chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash papular, Rash pruritic, Urticaria
Clinical narrative: Since 1 February he has complained of recurrent episodes of generalized itching and rashes described as raised, red, itchy whelts which can occur anywhere on his body, sometimes at sites of pressure or where his skin is scraped or scratched. Lesions last less than 24 hours, spare his palms and soles, and resolve without post-inflammatory changes. He denies laryngeal, pulmonary, GI, neurologic, and cardiovascular symptoms with these episodes. Episodes not associated with heat, exercise, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, known infections, or insect bites/stings. He received his Moderna COVID-19 vaccine booster dose on 19 January, 13 days prior to onset of symptoms. He has used oral antihistamines and two courses of oral corticosteroids with benefit. He denies constitutional symptoms. UCT score today is 26 (3, 3, 3, 3, 4, 3, 4, 3). No history of adverse reactions to prior vaccines.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mechanical urticaria, Pruritus
Clinical narrative: Itching, red swollen lines all over my body and face. Diagnosed with urticaria dermatography. I take antihistamines. Still itchy and with dermatography. The itchiness though is better.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Abdominal pain, C-reactive protein, Condition aggravated, Differential white blood cell count, Eating disorder
Clinical narrative: Pale stool 5 hours after receiving vaccine that lasted 4 days consecutively.  Continuing on/off pale stools until 04/05/2022.  Abnormal CMP on 04/11/2022 and CBC panel on 04/08/2022.  Worsening GERD symptoms.  Can no longer tolerate solids 2 weeks following vaccines.  Only Carafate started on 04/08 has helped with worsening symptoms of abdominal pain.
Age: 1.0
Sex: M
Vaccine: HEPA, PNC13, VARCEL
Symptoms: Faeces discoloured, Full blood count, Gastrooesophageal reflux disease, Metabolic function test
Clinical narrative: Pale stool 5 hours after receiving vaccine that lasted 4 days consecutively.  Continuing on/off pale stools until 04/05/2022.  Abnormal CMP on 04/11/2022 and CBC panel on 04/08/2022.  Worsening GERD symptoms.  Can no longer tolerate solids 2 weeks following vaccines.  Only Carafate started on 04/08 has helped with worsening symptoms of abdominal pain.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Intermenstrual bleeding, Intra-uterine contraceptive device insertion
Clinical narrative: Bleeding every day started and havent stopped till doctors put me on progesterone and then iud, i still have breakthrough bleeding
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pruritus, Rash, Rash erythematous, Rash papular
Clinical narrative: Since 21 January she has complained of recurrent episodes of generalized itching and rashes described as raised, red, itchy whelts which can occur anywhere on her body, especially at sites of pressure or where her skin is scraped or scratched. Lesions last less than 24 hours, affect her palms and soles, and resolve without post-inflammatory changes. She denies laryngeal, pulmonary, GI, neurologic, and cardiovascular symptoms with these episodes. Episodes not associated with heat, exercise, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, known infections, or insect bites/stings. She received her Moderna COVID-19 vaccine booster dose on 13 January, 8 days prior to onset of symptoms. Her symptoms led her to present to the ER on two occasions (28 January and 5 February) where she was treated with antihistamines at her first visits and an oral corticosteroid at her second visit. She has used oral antihistamines with benefit and a course of oral corticosteroids without benefit. He denies constitutional symptoms. UCT score today is 16 (1, 2, 0, 3, 3, 2, 2, 3). No history of adverse reactions to prior vaccines.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Skin lesion, Urticaria
Clinical narrative: Since 21 January she has complained of recurrent episodes of generalized itching and rashes described as raised, red, itchy whelts which can occur anywhere on her body, especially at sites of pressure or where her skin is scraped or scratched. Lesions last less than 24 hours, affect her palms and soles, and resolve without post-inflammatory changes. She denies laryngeal, pulmonary, GI, neurologic, and cardiovascular symptoms with these episodes. Episodes not associated with heat, exercise, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, known infections, or insect bites/stings. She received her Moderna COVID-19 vaccine booster dose on 13 January, 8 days prior to onset of symptoms. Her symptoms led her to present to the ER on two occasions (28 January and 5 February) where she was treated with antihistamines at her first visits and an oral corticosteroid at her second visit. She has used oral antihistamines with benefit and a course of oral corticosteroids without benefit. He denies constitutional symptoms. UCT score today is 16 (1, 2, 0, 3, 3, 2, 2, 3). No history of adverse reactions to prior vaccines.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea
Clinical narrative: Narrative: Admission Diagnosis:COVID-19 pneumonia, COPD exacerbation DIAGNOSIS: Primary Diagnosis: Pneumonia Secondary diagnosis: COVID-19. dyspnea, COPD
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Narrative: Admission Diagnosis:COVID-19 pneumonia, COPD exacerbation DIAGNOSIS: Primary Diagnosis: Pneumonia Secondary diagnosis: COVID-19. dyspnea, COPD
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Ileus, SARS-CoV-2 test positive
Clinical narrative: Narrative: Asymptomatic COVID positive in vaccinated but not boosted patient admitted for ileus
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: Two weeks after 3rd dose vaccine, developed uncontrolled hypertension:  B/P 190/110, 188/112    Discovered by accident as I'm a Nurse Educator orienting a new Nurse who wanted to test the new B/P equipment.  My normal B/P is 110/70 or 90/60.   I ignored this as a "fluke" for 2 more weeks, checking my B/P while on vacation camping:   186/118.     Immediately saw PCP, Dr.  who prescribed Lisinopril 10mg.    B/P remained uncontrolled and now taking Lisinopril HCTZ 20mg.      I've NEVER had HTN - I'm active, exercising, weight is 145, eat healthy and teach healthy living.    This HTN is a direct result of the 3rd booster vaccine.   Now, it's well known that HTN is a side effect of the COVID vaccine.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Body temperature decreased, Cardiac stress test, Chest pain, Coronavirus test, Echocardiogram
Clinical narrative: My temperature was low very low but sweating my hand where ice that was from second shot and continued until my chest started to hurt. My health got worse after the shots, I got really sick in November. I thought nothing of it but to go back work I had to the coronavirus test, well the doctor heard my heart was irregular heart beat. She called my normal doctor left her a message. I saw my normal three days later she heard it.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, General physical health deterioration, Heart rate irregular, Hyperhidrosis, Malaise
Clinical narrative: My temperature was low very low but sweating my hand where ice that was from second shot and continued until my chest started to hurt. My health got worse after the shots, I got really sick in November. I thought nothing of it but to go back work I had to the coronavirus test, well the doctor heard my heart was irregular heart beat. She called my normal doctor left her a message. I saw my normal three days later she heard it.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: My temperature was low very low but sweating my hand where ice that was from second shot and continued until my chest started to hurt. My health got worse after the shots, I got really sick in November. I thought nothing of it but to go back work I had to the coronavirus test, well the doctor heard my heart was irregular heart beat. She called my normal doctor left her a message. I saw my normal three days later she heard it.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arteriogram coronary normal, Echocardiogram normal, Electrocardiogram abnormal, Pericarditis, SARS-CoV-2 test negative
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Patient was hospitalized with pericarditis and treated with colchicine. Patient was discharged medically stable.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized with acute hypoxemic respiratory failure due to COVID-19. Patient received remdesivir, steroids, supplemental oxygen, anticoagulation, and antibiotics. Discharged to home medically stable.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized with acute hypoxemic respiratory failure due to COVID-19. Patient received remdesivir, steroids, supplemental oxygen, anticoagulation, and antibiotics. Discharged to home medically stable.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Moderna 3/24/21, 4/22/21, 15/15/21. Positive on 4/10/22
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient had no adverse events. Patient was accidently given a Moderna 0.5 dose for her booster instead of the 0.25 dose
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, Anticoagulant therapy, COVID-19, COVID-19 pneumonia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient hospitalized for  acute hypoxemic respiratory secondary to COVID-19 pneumonia. Received remdesivir, steroids, antibiotics, supplemental oxygen, and anticoagulation. Discharged to home medically stable.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Infection, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient hospitalized for  acute hypoxemic respiratory secondary to COVID-19 pneumonia. Received remdesivir, steroids, antibiotics, supplemental oxygen, and anticoagulation. Discharged to home medically stable.
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Dizziness, Flushing, Hyperhidrosis, Injection site bruising, Injection site pain
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 36.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site swelling, Nausea, Tremor
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Mild
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site induration, Injection site nodule, Injection site swelling
Clinical narrative: Site: Swelling at Injection Site-Mild, Additional Details: Patient developed a small nodule at injection site. Patient reported no pain, itch, or irritation besides the hard nodule. no limit in mobility. patient was given an ice pack an observed for 20 minutes. Patient reported he was feeling well before leaving the pharmacy. Will follow up with the patient
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Throat tightness
Clinical narrative: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: pt felt throat get tightened which resolved after a few minutes, felt tingly in the arm which did not completely resolve while pt was at pharmacy
Age: 77.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Mild
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Error: Diluent Administered Instead of Vaccine-
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: Patient stated that they had pain with the arm where they got the vaccine. He said it was a 9 out of 10 initially but had reduced in intensity since then. He does not have a regular Dr that he sees. He had not taken any pain reliever since getting the vaccine. He was advised to start that to see if it helps.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, Chest X-ray abnormal, Influenza virus test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized with acute hypoxemic respiratory failure due to COVID-19 and parainfluenza. Patient received remdesivir, steroids, supplemental oxygen, and anticoagulation. Discharged to home medically stable.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Parainfluenzae virus infection, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized with acute hypoxemic respiratory failure due to COVID-19 and parainfluenza. Patient received remdesivir, steroids, supplemental oxygen, and anticoagulation. Discharged to home medically stable.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized due to failure to thrive after a hospitalization for acute hypoxemic respiratory failure due to COVID-19 pneumonia. Received remdesivir, steroids, supplemental oxygen, and anticoagulation. Discharged to home medically stable.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Failure to thrive, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: hospitalized due to failure to thrive after a hospitalization for acute hypoxemic respiratory failure due to COVID-19 pneumonia. Received remdesivir, steroids, supplemental oxygen, and anticoagulation. Discharged to home medically stable.
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Scratch, Skin discolouration
Clinical narrative: Moderna second booster shot was administered on April 6, 2022 to patient. She never had any problem with the other Moderna vaccines. She said her arm began to itch the day after (4/7/22) by Saturday (4/9/22) her arm was very red and pink from her scratching where the itching was located. She is fine otherwise no other symptoms or adverse effects.
Age: 69.0
Sex: U
Vaccine: COVID19
Symptoms: Ageusia, Blood test normal, C-reactive protein normal, Fatigue, Headache
Clinical narrative: excessive shaking, Body aching all over headache & exhaustion immediately for 3-4 days. Later(about 2 months later) continued exhaustion & Body aches. The Booster received on 1/10/22, (moderna Pharmacy administered. Lot # 016J21A) gave me same adverse reaction immediately following shot. Which lasted for 2 days. Incidentally I had Covid 19 -(suspected) in February, 2019. Loss of taste followed for several months. (It was at the very beginning of the pandemic)
Age: 69.0
Sex: U
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Inflammatory marker test, Pain, Rheumatoid factor negative, Tremor
Clinical narrative: excessive shaking, Body aching all over headache & exhaustion immediately for 3-4 days. Later(about 2 months later) continued exhaustion & Body aches. The Booster received on 1/10/22, (moderna Pharmacy administered. Lot # 016J21A) gave me same adverse reaction immediately following shot. Which lasted for 2 days. Incidentally I had Covid 19 -(suspected) in February, 2019. Loss of taste followed for several months. (It was at the very beginning of the pandemic)
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain, Differential white blood cell count, Dyspnoea, Full blood count, Groin pain
Clinical narrative: 1-24 hours lAter - facial swelling, 2- Over 24 hours hives like patch right shoulder - back 3 - 7 days later: abdominal-groin: sharp, painful extending lines of pain as if a spray of needles 4- breathing issue when reclining trying to sleep - have to stand
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Hepatic function abnormal, Insomnia, Metabolic function test, Platelet count, Swelling face
Clinical narrative: 1-24 hours lAter - facial swelling, 2- Over 24 hours hives like patch right shoulder - back 3 - 7 days later: abdominal-groin: sharp, painful extending lines of pain as if a spray of needles 4- breathing issue when reclining trying to sleep - have to stand
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Urticaria
Clinical narrative: 1-24 hours lAter - facial swelling, 2- Over 24 hours hives like patch right shoulder - back 3 - 7 days later: abdominal-groin: sharp, painful extending lines of pain as if a spray of needles 4- breathing issue when reclining trying to sleep - have to stand
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Pyrexia, Rash, Rash maculo-papular, SARS-CoV-2 test negative
Clinical narrative: Seen 4/1 for fever 101 Dx with VUOs. Returned to office 4/4 due to Generalize rash all over maculopapular rash. Dx possible VROs vs rash due to immunes 10 days prior Covid neg
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pruritus
Clinical narrative: Patient received his booster vaccine and had zero immediate reaction. On 12/11/2021, he developed severe itching on both feet. Saw his PCP soon after and started taking Xyzal daily. Since starting, the itching has been manageable. Though if he goes without, his whole body becomes painfully itchy.
Age: 54.0
Sex: F
Vaccine: HEPAB
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient given expired dose of Twinrix. Twinrix expired on 02/20/2022.No Adverse event took place for the patient that day besides the patient recieveing an expired dose of Hep A/B Twinrix.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Heart rate increased, Throat irritation
Clinical narrative: Patient got Janssen vaccine after usual intake evaluation. She neglected to say she is allergic to citrate (one component of the  vaccine) and realized it later while  carefully reading the  fact sheet while waiting 30 minutes.  Nurse vaccinator monitored her carefully after she c/o a scratchy throat but  was otherwise OK except an elevated pulse.  Patient took two benedryls she had brought with her. She was anxious and still with scratchy throat, but no respiratory problems.  She was encouraged to go to the ED but she did not want to go by EMS. Her husband was called and picked her up.  I called at 4:30pm and she was doing well after a trip to the ED where she was given steroids. She was instructed to return to the ED if she had any CP, dizziness, SOB, or palpatations.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Adverse Event: Patient was given 3rd covid dose, vaccine was expired by one day. Per Pfizer there is a 2 day window for expiration date. Team was notified about expired medication on 4/11/2022.  Patient reports not signs or symptoms of adverse reactions.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Condition aggravated, Fatigue, Feeling cold
Clinical narrative: Severe fatigue, muscle and joint pain, cold and chills x 3 days, could not get out of bed or work. After sx subsided was in fibro flare with joint pain and swelling, pain in all trigger points. Had to go on prednisone to function. Still on prednisone a year later--sx return every time trial a reduction or stopping steroids.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibromyalgia, Impaired work ability, Joint swelling, Laboratory test, Loss of personal independence in daily activities
Clinical narrative: Severe fatigue, muscle and joint pain, cold and chills x 3 days, could not get out of bed or work. After sx subsided was in fibro flare with joint pain and swelling, pain in all trigger points. Had to go on prednisone to function. Still on prednisone a year later--sx return every time trial a reduction or stopping steroids.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Myalgia, Pain, Symptom recurrence
Clinical narrative: Severe fatigue, muscle and joint pain, cold and chills x 3 days, could not get out of bed or work. After sx subsided was in fibro flare with joint pain and swelling, pain in all trigger points. Had to go on prednisone to function. Still on prednisone a year later--sx return every time trial a reduction or stopping steroids.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine was not diluted prior to vaccination.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Generalised tonic-clonic seizure, Memory impairment, Respiratory arrest, Resuscitation, Seizure
Clinical narrative: Per the wife she woke to what she described as tonic clonic seizure activity. She advised the seizure lasted about 1 minute prior to the decedent going unresponsive & not breathing. CPR was initiated. The spouse advised that this happened one time two weeks prior when the decedent went into a seizure. He was seen at the ED and not diagnosed, they were awaiting an appointment at a primary care facility. The spouse advised that the decedent has experienced unusual sensations since he received his booster shot 3 weeks prior. She stated the decedent has experienced memory deficits in addition to the seizure activity. EMS arrived today and completed resuscitative efforts unsuccessfully.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sensory disturbance, Unresponsive to stimuli
Clinical narrative: Per the wife she woke to what she described as tonic clonic seizure activity. She advised the seizure lasted about 1 minute prior to the decedent going unresponsive & not breathing. CPR was initiated. The spouse advised that this happened one time two weeks prior when the decedent went into a seizure. He was seen at the ED and not diagnosed, they were awaiting an appointment at a primary care facility. The spouse advised that the decedent has experienced unusual sensations since he received his booster shot 3 weeks prior. She stated the decedent has experienced memory deficits in addition to the seizure activity. EMS arrived today and completed resuscitative efforts unsuccessfully.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient had received two full doses of Moderna on 4/7/21 and 5/5/21, then a booster of Pfizer on 12/17/21. Patient came in for Hep A booster on 3/28/22, but was instead, mistakenly given another Covid Booster--this time a 0.25ml dose of Moderna
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, No adverse event, Product storage error
Clinical narrative: Adverse event: notified on 4/11/2022 that vaccine was expired on 4/4/2022. Patient given vaccine. Reports no adverse reactions.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event, No adverse event, Product storage error
Clinical narrative: Adverse Event: Patient was given 2nd dose on 4/4/2022, vaccine expiration was 4/4/2022. Team was notified about expiration on 4/11/2022. Patient has not reported any adverse symptoms or signs.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Patient was given vaccine before it was diluted.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Loss of personal independence in daily activities, Sleep disorder, Tinnitus
Clinical narrative: Several days post vaccination I noticed ringing in my ears that I had not had prior, I dismissed it expecting it to go away but it did not. I received my second shot on 10/28/21 and the issue only got  worse and has continued. I mentioned it to my PMD in conversation, she had already recommended an ENT for another issue, I mentioned it to the ENT who stated there is unfortunately little that can be done for tinnitus but that I could try lipoflavinoids. The ringing is constant and has effected my sleep and daily life.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation reaction, Product preparation issue
Clinical narrative: vaccine was never diluted before administering to patient.  Patient had mild shot reaction which is now resolved.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Clostridium test positive, Diarrhoea, Endoscopic ultrasound abnormal, Hypomagnesaemia, Hypoxia
Clinical narrative: Hypomagnesemia and Severe sepsis with acute ATN, Rhabdo, hypoxic respiratory failure. Was started on diuretics. Remained hypoxemic in spite of 40 pound diuresis. Pulmonary consulted.   Developed large volume watery diarrhea subsequently tested positive for C. difficile.  Started on fidaxomicin 200 mg twice daily to complete 10-day course. For her pancreatic cyst, she was seen by GI and she underwent EGD/EUS 12/23, initial findings concerning for chronic pancreatitis. Treated for all hospital problems and discharged home. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Oesophagogastroduodenoscopy abnormal, Pancreatic cyst, Polyuria, Renal tubular necrosis, Respiratory failure
Clinical narrative: Hypomagnesemia and Severe sepsis with acute ATN, Rhabdo, hypoxic respiratory failure. Was started on diuretics. Remained hypoxemic in spite of 40 pound diuresis. Pulmonary consulted.   Developed large volume watery diarrhea subsequently tested positive for C. difficile.  Started on fidaxomicin 200 mg twice daily to complete 10-day course. For her pancreatic cyst, she was seen by GI and she underwent EGD/EUS 12/23, initial findings concerning for chronic pancreatitis. Treated for all hospital problems and discharged home. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rhabdomyolysis, Sepsis
Clinical narrative: Hypomagnesemia and Severe sepsis with acute ATN, Rhabdo, hypoxic respiratory failure. Was started on diuretics. Remained hypoxemic in spite of 40 pound diuresis. Pulmonary consulted.   Developed large volume watery diarrhea subsequently tested positive for C. difficile.  Started on fidaxomicin 200 mg twice daily to complete 10-day course. For her pancreatic cyst, she was seen by GI and she underwent EGD/EUS 12/23, initial findings concerning for chronic pancreatitis. Treated for all hospital problems and discharged home. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Normal labour
Clinical narrative: Normal labor and delivery. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation reaction, Product preparation issue
Clinical narrative: vaccine was not diluted before given to patient.  Mild shot reaction
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angioplasty, Aortic aneurysm, Aortic disorder, Arteriosclerosis coronary artery
Clinical narrative: Patient history of mechanical aortic valve and mitral valve and is on chronic anticoagulation with Coumadin with therapeutic INR of 2.6 today on arrival, presented with chest pain and EKG showed ST elevation she went for emergent cath coronary cardiac catheterization that showed bowel significant lesion in the LAD status post stenting now. Anterolateral ST elevation myocardial infarction, attempted access via right groin, 99% right common iliac stenosis seen with iatrogenic wire induced dissection up to the distal aorta involving the right common iliac.  At the conclusion of the case a limited distal aortic runoff was performed with a pigtail catheter via the right radial artery which revealed distal abdominal aortic aneurysm which is mild with severe left common iliac stenosis, severe right common iliac stenosis with what appears to be collateral beds in the distal aorta that go to the lower extremities. Successful angioplasty and stenting of mid left anterior descending coronary atherosclerosis with thrombus see report for details. Patient recovered in hospital and discharged home. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion, Coronary artery occlusion, Coronary artery thrombosis
Clinical narrative: Patient history of mechanical aortic valve and mitral valve and is on chronic anticoagulation with Coumadin with therapeutic INR of 2.6 today on arrival, presented with chest pain and EKG showed ST elevation she went for emergent cath coronary cardiac catheterization that showed bowel significant lesion in the LAD status post stenting now. Anterolateral ST elevation myocardial infarction, attempted access via right groin, 99% right common iliac stenosis seen with iatrogenic wire induced dissection up to the distal aorta involving the right common iliac.  At the conclusion of the case a limited distal aortic runoff was performed with a pigtail catheter via the right radial artery which revealed distal abdominal aortic aneurysm which is mild with severe left common iliac stenosis, severe right common iliac stenosis with what appears to be collateral beds in the distal aorta that go to the lower extremities. Successful angioplasty and stenting of mid left anterior descending coronary atherosclerosis with thrombus see report for details. Patient recovered in hospital and discharged home. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Iliac artery dissection, Iliac artery stenosis, International normalised ratio increased
Clinical narrative: Patient history of mechanical aortic valve and mitral valve and is on chronic anticoagulation with Coumadin with therapeutic INR of 2.6 today on arrival, presented with chest pain and EKG showed ST elevation she went for emergent cath coronary cardiac catheterization that showed bowel significant lesion in the LAD status post stenting now. Anterolateral ST elevation myocardial infarction, attempted access via right groin, 99% right common iliac stenosis seen with iatrogenic wire induced dissection up to the distal aorta involving the right common iliac.  At the conclusion of the case a limited distal aortic runoff was performed with a pigtail catheter via the right radial artery which revealed distal abdominal aortic aneurysm which is mild with severe left common iliac stenosis, severe right common iliac stenosis with what appears to be collateral beds in the distal aorta that go to the lower extremities. Successful angioplasty and stenting of mid left anterior descending coronary atherosclerosis with thrombus see report for details. Patient recovered in hospital and discharged home. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Hyperpyrexia, Pain, SARS-CoV-2 test positive
Clinical narrative: I got symptoms of severe body aches and high fever. I got a positive COVID-19 test from my doctor. I took Motrin, Tylenol, and Nightquil and Dayquil. My symptoms lasted for 9 days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: total body rash beginning the second day after the shot - duration unknown - will require steroids
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Malaise, Mobility decreased, Nausea, Vomiting
Clinical narrative: intense fatigue/malaise, nausea, vomiting, child could not keep food or any fluid (including water) down for almost 48 hours, zofran prescribed by pediatrician to reduce nausea. child did not leave bed for almost 24 hours.   onset of symptoms occured 4 hours after injection.  Child appeared healthy prior and immediately following injection.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test abnormal, Cardiac function test, Condition aggravated, Heart rate increased
Clinical narrative: My thyroid went hyper, which is new for me because I didn't realize what it was until I ended up in the hospital, twice. My blood pressure, heart rate went up and I started getting panic attacks from my thyroid being hyper. It was high and then they kept dropping my medication dose then I ended up being hypo and sleeping for 2 months. And I'm still not where I should be.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperthyroidism, Panic attack
Clinical narrative: My thyroid went hyper, which is new for me because I didn't realize what it was until I ended up in the hospital, twice. My blood pressure, heart rate went up and I started getting panic attacks from my thyroid being hyper. It was high and then they kept dropping my medication dose then I ended up being hypo and sleeping for 2 months. And I'm still not where I should be.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Diabetic ketoacidosis
Clinical narrative: Patient  presented in DKA. She received insulin and our 2 bag system. Her gap closed nicely and she was started on intermittent insulin. Her lantus was increased by endocrine to 31 units on day of discharge. She will be following up this week with endocrine team. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time prolonged, Acute respiratory failure, Anticoagulant therapy, COVID-19, Cerebral small vessel ischaemic disease
Clinical narrative: 2/13/22- Transfer to Hospital for acute hypoxic respiratory failure and chest pain.  Found to have a acute saddle pe without obstructive shock with large clot burden on CT. WBC-17.4 Started on Heparin drip. Bedrest, IV cefepime, and IV doxycycline. 2/14/22p Patient is confused, currently on 2L via NC  o2 sat 94%. Left leg tender and more edematous larger then the right. Heparin increased to 14ml/hr due to APTT being 58.   2/16/2022- Tested Covid + today.  Heparin drip d/c started Elliquis. Increased confusion Head CT -No intercanial hemorrhane or mass effect. Moderate periventricular supraventricular chronic microvascular ischemic disease.  Altered mental status could be secondary to dementia vs. 2/16/2022- Pneumonia. 2/17/2022- Pt is O2 sat on RA, 96% no supplemental oxygen needed. 2/18/22- IV antibiotics transitioned to PO cefdinir, doxycycline and lasix.  2/19/22- Maintaining oxygenation on RA. 2/21/22- Finish course of antibiotics, titrate Elliquis. stable discharged to home . Follow up with Neuro outpatient.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram abnormal, Computerised tomogram head abnormal, Confusional state, Mental status changes
Clinical narrative: 2/13/22- Transfer to Hospital for acute hypoxic respiratory failure and chest pain.  Found to have a acute saddle pe without obstructive shock with large clot burden on CT. WBC-17.4 Started on Heparin drip. Bedrest, IV cefepime, and IV doxycycline. 2/14/22p Patient is confused, currently on 2L via NC  o2 sat 94%. Left leg tender and more edematous larger then the right. Heparin increased to 14ml/hr due to APTT being 58.   2/16/2022- Tested Covid + today.  Heparin drip d/c started Elliquis. Increased confusion Head CT -No intercanial hemorrhane or mass effect. Moderate periventricular supraventricular chronic microvascular ischemic disease.  Altered mental status could be secondary to dementia vs. 2/16/2022- Pneumonia. 2/17/2022- Pt is O2 sat on RA, 96% no supplemental oxygen needed. 2/18/22- IV antibiotics transitioned to PO cefdinir, doxycycline and lasix.  2/19/22- Maintaining oxygenation on RA. 2/21/22- Finish course of antibiotics, titrate Elliquis. stable discharged to home . Follow up with Neuro outpatient.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oedema peripheral, Pulmonary embolism, SARS-CoV-2 test positive, Tenderness, White blood cell count increased
Clinical narrative: 2/13/22- Transfer to Hospital for acute hypoxic respiratory failure and chest pain.  Found to have a acute saddle pe without obstructive shock with large clot burden on CT. WBC-17.4 Started on Heparin drip. Bedrest, IV cefepime, and IV doxycycline. 2/14/22p Patient is confused, currently on 2L via NC  o2 sat 94%. Left leg tender and more edematous larger then the right. Heparin increased to 14ml/hr due to APTT being 58.   2/16/2022- Tested Covid + today.  Heparin drip d/c started Elliquis. Increased confusion Head CT -No intercanial hemorrhane or mass effect. Moderate periventricular supraventricular chronic microvascular ischemic disease.  Altered mental status could be secondary to dementia vs. 2/16/2022- Pneumonia. 2/17/2022- Pt is O2 sat on RA, 96% no supplemental oxygen needed. 2/18/22- IV antibiotics transitioned to PO cefdinir, doxycycline and lasix.  2/19/22- Maintaining oxygenation on RA. 2/21/22- Finish course of antibiotics, titrate Elliquis. stable discharged to home . Follow up with Neuro outpatient.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: After getting vaccinated, I now have joint pain. Primarily in my hands, wrists, hips and legs.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: bud
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: bud
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, Blood sodium decreased, COVID-19, Chest X-ray abnormal
Clinical narrative: 2/15/22- Arrived to ER with complaints of SOB upon exertion, weakness and pelvis pain after a fall three weeks ago . Has had to ambulate with walker, Cane is baseline for her. RA sat at home 80's. Covid + test on admission.  2/16/2022- Admitted Covid 19, hyponatremia and pubic rami fracture. RA sat 88% place on 2LNC.  BP-222/88 given IV hydralazine. Sodium- 121. Baricitininb,IV decadron,  IV Rocephin , IV azithromycin , Lovenox and Remdesivir if increased o2 requirements. Continue BP medications: Amlodipine, clonidine, lisinopril and metroporolol. Chest x ray- right basilar infiltrate  and pelvis xray- unoffical read pubic rami fracture.  2/17/2022- Official read pelvic xray negative. Requiring now 0.5L of o2NC., 2/18/2022-  No longer requiring any supplemental oxygen, 92% on RA. BP-143/62. Sodium 124. Discharged to home, continue current medications cefdinir added for pneumonia.
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea exertional, Fall, Hyponatraemia, Lung infiltration, Pelvic pain
Clinical narrative: 2/15/22- Arrived to ER with complaints of SOB upon exertion, weakness and pelvis pain after a fall three weeks ago . Has had to ambulate with walker, Cane is baseline for her. RA sat at home 80's. Covid + test on admission.  2/16/2022- Admitted Covid 19, hyponatremia and pubic rami fracture. RA sat 88% place on 2LNC.  BP-222/88 given IV hydralazine. Sodium- 121. Baricitininb,IV decadron,  IV Rocephin , IV azithromycin , Lovenox and Remdesivir if increased o2 requirements. Continue BP medications: Amlodipine, clonidine, lisinopril and metroporolol. Chest x ray- right basilar infiltrate  and pelvis xray- unoffical read pubic rami fracture.  2/17/2022- Official read pelvic xray negative. Requiring now 0.5L of o2NC., 2/18/2022-  No longer requiring any supplemental oxygen, 92% on RA. BP-143/62. Sodium 124. Discharged to home, continue current medications cefdinir added for pneumonia.
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Walking aid user, X-ray of pelvis and hip normal
Clinical narrative: 2/15/22- Arrived to ER with complaints of SOB upon exertion, weakness and pelvis pain after a fall three weeks ago . Has had to ambulate with walker, Cane is baseline for her. RA sat at home 80's. Covid + test on admission.  2/16/2022- Admitted Covid 19, hyponatremia and pubic rami fracture. RA sat 88% place on 2LNC.  BP-222/88 given IV hydralazine. Sodium- 121. Baricitininb,IV decadron,  IV Rocephin , IV azithromycin , Lovenox and Remdesivir if increased o2 requirements. Continue BP medications: Amlodipine, clonidine, lisinopril and metroporolol. Chest x ray- right basilar infiltrate  and pelvis xray- unoffical read pubic rami fracture.  2/17/2022- Official read pelvic xray negative. Requiring now 0.5L of o2NC., 2/18/2022-  No longer requiring any supplemental oxygen, 92% on RA. BP-143/62. Sodium 124. Discharged to home, continue current medications cefdinir added for pneumonia.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Influenza like illness, Malaise, Mobility decreased
Clinical narrative: Later that night I felt ok, but the next morning I was just done. It lasted about 3 or 4 days. I had a fever that came and went and had chills all night the night of the vaccine. I just felt really sick and didn't want to do anything and had flu like symptoms. I rarely get sick so this was strange for me.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Later that night I felt ok, but the next morning I was just done. It lasted about 3 or 4 days. I had a fever that came and went and had chills all night the night of the vaccine. I just felt really sick and didn't want to do anything and had flu like symptoms. I rarely get sick so this was strange for me.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Blood creatinine increased, C-reactive protein increased, COVID-19
Clinical narrative: 2/8/2022- Patient called for Covid test: cough, congested and body aches.  Covid + test. 2/9/2022- Monoclonals ordered ( Sotrovimab) Benzonatate ordered for cough. Received infusion. Rheumatology advised of Covid status, hold Imuran for at least once a week or until  asymptomatic. 2/14/2022-Patient notes having body aches and SOB upon exertion, O2 sat at home 95% on RA. Advised to treat symptoms, seek immediate medical attention is SOB increases. 2/18/2022- Office visit for increased difficulty breathing on exertion and fatigue. Agreed to to hospital admission. Chest xray and labs were ordered,transfered to Medical Center.  2/18/2022-Presentated to ED, with complaints of  SOB upon exertion and fatigue. 2/18/2022 Additional information for Item 18: Admitted with Acute Covid multilobar pneumonia without hypoxemic respiratory failure and mild AKI. Afebrile, HR-93, RR-18 o2 sat 97% on RA. CXR -Bilateral pulmonary infiltrates not visualized previously. Chest Ct w/o contrast- bilateral multi lobar multifocal pulmonary infiltrates , emphysema with underlying fibrosis.  IV Ceftriaxone, IV Azithromycin  and IV Vancomycin ordered (given in ED) . WBC -13, CRP 21.3, creatnine 1.7 and EGFR 45.  On Bactrim for PCP prophylaxis, Lovenox,  IV Cefepime , inhaled tobryamycin and IV doxycycline ordered. Remdesivir held due to AKI. 2/19/2022- CT chest pulmonary embolism w IV contrast patient is high risk: No evidence of PE. EGFR now >60, WBC trending down-Pulmonary added Solu-medrol. 2/20/2022- CRP-16.7. Continue with Lovenox for another 24 hours and then transition to Eliquis. Vitals WNL no supplemental oxygen needed. 2/21/2022- WBC 7.5 and Creatnine 1.0.Vitals WNL.  Start Prednisone and d/c Solu-medrol. Continue current medications. Discharged to home.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: 2/8/2022- Patient called for Covid test: cough, congested and body aches.  Covid + test. 2/9/2022- Monoclonals ordered ( Sotrovimab) Benzonatate ordered for cough. Received infusion. Rheumatology advised of Covid status, hold Imuran for at least once a week or until  asymptomatic. 2/14/2022-Patient notes having body aches and SOB upon exertion, O2 sat at home 95% on RA. Advised to treat symptoms, seek immediate medical attention is SOB increases. 2/18/2022- Office visit for increased difficulty breathing on exertion and fatigue. Agreed to to hospital admission. Chest xray and labs were ordered,transfered to Medical Center.  2/18/2022-Presentated to ED, with complaints of  SOB upon exertion and fatigue. 2/18/2022 Additional information for Item 18: Admitted with Acute Covid multilobar pneumonia without hypoxemic respiratory failure and mild AKI. Afebrile, HR-93, RR-18 o2 sat 97% on RA. CXR -Bilateral pulmonary infiltrates not visualized previously. Chest Ct w/o contrast- bilateral multi lobar multifocal pulmonary infiltrates , emphysema with underlying fibrosis.  IV Ceftriaxone, IV Azithromycin  and IV Vancomycin ordered (given in ED) . WBC -13, CRP 21.3, creatnine 1.7 and EGFR 45.  On Bactrim for PCP prophylaxis, Lovenox,  IV Cefepime , inhaled tobryamycin and IV doxycycline ordered. Remdesivir held due to AKI. 2/19/2022- CT chest pulmonary embolism w IV contrast patient is high risk: No evidence of PE. EGFR now >60, WBC trending down-Pulmonary added Solu-medrol. 2/20/2022- CRP-16.7. Continue with Lovenox for another 24 hours and then transition to Eliquis. Vitals WNL no supplemental oxygen needed. 2/21/2022- WBC 7.5 and Creatnine 1.0.Vitals WNL.  Start Prednisone and d/c Solu-medrol. Continue current medications. Discharged to home.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea exertional, Emphysema, Fatigue, Glomerular filtration rate decreased, Lung infiltration
Clinical narrative: 2/8/2022- Patient called for Covid test: cough, congested and body aches.  Covid + test. 2/9/2022- Monoclonals ordered ( Sotrovimab) Benzonatate ordered for cough. Received infusion. Rheumatology advised of Covid status, hold Imuran for at least once a week or until  asymptomatic. 2/14/2022-Patient notes having body aches and SOB upon exertion, O2 sat at home 95% on RA. Advised to treat symptoms, seek immediate medical attention is SOB increases. 2/18/2022- Office visit for increased difficulty breathing on exertion and fatigue. Agreed to to hospital admission. Chest xray and labs were ordered,transfered to Medical Center.  2/18/2022-Presentated to ED, with complaints of  SOB upon exertion and fatigue. 2/18/2022 Additional information for Item 18: Admitted with Acute Covid multilobar pneumonia without hypoxemic respiratory failure and mild AKI. Afebrile, HR-93, RR-18 o2 sat 97% on RA. CXR -Bilateral pulmonary infiltrates not visualized previously. Chest Ct w/o contrast- bilateral multi lobar multifocal pulmonary infiltrates , emphysema with underlying fibrosis.  IV Ceftriaxone, IV Azithromycin  and IV Vancomycin ordered (given in ED) . WBC -13, CRP 21.3, creatnine 1.7 and EGFR 45.  On Bactrim for PCP prophylaxis, Lovenox,  IV Cefepime , inhaled tobryamycin and IV doxycycline ordered. Remdesivir held due to AKI. 2/19/2022- CT chest pulmonary embolism w IV contrast patient is high risk: No evidence of PE. EGFR now >60, WBC trending down-Pulmonary added Solu-medrol. 2/20/2022- CRP-16.7. Continue with Lovenox for another 24 hours and then transition to Eliquis. Vitals WNL no supplemental oxygen needed. 2/21/2022- WBC 7.5 and Creatnine 1.0.Vitals WNL.  Start Prednisone and d/c Solu-medrol. Continue current medications. Discharged to home.