chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray normal, Computerised tomogram head normal, Confusional state
Clinical narrative: Patient is a 82 y.o. female patient of MD with history of arthritis, dementia, dyslipidemia, hypertension who presented to Hospital with altered mental status and respiratory failure likely secondary to COVID infection.  The patient lives at ECF and the staff noted that she became confused.  They tested her for COVID and she was positive.  She initially presented to one hospital and transferred to another hospital for admission.   Acute hypoxemic respiratory failure due to COVID Acute metabolic encephalopathy likely due to COVID COVID infection The patient developed altered mental status at ECF and found to have COVID. Had an x-ray of the chest at hospital with no acute abnormalities CT head without contrast at hospital with no acute abnormalities Onset of symptoms 11/27/2023.  COVID-positive at hospital on same day. Urinalysis, CBC, and CMP at hospital with no significant abnormalities. Opponent negative at hospital Start dexamethasone and remdesivir Patient is off oxygen,  DC back to AL , DC dexamethasone and remdesivir   Hypertension Hyperlipidemia Continue Bystolic and statin   Dementia Continue Namenda and donepezil
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Laboratory test normal, Mental status changes, Metabolic encephalopathy, Metabolic function test normal
Clinical narrative: Patient is a 82 y.o. female patient of MD with history of arthritis, dementia, dyslipidemia, hypertension who presented to Hospital with altered mental status and respiratory failure likely secondary to COVID infection.  The patient lives at ECF and the staff noted that she became confused.  They tested her for COVID and she was positive.  She initially presented to one hospital and transferred to another hospital for admission.   Acute hypoxemic respiratory failure due to COVID Acute metabolic encephalopathy likely due to COVID COVID infection The patient developed altered mental status at ECF and found to have COVID. Had an x-ray of the chest at hospital with no acute abnormalities CT head without contrast at hospital with no acute abnormalities Onset of symptoms 11/27/2023.  COVID-positive at hospital on same day. Urinalysis, CBC, and CMP at hospital with no significant abnormalities. Opponent negative at hospital Start dexamethasone and remdesivir Patient is off oxygen,  DC back to AL , DC dexamethasone and remdesivir   Hypertension Hyperlipidemia Continue Bystolic and statin   Dementia Continue Namenda and donepezil
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Urine analysis normal
Clinical narrative: Patient is a 82 y.o. female patient of MD with history of arthritis, dementia, dyslipidemia, hypertension who presented to Hospital with altered mental status and respiratory failure likely secondary to COVID infection.  The patient lives at ECF and the staff noted that she became confused.  They tested her for COVID and she was positive.  She initially presented to one hospital and transferred to another hospital for admission.   Acute hypoxemic respiratory failure due to COVID Acute metabolic encephalopathy likely due to COVID COVID infection The patient developed altered mental status at ECF and found to have COVID. Had an x-ray of the chest at hospital with no acute abnormalities CT head without contrast at hospital with no acute abnormalities Onset of symptoms 11/27/2023.  COVID-positive at hospital on same day. Urinalysis, CBC, and CMP at hospital with no significant abnormalities. Opponent negative at hospital Start dexamethasone and remdesivir Patient is off oxygen,  DC back to AL , DC dexamethasone and remdesivir   Hypertension Hyperlipidemia Continue Bystolic and statin   Dementia Continue Namenda and donepezil
Age: 45.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Pain, Pain in extremity
Clinical narrative: pain at onset of vaccine and increased over time. painful to take off shirt, lifting arm.  Arm is achy but heat and ibuprofen help the pain.
Age: 47.0
Sex: F
Vaccine: FLU4
Symptoms: Limb discomfort, Pain, Pain in extremity
Clinical narrative: Arm is still sore when raising it, driving.  Uncomfortable feeling
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute respiratory failure, Angiogram abnormal, Aortic stenosis, COVID-19
Clinical narrative: Patient is a 65 y.o. female patient of CNP with history of 50-pack-year smoking history, severe COPD on home oxygen, coronary disease status post PCI in August/2023, history of bladder cancer, chronic anemia, tobacco abuse, recent admission for radial nerve palsy presented to Hospital with shortness of breath with acute respiratory failure.    Acute on chronic hypoxic and hypercarbic respiratory failure COVID-19 virus infection, POA Committee acquired pneumonia, pneumococcal Severe COPD with acute exacerbation, on 3 to 4 L at home PFTs 8/28?FEV1 22%, not much response with bronchodilators.  Diffusing capacity markedly reduced. Chest x-ray with typical for COPD.  No consolidation. Pneumococcal urine antigen also positive. She was treated with Decadron remdesivir ceftriaxone. On discharge continue Decadron for 6 more days to finish 10-day course. Continue Augmentin for 4 more days to finish 7-day course. She is back to 3 L in her baseline. Continue using AVAPS with naps and nighttime. Continue trellagy and albuterol as needed. Outpatient Pulmonary followup.   Right radial nerve palsy at spiral grove Diagnosed last admission. CT head and MRI brain was negative for strokes. CT chest without contrast rules out any right upper lobe mass. MR right humerus shows focal edema and medial arm 1.9 cm. She was scheduled for outpatient EMG, was given cock-up wrist splint. Add OT. Continue home dose of Lyrica, Mirapex   CAD   Hypertension Hyperlipidemia Continue metoprolol, isosorbide, aspirin, Plavix, Statin On oral lasix as needed at home. Low-grade bladder cancer Status post TURBT 7/17. Getting 3-month surveillance cystoscopy per urology utpatient. No recurrence of cancer.   Tobacco abuse Counseled on smoking cessation and its adverse effects for more than 4 minutes, offered both patches and gums, patient has patches.   Generalized abdominal pain Dysphagia Weight loss with Change in bowel habits Pulmonary cachexia Colonoscopy in 2021 showed diverticulosis. Seen by Dr. outpatient was planned for EGD 11/21 and missed as she was admitted to the hospital.  I discussed with general surgery nurse practitioner last admission who advised patient to call to reschedule again.   Moderate abdominal aortic atherosclerotic disease Peripheral artery disease CTA abdomen pelvis 11/7 reviewed?moderate disease as above.  No evidence of acute mesenteric ischemia. R CIA 65% stenosis, R CFA 50% stenosis, L CIA 75% stenosis, L CFA 50% stenosis. Continue aspirin, Plavix, statin.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cachexia, Change of bowel habit, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Computerised tomogram head normal
Clinical narrative: Patient is a 65 y.o. female patient of CNP with history of 50-pack-year smoking history, severe COPD on home oxygen, coronary disease status post PCI in August/2023, history of bladder cancer, chronic anemia, tobacco abuse, recent admission for radial nerve palsy presented to Hospital with shortness of breath with acute respiratory failure.    Acute on chronic hypoxic and hypercarbic respiratory failure COVID-19 virus infection, POA Committee acquired pneumonia, pneumococcal Severe COPD with acute exacerbation, on 3 to 4 L at home PFTs 8/28?FEV1 22%, not much response with bronchodilators.  Diffusing capacity markedly reduced. Chest x-ray with typical for COPD.  No consolidation. Pneumococcal urine antigen also positive. She was treated with Decadron remdesivir ceftriaxone. On discharge continue Decadron for 6 more days to finish 10-day course. Continue Augmentin for 4 more days to finish 7-day course. She is back to 3 L in her baseline. Continue using AVAPS with naps and nighttime. Continue trellagy and albuterol as needed. Outpatient Pulmonary followup.   Right radial nerve palsy at spiral grove Diagnosed last admission. CT head and MRI brain was negative for strokes. CT chest without contrast rules out any right upper lobe mass. MR right humerus shows focal edema and medial arm 1.9 cm. She was scheduled for outpatient EMG, was given cock-up wrist splint. Add OT. Continue home dose of Lyrica, Mirapex   CAD   Hypertension Hyperlipidemia Continue metoprolol, isosorbide, aspirin, Plavix, Statin On oral lasix as needed at home. Low-grade bladder cancer Status post TURBT 7/17. Getting 3-month surveillance cystoscopy per urology utpatient. No recurrence of cancer.   Tobacco abuse Counseled on smoking cessation and its adverse effects for more than 4 minutes, offered both patches and gums, patient has patches.   Generalized abdominal pain Dysphagia Weight loss with Change in bowel habits Pulmonary cachexia Colonoscopy in 2021 showed diverticulosis. Seen by Dr. outpatient was planned for EGD 11/21 and missed as she was admitted to the hospital.  I discussed with general surgery nurse practitioner last admission who advised patient to call to reschedule again.   Moderate abdominal aortic atherosclerotic disease Peripheral artery disease CTA abdomen pelvis 11/7 reviewed?moderate disease as above.  No evidence of acute mesenteric ischemia. R CIA 65% stenosis, R CFA 50% stenosis, L CIA 75% stenosis, L CFA 50% stenosis. Continue aspirin, Plavix, statin.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Condition aggravated, Cystoscopy normal, Dysphagia, Dyspnoea
Clinical narrative: Patient is a 65 y.o. female patient of CNP with history of 50-pack-year smoking history, severe COPD on home oxygen, coronary disease status post PCI in August/2023, history of bladder cancer, chronic anemia, tobacco abuse, recent admission for radial nerve palsy presented to Hospital with shortness of breath with acute respiratory failure.    Acute on chronic hypoxic and hypercarbic respiratory failure COVID-19 virus infection, POA Committee acquired pneumonia, pneumococcal Severe COPD with acute exacerbation, on 3 to 4 L at home PFTs 8/28?FEV1 22%, not much response with bronchodilators.  Diffusing capacity markedly reduced. Chest x-ray with typical for COPD.  No consolidation. Pneumococcal urine antigen also positive. She was treated with Decadron remdesivir ceftriaxone. On discharge continue Decadron for 6 more days to finish 10-day course. Continue Augmentin for 4 more days to finish 7-day course. She is back to 3 L in her baseline. Continue using AVAPS with naps and nighttime. Continue trellagy and albuterol as needed. Outpatient Pulmonary followup.   Right radial nerve palsy at spiral grove Diagnosed last admission. CT head and MRI brain was negative for strokes. CT chest without contrast rules out any right upper lobe mass. MR right humerus shows focal edema and medial arm 1.9 cm. She was scheduled for outpatient EMG, was given cock-up wrist splint. Add OT. Continue home dose of Lyrica, Mirapex   CAD   Hypertension Hyperlipidemia Continue metoprolol, isosorbide, aspirin, Plavix, Statin On oral lasix as needed at home. Low-grade bladder cancer Status post TURBT 7/17. Getting 3-month surveillance cystoscopy per urology utpatient. No recurrence of cancer.   Tobacco abuse Counseled on smoking cessation and its adverse effects for more than 4 minutes, offered both patches and gums, patient has patches.   Generalized abdominal pain Dysphagia Weight loss with Change in bowel habits Pulmonary cachexia Colonoscopy in 2021 showed diverticulosis. Seen by Dr. outpatient was planned for EGD 11/21 and missed as she was admitted to the hospital.  I discussed with general surgery nurse practitioner last admission who advised patient to call to reschedule again.   Moderate abdominal aortic atherosclerotic disease Peripheral artery disease CTA abdomen pelvis 11/7 reviewed?moderate disease as above.  No evidence of acute mesenteric ischemia. R CIA 65% stenosis, R CFA 50% stenosis, L CIA 75% stenosis, L CFA 50% stenosis. Continue aspirin, Plavix, statin.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Magnetic resonance imaging head normal, Oedema peripheral, Pneumonia pneumococcal, Pulmonary function test abnormal
Clinical narrative: Patient is a 65 y.o. female patient of CNP with history of 50-pack-year smoking history, severe COPD on home oxygen, coronary disease status post PCI in August/2023, history of bladder cancer, chronic anemia, tobacco abuse, recent admission for radial nerve palsy presented to Hospital with shortness of breath with acute respiratory failure.    Acute on chronic hypoxic and hypercarbic respiratory failure COVID-19 virus infection, POA Committee acquired pneumonia, pneumococcal Severe COPD with acute exacerbation, on 3 to 4 L at home PFTs 8/28?FEV1 22%, not much response with bronchodilators.  Diffusing capacity markedly reduced. Chest x-ray with typical for COPD.  No consolidation. Pneumococcal urine antigen also positive. She was treated with Decadron remdesivir ceftriaxone. On discharge continue Decadron for 6 more days to finish 10-day course. Continue Augmentin for 4 more days to finish 7-day course. She is back to 3 L in her baseline. Continue using AVAPS with naps and nighttime. Continue trellagy and albuterol as needed. Outpatient Pulmonary followup.   Right radial nerve palsy at spiral grove Diagnosed last admission. CT head and MRI brain was negative for strokes. CT chest without contrast rules out any right upper lobe mass. MR right humerus shows focal edema and medial arm 1.9 cm. She was scheduled for outpatient EMG, was given cock-up wrist splint. Add OT. Continue home dose of Lyrica, Mirapex   CAD   Hypertension Hyperlipidemia Continue metoprolol, isosorbide, aspirin, Plavix, Statin On oral lasix as needed at home. Low-grade bladder cancer Status post TURBT 7/17. Getting 3-month surveillance cystoscopy per urology utpatient. No recurrence of cancer.   Tobacco abuse Counseled on smoking cessation and its adverse effects for more than 4 minutes, offered both patches and gums, patient has patches.   Generalized abdominal pain Dysphagia Weight loss with Change in bowel habits Pulmonary cachexia Colonoscopy in 2021 showed diverticulosis. Seen by Dr. outpatient was planned for EGD 11/21 and missed as she was admitted to the hospital.  I discussed with general surgery nurse practitioner last admission who advised patient to call to reschedule again.   Moderate abdominal aortic atherosclerotic disease Peripheral artery disease CTA abdomen pelvis 11/7 reviewed?moderate disease as above.  No evidence of acute mesenteric ischemia. R CIA 65% stenosis, R CFA 50% stenosis, L CIA 75% stenosis, L CFA 50% stenosis. Continue aspirin, Plavix, statin.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Radial nerve palsy, Respiratory failure, Streptococcus test positive, Weight decreased
Clinical narrative: Patient is a 65 y.o. female patient of CNP with history of 50-pack-year smoking history, severe COPD on home oxygen, coronary disease status post PCI in August/2023, history of bladder cancer, chronic anemia, tobacco abuse, recent admission for radial nerve palsy presented to Hospital with shortness of breath with acute respiratory failure.    Acute on chronic hypoxic and hypercarbic respiratory failure COVID-19 virus infection, POA Committee acquired pneumonia, pneumococcal Severe COPD with acute exacerbation, on 3 to 4 L at home PFTs 8/28?FEV1 22%, not much response with bronchodilators.  Diffusing capacity markedly reduced. Chest x-ray with typical for COPD.  No consolidation. Pneumococcal urine antigen also positive. She was treated with Decadron remdesivir ceftriaxone. On discharge continue Decadron for 6 more days to finish 10-day course. Continue Augmentin for 4 more days to finish 7-day course. She is back to 3 L in her baseline. Continue using AVAPS with naps and nighttime. Continue trellagy and albuterol as needed. Outpatient Pulmonary followup.   Right radial nerve palsy at spiral grove Diagnosed last admission. CT head and MRI brain was negative for strokes. CT chest without contrast rules out any right upper lobe mass. MR right humerus shows focal edema and medial arm 1.9 cm. She was scheduled for outpatient EMG, was given cock-up wrist splint. Add OT. Continue home dose of Lyrica, Mirapex   CAD   Hypertension Hyperlipidemia Continue metoprolol, isosorbide, aspirin, Plavix, Statin On oral lasix as needed at home. Low-grade bladder cancer Status post TURBT 7/17. Getting 3-month surveillance cystoscopy per urology utpatient. No recurrence of cancer.   Tobacco abuse Counseled on smoking cessation and its adverse effects for more than 4 minutes, offered both patches and gums, patient has patches.   Generalized abdominal pain Dysphagia Weight loss with Change in bowel habits Pulmonary cachexia Colonoscopy in 2021 showed diverticulosis. Seen by Dr. outpatient was planned for EGD 11/21 and missed as she was admitted to the hospital.  I discussed with general surgery nurse practitioner last admission who advised patient to call to reschedule again.   Moderate abdominal aortic atherosclerotic disease Peripheral artery disease CTA abdomen pelvis 11/7 reviewed?moderate disease as above.  No evidence of acute mesenteric ischemia. R CIA 65% stenosis, R CFA 50% stenosis, L CIA 75% stenosis, L CFA 50% stenosis. Continue aspirin, Plavix, statin.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood sodium decreased, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient is a 80 y.o. female patient of DO with history of Obesity, Hypertension, Diabetes type 2, Hyperlipidemia, Anxiety, presented to Hospital with generalized weakness.   COVID-19 pneumonia Date of onset of symptoms: 11/27 Symptoms present on admission: Cough, rhinorrhea, chills, generalized weakness Date of covid positive test: 11/28 Vaccination status: vaccinated Imaging: CXR scattered interstitial mostly airspace opacification left>right Required 3 L of oxygen on admission but was able to wean down to RA prior to discharge.   Medical therapy: IV remdesivir and IV dexamethasone in the hospital.  Continued oral dexamethasone at discharge to complete course. Consultants following: None Anticipated special isolation end date: 12/9   Elevated troponin Serial troponin 16> 93> 222 Received heparin drip briefly Echo unremarkable Cardiology followed in the hospital.  According to cardiology likely demand ischemia from respiratory distress. Started aspirin 81 mg daily and continue Crestor. Recommended outpatient follow-up.  Cardiology office will contact patient for 1 month follow-up appointment.   Acute respiratory failure with hypoxia Likely secondary to COVID-19 pneumonia CXR revealed scattered additional interstitial mostly airspace opacifications L>R D-dimer 0.87, proBNP 960, troponin 16 VQ scan (history of IV contrast allergy with unknown reaction)-No PE Given dose of IV Lasix in ED-continue 40 mg IV daily for dry lung strategy Wean oxygen as tolerated Checked O2 requirement prior to discharge did not qualify for oxygen   Hyponatremia Sodium 133 on admission Suspect hypovolemic hyponatremia secondary to poor oral intake Bolused 1 L normal saline in ED Repeat Na 134 Generalized weakness Secondary to COVID-19 infection PT/OT evaluation.  Current recommendation is home health   Essential hypertension Continue home losartan 100 mg daily and amlodipine 2.5 mg daily. Overall stable BP with few elevated readings   Diabetes type 2 controlled Continue home metformin, glimepiride, and Actos. Accu-Cheks with SSI in the hospital   Hyperlipidemia Continue Crestor
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Echocardiogram normal, Fibrin D dimer increased
Clinical narrative: Patient is a 80 y.o. female patient of DO with history of Obesity, Hypertension, Diabetes type 2, Hyperlipidemia, Anxiety, presented to Hospital with generalized weakness.   COVID-19 pneumonia Date of onset of symptoms: 11/27 Symptoms present on admission: Cough, rhinorrhea, chills, generalized weakness Date of covid positive test: 11/28 Vaccination status: vaccinated Imaging: CXR scattered interstitial mostly airspace opacification left>right Required 3 L of oxygen on admission but was able to wean down to RA prior to discharge.   Medical therapy: IV remdesivir and IV dexamethasone in the hospital.  Continued oral dexamethasone at discharge to complete course. Consultants following: None Anticipated special isolation end date: 12/9   Elevated troponin Serial troponin 16> 93> 222 Received heparin drip briefly Echo unremarkable Cardiology followed in the hospital.  According to cardiology likely demand ischemia from respiratory distress. Started aspirin 81 mg daily and continue Crestor. Recommended outpatient follow-up.  Cardiology office will contact patient for 1 month follow-up appointment.   Acute respiratory failure with hypoxia Likely secondary to COVID-19 pneumonia CXR revealed scattered additional interstitial mostly airspace opacifications L>R D-dimer 0.87, proBNP 960, troponin 16 VQ scan (history of IV contrast allergy with unknown reaction)-No PE Given dose of IV Lasix in ED-continue 40 mg IV daily for dry lung strategy Wean oxygen as tolerated Checked O2 requirement prior to discharge did not qualify for oxygen   Hyponatremia Sodium 133 on admission Suspect hypovolemic hyponatremia secondary to poor oral intake Bolused 1 L normal saline in ED Repeat Na 134 Generalized weakness Secondary to COVID-19 infection PT/OT evaluation.  Current recommendation is home health   Essential hypertension Continue home losartan 100 mg daily and amlodipine 2.5 mg daily. Overall stable BP with few elevated readings   Diabetes type 2 controlled Continue home metformin, glimepiride, and Actos. Accu-Cheks with SSI in the hospital   Hyperlipidemia Continue Crestor
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Hyponatraemia, Hypophagia, Hypovolaemia, Hypoxia, Interstitial lung disease
Clinical narrative: Patient is a 80 y.o. female patient of DO with history of Obesity, Hypertension, Diabetes type 2, Hyperlipidemia, Anxiety, presented to Hospital with generalized weakness.   COVID-19 pneumonia Date of onset of symptoms: 11/27 Symptoms present on admission: Cough, rhinorrhea, chills, generalized weakness Date of covid positive test: 11/28 Vaccination status: vaccinated Imaging: CXR scattered interstitial mostly airspace opacification left>right Required 3 L of oxygen on admission but was able to wean down to RA prior to discharge.   Medical therapy: IV remdesivir and IV dexamethasone in the hospital.  Continued oral dexamethasone at discharge to complete course. Consultants following: None Anticipated special isolation end date: 12/9   Elevated troponin Serial troponin 16> 93> 222 Received heparin drip briefly Echo unremarkable Cardiology followed in the hospital.  According to cardiology likely demand ischemia from respiratory distress. Started aspirin 81 mg daily and continue Crestor. Recommended outpatient follow-up.  Cardiology office will contact patient for 1 month follow-up appointment.   Acute respiratory failure with hypoxia Likely secondary to COVID-19 pneumonia CXR revealed scattered additional interstitial mostly airspace opacifications L>R D-dimer 0.87, proBNP 960, troponin 16 VQ scan (history of IV contrast allergy with unknown reaction)-No PE Given dose of IV Lasix in ED-continue 40 mg IV daily for dry lung strategy Wean oxygen as tolerated Checked O2 requirement prior to discharge did not qualify for oxygen   Hyponatremia Sodium 133 on admission Suspect hypovolemic hyponatremia secondary to poor oral intake Bolused 1 L normal saline in ED Repeat Na 134 Generalized weakness Secondary to COVID-19 infection PT/OT evaluation.  Current recommendation is home health   Essential hypertension Continue home losartan 100 mg daily and amlodipine 2.5 mg daily. Overall stable BP with few elevated readings   Diabetes type 2 controlled Continue home metformin, glimepiride, and Actos. Accu-Cheks with SSI in the hospital   Hyperlipidemia Continue Crestor
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Myocardial ischaemia, N-terminal prohormone brain natriuretic peptide increased, Respiratory distress, Rhinorrhoea
Clinical narrative: Patient is a 80 y.o. female patient of DO with history of Obesity, Hypertension, Diabetes type 2, Hyperlipidemia, Anxiety, presented to Hospital with generalized weakness.   COVID-19 pneumonia Date of onset of symptoms: 11/27 Symptoms present on admission: Cough, rhinorrhea, chills, generalized weakness Date of covid positive test: 11/28 Vaccination status: vaccinated Imaging: CXR scattered interstitial mostly airspace opacification left>right Required 3 L of oxygen on admission but was able to wean down to RA prior to discharge.   Medical therapy: IV remdesivir and IV dexamethasone in the hospital.  Continued oral dexamethasone at discharge to complete course. Consultants following: None Anticipated special isolation end date: 12/9   Elevated troponin Serial troponin 16> 93> 222 Received heparin drip briefly Echo unremarkable Cardiology followed in the hospital.  According to cardiology likely demand ischemia from respiratory distress. Started aspirin 81 mg daily and continue Crestor. Recommended outpatient follow-up.  Cardiology office will contact patient for 1 month follow-up appointment.   Acute respiratory failure with hypoxia Likely secondary to COVID-19 pneumonia CXR revealed scattered additional interstitial mostly airspace opacifications L>R D-dimer 0.87, proBNP 960, troponin 16 VQ scan (history of IV contrast allergy with unknown reaction)-No PE Given dose of IV Lasix in ED-continue 40 mg IV daily for dry lung strategy Wean oxygen as tolerated Checked O2 requirement prior to discharge did not qualify for oxygen   Hyponatremia Sodium 133 on admission Suspect hypovolemic hyponatremia secondary to poor oral intake Bolused 1 L normal saline in ED Repeat Na 134 Generalized weakness Secondary to COVID-19 infection PT/OT evaluation.  Current recommendation is home health   Essential hypertension Continue home losartan 100 mg daily and amlodipine 2.5 mg daily. Overall stable BP with few elevated readings   Diabetes type 2 controlled Continue home metformin, glimepiride, and Actos. Accu-Cheks with SSI in the hospital   Hyperlipidemia Continue Crestor
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased, Ventilation/perfusion scan
Clinical narrative: Patient is a 80 y.o. female patient of DO with history of Obesity, Hypertension, Diabetes type 2, Hyperlipidemia, Anxiety, presented to Hospital with generalized weakness.   COVID-19 pneumonia Date of onset of symptoms: 11/27 Symptoms present on admission: Cough, rhinorrhea, chills, generalized weakness Date of covid positive test: 11/28 Vaccination status: vaccinated Imaging: CXR scattered interstitial mostly airspace opacification left>right Required 3 L of oxygen on admission but was able to wean down to RA prior to discharge.   Medical therapy: IV remdesivir and IV dexamethasone in the hospital.  Continued oral dexamethasone at discharge to complete course. Consultants following: None Anticipated special isolation end date: 12/9   Elevated troponin Serial troponin 16> 93> 222 Received heparin drip briefly Echo unremarkable Cardiology followed in the hospital.  According to cardiology likely demand ischemia from respiratory distress. Started aspirin 81 mg daily and continue Crestor. Recommended outpatient follow-up.  Cardiology office will contact patient for 1 month follow-up appointment.   Acute respiratory failure with hypoxia Likely secondary to COVID-19 pneumonia CXR revealed scattered additional interstitial mostly airspace opacifications L>R D-dimer 0.87, proBNP 960, troponin 16 VQ scan (history of IV contrast allergy with unknown reaction)-No PE Given dose of IV Lasix in ED-continue 40 mg IV daily for dry lung strategy Wean oxygen as tolerated Checked O2 requirement prior to discharge did not qualify for oxygen   Hyponatremia Sodium 133 on admission Suspect hypovolemic hyponatremia secondary to poor oral intake Bolused 1 L normal saline in ED Repeat Na 134 Generalized weakness Secondary to COVID-19 infection PT/OT evaluation.  Current recommendation is home health   Essential hypertension Continue home losartan 100 mg daily and amlodipine 2.5 mg daily. Overall stable BP with few elevated readings   Diabetes type 2 controlled Continue home metformin, glimepiride, and Actos. Accu-Cheks with SSI in the hospital   Hyperlipidemia Continue Crestor
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Alkalosis, Asthenia, COVID-19, Cardio-respiratory arrest, Endotracheal intubation
Clinical narrative: Patient is a 97 y.o. female with severe aortic stenosis who presented from on 11/22/2023 with worsening weakness, decreased p.o. intake, in context of recent COVID diagnosis, with respiratory failure, requiring intubation on 11/22/23.  She was maintained on vent; followed by critical care. On 11/25/23, she began having increasing tachypnea, ABG demonstrated lactic acidosis and acute respiratory alkalemia. Lasix had been stopped and pt was given IVF. Pressor requirement increased. A code blue was called, ACLS for asystolic algorithm was followed. Multiple rounds of epi and bicarb were given, and PEA algorithm was obtained, but no perfusing rhythm. The pt's son was at bedside and after about 15 minutes of ACLS he asked that code team stop.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Lactic acidosis, Life support, Mechanical ventilation, Pulseless electrical activity
Clinical narrative: Patient is a 97 y.o. female with severe aortic stenosis who presented from on 11/22/2023 with worsening weakness, decreased p.o. intake, in context of recent COVID diagnosis, with respiratory failure, requiring intubation on 11/22/23.  She was maintained on vent; followed by critical care. On 11/25/23, she began having increasing tachypnea, ABG demonstrated lactic acidosis and acute respiratory alkalemia. Lasix had been stopped and pt was given IVF. Pressor requirement increased. A code blue was called, ACLS for asystolic algorithm was followed. Multiple rounds of epi and bicarb were given, and PEA algorithm was obtained, but no perfusing rhythm. The pt's son was at bedside and after about 15 minutes of ACLS he asked that code team stop.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, Tachypnoea
Clinical narrative: Patient is a 97 y.o. female with severe aortic stenosis who presented from on 11/22/2023 with worsening weakness, decreased p.o. intake, in context of recent COVID diagnosis, with respiratory failure, requiring intubation on 11/22/23.  She was maintained on vent; followed by critical care. On 11/25/23, she began having increasing tachypnea, ABG demonstrated lactic acidosis and acute respiratory alkalemia. Lasix had been stopped and pt was given IVF. Pressor requirement increased. A code blue was called, ACLS for asystolic algorithm was followed. Multiple rounds of epi and bicarb were given, and PEA algorithm was obtained, but no perfusing rhythm. The pt's son was at bedside and after about 15 minutes of ACLS he asked that code team stop.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy muscle abnormal, Bursa removal, Disability, Electromyogram abnormal, Hip surgery
Clinical narrative: Sudden, severe onset of muscle weakness within 8-10 days of immunization with pain and paresthesias of arms and legs. Due to severity and disabling nature of symptoms, I had to stop working as a Family Nurse Practitioner and was primarily bound to a motorized wheelchair for about 5-6 months. EMG?s performed within first month showed early myopathy in upper and lower extremities and muscle biopsy in March 2021 showed type 2  fiber atrophy of deltoid muscle. I have been diagnosed with a progressive myopathy that is now diffuse in all muscles and continuing to progress.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Joint injection, Laboratory test, Magnetic resonance imaging abnormal, Magnetic resonance imaging pelvic
Clinical narrative: Sudden, severe onset of muscle weakness within 8-10 days of immunization with pain and paresthesias of arms and legs. Due to severity and disabling nature of symptoms, I had to stop working as a Family Nurse Practitioner and was primarily bound to a motorized wheelchair for about 5-6 months. EMG?s performed within first month showed early myopathy in upper and lower extremities and muscle biopsy in March 2021 showed type 2  fiber atrophy of deltoid muscle. I have been diagnosed with a progressive myopathy that is now diffuse in all muscles and continuing to progress.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle atrophy, Muscle rupture, Muscular weakness, Myopathy, Pain in extremity
Clinical narrative: Sudden, severe onset of muscle weakness within 8-10 days of immunization with pain and paresthesias of arms and legs. Due to severity and disabling nature of symptoms, I had to stop working as a Family Nurse Practitioner and was primarily bound to a motorized wheelchair for about 5-6 months. EMG?s performed within first month showed early myopathy in upper and lower extremities and muscle biopsy in March 2021 showed type 2  fiber atrophy of deltoid muscle. I have been diagnosed with a progressive myopathy that is now diffuse in all muscles and continuing to progress.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Wheelchair user
Clinical narrative: Sudden, severe onset of muscle weakness within 8-10 days of immunization with pain and paresthesias of arms and legs. Due to severity and disabling nature of symptoms, I had to stop working as a Family Nurse Practitioner and was primarily bound to a motorized wheelchair for about 5-6 months. EMG?s performed within first month showed early myopathy in upper and lower extremities and muscle biopsy in March 2021 showed type 2  fiber atrophy of deltoid muscle. I have been diagnosed with a progressive myopathy that is now diffuse in all muscles and continuing to progress.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given vaccine that is beyond use date in error. BUD 12/22/23. Patient was contacted and advised of error. No concerns at this time.
Age: 64.0
Sex: F
Vaccine: RSV
Symptoms: Burning sensation, Contusion, Scab, Skin necrosis, Swelling
Clinical narrative: Burning, swelling, bruising, scabbing, skin necrosis over course of 24 days today December 29
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Asthenia, Chills, Cough, Dizziness, Fatigue
Clinical narrative: Fatigue started 24 hours after vaccine.  After 36 hours scratchy throat.  Fatigue continue through day 2 after vaccine.  72 hours after vaccine started getting chills and fever.  Throat is scratchy and dry cough.  Chills followed by extreme warmth and pulse rate from 110bpm to 122bpm.  Fatigue and weakness as well as dizzy spells
Age: 64.0
Sex: M
Vaccine: COVID19-2
Symptoms: Feeling hot, Pyrexia, Throat irritation
Clinical narrative: Fatigue started 24 hours after vaccine.  After 36 hours scratchy throat.  Fatigue continue through day 2 after vaccine.  72 hours after vaccine started getting chills and fever.  Throat is scratchy and dry cough.  Chills followed by extreme warmth and pulse rate from 110bpm to 122bpm.  Fatigue and weakness as well as dizzy spells
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Myalgia
Clinical narrative: Soreness at injection site (expected) the day after the vaccine was administered; myalgia and fatigue starting the evening of the vaccination
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Asthenia, Brain stem thrombosis, Cerebrovascular accident, Computerised tomogram
Clinical narrative: Shortly after receiving her Covid vaccines my mom stated to have in explained weakness and from January 2022 - May 2023 we found her on the floor or stuck in the bath tub a total of 8 times. She was seen by her doctor shortly after or taken to the ER at time of finding. On May 19th 2023 she was taken to the ER, many test were ran, scans including a CT and she was sent home noting no cause just like previous visits. On May 22nd 2023 I found her on the floor after lunch she said she had left side weakness and couldn?t get up. She had vomited and urinated on herself so we helped her to the shower and she could barely walk. We got her cleaned up and called EMS again. She was taken to the same ER and we were told she was fine due to previous test and that they would do a PT eval the the next  to see what the trouble with the walking was. I demanded she be seen that night  and that they rescan her. They sent us to the waiting room and approx 2 hours after waiting she had two major strokes in the ER. They then did a CT with contrast found two large blood clots in her brain stem. Unfortunately it was too late, she had left side paralysis, she lost her speak and ability to walk completely in the time they made us wait.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Gait disturbance, Gait inability, Hemiparesis, Hemiplegia
Clinical narrative: Shortly after receiving her Covid vaccines my mom stated to have in explained weakness and from January 2022 - May 2023 we found her on the floor or stuck in the bath tub a total of 8 times. She was seen by her doctor shortly after or taken to the ER at time of finding. On May 19th 2023 she was taken to the ER, many test were ran, scans including a CT and she was sent home noting no cause just like previous visits. On May 22nd 2023 I found her on the floor after lunch she said she had left side weakness and couldn?t get up. She had vomited and urinated on herself so we helped her to the shower and she could barely walk. We got her cleaned up and called EMS again. She was taken to the same ER and we were told she was fine due to previous test and that they would do a PT eval the the next  to see what the trouble with the walking was. I demanded she be seen that night  and that they rescan her. They sent us to the waiting room and approx 2 hours after waiting she had two major strokes in the ER. They then did a CT with contrast found two large blood clots in her brain stem. Unfortunately it was too late, she had left side paralysis, she lost her speak and ability to walk completely in the time they made us wait.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Imaging procedure, Magnetic resonance imaging, Mobility decreased, Scan with contrast abnormal, Urinary incontinence
Clinical narrative: Shortly after receiving her Covid vaccines my mom stated to have in explained weakness and from January 2022 - May 2023 we found her on the floor or stuck in the bath tub a total of 8 times. She was seen by her doctor shortly after or taken to the ER at time of finding. On May 19th 2023 she was taken to the ER, many test were ran, scans including a CT and she was sent home noting no cause just like previous visits. On May 22nd 2023 I found her on the floor after lunch she said she had left side weakness and couldn?t get up. She had vomited and urinated on herself so we helped her to the shower and she could barely walk. We got her cleaned up and called EMS again. She was taken to the same ER and we were told she was fine due to previous test and that they would do a PT eval the the next  to see what the trouble with the walking was. I demanded she be seen that night  and that they rescan her. They sent us to the waiting room and approx 2 hours after waiting she had two major strokes in the ER. They then did a CT with contrast found two large blood clots in her brain stem. Unfortunately it was too late, she had left side paralysis, she lost her speak and ability to walk completely in the time they made us wait.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Shortly after receiving her Covid vaccines my mom stated to have in explained weakness and from January 2022 - May 2023 we found her on the floor or stuck in the bath tub a total of 8 times. She was seen by her doctor shortly after or taken to the ER at time of finding. On May 19th 2023 she was taken to the ER, many test were ran, scans including a CT and she was sent home noting no cause just like previous visits. On May 22nd 2023 I found her on the floor after lunch she said she had left side weakness and couldn?t get up. She had vomited and urinated on herself so we helped her to the shower and she could barely walk. We got her cleaned up and called EMS again. She was taken to the same ER and we were told she was fine due to previous test and that they would do a PT eval the the next  to see what the trouble with the walking was. I demanded she be seen that night  and that they rescan her. They sent us to the waiting room and approx 2 hours after waiting she had two major strokes in the ER. They then did a CT with contrast found two large blood clots in her brain stem. Unfortunately it was too late, she had left side paralysis, she lost her speak and ability to walk completely in the time they made us wait.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial tachycardia, Axillary pain, Chills, Condition aggravated, Dyspnoea exertional
Clinical narrative: 12 hours post vaccination onset of axilla and deltoid pain, myalgia, chills and headache.  Most concerning was the sudden heart rate  elevations on exertion (up to 150 bpm) which seems to have been a much worsening flare of the atrial tachycardia I have chronically ever since a covid infection in 2022; this lasted 48 hours with associated shortness of breath  on exertion and fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: 12 hours post vaccination onset of axilla and deltoid pain, myalgia, chills and headache.  Most concerning was the sudden heart rate  elevations on exertion (up to 150 bpm) which seems to have been a much worsening flare of the atrial tachycardia I have chronically ever since a covid infection in 2022; this lasted 48 hours with associated shortness of breath  on exertion and fatigue.
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Ear pain, Fungal infection, Headache, Neuralgia, Salivary gland cancer
Clinical narrative: Headache evening, 24 hrs later: facial, sinus & throat burning. Facial nerve path on Left burning. Day 2: Facial nerve path on Left & Right burning slightly. Day 3-10: Facial nerve path pain only on Right Side. Spastic headaches mostly in forehead. 15mg CBD oil started day 3. Used 2x/day 7 days got relief. Dentist ruled out dental problem. 12/15/2023 :  Headaches returned, sinus & facial nerve Right side flared 7 days after wearing a mask for a week while at hospital with sick family member. CBD Oil 15 mg 1x/day for 5 days worked. Arnuity Elipta discontinued 12/23/2022 for recurrent oral yest infection. Fluconazole 100mg. Headaches returned 1/6-16/23   5/3/2023 Rt. below ear spastic pain, 9/8/2023 Parotid Cancer 1cm
Age: 78.0
Sex: F
Vaccine: COVID19-2
Symptoms: Skin burning sensation, Throat irritation
Clinical narrative: Headache evening, 24 hrs later: facial, sinus & throat burning. Facial nerve path on Left burning. Day 2: Facial nerve path on Left & Right burning slightly. Day 3-10: Facial nerve path pain only on Right Side. Spastic headaches mostly in forehead. 15mg CBD oil started day 3. Used 2x/day 7 days got relief. Dentist ruled out dental problem. 12/15/2023 :  Headaches returned, sinus & facial nerve Right side flared 7 days after wearing a mask for a week while at hospital with sick family member. CBD Oil 15 mg 1x/day for 5 days worked. Arnuity Elipta discontinued 12/23/2022 for recurrent oral yest infection. Fluconazole 100mg. Headaches returned 1/6-16/23   5/3/2023 Rt. below ear spastic pain, 9/8/2023 Parotid Cancer 1cm
Age: 37.0
Sex: M
Vaccine: COVID19-2
Symptoms: Angina pectoris, Chest pain
Clinical narrative: pain in central chest, like heart pain; the COVID vaccine has previously induced minor discomfort in the same location before, but this feels more serious
Age: 48.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Urticaria
Clinical narrative: Urticaria an full body hives. Taking antihistamines and still occuring
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Breast mass, Eye movement disorder, Hypertension, Hypoaesthesia
Clinical narrative: I woke up 40 hours later and my arms and hands were numb blood pressure out of control
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Protein urine present, Renal injury
Clinical narrative: I woke up 40 hours later and my arms and hands were numb blood pressure out of control
Age: 23.0
Sex: F
Vaccine: HPV9
Symptoms: Expired product administered, No adverse event
Clinical narrative: No additional AE; administration of expired GARDASIL-9 to multiple patients; This is a non-valid case as no patient's identifiers were provided.   This spontaneous report was received from a nurse referring to an unspecified number of patients of unknown age and gender. The patients' pertinent medical history, drug reactions/allergies, concurrent conditions and concomitant medications were not reported.       Between 28-JUL-2023 and 15-AUG-2023, the patients were vaccinated with expired hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) lot # 1691180 with expiration date 15-NOV-2022, 0.5 ml / once, for prophylaxis (strength, route of administration and anatomical location were not reported). No additional adverse event (AE) was reported. It was stated that they had identified 3 patients that had been administered the expired vaccine but they were still in the process of determining if additional patients may have received the expired vaccine. HCP did not have demographics of patients at the time of call. The nurse also confirmed no symptomatic side effects were reported. HCP stated she could call back with additional information when they have it.  Follow up information was received from a vaccine provider on 29-NOV-2023. It was stated that this report refers to a 23-year-old female patient. On 14-AUG-2023, the patient was vaccinated with first dose hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) on left deltoid.   It was mentioned, that distributor sent a full box of expired hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9). The nurse did not notice with documentation that the vaccines were expired. The vaccine provider asked the patient to return to repeat vaccination.   This case comes from a case previously considered non-valid, but per new information received (patient identifiers) the case was splitted and determined to be valid for a specific patient. ; Sender's Comments:  US-009507513-2312USA010153: US-009507513-2312USA010151: US-009507513-2312USA010152: US-009507513-2308USA006786:
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Nausea, Pyrexia
Clinical narrative: Feel very tired, feverish, headache, slight nausea, shivering most of the night even after taking acetaminophen and BC powder
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Cough, Headache, Malaise, Oropharyngeal pain, Pyrexia
Clinical narrative: I became ill around 4 pm on day of vaccine and am still not fully recovered 8 days later.  I had all of the symptoms of RSV and no additional symptoms that I found listed for RSV.  My symptoms were sinus congestion, dry cough, sore throat, sneezing, low grade fever, and headache.
Age: 71.0
Sex: F
Vaccine: RSV
Symptoms: Respiratory symptom, Sinus congestion, Sneezing
Clinical narrative: I became ill around 4 pm on day of vaccine and am still not fully recovered 8 days later.  I had all of the symptoms of RSV and no additional symptoms that I found listed for RSV.  My symptoms were sinus congestion, dry cough, sore throat, sneezing, low grade fever, and headache.
Age: 72.0
Sex: M
Vaccine: ADEN_4_7
Symptoms: Contusion, Feeling hot, Swelling
Clinical narrative: Patient experienced severe bruising, swelling, and heat that persisted until time of report (18 days).  He did not treat the symptoms.  At the time of this report, there is still marked bruising on his left arm present.
Age: 66.0
Sex: M
Vaccine: UNK
Symptoms: Abdominal discomfort, Dizziness, Fatigue, Hyperhidrosis, Vomiting
Clinical narrative: Sweating a lot,  tired, vomiting, upset stomach, dizzy.    Throwing up from 0930 - current