chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 0.83
Sex: M
Vaccine: DTAPIPVHIB, FLU4, HPV9, PPV
Symptoms: No adverse event, Product administered at inappropriate site, Wrong product administered
Clinical narrative: No additional AE reported / No known side effects or reaction; Given HPV instead of Hep B vaccine; Medical assistant prepared and administered the wrong vaccine; Medical assistant prepared and administered the wrong vaccine; A 9 month old patient was administered the GARDASIL 9 vaccine; This spontaneous report was received from a physician, referring to a 13-month-old male patient (also reported as 9-month-old). The patient's concurrent conditions included prematurity (born at 32 weeks of gestation) and plagiocephaly. His medical history and concomitant therapies were not reported. No illnesses were present at time of vaccination.  Per the reporter, on an unknown date, an hepatitis b vaccine (recombinant) (manufacturer unknown) was ordered via electronic system por the patient, but a medical assistant accidentally circled "hpv" vaccine on paper chart. Then, on 09-MAY-2023, another medical assistant prepared and administered to the patient the first dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, lot #W028573, expiration date: 06-JAN-2025, administered intramuscularly in the right thigh, for prophylaxis. According to the reporter, the patient received that vaccine instead of hepatitis b vaccine (recombinant) (manufacturer unknown) (wrong product administered, product dispensing issue, product preparation issue, and product administered to patient of inappropriate age). The mistake was realized after the patient left the reporter's office and the patient's parents were alerted of any side effects to occur; however, no known side effects or reactions were reported by reporter's knowledge. Once the vaccine was administered, the needle was disposed. Additionally, on that same day, the patient was vaccinated with the second dose of diphtheria vaccine toxoid, hib vaccine conj (tet tox), pertussis vaccine acellular 5-component, polio vaccine inact 3v (mrc 5), tetanus vaccine toxoid (PENTACEL) (batch number uj807aa with expiration date of 01-OCT-2023, administered intramuscularly in the left thigh), the second dose of pneumococcal vaccine conjugated (batch number fp2145 with expiration date of 01-SEP-2024, administered intramuscularly), and the first dose of influenza vaccine inact split 4v (FLUZONE QUADRIVALENT) (batch nunber utTTurja with expiration date of 30-JUN-2023, administered intramuscularly); all given also for prophylaxis.
Age: 4.0
Sex: U
Vaccine: MMRV
Symptoms: No adverse event, Product storage error
Clinical narrative: No additional AE/No PQC.; Improperly stored administered PROQUAD. .; This spontaneous report was received from a LPN referring to a 4 year old patient of unspecified gender.  The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported.  On 02-SEP-2023 the patient was vaccinated with an improperly stored dose of  measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) subcutaneous injection, unk, lot #X007087, expiration date: 04-SEP-2024, administered for prophylaxis (strength, and route of administration were not provided) (product storage error).   The administered dose of the vaccine experienced a temperature excursion of 29.8F for  9hours 12minutes. The vaccines had not had any previous temperature excursions.  There was no adverse effect reported. No product quality complaint was involved.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, COVID-19, Illness
Clinical narrative: 10 months following his last booster,  my father,   a previously robust and healthy man has developed Atrial fibrillation despite having no other risk factors. He also started getting sick with covid every 6 months after getting his covid vaccines.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Synovitis
Clinical narrative: synovitis of the right hip
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Gait inability, Headache, Hip arthroplasty, Lethargy
Clinical narrative: Severe pain in deltoid, SCM, TMJ and occipitals 6 hours after injection. Headache. Lethargy.   About a week after, I could not walk and resulted in a total hip replacement.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia
Clinical narrative: Severe pain in deltoid, SCM, TMJ and occipitals 6 hours after injection. Headache. Lethargy.   About a week after, I could not walk and resulted in a total hip replacement.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Blood test abnormal, Dermatitis, Eczema, Erythema
Clinical narrative: 6 months later fighting a horrible reaction around my eyes, red swollen, eczema/dermatitis
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Periorbital swelling
Clinical narrative: 6 months later fighting a horrible reaction around my eyes, red swollen, eczema/dermatitis
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: Ringing in ears, tinnitus. Shortly after injection 15 -20 minutes after. Still present and intensifying.
Age: 83.0
Sex: M
Vaccine: RSV
Symptoms: Injection site pain, Pain in extremity, Peripheral swelling
Clinical narrative: slight pain in upper left arm; more pain in lower left arm; intense pain and swelling in left palm and left thumb
Age: 78.0
Sex: M
Vaccine: FLUA4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine given from last years vaccines '22-'23 expired 6/30/2023. No ADRS occured.
Age: 52.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Burning sensation, Herpes zoster, Pruritus
Clinical narrative: I was diagnosed with Shingles on Sept. 8., after days of itching and and burning feeling in my right are.
Age: 52.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster
Clinical narrative: I was diagnosed with Shingles on Sept. 8., after days of itching and and burning feeling in my right are.
Age: 79.0
Sex: F
Vaccine: FLUA4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Expired vaccine (6/30/23) was given from the '22-'23 flu shot season. No ADRs occured.
Age: 68.0
Sex: M
Vaccine: FLUA4
Symptoms: Expired product administered, No adverse event
Clinical narrative: expired vaccine from last years flu season '22-'23 was given (exp 6/30/23) no ADRs occures.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain in extremity
Clinical narrative: Sore arm, deep pink color
Age: 66.0
Sex: M
Vaccine: RSV
Symptoms: Blood pressure increased, Condition aggravated, Dizziness
Clinical narrative: I had my vaccine aroung 4:20PM and did not feell any pain nor side effect until around 9:00 PM; my blood pressure went up to 180/88 and feel dissy so I took extra blood madication seem to calm it down and I did not contact my health care provider.
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Decreased appetite, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: 24 hrs of vertigo severe nausea headache and tired. No appetite and did have light fever
Age: 72.0
Sex: F
Vaccine: RSV
Symptoms: Vertigo
Clinical narrative: 24 hrs of vertigo severe nausea headache and tired. No appetite and did have light fever
Age: 82.0
Sex: M
Vaccine: UNK
Symptoms: Dizziness postural
Clinical narrative: Extreme dizziness when I stood up from a chair.
Age: 15.0
Sex: M
Vaccine: HEP, HPV9, IPV, TDAP
Symptoms: Asthenopia, Dizziness, Movement disorder
Clinical narrative: Complained dizziness,  heaviness of the eyes, and jerky movement
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Influenza like illness, Lip pain, Musculoskeletal stiffness, Myalgia
Clinical narrative: MUSCLE PAIN, JOINT PAIN LEFT UPPER THIGH/LIP. NO FEVER, BUT "FLU-LIKE ACHINESS". MILD STIFFNESS.
Age: 77.0
Sex: F
Vaccine: RSV
Symptoms: Pain in extremity
Clinical narrative: MUSCLE PAIN, JOINT PAIN LEFT UPPER THIGH/LIP. NO FEVER, BUT "FLU-LIKE ACHINESS". MILD STIFFNESS.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Anxiety, Erythema, Feeling hot, Hypoaesthesia, Limb discomfort
Clinical narrative: Erythema, numbness and tingling in extremity, heaviness of extremity, warmth, anxiousness. Symptoms lasted for two weeks.
Age: 32.0
Sex: F
Vaccine: ANTH
Symptoms: Paraesthesia
Clinical narrative: Erythema, numbness and tingling in extremity, heaviness of extremity, warmth, anxiousness. Symptoms lasted for two weeks.
Age: 84.0
Sex: F
Vaccine: RSV
Symptoms: Erythema, Oral herpes, Oral mucosal blistering, Oral pain
Clinical narrative: Patient had  "blue" blisters in her mouth and a cold sore  the size of a penny on her lip She had pain every time she ate or drank with inside the mouth. She was putting campho phenique on the lip which may have further irritated but 6 days later she is much better besides cold sore on lip. She had  tomato color red  all the way to her elbow
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Abdominal discomfort, Back pain, Electrocardiogram, Gastrooesophageal reflux disease, Inflammation
Clinical narrative: Severe inflammation around eyes lasted four weeks; heart palpitations lasted four weeks; upset stomach lasted two weeks; GERD lasted two weeks; tongue and throat swelling lasted three weeks; pain in back lasted three weeks
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Palpitations, Pharyngeal swelling, Swollen tongue
Clinical narrative: Severe inflammation around eyes lasted four weeks; heart palpitations lasted four weeks; upset stomach lasted two weeks; GERD lasted two weeks; tongue and throat swelling lasted three weeks; pain in back lasted three weeks
Age: 87.0
Sex: M
Vaccine: FLU4, RSV, UNK
Symptoms: Contusion, Erythema, Swelling
Clinical narrative: patient had bruising, redness and swelling the day after vaccines
Age: 76.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Erythema, Fatigue, Injection site erythema, Injection site swelling, Peripheral swelling
Clinical narrative: Patient had significant swelling and redness in left arm after receiving the Arexvy. Said swelled up to lump the size of a golf ball and had redness the size of a tennis ball. Felt tired and feverish that evening. Flu shot injection site had some swelling and redness. Patient took Benadryl and wrapped left arm in a cold cloth when they went to bed that evening. Came in to pharmacy on 9/9 and right arm looked almost fully improved and left arm had some redness still but looked like it had improved a lot since 9/6.
Age: 76.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Pyrexia
Clinical narrative: Patient had significant swelling and redness in left arm after receiving the Arexvy. Said swelled up to lump the size of a golf ball and had redness the size of a tennis ball. Felt tired and feverish that evening. Flu shot injection site had some swelling and redness. Patient took Benadryl and wrapped left arm in a cold cloth when they went to bed that evening. Came in to pharmacy on 9/9 and right arm looked almost fully improved and left arm had some redness still but looked like it had improved a lot since 9/6.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pruritus, Pain, Pyrexia, Syncope
Clinical narrative: fainting, fever, body aches, red/itching at injection site
Age: 23.0
Sex: M
Vaccine: MENB
Symptoms: Angiogram pulmonary abnormal, Pleuritic pain, Pulmonary embolism
Clinical narrative: Patient received Bexsero meningococcal vaccine on 9/5/23 at a doctor's office.  On 9/8/23 developed onset of pleuritic chest pain.  On 9/9/23 he came to the hospital and was diagnosed with acute PE by CTA chest.   Hard to know if this is coincidental, but notable that patient does not have other clear risk factors for VTE.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Headache, Injection site erythema, Injection site pruritus, Myalgia, Pyrexia
Clinical narrative: PATIENT COMPLAINED ABOUT THE REDNESS AND ITCHINESS AROUND INJECTION AREA- HEADACHE, MUSCLE PAIN AND FEVER
Age: 50.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Rash pruritic, Rash vesicular
Clinical narrative: Rash on lower left arm - bubbly and itchy
Age: 62.0
Sex: M
Vaccine: FLUC4, RSV
Symptoms: Dyspnoea, Headache
Clinical narrative: Patient experienced mild shortness of breath and a moderate headache. Unsure what time this started but vaccines were given at 10:05am and reported to me at 4:30pm
Age: 78.0
Sex: F
Vaccine: FLUR4, VARZOS
Symptoms: Chills, Tremor
Clinical narrative: PT TOOK CARE OF HUSBAND HAVING REACTIONS TO VACCINES DEALING WITH EMT AND THRE ER. WHEN SHE GOT HOME AT MIDNIGHT, SHE STARTED HAVING THE SHAKES AND CHILLS THAT LASTED HALF HOUR.
Age: 80.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Chills, Fall, Mobility decreased, Pyrexia, Speech disorder
Clinical narrative: ONSET OF SYMPTOMS AROUND 5 PM; VIOLENT SHAKES, FEVER, CHILLS, LACK OF FLUENCY IN SPEECH, TRIED TO GET OUT OF BED, FELL TO FLOOR AND COULDN'T MOVE; STILL VIOLENTLY SHAKING; EMT SHOWED UP TO HOUSE AND TRANSPORT PT TO THE LOCAL ER DEPT WHERE PT WAS MONITORED OVERNIGHT. PT HIMSELF SELF-DISCHARGED AT 10 AM THE NEXT DAY FEELING FINE BACK TO HIS NORMAL SELF.
Age: 80.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Tremor
Clinical narrative: ONSET OF SYMPTOMS AROUND 5 PM; VIOLENT SHAKES, FEVER, CHILLS, LACK OF FLUENCY IN SPEECH, TRIED TO GET OUT OF BED, FELL TO FLOOR AND COULDN'T MOVE; STILL VIOLENTLY SHAKING; EMT SHOWED UP TO HOUSE AND TRANSPORT PT TO THE LOCAL ER DEPT WHERE PT WAS MONITORED OVERNIGHT. PT HIMSELF SELF-DISCHARGED AT 10 AM THE NEXT DAY FEELING FINE BACK TO HIS NORMAL SELF.
Age: 60.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site discomfort, Injection site induration, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Patient received vaccination yesterday. today she presented to the pharmacy with a red and indurated rash across the top and upper portion of her left arm around injection site. The patient described it was "warm to touch" and "uncomfortable".
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Horrible Terrible pain in my muscles, joints, hands, neck, shoulders, arms.  I tried Motrin, Tylenol, VICODIN, every 4 hours.  NOTHING worked to abate the hideous, throbbing pain.  This went on 5 days.  Still today, my neck, shoulder, arm & hand hurt (right side).  There is a 3"x3" raised, red, tender, hot circle at the injection site.  Impossible to sleep my neck & shoulders hurt so much. It is a little less today, but not gone, still painful.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Myalgia, Neck pain, Pain, Pain in extremity, Sleep disorder
Clinical narrative: Horrible Terrible pain in my muscles, joints, hands, neck, shoulders, arms.  I tried Motrin, Tylenol, VICODIN, every 4 hours.  NOTHING worked to abate the hideous, throbbing pain.  This went on 5 days.  Still today, my neck, shoulder, arm & hand hurt (right side).  There is a 3"x3" raised, red, tender, hot circle at the injection site.  Impossible to sleep my neck & shoulders hurt so much. It is a little less today, but not gone, still painful.
Age: 6.0
Sex: F
Vaccine: VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: This child with a history of sickle cell anemia and multiple transfusions inadvertently received varicella vaccine after within 3 months of a blood transfusion. She did not suffer any consequences from the inadvertent administration. When the incorrect vaccine administration was discovered a conversation was had with the nursing staff administering the vaccine. Events surrounding the inadvertent vaccine administration were reviewed, a plan for documenting the inappropriate administration was developed, and the family was made aware.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID vaccine breakthrough
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID vaccine breakthrough
Age: 89.0
Sex: M
Vaccine: COVID19-2
Symptoms: Breakthrough COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID vaccine breakthrough case
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Impaired work ability, Injection site mass, Loss of personal independence in daily activities, Pain, Pain in extremity
Clinical narrative: My right arm had been hurting since the day of vaccination. It still hurts up to now. I have a lump on my deltoid and there are certain arm movements that cause me excruciating pain. My arm seems to be getting worst and I am limited with what I can do at work and at home. My right arm is my dominant. I have had an xray which was negative. I have an order for an MRI which will cost me over $900. I am holding off in doing that but my pain is getting worst.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: X-ray normal
Clinical narrative: My right arm had been hurting since the day of vaccination. It still hurts up to now. I have a lump on my deltoid and there are certain arm movements that cause me excruciating pain. My arm seems to be getting worst and I am limited with what I can do at work and at home. My right arm is my dominant. I have had an xray which was negative. I have an order for an MRI which will cost me over $900. I am holding off in doing that but my pain is getting worst.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Autonomic neuropathy, Bone pain, Dyspnoea, Dyspnoea exertional
Clinical narrative: After receiving the second dose of the COVID vaccine I had an intense reaction of very deep and intense  bone pain. Over the weeks following I developed increased fatigue and shortness of breathe. I began to struggle with using the stairs, and found I overall had less energy.  Before the vaccine I had worked on the 6th floor and would regularly take the stairs to my unit, and lived in a 3rd floor apartment without an elevator and would regularly use the stairs. After the vaccine, using the stairs was noticeably difficult and my overall fatigue was worse.  I sought out help from my primary care physician who suggested anti-depressants for the fatigue, which set off horrible heart palpitations, so she referred me to cardiology and psychiatry.  My endocrinologist is the doctor who thought that the vaccine triggered a dysautonomic reaction in my body and that I developed POTS from the vaccine.  It took awhile to find a specialist who could order the appropriate testing to get diagnosed. I finally had a tilt table test on 8/8/2023 which confirmed the diagnosis of POTS.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram ambulatory abnormal, Fatigue, Postural orthostatic tachycardia syndrome
Clinical narrative: After receiving the second dose of the COVID vaccine I had an intense reaction of very deep and intense  bone pain. Over the weeks following I developed increased fatigue and shortness of breathe. I began to struggle with using the stairs, and found I overall had less energy.  Before the vaccine I had worked on the 6th floor and would regularly take the stairs to my unit, and lived in a 3rd floor apartment without an elevator and would regularly use the stairs. After the vaccine, using the stairs was noticeably difficult and my overall fatigue was worse.  I sought out help from my primary care physician who suggested anti-depressants for the fatigue, which set off horrible heart palpitations, so she referred me to cardiology and psychiatry.  My endocrinologist is the doctor who thought that the vaccine triggered a dysautonomic reaction in my body and that I developed POTS from the vaccine.  It took awhile to find a specialist who could order the appropriate testing to get diagnosed. I finally had a tilt table test on 8/8/2023 which confirmed the diagnosis of POTS.
Age: 0.25
Sex: F
Vaccine: RV1
Symptoms: Mucous stools
Clinical narrative: Mucus poops began day after rotavirus vaccine; continued for months to follow
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus - was never an issue pre vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Hip arthroplasty, Joint dislocation postoperative, Magnetic resonance imaging, Osteonecrosis
Clinical narrative: Avascular necrosis of both right and left hip. Left hip led to complete and total hip replacement and then hip dislocation.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Surgery, X-ray
Clinical narrative: Avascular necrosis of both right and left hip. Left hip led to complete and total hip replacement and then hip dislocation.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus - ears ringing
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Bradycardia, Cervical spinal stenosis, Chills, Dyspnoea, Dyspnoea exertional
Clinical narrative: ?Moderna COVID-19 Vaccine EUA? Syncopy/ Tachycardia/ Bradycardia/ POSSIBLE LEFT ATRIAL ENLARGEMENT/ Iron Deficiency Anemia/ partial small bowel obstruction/ gastritis/ Hives, Shingles/ Coarse tremors/  transient global amnesia/ Occipital neuralgia/ Nystagmus/persistent irritability/  Cervical spinal stenosis /  dyspnea on exertion/ fatigue/ Shortness of breath/ Chills/ Nausea with vomiting/ cool, pale skin/Moderate to severe tendinosis of the supraspinatus and mild to moderate grade tendinosis of the infraspinatus tendons left shoulder/ Occipital neuralgia/ Mild central canal stenosis/ Abnormal labatory results of unknown orgion   Multiple physician visits/ hospital stay/ Emergancy room visits/ Surgeries/ loss of work from 03/21/2021 to present
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fatigue, Gastritis, Herpes zoster, Iron deficiency anaemia, Irritability
Clinical narrative: ?Moderna COVID-19 Vaccine EUA? Syncopy/ Tachycardia/ Bradycardia/ POSSIBLE LEFT ATRIAL ENLARGEMENT/ Iron Deficiency Anemia/ partial small bowel obstruction/ gastritis/ Hives, Shingles/ Coarse tremors/  transient global amnesia/ Occipital neuralgia/ Nystagmus/persistent irritability/  Cervical spinal stenosis /  dyspnea on exertion/ fatigue/ Shortness of breath/ Chills/ Nausea with vomiting/ cool, pale skin/Moderate to severe tendinosis of the supraspinatus and mild to moderate grade tendinosis of the infraspinatus tendons left shoulder/ Occipital neuralgia/ Mild central canal stenosis/ Abnormal labatory results of unknown orgion   Multiple physician visits/ hospital stay/ Emergancy room visits/ Surgeries/ loss of work from 03/21/2021 to present
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test abnormal, Loss of employment, Nausea, Nystagmus, Occipital neuralgia
Clinical narrative: ?Moderna COVID-19 Vaccine EUA? Syncopy/ Tachycardia/ Bradycardia/ POSSIBLE LEFT ATRIAL ENLARGEMENT/ Iron Deficiency Anemia/ partial small bowel obstruction/ gastritis/ Hives, Shingles/ Coarse tremors/  transient global amnesia/ Occipital neuralgia/ Nystagmus/persistent irritability/  Cervical spinal stenosis /  dyspnea on exertion/ fatigue/ Shortness of breath/ Chills/ Nausea with vomiting/ cool, pale skin/Moderate to severe tendinosis of the supraspinatus and mild to moderate grade tendinosis of the infraspinatus tendons left shoulder/ Occipital neuralgia/ Mild central canal stenosis/ Abnormal labatory results of unknown orgion   Multiple physician visits/ hospital stay/ Emergancy room visits/ Surgeries/ loss of work from 03/21/2021 to present
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pallor, Peripheral coldness, Small intestinal obstruction, Spinal stenosis, Surgery
Clinical narrative: ?Moderna COVID-19 Vaccine EUA? Syncopy/ Tachycardia/ Bradycardia/ POSSIBLE LEFT ATRIAL ENLARGEMENT/ Iron Deficiency Anemia/ partial small bowel obstruction/ gastritis/ Hives, Shingles/ Coarse tremors/  transient global amnesia/ Occipital neuralgia/ Nystagmus/persistent irritability/  Cervical spinal stenosis /  dyspnea on exertion/ fatigue/ Shortness of breath/ Chills/ Nausea with vomiting/ cool, pale skin/Moderate to severe tendinosis of the supraspinatus and mild to moderate grade tendinosis of the infraspinatus tendons left shoulder/ Occipital neuralgia/ Mild central canal stenosis/ Abnormal labatory results of unknown orgion   Multiple physician visits/ hospital stay/ Emergancy room visits/ Surgeries/ loss of work from 03/21/2021 to present
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Syncope, Tachycardia, Tendon disorder, Transient global amnesia, Tremor
Clinical narrative: ?Moderna COVID-19 Vaccine EUA? Syncopy/ Tachycardia/ Bradycardia/ POSSIBLE LEFT ATRIAL ENLARGEMENT/ Iron Deficiency Anemia/ partial small bowel obstruction/ gastritis/ Hives, Shingles/ Coarse tremors/  transient global amnesia/ Occipital neuralgia/ Nystagmus/persistent irritability/  Cervical spinal stenosis /  dyspnea on exertion/ fatigue/ Shortness of breath/ Chills/ Nausea with vomiting/ cool, pale skin/Moderate to severe tendinosis of the supraspinatus and mild to moderate grade tendinosis of the infraspinatus tendons left shoulder/ Occipital neuralgia/ Mild central canal stenosis/ Abnormal labatory results of unknown orgion   Multiple physician visits/ hospital stay/ Emergancy room visits/ Surgeries/ loss of work from 03/21/2021 to present
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria, Vomiting
Clinical narrative: ?Moderna COVID-19 Vaccine EUA? Syncopy/ Tachycardia/ Bradycardia/ POSSIBLE LEFT ATRIAL ENLARGEMENT/ Iron Deficiency Anemia/ partial small bowel obstruction/ gastritis/ Hives, Shingles/ Coarse tremors/  transient global amnesia/ Occipital neuralgia/ Nystagmus/persistent irritability/  Cervical spinal stenosis /  dyspnea on exertion/ fatigue/ Shortness of breath/ Chills/ Nausea with vomiting/ cool, pale skin/Moderate to severe tendinosis of the supraspinatus and mild to moderate grade tendinosis of the infraspinatus tendons left shoulder/ Occipital neuralgia/ Mild central canal stenosis/ Abnormal labatory results of unknown orgion   Multiple physician visits/ hospital stay/ Emergancy room visits/ Surgeries/ loss of work from 03/21/2021 to present
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Axillary pain
Clinical narrative: Pain in armpit on the same side as vaccination injection. Pain started next day after injection and continue to second day/current day.
Age: 63.0
Sex: F
Vaccine: RSV
Symptoms: Chest discomfort, Hypoaesthesia, Injection site pain
Clinical narrative: Pt  stated the vaccine hurt while administering and when needle was pulled out.  She said she almost immediately had a funny feeling in her chest. A numbness type of feeling. Not pain or tightness.  She said it was really hard to describe otherwise. I took her BP. BP was 119/79 and pulse was 74.  I asked  her if I should call 911 to be on the safe side and she said "no". I gave her some water to drink while she sat. Over the next 15 minutes I continued to ask how she was feeling and there was no change . She called her husband to come pick her up. He arrived about 15 minutes later. I explained to situation. Pt said she started to feel better and the two left. I called her house an hour later adn she said she was eating and felt better
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Confusional state, Diarrhoea, Dysstasia, Headache, Myalgia
Clinical narrative: 2:00 PM: Sudden onset of confusion, severe Headache, vomiting, diarrhea, inability toto stand or w/c transfer from chair to bed. Incontinent. Low grade fever - 6 days Headache - 5 days Muscle Aches - 5 days unrelenting Nauses - 7 days Vomiting - 4 days Protracted Diarrhea - 7 days
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Pyrexia, Vomiting
Clinical narrative: 2:00 PM: Sudden onset of confusion, severe Headache, vomiting, diarrhea, inability toto stand or w/c transfer from chair to bed. Incontinent. Low grade fever - 6 days Headache - 5 days Muscle Aches - 5 days unrelenting Nauses - 7 days Vomiting - 4 days Protracted Diarrhea - 7 days
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Crying, Injected limb mobility decreased, Injection site haemorrhage, Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: Upon injection, blood ran down the left deltoid to the elbow. The NP said something to the effect of "Oops, I may have hit a vein or blood vessel". The shot was given at 3:00PM, patient experienced a sore arm later in the evening. At 3:00AM, the patient woke up and could not move her arm and was experiencing intense pain that produced crying. Patient used ibuprofen, icy hot, hot washcloths, and a muscle gun over the course of 6 days to try and relieve the pain. She is a college swimming scholarship athlete and the pain prevented her from participating in practice on the AM of 9/5/23. She has seen the swim team trainer several times for help with the soreness.
Age: 75.0
Sex: F
Vaccine: RSV
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Myalgia
Clinical narrative: Within hours, a raised red circle 2.5 inches in diameter appeared at the injection sight.  The site was also hot to the touch.  Muscle sore.  Two days later, swollen area still swollen but warm but an itch surrounded the raised area.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Um, this vaccine is not recorded anywhere as received at this pharmacy. And this is not the only pharmacy I received a vaccine for COVID. I have received 5 vaccines for COVID. Only two are recorded as received.  This was reported to the CDC, FDA, HHS, and many government agencies. I was passed on to the next place and written off as not useful information. Some referred me to my state hhs. They owe me $96,000 in unemployment and left me homeless with zero COVID assistance over the pandemic. So, I'm not contacting them about nothing!
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Dizziness, Injection site erythema, Injection site pain
Clinical narrative: Soreness and red rash on left arm around the injection site lasting 5 days. Dizziness lasting 4 days and still continuing.
Age: 66.0
Sex: F
Vaccine: FLUA4
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: patient reports red, hot area about 2 inches in diameter around injection site - no pain or itching, patient didn't notice any feeling different, told patient could take ibuprofen if becomes uncomfortable, if worsens was advised to see a physician
Age: 79.0
Sex: F
Vaccine: FLUA4, RSV
Symptoms: Peripheral swelling, Urticaria
Clinical narrative: Patient presented to the pharmacy with a severe swollen left arm. The arm was more swollen to the inner of the left arm. Also presented with the hives on the back of both legs.
Age: 28.0
Sex: M
Vaccine: TD
Symptoms: Expired product administered
Clinical narrative: Administration of expired vaccination to patient. No significant signs or symptoms noted.
Age: 29.0
Sex: M
Vaccine: TD
Symptoms: Expired product administered, No adverse event
Clinical narrative: Administration of expired vaccine to patient. No adverse signs or symptoms observed.
Age: 38.0
Sex: M
Vaccine: TD
Symptoms: Expired product administered
Clinical narrative: Administration of expired vaccine to patient. No adverse signs or symptoms observed or reported by patient.
Age: 60.0
Sex: F
Vaccine: PNC20, RSV
Symptoms: Dysphemia, Hemiplegia, Malaise, Paraesthesia
Clinical narrative: Patients sister reported the patient was sick since about two hours after receiving the vaccines.  Sister was convinced it was the RSV vaccine that caused all of the symptoms but flu was given in the right arm. Sister reported patient has tingling in her right arm then then proceeded to go her entire right side, right side paralysis, and stuttering  as reported to her by the patient's husband at about 3:30 AM this morning. Patient was evaluated at ER and is home but really ill.
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
Clinical narrative: Vaccination was given subcutaneous instead of Intramuscularly.  Patient had redness and pain in injection area, hard knot in center of injection area, hot to the touch, and itching in injection area day after vaccination.  Patient took benadryl and tylenol to help with itching and pain  Did improve slowly over the next 3 days.  Redness and pain was improving 4 days after vaccination
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Irregular menstrual cycle since month of receiving shot. Has not been normal since shot.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Atelectasis, Blood creatinine, Blood culture positive, Blood glucose normal
Clinical narrative: Patient is a 83 y.o. male with history of HFpEF, atrial fibrillation, CKD, COPD, BPH, depression presented with COVID.   Patient reports he began feeling poorly about 3 days ago with generalized fatigue, poor appetite, fever, and SOB.  Patient reports having his COVID vaccines.   In the ED vitals are as follows, temperature 98.6, blood pressure 108/59, heart rate 101, RR 22, and oxygen saturation of 93% on 4L. Labs results were significant for K 3.1, BUN 28, creatinine 1.31, H/H 7.2/22.5, platelet 116, and glucose 107. The rest of the CBC and CMP were within normal limits. Troponin 127-114. Flu swab negative. Chest x-ray showed no significant change in right greater than left pleural effusions with adjacent a  with adjacent atelectasis. Patient was given cefepime, furosemide, duoneb, NSS, and 1 unit PRBC. Patient admitted for observation.    Clinical Summary 1. E faecalis bacteremia. Biventricular pacemaker in place. Bioprosthetic mitral valve in place. Endocarditis. TV vegetation: Blood cultures 2 out of 2 7/26 returned positive for e faecalis sensitive to ampicillin. 7/27 Echo showed EF 55%, mild AS, bioprosthetic mitral valve leaflets are not well visualized, small tricuspid valve vegetation visualized. S/p 2 days of maxipime 2g, 3 days of zosyn. Ampicillin 2g q4h started 7/29; continue. Repeat blood culture 7/30 still positive despite 5 days of abx. ID consulted who recommends transfer as concern for device infection and needs TEE. IV ceftriaxone 2g q12h started 7/31 for endocarditis per ID recs. Repeat BC 8/1 NGTD. Transfer requested and accepted 7/31; patient was transferred to Hospital on 8/3 2. UTI: Urine culture positive 7/26 E faecalis sensitive to ampicillin. Repeat urine culture 7/31 negative 3. COVID. COPD exacerbation: CT pulmonary arteries 7/26 no PE, small left and moderate right sided pleural effusion with adjacent atelectasis. dexamethasone 6mg started 7/25. s/p 5 days of IV remdesivir (completed on 7/30). Seen by pulmonology. MRSA positive 7/27 4. Anemia: On admit H/H 7.2/22.5. s/p 1 unit PRBC transfused 7/26. Last H/H of 9.2/29.6 on 8/2. 5. HFpEF: Echo 10/24 showed EF 65%, abnormal septal motion, mild AS, thickened bioprosthetic mitral valve leaflets. 7/26 BNP 27594. continue home bumetanide 1mg BID. strict I/O 6. Hypokalemia - resolved: K 3.1 on admit; today K 3.9. Continue to monitor and replete as needed 7. Left ankle wound: Chronic. Established with wound care/hospital outpatient. Wound care consulted; seen 7/28/2023 8. Atrial fibrillation: Continue home metoprolol 15mg BID and rivaroxaban 15mg daily 9. BPH: Continue home finasteride 5mg daily and tamsulosin 0.4mg daily 10. Depression: Continue home excitalopram 5mg daily 11. Thrombocytopenia, POA: Mild. Continue to monitor
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood urea increased, Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient is a 83 y.o. male with history of HFpEF, atrial fibrillation, CKD, COPD, BPH, depression presented with COVID.   Patient reports he began feeling poorly about 3 days ago with generalized fatigue, poor appetite, fever, and SOB.  Patient reports having his COVID vaccines.   In the ED vitals are as follows, temperature 98.6, blood pressure 108/59, heart rate 101, RR 22, and oxygen saturation of 93% on 4L. Labs results were significant for K 3.1, BUN 28, creatinine 1.31, H/H 7.2/22.5, platelet 116, and glucose 107. The rest of the CBC and CMP were within normal limits. Troponin 127-114. Flu swab negative. Chest x-ray showed no significant change in right greater than left pleural effusions with adjacent a  with adjacent atelectasis. Patient was given cefepime, furosemide, duoneb, NSS, and 1 unit PRBC. Patient admitted for observation.    Clinical Summary 1. E faecalis bacteremia. Biventricular pacemaker in place. Bioprosthetic mitral valve in place. Endocarditis. TV vegetation: Blood cultures 2 out of 2 7/26 returned positive for e faecalis sensitive to ampicillin. 7/27 Echo showed EF 55%, mild AS, bioprosthetic mitral valve leaflets are not well visualized, small tricuspid valve vegetation visualized. S/p 2 days of maxipime 2g, 3 days of zosyn. Ampicillin 2g q4h started 7/29; continue. Repeat blood culture 7/30 still positive despite 5 days of abx. ID consulted who recommends transfer as concern for device infection and needs TEE. IV ceftriaxone 2g q12h started 7/31 for endocarditis per ID recs. Repeat BC 8/1 NGTD. Transfer requested and accepted 7/31; patient was transferred to Hospital on 8/3 2. UTI: Urine culture positive 7/26 E faecalis sensitive to ampicillin. Repeat urine culture 7/31 negative 3. COVID. COPD exacerbation: CT pulmonary arteries 7/26 no PE, small left and moderate right sided pleural effusion with adjacent atelectasis. dexamethasone 6mg started 7/25. s/p 5 days of IV remdesivir (completed on 7/30). Seen by pulmonology. MRSA positive 7/27 4. Anemia: On admit H/H 7.2/22.5. s/p 1 unit PRBC transfused 7/26. Last H/H of 9.2/29.6 on 8/2. 5. HFpEF: Echo 10/24 showed EF 65%, abnormal septal motion, mild AS, thickened bioprosthetic mitral valve leaflets. 7/26 BNP 27594. continue home bumetanide 1mg BID. strict I/O 6. Hypokalemia - resolved: K 3.1 on admit; today K 3.9. Continue to monitor and replete as needed 7. Left ankle wound: Chronic. Established with wound care/hospital outpatient. Wound care consulted; seen 7/28/2023 8. Atrial fibrillation: Continue home metoprolol 15mg BID and rivaroxaban 15mg daily 9. BPH: Continue home finasteride 5mg daily and tamsulosin 0.4mg daily 10. Depression: Continue home excitalopram 5mg daily 11. Thrombocytopenia, POA: Mild. Continue to monitor
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal, Condition aggravated, Culture urine positive, Decreased appetite
Clinical narrative: Patient is a 83 y.o. male with history of HFpEF, atrial fibrillation, CKD, COPD, BPH, depression presented with COVID.   Patient reports he began feeling poorly about 3 days ago with generalized fatigue, poor appetite, fever, and SOB.  Patient reports having his COVID vaccines.   In the ED vitals are as follows, temperature 98.6, blood pressure 108/59, heart rate 101, RR 22, and oxygen saturation of 93% on 4L. Labs results were significant for K 3.1, BUN 28, creatinine 1.31, H/H 7.2/22.5, platelet 116, and glucose 107. The rest of the CBC and CMP were within normal limits. Troponin 127-114. Flu swab negative. Chest x-ray showed no significant change in right greater than left pleural effusions with adjacent a  with adjacent atelectasis. Patient was given cefepime, furosemide, duoneb, NSS, and 1 unit PRBC. Patient admitted for observation.    Clinical Summary 1. E faecalis bacteremia. Biventricular pacemaker in place. Bioprosthetic mitral valve in place. Endocarditis. TV vegetation: Blood cultures 2 out of 2 7/26 returned positive for e faecalis sensitive to ampicillin. 7/27 Echo showed EF 55%, mild AS, bioprosthetic mitral valve leaflets are not well visualized, small tricuspid valve vegetation visualized. S/p 2 days of maxipime 2g, 3 days of zosyn. Ampicillin 2g q4h started 7/29; continue. Repeat blood culture 7/30 still positive despite 5 days of abx. ID consulted who recommends transfer as concern for device infection and needs TEE. IV ceftriaxone 2g q12h started 7/31 for endocarditis per ID recs. Repeat BC 8/1 NGTD. Transfer requested and accepted 7/31; patient was transferred to Hospital on 8/3 2. UTI: Urine culture positive 7/26 E faecalis sensitive to ampicillin. Repeat urine culture 7/31 negative 3. COVID. COPD exacerbation: CT pulmonary arteries 7/26 no PE, small left and moderate right sided pleural effusion with adjacent atelectasis. dexamethasone 6mg started 7/25. s/p 5 days of IV remdesivir (completed on 7/30). Seen by pulmonology. MRSA positive 7/27 4. Anemia: On admit H/H 7.2/22.5. s/p 1 unit PRBC transfused 7/26. Last H/H of 9.2/29.6 on 8/2. 5. HFpEF: Echo 10/24 showed EF 65%, abnormal septal motion, mild AS, thickened bioprosthetic mitral valve leaflets. 7/26 BNP 27594. continue home bumetanide 1mg BID. strict I/O 6. Hypokalemia - resolved: K 3.1 on admit; today K 3.9. Continue to monitor and replete as needed 7. Left ankle wound: Chronic. Established with wound care/hospital outpatient. Wound care consulted; seen 7/28/2023 8. Atrial fibrillation: Continue home metoprolol 15mg BID and rivaroxaban 15mg daily 9. BPH: Continue home finasteride 5mg daily and tamsulosin 0.4mg daily 10. Depression: Continue home excitalopram 5mg daily 11. Thrombocytopenia, POA: Mild. Continue to monitor
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Ejection fraction normal, Endocarditis, Enterococcal bacteraemia
Clinical narrative: Patient is a 83 y.o. male with history of HFpEF, atrial fibrillation, CKD, COPD, BPH, depression presented with COVID.   Patient reports he began feeling poorly about 3 days ago with generalized fatigue, poor appetite, fever, and SOB.  Patient reports having his COVID vaccines.   In the ED vitals are as follows, temperature 98.6, blood pressure 108/59, heart rate 101, RR 22, and oxygen saturation of 93% on 4L. Labs results were significant for K 3.1, BUN 28, creatinine 1.31, H/H 7.2/22.5, platelet 116, and glucose 107. The rest of the CBC and CMP were within normal limits. Troponin 127-114. Flu swab negative. Chest x-ray showed no significant change in right greater than left pleural effusions with adjacent a  with adjacent atelectasis. Patient was given cefepime, furosemide, duoneb, NSS, and 1 unit PRBC. Patient admitted for observation.    Clinical Summary 1. E faecalis bacteremia. Biventricular pacemaker in place. Bioprosthetic mitral valve in place. Endocarditis. TV vegetation: Blood cultures 2 out of 2 7/26 returned positive for e faecalis sensitive to ampicillin. 7/27 Echo showed EF 55%, mild AS, bioprosthetic mitral valve leaflets are not well visualized, small tricuspid valve vegetation visualized. S/p 2 days of maxipime 2g, 3 days of zosyn. Ampicillin 2g q4h started 7/29; continue. Repeat blood culture 7/30 still positive despite 5 days of abx. ID consulted who recommends transfer as concern for device infection and needs TEE. IV ceftriaxone 2g q12h started 7/31 for endocarditis per ID recs. Repeat BC 8/1 NGTD. Transfer requested and accepted 7/31; patient was transferred to Hospital on 8/3 2. UTI: Urine culture positive 7/26 E faecalis sensitive to ampicillin. Repeat urine culture 7/31 negative 3. COVID. COPD exacerbation: CT pulmonary arteries 7/26 no PE, small left and moderate right sided pleural effusion with adjacent atelectasis. dexamethasone 6mg started 7/25. s/p 5 days of IV remdesivir (completed on 7/30). Seen by pulmonology. MRSA positive 7/27 4. Anemia: On admit H/H 7.2/22.5. s/p 1 unit PRBC transfused 7/26. Last H/H of 9.2/29.6 on 8/2. 5. HFpEF: Echo 10/24 showed EF 65%, abnormal septal motion, mild AS, thickened bioprosthetic mitral valve leaflets. 7/26 BNP 27594. continue home bumetanide 1mg BID. strict I/O 6. Hypokalemia - resolved: K 3.1 on admit; today K 3.9. Continue to monitor and replete as needed 7. Left ankle wound: Chronic. Established with wound care/hospital outpatient. Wound care consulted; seen 7/28/2023 8. Atrial fibrillation: Continue home metoprolol 15mg BID and rivaroxaban 15mg daily 9. BPH: Continue home finasteride 5mg daily and tamsulosin 0.4mg daily 10. Depression: Continue home excitalopram 5mg daily 11. Thrombocytopenia, POA: Mild. Continue to monitor
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Enterococcus test positive, Fatigue, Feeling abnormal, Full blood count abnormal, Haematocrit
Clinical narrative: Patient is a 83 y.o. male with history of HFpEF, atrial fibrillation, CKD, COPD, BPH, depression presented with COVID.   Patient reports he began feeling poorly about 3 days ago with generalized fatigue, poor appetite, fever, and SOB.  Patient reports having his COVID vaccines.   In the ED vitals are as follows, temperature 98.6, blood pressure 108/59, heart rate 101, RR 22, and oxygen saturation of 93% on 4L. Labs results were significant for K 3.1, BUN 28, creatinine 1.31, H/H 7.2/22.5, platelet 116, and glucose 107. The rest of the CBC and CMP were within normal limits. Troponin 127-114. Flu swab negative. Chest x-ray showed no significant change in right greater than left pleural effusions with adjacent a  with adjacent atelectasis. Patient was given cefepime, furosemide, duoneb, NSS, and 1 unit PRBC. Patient admitted for observation.    Clinical Summary 1. E faecalis bacteremia. Biventricular pacemaker in place. Bioprosthetic mitral valve in place. Endocarditis. TV vegetation: Blood cultures 2 out of 2 7/26 returned positive for e faecalis sensitive to ampicillin. 7/27 Echo showed EF 55%, mild AS, bioprosthetic mitral valve leaflets are not well visualized, small tricuspid valve vegetation visualized. S/p 2 days of maxipime 2g, 3 days of zosyn. Ampicillin 2g q4h started 7/29; continue. Repeat blood culture 7/30 still positive despite 5 days of abx. ID consulted who recommends transfer as concern for device infection and needs TEE. IV ceftriaxone 2g q12h started 7/31 for endocarditis per ID recs. Repeat BC 8/1 NGTD. Transfer requested and accepted 7/31; patient was transferred to Hospital on 8/3 2. UTI: Urine culture positive 7/26 E faecalis sensitive to ampicillin. Repeat urine culture 7/31 negative 3. COVID. COPD exacerbation: CT pulmonary arteries 7/26 no PE, small left and moderate right sided pleural effusion with adjacent atelectasis. dexamethasone 6mg started 7/25. s/p 5 days of IV remdesivir (completed on 7/30). Seen by pulmonology. MRSA positive 7/27 4. Anemia: On admit H/H 7.2/22.5. s/p 1 unit PRBC transfused 7/26. Last H/H of 9.2/29.6 on 8/2. 5. HFpEF: Echo 10/24 showed EF 65%, abnormal septal motion, mild AS, thickened bioprosthetic mitral valve leaflets. 7/26 BNP 27594. continue home bumetanide 1mg BID. strict I/O 6. Hypokalemia - resolved: K 3.1 on admit; today K 3.9. Continue to monitor and replete as needed 7. Left ankle wound: Chronic. Established with wound care/hospital outpatient. Wound care consulted; seen 7/28/2023 8. Atrial fibrillation: Continue home metoprolol 15mg BID and rivaroxaban 15mg daily 9. BPH: Continue home finasteride 5mg daily and tamsulosin 0.4mg daily 10. Depression: Continue home excitalopram 5mg daily 11. Thrombocytopenia, POA: Mild. Continue to monitor