chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin, Blood calcium normal, Blood chloride decreased, Blood creatinine normal
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Blood glucose increased, Blood lactic acid, Blood lactic acid normal, Blood potassium normal
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea increased, Carbon dioxide normal, Central nervous system lesion, Cerebral mass effect
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral small vessel ischaemic disease, Chest X-ray abnormal, Chromaturia, Coagulation test, Computerised tomogram abdomen
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Computerised tomogram thorax abnormal, Creatinine renal clearance decreased, Depressed level of consciousness, Depression
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetes mellitus, Differential white blood cell count, Empty sella syndrome, Fungal test positive, Gastrooesophageal reflux disease
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate decreased, Glucose urine absent, Haematocrit decreased, Haemoglobin decreased, Haemoglobin urine present
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, International normalised ratio increased, Intracranial mass, Laboratory test abnormal, Leukocytosis
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Lipase normal, Lung opacity, Lymphocyte count, Lymphocyte percentage decreased, Magnetic resonance imaging
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Mastoid disorder, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume increased
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte count increased, Monocyte percentage, Mucosal hypertrophy, Nervous system disorder
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count increased, Neutrophil percentage increased, Nitrite urine absent, Paranasal sinus mucosal hypertrophy, Platelet count normal
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet morphology normal, Pneumonia, Protein total, Protein urine present, Prothrombin time prolonged
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count increased, Red blood cell morphology normal, Red blood cells urine positive, Red cell distribution width increased, SARS-CoV-2 test negative
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Sepsis, Specific gravity urine normal, Tachycardia, Tachypnoea
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased, Urinary sediment, Urine abnormality, Urine analysis abnormal, Urine ketone body absent
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Urine leukocyte esterase positive, Urobilinogen urine, Vasogenic cerebral oedema, White blood cell count increased, White blood cells urine positive
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: White matter lesion, pH urine normal
Clinical narrative: patient has been admitted and discharged from hospital several times in last couple months.  He was admitted 5/18/22. the following information is admission  H/P and lab work. Chief complaint: Abnormal lab findings HPI: Patient is a 74-year-old male patient with no known medical history brought from medication list I can tell patient is having BPH, diabetes, gastroesophageal reflux disease, depression and some sort of neurological disorder for which he takes Keppra presented to emergency department today with a complaint of abnormal lab findings.  It appears that patient was sent from nursing home for a complaint of having a white count of 45.9.  Patient presented via EMS denies vomiting chest pain or fever.  Patient does report generalized weakness.  Patient is poor historian.  -Upon evaluation in the emergency room patient was found to have a white count of 48.1 hemoglobin 11 which is about his baseline absolute neutrophil count of 44.7 sodium of 134 BUN 37 creatinine 1.2 glucose 238 slightly elevated alkaline phosphatase at 147 normal lactate urinalysis showing large amount of leukoesterase small hemoglobin and bacteria.  Chest x-ray done in the emergency room shows patchy multifocal airspace opacities favored to represent pneumonia.  COVID-negative and lactate at 1.0.  Patient's vitals showing slight tachycardia on and off and tachypnea over 20.  Patient is being admitted for sepsis and evaluation is white count which is abnormally high despite the fact that he is having sepsis.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Muscle spasms, Pyrexia, Swelling
Clinical narrative: Patient experienced swelling, fever chills, leg cramps lasting 3 days.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, DF
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Full blood count, Laboratory test, Ocular hyperaemia, Periorbital swelling
Clinical narrative: Skin discoloration on face and neck. Eye redness and eyelid puffiness. Itching.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Red blood cell sedimentation rate, Skin discolouration, Troponin
Clinical narrative: Skin discoloration on face and neck. Eye redness and eyelid puffiness. Itching.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Cardiac monitoring, Chest X-ray, Echocardiogram
Clinical narrative: headache left side back of head..all day and night, tylenol every six hours not much relief .  A Fib 05/26/2022 hospitalized 24 hours.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Headache, Urine analysis
Clinical narrative: headache left side back of head..all day and night, tylenol every six hours not much relief .  A Fib 05/26/2022 hospitalized 24 hours.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BEYOND USE DATE
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gait disturbance, Headache, Impaired driving ability, Interchange of vaccine products
Clinical narrative: Was fine the day of. Next day, work at approximately 10am with a sore arm. Headache grew progressively over the day, as did dizziness and feeling of sea sickness. As of approximately 8pm the following day too dizzy to drive or use stairs.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Motion sickness, Pain in extremity
Clinical narrative: Was fine the day of. Next day, work at approximately 10am with a sore arm. Headache grew progressively over the day, as did dizziness and feeling of sea sickness. As of approximately 8pm the following day too dizzy to drive or use stairs.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: BEYOND USE DATE
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BEYOND USE DATE
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BEYOND USE DATE
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BEYOND USE DATE
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: The. Left Arm , Foot and the hand cramp up a lot. It started that night and has not changed.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None reported by pt as of this report.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse rx or events reported by pt as of this author's reporting.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse rx or events reported by pt at time of this report.  Pt has been seen since administration of vaccine and did not report anything.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in left ear
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse rx or events reported by patient at this time.  Pt has been seen by outside medical providers since time of administration.  Review of office notes in care everywhere does not indicate any complaints of adverse rx or event.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: vaccine administered on 5/11/2022 expiration date was 5/31/2022 but beyond use date was 04/18/2022
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: No adverse rx or events reported at time of this author's note. Pt has been seen by his PCP since administration of vaccine for a pre-op physical.  Nothing was noted in office note.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered 4/29/20/22 expiration date was 5/31/2022 but beyond use date was 4/18/2022
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: I CALLED  PT'S MOM 4 TIMES BUT I DID NOT GET ANY RESPONSE. SO, I AM NOT SURE IF THE PATIENT EXPERIENCE ANY SIDE EFFECT OF THE INJECTION.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse rx reported at time of this author's reporting
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered 4/27/22 expiration date was 5/31/2022 but beyond use date was 4/18/2022
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None as of this author's report.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine administered 4/27/2022 , expiration date of 5/31/2022 but beyond use date was 4/18/2022
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered 4/26/22 , expiration date was 5/31/2022, beyond use date was 4/18/2022
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: None as of this author's reporting
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Product use issue
Clinical narrative: vaccine administered on 4/26/2022, beyond use date was 04/18/2022 exp date was 5/31/2022
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Hyperhidrosis, Nausea
Clinical narrative: PATIENT GOT PFIZER AS THE SECOND BOOSTER AFTER GETTING J&J 2 TIMES. PATIENT COULD NOT BREATHE. PATIENT TURNED RED AND WAS NAUSEOUS AND SWEATING. WE CALL 911 AND PATIENT GOT BETTER AFTER 10-15 MINUTES WITHOUT ANY MEDICATION GIVEN. I CALLED TO FOLLOW UP. PATIENT FEELS WELL AND DID NOT HAVE ANY SIDE EFFECTS AFTER THAT.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine was administered 4/18/2022 beyond use date was04/18/2022 exp date 5/31/2022
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None as of this author's reporting
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine administered 5/27/2022, beyond use date was 04/18/2022, expiration date 05/31/2022
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered 5/18/2022, beyond use date 4/18/2022, expiration date 5/21/2022
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None as of this author's reporting
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine administered 05/22/2022 , beyond use date was 4/18/2022, expiration date was 5/31/2022
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None as of this author's reporting
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None as of this author's reporting
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine administered 5/24/2022, beyond use date was 4/28/2022, expiration date was 5/31/2022
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None as of this author's reporting.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None at time of this author's reporting
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None as of this author's reporting
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: None at time of this author's reporting
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None as of this author's reporting
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Dry mouth, Lip swelling, Oral disorder
Clinical narrative: Woke up with dry mouth, swollen lips , mushy mouth tissue , dry eyes
Age: 63.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Chills, Hyperhidrosis, Injection site pain, Muscular weakness
Clinical narrative: Severe chills, weakness in legs, sweating, soreness at injection site. Only the soreness extended past 24 hrs from injection; soreness continued for multiple days.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None as of this author's reporting.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None as of this author's reporting
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abnormal faeces, Arthralgia, Dyschezia, Haematochezia
Clinical narrative: Friday 27 May 2022: Severe Migraine that started at  08:30pm at night. Took naproxen 500.  Woke up Saturday 28 May 2022 with migraine. Took naproxen 500mg.  At around 4:00 pm started to develop some severe cramps, and abdominal pain.  First bowel movement occurred at 6:00pm with strong odor and red bright blood mixed inside each fecal deposit. I had two more painful bowl movements at 7:30pm and at 9:15pm both with red blood.  I called man and informed my situation. I was told to go to an urgent care if needed or that I could contact the nurse line.   Woke up  Sunday 29 May 2022 with abdominal pain, swollen hands and feet and a weird sensation of inflammation on top of my mouth. Also had joint pain in my hands, knees, achiles tendon pain on both feet, and severe neck pain. Developed a severe migraine in the afternoon that still exist up to this point.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Muscle spasms, Neck pain, Peripheral swelling, Sensory disturbance
Clinical narrative: Friday 27 May 2022: Severe Migraine that started at  08:30pm at night. Took naproxen 500.  Woke up Saturday 28 May 2022 with migraine. Took naproxen 500mg.  At around 4:00 pm started to develop some severe cramps, and abdominal pain.  First bowel movement occurred at 6:00pm with strong odor and red bright blood mixed inside each fecal deposit. I had two more painful bowl movements at 7:30pm and at 9:15pm both with red blood.  I called man and informed my situation. I was told to go to an urgent care if needed or that I could contact the nurse line.   Woke up  Sunday 29 May 2022 with abdominal pain, swollen hands and feet and a weird sensation of inflammation on top of my mouth. Also had joint pain in my hands, knees, achiles tendon pain on both feet, and severe neck pain. Developed a severe migraine in the afternoon that still exist up to this point.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Stomatitis, Tendon pain
Clinical narrative: Friday 27 May 2022: Severe Migraine that started at  08:30pm at night. Took naproxen 500.  Woke up Saturday 28 May 2022 with migraine. Took naproxen 500mg.  At around 4:00 pm started to develop some severe cramps, and abdominal pain.  First bowel movement occurred at 6:00pm with strong odor and red bright blood mixed inside each fecal deposit. I had two more painful bowl movements at 7:30pm and at 9:15pm both with red blood.  I called man and informed my situation. I was told to go to an urgent care if needed or that I could contact the nurse line.   Woke up  Sunday 29 May 2022 with abdominal pain, swollen hands and feet and a weird sensation of inflammation on top of my mouth. Also had joint pain in my hands, knees, achiles tendon pain on both feet, and severe neck pain. Developed a severe migraine in the afternoon that still exist up to this point.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Fall, Injection site pain, Loss of consciousness, Tremor
Clinical narrative: Gave vaccination, child said "ow", second later his eyes rolled to back of head, body shook and rolled off his chair to ground & fell unconscious for couple seconds then woke up!
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Aspiration bursa, Product administered at inappropriate site
Clinical narrative: Patient states shot administered too high, bursa punctured, shoulder sore for more than a week, went to an orthopedist for steroid injection
Sex: U
Vaccine: VARCEL
Symptoms: Product storage error
Clinical narrative: the vaccine was administered after temperature excursion; This spontaneous report was received from a nurse referring to a patient of unknown age and gender. The patient's concomitant medications, concurrent conditions, medical history and drug reactions/allergies were not reported.  On 28-APR-2022, the patient was vaccinated with varicella virus vaccine live (Oka/Merck) (VARIVAX) (strength, dose, route were not reported, lot # U026207, expiration date 24-AUG-2023 or lot # U029496, expiration date 21-SEP-2023, it was unknown which lot was administered) for prophylaxis after temperature excursion (product storage error). The vaccine was exposed to temperature at minus 9 degrees Celsius for 1 hour and 45 minutes. There was no previous temperature excursion. No additional information.
Sex: U
Vaccine: HEPA
Symptoms: Expired product administered, No adverse event
Clinical narrative: No additional adverse events reported.; Nurse reporting the administration of expired VAQTA and inquiring viability information pertaining to administration of expired dose.; This spontaneous report has been received from a registered nurse, referring to a patient of unknown age and gender. Information regarding the patient's pertinent medical history, concurrent condition and concomitant medication was not provided.  On 04-MAY-2022, the patient was vaccinated with expired hepatitis a vaccine, inactivated(VAQTA) (lot # U003464 with expiration date: 02-MAY-2022, 0.5 milliliter, strength and route were unknown) for prophylaxis (Expired product administered). The reporter inquired viability information pertaining to administration of expired dose. No additional adverse events reported.
Sex: F
Vaccine: HPV4
Symptoms: Inappropriate schedule of product administration
Clinical narrative: She only had 2 doses of GARDASIL / one dose at 0 months and the 2nd dose at 6 months; No additional AE reported; This spontaneous report was received from a Certified Pharmacy Technician (CPhT) concerning herself, a female patient of unspecified age.  The patient's concurrent conditions, medical history, drug reactions, allergies, and concomitant therapies were not reported.  In approximately 2002 (reported as "20 years ago"), the patient was vaccinated with the first and second doses (at 0 and 6 months) of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) intramuscular injection (dose, route of administration, lot #, and expiration date not provided) administered for prophylaxis. She only had two doses of the vaccine (Inappropriate schedule of product administration). No additional adverse event (AE) was reported (No adverse event). No product quality complaint (PQC) was reported. No further information was provided.
Age: 38.0
Sex: F
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: it looked slightly swollen after administration; MMRII was given intramuscularly instead of subcutaneously; The patient is 38 years old; This spontaneous report was received from pharmacist and referred to a 38-year-old female patient who was no pregnant. The patient had no pertinent medical history or drug reactions/allergies. The patient's concomitant medications was unknown.  On 06-DEC-2021, the patient was vaccinated with her second dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA) (M-M-R II) (0.5ml, lot #T034389, expiration date: 08-OCT-2022) for prophylaxis due to travel (product administered to patient of inappropriate age), and sterile diluent (STERILE DILUENT) (strength, dose, lot# and expiration date were not reported) administered intramuscularly. The measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA) (M-M-R II) was given intramuscularly instead of subcutaneously (incorrect route of product administration)   The reporter stated it looked slightly swollen on 24-MAY-2022 after administration but otherwise the patient had no symptoms or adverse effects of administration intramuscularly. No lab diagnostics/ studies were performed. The patient had not sought medical attention. No treatment was given for event. The outcome of slightly swollen was not reported.   The causality between suspect products and the event slightly swollen was not reported.