chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Electrocardiogram ambulatory abnormal, Heart rate irregular, Palpitations
Clinical narrative: My very first SVT episode happened right after the second dose of Moderna vaccine in 2021. It was approximately 30 minutes after vaccination and I was in the car driving back to work. Suddenly, I started feeling pain in my chest and then my heart started racing, became irregular l, and I felt lightheaded and dizzy. So, I pulled over thinking that I was going to faint! I started feeling better approximately 5-10 minutes later! My second episode happened in the plane and took an hour! Then the episodes became shorter but more frequent.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Supraventricular tachycardia
Clinical narrative: My very first SVT episode happened right after the second dose of Moderna vaccine in 2021. It was approximately 30 minutes after vaccination and I was in the car driving back to work. Suddenly, I started feeling pain in my chest and then my heart started racing, became irregular l, and I felt lightheaded and dizzy. So, I pulled over thinking that I was going to faint! I started feeling better approximately 5-10 minutes later! My second episode happened in the plane and took an hour! Then the episodes became shorter but more frequent.
Sex: U
Vaccine: MMR
Symptoms: Expired product administered, No adverse event
Clinical narrative: No side effects reported; Inadvertently received expired vaccine; This spontaneous report has been received from a pharmacist regarding a patient of unspecified gender and age. The patient's concomitant medications included sterile diluent (MERCK STERILE DILUENT). The patient medical history, concurrent conditions, concomitant medications, and previous drug reactions or allergies were not reported.  On 28-AUG-2024, the patient was inadvertently vaccinated with an expired dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) injection, administered as prophylaxis (expiration date reported as 25-MAY-2024) (strength, dose, vaccination scheme, route of administration, anatomical site of injection, and lot number were not provided) (expired product administered). No previous temperature excursion was reported. No side effects were reported in the patient.   Lot number is being requested and will be submitted if received.   This is one of several reports received from the same reporter.; Sender's Comments:  US-009507513-2409USA009168:
Age: 35.0
Sex: F
Vaccine: HEP
Symptoms: Underdose
Clinical narrative: adult patient accidentally received a pediatric dose of Engerix-B; adult patient accidentally received a pediatric dose of Engerix-B; This non-serious case was reported by a nurse via call center representative and described the occurrence of adult use of a child product in a 35-year-old female patient who received HBV (Engerix B pediatric) (batch number 9PG49, expiry date 28-DEC-2024) for prophylaxis.   On 18-SEP-2024, the patient received the 2nd dose of Engerix B pediatric. On 18-SEP-2024, an unknown time after receiving Engerix B pediatric, the patient experienced adult use of a child product (Verbatim: adult patient accidentally received a pediatric dose of Engerix-B) and accidental underdose (Verbatim: adult patient accidentally received a pediatric dose of Engerix-B). The outcome of the adult use of a child product and accidental underdose were unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 19-SEP-2024 The nurse reported that an adult patient accidently received a pediatric dose of Engerix-B, which led to adult use of a child product and accidental underdose.
Sex: F
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Second dose administered; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of extra dose administered in a female patient who received RSVPreF3 adjuvanted (Arexvy) (batch number 7P27X, expiry date 30-JUN-2025) for prophylaxis.   Previously administered products included Arexvy (received 1st dose in April 2024).   On 18-SEP-2024, the patient received the 2nd dose of Arexvy. On 18-SEP-2024, an unknown time after receiving Arexvy, the patient experienced extra dose administered (Verbatim: Second dose administered). The outcome of the extra dose administered was unknown.   Additional Information: GSK Receipt Date: 19-SEP-2024 The pharmacist reported that they just had configured that a patient received two doses of Arexvy, which led to extra dose administered.
Age: 69.0
Sex: F
Vaccine: DTAP
Symptoms: Underdose, Wrong product administered
Clinical narrative: Dtap instead of Tdap to an adult patient; Dtap instead of Tdap to an adult patient.; This non-serious case was reported by a other health professional via call center representative and described the occurrence of wrong vaccine administered in a 69-year-old female patient who received DTPa (Infanrix) (batch number GG39D, expiry date 07-JUN-2025) for prophylaxis.   On 23-SEP-2024, the patient received Infanrix. On 23-SEP-2024, an unknown time after receiving Infanrix, the patient experienced wrong vaccine administered (Verbatim: Dtap instead of Tdap to an adult patient) and adult use of a child product (Verbatim: Dtap instead of Tdap to an adult patient.). The outcome of the wrong vaccine administered and adult use of a child product were unknown.   This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences.   Additional Information: GSK Receipt Date: 23-SEP-2024 The reporter called to report the administration of Infanrix to a 69 year-old patient, which led to wrong vaccine administered and adult use of a child product. The reporter requested recommendation on this situation. The reporter consented to follow up.
Age: 16.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Pain in extremity, Swelling face, Throat tightness, Vomiting
Clinical narrative: 24 hours after vaccine had vomiting, looked like right side of face was swollen and arm pain. Patient state he felt that his throat was closing. Treated with benadryl. Seemed to resolve.
Age: 47.0
Sex: F
Vaccine: FLU3
Symptoms: Blood pressure increased, Feeling hot, Heart rate increased, Pharyngeal swelling, Rash macular
Clinical narrative: 0951 - vaccine admin 1030 - blotchiness & felt warm 1131 - swollen throat, elevated BP & HR, SOB, warmth 1139 - 0.3 epinephrine IM R deltoid; 0.6 mg Dexamethasone orally 11:45 - improving symptoms. improving vitals
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Immediate post-injection reaction, Injection site bruising, Injection site haemorrhage, Injection site pain, Injection site swelling
Clinical narrative: When the medical assistant pulled out the needle of the patient's arm the patient's arm started bleeding and swelled. The medical assistant placed pressure and went to get the provider. Dr. exam the patient's arm and told the patient she needed an Ultra Sound of the arm to make sure that everything was good with the arm. The patient declined at that time. practice manager called the patient the following day to ensure that the patient was doing well. Patient stated that everything was fine and she would not be going to get the Ultra sound. She stated that the site was a little swollen, sore and bruised but nothing else at this time. I advised the patient to call if anything changes. Patient never called back or went for the ultra sound as of today.
Age: 75.0
Sex: M
Vaccine: FLUX, UNK
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient received two 2024-2025 seasonal flu shots within the same month. First shot was given 9/4/24 and second shot was given 10/01/24. Patient was contacted and informed about unnecessary second dose No apparent adverse reactions to the second shot have occurred.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Chills, Dizziness, Fatigue, Headache, Heart rate increased
Clinical narrative: Chills, aches, headache, exhaustion, vertigo, dizziness, increased heart rate, increased pain in right deltoid.
Age: 30.0
Sex: F
Vaccine: HEP
Symptoms: Injection site pain, Pain, Vertigo
Clinical narrative: Chills, aches, headache, exhaustion, vertigo, dizziness, increased heart rate, increased pain in right deltoid.
Age: 70.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Injected limb mobility decreased, Laboratory test, Pain in extremity
Clinical narrative: Soreness in left arm continues. difficult to raise arm above shoulderPregnosone prescribed
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin irritation, Urticaria
Clinical narrative: Spikevax 12+ PFS 2024-25 INJ, Immunization #:, National drug code: 80777011096  - Delayed systemic urticarial started approximately 1.5 wks after this vaccine booster shot, started feeling itchy and lightly drawing my fingers against by body produced redness and eventually welts/hives with raised skin and irritation. Tried Bendaryl but discontinued due to known drowsiness side effect. Activate charcoal was not helpful.   Used Cetrizine which seems to be helping.              This is my second experience with Urticaria and seems to be now mRna related - first occurred 9 days after shingles vaccine taken on 5/20/22 at the same pharmacy - Order Date,Prescription,Status,Prescriber - 05/20/2022,Shingrix 50mcg Inj Rx:,Immunization,
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: marked swelling and erythema 15 cm x 10 cm, lasted for 1 month, no anaphylaxis, but hot to touch, not painful.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Oedema peripheral
Clinical narrative: Hours after receiving the vaccine my arm around the injection site became very sore. The lower part of my arm pit (low axilla) also started to become sore and swell.
Age: 74.0
Sex: U
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Nausea, Pyrexia
Clinical narrative: Severe nausea, vomitin, diarrhea, chills, fever severe stomach ache
Age: 74.0
Sex: U
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Severe nausea, vomitin, diarrhea, chills, fever severe stomach ache
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Chills
Clinical narrative: Temp of 100.5, extreme chills, joint pain
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Gait disturbance, Malaise, Pallor
Clinical narrative: I wasnt feel that great when i woke up in the morning, while making cereal she got pale and looked like she was gonna faint. I sat her down and i put her on the couch and she was very weak and not stable at all.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pharyngeal swelling, Swollen tongue
Clinical narrative: Face went numb, tongue swelling, throat swelling
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: She was given Covid-19 Comirnaty 12+ on 10/2/24 . She had already received same vaccine 9/6/24. No reaction reported
Age: 82.0
Sex: M
Vaccine: RSV
Symptoms: Extra dose administered
Clinical narrative: Patient received a 2nd dose of Arexy vaccine 1 year after original dose
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chest pain, Chronic kidney disease, Hypertensive urgency
Clinical narrative: Hospitalization for hypertensive urgency, COVID positive, abdominal pain, chest pain, hypomagnesemia, normocytic anemia, CKD, and physical deconditioning on dates 8/24/24- 8/28/24. Treated with no COVID-19 medications.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypomagnesaemia, Normocytic anaemia, Physical deconditioning, SARS-CoV-2 test positive
Clinical narrative: Hospitalization for hypertensive urgency, COVID positive, abdominal pain, chest pain, hypomagnesemia, normocytic anemia, CKD, and physical deconditioning on dates 8/24/24- 8/28/24. Treated with no COVID-19 medications.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthma, COVID-19, Cardiac failure congestive, Chronic obstructive pulmonary disease
Clinical narrative: Hospitalization for acute hypoxic hypercapnic respiratory failure on HFNC, likely due to asthma/COPD exacerbation, COVID-19, superimposed bacterial PNA, and CHF exacerbation, acute on chronic metabolic encephalopathy, functional paraplegia, schizophrenia, epilepsy on dates 8/27/24- 9/4/24. Treated with dexamethasone and vitamin D 25 mcg PO daily.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Epilepsy, Metabolic encephalopathy, Paraplegia, Pneumonia
Clinical narrative: Hospitalization for acute hypoxic hypercapnic respiratory failure on HFNC, likely due to asthma/COPD exacerbation, COVID-19, superimposed bacterial PNA, and CHF exacerbation, acute on chronic metabolic encephalopathy, functional paraplegia, schizophrenia, epilepsy on dates 8/27/24- 9/4/24. Treated with dexamethasone and vitamin D 25 mcg PO daily.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory failure, Schizophrenia
Clinical narrative: Hospitalization for acute hypoxic hypercapnic respiratory failure on HFNC, likely due to asthma/COPD exacerbation, COVID-19, superimposed bacterial PNA, and CHF exacerbation, acute on chronic metabolic encephalopathy, functional paraplegia, schizophrenia, epilepsy on dates 8/27/24- 9/4/24. Treated with dexamethasone and vitamin D 25 mcg PO daily.
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Blood potassium normal, Dizziness, Dyspnoea, Electrocardiogram normal, Heart rate increased
Clinical narrative: Within 5 minutes of vaccination patient stood up and walked approximately 25 feet and developed a very rapid heart rate and became dizzy, SOB and difficulty breathing and nauseous. She then walked back to desk and called for assistance. Upon arrival nurse had patient to lay down, started O2 and called for ambulance. Upon questioning patient, she doesn't remember if she became unconscious or not. After O2 was started for approximately 5 minutes patient became more alert and oriented. Patient never stopped breathing. Upon patient request, ambulance was cancelled. Patient continued to be dizzy upon standing. She was driven by a family member to her PCP 5 minutes away. .
Age: 59.0
Sex: F
Vaccine: FLU3
Symptoms: Nausea
Clinical narrative: Within 5 minutes of vaccination patient stood up and walked approximately 25 feet and developed a very rapid heart rate and became dizzy, SOB and difficulty breathing and nauseous. She then walked back to desk and called for assistance. Upon arrival nurse had patient to lay down, started O2 and called for ambulance. Upon questioning patient, she doesn't remember if she became unconscious or not. After O2 was started for approximately 5 minutes patient became more alert and oriented. Patient never stopped breathing. Upon patient request, ambulance was cancelled. Patient continued to be dizzy upon standing. She was driven by a family member to her PCP 5 minutes away. .
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis, Coronary artery disease, Diabetic foot, Heart failure with reduced ejection fraction, Peripheral arterial occlusive disease
Clinical narrative: Hospitalization for peripheral arterial disease, HFrEF, coronary artery disease due to lipid rich plaque, cellulitis, diabetic foot ulcer, and mixed hyperlipidemia on dates 8/27/24- 8/29/24. Treated with no COVID-19 medications.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Type V hyperlipidaemia
Clinical narrative: Hospitalization for peripheral arterial disease, HFrEF, coronary artery disease due to lipid rich plaque, cellulitis, diabetic foot ulcer, and mixed hyperlipidemia on dates 8/27/24- 8/29/24. Treated with no COVID-19 medications.
Age: 67.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Abdominal pain upper, Asthenia, Dysgeusia, Dyspnoea, Fear
Clinical narrative: pt states she woke up to a tremendous headache. She felt like she was burning up with fever, she had trouble walking, had a hard time breathing, like she was out of breath. She had heart palpatations with irregular heart beat. She felt scared since she felt like she laboring to breath. Her entire head was hurting, she was nauseated with a really strong bad taste in her mouth. The taste was absolutely terrible and it was the worse symptom. She felt like all she could do is sleep since she did not have any energy. She still continues to have stomach pain with nausea, the strong bitter taste in mouth is still present but is better, and continues to have headache. Her breathing is some better and she is still shaky. She will follow up with doctor if it gets worse.
Age: 67.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Feeling hot, Gait disturbance, Headache, Heart rate irregular, Nausea
Clinical narrative: pt states she woke up to a tremendous headache. She felt like she was burning up with fever, she had trouble walking, had a hard time breathing, like she was out of breath. She had heart palpatations with irregular heart beat. She felt scared since she felt like she laboring to breath. Her entire head was hurting, she was nauseated with a really strong bad taste in her mouth. The taste was absolutely terrible and it was the worse symptom. She felt like all she could do is sleep since she did not have any energy. She still continues to have stomach pain with nausea, the strong bitter taste in mouth is still present but is better, and continues to have headache. Her breathing is some better and she is still shaky. She will follow up with doctor if it gets worse.
Age: 67.0
Sex: F
Vaccine: PNC20, VARZOS
Symptoms: Palpitations, Tremor
Clinical narrative: pt states she woke up to a tremendous headache. She felt like she was burning up with fever, she had trouble walking, had a hard time breathing, like she was out of breath. She had heart palpatations with irregular heart beat. She felt scared since she felt like she laboring to breath. Her entire head was hurting, she was nauseated with a really strong bad taste in her mouth. The taste was absolutely terrible and it was the worse symptom. She felt like all she could do is sleep since she did not have any energy. She still continues to have stomach pain with nausea, the strong bitter taste in mouth is still present but is better, and continues to have headache. Her breathing is some better and she is still shaky. She will follow up with doctor if it gets worse.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Acute coronary syndrome, Acute kidney injury, Acute myocardial infarction, COVID-19, Cardiac failure congestive
Clinical narrative: Hospitalization for fever secondary to sepsis from pneumonia versus drug-related fever COVID-positive, elevated troponin suspected ACS NSTEMI, CHF exacerbation, AKI/CKD, metabolic acidosis, multiple myeloma on dates 8/29/24- 9/3/24. Treated with vitamin C 500 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic kidney disease, Condition aggravated, Metabolic acidosis, Plasma cell myeloma, Pneumonia
Clinical narrative: Hospitalization for fever secondary to sepsis from pneumonia versus drug-related fever COVID-positive, elevated troponin suspected ACS NSTEMI, CHF exacerbation, AKI/CKD, metabolic acidosis, multiple myeloma on dates 8/29/24- 9/3/24. Treated with vitamin C 500 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sepsis, Troponin increased
Clinical narrative: Hospitalization for fever secondary to sepsis from pneumonia versus drug-related fever COVID-positive, elevated troponin suspected ACS NSTEMI, CHF exacerbation, AKI/CKD, metabolic acidosis, multiple myeloma on dates 8/29/24- 9/3/24. Treated with vitamin C 500 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Age: 59.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Influenza like illness, Periorbital swelling
Clinical narrative: The first vaccine gave burning around the injection site. The second injection gave the patient flu like muscle aches, and swelling around right eye.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chronic sinusitis, Constipation, Electrolyte imbalance, Herpes zoster
Clinical narrative: Hospitalization for abdominal pain with intractable Nausea/vomiting due to acute pancreatitis, shingles, and constipation, electrolyte imbalance, Herpes zoster, possible urinary tract infection, thrombocytopenia, hypertension, chronic sinusitis on dates 9/2/24- 9/10/24. Treated with no COVID-19 related medications.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Nausea, Pancreatitis acute, Thrombocytopenia, Vomiting
Clinical narrative: Hospitalization for abdominal pain with intractable Nausea/vomiting due to acute pancreatitis, shingles, and constipation, electrolyte imbalance, Herpes zoster, possible urinary tract infection, thrombocytopenia, hypertension, chronic sinusitis on dates 9/2/24- 9/10/24. Treated with no COVID-19 related medications.
Age: 2.0
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Swelling
Clinical narrative: swelling and redness bigger than a golf ball
Age: 36.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: Administration error: Given intramuscularly in left deltoid muscle
Age: 39.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: Administration error: Given intramuscularly in left deltoid muscle
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Accelerated hypertension, Atrial fibrillation, COVID-19, Metabolic encephalopathy, Physical deconditioning
Clinical narrative: Hospitalization for acute metabolic on chronic encephalopathy, COVID-19 infection, accelerated hypertension, atrial fibrillation, abnormal urinalysis, physical deconditioning on dates 9/4/24- 9/14/24. Treated with vitamin C 500 mg PO daily, zinc 50 mg PO daily.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: Hospitalization for acute metabolic on chronic encephalopathy, COVID-19 infection, accelerated hypertension, atrial fibrillation, abnormal urinalysis, physical deconditioning on dates 9/4/24- 9/14/24. Treated with vitamin C 500 mg PO daily, zinc 50 mg PO daily.
Age: 27.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: Administration error: given intramuscularly in left deltoid muscle
Age: 51.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Atrioventricular block complete, Chills, Dizziness, Electrocardiogram abnormal, Intensive care
Clinical narrative: Patient reports that he recently took COVID-vaccine and flu vaccine on September 24, 2024, and started having fevers and chills the next day and then significant amount of nausea and vomiting.  This abated after a day and he states that he was staying hydrated.  However, he continued to have significant positional lightheadedness and presyncope.  He came to the emergency department the day after his vaccine and his EKG was normal he was sent home.  He returned to the emergency department on 10/2 since his symptoms symptoms continued and never abated.  He was found to be in second-degree heart block and was admitted to the floor.  He was then transferred to the ICU as rapid response was called for patient being complete heart block.  He has always been hemodynamically stable with normal blood pressure while lying in bed.
Age: 51.0
Sex: M
Vaccine: COVID19, FLU3
Symptoms: Nausea, Presyncope, Pyrexia, Vomiting
Clinical narrative: Patient reports that he recently took COVID-vaccine and flu vaccine on September 24, 2024, and started having fevers and chills the next day and then significant amount of nausea and vomiting.  This abated after a day and he states that he was staying hydrated.  However, he continued to have significant positional lightheadedness and presyncope.  He came to the emergency department the day after his vaccine and his EKG was normal he was sent home.  He returned to the emergency department on 10/2 since his symptoms symptoms continued and never abated.  He was found to be in second-degree heart block and was admitted to the floor.  He was then transferred to the ICU as rapid response was called for patient being complete heart block.  He has always been hemodynamically stable with normal blood pressure while lying in bed.
Age: 70.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Injected limb mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: Left shoulder joint and arm pain with restricted joint movements. Inability to lift the arm or carry much weight.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Hepatic enzyme increased, Hypomagnesaemia, Hyponatraemia
Clinical narrative: Hospitalization for COVID-19 infection, elevated liver enzymes, leukocytosis, hyponatremia, hypomagnesemia, abnormal urinalysis, abdominal pain on dates 9/6/24- 9/9/24. Treated with vitamin C 500 mg PO daily,  zinc 50 mg PO daily.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Leukocytosis, Urine analysis abnormal
Clinical narrative: Hospitalization for COVID-19 infection, elevated liver enzymes, leukocytosis, hyponatremia, hypomagnesemia, abnormal urinalysis, abdominal pain on dates 9/6/24- 9/9/24. Treated with vitamin C 500 mg PO daily,  zinc 50 mg PO daily.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Gait disturbance, Headache, Musculoskeletal stiffness
Clinical narrative: Client starting experiencing headache around 4 PM, and took Tylenol 500 mg x 2. Headache improved but returned around 8 PM. Client's heart started racing and he experienced joint pain, muscle pain, diarrhea and said he just felt very stiff all over. He did  have difficulty walking and had to have his wife assist him. Client did not seek medical care. He monitored his BP and pulse at home. He stated his heart rate got up to 90, and that is not normal for him he stated. His heart rate usually is in the 70 range.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Palpitations
Clinical narrative: Client starting experiencing headache around 4 PM, and took Tylenol 500 mg x 2. Headache improved but returned around 8 PM. Client's heart started racing and he experienced joint pain, muscle pain, diarrhea and said he just felt very stiff all over. He did  have difficulty walking and had to have his wife assist him. Client did not seek medical care. He monitored his BP and pulse at home. He stated his heart rate got up to 90, and that is not normal for him he stated. His heart rate usually is in the 70 range.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Defaecation urgency, Dizziness, Heart rate increased, Hot flush, Hyperhidrosis
Clinical narrative: At 11:48 PM awoke with elevated heart rate and fast breathing.  Went to go to bathroom.  Felt nauseous and woozy so sat down.   Immediately had a hot flash so significant I had a towel off my body because it was damp with sweat.  This was sitting shirtless in a hallway that was approximately 60 degrees.  Continued to feel nauseous and a strong need to defecate.   After 5-10 minutes the nausea, need to defecate, sweating, and elevated heart rate subsided and I was able to go back to bed.  No obvious issues the next morning.
Age: 46.0
Sex: M
Vaccine: FLU3
Symptoms: Nausea, Respiratory rate increased
Clinical narrative: At 11:48 PM awoke with elevated heart rate and fast breathing.  Went to go to bathroom.  Felt nauseous and woozy so sat down.   Immediately had a hot flash so significant I had a towel off my body because it was damp with sweat.  This was sitting shirtless in a hallway that was approximately 60 degrees.  Continued to feel nauseous and a strong need to defecate.   After 5-10 minutes the nausea, need to defecate, sweating, and elevated heart rate subsided and I was able to go back to bed.  No obvious issues the next morning.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acidosis hyperchloraemic, Acute kidney injury, Anaemia, Aortic valve replacement, COVID-19
Clinical narrative: Hospitalization for GI bleed with acute on chronic anemia, acute kidney injury and hyperchloremic metabolic acidosis, COVID-19, elevated troponin, CAD, bioprosthetic AVR, hypertension, hyperlipidemia, hypomagnesemia, Type 2 diabetes, obstructive sleep apnea on dates 9/7/24- 9/10/24. Treated with no COVID-19 related medications.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery disease, Gastrointestinal haemorrhage, Hyperlipidaemia, Hypertension, Hypomagnesaemia
Clinical narrative: Hospitalization for GI bleed with acute on chronic anemia, acute kidney injury and hyperchloremic metabolic acidosis, COVID-19, elevated troponin, CAD, bioprosthetic AVR, hypertension, hyperlipidemia, hypomagnesemia, Type 2 diabetes, obstructive sleep apnea on dates 9/7/24- 9/10/24. Treated with no COVID-19 related medications.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome, Troponin increased, Type 2 diabetes mellitus
Clinical narrative: Hospitalization for GI bleed with acute on chronic anemia, acute kidney injury and hyperchloremic metabolic acidosis, COVID-19, elevated troponin, CAD, bioprosthetic AVR, hypertension, hyperlipidemia, hypomagnesemia, Type 2 diabetes, obstructive sleep apnea on dates 9/7/24- 9/10/24. Treated with no COVID-19 related medications.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Gastrointestinal pain, Loss of consciousness, Skin laceration
Clinical narrative: Upon awakening on the 6th, felt extremely weak.  Walked from bedroom to kitchen & suddenly vomited & stomach 'spaseming.'
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Wound closure
Clinical narrative: Upon awakening on the 6th, felt extremely weak.  Walked from bedroom to kitchen & suddenly vomited & stomach 'spaseming.'
Age: 12.0
Sex: F
Vaccine: DTPPVHBHPB, IPV, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse affect reported by dad when he was contacted over the phone.
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Disorientation, Loss of consciousness, Nausea, Pallor
Clinical narrative: Patient noted to lean back in chair with posturing of bilaeral arms and then leaned forward passing out for approximately 3 seconds before waking up and asking this nurse "What happened"? Patient noted to be pale in color, slightly disoriented, and nauseated. Cold pack applied to patient's neck/back, and wiped down with cold cloth. Patient continued in chair and laid head down over front arm rest. Patient asking questions and no slurred speech noted. Patient becoming more oriented to time and place and color slowing returning to slight pale in face. 08:25: BP 94/53, HR 58, O2 99% 08:35: BP 92/54, HR 49, O2 98% 08:48: BP 99/53, HR 58, O2 99% Patient ambulatory on discharge without dizziness, nauseated, or difficulty
Age: 73.0
Sex: F
Vaccine: FLU3, UNK
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt received 2 FLUAD flu shots. One was given on 9/17/2024 and the other was given on 9/30/2024. Pt has reported no side effects and says she feels fine.
Age: 60.0
Sex: M
Vaccine: FLU3
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt received a flu shot on 8/8/24 and 10/1/24.  Pt reports no side effects, says he feels fine.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Blood test, Hypoaesthesia oral, Paraesthesia oral, Pruritus, Rash
Clinical narrative: Itchy and swelling of tongue, tingling and numbness of lips, itching all over, rash - began 10/1/2024 at 1030 and is still present at this time.
Age: 37.0
Sex: F
Vaccine: FLU3
Symptoms: Swollen tongue, Tongue pruritus
Clinical narrative: Itchy and swelling of tongue, tingling and numbness of lips, itching all over, rash - began 10/1/2024 at 1030 and is still present at this time.
Age: 0.83
Sex: F
Vaccine: RSV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine was given on 09/28/2024 no reactions.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: ADMINISTERED VACCINE AND WHEN APPLYING BANDAID NOTICED A RED LINE AT INJECTION SITE GOING DOWN PTS ARM,  DR WAS NOTIFIED AND ANTIHISTAMINE WAS ADMINISTERED, PT SAT IN OFFICE FOR 10 MINS AND RED LINE WAS FADING AND PT STATED "  SHE FELT FINE AND WAS READY TO LEAVE"
Age: 12.0
Sex: F
Vaccine: MENB
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient was given the wrong vaccine. She was due for menningococcal conjugate and was given Meningococcal group B vaccine. No adverse reaction reported at this time but wrong vaccine administration given.
Age: 25.0
Sex: M
Vaccine: UNK
Symptoms: Facial spasm, Muscular weakness, Nausea
Clinical narrative: Involuntary muscle spasms on right side of face, nausea, weakness in right arm.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Adult failure to thrive, Asthenia, Bradycardia, COVID-19
Clinical narrative: DOB:  Admit date: 9/26/2024   Discharge date: 9/30/2024  Attending Physician at the Time of Discharge: D.O.  Reason for Admission: per H&P Patient is a 71 y.o. female with PMHx of Afib on Eliquis, OSA, COPD, HFrEF, dementia, CKD3b 2/2 DM2, chronic mesenteric ischemia, and dysphagia who presented to the ED from facility for AMS and difficulty breathing.  Of note, she was recently admitted to this hospital from 9/9-9/25 for ESBL E. Coli urosepsis (as well as an incidentally found quarter in esophagus). During that time, she was in the ICU for 6 days.  Her condition improved with initiation of ertapenem, and she was discharged to SNF with an additional 7 days of nitrofurantoin.  Her lasix was d/c'd and 2.5mg midodrine was also added.  She also suffered from an AKI.  Per EMS report, the patient was satting at 87% on RA, which improved when placed on NRB.  On arrival to the ED, the patient was found to be febrile, hot to the touch, and hypotensive.  Sepsis workup and protocol were initiated, however IVF were used judiciously due to concern for EF of 30%.  Respiratory panel came back positive for COVID-19.  Because of the patient's already fragile state of health and concern that she would require vasopressor support in the next few hours, the decision was made to admit her to the ICU for further management.  Per nursing who spoke to her daughter, the patient is intubatable but is DNR (no compressions).  Extended family is coming in the next few days to have goals of care discussions.  Per previous hospitalization notes, the daughter has considered hospice but is not ready to transition care at this time until discussing with family.  Brief Summary of Hospital Stay:  With admission to the critical care unit patient was initiated on steroid, remdesivir and antibiotics to treat for both COVID-19 with potential hospital-acquired pneumonia.  Though given patient's overall clinical status, code status was confirmed to be no chest compressions however family was okay with intubation initially.  Over the course of patient 1st full day hospitalized in critical care unit, patient became increasingly bradycardic and tachypneic and as such goals of care conversation was had with patient's daughter.  Given patient's overall frailty and failure to thrive, patient was transitioned to comfort measures with plans to sign with hospice/GIP.   Prior to GIP, patient was weaned off high flow quickly to O2 2 L. She then did not meet criteria for GIP. She was continued on dexamethasone for both covid and comfort. She was d/c to ECF. Discharged to SNF
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ejection fraction decreased, Endotracheal intubation, Escherichia infection, Foreign body in gastrointestinal tract
Clinical narrative: DOB:  Admit date: 9/26/2024   Discharge date: 9/30/2024  Attending Physician at the Time of Discharge: D.O.  Reason for Admission: per H&P Patient is a 71 y.o. female with PMHx of Afib on Eliquis, OSA, COPD, HFrEF, dementia, CKD3b 2/2 DM2, chronic mesenteric ischemia, and dysphagia who presented to the ED from facility for AMS and difficulty breathing.  Of note, she was recently admitted to this hospital from 9/9-9/25 for ESBL E. Coli urosepsis (as well as an incidentally found quarter in esophagus). During that time, she was in the ICU for 6 days.  Her condition improved with initiation of ertapenem, and she was discharged to SNF with an additional 7 days of nitrofurantoin.  Her lasix was d/c'd and 2.5mg midodrine was also added.  She also suffered from an AKI.  Per EMS report, the patient was satting at 87% on RA, which improved when placed on NRB.  On arrival to the ED, the patient was found to be febrile, hot to the touch, and hypotensive.  Sepsis workup and protocol were initiated, however IVF were used judiciously due to concern for EF of 30%.  Respiratory panel came back positive for COVID-19.  Because of the patient's already fragile state of health and concern that she would require vasopressor support in the next few hours, the decision was made to admit her to the ICU for further management.  Per nursing who spoke to her daughter, the patient is intubatable but is DNR (no compressions).  Extended family is coming in the next few days to have goals of care discussions.  Per previous hospitalization notes, the daughter has considered hospice but is not ready to transition care at this time until discussing with family.  Brief Summary of Hospital Stay:  With admission to the critical care unit patient was initiated on steroid, remdesivir and antibiotics to treat for both COVID-19 with potential hospital-acquired pneumonia.  Though given patient's overall clinical status, code status was confirmed to be no chest compressions however family was okay with intubation initially.  Over the course of patient 1st full day hospitalized in critical care unit, patient became increasingly bradycardic and tachypneic and as such goals of care conversation was had with patient's daughter.  Given patient's overall frailty and failure to thrive, patient was transitioned to comfort measures with plans to sign with hospice/GIP.   Prior to GIP, patient was weaned off high flow quickly to O2 2 L. She then did not meet criteria for GIP. She was continued on dexamethasone for both covid and comfort. She was d/c to ECF. Discharged to SNF
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Intensive care, Mental status changes, Pathogen resistance, Pyrexia
Clinical narrative: DOB:  Admit date: 9/26/2024   Discharge date: 9/30/2024  Attending Physician at the Time of Discharge: D.O.  Reason for Admission: per H&P Patient is a 71 y.o. female with PMHx of Afib on Eliquis, OSA, COPD, HFrEF, dementia, CKD3b 2/2 DM2, chronic mesenteric ischemia, and dysphagia who presented to the ED from facility for AMS and difficulty breathing.  Of note, she was recently admitted to this hospital from 9/9-9/25 for ESBL E. Coli urosepsis (as well as an incidentally found quarter in esophagus). During that time, she was in the ICU for 6 days.  Her condition improved with initiation of ertapenem, and she was discharged to SNF with an additional 7 days of nitrofurantoin.  Her lasix was d/c'd and 2.5mg midodrine was also added.  She also suffered from an AKI.  Per EMS report, the patient was satting at 87% on RA, which improved when placed on NRB.  On arrival to the ED, the patient was found to be febrile, hot to the touch, and hypotensive.  Sepsis workup and protocol were initiated, however IVF were used judiciously due to concern for EF of 30%.  Respiratory panel came back positive for COVID-19.  Because of the patient's already fragile state of health and concern that she would require vasopressor support in the next few hours, the decision was made to admit her to the ICU for further management.  Per nursing who spoke to her daughter, the patient is intubatable but is DNR (no compressions).  Extended family is coming in the next few days to have goals of care discussions.  Per previous hospitalization notes, the daughter has considered hospice but is not ready to transition care at this time until discussing with family.  Brief Summary of Hospital Stay:  With admission to the critical care unit patient was initiated on steroid, remdesivir and antibiotics to treat for both COVID-19 with potential hospital-acquired pneumonia.  Though given patient's overall clinical status, code status was confirmed to be no chest compressions however family was okay with intubation initially.  Over the course of patient 1st full day hospitalized in critical care unit, patient became increasingly bradycardic and tachypneic and as such goals of care conversation was had with patient's daughter.  Given patient's overall frailty and failure to thrive, patient was transitioned to comfort measures with plans to sign with hospice/GIP.   Prior to GIP, patient was weaned off high flow quickly to O2 2 L. She then did not meet criteria for GIP. She was continued on dexamethasone for both covid and comfort. She was d/c to ECF. Discharged to SNF
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Skin warm, Tachypnoea, Urosepsis
Clinical narrative: DOB:  Admit date: 9/26/2024   Discharge date: 9/30/2024  Attending Physician at the Time of Discharge: D.O.  Reason for Admission: per H&P Patient is a 71 y.o. female with PMHx of Afib on Eliquis, OSA, COPD, HFrEF, dementia, CKD3b 2/2 DM2, chronic mesenteric ischemia, and dysphagia who presented to the ED from facility for AMS and difficulty breathing.  Of note, she was recently admitted to this hospital from 9/9-9/25 for ESBL E. Coli urosepsis (as well as an incidentally found quarter in esophagus). During that time, she was in the ICU for 6 days.  Her condition improved with initiation of ertapenem, and she was discharged to SNF with an additional 7 days of nitrofurantoin.  Her lasix was d/c'd and 2.5mg midodrine was also added.  She also suffered from an AKI.  Per EMS report, the patient was satting at 87% on RA, which improved when placed on NRB.  On arrival to the ED, the patient was found to be febrile, hot to the touch, and hypotensive.  Sepsis workup and protocol were initiated, however IVF were used judiciously due to concern for EF of 30%.  Respiratory panel came back positive for COVID-19.  Because of the patient's already fragile state of health and concern that she would require vasopressor support in the next few hours, the decision was made to admit her to the ICU for further management.  Per nursing who spoke to her daughter, the patient is intubatable but is DNR (no compressions).  Extended family is coming in the next few days to have goals of care discussions.  Per previous hospitalization notes, the daughter has considered hospice but is not ready to transition care at this time until discussing with family.  Brief Summary of Hospital Stay:  With admission to the critical care unit patient was initiated on steroid, remdesivir and antibiotics to treat for both COVID-19 with potential hospital-acquired pneumonia.  Though given patient's overall clinical status, code status was confirmed to be no chest compressions however family was okay with intubation initially.  Over the course of patient 1st full day hospitalized in critical care unit, patient became increasingly bradycardic and tachypneic and as such goals of care conversation was had with patient's daughter.  Given patient's overall frailty and failure to thrive, patient was transitioned to comfort measures with plans to sign with hospice/GIP.   Prior to GIP, patient was weaned off high flow quickly to O2 2 L. She then did not meet criteria for GIP. She was continued on dexamethasone for both covid and comfort. She was d/c to ECF. Discharged to SNF
Age: 11.0
Sex: M
Vaccine: MENB
Symptoms: No adverse event
Clinical narrative: Patient had not had any adverse effects when nurse spoke with Mother to notify of incident
Age: 23.0
Sex: F
Vaccine: TDAP
Symptoms: Blood pressure decreased, Immediate post-injection reaction, Nausea, Throat tightness
Clinical narrative: Patient received TDAP vaccine in office at 9:15am. Started to feel nauseous immediately afterwards at 9:18am. Provider notified and in exam room with patient. Vitals checked and BP was low at 80/40. Patient then said she felt like her throat was closing. Provider ordered EpiPen 0.3mg to be administered. Received at 9:34am Patient felt better after receiving EpiPen. EMS was called for transport to the ER for observation. Patient declined ambulance transport. Waiver of declination signed, and patient drove herself to the ER.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acne, Asthma, Chest discomfort, Chills, Condition aggravated
Clinical narrative: fever, fatigue, heart palpitations, asthma, acne, IBS, chills, body aches, sore throat, chest tightness, mucus, headaches, and diarrhea
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Irritable bowel syndrome, Oropharyngeal pain
Clinical narrative: fever, fatigue, heart palpitations, asthma, acne, IBS, chills, body aches, sore throat, chest tightness, mucus, headaches, and diarrhea
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Palpitations, Pyrexia, Secretion discharge
Clinical narrative: fever, fatigue, heart palpitations, asthma, acne, IBS, chills, body aches, sore throat, chest tightness, mucus, headaches, and diarrhea
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal tenderness, Angiogram abnormal, Asthenia, Blood creatinine increased, Blood lactic acid increased
Clinical narrative: DOB:   Admit date: 9/23/2024  Discharge date: 09/25/2024  Admitting Physician:  MD  Attending Physician at the Time of Discharge:  MD  Primary Care Physician:  MD  Reason for Admission:  ? COVID ? Weakness ? Nausea and loss of appetite c/p 12lbs weight loss  Brief Summary of Hospital Stay:  Patient is a 88 y.o. female with history of HTN, NIDT2DM, OSA, atrial fibrillation, 3rd degree AV block with pacemaker who presented to the ED for evaluation of nausea, diarrhea, weakness. She was sent in to the ED by her PCP after she was found to have abdominal tenderness on exam. In the ED, patient was afebrile with stable vitals. Mild diffuse abdominal tenderness on examination. Labs were relevant for elevated lactate at 2.8, Cr 1.34 (BL: 1.1 -1.2), mild leukocytosis to 11.4. Covid-19 pcr was positive. CT angio was ordered due to concern for ischemia which showed severe origin stenosis of the celiac artery. Mild to moderate stenosis of the superior mesenteric artery, nonspecific fat stranding positioned between the duodenum and the splenic flexure of the right colon. Surgery and Cardiology were consulted. Mesenteric ischemia less likely based on history, presentation, physical exam, and imaging. Hospital course complicated with poor oral intake due to nausea and dry heaving. Patient responded well to metoclopramide and megace, tolerated diet with good appetite. She was discharged home with a one week prescription of megace and Reglan. We reviewed medication and sent additional prescription for eliquis as patient informed us that she didn't have any refill active.   Discharged to Home.