chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral nerve operation, Small fibre neuropathy, X-ray limb
Clinical narrative: Pain and numbness in hands starting on the left side and spreading to both feet, eventually reaching elbows and knees. Pain was initially mild but grew worse until weeks after giving birth. Difficulty driving, typing, preparing food, dressing etc... Cortico steroid injection and x rays of hands to test for carpal tunnel syndrome. Surgery was recommended for a nerve release, and performed on right hand. Surgery did not improve condition, and doctor suggested everything would improve after giving birth. After giving birth there was no improvement. Doctor was reminded that pain was in both hands and feet. EMG was then conducted results were normal. Referred to neurologist. In office neurological testing. Small Fiber Neuropathy suspected. Skin punch biopsy to be scheduled.   Symptoms began improving mid January, but still troubling. *Had been participating in smartphone based tool, and was told to call to provide more information, but lost track of information.  Patient's first pregnancy, est delivery date 11/3/21, Baby born by c-section 7 lb 9 oz.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, boosted 1/21/22.  COVID breakthrough infection
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Pain, Pain in extremity
Clinical narrative: Arm has been hurting every since she received the injection. Her arm has been sore for almost 4 months and if she moves it a certain way it is increasingly painful. Received a steroid injection in Oct 2021 and it did not help it at all.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysphonia, Laryngitis, Pharyngeal swelling
Clinical narrative: couple hours after the shot, my throat felt swollen and chest felt tight, and sudden laryngitis and some hoarse voice. Till today still feels swollen and hoarse.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash, hives from scalp to legs, itching, used benadryl and zyrtec first 48 hours then high dose steroids for 1 week.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Cardiac monitoring, Chest X-ray, Computerised tomogram head, Computerised tomogram thorax
Clinical narrative: Having cardiac complication that is new condition and Faint feeling while at work, low blood pressure and high heart rate. 1st time was 01/10/2022, 01/11/2022 workplace at hospital called code 01/23/2022 taken to er to check for blood clots and heart monitoring and was admitted for two days.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Heart rate increased, Hypotension
Clinical narrative: Having cardiac complication that is new condition and Faint feeling while at work, low blood pressure and high heart rate. 1st time was 01/10/2022, 01/11/2022 workplace at hospital called code 01/23/2022 taken to er to check for blood clots and heart monitoring and was admitted for two days.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Atypical pneumonia, Blood culture, Brain natriuretic peptide, C-reactive protein, COVID-19
Clinical narrative: Patient received moderna vaccine on 4/16/21 and 5/19/21. Presented to ER on 1/19/22 and found to be COVID positive. Admitted. Presented to the ED with complaints of productive cough with greenish sputum.  Patient was recently discharged on January 15, 2022 for sepsis secondary to UTI, was sent home with cefpodoxime for 2 more days.  Patient said that when he got home on day of discharge yet await also for few hours.  I was asked today he began having a productive cough of greenish sputum,   Complains of chills, nausea without emesis, loose watery stools, and poor oral intake in that same time period. Patient states that his symptoms have been progressively getting worse in the last few days. Pt denies chest pain, fever and known ill contacts. He lives at home with his sister and niece.   In the ED, pt had a fever initially; Temp of 101.5F, BP 118/61, HR 76, RR 20 and was saturating at 95% on 3L of oxygen. Pt does not use oxygen at home. UA was ordered, HS troponin was 22.1. Procal of 0.18, CRP of 122, CMP unremarkable except for CRT of 1.4. BNP, Blood Clx, Urine Clx, Sputum Clx, Chest X-Ray - revealed mild interstitial prominence, may reflect interstitial edema. Strep, legionella pending. Pt tested positive for Covid-19. Chest CT revealed evidence of covid-19 Pneumonia, no acute PTE  He was given Rocephin 1g, and was admitted for management of his Covid-19 pneumonia. REceived remdesivir, azithromycin and ceftriaxone. DIscharged on 1/22/22. He was subsequently discharged home with azithromycin 250mg for atypical pneumonia 2 more days to be completed on 01/23/2022. Pt was also discharged on decadron 6mg. To take until 01/26/2022  He was discharged on 6mg on 01/22/2022, 6mg on 01/23/2022 Pt is to have INR rechecked on 01/24/2022.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cardiac resynchronisation therapy, Chest X-ray abnormal, Chills, Computerised tomogram thorax abnormal
Clinical narrative: Patient received moderna vaccine on 4/16/21 and 5/19/21. Presented to ER on 1/19/22 and found to be COVID positive. Admitted. Presented to the ED with complaints of productive cough with greenish sputum.  Patient was recently discharged on January 15, 2022 for sepsis secondary to UTI, was sent home with cefpodoxime for 2 more days.  Patient said that when he got home on day of discharge yet await also for few hours.  I was asked today he began having a productive cough of greenish sputum,   Complains of chills, nausea without emesis, loose watery stools, and poor oral intake in that same time period. Patient states that his symptoms have been progressively getting worse in the last few days. Pt denies chest pain, fever and known ill contacts. He lives at home with his sister and niece.   In the ED, pt had a fever initially; Temp of 101.5F, BP 118/61, HR 76, RR 20 and was saturating at 95% on 3L of oxygen. Pt does not use oxygen at home. UA was ordered, HS troponin was 22.1. Procal of 0.18, CRP of 122, CMP unremarkable except for CRT of 1.4. BNP, Blood Clx, Urine Clx, Sputum Clx, Chest X-Ray - revealed mild interstitial prominence, may reflect interstitial edema. Strep, legionella pending. Pt tested positive for Covid-19. Chest CT revealed evidence of covid-19 Pneumonia, no acute PTE  He was given Rocephin 1g, and was admitted for management of his Covid-19 pneumonia. REceived remdesivir, azithromycin and ceftriaxone. DIscharged on 1/22/22. He was subsequently discharged home with azithromycin 250mg for atypical pneumonia 2 more days to be completed on 01/23/2022. Pt was also discharged on decadron 6mg. To take until 01/26/2022  He was discharged on 6mg on 01/22/2022, 6mg on 01/23/2022 Pt is to have INR rechecked on 01/24/2022.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Culture urine, Diarrhoea, Hypophagia, Inappropriate schedule of product administration, International normalised ratio
Clinical narrative: Patient received moderna vaccine on 4/16/21 and 5/19/21. Presented to ER on 1/19/22 and found to be COVID positive. Admitted. Presented to the ED with complaints of productive cough with greenish sputum.  Patient was recently discharged on January 15, 2022 for sepsis secondary to UTI, was sent home with cefpodoxime for 2 more days.  Patient said that when he got home on day of discharge yet await also for few hours.  I was asked today he began having a productive cough of greenish sputum,   Complains of chills, nausea without emesis, loose watery stools, and poor oral intake in that same time period. Patient states that his symptoms have been progressively getting worse in the last few days. Pt denies chest pain, fever and known ill contacts. He lives at home with his sister and niece.   In the ED, pt had a fever initially; Temp of 101.5F, BP 118/61, HR 76, RR 20 and was saturating at 95% on 3L of oxygen. Pt does not use oxygen at home. UA was ordered, HS troponin was 22.1. Procal of 0.18, CRP of 122, CMP unremarkable except for CRT of 1.4. BNP, Blood Clx, Urine Clx, Sputum Clx, Chest X-Ray - revealed mild interstitial prominence, may reflect interstitial edema. Strep, legionella pending. Pt tested positive for Covid-19. Chest CT revealed evidence of covid-19 Pneumonia, no acute PTE  He was given Rocephin 1g, and was admitted for management of his Covid-19 pneumonia. REceived remdesivir, azithromycin and ceftriaxone. DIscharged on 1/22/22. He was subsequently discharged home with azithromycin 250mg for atypical pneumonia 2 more days to be completed on 01/23/2022. Pt was also discharged on decadron 6mg. To take until 01/26/2022  He was discharged on 6mg on 01/22/2022, 6mg on 01/23/2022 Pt is to have INR rechecked on 01/24/2022.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Interstitial lung disease, Nausea, Procalcitonin, Productive cough, Pyrexia
Clinical narrative: Patient received moderna vaccine on 4/16/21 and 5/19/21. Presented to ER on 1/19/22 and found to be COVID positive. Admitted. Presented to the ED with complaints of productive cough with greenish sputum.  Patient was recently discharged on January 15, 2022 for sepsis secondary to UTI, was sent home with cefpodoxime for 2 more days.  Patient said that when he got home on day of discharge yet await also for few hours.  I was asked today he began having a productive cough of greenish sputum,   Complains of chills, nausea without emesis, loose watery stools, and poor oral intake in that same time period. Patient states that his symptoms have been progressively getting worse in the last few days. Pt denies chest pain, fever and known ill contacts. He lives at home with his sister and niece.   In the ED, pt had a fever initially; Temp of 101.5F, BP 118/61, HR 76, RR 20 and was saturating at 95% on 3L of oxygen. Pt does not use oxygen at home. UA was ordered, HS troponin was 22.1. Procal of 0.18, CRP of 122, CMP unremarkable except for CRT of 1.4. BNP, Blood Clx, Urine Clx, Sputum Clx, Chest X-Ray - revealed mild interstitial prominence, may reflect interstitial edema. Strep, legionella pending. Pt tested positive for Covid-19. Chest CT revealed evidence of covid-19 Pneumonia, no acute PTE  He was given Rocephin 1g, and was admitted for management of his Covid-19 pneumonia. REceived remdesivir, azithromycin and ceftriaxone. DIscharged on 1/22/22. He was subsequently discharged home with azithromycin 250mg for atypical pneumonia 2 more days to be completed on 01/23/2022. Pt was also discharged on decadron 6mg. To take until 01/26/2022  He was discharged on 6mg on 01/22/2022, 6mg on 01/23/2022 Pt is to have INR rechecked on 01/24/2022.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Sputum culture, Sputum discoloured, Troponin
Clinical narrative: Patient received moderna vaccine on 4/16/21 and 5/19/21. Presented to ER on 1/19/22 and found to be COVID positive. Admitted. Presented to the ED with complaints of productive cough with greenish sputum.  Patient was recently discharged on January 15, 2022 for sepsis secondary to UTI, was sent home with cefpodoxime for 2 more days.  Patient said that when he got home on day of discharge yet await also for few hours.  I was asked today he began having a productive cough of greenish sputum,   Complains of chills, nausea without emesis, loose watery stools, and poor oral intake in that same time period. Patient states that his symptoms have been progressively getting worse in the last few days. Pt denies chest pain, fever and known ill contacts. He lives at home with his sister and niece.   In the ED, pt had a fever initially; Temp of 101.5F, BP 118/61, HR 76, RR 20 and was saturating at 95% on 3L of oxygen. Pt does not use oxygen at home. UA was ordered, HS troponin was 22.1. Procal of 0.18, CRP of 122, CMP unremarkable except for CRT of 1.4. BNP, Blood Clx, Urine Clx, Sputum Clx, Chest X-Ray - revealed mild interstitial prominence, may reflect interstitial edema. Strep, legionella pending. Pt tested positive for Covid-19. Chest CT revealed evidence of covid-19 Pneumonia, no acute PTE  He was given Rocephin 1g, and was admitted for management of his Covid-19 pneumonia. REceived remdesivir, azithromycin and ceftriaxone. DIscharged on 1/22/22. He was subsequently discharged home with azithromycin 250mg for atypical pneumonia 2 more days to be completed on 01/23/2022. Pt was also discharged on decadron 6mg. To take until 01/26/2022  He was discharged on 6mg on 01/22/2022, 6mg on 01/23/2022 Pt is to have INR rechecked on 01/24/2022.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Patient received moderna vaccine on 4/16/21 and 5/19/21. Presented to ER on 1/19/22 and found to be COVID positive. Admitted. Presented to the ED with complaints of productive cough with greenish sputum.  Patient was recently discharged on January 15, 2022 for sepsis secondary to UTI, was sent home with cefpodoxime for 2 more days.  Patient said that when he got home on day of discharge yet await also for few hours.  I was asked today he began having a productive cough of greenish sputum,   Complains of chills, nausea without emesis, loose watery stools, and poor oral intake in that same time period. Patient states that his symptoms have been progressively getting worse in the last few days. Pt denies chest pain, fever and known ill contacts. He lives at home with his sister and niece.   In the ED, pt had a fever initially; Temp of 101.5F, BP 118/61, HR 76, RR 20 and was saturating at 95% on 3L of oxygen. Pt does not use oxygen at home. UA was ordered, HS troponin was 22.1. Procal of 0.18, CRP of 122, CMP unremarkable except for CRT of 1.4. BNP, Blood Clx, Urine Clx, Sputum Clx, Chest X-Ray - revealed mild interstitial prominence, may reflect interstitial edema. Strep, legionella pending. Pt tested positive for Covid-19. Chest CT revealed evidence of covid-19 Pneumonia, no acute PTE  He was given Rocephin 1g, and was admitted for management of his Covid-19 pneumonia. REceived remdesivir, azithromycin and ceftriaxone. DIscharged on 1/22/22. He was subsequently discharged home with azithromycin 250mg for atypical pneumonia 2 more days to be completed on 01/23/2022. Pt was also discharged on decadron 6mg. To take until 01/26/2022  He was discharged on 6mg on 01/22/2022, 6mg on 01/23/2022 Pt is to have INR rechecked on 01/24/2022.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Achenbach syndrome, Antinuclear antibody positive, Anxiety, Cardiac stress test, Chest discomfort
Clinical narrative: Chest pain/pressure and palpitations, paroxysmal hematoma on fingers, joint stiffness in knuckle, tender lymph nodes, anxiety, weakness symptoms in arms
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram, Joint stiffness, Lymph node pain, Muscular weakness
Clinical narrative: Chest pain/pressure and palpitations, paroxysmal hematoma on fingers, joint stiffness in knuckle, tender lymph nodes, anxiety, weakness symptoms in arms
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pulmonary fibrosis
Clinical narrative: Chest pain/pressure and palpitations, paroxysmal hematoma on fingers, joint stiffness in knuckle, tender lymph nodes, anxiety, weakness symptoms in arms
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Underage before the approval for Pfizer vaccine  Suspected falsification of DOB ? guardian ?unsure? how DOB error occurred
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, with 2 boosters last 12/20/21.  COVID breakthrough infection
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: Vaccine administration error - patient was given a vaccine that was 2 days beyond the month-long refrigerator beyond use date. Manufacturer was contacted who said that research showed sustained efficacy for 45 days refrigeration off-label, but could not provide guidance on re-vaccination. Patient was contacted with the option to re-vaccinate and declined.
Age: 54.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Dizziness
Clinical narrative: potential lightheadedness
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was given expired covid vaccine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt was to receive 0.25ml booster dose of Moderna - SARS - 2, instead received 0.50ml dose. Denies any symptoms.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received a 0.5 mL dose #4 although they should have received a 0.25 mL booster dose
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received initial dose of Janssen Covid-19 vaccine 1/10/2022. Nurse at the desk provided patient w/ new Covid vaccination card as patient lost his original card and checked the patient in for Janssen booster. MSA recorded initial date of 1st dose as 10/20/2021 (later RN found this date was the VIS date, not administration date). RN verified the date on the card as 10/20/21 prior to administration of Janssen booster- which would have been 2 months. Janssen booster was administered. When RN went to chart on patient, RN realized the wrong information was provided on patient's COVID vaccine card and patient had just received the initial dose on 1/10/2022.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Arthralgia, Blood test, Chest X-ray, Colonoscopy
Clinical narrative: Sudden, achy pain in most of my joints, widespread inflammation, particularly in hands and feet, calves. Almost every movement resulted in pain, sometimes severe. Severe anemia/iron deficiency.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Endoscopy, Inflammation, Iron deficiency, Pain, Stool analysis
Clinical narrative: Sudden, achy pain in most of my joints, widespread inflammation, particularly in hands and feet, calves. Almost every movement resulted in pain, sometimes severe. Severe anemia/iron deficiency.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered
Clinical narrative: Patient was given the Pfizer Pediatric vaccine at the adult dose 0.3 ml. Patient then informed of wrong vaccine and dose. Was given 0.3 ml of Pfizer adult vaccine with no dilution.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: Vaccine administration error - vaccine administered was 2 days past its month-long refrigeration beyond use date. Manufacturer was contacted who said that research showed sustained efficacy for 45 days refrigeration off-label, but could not provide guidance for re-vaccination. Patient was contacted with the option to re-vaccinate.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Erythema, Skin discolouration, Viral skin infection
Clinical narrative: Red spots started to appear on ankles the day after the vaccine, then spread throughout legs and on stomach and a few on back as days passed. Spots tend to change to purple-ish color after some time. It has been over a month and she still has the spots. They look like mini bruises (red and purple).
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Bacteraemia, Blood creatinine increased, Blood culture positive, Blood gases abnormal, Bronchial secretion retention
Clinical narrative: 75 yo F, history of asthma, depression, anxiety, atrial fibrillation, and hyperventilation syndrome secondary to psychiatric disease. Presented to the ed from assisted living for altered mental status found to have toxic and metabolic encephalopathy and covid 19. Labs remarkable for hypokalemia, hypomagnesemia, leukopenia, UA concerning for infection, urine culture contaminated. ABG with hypoxia. CXR with left left lower lobe pneumonia. Started on ceftriaxone and doxycyline for CAP. Saturating well on room air, dexamethasone and remdesivir held.    Patient developed lethargy after ativan administration for a panic attack AM of 1/18.    Blood cultures positive for GPCs resembling staph in 2/2 bottles and vanc started, speciated to staph hominis and staph epi, oxacillin susceptible. ID consulted and placed patient on unasyn. Repeat cultures negative. Repeat cxr with subsegmental mucous plugging and urine ag positive for strep.   SCR increased to 1.4 that resolved with MIVF.    Patient to complete course of clindamycin and levofloxacin for strep pneumonia and bacteremia per ID recs.Discharged on 1/28/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Culture urine, Hypokalaemia, Hypomagnesaemia
Clinical narrative: 75 yo F, history of asthma, depression, anxiety, atrial fibrillation, and hyperventilation syndrome secondary to psychiatric disease. Presented to the ed from assisted living for altered mental status found to have toxic and metabolic encephalopathy and covid 19. Labs remarkable for hypokalemia, hypomagnesemia, leukopenia, UA concerning for infection, urine culture contaminated. ABG with hypoxia. CXR with left left lower lobe pneumonia. Started on ceftriaxone and doxycyline for CAP. Saturating well on room air, dexamethasone and remdesivir held.    Patient developed lethargy after ativan administration for a panic attack AM of 1/18.    Blood cultures positive for GPCs resembling staph in 2/2 bottles and vanc started, speciated to staph hominis and staph epi, oxacillin susceptible. ID consulted and placed patient on unasyn. Repeat cultures negative. Repeat cxr with subsegmental mucous plugging and urine ag positive for strep.   SCR increased to 1.4 that resolved with MIVF.    Patient to complete course of clindamycin and levofloxacin for strep pneumonia and bacteremia per ID recs.Discharged on 1/28/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Laboratory test abnormal, Lethargy, Leukopenia, Lung opacity
Clinical narrative: 75 yo F, history of asthma, depression, anxiety, atrial fibrillation, and hyperventilation syndrome secondary to psychiatric disease. Presented to the ed from assisted living for altered mental status found to have toxic and metabolic encephalopathy and covid 19. Labs remarkable for hypokalemia, hypomagnesemia, leukopenia, UA concerning for infection, urine culture contaminated. ABG with hypoxia. CXR with left left lower lobe pneumonia. Started on ceftriaxone and doxycyline for CAP. Saturating well on room air, dexamethasone and remdesivir held.    Patient developed lethargy after ativan administration for a panic attack AM of 1/18.    Blood cultures positive for GPCs resembling staph in 2/2 bottles and vanc started, speciated to staph hominis and staph epi, oxacillin susceptible. ID consulted and placed patient on unasyn. Repeat cultures negative. Repeat cxr with subsegmental mucous plugging and urine ag positive for strep.   SCR increased to 1.4 that resolved with MIVF.    Patient to complete course of clindamycin and levofloxacin for strep pneumonia and bacteremia per ID recs.Discharged on 1/28/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic encephalopathy, Panic attack, Pneumonia, Pneumonia streptococcal
Clinical narrative: 75 yo F, history of asthma, depression, anxiety, atrial fibrillation, and hyperventilation syndrome secondary to psychiatric disease. Presented to the ed from assisted living for altered mental status found to have toxic and metabolic encephalopathy and covid 19. Labs remarkable for hypokalemia, hypomagnesemia, leukopenia, UA concerning for infection, urine culture contaminated. ABG with hypoxia. CXR with left left lower lobe pneumonia. Started on ceftriaxone and doxycyline for CAP. Saturating well on room air, dexamethasone and remdesivir held.    Patient developed lethargy after ativan administration for a panic attack AM of 1/18.    Blood cultures positive for GPCs resembling staph in 2/2 bottles and vanc started, speciated to staph hominis and staph epi, oxacillin susceptible. ID consulted and placed patient on unasyn. Repeat cultures negative. Repeat cxr with subsegmental mucous plugging and urine ag positive for strep.   SCR increased to 1.4 that resolved with MIVF.    Patient to complete course of clindamycin and levofloxacin for strep pneumonia and bacteremia per ID recs.Discharged on 1/28/22
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Streptococcus test positive, Toxic encephalopathy, Urine analysis abnormal
Clinical narrative: 75 yo F, history of asthma, depression, anxiety, atrial fibrillation, and hyperventilation syndrome secondary to psychiatric disease. Presented to the ed from assisted living for altered mental status found to have toxic and metabolic encephalopathy and covid 19. Labs remarkable for hypokalemia, hypomagnesemia, leukopenia, UA concerning for infection, urine culture contaminated. ABG with hypoxia. CXR with left left lower lobe pneumonia. Started on ceftriaxone and doxycyline for CAP. Saturating well on room air, dexamethasone and remdesivir held.    Patient developed lethargy after ativan administration for a panic attack AM of 1/18.    Blood cultures positive for GPCs resembling staph in 2/2 bottles and vanc started, speciated to staph hominis and staph epi, oxacillin susceptible. ID consulted and placed patient on unasyn. Repeat cultures negative. Repeat cxr with subsegmental mucous plugging and urine ag positive for strep.   SCR increased to 1.4 that resolved with MIVF.    Patient to complete course of clindamycin and levofloxacin for strep pneumonia and bacteremia per ID recs.Discharged on 1/28/22
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiocardiogram, Angiogram, Cardiac stress test, Chest pain, Laboratory test
Clinical narrative: I slowly developed increasing tachycardia and chest pain that persisted months and ultimately let to an admission in August of 2021. Leading to a full cardiac work up and being placed on cardiac medication. Today 1/31 I am admitted for the same reason. I have never had any cardiac issue prior to the vaccines. Now I am very nervous about the booster that my job is mandating for employment and has basically told it?s practitioners not to write a medical exemption form.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nervousness, Tachycardia
Clinical narrative: I slowly developed increasing tachycardia and chest pain that persisted months and ultimately let to an admission in August of 2021. Leading to a full cardiac work up and being placed on cardiac medication. Today 1/31 I am admitted for the same reason. I have never had any cardiac issue prior to the vaccines. Now I am very nervous about the booster that my job is mandating for employment and has basically told it?s practitioners not to write a medical exemption form.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Skin irritation, Urticaria
Clinical narrative: Hives started on 11/22/2022 After treatment of predisone, skin irritation returned; saw (dermatologist) who diagnosed dermographism.  Dermographism  requires me to take 2 Allegra a day to avoid significant flair ups.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was provided with information on getting her dose. Patient was aware her second dose needed to be giving with in 21 days. One of our staff administer her vaccine 7 days early. We place a protocol that we will be providing the patient with the second dose appointment and add the date. Patient did not report any outcome symptoms.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Swelling, Urticaria
Clinical narrative: Chronic Rash, hives, itching swelling.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Hyperhidrosis, Pallor, Syncope
Clinical narrative: After administering the vaccine, the patient waits standing while I administer the vaccine to his sister. Quickly the patient collapses and falls to the ground. The patient is pale and sweaty. Alert and oriented patient reports feeling dizzy. She was assisted with the help of some colleagues to lift her off the ground and lie down on a stretcher in a supine position. Vital signs were taken: B/P 100/50, P 75, R. 26, Sat. 99 and dext 88mg/dl. The patient was kept under observation at all times and Pediatrician was notified.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram head normal, Encephalopathy, Haemodialysis, Hypervolaemia
Clinical narrative: Patient received moderna vaccine on 2/13/21, 3/13/21 and 12/22/21. COVID positive 1/11/22. Presented to ER on 1/14/22. admitted as transfer from hospital on 1/14/22  for encephalopathy . She tested positive to COVID.  Etiology of encephalopathy is presumed to be due to combination of COVID infection and missing dialysis. Patient was managed in the hospital.  She was noted to be in fluid overload on admission whoih has resolved with resumption of routine hemodialysis. She has been followed by Nephrology service. Patient was also followed by Neurology for encephalopathy, and had a noncontrast CT of the head which was unremarkable.  Encephalopathy has now resolved. Patient has no respiratory symptoms of COVID. She is medically stable for discharge, and will go home with HHC. discharged on 1/27/22
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient received moderna vaccine on 2/13/21, 3/13/21 and 12/22/21. COVID positive 1/11/22. Presented to ER on 1/14/22. admitted as transfer from hospital on 1/14/22  for encephalopathy . She tested positive to COVID.  Etiology of encephalopathy is presumed to be due to combination of COVID infection and missing dialysis. Patient was managed in the hospital.  She was noted to be in fluid overload on admission whoih has resolved with resumption of routine hemodialysis. She has been followed by Nephrology service. Patient was also followed by Neurology for encephalopathy, and had a noncontrast CT of the head which was unremarkable.  Encephalopathy has now resolved. Patient has no respiratory symptoms of COVID. She is medically stable for discharge, and will go home with HHC. discharged on 1/27/22
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Eye movement disorder, Fatigue, Influenza A virus test negative, Influenza B virus test, Musculoskeletal stiffness
Clinical narrative: HAD HEP A VACCINE ON 01/07/2022 AT WELL CHILD EXAM, DURING EXAM WAS NOTED TO HAVE SLIGHT NASAL DRAINAGE, ON FOLLOWING DAY HE AWOKE WITH RASH ON ARMS AND LEGS, ALSO HAD MORE URINARY ACCIDENTS, THAT EVENING HIS ROLLED BACK AND HE BECAME UNRESPONSIVE FOR 2 MINUTES, WAS THEN NOTED TO BE TIRED. APPROX. 40 MINUTES LATER WHILE ENROUTE TO EMERGENCY ROOM HE AGAIN BECAME UNRESPONSIVE, BODY WENT STIFF, AND ALL FOUR EXTREMETIES WERE SHAKING. THIS LASTED APPROX 1-2 MINUTES. AGAIN TIRED AFTERWARDS.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Rash, Respiratory syncytial virus test negative, Rhinorrhoea, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: HAD HEP A VACCINE ON 01/07/2022 AT WELL CHILD EXAM, DURING EXAM WAS NOTED TO HAVE SLIGHT NASAL DRAINAGE, ON FOLLOWING DAY HE AWOKE WITH RASH ON ARMS AND LEGS, ALSO HAD MORE URINARY ACCIDENTS, THAT EVENING HIS ROLLED BACK AND HE BECAME UNRESPONSIVE FOR 2 MINUTES, WAS THEN NOTED TO BE TIRED. APPROX. 40 MINUTES LATER WHILE ENROUTE TO EMERGENCY ROOM HE AGAIN BECAME UNRESPONSIVE, BODY WENT STIFF, AND ALL FOUR EXTREMETIES WERE SHAKING. THIS LASTED APPROX 1-2 MINUTES. AGAIN TIRED AFTERWARDS.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Tremor, Unresponsive to stimuli, Urinary incontinence
Clinical narrative: HAD HEP A VACCINE ON 01/07/2022 AT WELL CHILD EXAM, DURING EXAM WAS NOTED TO HAVE SLIGHT NASAL DRAINAGE, ON FOLLOWING DAY HE AWOKE WITH RASH ON ARMS AND LEGS, ALSO HAD MORE URINARY ACCIDENTS, THAT EVENING HIS ROLLED BACK AND HE BECAME UNRESPONSIVE FOR 2 MINUTES, WAS THEN NOTED TO BE TIRED. APPROX. 40 MINUTES LATER WHILE ENROUTE TO EMERGENCY ROOM HE AGAIN BECAME UNRESPONSIVE, BODY WENT STIFF, AND ALL FOUR EXTREMETIES WERE SHAKING. THIS LASTED APPROX 1-2 MINUTES. AGAIN TIRED AFTERWARDS.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Child was brought in for their second dose of Pfizer  vaccine early.  The first dose was given on 1/13/22 and the second was given on 1/28/22.  There have been no reported adverse events.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea
Clinical narrative: Missing  2 periods/menstrual cycles in December and January. Prior to this no missed periods in over 10 years.   First Pfizer shot was taken 8/24/2021 and second on 9/1/2021.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cheilitis, Dry mouth, Eczema
Clinical narrative: Extreme chellitis Extreme and chronic dry mouth  Extreme eczema from lower lip to neck
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Aspiration, Atelectasis, COVID-19, Chest X-ray normal
Clinical narrative: Received Pfizer vaccine on 4/5/21, 4/26/21 and 10/28/21. COVID positive 1/18/22. On admission on 1/18/22: Found COVID-19 positive.  Saturation 89% requiring NC oxygen. Acute hypoxia requiring N/C oxygen- likely from COPD exacerbation, less likely from covid.  Wheezing improved with steroid and inhaler. Suspected right lower lobe pneumonia. On antibiotic. Short of breath improved.  Oxygen requirement improved, 6 minute walk test done.  No oxygen recommended at rest or with exertion. Patient is medically stable to be discharged on  1/21/22.   Recently diagnosed with COVID on January 18th presents to the ER with complaints of shortness of breath.  Patient was admitted here on the 18th for a few days for COVID in COPD exacerbation.  Patient states he did not feel he was ready to be discharged that time however patient was doing well on the day of his discharge. Pt condition gradually improved. He had high WBC yesterday but that is improving. High WBC likely due to steroids. Discharged on 1/28/22.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Hypoxia, Infection
Clinical narrative: Received Pfizer vaccine on 4/5/21, 4/26/21 and 10/28/21. COVID positive 1/18/22. On admission on 1/18/22: Found COVID-19 positive.  Saturation 89% requiring NC oxygen. Acute hypoxia requiring N/C oxygen- likely from COPD exacerbation, less likely from covid.  Wheezing improved with steroid and inhaler. Suspected right lower lobe pneumonia. On antibiotic. Short of breath improved.  Oxygen requirement improved, 6 minute walk test done.  No oxygen recommended at rest or with exertion. Patient is medically stable to be discharged on  1/21/22.   Recently diagnosed with COVID on January 18th presents to the ER with complaints of shortness of breath.  Patient was admitted here on the 18th for a few days for COVID in COPD exacerbation.  Patient states he did not feel he was ready to be discharged that time however patient was doing well on the day of his discharge. Pt condition gradually improved. He had high WBC yesterday but that is improving. High WBC likely due to steroids. Discharged on 1/28/22.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Lung consolidation, Pneumonia, SARS-CoV-2 test positive, Walking distance test, Wheezing
Clinical narrative: Received Pfizer vaccine on 4/5/21, 4/26/21 and 10/28/21. COVID positive 1/18/22. On admission on 1/18/22: Found COVID-19 positive.  Saturation 89% requiring NC oxygen. Acute hypoxia requiring N/C oxygen- likely from COPD exacerbation, less likely from covid.  Wheezing improved with steroid and inhaler. Suspected right lower lobe pneumonia. On antibiotic. Short of breath improved.  Oxygen requirement improved, 6 minute walk test done.  No oxygen recommended at rest or with exertion. Patient is medically stable to be discharged on  1/21/22.   Recently diagnosed with COVID on January 18th presents to the ER with complaints of shortness of breath.  Patient was admitted here on the 18th for a few days for COVID in COPD exacerbation.  Patient states he did not feel he was ready to be discharged that time however patient was doing well on the day of his discharge. Pt condition gradually improved. He had high WBC yesterday but that is improving. High WBC likely due to steroids. Discharged on 1/28/22.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Received Pfizer vaccine on 4/5/21, 4/26/21 and 10/28/21. COVID positive 1/18/22. On admission on 1/18/22: Found COVID-19 positive.  Saturation 89% requiring NC oxygen. Acute hypoxia requiring N/C oxygen- likely from COPD exacerbation, less likely from covid.  Wheezing improved with steroid and inhaler. Suspected right lower lobe pneumonia. On antibiotic. Short of breath improved.  Oxygen requirement improved, 6 minute walk test done.  No oxygen recommended at rest or with exertion. Patient is medically stable to be discharged on  1/21/22.   Recently diagnosed with COVID on January 18th presents to the ER with complaints of shortness of breath.  Patient was admitted here on the 18th for a few days for COVID in COPD exacerbation.  Patient states he did not feel he was ready to be discharged that time however patient was doing well on the day of his discharge. Pt condition gradually improved. He had high WBC yesterday but that is improving. High WBC likely due to steroids. Discharged on 1/28/22.
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Aphthous ulcer, Herpes zoster, Mouth ulceration, Oral pain, Toothache
Clinical narrative: 3 weeks later started feeling pain left upper and lower teeth hurting went to dentist a week later no abscess or infection found but did see upper apthous type ulcer under LEFT upper lip given topical without relief .after 3 weeks still in severe l upper and lower jaw with more ulcerations and pai and diagnosed with shingles. Pain even more severe and ulcers and pain limited to left side jaw mouth . No external rash or lesions
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Rash
Clinical narrative: SORE ARM AND RASH ON ARM
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Colon cancer, Constipation, Surgery
Clinical narrative: Pt got 2nd dose in October.  My November presented to doctor with abdominal pain and constipation and weight loss.  Diagnosed with colon cancer end of November.  Required surgery. Now diagnosed with covid on 1/26/2022
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: Pt got 2nd dose in October.  My November presented to doctor with abdominal pain and constipation and weight loss.  Diagnosed with colon cancer end of November.  Required surgery. Now diagnosed with covid on 1/26/2022
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abscess, Acute myocardial infarction, Aspiration, Blood bicarbonate decreased
Clinical narrative: Patient received moderna vaccine on 2/2/21 and 3/4/21. COVID positive on 1/18/22. Patient complained of abdominal pain presentation associated with vomiting for duration of two days.  Patient also complained of shortness of breath with minimal cough. Patient was recently admitted for abscess adjacent to the colonic anastomosis had IR drainage and discharged to follow-up with surgery in a week. Vitals on admission were significant for desaturation to 80 on room air. Labs on admission significant for sodium of 129, bicarb of 16, pCO2 20, positive COVID. Chest x-ray significant for new infiltrate. Patient was admitted for COVID pneumonia versus aspiration. Treated with dexamethasone, remdesivir, and azithromycin and ceftriaxone. Chest pain 1/23/22. HS trop increased. NSTEMI. Cardiology  consulted.  Full-dose Lovenox in addition to ongoing aspirin Plavix. Plan  Was stress test/Catheterization .             Developed cardiac arrest on 01/25/2022 morning.  Coded 3 times.  After the 3rd code, family opted for comfort care.  Patient passed away at 08:26 AM
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, COVID-19, COVID-19 pneumonia, Cardiac arrest, Chest X-ray abnormal
Clinical narrative: Patient received moderna vaccine on 2/2/21 and 3/4/21. COVID positive on 1/18/22. Patient complained of abdominal pain presentation associated with vomiting for duration of two days.  Patient also complained of shortness of breath with minimal cough. Patient was recently admitted for abscess adjacent to the colonic anastomosis had IR drainage and discharged to follow-up with surgery in a week. Vitals on admission were significant for desaturation to 80 on room air. Labs on admission significant for sodium of 129, bicarb of 16, pCO2 20, positive COVID. Chest x-ray significant for new infiltrate. Patient was admitted for COVID pneumonia versus aspiration. Treated with dexamethasone, remdesivir, and azithromycin and ceftriaxone. Chest pain 1/23/22. HS trop increased. NSTEMI. Cardiology  consulted.  Full-dose Lovenox in addition to ongoing aspirin Plavix. Plan  Was stress test/Catheterization .             Developed cardiac arrest on 01/25/2022 morning.  Coded 3 times.  After the 3rd code, family opted for comfort care.  Patient passed away at 08:26 AM
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Death, Drainage, Dyspnoea
Clinical narrative: Patient received moderna vaccine on 2/2/21 and 3/4/21. COVID positive on 1/18/22. Patient complained of abdominal pain presentation associated with vomiting for duration of two days.  Patient also complained of shortness of breath with minimal cough. Patient was recently admitted for abscess adjacent to the colonic anastomosis had IR drainage and discharged to follow-up with surgery in a week. Vitals on admission were significant for desaturation to 80 on room air. Labs on admission significant for sodium of 129, bicarb of 16, pCO2 20, positive COVID. Chest x-ray significant for new infiltrate. Patient was admitted for COVID pneumonia versus aspiration. Treated with dexamethasone, remdesivir, and azithromycin and ceftriaxone. Chest pain 1/23/22. HS trop increased. NSTEMI. Cardiology  consulted.  Full-dose Lovenox in addition to ongoing aspirin Plavix. Plan  Was stress test/Catheterization .             Developed cardiac arrest on 01/25/2022 morning.  Coded 3 times.  After the 3rd code, family opted for comfort care.  Patient passed away at 08:26 AM
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Large intestine anastomosis, Lung infiltration, Oxygen saturation decreased, PCO2 decreased, SARS-CoV-2 test positive
Clinical narrative: Patient received moderna vaccine on 2/2/21 and 3/4/21. COVID positive on 1/18/22. Patient complained of abdominal pain presentation associated with vomiting for duration of two days.  Patient also complained of shortness of breath with minimal cough. Patient was recently admitted for abscess adjacent to the colonic anastomosis had IR drainage and discharged to follow-up with surgery in a week. Vitals on admission were significant for desaturation to 80 on room air. Labs on admission significant for sodium of 129, bicarb of 16, pCO2 20, positive COVID. Chest x-ray significant for new infiltrate. Patient was admitted for COVID pneumonia versus aspiration. Treated with dexamethasone, remdesivir, and azithromycin and ceftriaxone. Chest pain 1/23/22. HS trop increased. NSTEMI. Cardiology  consulted.  Full-dose Lovenox in addition to ongoing aspirin Plavix. Plan  Was stress test/Catheterization .             Developed cardiac arrest on 01/25/2022 morning.  Coded 3 times.  After the 3rd code, family opted for comfort care.  Patient passed away at 08:26 AM
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Vomiting
Clinical narrative: Patient received moderna vaccine on 2/2/21 and 3/4/21. COVID positive on 1/18/22. Patient complained of abdominal pain presentation associated with vomiting for duration of two days.  Patient also complained of shortness of breath with minimal cough. Patient was recently admitted for abscess adjacent to the colonic anastomosis had IR drainage and discharged to follow-up with surgery in a week. Vitals on admission were significant for desaturation to 80 on room air. Labs on admission significant for sodium of 129, bicarb of 16, pCO2 20, positive COVID. Chest x-ray significant for new infiltrate. Patient was admitted for COVID pneumonia versus aspiration. Treated with dexamethasone, remdesivir, and azithromycin and ceftriaxone. Chest pain 1/23/22. HS trop increased. NSTEMI. Cardiology  consulted.  Full-dose Lovenox in addition to ongoing aspirin Plavix. Plan  Was stress test/Catheterization .             Developed cardiac arrest on 01/25/2022 morning.  Coded 3 times.  After the 3rd code, family opted for comfort care.  Patient passed away at 08:26 AM
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaemia, Flow cytometry, HIV test negative, Haematocrit normal, Haemoglobin decreased
Clinical narrative: anemia, immature granulocytes, increased neutrophils, increased lymphocytes  1/5/22 - H/H - 11.2/37   WBC 11.2 - increased neutrophils, increased lymphocytes  1 immature granulocyte  1/7/22 repeat H/H 11.6/38  WBC 12.0, increased neutrophils + monocytes 1 immature granulocyte  HIV - negative, abnormal CD3 - 258 increased, CD4 2320 increased CD8 288, CD4/8 ratio: 8.06 increased  flow cytometry negative
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Immature granulocyte count, Lymphocyte count increased, Monocyte count, Neutrophil count increased, T-lymphocyte count increased
Clinical narrative: anemia, immature granulocytes, increased neutrophils, increased lymphocytes  1/5/22 - H/H - 11.2/37   WBC 11.2 - increased neutrophils, increased lymphocytes  1 immature granulocyte  1/7/22 repeat H/H 11.6/38  WBC 12.0, increased neutrophils + monocytes 1 immature granulocyte  HIV - negative, abnormal CD3 - 258 increased, CD4 2320 increased CD8 288, CD4/8 ratio: 8.06 increased  flow cytometry negative
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: anemia, immature granulocytes, increased neutrophils, increased lymphocytes  1/5/22 - H/H - 11.2/37   WBC 11.2 - increased neutrophils, increased lymphocytes  1 immature granulocyte  1/7/22 repeat H/H 11.6/38  WBC 12.0, increased neutrophils + monocytes 1 immature granulocyte  HIV - negative, abnormal CD3 - 258 increased, CD4 2320 increased CD8 288, CD4/8 ratio: 8.06 increased  flow cytometry negative
Age: 64.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: no adverse events asked for Pfizer booster - patient accidentally recieved moderna.  Using our interperter we explainned the error and the basic simlarities & differences between pfizer & modera. Patient said it was OK & she felt OK.  I explained if she had any questions / concerned to call health department.  She said she will.  Dr (Privacy) called. He said have patient call health department if she has any questions/concerns.  This was done
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anaesthesia, Brain scan normal, Hypoaesthesia, Magnetic resonance imaging head normal, Magnetic resonance imaging neck
Clinical narrative: Left sided facial numbness, I got an mri on my head and on my neck to rule out cancers, ms, etc, my neurologist said it is nothing structural causing the numbness and that it is sensory issues and due to the vaccine. I have not had any head injuries and nothing wrong with my brain scan.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Sensory disturbance
Clinical narrative: Left sided facial numbness, I got an mri on my head and on my neck to rule out cancers, ms, etc, my neurologist said it is nothing structural causing the numbness and that it is sensory issues and due to the vaccine. I have not had any head injuries and nothing wrong with my brain scan.