on BiPAP to me oxygen demands.  This was subsequently weaned to her baseline oxygen requirement of 4 liters/minute via nasal cannula.  Complete blood count was unremarkable.  CMP showed acute kidney injury, hyponatremia.  Lactic acidosis was also observed.  Troponin was indeterminate at 70 and a repeat was 66. COVID-19 was positive.  Chest x-ray showed increased airspace disease in both lungs consistent with pneumonia.  Procalcitonin was 1.28.  IV fluid boluses and antibiotic therapy  was initiated in the emergency department.  Upon arrival to the unit, patient was very lethargic and hypotensive.  ABG revealed metabolic acidosis.  Since patient remains hypotensive, despite hydration, she was moved to the intensive care unit for vasopressor therapy.  Suspect lethargy is secondary to metabolic processes.  Suspicion of bilateral bacterial pneumonia superimposed on COVID-19 resulting in septic shock and COVID-19 pneumonia.   Patient's hyponatremia resolved with further IV fluid resuscitation and she was able to be weaned off Levophed drip. She was treated with IV Azithromycin and Cefepime and transitioned to oral Ceftin and Doxycycline to complete a 7-day course of antibiotics, as recommended by the antibiotic stewardship team. She received dexamethasone and aggressive pulmonary toilet while inpatient. She remained stable on her 3-4L 02 per nasal cannula, shortness of breath and wheezing beyond her baseline resolved.   Her blood pressure remained stable off of her blood pressure medications; so losartan and amlodipine were discontinued at discharge, hydrochlorothiazide will be continued. The patient understands she is to keep a blood pressure log and follow up with her PCP as soon as possible for continued monitoring of blood pressure.   PT and OT evaluated the patient while in the hospital and recommended that same care services she had prior to admission, home health OT and RN to continue management of pressure wounds on buttocks.  The patient was discharged home in stable condition with the above mentioned care plan in place.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Lactic acidosis, Lethargy, Lung disorder, Metabolic acidosis
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: NP Admission Date: 9/4/2022 Discharge Date: 9/7/2022  PRESENTING PROBLEM: AKI (acute kidney injury) Acute respiratory failure with hypoxia Sepsis due to pneumonia Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung COVID-19 Severe sepsis COVID-19 virus infection   HOSPITAL COURSE: Patient is a 60 y.o. female who presented to the emergency department with complaints of shortness of breath and wheezing.  Patient has past medical history of chronic obstructive pulmonary disease, hyperlipidemia, hypertension, hypothyroidism, metastatic renal cell carcinoma, obesity, tobacco abuse, and chronic respiratory failure. Patient had complaints of shortness of breath and wheezing that had been going on for approximately 1 day and presented to the emergency department via EMS for evaluation.  In the emergency department, patient was febrile, tachycardic, tachypneic, and was on BiPAP to me oxygen demands.  This was subsequently weaned to her baseline oxygen requirement of 4 liters/minute via nasal cannula.  Complete blood count was unremarkable.  CMP showed acute kidney injury, hyponatremia.  Lactic acidosis was also observed.  Troponin was indeterminate at 70 and a repeat was 66. COVID-19 was positive.  Chest x-ray showed increased airspace disease in both lungs consistent with pneumonia.  Procalcitonin was 1.28.  IV fluid boluses and antibiotic therapy  was initiated in the emergency department.  Upon arrival to the unit, patient was very lethargic and hypotensive.  ABG revealed metabolic acidosis.  Since patient remains hypotensive, despite hydration, she was moved to the intensive care unit for vasopressor therapy.  Suspect lethargy is secondary to metabolic processes.  Suspicion of bilateral bacterial pneumonia superimposed on COVID-19 resulting in septic shock and COVID-19 pneumonia.   Patient's hyponatremia resolved with further IV fluid resuscitation and she was able to be weaned off Levophed drip. She was treated with IV Azithromycin and Cefepime and transitioned to oral Ceftin and Doxycycline to complete a 7-day course of antibiotics, as recommended by the antibiotic stewardship team. She received dexamethasone and aggressive pulmonary toilet while inpatient. She remained stable on her 3-4L 02 per nasal cannula, shortness of breath and wheezing beyond her baseline resolved.   Her blood pressure remained stable off of her blood pressure medications; so losartan and amlodipine were discontinued at discharge, hydrochlorothiazide will be continued. The patient understands she is to keep a blood pressure log and follow up with her PCP as soon as possible for continued monitoring of blood pressure.   PT and OT evaluated the patient while in the hospital and recommended that same care services she had prior to admission, home health OT and RN to continue management of pressure wounds on buttocks.  The patient was discharged home in stable condition with the above mentioned care plan in place.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin, Pyrexia, SARS-CoV-2 test positive, Sepsis, Septic shock
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: NP Admission Date: 9/4/2022 Discharge Date: 9/7/2022  PRESENTING PROBLEM: AKI (acute kidney injury) Acute respiratory failure with hypoxia Sepsis due to pneumonia Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung COVID-19 Severe sepsis COVID-19 virus infection   HOSPITAL COURSE: Patient is a 60 y.o. female who presented to the emergency department with complaints of shortness of breath and wheezing.  Patient has past medical history of chronic obstructive pulmonary disease, hyperlipidemia, hypertension, hypothyroidism, metastatic renal cell carcinoma, obesity, tobacco abuse, and chronic respiratory failure. Patient had complaints of shortness of breath and wheezing that had been going on for approximately 1 day and presented to the emergency department via EMS for evaluation.  In the emergency department, patient was febrile, tachycardic, tachypneic, and was on BiPAP to me oxygen demands.  This was subsequently weaned to her baseline oxygen requirement of 4 liters/minute via nasal cannula.  Complete blood count was unremarkable.  CMP showed acute kidney injury, hyponatremia.  Lactic acidosis was also observed.  Troponin was indeterminate at 70 and a repeat was 66. COVID-19 was positive.  Chest x-ray showed increased airspace disease in both lungs consistent with pneumonia.  Procalcitonin was 1.28.  IV fluid boluses and antibiotic therapy  was initiated in the emergency department.  Upon arrival to the unit, patient was very lethargic and hypotensive.  ABG revealed metabolic acidosis.  Since patient remains hypotensive, despite hydration, she was moved to the intensive care unit for vasopressor therapy.  Suspect lethargy is secondary to metabolic processes.  Suspicion of bilateral bacterial pneumonia superimposed on COVID-19 resulting in septic shock and COVID-19 pneumonia.   Patient's hyponatremia resolved with further IV fluid resuscitation and she was able to be weaned off Levophed drip. She was treated with IV Azithromycin and Cefepime and transitioned to oral Ceftin and Doxycycline to complete a 7-day course of antibiotics, as recommended by the antibiotic stewardship team. She received dexamethasone and aggressive pulmonary toilet while inpatient. She remained stable on her 3-4L 02 per nasal cannula, shortness of breath and wheezing beyond her baseline resolved.   Her blood pressure remained stable off of her blood pressure medications; so losartan and amlodipine were discontinued at discharge, hydrochlorothiazide will be continued. The patient understands she is to keep a blood pressure log and follow up with her PCP as soon as possible for continued monitoring of blood pressure.   PT and OT evaluated the patient while in the hospital and recommended that same care services she had prior to admission, home health OT and RN to continue management of pressure wounds on buttocks.  The patient was discharged home in stable condition with the above mentioned care plan in place.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Superinfection, Tachycardia, Tachypnoea, Troponin, Wheezing
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: NP Admission Date: 9/4/2022 Discharge Date: 9/7/2022  PRESENTING PROBLEM: AKI (acute kidney injury) Acute respiratory failure with hypoxia Sepsis due to pneumonia Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung COVID-19 Severe sepsis COVID-19 virus infection   HOSPITAL COURSE: Patient is a 60 y.o. female who presented to the emergency department with complaints of shortness of breath and wheezing.  Patient has past medical history of chronic obstructive pulmonary disease, hyperlipidemia, hypertension, hypothyroidism, metastatic renal cell carcinoma, obesity, tobacco abuse, and chronic respiratory failure. Patient had complaints of shortness of breath and wheezing that had been going on for approximately 1 day and presented to the emergency department via EMS for evaluation.  In the emergency department, patient was febrile, tachycardic, tachypneic, and was on BiPAP to me oxygen demands.  This was subsequently weaned to her baseline oxygen requirement of 4 liters/minute via nasal cannula.  Complete blood count was unremarkable.  CMP showed acute kidney injury, hyponatremia.  Lactic acidosis was also observed.  Troponin was indeterminate at 70 and a repeat was 66. COVID-19 was positive.  Chest x-ray showed increased airspace disease in both lungs consistent with pneumonia.  Procalcitonin was 1.28.  IV fluid boluses and antibiotic therapy  was initiated in the emergency department.  Upon arrival to the unit, patient was very lethargic and hypotensive.  ABG revealed metabolic acidosis.  Since patient remains hypotensive, despite hydration, she was moved to the intensive care unit for vasopressor therapy.  Suspect lethargy is secondary to metabolic processes.  Suspicion of bilateral bacterial pneumonia superimposed on COVID-19 resulting in septic shock and COVID-19 pneumonia.   Patient's hyponatremia resolved with further IV fluid resuscitation and she was able to be weaned off Levophed drip. She was treated with IV Azithromycin and Cefepime and transitioned to oral Ceftin and Doxycycline to complete a 7-day course of antibiotics, as recommended by the antibiotic stewardship team. She received dexamethasone and aggressive pulmonary toilet while inpatient. She remained stable on her 3-4L 02 per nasal cannula, shortness of breath and wheezing beyond her baseline resolved.   Her blood pressure remained stable off of her blood pressure medications; so losartan and amlodipine were discontinued at discharge, hydrochlorothiazide will be continued. The patient understands she is to keep a blood pressure log and follow up with her PCP as soon as possible for continued monitoring of blood pressure.   PT and OT evaluated the patient while in the hospital and recommended that same care services she had prior to admission, home health OT and RN to continue management of pressure wounds on buttocks.  The patient was discharged home in stable condition with the above mentioned care plan in place.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Wound
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge: NP Admission Date: 9/4/2022 Discharge Date: 9/7/2022  PRESENTING PROBLEM: AKI (acute kidney injury) Acute respiratory failure with hypoxia Sepsis due to pneumonia Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung COVID-19 Severe sepsis COVID-19 virus infection   HOSPITAL COURSE: Patient is a 60 y.o. female who presented to the emergency department with complaints of shortness of breath and wheezing.  Patient has past medical history of chronic obstructive pulmonary disease, hyperlipidemia, hypertension, hypothyroidism, metastatic renal cell carcinoma, obesity, tobacco abuse, and chronic respiratory failure. Patient had complaints of shortness of breath and wheezing that had been going on for approximately 1 day and presented to the emergency department via EMS for evaluation.  In the emergency department, patient was febrile, tachycardic, tachypneic, and was on BiPAP to me oxygen demands.  This was subsequently weaned to her baseline oxygen requirement of 4 liters/minute via nasal cannula.  Complete blood count was unremarkable.  CMP showed acute kidney injury, hyponatremia.  Lactic acidosis was also observed.  Troponin was indeterminate at 70 and a repeat was 66. COVID-19 was positive.  Chest x-ray showed increased airspace disease in both lungs consistent with pneumonia.  Procalcitonin was 1.28.  IV fluid boluses and antibiotic therapy  was initiated in the emergency department.  Upon arrival to the unit, patient was very lethargic and hypotensive.  ABG revealed metabolic acidosis.  Since patient remains hypotensive, despite hydration, she was moved to the intensive care unit for vasopressor therapy.  Suspect lethargy is secondary to metabolic processes.  Suspicion of bilateral bacterial pneumonia superimposed on COVID-19 resulting in septic shock and COVID-19 pneumonia.   Patient's hyponatremia resolved with further IV fluid resuscitation and she was able to be weaned off Levophed drip. She was treated with IV Azithromycin and Cefepime and transitioned to oral Ceftin and Doxycycline to complete a 7-day course of antibiotics, as recommended by the antibiotic stewardship team. She received dexamethasone and aggressive pulmonary toilet while inpatient. She remained stable on her 3-4L 02 per nasal cannula, shortness of breath and wheezing beyond her baseline resolved.   Her blood pressure remained stable off of her blood pressure medications; so losartan and amlodipine were discontinued at discharge, hydrochlorothiazide will be continued. The patient understands she is to keep a blood pressure log and follow up with her PCP as soon as possible for continued monitoring of blood pressure.   PT and OT evaluated the patient while in the hospital and recommended that same care services she had prior to admission, home health OT and RN to continue management of pressure wounds on buttocks.  The patient was discharged home in stable condition with the above mentioned care plan in place.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Spinal pain
Clinical narrative: Pain in thoracic /spine area and burning of injection site.
Age: 82.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Asthenia, Bradycardia, COVID-19, Chest X-ray normal, Chronic kidney disease
Clinical narrative: Admission Date: 9/4/2022 Discharge Date: 9/6/2022  PRESENTING PROBLEM: Weakness Generalized weakness COVID-19   HOSPITAL COURSE: The patient is a 83 y.o. male who presented to the emergency department with weakness and a fall.  Patient has past medical history of atrial fibrillation, B12 deficiency, GERD, hyperlipidemia, CKD stage 3, prostate cancer, RLS, and early-onset Alzheimer's. Patient was brought into the emergency department earlier in the day following a fall while ambulating with his walker at home.  Imaging showed no acute abnormalities and patient was discharged home per family request.  After returning home, patient was unable to exit the car despite assistance from his daughter and spouse.  He was brought back to the emergency department for further evaluation.  In the emergency department, patient was febrile, bradycardic, tachypneic, but did not require supplemental oxygen.  Complete blood count was unremarkable.  CMP showed renal disease, which appears to be chronic.  Family confirmed that this is the case.  COVID-19 was positive.  Chest x-ray shows no acute cardiopulmonary abnormalities.  Suspect generalized weakness secondary to COVID-19.  Patient has been admitted for further evaluation and management of generalized weakness.   Patient's generalized weakness improved back to his baseline. His respiratory status remained stable, he remained stable on room air. PT/OT evaluated patient and recommended home with home health care services in addition to the health aid services already being provided in the home. The patient was discharged home in stable condition with home physical and occupational therapy services. He is recommended to follow up with his PCP and pain specialist as scheduled.
Age: 82.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Fall, Full blood count normal, Imaging procedure, Metabolic function test normal, Mobility decreased
Clinical narrative: Admission Date: 9/4/2022 Discharge Date: 9/6/2022  PRESENTING PROBLEM: Weakness Generalized weakness COVID-19   HOSPITAL COURSE: The patient is a 83 y.o. male who presented to the emergency department with weakness and a fall.  Patient has past medical history of atrial fibrillation, B12 deficiency, GERD, hyperlipidemia, CKD stage 3, prostate cancer, RLS, and early-onset Alzheimer's. Patient was brought into the emergency department earlier in the day following a fall while ambulating with his walker at home.  Imaging showed no acute abnormalities and patient was discharged home per family request.  After returning home, patient was unable to exit the car despite assistance from his daughter and spouse.  He was brought back to the emergency department for further evaluation.  In the emergency department, patient was febrile, bradycardic, tachypneic, but did not require supplemental oxygen.  Complete blood count was unremarkable.  CMP showed renal disease, which appears to be chronic.  Family confirmed that this is the case.  COVID-19 was positive.  Chest x-ray shows no acute cardiopulmonary abnormalities.  Suspect generalized weakness secondary to COVID-19.  Patient has been admitted for further evaluation and management of generalized weakness.   Patient's generalized weakness improved back to his baseline. His respiratory status remained stable, he remained stable on room air. PT/OT evaluated patient and recommended home with home health care services in addition to the health aid services already being provided in the home. The patient was discharged home in stable condition with home physical and occupational therapy services. He is recommended to follow up with his PCP and pain specialist as scheduled.
Age: 82.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Pyrexia, SARS-CoV-2 test positive, Tachypnoea, Walking aid user
Clinical narrative: Admission Date: 9/4/2022 Discharge Date: 9/6/2022  PRESENTING PROBLEM: Weakness Generalized weakness COVID-19   HOSPITAL COURSE: The patient is a 83 y.o. male who presented to the emergency department with weakness and a fall.  Patient has past medical history of atrial fibrillation, B12 deficiency, GERD, hyperlipidemia, CKD stage 3, prostate cancer, RLS, and early-onset Alzheimer's. Patient was brought into the emergency department earlier in the day following a fall while ambulating with his walker at home.  Imaging showed no acute abnormalities and patient was discharged home per family request.  After returning home, patient was unable to exit the car despite assistance from his daughter and spouse.  He was brought back to the emergency department for further evaluation.  In the emergency department, patient was febrile, bradycardic, tachypneic, but did not require supplemental oxygen.  Complete blood count was unremarkable.  CMP showed renal disease, which appears to be chronic.  Family confirmed that this is the case.  COVID-19 was positive.  Chest x-ray shows no acute cardiopulmonary abnormalities.  Suspect generalized weakness secondary to COVID-19.  Patient has been admitted for further evaluation and management of generalized weakness.   Patient's generalized weakness improved back to his baseline. His respiratory status remained stable, he remained stable on room air. PT/OT evaluated patient and recommended home with home health care services in addition to the health aid services already being provided in the home. The patient was discharged home in stable condition with home physical and occupational therapy services. He is recommended to follow up with his PCP and pain specialist as scheduled.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Mobility decreased, Musculoskeletal stiffness, Myalgia
Clinical narrative: Fever to 99.6, chills, vomiting, muscle and joint aches.  Never knew I could have pain in knee caps and jaws! So stiff could barely move.  Worst of it was 18-27 hours after shot.  Did not take any Tylenol or such after shot but took an Aleve last night, slept well, and back to "normal" today.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain in jaw, Pyrexia, Vomiting
Clinical narrative: Fever to 99.6, chills, vomiting, muscle and joint aches.  Never knew I could have pain in knee caps and jaws! So stiff could barely move.  Worst of it was 18-27 hours after shot.  Did not take any Tylenol or such after shot but took an Aleve last night, slept well, and back to "normal" today.
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Haematoma
Clinical narrative: Bruise and 1"x2" Hematoma
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Dyspnoea, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive, symptoms include shortness of breath and confusion/change in mental status.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electronystagmogram
Clinical narrative: Within ten hours of the second Pfizer COVID19 vaccine the patient became severely dizzy. The dizziness continues to date 9-13-22 on an intermittent basis.
Age: 73.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chills, Headache, Myalgia, Tremor
Clinical narrative: shaking, chills, muscle aches, headache  over 12 hours. I have had similar reaction to previous Covid immunizations.
Age: 37.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Chills, Dyspepsia, Feeling hot
Clinical narrative: alternating chills and feeling hot, extreme upper GI discomfort similar (or same as) heartburn
Age: 16.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Hypophagia, Syncope
Clinical narrative: Pt had a syncopal event.  Pt states "I did not eat today at all" pt given apple juice and crackers Vitals: 117/54,62, 16, 99% on RA -- > 113/60, 65,18, 99%.  Pt stable and released from the vaccination site after 30 mins observation.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test, Communication disorder, Confusional state, Disorientation
Clinical narrative: Patient had a headache around 11:00pm on 8/15/22 and went to bed. Patient woke up around 3:00am and vomited and felt feverish and returned to bed. Patient woke up at 7:30pm and call me he sounded strangely he was stuttering and struggling to communicate.  He told me he was sick and thought he had a fever and his stomach did not feel well, I suggested he shower and drink some water and call me back.  8:30pm Patient called me and sounded better but said he still did not feel well and was going to lay down. Patient called me at 3:00pm and was making no sense, he seemed disorientated and confused.  911 was called.  He was taken to the Hospital where he had an extremely high fever.  When I arrived he still had not been seen, once he was seen he was put on IV fluids and medications to bring his fever down. Patient remained confused, running a fever, exhausted and sick to his stomach through out the night and into the morning of 8/16/2022.  Around 11am he was no longer confused and was drinking and managing his fever with medications, he slept most of the day. Patient was his normal self but maintained a low grade fever while taking medication to suppress the fever until the morning of 8/19/2022.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphemia, Fatigue, Headache, Hypersomnia, Malaise
Clinical narrative: Patient had a headache around 11:00pm on 8/15/22 and went to bed. Patient woke up around 3:00am and vomited and felt feverish and returned to bed. Patient woke up at 7:30pm and call me he sounded strangely he was stuttering and struggling to communicate.  He told me he was sick and thought he had a fever and his stomach did not feel well, I suggested he shower and drink some water and call me back.  8:30pm Patient called me and sounded better but said he still did not feel well and was going to lay down. Patient called me at 3:00pm and was making no sense, he seemed disorientated and confused.  911 was called.  He was taken to the Hospital where he had an extremely high fever.  When I arrived he still had not been seen, once he was seen he was put on IV fluids and medications to bring his fever down. Patient remained confused, running a fever, exhausted and sick to his stomach through out the night and into the morning of 8/16/2022.  Around 11am he was no longer confused and was drinking and managing his fever with medications, he slept most of the day. Patient was his normal self but maintained a low grade fever while taking medication to suppress the fever until the morning of 8/19/2022.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder, Vomiting
Clinical narrative: Patient had a headache around 11:00pm on 8/15/22 and went to bed. Patient woke up around 3:00am and vomited and felt feverish and returned to bed. Patient woke up at 7:30pm and call me he sounded strangely he was stuttering and struggling to communicate.  He told me he was sick and thought he had a fever and his stomach did not feel well, I suggested he shower and drink some water and call me back.  8:30pm Patient called me and sounded better but said he still did not feel well and was going to lay down. Patient called me at 3:00pm and was making no sense, he seemed disorientated and confused.  911 was called.  He was taken to the Hospital where he had an extremely high fever.  When I arrived he still had not been seen, once he was seen he was put on IV fluids and medications to bring his fever down. Patient remained confused, running a fever, exhausted and sick to his stomach through out the night and into the morning of 8/16/2022.  Around 11am he was no longer confused and was drinking and managing his fever with medications, he slept most of the day. Patient was his normal self but maintained a low grade fever while taking medication to suppress the fever until the morning of 8/19/2022.
Age: 10.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: given bivalent Pfizer booster instead of monovalent vaccine approved for 5-11 years of age
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: No reactions reported to nurse/facility
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Received Pfizer Covid 19 vaccine for age 5 and above; ; no adverse effects noted
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive, symptoms included shortness of breath.
Age: 37.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Headache, Myalgia, Pain in extremity
Clinical narrative: headache severe muscle pain and joint pain severe pain on the injection arm
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond use date
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Delivery, Exposure during pregnancy
Clinical narrative: Fully vaccinated and boosted once. Delivered 39 w baby vaginally. Baby patient DOB 9.9.22. Pediatrics, Central, no specific doctor noted.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Moderna Booster vaccine given instead of Moderna Bivalent Booster that the patient asked for.
Age: 35.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Vaccination error
Clinical narrative: Intradermal vaccination unsuccessful.  Revaccinated, Intradermal
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Dizziness, Feeling abnormal, Headache
Clinical narrative: Significant increase in joint pain, headaches. Became light headed when standing. Significant brain fog impairing ability to work. Nausea, increased heartrate when doing mundane tasks (110 bpm walking vs normal of 70)  135 or higher when working (normal max 110).
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Impaired work ability, Nausea
Clinical narrative: Significant increase in joint pain, headaches. Became light headed when standing. Significant brain fog impairing ability to work. Nausea, increased heartrate when doing mundane tasks (110 bpm walking vs normal of 70)  135 or higher when working (normal max 110).
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: PT was administered Pfizer  monovalent as a 2 booster , according to CDC  pt need to get PfizerBivalent , Will follow up in to months to re-vaccination ,
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Aphonia, Condition aggravated, Crohn's disease, Diarrhoea
Clinical narrative: Upper respiratory with loss of voice completely  Worsening Crohn?s symptoms including RLQ pain, diarrhea, and fatigue. Started a few days after 2nd dose, still occurring as of right this moment .
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Respiratory disorder
Clinical narrative: Upper respiratory with loss of voice completely  Worsening Crohn?s symptoms including RLQ pain, diarrhea, and fatigue. Started a few days after 2nd dose, still occurring as of right this moment .
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: On 09/13/2022 the patient received a dose of MODERNA -COVID vaccine LOT # 055A22A as  the 1st dose of the primary series. Patient guardian then presented a document from patient's country stating he had received PFIZER COVID vaccines as follow: 1 st dose on 09/23/2021 LOT # 31130BA. 2nd dose- 10/15/2021 LOT # 31076(number 8 or letter B) D., and PFIZER Booster on 02/21/2022.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Chills, Nausea, SARS-CoV-2 test positive
Clinical narrative: Tested COVID positive, symptoms include chills, chest pain, and nausea/vomiting.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Tested COVID positive, symptoms include chills, chest pain, and nausea/vomiting.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dizziness, Dysgeusia
Clinical narrative: I had local redness and tenderness at injection site for three days. I received the Evusheld vaccines on 07/27/2022. I tested positive for COVID-19 via both home and PCR test on 09/07/2022. I had a sore throat and body aches on 09/05. I developed nausea, dizziness and sweating on 09/06. Later that day, I developed cough and nasal congestion with fatigue.  I continue to test positive for COVID-19 as of today. My doctor put me on Paxlovid but I only took it for two days. The side efforts of Paxlovid was terrible. I had extreme diarrhea and an altered taste like a metallic taste. The fourth vaccine I had body aches and a fever for 24 hours.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Injection site erythema, Injection site pain, Nasal congestion
Clinical narrative: I had local redness and tenderness at injection site for three days. I received the Evusheld vaccines on 07/27/2022. I tested positive for COVID-19 via both home and PCR test on 09/07/2022. I had a sore throat and body aches on 09/05. I developed nausea, dizziness and sweating on 09/06. Later that day, I developed cough and nasal congestion with fatigue.  I continue to test positive for COVID-19 as of today. My doctor put me on Paxlovid but I only took it for two days. The side efforts of Paxlovid was terrible. I had extreme diarrhea and an altered taste like a metallic taste. The fourth vaccine I had body aches and a fever for 24 hours.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had local redness and tenderness at injection site for three days. I received the Evusheld vaccines on 07/27/2022. I tested positive for COVID-19 via both home and PCR test on 09/07/2022. I had a sore throat and body aches on 09/05. I developed nausea, dizziness and sweating on 09/06. Later that day, I developed cough and nasal congestion with fatigue.  I continue to test positive for COVID-19 as of today. My doctor put me on Paxlovid but I only took it for two days. The side efforts of Paxlovid was terrible. I had extreme diarrhea and an altered taste like a metallic taste. The fourth vaccine I had body aches and a fever for 24 hours.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: I had local redness and tenderness at injection site for three days. I received the Evusheld vaccines on 07/27/2022. I tested positive for COVID-19 via both home and PCR test on 09/07/2022. I had a sore throat and body aches on 09/05. I developed nausea, dizziness and sweating on 09/06. Later that day, I developed cough and nasal congestion with fatigue.  I continue to test positive for COVID-19 as of today. My doctor put me on Paxlovid but I only took it for two days. The side efforts of Paxlovid was terrible. I had extreme diarrhea and an altered taste like a metallic taste. The fourth vaccine I had body aches and a fever for 24 hours.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: Moderna Booster Vaccine given instead of Moderna Bivalent Booster that the patient asked for.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered
Clinical narrative: Patient haven't show adverse events a this time.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Delivery
Clinical narrative: Fully vaccinated and boosted once.   Full term vaginal delivery baby  baby provider  MD  Family Medicine
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscular weakness, Pain
Clinical narrative: Muscle weakness in both arms. Situation keeps getting worse. Each vaccine and booster made the pain worse. It started only in left arm and is now in both arms and starting to move to legs as well.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Moderna Booster Vaccine given instead of Moderna Bivalent Booster that the patient asked to receive.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bladder catheter replacement, Blood lactic acid normal, COVID-19, COVID-19 pneumonia
Clinical narrative: Discharge Provider:  DO Primary Care Provider:  MD Admission Date: 9/3/2022 Discharge Date: Sep 9, 2022   PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20]   HOSPITAL COURSE: 85 yo male with PMH of chronic urinary retention with indewelling foley, BPH, MS, CVA, CAD, HTN, dementia and VTE who presented to the ED with 3 days of weakness. Patient lives at home with his spouse and patient unable to transfer from bed to wheelchair prompting ED visit.   In the ED, lab work demonstrated leukocytosis with unremarkable lactic acid and pro-calcitonin. He was noted to be febrile with HR >90. CXR demonstrated LLL opacification consistent with PNA and tested positive for COVID-19. He was admitted to the medicine service    # Sepsis on Presentation (Resolved) # COVID-19 PNA Patient was treated with Remdesivir and initially started on anitbiotics with IV Rocephin for presumed UTI. No steroids were given as patient was without hypoxia. He did well from a respiratory standpoint. As patient had completed 4 days of antibiotics for initially presumed UTI, he was given an additional day to complete therapy for possible bacterial PNA.  White count improved.   # Chronic Urinary Retention with BPH Patient follows with urology (Dr.) with catheter exchanged monthly (exchanged in the ED on presentation). Patient was treated with IV Ceftriaxone for presumed UTI and completed 4 days of antibiotics prior to urine culture being negative.    PT evaluated patient and recommended SAR.  Family opted for home with home care and additional caregivers.  The patient was discharged home on 09/09/2022.