chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Chest X-ray, Dyspnoea, Fibrin D dimer, Full blood count
Clinical narrative: SOB and tachycardia
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate, Interchange of vaccine products, Tachycardia
Clinical narrative: SOB and tachycardia
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Headache, Malaise
Clinical narrative: I started getting stuffed up and generalized ache. Stuffiness in my head and a headache. I tested positive for Covid 10/16/21, I felt like I had a cold and didn't think anything of it. The next morning I felt really sick and called my doctor and they had me get Covid tested. Right away I got an infusion because the next day I had no taste or smell. The smell issues continues, my smell is very diminished. Also the taste is weird, I've never been able to eat spicy food but now I can eat a whole jalapeno pepper. The most annoying symptom is the sinus issues, I feel stuffed up all the time with a lot pressure.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Nasopharyngitis, Pain, Paranasal sinus discomfort, SARS-CoV-2 test positive
Clinical narrative: I started getting stuffed up and generalized ache. Stuffiness in my head and a headache. I tested positive for Covid 10/16/21, I felt like I had a cold and didn't think anything of it. The next morning I felt really sick and called my doctor and they had me get Covid tested. Right away I got an infusion because the next day I had no taste or smell. The smell issues continues, my smell is very diminished. Also the taste is weird, I've never been able to eat spicy food but now I can eat a whole jalapeno pepper. The most annoying symptom is the sinus issues, I feel stuffed up all the time with a lot pressure.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: I started getting stuffed up and generalized ache. Stuffiness in my head and a headache. I tested positive for Covid 10/16/21, I felt like I had a cold and didn't think anything of it. The next morning I felt really sick and called my doctor and they had me get Covid tested. Right away I got an infusion because the next day I had no taste or smell. The smell issues continues, my smell is very diminished. Also the taste is weird, I've never been able to eat spicy food but now I can eat a whole jalapeno pepper. The most annoying symptom is the sinus issues, I feel stuffed up all the time with a lot pressure.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dry mouth, Dry throat, Exposure to SARS-CoV-2, Headache
Clinical narrative: Very congested and sore throat. Next day tested position for Covid. Runny nose, Lymph node swelling in neck, headache, very hyper could night and sharp pain in toes and feet, body aches, dry mouth and throat. Telehealth call to doctor paxlovid and over counter medicine. Contracted Covid from being around people that had the virus.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Oropharyngeal pain, Pain, Pain in extremity, Psychomotor hyperactivity
Clinical narrative: Very congested and sore throat. Next day tested position for Covid. Runny nose, Lymph node swelling in neck, headache, very hyper could night and sharp pain in toes and feet, body aches, dry mouth and throat. Telehealth call to doctor paxlovid and over counter medicine. Contracted Covid from being around people that had the virus.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Very congested and sore throat. Next day tested position for Covid. Runny nose, Lymph node swelling in neck, headache, very hyper could night and sharp pain in toes and feet, body aches, dry mouth and throat. Telehealth call to doctor paxlovid and over counter medicine. Contracted Covid from being around people that had the virus.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Night sweats, Pyrexia
Clinical narrative: Site soreness; Ibuprophen 200 mg one at night both night of and night after shot; relieved Low grade fever (99.2); day after and 2nd night after shot; Ibuprophen as above; relieved Night sweats 2nd night after shot relieved on waking; not sure about 3rd night yet.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse reaction.  Vaccine temperature excursion.  Vaccine was kept at a frozen temperature, not refrigerated temperature upon receipt of shipment.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer, Case MOD22-013894. The manufacturer tested the lot number 084J21A. Data revealed that the vaccine administered on April 1 to April 8, 2022 from lot number 084J21A likely maintained activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. The vaccine administered on April 9 to May 11, 2022 from lot number 084J21A likely did not maintain the activity necessary to fully protect against the SARS-CoV-2 (COVID-19) virus at time of administration. We are working on contacting the patient and recommending re-vaccination. No ill effect post vaccination has been reported to our practice.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Feeling abnormal, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I felt fine after receiving the vaccine, but on May 24, 2022, I wasn't feeling good so I went to the Clinic. I had a fever of 99.9 degrees, a sore throat, and a headache. I tested positive for COVID, and I was prescribed PAXLOVID. My symptoms lasted for about 5 days.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Electric shock sensation, Fatigue, Feeling abnormal
Clinical narrative: She got her vaccine started off by feeling sort of "spacy", and that then made her extremely weak and tired (muscle weakness).  As it moved into the evening the knuckles of the top of her hands had electrical nerve sensation, but was all over in all of her joints.  Her hands were the most noticeable to her, but was also in her knees, hips, ankles. She had taken 2 Motrin before she went to bed and was unable to sleep due to the pain.  She also had a horrible headache, which she does not tend to have, and it was probably one of the worse she has ever had.  The electrical impulses lasted that night, but the muscle aches, joint aching and the headache went on for 2-3 more days.  She was then left for another 3 days extremely weak and tired.  She is now OK, feels more herself starting yesterday 5/31/22.    With the other vaccines she did have similar reactions, but not as long and not the electrical sensations and achy joints like she did with this one.  Those reactions lasted for only a couple of days as well as the weakness and fatigue, but this one has been worse.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Muscular weakness, Myalgia, Pain, Sleep disorder
Clinical narrative: She got her vaccine started off by feeling sort of "spacy", and that then made her extremely weak and tired (muscle weakness).  As it moved into the evening the knuckles of the top of her hands had electrical nerve sensation, but was all over in all of her joints.  Her hands were the most noticeable to her, but was also in her knees, hips, ankles. She had taken 2 Motrin before she went to bed and was unable to sleep due to the pain.  She also had a horrible headache, which she does not tend to have, and it was probably one of the worse she has ever had.  The electrical impulses lasted that night, but the muscle aches, joint aching and the headache went on for 2-3 more days.  She was then left for another 3 days extremely weak and tired.  She is now OK, feels more herself starting yesterday 5/31/22.    With the other vaccines she did have similar reactions, but not as long and not the electrical sensations and achy joints like she did with this one.  Those reactions lasted for only a couple of days as well as the weakness and fatigue, but this one has been worse.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Discomfort, Feeling abnormal
Clinical narrative: I did not have an adverse reaction to the vaccine but I did contract Covid 19.  I test positive 05/24/2022. I had fever, diarrhea, bad headache, sore throat, brain fog and slept a lot. I took Tylenol and cough drops to help with discomfort. At the time of this report, I'm feeling a little better.  I continue to have brain fog, weird stuff with my vision and lingering cough.  I had telehealth visit with my doctor who prescribed the anti viral drug but I did not take it. By the time I got my hands on the prescription, I felt like I took a turn for the better and did not take it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Somnolence
Clinical narrative: I did not have an adverse reaction to the vaccine but I did contract Covid 19.  I test positive 05/24/2022. I had fever, diarrhea, bad headache, sore throat, brain fog and slept a lot. I took Tylenol and cough drops to help with discomfort. At the time of this report, I'm feeling a little better.  I continue to have brain fog, weird stuff with my vision and lingering cough.  I had telehealth visit with my doctor who prescribed the anti viral drug but I did not take it. By the time I got my hands on the prescription, I felt like I took a turn for the better and did not take it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: I did not have an adverse reaction to the vaccine but I did contract Covid 19.  I test positive 05/24/2022. I had fever, diarrhea, bad headache, sore throat, brain fog and slept a lot. I took Tylenol and cough drops to help with discomfort. At the time of this report, I'm feeling a little better.  I continue to have brain fog, weird stuff with my vision and lingering cough.  I had telehealth visit with my doctor who prescribed the anti viral drug but I did not take it. By the time I got my hands on the prescription, I felt like I took a turn for the better and did not take it.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthropod bite, Biopsy skin, Blister, Blood culture
Clinical narrative: Ten mintues after vaccination (Thursday 5/26) had a couple of hives that itched.  That pm through Friday (5/27) I appeared to have hives. I also had a UTI and assumed hives related.  Went to Urgent Care 5/28 for UTI. Also had doctor look at what I thought was a bug bite that I had scratched and was infected.  Treated me for both.  5/28 PM blisters began for form where all hives and potential bite were located.  6/30  due to significant exacerbation; blisters, redness and swelling doc's office encouraged me to go back to Urgent Care.  Urgent Care worried I had necrotizing fasciitis and referred me to ER.  ER r/o necrotizing fasciitis but could not rule out  chicken pox, MRSA,  but also discussed tick bites etc... Treated symptoms and referred to a dermatologist.  Dermatologist suspects bullous pemphigoid. Punch biopsy taken
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid normal, Blood test, C-reactive protein normal, Condition aggravated, Erythema
Clinical narrative: Ten mintues after vaccination (Thursday 5/26) had a couple of hives that itched.  That pm through Friday (5/27) I appeared to have hives. I also had a UTI and assumed hives related.  Went to Urgent Care 5/28 for UTI. Also had doctor look at what I thought was a bug bite that I had scratched and was infected.  Treated me for both.  5/28 PM blisters began for form where all hives and potential bite were located.  6/30  due to significant exacerbation; blisters, redness and swelling doc's office encouraged me to go back to Urgent Care.  Urgent Care worried I had necrotizing fasciitis and referred me to ER.  ER r/o necrotizing fasciitis but could not rule out  chicken pox, MRSA,  but also discussed tick bites etc... Treated symptoms and referred to a dermatologist.  Dermatologist suspects bullous pemphigoid. Punch biopsy taken
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Glomerular filtration rate normal, Infected bite, Metabolic function test normal, Pemphigoid
Clinical narrative: Ten mintues after vaccination (Thursday 5/26) had a couple of hives that itched.  That pm through Friday (5/27) I appeared to have hives. I also had a UTI and assumed hives related.  Went to Urgent Care 5/28 for UTI. Also had doctor look at what I thought was a bug bite that I had scratched and was infected.  Treated me for both.  5/28 PM blisters began for form where all hives and potential bite were located.  6/30  due to significant exacerbation; blisters, redness and swelling doc's office encouraged me to go back to Urgent Care.  Urgent Care worried I had necrotizing fasciitis and referred me to ER.  ER r/o necrotizing fasciitis but could not rule out  chicken pox, MRSA,  but also discussed tick bites etc... Treated symptoms and referred to a dermatologist.  Dermatologist suspects bullous pemphigoid. Punch biopsy taken
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Red blood cell sedimentation rate increased, Swelling, Urinary tract infection, Urine analysis
Clinical narrative: Ten mintues after vaccination (Thursday 5/26) had a couple of hives that itched.  That pm through Friday (5/27) I appeared to have hives. I also had a UTI and assumed hives related.  Went to Urgent Care 5/28 for UTI. Also had doctor look at what I thought was a bug bite that I had scratched and was infected.  Treated me for both.  5/28 PM blisters began for form where all hives and potential bite were located.  6/30  due to significant exacerbation; blisters, redness and swelling doc's office encouraged me to go back to Urgent Care.  Urgent Care worried I had necrotizing fasciitis and referred me to ER.  ER r/o necrotizing fasciitis but could not rule out  chicken pox, MRSA,  but also discussed tick bites etc... Treated symptoms and referred to a dermatologist.  Dermatologist suspects bullous pemphigoid. Punch biopsy taken
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Ten mintues after vaccination (Thursday 5/26) had a couple of hives that itched.  That pm through Friday (5/27) I appeared to have hives. I also had a UTI and assumed hives related.  Went to Urgent Care 5/28 for UTI. Also had doctor look at what I thought was a bug bite that I had scratched and was infected.  Treated me for both.  5/28 PM blisters began for form where all hives and potential bite were located.  6/30  due to significant exacerbation; blisters, redness and swelling doc's office encouraged me to go back to Urgent Care.  Urgent Care worried I had necrotizing fasciitis and referred me to ER.  ER r/o necrotizing fasciitis but could not rule out  chicken pox, MRSA,  but also discussed tick bites etc... Treated symptoms and referred to a dermatologist.  Dermatologist suspects bullous pemphigoid. Punch biopsy taken
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV23 administered rather than new guideline recommendation for PCV 20.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given a dose of the  Pfizer does without reconstitution of normal saline 0.9%.  Unfortunately my  pharmacy manager has not been able to make contact with the patient's parent/guardian, but we will follow up as needed.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Temperature intolerance, Urticaria, Urticaria cholinergic
Clinical narrative: Starting 12/04/2021, I got hives all over my body after exercising and getting hot. I was eventually diagnosed with cholinergic hives. I did an urgent visit, saw a dermatologist, saw my regular doctor and now going to see an allergist on Friday 06/03/2022. I take antihistamines, PEPCID and LEXAPRO (due to increased anxiety caused by the event). Its affecting me doing anything. Before the booster, I was able to go on long walks, exercise and do house work. However, now I can be in the middle of cleaning the house and break out in hives all over.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient expired 5/31/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Anticoagulant therapy, Central venous catheterisation, Chest X-ray, Hysterosalpingo-oophorectomy
Clinical narrative: Patient is  64 yo  with past medical history of HTN, reactive airway disease, GERD, clear cell carcinoma of l ovary with peritoneal carcinomatosis s/p TAH-BSO on 3/30/22 and chemoport on 5/19/22 presents with complain of     Reports left lower extremity swelling and tenderness for 1 day Denies shortness of breath Denies chest pain Send by Dr, her oncologist, to ED for follow-up valuation to rule out DVT No fever, chills, nausea, vomiting     Tolerated well for last cycle of carboplatin/paclitaxel on 5/25/2022 Admitted for saddle pulmonary embolism on anticoagulation, concerning for HIT - pending results   Clear call carcinoma of the left ovary with peritoneal carcinomatosis. on chemo, s/p cycle 1 of carboplatin/paclitaxel on 5/25/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Metastases to peritoneum, Ovarian clear cell carcinoma, Peripheral swelling, Pulmonary embolism
Clinical narrative: Patient is  64 yo  with past medical history of HTN, reactive airway disease, GERD, clear cell carcinoma of l ovary with peritoneal carcinomatosis s/p TAH-BSO on 3/30/22 and chemoport on 5/19/22 presents with complain of     Reports left lower extremity swelling and tenderness for 1 day Denies shortness of breath Denies chest pain Send by Dr, her oncologist, to ED for follow-up valuation to rule out DVT No fever, chills, nausea, vomiting     Tolerated well for last cycle of carboplatin/paclitaxel on 5/25/2022 Admitted for saddle pulmonary embolism on anticoagulation, concerning for HIT - pending results   Clear call carcinoma of the left ovary with peritoneal carcinomatosis. on chemo, s/p cycle 1 of carboplatin/paclitaxel on 5/25/2022.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Patient is  64 yo  with past medical history of HTN, reactive airway disease, GERD, clear cell carcinoma of l ovary with peritoneal carcinomatosis s/p TAH-BSO on 3/30/22 and chemoport on 5/19/22 presents with complain of     Reports left lower extremity swelling and tenderness for 1 day Denies shortness of breath Denies chest pain Send by Dr, her oncologist, to ED for follow-up valuation to rule out DVT No fever, chills, nausea, vomiting     Tolerated well for last cycle of carboplatin/paclitaxel on 5/25/2022 Admitted for saddle pulmonary embolism on anticoagulation, concerning for HIT - pending results   Clear call carcinoma of the left ovary with peritoneal carcinomatosis. on chemo, s/p cycle 1 of carboplatin/paclitaxel on 5/25/2022.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: She reported having a red blotch  about 2.5 inches in diameter on her arm below injection site. It was tender, swollen and warm to the touch. It only lasted a bout two days
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Vitiligo
Clinical narrative: Vitiligo on face
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: CLIENT RECEIVED PEDIATRIC FORMULATION OF PFIZER VACCINE 0.2ML. CLIENT 12YO AT TIME OF VACCINATION SHOULD HAVE RECEIVED PFIZER GRAY CAP 0.3ML.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Hypoxia, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID vaccine #3 given 8/26/22, lot # FD8448; pt had a positive at home COVID test on 4/20/22; was given monoclonal antibodies the following day; 4/23/22 admitted to hospital with worsening hypoxia x past 4 days; pt placed on BiPAP; dexamethasone, ABX, DuoNeb, remdesivir; pt was transitioned to DNR/comfort care and passed away in the hospital
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Adrenal insufficiency, Angiogram pulmonary normal, COVID-19, COVID-19 pneumonia
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 5/22/2022 Discharge Date: 05/27/2022   PRESENTING PROBLEM: Patient resides at Facility, brought over to ED because of nausea, vomiting and diarrhea, fever and shortness of breath. Positive for Covid. See H&P from 5/22/22 for full details   HOSPITAL COURSE: Patient was admitted to the hospitalist service with severe sepsis secondary to Covid 19 pneumonia with superimposed bacterial pneumonia and acute hypoxic respiratory failure secondary to the viral and bacterial pneumonia requiring 75% FiO2 on high flow nasal cannula. PE was ruled on by CTA. He was started on stress dose steroids for his adrenal insufficiency and IV Zosyn and Vancomycin to cover for possible bacterial pneumonia. He did require vasopressors, norepinephrine, for about 24 hours. He was initially made NPO for an SLP consult given his history of dysphagia, after eval he was placed on nectar thick liquids and dysphagia advanced diet . His oxygen demands decreased and he was off high flow nasal cannula and maintaining his blood pressures, he was transferred out of the ICU. He was on Remdesivir for which he completed a 5 day course. Antibiotic coverage was deescalated after MRSA swab resulted negative and he was on Rocephin 2g daily and completed 5 days of antibiotics. He worked with physical and occupational therapy who recommended discharge back to long term care. On day of discharge he was doing well on room air, eating and drinking okay, he will be discharged back to Facility on his dysphagia diet.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dysphagia, Dyspnoea, Intensive care, Medical diet
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 5/22/2022 Discharge Date: 05/27/2022   PRESENTING PROBLEM: Patient resides at Facility, brought over to ED because of nausea, vomiting and diarrhea, fever and shortness of breath. Positive for Covid. See H&P from 5/22/22 for full details   HOSPITAL COURSE: Patient was admitted to the hospitalist service with severe sepsis secondary to Covid 19 pneumonia with superimposed bacterial pneumonia and acute hypoxic respiratory failure secondary to the viral and bacterial pneumonia requiring 75% FiO2 on high flow nasal cannula. PE was ruled on by CTA. He was started on stress dose steroids for his adrenal insufficiency and IV Zosyn and Vancomycin to cover for possible bacterial pneumonia. He did require vasopressors, norepinephrine, for about 24 hours. He was initially made NPO for an SLP consult given his history of dysphagia, after eval he was placed on nectar thick liquids and dysphagia advanced diet . His oxygen demands decreased and he was off high flow nasal cannula and maintaining his blood pressures, he was transferred out of the ICU. He was on Remdesivir for which he completed a 5 day course. Antibiotic coverage was deescalated after MRSA swab resulted negative and he was on Rocephin 2g daily and completed 5 days of antibiotics. He worked with physical and occupational therapy who recommended discharge back to long term care. On day of discharge he was doing well on room air, eating and drinking okay, he will be discharged back to Facility on his dysphagia diet.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Nothing by mouth order, Pneumonia bacterial, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 5/22/2022 Discharge Date: 05/27/2022   PRESENTING PROBLEM: Patient resides at Facility, brought over to ED because of nausea, vomiting and diarrhea, fever and shortness of breath. Positive for Covid. See H&P from 5/22/22 for full details   HOSPITAL COURSE: Patient was admitted to the hospitalist service with severe sepsis secondary to Covid 19 pneumonia with superimposed bacterial pneumonia and acute hypoxic respiratory failure secondary to the viral and bacterial pneumonia requiring 75% FiO2 on high flow nasal cannula. PE was ruled on by CTA. He was started on stress dose steroids for his adrenal insufficiency and IV Zosyn and Vancomycin to cover for possible bacterial pneumonia. He did require vasopressors, norepinephrine, for about 24 hours. He was initially made NPO for an SLP consult given his history of dysphagia, after eval he was placed on nectar thick liquids and dysphagia advanced diet . His oxygen demands decreased and he was off high flow nasal cannula and maintaining his blood pressures, he was transferred out of the ICU. He was on Remdesivir for which he completed a 5 day course. Antibiotic coverage was deescalated after MRSA swab resulted negative and he was on Rocephin 2g daily and completed 5 days of antibiotics. He worked with physical and occupational therapy who recommended discharge back to long term care. On day of discharge he was doing well on room air, eating and drinking okay, he will be discharged back to Facility on his dysphagia diet.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Staphylococcus test negative, Superinfection, Vomiting
Clinical narrative: Discharge Provider: MD Primary Care Provider at Discharge: DO   Admission Date: 5/22/2022 Discharge Date: 05/27/2022   PRESENTING PROBLEM: Patient resides at Facility, brought over to ED because of nausea, vomiting and diarrhea, fever and shortness of breath. Positive for Covid. See H&P from 5/22/22 for full details   HOSPITAL COURSE: Patient was admitted to the hospitalist service with severe sepsis secondary to Covid 19 pneumonia with superimposed bacterial pneumonia and acute hypoxic respiratory failure secondary to the viral and bacterial pneumonia requiring 75% FiO2 on high flow nasal cannula. PE was ruled on by CTA. He was started on stress dose steroids for his adrenal insufficiency and IV Zosyn and Vancomycin to cover for possible bacterial pneumonia. He did require vasopressors, norepinephrine, for about 24 hours. He was initially made NPO for an SLP consult given his history of dysphagia, after eval he was placed on nectar thick liquids and dysphagia advanced diet . His oxygen demands decreased and he was off high flow nasal cannula and maintaining his blood pressures, he was transferred out of the ICU. He was on Remdesivir for which he completed a 5 day course. Antibiotic coverage was deescalated after MRSA swab resulted negative and he was on Rocephin 2g daily and completed 5 days of antibiotics. He worked with physical and occupational therapy who recommended discharge back to long term care. On day of discharge he was doing well on room air, eating and drinking okay, he will be discharged back to Facility on his dysphagia diet.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Syncope
Clinical narrative: Patient fainted about 40 seconds after administration of 1st covid dose. Regained consciousness 2 minutes later. Sat on floor until he felt able to walk with minimal dizziness which took 25 minutes.
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Diet refusal, Dizziness
Clinical narrative: I am now in day 7 since the vaccination and still not well.  Starting on May 29 I experienced vomiting and nausea.  Vomiting stopped.  Day 6 the on-going pain and gas in my stomach became diarrhea.  I am still experieincing diarrhea.  Several days ago I took a covid test to rue out covid causing the symptoms.  Test negaitive.  I have had headaches,shivering, fatigue, bad taste in my mouth and dizziness since the vaccination.  I am not eating due to the diarrhea.  Taking in clear fluids
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Flatulence, Headache, Malaise, Nausea
Clinical narrative: I am now in day 7 since the vaccination and still not well.  Starting on May 29 I experienced vomiting and nausea.  Vomiting stopped.  Day 6 the on-going pain and gas in my stomach became diarrhea.  I am still experieincing diarrhea.  Several days ago I took a covid test to rue out covid causing the symptoms.  Test negaitive.  I have had headaches,shivering, fatigue, bad taste in my mouth and dizziness since the vaccination.  I am not eating due to the diarrhea.  Taking in clear fluids
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: SARS-CoV-2 test negative, Taste disorder, Vomiting
Clinical narrative: I am now in day 7 since the vaccination and still not well.  Starting on May 29 I experienced vomiting and nausea.  Vomiting stopped.  Day 6 the on-going pain and gas in my stomach became diarrhea.  I am still experieincing diarrhea.  Several days ago I took a covid test to rue out covid causing the symptoms.  Test negaitive.  I have had headaches,shivering, fatigue, bad taste in my mouth and dizziness since the vaccination.  I am not eating due to the diarrhea.  Taking in clear fluids
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: During our COVID-19 compliance visit(05/31/2022), we were made aware of an invalid dose administration that occured during our 02/23/2022 clinic. A 16 YO Male received a booster dose of Moderna. No further dose is recommendeed for this individual per CDC guidance. The one month RX(item # 22 of this form) is retrieved from case's Immunization Information System account and includes: Flu, HepA, hepB, MCV4, and HPV9. MD was notifed on 05/31/2022 of the incident and the family was contacted to provide this update.
Age: 65.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV23 administered instead of guideline recommendations for PCV20
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Malaise
Clinical narrative: COVID breakthrough case. I received my 1st booster shot on 11/30/2021 and my COVID symptoms started on 05/28/2022 in the morning I woke up with a cold. I had runny, congestions, headache, tired, fatigued, a little cough, body ache all over. Later on the day I tested around 06:00PM I was positive. I immediately took another one to make sure and it was positive again. On the same day around 8:00PM I went to urgent care and they tested me back again I was positive. They prescribed me PAXLOVID for 5 days. I am recovering slowly.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: COVID breakthrough case. I received my 1st booster shot on 11/30/2021 and my COVID symptoms started on 05/28/2022 in the morning I woke up with a cold. I had runny, congestions, headache, tired, fatigued, a little cough, body ache all over. Later on the day I tested around 06:00PM I was positive. I immediately took another one to make sure and it was positive again. On the same day around 8:00PM I went to urgent care and they tested me back again I was positive. They prescribed me PAXLOVID for 5 days. I am recovering slowly.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case. I received my 1st booster shot on 11/30/2021 and my COVID symptoms started on 05/28/2022 in the morning I woke up with a cold. I had runny, congestions, headache, tired, fatigued, a little cough, body ache all over. Later on the day I tested around 06:00PM I was positive. I immediately took another one to make sure and it was positive again. On the same day around 8:00PM I went to urgent care and they tested me back again I was positive. They prescribed me PAXLOVID for 5 days. I am recovering slowly.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood albumin decreased, COVID-19, Clostridium test negative
Clinical narrative: Admission Date: 5/11/2022 Discharge Date: 05/30/2022  PRESENTING PROBLEM: Generalized weakness Acute kidney injury (nontraumatic) Multiple falls Laceration of multiple sites of lower extremity, unspecified laterality, initial encounter Hypotension due to hypovolemia Septic shock   HOSPITAL COURSE: Patient is a 61 year old female who presented to the ED with complaints of frequently falling and had sustained another fall prior to admission in which she denied striking her head or losing consciousness but did suffer lacerations to her left upper thigh and bilateral medial calves which were sutured in the ED. She had been discharged the previous day from rehab in which she had reported to being stronger but endorsed that she was not back to her baseline.  After admission she became hypotensive despite fluid resuscitation, requiring vasopressors to maintain blood pressure. She was treated for septic shock with organ dysfunction. Labs did reveal an intermediate c diff result on 5/12 but subsequent c diff PCR was negative. Source of infection was unclear but she did receive a 7 day course of Zosyn with concern for colitis.   She did have significant third spacing on admission felt to be due to poor nutrition status with low albumin. Dietary did speak with her and did discuss proper nutritional goals. We have started her on marinol to improve appetite.   During her stay she did have significant coagulopathy felt secondary to liver dysfunction and did receive 3 units of FFP. She also did receive 2 units of PRBCs during this hospital stay.   Physical therapy did consult when she stabilized and felt patient would benefit from rehab. Unfortunately, a covid 19 screen was done which was positive; although, she did not have any respiratory symptoms. Due to being positive COVID 19 placement was difficult which caused a prolonged hospital stay. With continued physical therapy the patient's mobility did improve and it was felt that patient could be safely discharged home with family and home physical therapy on 5/29. Patient also expressed eagerness to go home and was agreeable with the plan. She is ambulating in the room independently including feeding, dressing and going to the restroom. We will arrange for home health.    We are discharging her on potassium supplementation but would recommend a BMP including magnesium to be checked in the next 5-7 days.     Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Decreased appetite, Fall, Hepatic function abnormal, Hypotension
Clinical narrative: Admission Date: 5/11/2022 Discharge Date: 05/30/2022  PRESENTING PROBLEM: Generalized weakness Acute kidney injury (nontraumatic) Multiple falls Laceration of multiple sites of lower extremity, unspecified laterality, initial encounter Hypotension due to hypovolemia Septic shock   HOSPITAL COURSE: Patient is a 61 year old female who presented to the ED with complaints of frequently falling and had sustained another fall prior to admission in which she denied striking her head or losing consciousness but did suffer lacerations to her left upper thigh and bilateral medial calves which were sutured in the ED. She had been discharged the previous day from rehab in which she had reported to being stronger but endorsed that she was not back to her baseline.  After admission she became hypotensive despite fluid resuscitation, requiring vasopressors to maintain blood pressure. She was treated for septic shock with organ dysfunction. Labs did reveal an intermediate c diff result on 5/12 but subsequent c diff PCR was negative. Source of infection was unclear but she did receive a 7 day course of Zosyn with concern for colitis.   She did have significant third spacing on admission felt to be due to poor nutrition status with low albumin. Dietary did speak with her and did discuss proper nutritional goals. We have started her on marinol to improve appetite.   During her stay she did have significant coagulopathy felt secondary to liver dysfunction and did receive 3 units of FFP. She also did receive 2 units of PRBCs during this hospital stay.   Physical therapy did consult when she stabilized and felt patient would benefit from rehab. Unfortunately, a covid 19 screen was done which was positive; although, she did not have any respiratory symptoms. Due to being positive COVID 19 placement was difficult which caused a prolonged hospital stay. With continued physical therapy the patient's mobility did improve and it was felt that patient could be safely discharged home with family and home physical therapy on 5/29. Patient also expressed eagerness to go home and was agreeable with the plan. She is ambulating in the room independently including feeding, dressing and going to the restroom. We will arrange for home health.    We are discharging her on potassium supplementation but would recommend a BMP including magnesium to be checked in the next 5-7 days.     Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypovolaemia, Infection, Laboratory test normal, Malnutrition, Organ failure
Clinical narrative: Admission Date: 5/11/2022 Discharge Date: 05/30/2022  PRESENTING PROBLEM: Generalized weakness Acute kidney injury (nontraumatic) Multiple falls Laceration of multiple sites of lower extremity, unspecified laterality, initial encounter Hypotension due to hypovolemia Septic shock   HOSPITAL COURSE: Patient is a 61 year old female who presented to the ED with complaints of frequently falling and had sustained another fall prior to admission in which she denied striking her head or losing consciousness but did suffer lacerations to her left upper thigh and bilateral medial calves which were sutured in the ED. She had been discharged the previous day from rehab in which she had reported to being stronger but endorsed that she was not back to her baseline.  After admission she became hypotensive despite fluid resuscitation, requiring vasopressors to maintain blood pressure. She was treated for septic shock with organ dysfunction. Labs did reveal an intermediate c diff result on 5/12 but subsequent c diff PCR was negative. Source of infection was unclear but she did receive a 7 day course of Zosyn with concern for colitis.   She did have significant third spacing on admission felt to be due to poor nutrition status with low albumin. Dietary did speak with her and did discuss proper nutritional goals. We have started her on marinol to improve appetite.   During her stay she did have significant coagulopathy felt secondary to liver dysfunction and did receive 3 units of FFP. She also did receive 2 units of PRBCs during this hospital stay.   Physical therapy did consult when she stabilized and felt patient would benefit from rehab. Unfortunately, a covid 19 screen was done which was positive; although, she did not have any respiratory symptoms. Due to being positive COVID 19 placement was difficult which caused a prolonged hospital stay. With continued physical therapy the patient's mobility did improve and it was felt that patient could be safely discharged home with family and home physical therapy on 5/29. Patient also expressed eagerness to go home and was agreeable with the plan. She is ambulating in the room independently including feeding, dressing and going to the restroom. We will arrange for home health.    We are discharging her on potassium supplementation but would recommend a BMP including magnesium to be checked in the next 5-7 days.     Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell transfusion, SARS-CoV-2 test positive, Septic shock, Skin laceration, Suture insertion
Clinical narrative: Admission Date: 5/11/2022 Discharge Date: 05/30/2022  PRESENTING PROBLEM: Generalized weakness Acute kidney injury (nontraumatic) Multiple falls Laceration of multiple sites of lower extremity, unspecified laterality, initial encounter Hypotension due to hypovolemia Septic shock   HOSPITAL COURSE: Patient is a 61 year old female who presented to the ED with complaints of frequently falling and had sustained another fall prior to admission in which she denied striking her head or losing consciousness but did suffer lacerations to her left upper thigh and bilateral medial calves which were sutured in the ED. She had been discharged the previous day from rehab in which she had reported to being stronger but endorsed that she was not back to her baseline.  After admission she became hypotensive despite fluid resuscitation, requiring vasopressors to maintain blood pressure. She was treated for septic shock with organ dysfunction. Labs did reveal an intermediate c diff result on 5/12 but subsequent c diff PCR was negative. Source of infection was unclear but she did receive a 7 day course of Zosyn with concern for colitis.   She did have significant third spacing on admission felt to be due to poor nutrition status with low albumin. Dietary did speak with her and did discuss proper nutritional goals. We have started her on marinol to improve appetite.   During her stay she did have significant coagulopathy felt secondary to liver dysfunction and did receive 3 units of FFP. She also did receive 2 units of PRBCs during this hospital stay.   Physical therapy did consult when she stabilized and felt patient would benefit from rehab. Unfortunately, a covid 19 screen was done which was positive; although, she did not have any respiratory symptoms. Due to being positive COVID 19 placement was difficult which caused a prolonged hospital stay. With continued physical therapy the patient's mobility did improve and it was felt that patient could be safely discharged home with family and home physical therapy on 5/29. Patient also expressed eagerness to go home and was agreeable with the plan. She is ambulating in the room independently including feeding, dressing and going to the restroom. We will arrange for home health.    We are discharging her on potassium supplementation but would recommend a BMP including magnesium to be checked in the next 5-7 days.     Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Transfusion
Clinical narrative: Admission Date: 5/11/2022 Discharge Date: 05/30/2022  PRESENTING PROBLEM: Generalized weakness Acute kidney injury (nontraumatic) Multiple falls Laceration of multiple sites of lower extremity, unspecified laterality, initial encounter Hypotension due to hypovolemia Septic shock   HOSPITAL COURSE: Patient is a 61 year old female who presented to the ED with complaints of frequently falling and had sustained another fall prior to admission in which she denied striking her head or losing consciousness but did suffer lacerations to her left upper thigh and bilateral medial calves which were sutured in the ED. She had been discharged the previous day from rehab in which she had reported to being stronger but endorsed that she was not back to her baseline.  After admission she became hypotensive despite fluid resuscitation, requiring vasopressors to maintain blood pressure. She was treated for septic shock with organ dysfunction. Labs did reveal an intermediate c diff result on 5/12 but subsequent c diff PCR was negative. Source of infection was unclear but she did receive a 7 day course of Zosyn with concern for colitis.   She did have significant third spacing on admission felt to be due to poor nutrition status with low albumin. Dietary did speak with her and did discuss proper nutritional goals. We have started her on marinol to improve appetite.   During her stay she did have significant coagulopathy felt secondary to liver dysfunction and did receive 3 units of FFP. She also did receive 2 units of PRBCs during this hospital stay.   Physical therapy did consult when she stabilized and felt patient would benefit from rehab. Unfortunately, a covid 19 screen was done which was positive; although, she did not have any respiratory symptoms. Due to being positive COVID 19 placement was difficult which caused a prolonged hospital stay. With continued physical therapy the patient's mobility did improve and it was felt that patient could be safely discharged home with family and home physical therapy on 5/29. Patient also expressed eagerness to go home and was agreeable with the plan. She is ambulating in the room independently including feeding, dressing and going to the restroom. We will arrange for home health.    We are discharging her on potassium supplementation but would recommend a BMP including magnesium to be checked in the next 5-7 days.     Patient is being discharged in stable condition and was agreeable with discharge plans.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Dose 1 given 1/28/2021 Moderna, no lot # available. Pt tested positive for Covid 19, was admitted to the hospital and died from Covid pneumonia/respiratory failure.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Anal incontinence, Bacterial infection, COVID-19, Death, General physical health deterioration
Clinical narrative: 1/19/2022 pt admitted to hosp after being found laying in feces x 7days with maggots; acute metabolic/infectious encephalopathy secondary to pneumonia from gram positive cocci and COVID 19; positive COVID test on 1/20/22; DNR; developed melena, endoscopic evaluation offered but pt refused; experienced change in mental status and fever; IV ABX; MRSA bacteremia and pneumonia; poor kidney function; condition worsened; became hypoxic and nonresponsive; transitioned to inpatient hospice where he passed away
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Infestation, Melaena, Mental status changes, Metabolic encephalopathy
Clinical narrative: 1/19/2022 pt admitted to hosp after being found laying in feces x 7days with maggots; acute metabolic/infectious encephalopathy secondary to pneumonia from gram positive cocci and COVID 19; positive COVID test on 1/20/22; DNR; developed melena, endoscopic evaluation offered but pt refused; experienced change in mental status and fever; IV ABX; MRSA bacteremia and pneumonia; poor kidney function; condition worsened; became hypoxic and nonresponsive; transitioned to inpatient hospice where he passed away
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Renal impairment, SARS-CoV-2 test positive, Staphylococcal bacteraemia
Clinical narrative: 1/19/2022 pt admitted to hosp after being found laying in feces x 7days with maggots; acute metabolic/infectious encephalopathy secondary to pneumonia from gram positive cocci and COVID 19; positive COVID test on 1/20/22; DNR; developed melena, endoscopic evaluation offered but pt refused; experienced change in mental status and fever; IV ABX; MRSA bacteremia and pneumonia; poor kidney function; condition worsened; became hypoxic and nonresponsive; transitioned to inpatient hospice where he passed away
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: 1/19/2022 pt admitted to hosp after being found laying in feces x 7days with maggots; acute metabolic/infectious encephalopathy secondary to pneumonia from gram positive cocci and COVID 19; positive COVID test on 1/20/22; DNR; developed melena, endoscopic evaluation offered but pt refused; experienced change in mental status and fever; IV ABX; MRSA bacteremia and pneumonia; poor kidney function; condition worsened; became hypoxic and nonresponsive; transitioned to inpatient hospice where he passed away
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid+
Age: 76.0
Sex: M
Vaccine: PPV
Symptoms: Wrong product administered
Clinical narrative: PPSV23 administered and guidelines were to administer PCV20.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Dysphonia, Headache, Pain
Clinical narrative: I am reported my break through COVID Case. Woke up and my voice was sore and I had chills and a headache. My voice was hoarse. Since the rest of my group tested positive, I called my doctor and prescribed me some meds. I tested positive from home test. I was told to take it easy. As of today I am doing better and I am recovered.