chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, Carotid endarterectomy, Chest X-ray normal, Cough
Clinical narrative: Patient is a 89 y.o. male patient of MD with history of carotid artery stenosis, prior stroke, DM2, HTN, CAD, prior MI, smoldering myeloma, presented to Hospital with cough.   Covid-19 Virus Infection Date of onset of symptoms: 11/19? Symptoms present on admission: Cough, sneezing, sore throat Date of covid positive test: 11/19 Vaccination status: Previously vaccinated, last dose >1-year prior Imaging: CXR nonacute  Oxygen requirements on admission: RA Current oxygen requirements: RA Medical therapy: Discussed therapy options with family and infectious disease.  Paxlovid recommended to due to interaction with Plavix and other medications.  Family consented to use of remdesivir. Completed remdesivir.  Anticipated special isolation end date: 11/25 if improving and afebrile   Carotid artery stenosis (s/p CEA) CAD Chronic HFpEF No acute chest pain, no new neurologic symptoms Clinically euvolemic Underwent carotid endarterectomy on 11/15 at medical center, no acute complaints in regards to in his recovery at this time Continue home aspirin, statin, Plavix, Lasix, metoprolol, Entresto   Elevated troponin Initial troponin 52 Likely related to recent procedures, CKD, Without chest pain EKG without acute ischemic changes Outpatient follow-up   CKD 3A Baseline creatinine around 1.3-1.5 Creatinine about baseline on admission Continue to monitor  DM 2  A1c 8.8 in 4/2023 Hold home glipizide SSI while inpatient.  Monitor blood glucose and adjust regimen as needed.   Thrombocytopenia, POA Monitor
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Glycosylated haemoglobin increased, Oropharyngeal pain, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Patient is a 89 y.o. male patient of MD with history of carotid artery stenosis, prior stroke, DM2, HTN, CAD, prior MI, smoldering myeloma, presented to Hospital with cough.   Covid-19 Virus Infection Date of onset of symptoms: 11/19? Symptoms present on admission: Cough, sneezing, sore throat Date of covid positive test: 11/19 Vaccination status: Previously vaccinated, last dose >1-year prior Imaging: CXR nonacute  Oxygen requirements on admission: RA Current oxygen requirements: RA Medical therapy: Discussed therapy options with family and infectious disease.  Paxlovid recommended to due to interaction with Plavix and other medications.  Family consented to use of remdesivir. Completed remdesivir.  Anticipated special isolation end date: 11/25 if improving and afebrile   Carotid artery stenosis (s/p CEA) CAD Chronic HFpEF No acute chest pain, no new neurologic symptoms Clinically euvolemic Underwent carotid endarterectomy on 11/15 at medical center, no acute complaints in regards to in his recovery at this time Continue home aspirin, statin, Plavix, Lasix, metoprolol, Entresto   Elevated troponin Initial troponin 52 Likely related to recent procedures, CKD, Without chest pain EKG without acute ischemic changes Outpatient follow-up   CKD 3A Baseline creatinine around 1.3-1.5 Creatinine about baseline on admission Continue to monitor  DM 2  A1c 8.8 in 4/2023 Hold home glipizide SSI while inpatient.  Monitor blood glucose and adjust regimen as needed.   Thrombocytopenia, POA Monitor
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombocytopenia, Troponin increased
Clinical narrative: Patient is a 89 y.o. male patient of MD with history of carotid artery stenosis, prior stroke, DM2, HTN, CAD, prior MI, smoldering myeloma, presented to Hospital with cough.   Covid-19 Virus Infection Date of onset of symptoms: 11/19? Symptoms present on admission: Cough, sneezing, sore throat Date of covid positive test: 11/19 Vaccination status: Previously vaccinated, last dose >1-year prior Imaging: CXR nonacute  Oxygen requirements on admission: RA Current oxygen requirements: RA Medical therapy: Discussed therapy options with family and infectious disease.  Paxlovid recommended to due to interaction with Plavix and other medications.  Family consented to use of remdesivir. Completed remdesivir.  Anticipated special isolation end date: 11/25 if improving and afebrile   Carotid artery stenosis (s/p CEA) CAD Chronic HFpEF No acute chest pain, no new neurologic symptoms Clinically euvolemic Underwent carotid endarterectomy on 11/15 at medical center, no acute complaints in regards to in his recovery at this time Continue home aspirin, statin, Plavix, Lasix, metoprolol, Entresto   Elevated troponin Initial troponin 52 Likely related to recent procedures, CKD, Without chest pain EKG without acute ischemic changes Outpatient follow-up   CKD 3A Baseline creatinine around 1.3-1.5 Creatinine about baseline on admission Continue to monitor  DM 2  A1c 8.8 in 4/2023 Hold home glipizide SSI while inpatient.  Monitor blood glucose and adjust regimen as needed.   Thrombocytopenia, POA Monitor
Sex: F
Vaccine: RSV
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administered an adult dose of RSV vaccine on a pediatric 2 day old patient.
Age: 53.0
Sex: M
Vaccine: FLU4, PNC20
Symptoms: Injection site pain, Injection site reaction, Tendonitis
Clinical narrative: Patient started having pain in the injection site after few days. Patient ended up in the ER and was admitted for Calcific tendonitis of right shoulder.
Age: 69.0
Sex: M
Vaccine: UNK
Symptoms: Malaise, Viral test negative
Clinical narrative: got covid like symptoms one month after injection, which has lasted for 14+ weeks
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Blood gases normal, Brain natriuretic peptide normal, C-reactive protein increased, COVID-19
Clinical narrative: Patient is a 83 y.o. female patient of MD with history of Parkinson's and HTN presented to Hospital with fever, cough, and shortness of breath. Workup on admission revealed evidence of COVID infection with acute hypoxic respiratory failure requiring supplemental oxygen. During her stay, she was treated with antivirals and steroids. She completed a 5-day course of Remdesivir and received 5 days of Decadron. She was ultimately weaned down to RA and home O2 evaluation did not reveal any oxygen needs with ambulation. She was discharged home with a prescription for 5 more days of PO Decadron. Home Health Care was also arranged upon discharge. She was discharged home in stable condition.   Sepsis, POA, resolved Acute Hypoxic Respiratory Failure, improving COVID Pneumonia, improving Presumed Obstructive Sleep Apnea Temp. 101.5F, HR 110, RR 32, Pulse ox 83% on RA, on admission CBC shows leukocytosis with WBC count 12.69 on admission VBG, BMP unremarkable COVID positive, Flu negative CXR shows slightly low lung volumes without discrete infiltrates Remdesivir and dexamethasone initiated (11/25) BNP WNL ESR normal, CRP elevated at 78.8 Continue steroids for a total 10-day course (received 5 day course of Remdesivir, last dose11/29) IS ordered Oxygen desaturation noted during periods of sleep, recommend outpatient sleep study for evaluation of OSA Home O2 eval 11/28 revealed desaturation with ambulation below 90% Wean to RA, home O2 eval 11/29 showed no evidence of increased oxygen needs on ambulation    Parkinson's Disease Dementia Follows with Neurology (Dr) On Sinemet 25-100 mg TID, Pramipexole, Memantine Continue home meds Pt's son worried about increased weakness due to acute illness, at baseline has limited mobility due to chronic R knee pain PT/OT consulted   Hypertension Continue home lisinopril   Anxiety On home Prozac, Imipramine nightly PRN, and diazepam PRN Continue home meds   R Knee DJD Resumed home norco
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cough, Dyspnoea, Influenza virus test negative
Clinical narrative: Patient is a 83 y.o. female patient of MD with history of Parkinson's and HTN presented to Hospital with fever, cough, and shortness of breath. Workup on admission revealed evidence of COVID infection with acute hypoxic respiratory failure requiring supplemental oxygen. During her stay, she was treated with antivirals and steroids. She completed a 5-day course of Remdesivir and received 5 days of Decadron. She was ultimately weaned down to RA and home O2 evaluation did not reveal any oxygen needs with ambulation. She was discharged home with a prescription for 5 more days of PO Decadron. Home Health Care was also arranged upon discharge. She was discharged home in stable condition.   Sepsis, POA, resolved Acute Hypoxic Respiratory Failure, improving COVID Pneumonia, improving Presumed Obstructive Sleep Apnea Temp. 101.5F, HR 110, RR 32, Pulse ox 83% on RA, on admission CBC shows leukocytosis with WBC count 12.69 on admission VBG, BMP unremarkable COVID positive, Flu negative CXR shows slightly low lung volumes without discrete infiltrates Remdesivir and dexamethasone initiated (11/25) BNP WNL ESR normal, CRP elevated at 78.8 Continue steroids for a total 10-day course (received 5 day course of Remdesivir, last dose11/29) IS ordered Oxygen desaturation noted during periods of sleep, recommend outpatient sleep study for evaluation of OSA Home O2 eval 11/28 revealed desaturation with ambulation below 90% Wean to RA, home O2 eval 11/29 showed no evidence of increased oxygen needs on ambulation    Parkinson's Disease Dementia Follows with Neurology (Dr) On Sinemet 25-100 mg TID, Pramipexole, Memantine Continue home meds Pt's son worried about increased weakness due to acute illness, at baseline has limited mobility due to chronic R knee pain PT/OT consulted   Hypertension Continue home lisinopril   Anxiety On home Prozac, Imipramine nightly PRN, and diazepam PRN Continue home meds   R Knee DJD Resumed home norco
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: Leukocytosis, Obstructive sleep apnoea syndrome, Oxygen saturation decreased, Pyrexia, Red blood cell sedimentation rate normal
Clinical narrative: Patient is a 83 y.o. female patient of MD with history of Parkinson's and HTN presented to Hospital with fever, cough, and shortness of breath. Workup on admission revealed evidence of COVID infection with acute hypoxic respiratory failure requiring supplemental oxygen. During her stay, she was treated with antivirals and steroids. She completed a 5-day course of Remdesivir and received 5 days of Decadron. She was ultimately weaned down to RA and home O2 evaluation did not reveal any oxygen needs with ambulation. She was discharged home with a prescription for 5 more days of PO Decadron. Home Health Care was also arranged upon discharge. She was discharged home in stable condition.   Sepsis, POA, resolved Acute Hypoxic Respiratory Failure, improving COVID Pneumonia, improving Presumed Obstructive Sleep Apnea Temp. 101.5F, HR 110, RR 32, Pulse ox 83% on RA, on admission CBC shows leukocytosis with WBC count 12.69 on admission VBG, BMP unremarkable COVID positive, Flu negative CXR shows slightly low lung volumes without discrete infiltrates Remdesivir and dexamethasone initiated (11/25) BNP WNL ESR normal, CRP elevated at 78.8 Continue steroids for a total 10-day course (received 5 day course of Remdesivir, last dose11/29) IS ordered Oxygen desaturation noted during periods of sleep, recommend outpatient sleep study for evaluation of OSA Home O2 eval 11/28 revealed desaturation with ambulation below 90% Wean to RA, home O2 eval 11/29 showed no evidence of increased oxygen needs on ambulation    Parkinson's Disease Dementia Follows with Neurology (Dr) On Sinemet 25-100 mg TID, Pramipexole, Memantine Continue home meds Pt's son worried about increased weakness due to acute illness, at baseline has limited mobility due to chronic R knee pain PT/OT consulted   Hypertension Continue home lisinopril   Anxiety On home Prozac, Imipramine nightly PRN, and diazepam PRN Continue home meds   R Knee DJD Resumed home norco
Age: 82.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Sepsis, Total lung capacity decreased, White blood cell count increased
Clinical narrative: Patient is a 83 y.o. female patient of MD with history of Parkinson's and HTN presented to Hospital with fever, cough, and shortness of breath. Workup on admission revealed evidence of COVID infection with acute hypoxic respiratory failure requiring supplemental oxygen. During her stay, she was treated with antivirals and steroids. She completed a 5-day course of Remdesivir and received 5 days of Decadron. She was ultimately weaned down to RA and home O2 evaluation did not reveal any oxygen needs with ambulation. She was discharged home with a prescription for 5 more days of PO Decadron. Home Health Care was also arranged upon discharge. She was discharged home in stable condition.   Sepsis, POA, resolved Acute Hypoxic Respiratory Failure, improving COVID Pneumonia, improving Presumed Obstructive Sleep Apnea Temp. 101.5F, HR 110, RR 32, Pulse ox 83% on RA, on admission CBC shows leukocytosis with WBC count 12.69 on admission VBG, BMP unremarkable COVID positive, Flu negative CXR shows slightly low lung volumes without discrete infiltrates Remdesivir and dexamethasone initiated (11/25) BNP WNL ESR normal, CRP elevated at 78.8 Continue steroids for a total 10-day course (received 5 day course of Remdesivir, last dose11/29) IS ordered Oxygen desaturation noted during periods of sleep, recommend outpatient sleep study for evaluation of OSA Home O2 eval 11/28 revealed desaturation with ambulation below 90% Wean to RA, home O2 eval 11/29 showed no evidence of increased oxygen needs on ambulation    Parkinson's Disease Dementia Follows with Neurology (Dr) On Sinemet 25-100 mg TID, Pramipexole, Memantine Continue home meds Pt's son worried about increased weakness due to acute illness, at baseline has limited mobility due to chronic R knee pain PT/OT consulted   Hypertension Continue home lisinopril   Anxiety On home Prozac, Imipramine nightly PRN, and diazepam PRN Continue home meds   R Knee DJD Resumed home norco
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal mass, Abdominal pain upper, Adnexa uteri pain, Amenorrhoea, COVID-19
Clinical narrative: She got her vaccine, she got out of work and got the shot and was already tired.  She possibly was pregnant but had not found out for sure or now.  She had the mild same symptoms of COVID, tiredness, her arm was sore, body was sore, flu-like symptoms.  She had already had COVID 4 times.  She could not get up and was feeling nausea and everything as she had missed her period but had not confirmed the pregnancy.  She went to work and called out and told them tht she was not feeling good and went home.  She was working during the COVID pandemic in contact with people that had COVID.  She then started having a lot of blood clots and felt that she was having a misscarriage, but it did not go away and bled for 3 months after that straight to the point of hemorrhaging.  She was working and stopped and talked to one of the doctors and told him her situation and he asked if she was pregnant that her stomach was hard, and he told her to go by her family that if she was that she may need to have surgery.  She then went to the ER and told them that she was pregnant around September and that she felt that she was pregnant.  They told her to get a CAT scan, and emergency surgery and was scared.  The CAT scan showed that she had fluid and that she was not pregnant.  She continued to have the bleeding, and went home and went to a friend and went to a doctor and told her that she needed emergency surgery as she had some sort of cyst.  He sent her to a doctor a cancer specialist as they told her that it had to be removed.  She went to an OB/GYN Dr., and when she explained to him what was going on her did an emergency surgery at Hospital and removed the cyst and fluid and cervicopelvic mass and had a partial hysterectomy, which revealed hemorrhagic pelvic abdominal mass that was 30 cm in size.  She had internal stitches and then had incontinence and still has where she has to rush to the bathroom due to the incontinence.  Intercourse hurt at first and now it has improved and is OK.  It took her a year to heal from the hysterectomy and has pain in her right ovary as they took the left one.  She feels that now she has gone into premenopause.  She still continues to have pain in her stomach and went back to work after the surgery and did light duty work, and her background is immigration and other work.  A month after her surgery she was bleeding from her incision.    She does not feel that she will take another vaccine due to this vaccine.  Feels that due to this she is not able to have any children and she cannot get her body parts back.  She got rid of her dog when they informed her that she had cancer, and is not happy about that.  She does not anymore reactions like she had from this reaction from this one and she feels that she has recuperated, and feels that she was forced to have the vaccine to keep  her jobs.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abnormal, Cyst, Cyst removal, Depressed mood, Dyspareunia
Clinical narrative: She got her vaccine, she got out of work and got the shot and was already tired.  She possibly was pregnant but had not found out for sure or now.  She had the mild same symptoms of COVID, tiredness, her arm was sore, body was sore, flu-like symptoms.  She had already had COVID 4 times.  She could not get up and was feeling nausea and everything as she had missed her period but had not confirmed the pregnancy.  She went to work and called out and told them tht she was not feeling good and went home.  She was working during the COVID pandemic in contact with people that had COVID.  She then started having a lot of blood clots and felt that she was having a misscarriage, but it did not go away and bled for 3 months after that straight to the point of hemorrhaging.  She was working and stopped and talked to one of the doctors and told him her situation and he asked if she was pregnant that her stomach was hard, and he told her to go by her family that if she was that she may need to have surgery.  She then went to the ER and told them that she was pregnant around September and that she felt that she was pregnant.  They told her to get a CAT scan, and emergency surgery and was scared.  The CAT scan showed that she had fluid and that she was not pregnant.  She continued to have the bleeding, and went home and went to a friend and went to a doctor and told her that she needed emergency surgery as she had some sort of cyst.  He sent her to a doctor a cancer specialist as they told her that it had to be removed.  She went to an OB/GYN Dr., and when she explained to him what was going on her did an emergency surgery at Hospital and removed the cyst and fluid and cervicopelvic mass and had a partial hysterectomy, which revealed hemorrhagic pelvic abdominal mass that was 30 cm in size.  She had internal stitches and then had incontinence and still has where she has to rush to the bathroom due to the incontinence.  Intercourse hurt at first and now it has improved and is OK.  It took her a year to heal from the hysterectomy and has pain in her right ovary as they took the left one.  She feels that now she has gone into premenopause.  She still continues to have pain in her stomach and went back to work after the surgery and did light duty work, and her background is immigration and other work.  A month after her surgery she was bleeding from her incision.    She does not feel that she will take another vaccine due to this vaccine.  Feels that due to this she is not able to have any children and she cannot get her body parts back.  She got rid of her dog when they informed her that she had cancer, and is not happy about that.  She does not anymore reactions like she had from this reaction from this one and she feels that she has recuperated, and feels that she was forced to have the vaccine to keep  her jobs.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fear, Feeling abnormal, Fluid retention, Haemorrhage
Clinical narrative: She got her vaccine, she got out of work and got the shot and was already tired.  She possibly was pregnant but had not found out for sure or now.  She had the mild same symptoms of COVID, tiredness, her arm was sore, body was sore, flu-like symptoms.  She had already had COVID 4 times.  She could not get up and was feeling nausea and everything as she had missed her period but had not confirmed the pregnancy.  She went to work and called out and told them tht she was not feeling good and went home.  She was working during the COVID pandemic in contact with people that had COVID.  She then started having a lot of blood clots and felt that she was having a misscarriage, but it did not go away and bled for 3 months after that straight to the point of hemorrhaging.  She was working and stopped and talked to one of the doctors and told him her situation and he asked if she was pregnant that her stomach was hard, and he told her to go by her family that if she was that she may need to have surgery.  She then went to the ER and told them that she was pregnant around September and that she felt that she was pregnant.  They told her to get a CAT scan, and emergency surgery and was scared.  The CAT scan showed that she had fluid and that she was not pregnant.  She continued to have the bleeding, and went home and went to a friend and went to a doctor and told her that she needed emergency surgery as she had some sort of cyst.  He sent her to a doctor a cancer specialist as they told her that it had to be removed.  She went to an OB/GYN Dr., and when she explained to him what was going on her did an emergency surgery at Hospital and removed the cyst and fluid and cervicopelvic mass and had a partial hysterectomy, which revealed hemorrhagic pelvic abdominal mass that was 30 cm in size.  She had internal stitches and then had incontinence and still has where she has to rush to the bathroom due to the incontinence.  Intercourse hurt at first and now it has improved and is OK.  It took her a year to heal from the hysterectomy and has pain in her right ovary as they took the left one.  She feels that now she has gone into premenopause.  She still continues to have pain in her stomach and went back to work after the surgery and did light duty work, and her background is immigration and other work.  A month after her surgery she was bleeding from her incision.    She does not feel that she will take another vaccine due to this vaccine.  Feels that due to this she is not able to have any children and she cannot get her body parts back.  She got rid of her dog when they informed her that she had cancer, and is not happy about that.  She does not anymore reactions like she had from this reaction from this one and she feels that she has recuperated, and feels that she was forced to have the vaccine to keep  her jobs.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hysterectomy, Impaired healing, Impaired work ability, Incision site haemorrhage, Incontinence
Clinical narrative: She got her vaccine, she got out of work and got the shot and was already tired.  She possibly was pregnant but had not found out for sure or now.  She had the mild same symptoms of COVID, tiredness, her arm was sore, body was sore, flu-like symptoms.  She had already had COVID 4 times.  She could not get up and was feeling nausea and everything as she had missed her period but had not confirmed the pregnancy.  She went to work and called out and told them tht she was not feeling good and went home.  She was working during the COVID pandemic in contact with people that had COVID.  She then started having a lot of blood clots and felt that she was having a misscarriage, but it did not go away and bled for 3 months after that straight to the point of hemorrhaging.  She was working and stopped and talked to one of the doctors and told him her situation and he asked if she was pregnant that her stomach was hard, and he told her to go by her family that if she was that she may need to have surgery.  She then went to the ER and told them that she was pregnant around September and that she felt that she was pregnant.  They told her to get a CAT scan, and emergency surgery and was scared.  The CAT scan showed that she had fluid and that she was not pregnant.  She continued to have the bleeding, and went home and went to a friend and went to a doctor and told her that she needed emergency surgery as she had some sort of cyst.  He sent her to a doctor a cancer specialist as they told her that it had to be removed.  She went to an OB/GYN Dr., and when she explained to him what was going on her did an emergency surgery at Hospital and removed the cyst and fluid and cervicopelvic mass and had a partial hysterectomy, which revealed hemorrhagic pelvic abdominal mass that was 30 cm in size.  She had internal stitches and then had incontinence and still has where she has to rush to the bathroom due to the incontinence.  Intercourse hurt at first and now it has improved and is OK.  It took her a year to heal from the hysterectomy and has pain in her right ovary as they took the left one.  She feels that now she has gone into premenopause.  She still continues to have pain in her stomach and went back to work after the surgery and did light duty work, and her background is immigration and other work.  A month after her surgery she was bleeding from her incision.    She does not feel that she will take another vaccine due to this vaccine.  Feels that due to this she is not able to have any children and she cannot get her body parts back.  She got rid of her dog when they informed her that she had cancer, and is not happy about that.  She does not anymore reactions like she had from this reaction from this one and she feels that she has recuperated, and feels that she was forced to have the vaccine to keep  her jobs.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Induration, Influenza like illness, Malaise, Mobility decreased, Nausea
Clinical narrative: She got her vaccine, she got out of work and got the shot and was already tired.  She possibly was pregnant but had not found out for sure or now.  She had the mild same symptoms of COVID, tiredness, her arm was sore, body was sore, flu-like symptoms.  She had already had COVID 4 times.  She could not get up and was feeling nausea and everything as she had missed her period but had not confirmed the pregnancy.  She went to work and called out and told them tht she was not feeling good and went home.  She was working during the COVID pandemic in contact with people that had COVID.  She then started having a lot of blood clots and felt that she was having a misscarriage, but it did not go away and bled for 3 months after that straight to the point of hemorrhaging.  She was working and stopped and talked to one of the doctors and told him her situation and he asked if she was pregnant that her stomach was hard, and he told her to go by her family that if she was that she may need to have surgery.  She then went to the ER and told them that she was pregnant around September and that she felt that she was pregnant.  They told her to get a CAT scan, and emergency surgery and was scared.  The CAT scan showed that she had fluid and that she was not pregnant.  She continued to have the bleeding, and went home and went to a friend and went to a doctor and told her that she needed emergency surgery as she had some sort of cyst.  He sent her to a doctor a cancer specialist as they told her that it had to be removed.  She went to an OB/GYN Dr., and when she explained to him what was going on her did an emergency surgery at Hospital and removed the cyst and fluid and cervicopelvic mass and had a partial hysterectomy, which revealed hemorrhagic pelvic abdominal mass that was 30 cm in size.  She had internal stitches and then had incontinence and still has where she has to rush to the bathroom due to the incontinence.  Intercourse hurt at first and now it has improved and is OK.  It took her a year to heal from the hysterectomy and has pain in her right ovary as they took the left one.  She feels that now she has gone into premenopause.  She still continues to have pain in her stomach and went back to work after the surgery and did light duty work, and her background is immigration and other work.  A month after her surgery she was bleeding from her incision.    She does not feel that she will take another vaccine due to this vaccine.  Feels that due to this she is not able to have any children and she cannot get her body parts back.  She got rid of her dog when they informed her that she had cancer, and is not happy about that.  She does not anymore reactions like she had from this reaction from this one and she feels that she has recuperated, and feels that she was forced to have the vaccine to keep  her jobs.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neoplasm malignant, Occupational exposure to SARS-CoV-2, Oophorectomy, Pain, Pain in extremity
Clinical narrative: She got her vaccine, she got out of work and got the shot and was already tired.  She possibly was pregnant but had not found out for sure or now.  She had the mild same symptoms of COVID, tiredness, her arm was sore, body was sore, flu-like symptoms.  She had already had COVID 4 times.  She could not get up and was feeling nausea and everything as she had missed her period but had not confirmed the pregnancy.  She went to work and called out and told them tht she was not feeling good and went home.  She was working during the COVID pandemic in contact with people that had COVID.  She then started having a lot of blood clots and felt that she was having a misscarriage, but it did not go away and bled for 3 months after that straight to the point of hemorrhaging.  She was working and stopped and talked to one of the doctors and told him her situation and he asked if she was pregnant that her stomach was hard, and he told her to go by her family that if she was that she may need to have surgery.  She then went to the ER and told them that she was pregnant around September and that she felt that she was pregnant.  They told her to get a CAT scan, and emergency surgery and was scared.  The CAT scan showed that she had fluid and that she was not pregnant.  She continued to have the bleeding, and went home and went to a friend and went to a doctor and told her that she needed emergency surgery as she had some sort of cyst.  He sent her to a doctor a cancer specialist as they told her that it had to be removed.  She went to an OB/GYN Dr., and when she explained to him what was going on her did an emergency surgery at Hospital and removed the cyst and fluid and cervicopelvic mass and had a partial hysterectomy, which revealed hemorrhagic pelvic abdominal mass that was 30 cm in size.  She had internal stitches and then had incontinence and still has where she has to rush to the bathroom due to the incontinence.  Intercourse hurt at first and now it has improved and is OK.  It took her a year to heal from the hysterectomy and has pain in her right ovary as they took the left one.  She feels that now she has gone into premenopause.  She still continues to have pain in her stomach and went back to work after the surgery and did light duty work, and her background is immigration and other work.  A month after her surgery she was bleeding from her incision.    She does not feel that she will take another vaccine due to this vaccine.  Feels that due to this she is not able to have any children and she cannot get her body parts back.  She got rid of her dog when they informed her that she had cancer, and is not happy about that.  She does not anymore reactions like she had from this reaction from this one and she feels that she has recuperated, and feels that she was forced to have the vaccine to keep  her jobs.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paracentesis, Pelvic mass, Suture insertion, Vaginal haemorrhage
Clinical narrative: She got her vaccine, she got out of work and got the shot and was already tired.  She possibly was pregnant but had not found out for sure or now.  She had the mild same symptoms of COVID, tiredness, her arm was sore, body was sore, flu-like symptoms.  She had already had COVID 4 times.  She could not get up and was feeling nausea and everything as she had missed her period but had not confirmed the pregnancy.  She went to work and called out and told them tht she was not feeling good and went home.  She was working during the COVID pandemic in contact with people that had COVID.  She then started having a lot of blood clots and felt that she was having a misscarriage, but it did not go away and bled for 3 months after that straight to the point of hemorrhaging.  She was working and stopped and talked to one of the doctors and told him her situation and he asked if she was pregnant that her stomach was hard, and he told her to go by her family that if she was that she may need to have surgery.  She then went to the ER and told them that she was pregnant around September and that she felt that she was pregnant.  They told her to get a CAT scan, and emergency surgery and was scared.  The CAT scan showed that she had fluid and that she was not pregnant.  She continued to have the bleeding, and went home and went to a friend and went to a doctor and told her that she needed emergency surgery as she had some sort of cyst.  He sent her to a doctor a cancer specialist as they told her that it had to be removed.  She went to an OB/GYN Dr., and when she explained to him what was going on her did an emergency surgery at Hospital and removed the cyst and fluid and cervicopelvic mass and had a partial hysterectomy, which revealed hemorrhagic pelvic abdominal mass that was 30 cm in size.  She had internal stitches and then had incontinence and still has where she has to rush to the bathroom due to the incontinence.  Intercourse hurt at first and now it has improved and is OK.  It took her a year to heal from the hysterectomy and has pain in her right ovary as they took the left one.  She feels that now she has gone into premenopause.  She still continues to have pain in her stomach and went back to work after the surgery and did light duty work, and her background is immigration and other work.  A month after her surgery she was bleeding from her incision.    She does not feel that she will take another vaccine due to this vaccine.  Feels that due to this she is not able to have any children and she cannot get her body parts back.  She got rid of her dog when they informed her that she had cancer, and is not happy about that.  She does not anymore reactions like she had from this reaction from this one and she feels that she has recuperated, and feels that she was forced to have the vaccine to keep  her jobs.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal mass, Heavy menstrual bleeding, Pelvic mass
Clinical narrative: She got her vaccine, she got out of work and got the shot and was already tired.  She possibly was pregnant but had not found out for sure or now.  She had the mild same symptoms of COVID, tiredness, her arm was sore, body was sore, flu-like symptoms.  She had already had COVID 4 times.  She could not get up and was feeling nausea and everything as she had missed her period but had not confirmed the pregnancy.  She went to work and called out and told them tht she was not feeling good and went home.  She was working during the COVID pandemic in contact with people that had COVID.  She then started having a lot of blood clots and felt that she was having a misscarriage, but it did not go away and bled for 3 months after that straight to the point of hemorrhaging.  She was working and stopped and talked to one of the doctors and told him her situation and he asked if she was pregnant that her stomach was hard, and he told her to go by her family that if she was that she may need to have surgery.  She then went to the ER and told them that she was pregnant around September and that she felt that she was pregnant.  They told her to get a CAT scan, and emergency surgery and was scared.  The CAT scan showed that she had fluid and that she was not pregnant.  She continued to have the bleeding, and went home and went to a friend and went to a doctor and told her that she needed emergency surgery as she had some sort of cyst.  He sent her to a doctor a cancer specialist as they told her that it had to be removed.  She went to an OB/GYN Dr., and when she explained to him what was going on her did an emergency surgery at Hospital and removed the cyst and fluid and cervicopelvic mass and had a partial hysterectomy, which revealed hemorrhagic pelvic abdominal mass that was 30 cm in size.  She had internal stitches and then had incontinence and still has where she has to rush to the bathroom due to the incontinence.  Intercourse hurt at first and now it has improved and is OK.  It took her a year to heal from the hysterectomy and has pain in her right ovary as they took the left one.  She feels that now she has gone into premenopause.  She still continues to have pain in her stomach and went back to work after the surgery and did light duty work, and her background is immigration and other work.  A month after her surgery she was bleeding from her incision.    She does not feel that she will take another vaccine due to this vaccine.  Feels that due to this she is not able to have any children and she cannot get her body parts back.  She got rid of her dog when they informed her that she had cancer, and is not happy about that.  She does not anymore reactions like she had from this reaction from this one and she feels that she has recuperated, and feels that she was forced to have the vaccine to keep  her jobs.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal mass, Abdominal pain upper, Adnexa uteri pain, Amenorrhoea, COVID-19
Clinical narrative: mennorhagia, abdominal/pelvic mass
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abnormal, Cyst, Cyst removal, Depressed mood, Dyspareunia
Clinical narrative: mennorhagia, abdominal/pelvic mass
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fear, Feeling abnormal, Fluid retention, Haemorrhage
Clinical narrative: mennorhagia, abdominal/pelvic mass
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hysterectomy, Impaired healing, Impaired work ability, Incision site haemorrhage, Incontinence
Clinical narrative: mennorhagia, abdominal/pelvic mass
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Induration, Influenza like illness, Malaise, Mobility decreased, Nausea
Clinical narrative: mennorhagia, abdominal/pelvic mass
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neoplasm malignant, Occupational exposure to SARS-CoV-2, Oophorectomy, Pain, Pain in extremity
Clinical narrative: mennorhagia, abdominal/pelvic mass
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paracentesis, Pelvic mass, Suture insertion, Vaginal haemorrhage
Clinical narrative: mennorhagia, abdominal/pelvic mass
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal mass, Heavy menstrual bleeding, Pelvic mass
Clinical narrative: mennorhagia, abdominal/pelvic mass
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: NURSE USED GUIDELINES FOR OLD PFIZER VACCINE TO DILUTE VACCINE WITH 2.2ML INSTEAD OF USING NEW GUIDLINES TO DILUTE WITH 1.1ML INSTEAD.. PATIENT WAS GIVEN LOWER THAN AUTHORIZED DOSE ADMINISTERED. NURSE CALLED PFIZER FOR ASSISTANCE ON HOW TO HANDLE THE MATTER. NURSE WAS INSTRUCTED TO ADMINISTER ANOTHER HALF VOLUME DOSE ON SAME CLINIC DAY TO COUNT AS 1 FULL DOSE. PATIENTS MOTHER WAS NOTIFIED, AND MOTHER BROUGHT PATIENT BACK TO CLINIC TO RECIEVE THE OTHER HALF OF DOSE OF PFIZER INFANT VACCINE FOR 6 MONTHS TO 4 YEARS.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Acute respiratory failure, Blood glucose normal, Blood lactate dehydrogenase increased, Blood lactic acid increased, Blood potassium increased
Clinical narrative: Patient is a 76 y.o. male patient of MD with history of ESRD, CAD, T2DM, HLD, HLD who presented with seizure like activity found to have COVID. Hospitalization complicated by COPD exacerbation, Acute respiratory failure   Acute Respiratory Failure w/Hypoxia Acute Exacerbation of COPD Likely secondary to ongoing smoking Requiring 2-4L NC on admission, no baseline recs Initial CT w/o acute pathology,  emphysema Start scheduled/PRN Nebs, PO steroids Aggressive pulmonary hygiene Wean O2 as able to maintain SpO2 88-92% On 2L NC-stable 11/25 Home O2 eval prior to DC-qualified Cont pulse ox   Covid-19 Virus Infection Date of onset of symptoms: 11/20 Symptoms present on admission: 11/20 Date of covid positive test: 11/20 Vaccination status: vaccinated Imaging: CXR reviewed by me without obvious pneumonia CT Chest-No acute process within the lungs.Moderate COPD. Scattered areas of pleural thickening and calcification likely related to prior asbestos exposure.Aortic endograft.Mild cholelithiasis. Oxygen requirements on admission: 3L Current oxygen requirements: 2L NC Medical therapy: remdesivir and steroids Consultants following: Nephrology Anticipated special isolation end date: 12/1 CRP 47.5, Ferritin 802, LDH 225 Follow Seizure-like activity Unclear etiology Noted during iHD Denies h/o sz but + h/o TBI No focal neuro deficits on exam Initial LA elevated CTH Brain-No acute intracranial abnormality. Neurology consulted-We will attempt to obtain a routine EEG.  If we are unable to obtain it today as he is receiving dialysis, it can be obtained as an outpatient.  No antiepileptic medication is recommended at this time.  Seizure precautions   Anemia in ESRD Thrombocytopenia-Resolved Baseline Hb 10-11   Hb 8.7  11/21 and 11/22, 8 11/24, 7.3  11/26 Baseline Plts normal  Plts 132 11/21 and 131  11/22, 142  11/24 Likely secondary to underlying renal dyfxn No e/o bleeding on exam Follow per PCP   Hyperkalemia-Resolved ESRD Potassium 5.4  11/22; 11/23 HD MWF  access RIJ PC-changing due to covid infection to  TTS starting Saturday and can return to original unit 12/1 Primary Nephrologist: consulted Limit nephrotoxins as able   T2DM, non-insulin dependent DM Peripheral Neuropathy Chronic, diet controlled BG 135, A1c 4.7 (2021) repeat 4.7 on 11/20/23 NARx check 11/22 continue home gabapentin   Tobacco Use Disorder Smokes 1 PPD >3 minutes spent counseling cessation Declined NRT while hospitalized CAD s/p MI s/p pacer HLD AAA Cont Statin Not on ASA Holding Toprol due to low Bp Resume per renal dosing at DC with Imdur(plans to take post HD on HD days if w/in parameters) Needs outpt f/u ASAP with Cardiology as has missed some appt.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: C-reactive protein increased, COVID-19, Chest X-ray normal, Cholelithiasis, Chronic obstructive pulmonary disease
Clinical narrative: Patient is a 76 y.o. male patient of MD with history of ESRD, CAD, T2DM, HLD, HLD who presented with seizure like activity found to have COVID. Hospitalization complicated by COPD exacerbation, Acute respiratory failure   Acute Respiratory Failure w/Hypoxia Acute Exacerbation of COPD Likely secondary to ongoing smoking Requiring 2-4L NC on admission, no baseline recs Initial CT w/o acute pathology,  emphysema Start scheduled/PRN Nebs, PO steroids Aggressive pulmonary hygiene Wean O2 as able to maintain SpO2 88-92% On 2L NC-stable 11/25 Home O2 eval prior to DC-qualified Cont pulse ox   Covid-19 Virus Infection Date of onset of symptoms: 11/20 Symptoms present on admission: 11/20 Date of covid positive test: 11/20 Vaccination status: vaccinated Imaging: CXR reviewed by me without obvious pneumonia CT Chest-No acute process within the lungs.Moderate COPD. Scattered areas of pleural thickening and calcification likely related to prior asbestos exposure.Aortic endograft.Mild cholelithiasis. Oxygen requirements on admission: 3L Current oxygen requirements: 2L NC Medical therapy: remdesivir and steroids Consultants following: Nephrology Anticipated special isolation end date: 12/1 CRP 47.5, Ferritin 802, LDH 225 Follow Seizure-like activity Unclear etiology Noted during iHD Denies h/o sz but + h/o TBI No focal neuro deficits on exam Initial LA elevated CTH Brain-No acute intracranial abnormality. Neurology consulted-We will attempt to obtain a routine EEG.  If we are unable to obtain it today as he is receiving dialysis, it can be obtained as an outpatient.  No antiepileptic medication is recommended at this time.  Seizure precautions   Anemia in ESRD Thrombocytopenia-Resolved Baseline Hb 10-11   Hb 8.7  11/21 and 11/22, 8 11/24, 7.3  11/26 Baseline Plts normal  Plts 132 11/21 and 131  11/22, 142  11/24 Likely secondary to underlying renal dyfxn No e/o bleeding on exam Follow per PCP   Hyperkalemia-Resolved ESRD Potassium 5.4  11/22; 11/23 HD MWF  access RIJ PC-changing due to covid infection to  TTS starting Saturday and can return to original unit 12/1 Primary Nephrologist: consulted Limit nephrotoxins as able   T2DM, non-insulin dependent DM Peripheral Neuropathy Chronic, diet controlled BG 135, A1c 4.7 (2021) repeat 4.7 on 11/20/23 NARx check 11/22 continue home gabapentin   Tobacco Use Disorder Smokes 1 PPD >3 minutes spent counseling cessation Declined NRT while hospitalized CAD s/p MI s/p pacer HLD AAA Cont Statin Not on ASA Holding Toprol due to low Bp Resume per renal dosing at DC with Imdur(plans to take post HD on HD days if w/in parameters) Needs outpt f/u ASAP with Cardiology as has missed some appt.
Age: 75.0
Sex: M
Vaccine: COVID19-2
Symptoms: Computerised tomogram head normal, Computerised tomogram thorax abnormal, Condition aggravated, Emphysema, Glycosylated haemoglobin normal
Clinical narrative: Patient is a 76 y.o. male patient of MD with history of ESRD, CAD, T2DM, HLD, HLD who presented with seizure like activity found to have COVID. Hospitalization complicated by COPD exacerbation, Acute respiratory failure   Acute Respiratory Failure w/Hypoxia Acute Exacerbation of COPD Likely secondary to ongoing smoking Requiring 2-4L NC on admission, no baseline recs Initial CT w/o acute pathology,  emphysema Start scheduled/PRN Nebs, PO steroids Aggressive pulmonary hygiene Wean O2 as able to maintain SpO2 88-92% On 2L NC-stable 11/25 Home O2 eval prior to DC-qualified Cont pulse ox   Covid-19 Virus Infection Date of onset of symptoms: 11/20 Symptoms present on admission: 11/20 Date of covid positive test: 11/20 Vaccination status: vaccinated Imaging: CXR reviewed by me without obvious pneumonia CT Chest-No acute process within the lungs.Moderate COPD. Scattered areas of pleural thickening and calcification likely related to prior asbestos exposure.Aortic endograft.Mild cholelithiasis. Oxygen requirements on admission: 3L Current oxygen requirements: 2L NC Medical therapy: remdesivir and steroids Consultants following: Nephrology Anticipated special isolation end date: 12/1 CRP 47.5, Ferritin 802, LDH 225 Follow Seizure-like activity Unclear etiology Noted during iHD Denies h/o sz but + h/o TBI No focal neuro deficits on exam Initial LA elevated CTH Brain-No acute intracranial abnormality. Neurology consulted-We will attempt to obtain a routine EEG.  If we are unable to obtain it today as he is receiving dialysis, it can be obtained as an outpatient.  No antiepileptic medication is recommended at this time.  Seizure precautions   Anemia in ESRD Thrombocytopenia-Resolved Baseline Hb 10-11   Hb 8.7  11/21 and 11/22, 8 11/24, 7.3  11/26 Baseline Plts normal  Plts 132 11/21 and 131  11/22, 142  11/24 Likely secondary to underlying renal dyfxn No e/o bleeding on exam Follow per PCP   Hyperkalemia-Resolved ESRD Potassium 5.4  11/22; 11/23 HD MWF  access RIJ PC-changing due to covid infection to  TTS starting Saturday and can return to original unit 12/1 Primary Nephrologist: consulted Limit nephrotoxins as able   T2DM, non-insulin dependent DM Peripheral Neuropathy Chronic, diet controlled BG 135, A1c 4.7 (2021) repeat 4.7 on 11/20/23 NARx check 11/22 continue home gabapentin   Tobacco Use Disorder Smokes 1 PPD >3 minutes spent counseling cessation Declined NRT while hospitalized CAD s/p MI s/p pacer HLD AAA Cont Statin Not on ASA Holding Toprol due to low Bp Resume per renal dosing at DC with Imdur(plans to take post HD on HD days if w/in parameters) Needs outpt f/u ASAP with Cardiology as has missed some appt.