chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Leukocytosis, Liver function test increased, Lung disorder, Oesophagogastroduodenoscopy abnormal, Pleural effusion
Clinical narrative: 4/22/2023 - 5/22/2023 (30 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxemia (HCC)    HOSPITAL COURSE: Patient is an 80 y/o male with a PMHx of HTN, BPH (self-caths), dyslipidemia and LUE melanoma s/p resection, followed by Dr. of oncology, previously on Keytruda. He was recently hospitalized at BW from 4/10-4/17 for AKI and acute liver failure with liver bx secondary c/w DILI secondary to Keytruda. Patient was started on prednisone with subsequent improvement in LFTs and renal function, and was discharged home on a planned 7 day course of prednisone 70 mg daily. He presented back to the hospital on 4/22 with SOB, weakness and maroon stools. In the ED he was found to be hypotensive and was started on norepi after receiving 2 L IVF. Also placed on BiPAP for hypoxemia. Labs signficant for AKI, elevated LFTs, elevated troponins, lactic acidosis, leukocytosis and anemia with Hgb 5.9 (Hgb was 8.2 on 4/17). UA with pyuria and quad panel (+) for COVID. CTA of chest was negative for PE and showed moderate emphysematous changes, bilateral upper and lower airspace disease and small pleural effusions. He was admitted to the ICU.    He received 2 units PRBC and GI was consulted. They recommended EGD once respiratory status improved. He was able to wean off pressors and was transferred out of ICU 4/23. He was started on antibiotics to cover possible superimposed bacterial infection due to recent hospitalization.  Gastroenterology team deferred to oncology to manage steroids for DILI.  Oncology recommended tapering steroids to 40 mg daily at discharge and outpatient follow-up with oncology. Due to worsening respiratory status CT angiogram of the thorax and bilateral lower extremity venous duplexes were repeated which showed bilateral PEs and DVTs.  Patient was started on heparin drip.  While on heparin drip patient had drop in hemoglobin and received multiple units of blood transfusion.  Patient underwent EGD on 5/7/2023 which showed a duodenal 1 cm clean based ulcer without high risk stigmata (likely etiology for GI bleeding). He was continued on PPI BID with recommendations to continue for 8 weeks, then daily. He was restarted on heparin gtt and tolerated. He was transitioned to Eliquis. He briefly required high-flow nasal cannula which was slowly weaned off to nasal cannula with oxymizer. He remained stable on this for several days and oxygen was weaned further. He was seen by pulm rehab for home oxygen needs. Pulm rehab recommended 4 liters/minutes at rest and 6 liters/minute be O2 dependent   He was seen by PT/OT who recommended home with assist, home health and therapies.   Patient was discharged home in medically stable condition.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Pulmonary embolism, Pyuria, Red blood cell transfusion, Renal impairment
Clinical narrative: 4/22/2023 - 5/22/2023 (30 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxemia (HCC)    HOSPITAL COURSE: Patient is an 80 y/o male with a PMHx of HTN, BPH (self-caths), dyslipidemia and LUE melanoma s/p resection, followed by Dr. of oncology, previously on Keytruda. He was recently hospitalized at BW from 4/10-4/17 for AKI and acute liver failure with liver bx secondary c/w DILI secondary to Keytruda. Patient was started on prednisone with subsequent improvement in LFTs and renal function, and was discharged home on a planned 7 day course of prednisone 70 mg daily. He presented back to the hospital on 4/22 with SOB, weakness and maroon stools. In the ED he was found to be hypotensive and was started on norepi after receiving 2 L IVF. Also placed on BiPAP for hypoxemia. Labs signficant for AKI, elevated LFTs, elevated troponins, lactic acidosis, leukocytosis and anemia with Hgb 5.9 (Hgb was 8.2 on 4/17). UA with pyuria and quad panel (+) for COVID. CTA of chest was negative for PE and showed moderate emphysematous changes, bilateral upper and lower airspace disease and small pleural effusions. He was admitted to the ICU.    He received 2 units PRBC and GI was consulted. They recommended EGD once respiratory status improved. He was able to wean off pressors and was transferred out of ICU 4/23. He was started on antibiotics to cover possible superimposed bacterial infection due to recent hospitalization.  Gastroenterology team deferred to oncology to manage steroids for DILI.  Oncology recommended tapering steroids to 40 mg daily at discharge and outpatient follow-up with oncology. Due to worsening respiratory status CT angiogram of the thorax and bilateral lower extremity venous duplexes were repeated which showed bilateral PEs and DVTs.  Patient was started on heparin drip.  While on heparin drip patient had drop in hemoglobin and received multiple units of blood transfusion.  Patient underwent EGD on 5/7/2023 which showed a duodenal 1 cm clean based ulcer without high risk stigmata (likely etiology for GI bleeding). He was continued on PPI BID with recommendations to continue for 8 weeks, then daily. He was restarted on heparin gtt and tolerated. He was transitioned to Eliquis. He briefly required high-flow nasal cannula which was slowly weaned off to nasal cannula with oxymizer. He remained stable on this for several days and oxygen was weaned further. He was seen by pulm rehab for home oxygen needs. Pulm rehab recommended 4 liters/minutes at rest and 6 liters/minute be O2 dependent   He was seen by PT/OT who recommended home with assist, home health and therapies.   Patient was discharged home in medically stable condition.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased, Ultrasound Doppler abnormal, Urine analysis abnormal
Clinical narrative: 4/22/2023 - 5/22/2023 (30 days)   DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxemia (HCC)    HOSPITAL COURSE: Patient is an 80 y/o male with a PMHx of HTN, BPH (self-caths), dyslipidemia and LUE melanoma s/p resection, followed by Dr. of oncology, previously on Keytruda. He was recently hospitalized at BW from 4/10-4/17 for AKI and acute liver failure with liver bx secondary c/w DILI secondary to Keytruda. Patient was started on prednisone with subsequent improvement in LFTs and renal function, and was discharged home on a planned 7 day course of prednisone 70 mg daily. He presented back to the hospital on 4/22 with SOB, weakness and maroon stools. In the ED he was found to be hypotensive and was started on norepi after receiving 2 L IVF. Also placed on BiPAP for hypoxemia. Labs signficant for AKI, elevated LFTs, elevated troponins, lactic acidosis, leukocytosis and anemia with Hgb 5.9 (Hgb was 8.2 on 4/17). UA with pyuria and quad panel (+) for COVID. CTA of chest was negative for PE and showed moderate emphysematous changes, bilateral upper and lower airspace disease and small pleural effusions. He was admitted to the ICU.    He received 2 units PRBC and GI was consulted. They recommended EGD once respiratory status improved. He was able to wean off pressors and was transferred out of ICU 4/23. He was started on antibiotics to cover possible superimposed bacterial infection due to recent hospitalization.  Gastroenterology team deferred to oncology to manage steroids for DILI.  Oncology recommended tapering steroids to 40 mg daily at discharge and outpatient follow-up with oncology. Due to worsening respiratory status CT angiogram of the thorax and bilateral lower extremity venous duplexes were repeated which showed bilateral PEs and DVTs.  Patient was started on heparin drip.  While on heparin drip patient had drop in hemoglobin and received multiple units of blood transfusion.  Patient underwent EGD on 5/7/2023 which showed a duodenal 1 cm clean based ulcer without high risk stigmata (likely etiology for GI bleeding). He was continued on PPI BID with recommendations to continue for 8 weeks, then daily. He was restarted on heparin gtt and tolerated. He was transitioned to Eliquis. He briefly required high-flow nasal cannula which was slowly weaned off to nasal cannula with oxymizer. He remained stable on this for several days and oxygen was weaned further. He was seen by pulm rehab for home oxygen needs. Pulm rehab recommended 4 liters/minutes at rest and 6 liters/minute be O2 dependent   He was seen by PT/OT who recommended home with assist, home health and therapies.   Patient was discharged home in medically stable condition.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure acute, Left ventricular failure
Clinical narrative: Hospitalization for acute on chronic systolic heart failure/ COVID-19 on dates 5/6/2023- 5/12/2023. Treated with dexamethasone, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPERCAPNIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXEMIA 3/16/2023 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Dehydration
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE. pt IS A 96 YO WITH COVID + Low grade Temp, Leukocytosis, Diarrhea, Dehydration, Generalized weakness, AND ESBL E Coli UTI.  PT ADMITTED WITH A Fever in this patient with coronavirus disease 2019, oxygenating well on RA, CXR shows mildly increased interstitial markings.  No particular treatment indicated for COVID-19 at this time.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Escherichia infection, Interstitial lung abnormality, Leukocytosis, Lung opacity
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE. pt IS A 96 YO WITH COVID + Low grade Temp, Leukocytosis, Diarrhea, Dehydration, Generalized weakness, AND ESBL E Coli UTI.  PT ADMITTED WITH A Fever in this patient with coronavirus disease 2019, oxygenating well on RA, CXR shows mildly increased interstitial markings.  No particular treatment indicated for COVID-19 at this time.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pathogen resistance, Pleural effusion, Pulmonary mass, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE. pt IS A 96 YO WITH COVID + Low grade Temp, Leukocytosis, Diarrhea, Dehydration, Generalized weakness, AND ESBL E Coli UTI.  PT ADMITTED WITH A Fever in this patient with coronavirus disease 2019, oxygenating well on RA, CXR shows mildly increased interstitial markings.  No particular treatment indicated for COVID-19 at this time.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary tract infection, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE. pt IS A 96 YO WITH COVID + Low grade Temp, Leukocytosis, Diarrhea, Dehydration, Generalized weakness, AND ESBL E Coli UTI.  PT ADMITTED WITH A Fever in this patient with coronavirus disease 2019, oxygenating well on RA, CXR shows mildly increased interstitial markings.  No particular treatment indicated for COVID-19 at this time.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: COVID-19, Cough, Dyspnoea exertional, Headache, Oropharyngeal pain
Clinical narrative: I had a sore throat, headache, congestion, coughing, diffuculty breathing upon exerttion only.
Age: 58.0
Sex: F
Vaccine: COVID19-2, FLU4
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had a sore throat, headache, congestion, coughing, diffuculty breathing upon exerttion only.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine increased, Blood lactic acid increased, Blood potassium decreased, Bronchial wall thickening, Bronchiectasis
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE. 63-year-old male who presented to ER following a minor MVC. He has a PMHx of PNA with Sepsis in 2019. Pt required 3L of O2. Upon arrival no complaints of h/a, N/V/D/C/I. Suspected d/t aspiration pna, no clear evidence of COVID PNA however cannot rule out this is contributing - cont steroids, no hypoxia so no remdesivir, cont cefepime - stop vanco.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Dysphagia, Hypotension, Lung infiltration
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE. 63-year-old male who presented to ER following a minor MVC. He has a PMHx of PNA with Sepsis in 2019. Pt required 3L of O2. Upon arrival no complaints of h/a, N/V/D/C/I. Suspected d/t aspiration pna, no clear evidence of COVID PNA however cannot rule out this is contributing - cont steroids, no hypoxia so no remdesivir, cont cefepime - stop vanco.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia aspiration, Road traffic accident, SARS-CoV-2 test positive, Sepsis, Swallow study abnormal
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE. 63-year-old male who presented to ER following a minor MVC. He has a PMHx of PNA with Sepsis in 2019. Pt required 3L of O2. Upon arrival no complaints of h/a, N/V/D/C/I. Suspected d/t aspiration pna, no clear evidence of COVID PNA however cannot rule out this is contributing - cont steroids, no hypoxia so no remdesivir, cont cefepime - stop vanco.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, White blood cell count increased
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE. 63-year-old male who presented to ER following a minor MVC. He has a PMHx of PNA with Sepsis in 2019. Pt required 3L of O2. Upon arrival no complaints of h/a, N/V/D/C/I. Suspected d/t aspiration pna, no clear evidence of COVID PNA however cannot rule out this is contributing - cont steroids, no hypoxia so no remdesivir, cont cefepime - stop vanco.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Malaise, No adverse event, Restless legs syndrome
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 on 12/07/2022. I had bad chills, restless legs and in general just didn't feel good. I contacted my doctor and got a prescription for Paxlovid. I tolerated the medication without any complications. As of today, I do not have any lingering symptoms.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 on 12/07/2022. I had bad chills, restless legs and in general just didn't feel good. I contacted my doctor and got a prescription for Paxlovid. I tolerated the medication without any complications. As of today, I do not have any lingering symptoms.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral
Clinical narrative: NEUROPATHY
Age: 11.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Product administration error
Clinical narrative: No adverse event, administration error.  Patient was given the Men. A conjugate with a sterile diluent instead of the Men. CYW conjugate.  Per CDC, dose must be repeated with no minimum interval to ensure patient receives coverage for Men CYW.
Age: 60.0
Sex: F
Vaccine: HEPA
Symptoms: Blood creatine phosphokinase, Full blood count, Laboratory test, Metabolic function test, Pain
Clinical narrative: body pain all over, severe
Age: 60.0
Sex: F
Vaccine: HEPA
Symptoms: SARS-CoV-2 test, Troponin
Clinical narrative: body pain all over, severe
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Angioedema, Hypotension
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOTENSION ANGIOEDEMA, INIT
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE HYPERCAPNIC RESPIRATORY FAILURE CHRONIC RESPIRATORY FAILURE ACUTE ON CHRONIC RESPIRATORY FAILURE HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: Patient had rash and redness accompanied by itchiness.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood lactic acid, C-reactive protein increased, COVID-19, Chest X-ray abnormal
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE AND BOOSTED, MODERNA VACCINE. Patient is a 73-year-old gentleman who came into the emergency room with cough with yellow sputum, shortness of breath and fever with generalized weakness that started about 1 week prior to admission.  He has been vaccinated for COVID-19 including booster vaccine.  His COVID-19 PCR is positive.  He has lactic acidosis of 2.6.    He is started on dexamethasone, Zithromax and Rocephin. FOR DISCHARGE: On Rocephin, On Decadron, po steroids.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Fibrin D dimer, Lactic acidosis, Lung infiltration, Lung opacity
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE AND BOOSTED, MODERNA VACCINE. Patient is a 73-year-old gentleman who came into the emergency room with cough with yellow sputum, shortness of breath and fever with generalized weakness that started about 1 week prior to admission.  He has been vaccinated for COVID-19 including booster vaccine.  His COVID-19 PCR is positive.  He has lactic acidosis of 2.6.    He is started on dexamethasone, Zithromax and Rocephin. FOR DISCHARGE: On Rocephin, On Decadron, po steroids.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Sputum discoloured, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE AND BOOSTED, MODERNA VACCINE. Patient is a 73-year-old gentleman who came into the emergency room with cough with yellow sputum, shortness of breath and fever with generalized weakness that started about 1 week prior to admission.  He has been vaccinated for COVID-19 including booster vaccine.  His COVID-19 PCR is positive.  He has lactic acidosis of 2.6.    He is started on dexamethasone, Zithromax and Rocephin. FOR DISCHARGE: On Rocephin, On Decadron, po steroids.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE AND BOOSTED, MODERNA VACCINE. Patient is a 73-year-old gentleman who came into the emergency room with cough with yellow sputum, shortness of breath and fever with generalized weakness that started about 1 week prior to admission.  He has been vaccinated for COVID-19 including booster vaccine.  His COVID-19 PCR is positive.  He has lactic acidosis of 2.6.    He is started on dexamethasone, Zithromax and Rocephin. FOR DISCHARGE: On Rocephin, On Decadron, po steroids.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 5/31/23, given on 6/2/23
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Embolic stroke, Pulmonary embolism
Clinical narrative: ACUTE STROKE DUE TO EMBOLISM OF UNSPECIFIED ARTERY ACUTE PULMONARY EMBOLISM
Age: 2.0
Sex: F
Vaccine: COVID19-2
Symptoms: Blood culture negative, Blood urine present, Chest X-ray normal, Gastroenteritis, Influenza A virus test negative
Clinical narrative: On May 29, 2023, she spiked a fever that was greater than 103-degrees. We took her to the emergency room. While under observation, she had a seizure. She was given IV fluids. The doctor guessed that it was stomach bug and sent us home after tests and observation. She continued to have fever for about one week. It was controlled by OTC fever reducer. She was the 2nd person in a household of four to get sick. Her pediatrician agreed that it was likely a stomach bug.
Age: 2.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza B virus test, Laboratory test, Malaise, Procalcitonin, Pyrexia
Clinical narrative: On May 29, 2023, she spiked a fever that was greater than 103-degrees. We took her to the emergency room. While under observation, she had a seizure. She was given IV fluids. The doctor guessed that it was stomach bug and sent us home after tests and observation. She continued to have fever for about one week. It was controlled by OTC fever reducer. She was the 2nd person in a household of four to get sick. Her pediatrician agreed that it was likely a stomach bug.
Age: 2.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Seizure, Urine analysis abnormal, Urine ketone body present
Clinical narrative: On May 29, 2023, she spiked a fever that was greater than 103-degrees. We took her to the emergency room. While under observation, she had a seizure. She was given IV fluids. The doctor guessed that it was stomach bug and sent us home after tests and observation. She continued to have fever for about one week. It was controlled by OTC fever reducer. She was the 2nd person in a household of four to get sick. Her pediatrician agreed that it was likely a stomach bug.
Age: 2.0
Sex: F
Vaccine: COVID19-2
Symptoms: White blood cells urine positive
Clinical narrative: On May 29, 2023, she spiked a fever that was greater than 103-degrees. We took her to the emergency room. While under observation, she had a seizure. She was given IV fluids. The doctor guessed that it was stomach bug and sent us home after tests and observation. She continued to have fever for about one week. It was controlled by OTC fever reducer. She was the 2nd person in a household of four to get sick. Her pediatrician agreed that it was likely a stomach bug.
Age: 79.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 5/31/23, given on 6/2/23
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Blood test, Diarrhoea, Intestinal operation, Intussusception, Ultrasound abdomen abnormal
Clinical narrative: Caregiver called nurse advice line on 05/24/2023 stating patient started vomiting. Symptoms persisted and patient was referred to ED on 05/29/2023 and never arrived. Vomiting persisted and patient was seen for telemedicine appointment on 05/30/23. Patient seen in office 06/02/2023 for intermittent vomiting and diarrhea and ultrasound was ordered outpatient. Patient was seen in ED 06/02/2023 for intussusception.
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Vomiting
Clinical narrative: Caregiver called nurse advice line on 05/24/2023 stating patient started vomiting. Symptoms persisted and patient was referred to ED on 05/29/2023 and never arrived. Vomiting persisted and patient was seen for telemedicine appointment on 05/30/23. Patient seen in office 06/02/2023 for intermittent vomiting and diarrhea and ultrasound was ordered outpatient. Patient was seen in ED 06/02/2023 for intussusception.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 5/31/23, given on 6/2/23
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: 04/06/23 I woke up with a sore throat, headache that would not go away, nauseous, and very fatigued. This lasted for a week and my symptoms progressed. I had a fever that would not go away. The headache was non stop. I lost my sense of taste and smells. I had body aches, chills, cough that would not stop and very congested. I tested negative for COVID with an at home COVID test. I took Mucinex and cough drops for a week. I went to the doctor on 4/13/23 and tested negative for COVID. On 4/17/23 the doctor asked me to take another at home COVID test which was positive. I was prescribed Azithromycin, Benzonatate, Prednisone and Ondansetron. I did not feel better until 5/6/23.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache, Nausea, Oropharyngeal pain, Pain
Clinical narrative: 04/06/23 I woke up with a sore throat, headache that would not go away, nauseous, and very fatigued. This lasted for a week and my symptoms progressed. I had a fever that would not go away. The headache was non stop. I lost my sense of taste and smells. I had body aches, chills, cough that would not stop and very congested. I tested negative for COVID with an at home COVID test. I took Mucinex and cough drops for a week. I went to the doctor on 4/13/23 and tested negative for COVID. On 4/17/23 the doctor asked me to take another at home COVID test which was positive. I was prescribed Azithromycin, Benzonatate, Prednisone and Ondansetron. I did not feel better until 5/6/23.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: 04/06/23 I woke up with a sore throat, headache that would not go away, nauseous, and very fatigued. This lasted for a week and my symptoms progressed. I had a fever that would not go away. The headache was non stop. I lost my sense of taste and smells. I had body aches, chills, cough that would not stop and very congested. I tested negative for COVID with an at home COVID test. I took Mucinex and cough drops for a week. I went to the doctor on 4/13/23 and tested negative for COVID. On 4/17/23 the doctor asked me to take another at home COVID test which was positive. I was prescribed Azithromycin, Benzonatate, Prednisone and Ondansetron. I did not feel better until 5/6/23.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiogenic shock, Hypoxia, Intracardiac thrombus, Symptom recurrence
Clinical narrative: MURAL THROMBUS OF HEART POST ACUTE MI ACUTE HYPOXEMIC RESPIRATORY FAILURE HYPOXIA CARDIOGENIC SHOCK 7/26/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 68.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Hypoaesthesia, Pain in extremity
Clinical narrative: On saturday morning, the day after vaccines, patient went outside to take her dog for a walk. Her arms were sore, so she swung them around 'windmill style. ' She said she then felt both her legs go numb and had to sit down. It lasted about 10 minutes. After 10 minutes, her legs felt better. She took it 'easy' the rest of the day and is ok now. She did not seek medical attention, but called to report to pharmacy and her primary doctor.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE ST ELEVATION MI, INFERIOR WALL 9/16/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 11.0
Sex: F
Vaccine: COVID19-2
Symptoms: Incorrect dose administered
Clinical narrative: An adult dose of Pfizer Bivalent covid vaccine was administered to an 11 year old child.  Child did not show immediate signs of injection site reaction, nor did the child show immediate signs of allergy or requirement for immediate medical care.  Multiple follow ups have been attempted towards the parents to inquire about the wellbeing of the child.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: 3/31/23 That morning I was on my way home from out of the town and had a sore throat. I woke up around 3:00am and felt really worse. I tested positive for COVID with an at home COVID test. I woke up and did a second test that was positive. I went to Urgent Care and was started on Paxlovid. I took the Paxlovid for 5 days. Two weeks later, I was still having a lot of chest congestion and sinus issues. I went to see my doctor and was put on an antibiotics and low dose prednisone. It took about 3 ½-4 weeks and finishing off the antibiotic to get better.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Neuropathy peripheral, Pulmonary embolism, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE NEUROPATHY HYPOTENSION ACUTE PULMONARY EMBOLISM 4/8/2022 &  4/28/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: Chronic shoulder and arm pain,  sometimes unable to reach or grab at length
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthma, COVID-19, Condition aggravated, Cough, Decreased appetite
Clinical narrative: I was in the hospital for a knee surgery: a couple of days after my surgery my asthma flared, I started coughing a lot and producing a lot of phlegm. I did have to have breathing treatments while in the hospital. I also contracted an UTI infection right before I left the hospital, I was given medication to take home with me so that I could get rid of the infection. In March I got COVID-19, I had a high fever of 102F-103F, loss of appetite, aching. I took a home COVID-19 test and was positive. I was given the antiviral Paxlovid, but it did take a month before I started to feel better.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: Infection, Knee operation, Pain, Productive cough, Pyrexia
Clinical narrative: I was in the hospital for a knee surgery: a couple of days after my surgery my asthma flared, I started coughing a lot and producing a lot of phlegm. I did have to have breathing treatments while in the hospital. I also contracted an UTI infection right before I left the hospital, I was given medication to take home with me so that I could get rid of the infection. In March I got COVID-19, I had a high fever of 102F-103F, loss of appetite, aching. I took a home COVID-19 test and was positive. I was given the antiviral Paxlovid, but it did take a month before I started to feel better.
Age: 76.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Urinary tract infection, Urine analysis abnormal
Clinical narrative: I was in the hospital for a knee surgery: a couple of days after my surgery my asthma flared, I started coughing a lot and producing a lot of phlegm. I did have to have breathing treatments while in the hospital. I also contracted an UTI infection right before I left the hospital, I was given medication to take home with me so that I could get rid of the infection. In March I got COVID-19, I had a high fever of 102F-103F, loss of appetite, aching. I took a home COVID-19 test and was positive. I was given the antiviral Paxlovid, but it did take a month before I started to feel better.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Pain in extremity
Clinical narrative: I had a sore arm for a few days after receiving the vaccine. I got sick on 05/26/2023 after returning home from a family trip. I contacted my doctor about a week after my symptoms started. I was put on antibiotics and cough medicine. It's been almost two weeks and I'm still not well.
Age: 87.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalized with covid; fully vaccinated with 1 booster
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Headache, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I woke up in the morning I only had pain on my arm, headache, no fever, I went to a music event two days earlier and took the test and it was negative, then I had chills and took the test again and it was positive. I called the clinic, and asked if I should take Paxlovid and they said yes, and they gave it to me.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Rash, Swelling face
Clinical narrative: Pt said she woke up the next day and had swelling and rash on the face. mostly eyes and cheeks.  did not require hospitalization. no other vaccines. she took loratadine which helped with the reaction.
Age: 17.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: covid pfizer bivalent was given administered less than 48 hrs after best use date.  There was NO adverse reaction.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Symptom recurrence, Transient ischaemic attack
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE TRANSIENT CEREBRAL ISCHEMIA 3/16/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 19.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pfizer COVID-19 bivalent booster (gray cap) administered 2 days after "beyond use date".  No known adverse effects on patient.
Age: 49.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Antibody test abnormal, Antinuclear antibody positive, Blood test abnormal, Body temperature increased, COVID-19
Clinical narrative: 3/28/23 I had 104 degree temperature and body aches. I took an at home COVID test which was negative. I continued having these symptoms through 3/30/24 and tested negative. In 3/31,23, I began having respiratory symptoms. I began taking my inhaler. On 4/1/23, I went to the doctor to get a refill on my inhaler and tested positive for COVID. I was given a refill for my inhaler and prednisone. The next week, all the symptoms had resolved except extreme fatigue and has never left to this day.
Age: 49.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Fatigue, Pain, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: 3/28/23 I had 104 degree temperature and body aches. I took an at home COVID test which was negative. I continued having these symptoms through 3/30/24 and tested negative. In 3/31,23, I began having respiratory symptoms. I began taking my inhaler. On 4/1/23, I went to the doctor to get a refill on my inhaler and tested positive for COVID. I was given a refill for my inhaler and prednisone. The next week, all the symptoms had resolved except extreme fatigue and has never left to this day.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI 2/20/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 16.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: covid pfizer bivalent vaccine was administered less than 48 hrs beyond use date. NO known adverse effects.
Age: 67.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine was administered 2 days after "beyond use date". No known adverse effects on patient.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: covid pfizer bivalent vaccine was administered less than 48 hrs after beyond use date. NO known adverse reaction occured.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Balance disorder, Dizziness
Clinical narrative: dizziness, started a few hours after the injection. lasted 5 days (6/5/2023). able to walk, but feels wabbly. no n/v.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Malaise, Pain, Pain in extremity
Clinical narrative: I had a sore arm for about a day. I tested positive for COVID-19 on 09/24/2022. I was sick for about ten days. I had a fever, bad body aches, a lot of coughing, congestion and runny nose. I did not contact my doctor and just took over the counter medication. On the morning of 11/24/2022, I woke up with horrible left arm pain.  The pain went from one to ten in a very short time. I called my doctor on the following Monday and got an appointment. I was given a steroid injection and then a prescription. I have a history of degenerative disk disease in my neck. I began going to my chiropractor in 01/2023 to help with my pain.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a sore arm for about a day. I tested positive for COVID-19 on 09/24/2022. I was sick for about ten days. I had a fever, bad body aches, a lot of coughing, congestion and runny nose. I did not contact my doctor and just took over the counter medication. On the morning of 11/24/2022, I woke up with horrible left arm pain.  The pain went from one to ten in a very short time. I called my doctor on the following Monday and got an appointment. I was given a steroid injection and then a prescription. I have a history of degenerative disk disease in my neck. I began going to my chiropractor in 01/2023 to help with my pain.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Angina unstable, Symptom recurrence
Clinical narrative: UNSTABLE ANGINA 5/28/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 50.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Hypotension, Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA ACUTE ST ELEVATION MI, LEFT ANTERIOR DESCENDING CORONARY ARTERY ACUTE ST ELEVATION MI, ANTERIOR WALL ACUTE NON ST ELEVATION MI HYPOTENSION
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was not 5 years old. No adverse effects noted
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: No adverse event
Clinical narrative: No adverse reactions, signs, or symptoms.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient was not 5 years old, no adverse effects noted
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient was not 5 years old, no adverse effects noted
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Symptom recurrence
Clinical narrative: OBSTRUCTIVE SLEEP APNEA 8/31/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Allergy to chemicals, COVID-19, Chest X-ray normal, Condition aggravated, Cough
Clinical narrative: 2/1/23 I woke up with a sore throat. I tested positive with an at home COVID test. As the day went on, I started to not feel overall good and had a severe headache which lasted 3-4 days. I had a fever later that afternoon. The next day, I could not get out of bed. I had flu like symptoms and felt horrible which lasted about 2-3 days. Then I began coughing and had a little bit of a runny nose. I was sick for a good 10-12 days. I tested positive for 14 days. During that time, around day 5 or 6, I was having trouble breathing and had a telehealth appointment. I was prescribed a Z-PAK and albuterol inhaler. I still did not feel good after finishing the Z-PAK. I had a chest x-ray which came back negative. It was three to four weeks, before I felt better. At times, I would have trouble getting my breath. My allergies are now magnified. I can't touch anything with the chemical in it.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Dyspnoea, Feeling abnormal, Headache, Hypersensitivity, Influenza like illness
Clinical narrative: 2/1/23 I woke up with a sore throat. I tested positive with an at home COVID test. As the day went on, I started to not feel overall good and had a severe headache which lasted 3-4 days. I had a fever later that afternoon. The next day, I could not get out of bed. I had flu like symptoms and felt horrible which lasted about 2-3 days. Then I began coughing and had a little bit of a runny nose. I was sick for a good 10-12 days. I tested positive for 14 days. During that time, around day 5 or 6, I was having trouble breathing and had a telehealth appointment. I was prescribed a Z-PAK and albuterol inhaler. I still did not feel good after finishing the Z-PAK. I had a chest x-ray which came back negative. It was three to four weeks, before I felt better. At times, I would have trouble getting my breath. My allergies are now magnified. I can't touch anything with the chemical in it.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Mobility decreased, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: 2/1/23 I woke up with a sore throat. I tested positive with an at home COVID test. As the day went on, I started to not feel overall good and had a severe headache which lasted 3-4 days. I had a fever later that afternoon. The next day, I could not get out of bed. I had flu like symptoms and felt horrible which lasted about 2-3 days. Then I began coughing and had a little bit of a runny nose. I was sick for a good 10-12 days. I tested positive for 14 days. During that time, around day 5 or 6, I was having trouble breathing and had a telehealth appointment. I was prescribed a Z-PAK and albuterol inhaler. I still did not feel good after finishing the Z-PAK. I had a chest x-ray which came back negative. It was three to four weeks, before I felt better. At times, I would have trouble getting my breath. My allergies are now magnified. I can't touch anything with the chemical in it.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 2/1/23 I woke up with a sore throat. I tested positive with an at home COVID test. As the day went on, I started to not feel overall good and had a severe headache which lasted 3-4 days. I had a fever later that afternoon. The next day, I could not get out of bed. I had flu like symptoms and felt horrible which lasted about 2-3 days. Then I began coughing and had a little bit of a runny nose. I was sick for a good 10-12 days. I tested positive for 14 days. During that time, around day 5 or 6, I was having trouble breathing and had a telehealth appointment. I was prescribed a Z-PAK and albuterol inhaler. I still did not feel good after finishing the Z-PAK. I had a chest x-ray which came back negative. It was three to four weeks, before I felt better. At times, I would have trouble getting my breath. My allergies are now magnified. I can't touch anything with the chemical in it.
Age: 0.58
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: patient was 7 months old , no adverse effects noted
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Myocardial ischaemia, Symptom recurrence
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE DEMAND ISCHEMIA HYPOTENSION 12/28/2022  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Arteriosclerosis coronary artery, Ascites, Atelectasis, COVID-19
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE WITH DEATH.  71-year-old female with failure to thrive froma residential facility. Admitted requiring 3 L oxygen with suspected aspiration PNA , acute hypoxic resp failure on 4L NC, COVID + (6/27) DX COVID PNA complicated by potential Aspiration PNA in the setting of new PEG tube placement. Rx treatment with Rocephin. Found with tachycardia and elevated white count s/p PEG placement (6/26) with suspected aspiration PNA , acute hypoxic resp failure on 4L NC (6/27), pleural effusion.6/28/2022 positive sepsis alert & consult infectious disease, pt placed on Vancocin. Pt declined, 25L Oxygen by nonrebreather after several rapid response incidents. Death 06/29/2022 14:51
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Death
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE WITH DEATH.  71-year-old female with failure to thrive froma residential facility. Admitted requiring 3 L oxygen with suspected aspiration PNA , acute hypoxic resp failure on 4L NC, COVID + (6/27) DX COVID PNA complicated by potential Aspiration PNA in the setting of new PEG tube placement. Rx treatment with Rocephin. Found with tachycardia and elevated white count s/p PEG placement (6/26) with suspected aspiration PNA , acute hypoxic resp failure on 4L NC (6/27), pleural effusion.6/28/2022 positive sepsis alert & consult infectious disease, pt placed on Vancocin. Pt declined, 25L Oxygen by nonrebreather after several rapid response incidents. Death 06/29/2022 14:51
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disease complication, Emphysema, Failure to thrive, Gastrostomy, General physical health deterioration
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE WITH DEATH.  71-year-old female with failure to thrive froma residential facility. Admitted requiring 3 L oxygen with suspected aspiration PNA , acute hypoxic resp failure on 4L NC, COVID + (6/27) DX COVID PNA complicated by potential Aspiration PNA in the setting of new PEG tube placement. Rx treatment with Rocephin. Found with tachycardia and elevated white count s/p PEG placement (6/26) with suspected aspiration PNA , acute hypoxic resp failure on 4L NC (6/27), pleural effusion.6/28/2022 positive sepsis alert & consult infectious disease, pt placed on Vancocin. Pt declined, 25L Oxygen by nonrebreather after several rapid response incidents. Death 06/29/2022 14:51
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Localised oedema, Lung infiltration, Pleural effusion, Pneumonia aspiration, Right atrial enlargement
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE WITH DEATH.  71-year-old female with failure to thrive froma residential facility. Admitted requiring 3 L oxygen with suspected aspiration PNA , acute hypoxic resp failure on 4L NC, COVID + (6/27) DX COVID PNA complicated by potential Aspiration PNA in the setting of new PEG tube placement. Rx treatment with Rocephin. Found with tachycardia and elevated white count s/p PEG placement (6/26) with suspected aspiration PNA , acute hypoxic resp failure on 4L NC (6/27), pleural effusion.6/28/2022 positive sepsis alert & consult infectious disease, pt placed on Vancocin. Pt declined, 25L Oxygen by nonrebreather after several rapid response incidents. Death 06/29/2022 14:51
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Soft tissue swelling, Tachycardia, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE WITH DEATH.  71-year-old female with failure to thrive froma residential facility. Admitted requiring 3 L oxygen with suspected aspiration PNA , acute hypoxic resp failure on 4L NC, COVID + (6/27) DX COVID PNA complicated by potential Aspiration PNA in the setting of new PEG tube placement. Rx treatment with Rocephin. Found with tachycardia and elevated white count s/p PEG placement (6/26) with suspected aspiration PNA , acute hypoxic resp failure on 4L NC (6/27), pleural effusion.6/28/2022 positive sepsis alert & consult infectious disease, pt placed on Vancocin. Pt declined, 25L Oxygen by nonrebreather after several rapid response incidents. Death 06/29/2022 14:51
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: BREAKTHROUGH COVID: FULLY VACCINATED COVID POSITIVE WITH DEATH.  71-year-old female with failure to thrive froma residential facility. Admitted requiring 3 L oxygen with suspected aspiration PNA , acute hypoxic resp failure on 4L NC, COVID + (6/27) DX COVID PNA complicated by potential Aspiration PNA in the setting of new PEG tube placement. Rx treatment with Rocephin. Found with tachycardia and elevated white count s/p PEG placement (6/26) with suspected aspiration PNA , acute hypoxic resp failure on 4L NC (6/27), pleural effusion.6/28/2022 positive sepsis alert & consult infectious disease, pt placed on Vancocin. Pt declined, 25L Oxygen by nonrebreather after several rapid response incidents. Death 06/29/2022 14:51