chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Chills, Decreased appetite, Diarrhoea, Dizziness, Fall
Clinical narrative: She got her vaccine, her arm got just a tiny bit sore before she went to bed.  Then on Sunday her arm was a little sore and she was tired and lethargic.  She did not feel good, was exhausted.  When she went to go to bed her stomach started feeling queasy and she felt like she was coming down with the flu.  Then on Monday when she got up she didn't feel good at all, and her ice pack leaked and there was water everywhere.  She leaned over to get a towel, felt dizzy and fell on the floor.  She laid on the floor for 5-10 minutes, had her husband come in and help her up.  She had injection site pain and tenderness, tiredness, headache and chills.  Her temp was 97.4, she only took it once.  She also had diarrhea, she had dry heaves, and then had vomiting, as well as nausea.  She did not eat anything, continued with the nausea and vomiting, as well as dizziness.  She did not black out at any point.   She laid in bed all day yesterday, did not eat or drink anything until 8-9:00 PM last night.  She did not call her doctor as she felt it was due to the vaccine, and if she did not feel good today she would have called the doctor and gone in.  Today, she is feeling better, and close to being 100% back to normal.  Knows that she needs to eat something, has a headache, and needs to take her medicine and take some water.
Age: 64.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Fatigue, Fluid intake reduced, Headache, Influenza like illness, Injection site pain
Clinical narrative: She got her vaccine, her arm got just a tiny bit sore before she went to bed.  Then on Sunday her arm was a little sore and she was tired and lethargic.  She did not feel good, was exhausted.  When she went to go to bed her stomach started feeling queasy and she felt like she was coming down with the flu.  Then on Monday when she got up she didn't feel good at all, and her ice pack leaked and there was water everywhere.  She leaned over to get a towel, felt dizzy and fell on the floor.  She laid on the floor for 5-10 minutes, had her husband come in and help her up.  She had injection site pain and tenderness, tiredness, headache and chills.  Her temp was 97.4, she only took it once.  She also had diarrhea, she had dry heaves, and then had vomiting, as well as nausea.  She did not eat anything, continued with the nausea and vomiting, as well as dizziness.  She did not black out at any point.   She laid in bed all day yesterday, did not eat or drink anything until 8-9:00 PM last night.  She did not call her doctor as she felt it was due to the vaccine, and if she did not feel good today she would have called the doctor and gone in.  Today, she is feeling better, and close to being 100% back to normal.  Knows that she needs to eat something, has a headache, and needs to take her medicine and take some water.
Age: 64.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Lethargy, Malaise, Mobility decreased, Nausea, Pain in extremity
Clinical narrative: She got her vaccine, her arm got just a tiny bit sore before she went to bed.  Then on Sunday her arm was a little sore and she was tired and lethargic.  She did not feel good, was exhausted.  When she went to go to bed her stomach started feeling queasy and she felt like she was coming down with the flu.  Then on Monday when she got up she didn't feel good at all, and her ice pack leaked and there was water everywhere.  She leaned over to get a towel, felt dizzy and fell on the floor.  She laid on the floor for 5-10 minutes, had her husband come in and help her up.  She had injection site pain and tenderness, tiredness, headache and chills.  Her temp was 97.4, she only took it once.  She also had diarrhea, she had dry heaves, and then had vomiting, as well as nausea.  She did not eat anything, continued with the nausea and vomiting, as well as dizziness.  She did not black out at any point.   She laid in bed all day yesterday, did not eat or drink anything until 8-9:00 PM last night.  She did not call her doctor as she felt it was due to the vaccine, and if she did not feel good today she would have called the doctor and gone in.  Today, she is feeling better, and close to being 100% back to normal.  Knows that she needs to eat something, has a headache, and needs to take her medicine and take some water.
Age: 64.0
Sex: F
Vaccine: COVID19-2, UNK
Symptoms: Retching, Vomiting
Clinical narrative: She got her vaccine, her arm got just a tiny bit sore before she went to bed.  Then on Sunday her arm was a little sore and she was tired and lethargic.  She did not feel good, was exhausted.  When she went to go to bed her stomach started feeling queasy and she felt like she was coming down with the flu.  Then on Monday when she got up she didn't feel good at all, and her ice pack leaked and there was water everywhere.  She leaned over to get a towel, felt dizzy and fell on the floor.  She laid on the floor for 5-10 minutes, had her husband come in and help her up.  She had injection site pain and tenderness, tiredness, headache and chills.  Her temp was 97.4, she only took it once.  She also had diarrhea, she had dry heaves, and then had vomiting, as well as nausea.  She did not eat anything, continued with the nausea and vomiting, as well as dizziness.  She did not black out at any point.   She laid in bed all day yesterday, did not eat or drink anything until 8-9:00 PM last night.  She did not call her doctor as she felt it was due to the vaccine, and if she did not feel good today she would have called the doctor and gone in.  Today, she is feeling better, and close to being 100% back to normal.  Knows that she needs to eat something, has a headache, and needs to take her medicine and take some water.
Age: 60.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eye symptom, Retinal vein occlusion
Clinical narrative: Patient had an episode of BRVO in 2020.  She was closely followed by Retinal Specialists.  She was treated with injections.  Her symptoms went in to remission by the time she received her COVID booster.    In the weeks after receiving her booster, she started having symptoms again.  she went back to Retinal Specialist, where a retinal exam confirmed the recurrence of her BRVO.
Age: 63.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ischaemic stroke
Clinical narrative: ACUTE STROKE DUE TO ISCHEMIA, UNSPECIFIED TYPE AND ARTERY
Age: 3.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10mcg dose of Moderna Bivalent instead of recommended 25mcg
Age: 58.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 90.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Diabetic neuropathy, Hypoxia
Clinical narrative: HYPOXIA 3/29/2023 DM 2 W NEUROLOGICAL MANIFESTATION
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sleep apnoea syndrome
Clinical narrative: SLEEP APNEA
Age: 3.0
Sex: M
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Given 10 mcg dose of Moderna Bivalent instead of recommended 25mcg
Age: 66.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension
Clinical narrative: HYPOTENSION
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Atrial fibrillation, Blood glucose increased, Blood pressure abnormal
Clinical narrative: Patient is a 66 y.o. male patient of, DO with history of atrial fibrillation, type 2 diabetes, essential pretension, hyperlipidemia presented to Hospital with palpitations and found to be in A-fib with RVR.   A-fib with RVR Fluid overload Essential hypertension Heart rate in the 120s on admission, improved and in 90's. Status post boluses of Lopressor EKG with A-fib with RVR Troponin 25>26, neg delta  Elevated proBNP at 1853. TSH within normal limit X-ray with signs suggesting pulmonary edema Last echo 2018 with a EF 50 to 55% with global hypokinesis Nuclear medicine 2018 With normal myocardial perfusion Likely triggered by COVID pneumonia Resumed home Coreg.  Resume home Coumadin an Resume home Coumadin and ramipril Lasix 20 mg IV BID. Echo with EF 59% Strict I's and O's with daily weight monitoring, - 10 L negative balance Increase ramipril to 10 mg secondary to uncontrolled blood pressure and Added amlodipine 5 mg on 3/29 Increase amlodipine to 10 mg on 4/1 secondary to uncontrolled blood pressure Pharmacy managing Coumadin dosing, latest INR 2.8 Continue 5 mg Coumadin on discharge until INR clinic follow-up, discussed with pharmacy Blood pressure stable and improved on 4/2/2023 Recommend PCP follow-up for close monitoring of blood pressure     Acute hypoxic respiratory failure...resolved O2 sat in the mid 80s Currently on nasal cannula with sats in 90's Likely in the setting of COVID contributed by A-fib with RVR Plan as below for COVID Weaned to RA 03/8 Covid-19 Virus Infection Possible viral PNA Date of onset of symptoms: Couple of days Symptoms present on admission: Shortness of breath, intermittent coughs Date of covid positive test: 3/24/2023 Vaccination status: vaccinated Imaging: Chest x-ray with moderate pulmonary edema and stable cardiomegaly. Oxygen requirements on admission: Nasal cannula2 L Current oxygen requirements: RA Medical therapy: steroids/remdesivir Consultants following: e-ID End isolation date on 4/3   Type 2 diabetes, non-insulin-dependent Last A1c 9.8 on 1/9/2023 Blood sugar 314 this admission On lantus 24 units nightly and glipizide and Ozempic  Ordered lantus 34units with SSI/POCTS/Hypoglycemia protocol as needed  Titrated lantus to 38 units with SSI adjused to normal from sensitive given elevated BS and steroid use, uptitrated to 42 units, changed SSI to resistant Uptitrated lantus to 50 units 03/28 Blood glucose remain elevated, appreciate endocrinology assistance Recommend to continue Lantus 50 units and start carb count prandial coverage Uptitrated lantus to 70 units by endocrine team along with carb count gradual dose 03/31 and 18 units on 4/1 Monitor BS, improving, endo following Discussed with Endo, will discharge on 70 units of Lantus to be taken on 4/3 and from there onwards 40 units of Lantus after Decadron doses finished   Elevated transaminases On remdesivir, last dose on 3/29 Will discontinue as patient stable on room air Avoid hepatotoxic agents LFTs stable and improved 03/30 Monitor CMP
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Condition aggravated
Clinical narrative: Patient is a 66 y.o. male patient of, DO with history of atrial fibrillation, type 2 diabetes, essential pretension, hyperlipidemia presented to Hospital with palpitations and found to be in A-fib with RVR.   A-fib with RVR Fluid overload Essential hypertension Heart rate in the 120s on admission, improved and in 90's. Status post boluses of Lopressor EKG with A-fib with RVR Troponin 25>26, neg delta  Elevated proBNP at 1853. TSH within normal limit X-ray with signs suggesting pulmonary edema Last echo 2018 with a EF 50 to 55% with global hypokinesis Nuclear medicine 2018 With normal myocardial perfusion Likely triggered by COVID pneumonia Resumed home Coreg.  Resume home Coumadin an Resume home Coumadin and ramipril Lasix 20 mg IV BID. Echo with EF 59% Strict I's and O's with daily weight monitoring, - 10 L negative balance Increase ramipril to 10 mg secondary to uncontrolled blood pressure and Added amlodipine 5 mg on 3/29 Increase amlodipine to 10 mg on 4/1 secondary to uncontrolled blood pressure Pharmacy managing Coumadin dosing, latest INR 2.8 Continue 5 mg Coumadin on discharge until INR clinic follow-up, discussed with pharmacy Blood pressure stable and improved on 4/2/2023 Recommend PCP follow-up for close monitoring of blood pressure     Acute hypoxic respiratory failure...resolved O2 sat in the mid 80s Currently on nasal cannula with sats in 90's Likely in the setting of COVID contributed by A-fib with RVR Plan as below for COVID Weaned to RA 03/8 Covid-19 Virus Infection Possible viral PNA Date of onset of symptoms: Couple of days Symptoms present on admission: Shortness of breath, intermittent coughs Date of covid positive test: 3/24/2023 Vaccination status: vaccinated Imaging: Chest x-ray with moderate pulmonary edema and stable cardiomegaly. Oxygen requirements on admission: Nasal cannula2 L Current oxygen requirements: RA Medical therapy: steroids/remdesivir Consultants following: e-ID End isolation date on 4/3   Type 2 diabetes, non-insulin-dependent Last A1c 9.8 on 1/9/2023 Blood sugar 314 this admission On lantus 24 units nightly and glipizide and Ozempic  Ordered lantus 34units with SSI/POCTS/Hypoglycemia protocol as needed  Titrated lantus to 38 units with SSI adjused to normal from sensitive given elevated BS and steroid use, uptitrated to 42 units, changed SSI to resistant Uptitrated lantus to 50 units 03/28 Blood glucose remain elevated, appreciate endocrinology assistance Recommend to continue Lantus 50 units and start carb count prandial coverage Uptitrated lantus to 70 units by endocrine team along with carb count gradual dose 03/31 and 18 units on 4/1 Monitor BS, improving, endo following Discussed with Endo, will discharge on 70 units of Lantus to be taken on 4/3 and from there onwards 40 units of Lantus after Decadron doses finished   Elevated transaminases On remdesivir, last dose on 3/29 Will discontinue as patient stable on room air Avoid hepatotoxic agents LFTs stable and improved 03/30 Monitor CMP
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Echocardiogram normal, Ejection fraction normal, Electrocardiogram abnormal
Clinical narrative: Patient is a 66 y.o. male patient of, DO with history of atrial fibrillation, type 2 diabetes, essential pretension, hyperlipidemia presented to Hospital with palpitations and found to be in A-fib with RVR.   A-fib with RVR Fluid overload Essential hypertension Heart rate in the 120s on admission, improved and in 90's. Status post boluses of Lopressor EKG with A-fib with RVR Troponin 25>26, neg delta  Elevated proBNP at 1853. TSH within normal limit X-ray with signs suggesting pulmonary edema Last echo 2018 with a EF 50 to 55% with global hypokinesis Nuclear medicine 2018 With normal myocardial perfusion Likely triggered by COVID pneumonia Resumed home Coreg.  Resume home Coumadin an Resume home Coumadin and ramipril Lasix 20 mg IV BID. Echo with EF 59% Strict I's and O's with daily weight monitoring, - 10 L negative balance Increase ramipril to 10 mg secondary to uncontrolled blood pressure and Added amlodipine 5 mg on 3/29 Increase amlodipine to 10 mg on 4/1 secondary to uncontrolled blood pressure Pharmacy managing Coumadin dosing, latest INR 2.8 Continue 5 mg Coumadin on discharge until INR clinic follow-up, discussed with pharmacy Blood pressure stable and improved on 4/2/2023 Recommend PCP follow-up for close monitoring of blood pressure     Acute hypoxic respiratory failure...resolved O2 sat in the mid 80s Currently on nasal cannula with sats in 90's Likely in the setting of COVID contributed by A-fib with RVR Plan as below for COVID Weaned to RA 03/8 Covid-19 Virus Infection Possible viral PNA Date of onset of symptoms: Couple of days Symptoms present on admission: Shortness of breath, intermittent coughs Date of covid positive test: 3/24/2023 Vaccination status: vaccinated Imaging: Chest x-ray with moderate pulmonary edema and stable cardiomegaly. Oxygen requirements on admission: Nasal cannula2 L Current oxygen requirements: RA Medical therapy: steroids/remdesivir Consultants following: e-ID End isolation date on 4/3   Type 2 diabetes, non-insulin-dependent Last A1c 9.8 on 1/9/2023 Blood sugar 314 this admission On lantus 24 units nightly and glipizide and Ozempic  Ordered lantus 34units with SSI/POCTS/Hypoglycemia protocol as needed  Titrated lantus to 38 units with SSI adjused to normal from sensitive given elevated BS and steroid use, uptitrated to 42 units, changed SSI to resistant Uptitrated lantus to 50 units 03/28 Blood glucose remain elevated, appreciate endocrinology assistance Recommend to continue Lantus 50 units and start carb count prandial coverage Uptitrated lantus to 70 units by endocrine team along with carb count gradual dose 03/31 and 18 units on 4/1 Monitor BS, improving, endo following Discussed with Endo, will discharge on 70 units of Lantus to be taken on 4/3 and from there onwards 40 units of Lantus after Decadron doses finished   Elevated transaminases On remdesivir, last dose on 3/29 Will discontinue as patient stable on room air Avoid hepatotoxic agents LFTs stable and improved 03/30 Monitor CMP
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive, Scan myocardial perfusion, Transaminases increased, Troponin increased
Clinical narrative: Patient is a 66 y.o. male patient of, DO with history of atrial fibrillation, type 2 diabetes, essential pretension, hyperlipidemia presented to Hospital with palpitations and found to be in A-fib with RVR.   A-fib with RVR Fluid overload Essential hypertension Heart rate in the 120s on admission, improved and in 90's. Status post boluses of Lopressor EKG with A-fib with RVR Troponin 25>26, neg delta  Elevated proBNP at 1853. TSH within normal limit X-ray with signs suggesting pulmonary edema Last echo 2018 with a EF 50 to 55% with global hypokinesis Nuclear medicine 2018 With normal myocardial perfusion Likely triggered by COVID pneumonia Resumed home Coreg.  Resume home Coumadin an Resume home Coumadin and ramipril Lasix 20 mg IV BID. Echo with EF 59% Strict I's and O's with daily weight monitoring, - 10 L negative balance Increase ramipril to 10 mg secondary to uncontrolled blood pressure and Added amlodipine 5 mg on 3/29 Increase amlodipine to 10 mg on 4/1 secondary to uncontrolled blood pressure Pharmacy managing Coumadin dosing, latest INR 2.8 Continue 5 mg Coumadin on discharge until INR clinic follow-up, discussed with pharmacy Blood pressure stable and improved on 4/2/2023 Recommend PCP follow-up for close monitoring of blood pressure     Acute hypoxic respiratory failure...resolved O2 sat in the mid 80s Currently on nasal cannula with sats in 90's Likely in the setting of COVID contributed by A-fib with RVR Plan as below for COVID Weaned to RA 03/8 Covid-19 Virus Infection Possible viral PNA Date of onset of symptoms: Couple of days Symptoms present on admission: Shortness of breath, intermittent coughs Date of covid positive test: 3/24/2023 Vaccination status: vaccinated Imaging: Chest x-ray with moderate pulmonary edema and stable cardiomegaly. Oxygen requirements on admission: Nasal cannula2 L Current oxygen requirements: RA Medical therapy: steroids/remdesivir Consultants following: e-ID End isolation date on 4/3   Type 2 diabetes, non-insulin-dependent Last A1c 9.8 on 1/9/2023 Blood sugar 314 this admission On lantus 24 units nightly and glipizide and Ozempic  Ordered lantus 34units with SSI/POCTS/Hypoglycemia protocol as needed  Titrated lantus to 38 units with SSI adjused to normal from sensitive given elevated BS and steroid use, uptitrated to 42 units, changed SSI to resistant Uptitrated lantus to 50 units 03/28 Blood glucose remain elevated, appreciate endocrinology assistance Recommend to continue Lantus 50 units and start carb count prandial coverage Uptitrated lantus to 70 units by endocrine team along with carb count gradual dose 03/31 and 18 units on 4/1 Monitor BS, improving, endo following Discussed with Endo, will discharge on 70 units of Lantus to be taken on 4/3 and from there onwards 40 units of Lantus after Decadron doses finished   Elevated transaminases On remdesivir, last dose on 3/29 Will discontinue as patient stable on room air Avoid hepatotoxic agents LFTs stable and improved 03/30 Monitor CMP
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Respiratory failure
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Aortic arteriosclerosis, Aortic stenosis, Aortic valve stenosis
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood lactic acid, COVID-19, Cardiac failure, Cardiac failure congestive
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Condition aggravated, Cortisol decreased
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Sex: M
Vaccine: COVID19
Symptoms: Cough, Culture urine negative, Diastolic dysfunction, Dyspnoea, Echocardiogram abnormal
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram normal, Glycosylated haemoglobin, Gram stain negative, Hyperglycaemia
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Sex: M
Vaccine: COVID19
Symptoms: Hypervolaemia, Hypothermia, Hypoxia, Infection, Lactic acidosis
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Sex: M
Vaccine: COVID19
Symptoms: Lung consolidation, Lung infiltration, Microscopy, Myocardial ischaemia, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Pneumonia, Pulmonary oedema, Pyuria, Respiratory failure
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Staphylococcus test negative, Troponin increased
Clinical narrative: 91 y.o. male patient of an MD with history of HFrEF, CKDIV, aortic stenosis, T2DM, HTN, CVA, and benign prostatic hyperplasia. Presents with shortness of breath.   Acute Hypoxic Hypercapnic Respiratory Failure Requiring 2-3L NC initially, down to RA at present  Due to pneumonia, covid, volume overload  No baseline 02 requirement - was steel worker with chronic CT changes  Stable on RA   COVID-19 With cough, hypoxemia Vaccinated, boosted  Positive 3/30 Cont decadron to finish 10d course while requiring supplemental O2/RA <94% No remdesivir due to AKI  Appreciate pulm Nebulizer on discharge with prn duonebs   Hypothermia - resolved Recurrent, requiring bair hugger rewarming No other VS abnormality Suspect related to CHF and recent infection, excessive beta blockade Decreased metop dose, with improved HR and temp Check TSH, AM cortisol; cortisol mildly low but on dex Pyuria noted, no LUTS, Ucx <10k normal flora on cefepime Off bair hugger, monitor   Multifocal PNA Sepsis Secondary to Multifocal, Gram Negative, PNA Dyspnea, cough, hypoxia and hypothermia  Repeat CT Chest w/ multifocal PNA, ? Masslike consolidation in RUL and LLL  Finished Cefepime for 7d course through 4/5 Micro unrevealing. MRSA neg   HFrEF, in acute exacerbation Aortic Stenosis NT-proBNP 13k Echo 3/16/23: EF 30-35%, grade II diastolic dysfunction, severe aortic leaflet calcification and aortic valve stenosis CXR: bilateral infiltrates - PNA vs edema Home toprol ordered; dose reduced to 12.5mg BID 4/7, hold parameters in place. 25mg succinate daily on discharge Nephrology consulted for assistance in diuresis management Still some peripheral edema, Cr climbing to 3.1 Lasix held 4/4, resume PO lasix 4/5 and continue on discharge   Chronic Kidney Disease IV Creatinine 2.55 on admission, baseline ~ 2.1-2.4 Nephrology followed, tolerating azotemia; Cr up to 3.18 with IV diuresis, down to 3.0 after transitioning back to PO lasix Renal signed off, follow up with Dr. outpatient   Elevated Troponin Likely due to HFrEF, demand ischemia 57, repeat 56 EKG non-ischemic   Lactic Acidosis LA 2.5, repeat 2.6 No SIRS criteria met on admit Monitor   T2DM Most recent A1c of 6.4 SSI Changed lantus to NPH with steroid given daytime hyperglycemia Hyperglycemia will improve off steroid, continue diet control
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypotension, Hypoxia, Pulmonary embolism
Clinical narrative: HYPOTENSION ACUTE PULMONARY EMBOLISM HYPOXIA
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Chronic respiratory failure, Hypoxia, Respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA
Age: 41.0
Sex: M
Vaccine: COVID19-2
Symptoms: Cardio-respiratory arrest, Chest X-ray abnormal, Life support, Lung infiltration, Resuscitation
Clinical narrative: The patient is currently on maximum doses of epinephrine gtt, levophed gtt and vasopressin.  He is requiring 100% FiO2 and PEEP of 15  Chest xray reviewed with Dr., post CPR patient with worsening infiltrates bilaterally, possible bilateral pleural effusions, no pneumothorax.   He is being maximally supported at this time.  It has been discussed with the patients wife that  Further attempts at resuscitation would be futile.  We will continue life support measures and current treatment plan, but will not proceed with CPR if the patient has another cardiopulmonary arrest.  The patients wife requested that we not draw more labs at this time.
Age: 52.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 46.0
Sex: F
Vaccine: HPV9, MMR, VARCEL
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient stated that she received the wrong vaccine.  Reports that she was supposed to receive HBV and received HPV instead.  No adverse events reports.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 70.0
Sex: F
Vaccine: COVID19-2
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 59.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 0.75
Sex: M
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: No adverse event. Moderna monovalent vaccine given after 4/18/2023.
Age: 55.0
Sex: M
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Expired product administered
Clinical narrative: There are no symptoms of the patient, it is that the vaccine was out of date at the time of administration.
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Hypoaesthesia, Swelling face
Clinical narrative: Right side of face swollen and went numb
Age: 79.0
Sex: F
Vaccine: COVID19-2
Symptoms: Cerebrovascular accident
Clinical narrative: ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY
Age: 75.0
Sex: F
Vaccine: COVID19-2
Symptoms: Chronic respiratory failure, Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Computerised tomogram, Death, Lung cancer metastatic, Positron emission tomogram
Clinical narrative: Metastatic Lung Cancer / Death
Age: 52.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site induration, Injection site rash
Clinical narrative: Patient reported firm red rash at injection site that is getting bigger since vaccination, no itching, tried icy-hot and warm/cold without benefit, no fever or systemic symptoms
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Cholecystitis chronic, Hyperlipidaemia, Hypoxia
Clinical narrative: R09.02 HYPOXIA 3/27/2023 CHRONIC CHOLECYSTITIS R09.02 HYPOXIA 3/27/2023 HYPERLIPIDEMIA
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 0.17
Sex: M
Vaccine: PNC20
Symptoms: Incorrect dose administered
Clinical narrative: vaccine given was the adult dose instead of the pediatric dose.  Report given on event to Provider, who states that there should be no adverse reaction to the event, and RN nurse manager.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI 2/18/2023  --  RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Attention deficit hyperactivity disorder, Non-alcoholic fatty liver, Obstructive sleep apnoea syndrome
Clinical narrative: G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 4/14/2023 NONALCOHOLIC FATTY LIVER G47.33 ADULT OBSTRUCTIVE SLEEP APNEA 4/14/2023 ADHD, PREDOMINANTLY INATTENTIVE PRESENTATION
Age: 91.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute myocardial infarction
Clinical narrative: ACUTE NON ST ELEVATION MI
Age: 0.58
Sex: F
Vaccine: COVID19
Symptoms: Discontinued product administered, No adverse event
Clinical narrative: No adverse event. Moderna monovalent vaccine given after 4/18/2023.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Echocardiogram abnormal, Electrocardiogram abnormal, Impaired work ability
Clinical narrative: Jan 24,2022  I started having chills they tested me for covid I had it  so was off work for 2 weeks
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Jan 24,2022  I started having chills they tested me for covid I had it  so was off work for 2 weeks