chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
Clinical narrative: SARS-CoV-2 positive with COVID-19 treatment; SARS-CoV-2 positive with COVID-19 treatment; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 62-year-old male patient received BNT162b2 (BNT162B2), on 16Mar2022 as dose 2, single (Batch/Lot number: unknown) at the age of 61 years, in left arm for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "high blood pressure" (unspecified if ongoing), notes: Other medical history: high blood pressure. There were no concomitant medications. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 2022, outcome "unknown" and all described as "SARS-CoV-2 positive with COVID-19 treatment". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (2022) Positive. Therapeutic measures were taken as a result of drug ineffective, covid-19 included Paxlovid therapy from 23Aug2022 to 27Aug2022. The patient has no known allergies.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Vomiting
Clinical narrative: Severe headache x 4 days; body aches x 5 days; nausea x 2 days; vomiting x 1 day; This is a spontaneous report received from a contactable reporter (Nurse). The reporter is the patient.  A 37-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 25Aug2022 at 14:00 as dose 1, single (Lot number: FP7138) at the age of 37 years, in right arm for COVID-19 immunisation. The patient's relevant medical history included: "MS" (unspecified if ongoing); "COVID-19" (unspecified if ongoing). Concomitant medications included: PEPCID; SYNTHROID. Past drug history included: Trazodone, reaction: "Known allergies: Trazodone". The following information was reported: HEADACHE (non-serious) with onset 25Aug2022 at 15:00, outcome "recovered" (Aug2022), described as "Severe headache x 4 days"; PAIN (non-serious) with onset 25Aug2022 at 15:00, outcome "recovered" (Aug2022), described as "body aches x 5 days"; NAUSEA (non-serious) with onset 25Aug2022 at 15:00, outcome "recovered" (Aug2022), described as "nausea x 2 days"; VOMITING (non-serious) with onset 25Aug2022 at 15:00, outcome "recovered" (Aug2022), described as "vomiting x 1 day". The events "severe headache x 4 days", "body aches x 5 days", "nausea x 2 days" and "vomiting x 1 day" required physician office visit. Therapeutic measures were taken as a result of headache, pain, nausea, vomiting .  Additional information: Patient did not receive other vaccine in four weeks. Adverse event treatment included pain control. Patient was not tested for COVID post vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Borrelia test, C-reactive protein, Computerised tomogram abdomen, Computerised tomogram head
Clinical narrative: Bilateral facial paralysis    Bilateral facial dystonia with paresthesia Random paresthesia of the upper and lower extremities Episodes last between 30seconds and 6. Hours  No resolution at this time
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram pelvis, Computerised tomogram thorax, Dystonia, Electroencephalogram, Facial paralysis
Clinical narrative: Bilateral facial paralysis    Bilateral facial dystonia with paresthesia Random paresthesia of the upper and lower extremities Episodes last between 30seconds and 6. Hours  No resolution at this time
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Laboratory test, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging neck
Clinical narrative: Bilateral facial paralysis    Bilateral facial dystonia with paresthesia Random paresthesia of the upper and lower extremities Episodes last between 30seconds and 6. Hours  No resolution at this time
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Paraesthesia, Red blood cell sedimentation rate, Scan with contrast
Clinical narrative: Bilateral facial paralysis    Bilateral facial dystonia with paresthesia Random paresthesia of the upper and lower extremities Episodes last between 30seconds and 6. Hours  No resolution at this time
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site cellulitis, Injection site erythema, Injection site rash
Clinical narrative: Celluitis developed around injection site.  Red rash spreading.  4.5" x 4.5".  Reaction was normal on Day 1, red rash spread on Day 2.  Then consulted doctor (virtual visit) who prescribed Cephalexin 500MG 3x/daily for celluitis.
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pyrexia
Clinical narrative: Fever x 48 hrs (as high as 104)
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Muscular weakness, Nerve conduction studies abnormal, Neuralgic amyotrophy
Clinical narrative: muscle weakness and pain in right arm and right shoulder girdle, extreme tiredness, Parsonage-Turner Syndrome
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: muscle weakness and pain in right arm and right shoulder girdle, extreme tiredness, Parsonage-Turner Syndrome
Sex: U
Vaccine: VARZOS
Symptoms: Acupuncture, Cerebrovascular accident, Hemiplegia
Clinical narrative: lost left side; stroke, lost left side; This case was reported by a consumer via interactive digital media and described the occurrence of left sided paralysis in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   In August 2022, the patient received the 1st dose of Shingles vaccine. In August 2022, less than 2 weeks after receiving Shingles vaccine, the patient experienced left sided paralysis (serious criteria GSK medically significant) and stroke (serious criteria GSK medically significant). The patient was treated with non-drug therapy (Acupuncture). On an unknown date, the outcome of the left sided paralysis was unknown and the outcome of the stroke was recovering/resolving.   It was unknown if the reporter considered the left sided paralysis and stroke to be related to Shingles vaccine.     Additional Information: GSK Receipt Date: 30-AUG-2022 Reporter's Comment: This case was reported by the patient via interactive digital media. The patient received first dose of shingles vaccine last week (before reporting) and the patient was recovering from stroke, where patient lost his/her left side. The patient went for acupuncture to speed up recovery which brought on nerve regeneration, just wondering if GlaxoSmithKline want to check in to that for issue. Additional Supportive Information: The follow-up would not possible as no contact details were available.
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal discomfort, Injection site pain, Nausea, Pyrexia
Clinical narrative: raised soreness at injection site; Nausea; 100F temperature; Upset Stomach; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a female patient who received Herpes zoster (Shingrix) for prophylaxis.   On 26th August 2022, the patient received the 2nd dose of Shingrix. On 26th August 2022, less than a day after receiving Shingrix, the patient experienced injection site pain, nausea, fever and upset stomach. On an unknown date, the outcome of the injection site pain, nausea, fever and upset stomach were not recovered/not resolved.   It was unknown if the reporter considered the injection site pain, nausea, fever and upset stomach to be related to Shingrix.     Additional Information: GSK Receipt Date: 28-AUG-2022 Reporter's Comment:  The reporter was husband. The reporter stated that the patient was experiencing raised soreness at injection site, nausea, 100F temperature, upset stomach. The reporter want to know how long these adverse events would last. The reporter gave consent to follow up. Additional Supportive Information:  For Husband case refer case US2022AMR125353.; Sender's Comments:  US-GSK-US2022AMR125353:Same Reporter
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Delirium, Hypoaesthesia, Nausea
Clinical narrative: DELIRIUM; SEVERE NAUSEA; NUMBNESS IN LEFT ARM; This spontaneous report received from a patient concerned a 24 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, 1 total, administered on left arm, on around an unspecified date of AUG-2021 for covid-19 prophylaxis. The batch number was not reported and has been requested. Age at time of vaccination 24 years old. No concomitant medications were reported.  On AUG-2021, evening of vaccination, the patient experienced delirium, severe nausea and numbness in left arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from delirium and severe nausea after 3 days, and from numbness in left arm after about a week.  This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20220901837- Covid-19 vaccine ad26.cov2.s- Delirium. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s). Therefore, this event(s) is considered unassessable.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event, SARS-CoV-2 test
Clinical narrative: No adverse event; Second primary dose administered almost 2 months after the 1st one; This spontaneous case was reported by a patient and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second primary dose administered almost 2 months after the 1st one) and NO ADVERSE EVENT (No adverse event) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination.     Concomitant products included INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) for an unknown indication.   On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 30-Mar-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second primary dose administered almost 2 months after the 1st one). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second primary dose administered almost 2 months after the 1st one) and NO ADVERSE EVENT (No adverse event) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Jul-2022, SARS-CoV-2 test: (Positive) Positive.      Patient had no Allergies medications, food and other products   Medical history relating to mentioned AE and both Acute and Chronic illnesses at the time of vaccination information were not reported.   On October 2021, patient received Pneumonia shots.   No treatment medications were reported.   This case was linked (Patient Link).
Sex: M
Vaccine: COVID19
Symptoms: Illness, Myalgia
Clinical narrative: Did not feel good after reciving the Moderna vaccines/felt as sick as a dog; Had muscle soreness; This spontaneous case was reported by a patient family member or friend and describes the occurrence of ILLNESS (Did not feel good after reciving the Moderna vaccines/felt as sick as a dog) and MYALGIA (Had muscle soreness) in a male patient of an unknown age who received mRNA-1273 (Spikevax) for COVID-19 vaccination.     No Medical History information was reported.   On an unknown date, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Spikevax) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ILLNESS (Did not feel good after reciving the Moderna vaccines/felt as sick as a dog) and MYALGIA (Had muscle soreness). At the time of the report, ILLNESS (Did not feel good after reciving the Moderna vaccines/felt as sick as a dog) and MYALGIA (Had muscle soreness) outcome was unknown.            No concomitant drug was reported.  The reporter stated that her husband received Moderna Covid-19 primary vaccine series and did not feel good after receiving the Moderna vaccines.  No treatment drug was reported.   Reporter did not allow further contact
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diabetic complication
Clinical narrative: potential complications w/diabetes; Person experienced joint pain; This spontaneous case was reported by a consumer and describes the occurrence of DIABETIC COMPLICATION (potential complications w/diabetes) and ARTHRALGIA (Person experienced joint pain) in a 6-decade-old female patient who received mRNA-1273 (Spikevax) for COVID-19 prophylaxis.     Concurrent medical conditions included Diabetes.    On an unknown date, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On an unknown date, the patient experienced DIABETIC COMPLICATION (potential complications w/diabetes) and ARTHRALGIA (Person experienced joint pain). At the time of the report, DIABETIC COMPLICATION (potential complications w/diabetes) and ARTHRALGIA (Person experienced joint pain) outcome was unknown.        The action taken with mRNA-1273 (Spikevax) (Unknown) was unknown.       No concomitant medications were reported. No treatment medications were reported.   This case was linked to US-MODERNATX, INC.-MOD-2022-639293 (E2B Linked Report).   Reporter did not allow further contact; Sender's Comments:  US-MODERNATX, INC.-MOD-2022-639293:50-year-old Male case
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Bone pain, Dizziness, Dyspnoea, Extra dose administered
Clinical narrative: Waking every 15 minutes with fever, nausea, headache, extreme thirst, my whole body hurts- especially bones and joints. Muscles are weak. Dizziness- can?t walk without the room spinning. Shortness of breath. General malaise. My eyeballs hurt, my hair follicles hurt.  I have a very high pain tolerance (delivered two babies with no drugs no epidural).
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Eye pain, Gait disturbance, Headache, Malaise, Muscular weakness
Clinical narrative: Waking every 15 minutes with fever, nausea, headache, extreme thirst, my whole body hurts- especially bones and joints. Muscles are weak. Dizziness- can?t walk without the room spinning. Shortness of breath. General malaise. My eyeballs hurt, my hair follicles hurt.  I have a very high pain tolerance (delivered two babies with no drugs no epidural).
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nausea, Pain, Product administered to patient of inappropriate age, Pyrexia, Sleep disorder
Clinical narrative: Waking every 15 minutes with fever, nausea, headache, extreme thirst, my whole body hurts- especially bones and joints. Muscles are weak. Dizziness- can?t walk without the room spinning. Shortness of breath. General malaise. My eyeballs hurt, my hair follicles hurt.  I have a very high pain tolerance (delivered two babies with no drugs no epidural).
Age: 41.0
Sex: F
Vaccine: COVID19-2
Symptoms: Thirst, Vertigo
Clinical narrative: Waking every 15 minutes with fever, nausea, headache, extreme thirst, my whole body hurts- especially bones and joints. Muscles are weak. Dizziness- can?t walk without the room spinning. Shortness of breath. General malaise. My eyeballs hurt, my hair follicles hurt.  I have a very high pain tolerance (delivered two babies with no drugs no epidural).
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Insomnia
Clinical narrative: 3 hours after the vaccination I developed the worst headache I had ever experienced thus far in my life.  This headache began to decrease in its intensity after one day and gradually got better until after 2 weeks it was gone.  Since the vaccination, I find it much harder to sleep, and as a result of my inability to sleep, I have painful headaches every few months that last weeks at a time.
Age: 76.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: blister like bubble at injection
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster, Rash
Clinical narrative: Systemic: Pt has rash on back and opposite arm, states resembles shingles-Mild, Additional Details: Pt has rash on back and opposite arm, states resembles shingles
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Hypersensitivity, Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild
Age: 77.0
Sex: M
Vaccine: FLU4
Symptoms: Swelling face
Clinical narrative: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium
Age: 45.0
Sex: M
Vaccine: FLUC4
Symptoms: Injection site erythema, Injection site haemorrhage
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: pt bled but not profusely-Mild, Additional Details: After administration, pt was bleeding a good amount, with blood running down his arm. As I was gathering suppplies to tend to him, he jumped up and left the vaccination room, and proceeded to act like I didn't know what I was doing. Patient left with no further tending to, and blood smeared all over his arm by himself. Two children were vaxxed at same time with no incident.
Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 79.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild
Age: 6.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Aggression, Emotional disorder
Clinical narrative: Patient became upset and started flailing her arms after DTaP vaccination was administered. Unable to safely administer MMR or Varicella vaccines due to patient being upset and inconsolable, vaccines were wasted with another nurse and provider present.
Age: 0.33
Sex: M
Vaccine: DTAPIPV, HIBV, PNC13, RV5
Symptoms: Circumstance or information capable of leading to medication error, No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient received Kinrix Dtap + IPV instead of Pediarix vaccine. Nurse misread label and vaccination schedule provided by office. Provider notified, patient's mother notified. No adverse reactions reported. Patient to return in 4 weeks for proper vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Granulocyte count increased, Monocyte count increased
Clinical narrative: Immature granulocytes noted on CBC 5/25/2022 & 8/30/2022 and increased monocytes also noted on both
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Lip swelling
Clinical narrative: Pt stated her eyes and lips started to swell on the way home. She went to a facility for treatment. They would NOT give her a steroid injection. They prescribed, Pepcid, Atarax & Prednisone which she picked up the next day
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol use, Alcoholism, Arthralgia, Asthenia, Bacterial sepsis
Clinical narrative: Narrative:  Pt presented to ED on 8/11/2022 wit cough and congestion x 1 week (approx. 8/4/22). Pt c/o LBP and left hip pain. Pt states he was walking x 1wk ago, then got this cold and can no longer walk. Pt admitted 8/11/22 - 8/26/22 with principal diagnosis = sepsis d/t serrati infection. ADDITIONAL DIAGNOSES: covid 19 infection alcohol use and dependence nicotine use and dependence hyponatremia hypomagnesia hypertension hiatel hernia alcoholic hepatitis iron deficient anemia HISTORY OF PRESENT ILLNESS: Patient is a 63 year old male with history of HTN/Alcohol dependence/GERD who was brought in by his sister due to cough for the past week not relieved by OTC and associated with generalized weakness. He was evaluated in ER and noted to have RLL pneumonia; he was covered with Rocephin and Zitho pending covid testing results; his covid was positive so medical services were contacted for further evaluation and treatment. Upon arrival to ER, patient is in respiratory isolation; he continues to c/o of cough which is productive of clear sputum; he denies fever, chills, hemoptysis, SOB or pleuritic pain; he admits to vomiting due to cough but denies nausea or diarrhea. HOSPITAL COURSE: Pt admitted to SDU. dx RLL pneumonia-with +covid. started on remdesivir for 3 days. cont CAP coverage with Rocephin and zithromax. no oxygen required. noted hx of etoh use - on ciwa protocol. hx of nicotine use - patch placed. corrected electrolytes as appropriate. day 2 dx changed to Gram negative sepsis. etiology unclear. checked ua/uc. CT abd/pelvis - ? gallbladder. adjust antibiotics to cefepime. bc result - serratia. ID consulted. MRI abd/pelvis and lumbar spine ordered -neg for acute process. pt stable for transfer to the floor on 8/13. cont antibiotics. per ID Serratia bacteremia with unclear source, pneumonia or GI most likely. continue cefepime 2g IV q8h for Serratia BSI. 14d course. prolonged QTc, so no oral options available. oncology consulted for anemia. noted abnormal +M-spike. immunofixation ordered but not resulted at discharge. plan for oncology follow up. initially plan was for STR. PT had done evaluation and recommended this. however, after a few days, the patient declined STR. Sister unable to take care of pt at this time due to also being COVID positive. Pt determined not to be candidate for home iv antibiotics. pt completed antibiotics as inpt. pt would decline PT services. pt tolerated medications. pt stable for d/c to home on 8/26/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, COVID-19, Computerised tomogram abdomen, Culture urine, Electrocardiogram QT prolonged
Clinical narrative: Narrative:  Pt presented to ED on 8/11/2022 wit cough and congestion x 1 week (approx. 8/4/22). Pt c/o LBP and left hip pain. Pt states he was walking x 1wk ago, then got this cold and can no longer walk. Pt admitted 8/11/22 - 8/26/22 with principal diagnosis = sepsis d/t serrati infection. ADDITIONAL DIAGNOSES: covid 19 infection alcohol use and dependence nicotine use and dependence hyponatremia hypomagnesia hypertension hiatel hernia alcoholic hepatitis iron deficient anemia HISTORY OF PRESENT ILLNESS: Patient is a 63 year old male with history of HTN/Alcohol dependence/GERD who was brought in by his sister due to cough for the past week not relieved by OTC and associated with generalized weakness. He was evaluated in ER and noted to have RLL pneumonia; he was covered with Rocephin and Zitho pending covid testing results; his covid was positive so medical services were contacted for further evaluation and treatment. Upon arrival to ER, patient is in respiratory isolation; he continues to c/o of cough which is productive of clear sputum; he denies fever, chills, hemoptysis, SOB or pleuritic pain; he admits to vomiting due to cough but denies nausea or diarrhea. HOSPITAL COURSE: Pt admitted to SDU. dx RLL pneumonia-with +covid. started on remdesivir for 3 days. cont CAP coverage with Rocephin and zithromax. no oxygen required. noted hx of etoh use - on ciwa protocol. hx of nicotine use - patch placed. corrected electrolytes as appropriate. day 2 dx changed to Gram negative sepsis. etiology unclear. checked ua/uc. CT abd/pelvis - ? gallbladder. adjust antibiotics to cefepime. bc result - serratia. ID consulted. MRI abd/pelvis and lumbar spine ordered -neg for acute process. pt stable for transfer to the floor on 8/13. cont antibiotics. per ID Serratia bacteremia with unclear source, pneumonia or GI most likely. continue cefepime 2g IV q8h for Serratia BSI. 14d course. prolonged QTc, so no oral options available. oncology consulted for anemia. noted abnormal +M-spike. immunofixation ordered but not resulted at discharge. plan for oncology follow up. initially plan was for STR. PT had done evaluation and recommended this. however, after a few days, the patient declined STR. Sister unable to take care of pt at this time due to also being COVID positive. Pt determined not to be candidate for home iv antibiotics. pt completed antibiotics as inpt. pt would decline PT services. pt tolerated medications. pt stable for d/c to home on 8/26/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Electrolyte imbalance, Gait inability, Hepatitis alcoholic, Hiatus hernia, Hypertension
Clinical narrative: Narrative:  Pt presented to ED on 8/11/2022 wit cough and congestion x 1 week (approx. 8/4/22). Pt c/o LBP and left hip pain. Pt states he was walking x 1wk ago, then got this cold and can no longer walk. Pt admitted 8/11/22 - 8/26/22 with principal diagnosis = sepsis d/t serrati infection. ADDITIONAL DIAGNOSES: covid 19 infection alcohol use and dependence nicotine use and dependence hyponatremia hypomagnesia hypertension hiatel hernia alcoholic hepatitis iron deficient anemia HISTORY OF PRESENT ILLNESS: Patient is a 63 year old male with history of HTN/Alcohol dependence/GERD who was brought in by his sister due to cough for the past week not relieved by OTC and associated with generalized weakness. He was evaluated in ER and noted to have RLL pneumonia; he was covered with Rocephin and Zitho pending covid testing results; his covid was positive so medical services were contacted for further evaluation and treatment. Upon arrival to ER, patient is in respiratory isolation; he continues to c/o of cough which is productive of clear sputum; he denies fever, chills, hemoptysis, SOB or pleuritic pain; he admits to vomiting due to cough but denies nausea or diarrhea. HOSPITAL COURSE: Pt admitted to SDU. dx RLL pneumonia-with +covid. started on remdesivir for 3 days. cont CAP coverage with Rocephin and zithromax. no oxygen required. noted hx of etoh use - on ciwa protocol. hx of nicotine use - patch placed. corrected electrolytes as appropriate. day 2 dx changed to Gram negative sepsis. etiology unclear. checked ua/uc. CT abd/pelvis - ? gallbladder. adjust antibiotics to cefepime. bc result - serratia. ID consulted. MRI abd/pelvis and lumbar spine ordered -neg for acute process. pt stable for transfer to the floor on 8/13. cont antibiotics. per ID Serratia bacteremia with unclear source, pneumonia or GI most likely. continue cefepime 2g IV q8h for Serratia BSI. 14d course. prolonged QTc, so no oral options available. oncology consulted for anemia. noted abnormal +M-spike. immunofixation ordered but not resulted at discharge. plan for oncology follow up. initially plan was for STR. PT had done evaluation and recommended this. however, after a few days, the patient declined STR. Sister unable to take care of pt at this time due to also being COVID positive. Pt determined not to be candidate for home iv antibiotics. pt completed antibiotics as inpt. pt would decline PT services. pt tolerated medications. pt stable for d/c to home on 8/26/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Hypomagnesaemia, Hyponatraemia, Immunology test, Iron deficiency anaemia, Magnetic resonance imaging abdominal normal
Clinical narrative: Narrative:  Pt presented to ED on 8/11/2022 wit cough and congestion x 1 week (approx. 8/4/22). Pt c/o LBP and left hip pain. Pt states he was walking x 1wk ago, then got this cold and can no longer walk. Pt admitted 8/11/22 - 8/26/22 with principal diagnosis = sepsis d/t serrati infection. ADDITIONAL DIAGNOSES: covid 19 infection alcohol use and dependence nicotine use and dependence hyponatremia hypomagnesia hypertension hiatel hernia alcoholic hepatitis iron deficient anemia HISTORY OF PRESENT ILLNESS: Patient is a 63 year old male with history of HTN/Alcohol dependence/GERD who was brought in by his sister due to cough for the past week not relieved by OTC and associated with generalized weakness. He was evaluated in ER and noted to have RLL pneumonia; he was covered with Rocephin and Zitho pending covid testing results; his covid was positive so medical services were contacted for further evaluation and treatment. Upon arrival to ER, patient is in respiratory isolation; he continues to c/o of cough which is productive of clear sputum; he denies fever, chills, hemoptysis, SOB or pleuritic pain; he admits to vomiting due to cough but denies nausea or diarrhea. HOSPITAL COURSE: Pt admitted to SDU. dx RLL pneumonia-with +covid. started on remdesivir for 3 days. cont CAP coverage with Rocephin and zithromax. no oxygen required. noted hx of etoh use - on ciwa protocol. hx of nicotine use - patch placed. corrected electrolytes as appropriate. day 2 dx changed to Gram negative sepsis. etiology unclear. checked ua/uc. CT abd/pelvis - ? gallbladder. adjust antibiotics to cefepime. bc result - serratia. ID consulted. MRI abd/pelvis and lumbar spine ordered -neg for acute process. pt stable for transfer to the floor on 8/13. cont antibiotics. per ID Serratia bacteremia with unclear source, pneumonia or GI most likely. continue cefepime 2g IV q8h for Serratia BSI. 14d course. prolonged QTc, so no oral options available. oncology consulted for anemia. noted abnormal +M-spike. immunofixation ordered but not resulted at discharge. plan for oncology follow up. initially plan was for STR. PT had done evaluation and recommended this. however, after a few days, the patient declined STR. Sister unable to take care of pt at this time due to also being COVID positive. Pt determined not to be candidate for home iv antibiotics. pt completed antibiotics as inpt. pt would decline PT services. pt tolerated medications. pt stable for d/c to home on 8/26/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Magnetic resonance imaging spinal normal, Monoclonal immunoglobulin present, Nasopharyngitis, Pneumonia
Clinical narrative: Narrative:  Pt presented to ED on 8/11/2022 wit cough and congestion x 1 week (approx. 8/4/22). Pt c/o LBP and left hip pain. Pt states he was walking x 1wk ago, then got this cold and can no longer walk. Pt admitted 8/11/22 - 8/26/22 with principal diagnosis = sepsis d/t serrati infection. ADDITIONAL DIAGNOSES: covid 19 infection alcohol use and dependence nicotine use and dependence hyponatremia hypomagnesia hypertension hiatel hernia alcoholic hepatitis iron deficient anemia HISTORY OF PRESENT ILLNESS: Patient is a 63 year old male with history of HTN/Alcohol dependence/GERD who was brought in by his sister due to cough for the past week not relieved by OTC and associated with generalized weakness. He was evaluated in ER and noted to have RLL pneumonia; he was covered with Rocephin and Zitho pending covid testing results; his covid was positive so medical services were contacted for further evaluation and treatment. Upon arrival to ER, patient is in respiratory isolation; he continues to c/o of cough which is productive of clear sputum; he denies fever, chills, hemoptysis, SOB or pleuritic pain; he admits to vomiting due to cough but denies nausea or diarrhea. HOSPITAL COURSE: Pt admitted to SDU. dx RLL pneumonia-with +covid. started on remdesivir for 3 days. cont CAP coverage with Rocephin and zithromax. no oxygen required. noted hx of etoh use - on ciwa protocol. hx of nicotine use - patch placed. corrected electrolytes as appropriate. day 2 dx changed to Gram negative sepsis. etiology unclear. checked ua/uc. CT abd/pelvis - ? gallbladder. adjust antibiotics to cefepime. bc result - serratia. ID consulted. MRI abd/pelvis and lumbar spine ordered -neg for acute process. pt stable for transfer to the floor on 8/13. cont antibiotics. per ID Serratia bacteremia with unclear source, pneumonia or GI most likely. continue cefepime 2g IV q8h for Serratia BSI. 14d course. prolonged QTc, so no oral options available. oncology consulted for anemia. noted abnormal +M-spike. immunofixation ordered but not resulted at discharge. plan for oncology follow up. initially plan was for STR. PT had done evaluation and recommended this. however, after a few days, the patient declined STR. Sister unable to take care of pt at this time due to also being COVID positive. Pt determined not to be candidate for home iv antibiotics. pt completed antibiotics as inpt. pt would decline PT services. pt tolerated medications. pt stable for d/c to home on 8/26/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Respiratory tract congestion, SARS-CoV-2 test positive, Sepsis, Serratia bacteraemia
Clinical narrative: Narrative:  Pt presented to ED on 8/11/2022 wit cough and congestion x 1 week (approx. 8/4/22). Pt c/o LBP and left hip pain. Pt states he was walking x 1wk ago, then got this cold and can no longer walk. Pt admitted 8/11/22 - 8/26/22 with principal diagnosis = sepsis d/t serrati infection. ADDITIONAL DIAGNOSES: covid 19 infection alcohol use and dependence nicotine use and dependence hyponatremia hypomagnesia hypertension hiatel hernia alcoholic hepatitis iron deficient anemia HISTORY OF PRESENT ILLNESS: Patient is a 63 year old male with history of HTN/Alcohol dependence/GERD who was brought in by his sister due to cough for the past week not relieved by OTC and associated with generalized weakness. He was evaluated in ER and noted to have RLL pneumonia; he was covered with Rocephin and Zitho pending covid testing results; his covid was positive so medical services were contacted for further evaluation and treatment. Upon arrival to ER, patient is in respiratory isolation; he continues to c/o of cough which is productive of clear sputum; he denies fever, chills, hemoptysis, SOB or pleuritic pain; he admits to vomiting due to cough but denies nausea or diarrhea. HOSPITAL COURSE: Pt admitted to SDU. dx RLL pneumonia-with +covid. started on remdesivir for 3 days. cont CAP coverage with Rocephin and zithromax. no oxygen required. noted hx of etoh use - on ciwa protocol. hx of nicotine use - patch placed. corrected electrolytes as appropriate. day 2 dx changed to Gram negative sepsis. etiology unclear. checked ua/uc. CT abd/pelvis - ? gallbladder. adjust antibiotics to cefepime. bc result - serratia. ID consulted. MRI abd/pelvis and lumbar spine ordered -neg for acute process. pt stable for transfer to the floor on 8/13. cont antibiotics. per ID Serratia bacteremia with unclear source, pneumonia or GI most likely. continue cefepime 2g IV q8h for Serratia BSI. 14d course. prolonged QTc, so no oral options available. oncology consulted for anemia. noted abnormal +M-spike. immunofixation ordered but not resulted at discharge. plan for oncology follow up. initially plan was for STR. PT had done evaluation and recommended this. however, after a few days, the patient declined STR. Sister unable to take care of pt at this time due to also being COVID positive. Pt determined not to be candidate for home iv antibiotics. pt completed antibiotics as inpt. pt would decline PT services. pt tolerated medications. pt stable for d/c to home on 8/26/22
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Serratia infection, Serratia test positive, Urine analysis, Vomiting
Clinical narrative: Narrative:  Pt presented to ED on 8/11/2022 wit cough and congestion x 1 week (approx. 8/4/22). Pt c/o LBP and left hip pain. Pt states he was walking x 1wk ago, then got this cold and can no longer walk. Pt admitted 8/11/22 - 8/26/22 with principal diagnosis = sepsis d/t serrati infection. ADDITIONAL DIAGNOSES: covid 19 infection alcohol use and dependence nicotine use and dependence hyponatremia hypomagnesia hypertension hiatel hernia alcoholic hepatitis iron deficient anemia HISTORY OF PRESENT ILLNESS: Patient is a 63 year old male with history of HTN/Alcohol dependence/GERD who was brought in by his sister due to cough for the past week not relieved by OTC and associated with generalized weakness. He was evaluated in ER and noted to have RLL pneumonia; he was covered with Rocephin and Zitho pending covid testing results; his covid was positive so medical services were contacted for further evaluation and treatment. Upon arrival to ER, patient is in respiratory isolation; he continues to c/o of cough which is productive of clear sputum; he denies fever, chills, hemoptysis, SOB or pleuritic pain; he admits to vomiting due to cough but denies nausea or diarrhea. HOSPITAL COURSE: Pt admitted to SDU. dx RLL pneumonia-with +covid. started on remdesivir for 3 days. cont CAP coverage with Rocephin and zithromax. no oxygen required. noted hx of etoh use - on ciwa protocol. hx of nicotine use - patch placed. corrected electrolytes as appropriate. day 2 dx changed to Gram negative sepsis. etiology unclear. checked ua/uc. CT abd/pelvis - ? gallbladder. adjust antibiotics to cefepime. bc result - serratia. ID consulted. MRI abd/pelvis and lumbar spine ordered -neg for acute process. pt stable for transfer to the floor on 8/13. cont antibiotics. per ID Serratia bacteremia with unclear source, pneumonia or GI most likely. continue cefepime 2g IV q8h for Serratia BSI. 14d course. prolonged QTc, so no oral options available. oncology consulted for anemia. noted abnormal +M-spike. immunofixation ordered but not resulted at discharge. plan for oncology follow up. initially plan was for STR. PT had done evaluation and recommended this. however, after a few days, the patient declined STR. Sister unable to take care of pt at this time due to also being COVID positive. Pt determined not to be candidate for home iv antibiotics. pt completed antibiotics as inpt. pt would decline PT services. pt tolerated medications. pt stable for d/c to home on 8/26/22
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Ileostomy, Malaise, SARS-CoV-2 test positive
Clinical narrative: Narrative:  Patient had received a covid vaccine EUA (J&J) on 4/1/2021. On 8/23/2022 patient was admitted to hospital 8/19/2022 for COVID+ symptoms. Pt was determined to be COVID +. Pt died on 8/24/2022 at hospital. No information available if Covid treatment medications were given. Covid vaccine EUA (J&J) failure. --Location of Death--Medical Center Primary Medical Diagnosis: Ileostomy Status(ICD-10-CM Z93.2) COVID Infection
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination failure
Clinical narrative: Narrative:  Patient had received a covid vaccine EUA (J&J) on 4/1/2021. On 8/23/2022 patient was admitted to hospital 8/19/2022 for COVID+ symptoms. Pt was determined to be COVID +. Pt died on 8/24/2022 at hospital. No information available if Covid treatment medications were given. Covid vaccine EUA (J&J) failure. --Location of Death--Medical Center Primary Medical Diagnosis: Ileostomy Status(ICD-10-CM Z93.2) COVID Infection
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 3/4/21, 4/1/21. Positive on 9/3/22.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/18/21, 4/8/21, 12/29/21. Positive on 9/3/22
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 4/1/21, 5/1/21, 11/24/21. Positive on 9/4/22
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/2/21, 2/26/21, 11/5/21, 6/16/22. Positive on 9/4/22
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 2/24/21, 3/31/21. Positive on 9/6/22
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 4/8/21, 8/9/21. Positive on 8/30/22
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Child was given Pfizer COVID vaccine for 5-11 year old rather than for 6 mo-4 year old. Child was age 3  years at the time. No immediate reaction noted. Child presented for second dose on 9/2/22 and adverse event was discovered at that time. Discussed with mother who reported no adverse reaction to the initial dose. Child was given her second dose of the appropriate age group vaccine on 9/2/22.
Age: 7.0
Sex: U
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Arthralgia, Erythema, Headache, Injection site warmth, Nausea
Clinical narrative: Hot around injection area, Redness on upper arm. Nausea, headache Joint pain
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Immediate post-injection reaction, Injection site bruising, Injection site haemorrhage, Injection site mass
Clinical narrative: Immediate puffy swelling the size of a chickpea. The Pharmacist asked me before putting the bandaid on if I've ever had an allergic reaction before and I said no. As I looked at my arm and saw the swelling, I said "oh wow!" There was more blood than I've ever had with a shot before too. He advised me to go home and ice it and if I still had issues to take Benadryl. Once in the car I started feeling pain up into my neck and down into my fingertips. Once at home I iced my shoulder for quite some time and took benadryl. The arm pain was still present so I continued icing. The following day my arm was still swollen although instead of a chickpea lump at the immediate injection site, now the swelling was flatter and wider across my shoulder. Bruising was starting to form in the center. Pain is still in my neck, shoulder and down into my finger tips so I've been taking advil. Yesterday, 3 days after, there was still heat coming off the injection site. Today, 4 days after, it is bruised but not obviously swollen and there's less heat but the pain all up and down my arm persists.
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Injection site swelling, Injection site warmth, Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: Immediate puffy swelling the size of a chickpea. The Pharmacist asked me before putting the bandaid on if I've ever had an allergic reaction before and I said no. As I looked at my arm and saw the swelling, I said "oh wow!" There was more blood than I've ever had with a shot before too. He advised me to go home and ice it and if I still had issues to take Benadryl. Once in the car I started feeling pain up into my neck and down into my fingertips. Once at home I iced my shoulder for quite some time and took benadryl. The arm pain was still present so I continued icing. The following day my arm was still swollen although instead of a chickpea lump at the immediate injection site, now the swelling was flatter and wider across my shoulder. Bruising was starting to form in the center. Pain is still in my neck, shoulder and down into my finger tips so I've been taking advil. Yesterday, 3 days after, there was still heat coming off the injection site. Today, 4 days after, it is bruised but not obviously swollen and there's less heat but the pain all up and down my arm persists.
Age: 50.0
Sex: F
Vaccine: FLUC4
Symptoms: Skin swelling
Clinical narrative: Immediate puffy swelling the size of a chickpea. The Pharmacist asked me before putting the bandaid on if I've ever had an allergic reaction before and I said no. As I looked at my arm and saw the swelling, I said "oh wow!" There was more blood than I've ever had with a shot before too. He advised me to go home and ice it and if I still had issues to take Benadryl. Once in the car I started feeling pain up into my neck and down into my fingertips. Once at home I iced my shoulder for quite some time and took benadryl. The arm pain was still present so I continued icing. The following day my arm was still swollen although instead of a chickpea lump at the immediate injection site, now the swelling was flatter and wider across my shoulder. Bruising was starting to form in the center. Pain is still in my neck, shoulder and down into my finger tips so I've been taking advil. Yesterday, 3 days after, there was still heat coming off the injection site. Today, 4 days after, it is bruised but not obviously swollen and there's less heat but the pain all up and down my arm persists.
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use date
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose administered beyond-use-date.
Age: 64.0
Sex: F
Vaccine: PNC15
Symptoms: Cough, Ear pain, Fatigue, Feeling abnormal, Immediate post-injection reaction
Clinical narrative: She got her vaccine, it hurt and burned right away.  She had the Prevnar 23 on October of 2021.  She got an x-ray taken of her hip, came home and started feeling bad immediately.  She started coughing, had a lot of congestion, felt bad, lethargic and aching, and went on for day after day.  She read that there maybe some reaction but it's gone in a few days.  She is still having the same symptoms.  She started seeing another doctor as she was not able to see her PCP.  She told her the situation on 8/22/22.  Her lungs were clear, she said that maybe she had some sort of bacterial infection and gave her a Z-pak.  She felt on her left arm fluid coming down her arm into her ring finger into her left hand, it started throbbing and woke her up in the middle of the night, but kind of went away.  When she woke up on 8/22/22 she got up, her finger was swelling where she had her wedding ring and cried to have it removed as she was hurting so bad, it was throbbing and painful and went to UC.  The NP told her that she had an infection in the finger only.  She asked how could she get an infection in just her finger, felt that it was coming from her heart.  She was thinking she was having some sort of heart problems.  She gave her a steroid shot and pain medicine, which helped immediately as the swelling and pain was coming down.  She was put on an antibiotic and told her to stop taking the Z-pak and to take the antibiotic, Cephalexin 500 mg.  She took all of them, and has relief of the symptoms.  Her symptoms of her whole body of congestion seemed to help with those symptoms.  She felt good for a couple of days.  Then the symptoms came back, and has been suffering.  She went back to the doctor on 9/1/22 with the productive cough for almost 3 weeks, congestion and all the same symptoms of achiness, tired, coughing.  She takes medicine for the coughing, and then developed an earache and a sore throat.  She did a COVID test (she had taken one at home but was negative), strep throat test, and a flu test, which were all negative.  She then told her that it must be allergies.  She then gave her a nasal spray and told her that her ear hurt due to fluid behind her ears.  This did help with the ear and the sore throat, but still has the lethargy, drainage at night and occasional cough, but it is still hanging on.