chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Clinic consulted with Public Health and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Clinic is working with Public Health on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Healthcare consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Cardiomyopathy, Magnetic resonance imaging heart, Myocarditis
Clinical narrative: Atrial Flutter, Cardiomyopathy, Myocarditis
Age: 25.0
Sex: M
Vaccine: FLU4
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pallor, Thirst
Clinical narrative: PATIENT SAID HE WAS DIZZY, I HAD HIM PUT HIS HEAD BETWEEN HIS KNEES AND HE PASSED OUT BEFORE HE COULD DO THAT.  I HAD THE STAFF CALL 911 AND THEN HE REGAINED CONSCIOUSNESS SO THEY CANCELLED THE CALL.  HE SAT DOWN AND WAS SPEAKING TO ME AND TOLD ME THAT THIS HAS HAPPENED TWICE BEFORE.  HE DID NOT REPORT THIS ON HIS VAR.  HE THEN PASSED OUT AGAIN AND HAD A LARGE TREMOR.  I CALLED FOR  911 AGAIN, WE CALLED HIS MOTHER AND HE AGAIN REGAINED CONSCIOUSNESS.  HE WAS PALE AND SWEATY AND THIRSTY BUT WAS ABLE TO SPEAK.  HE DID NOT KNOW WHAT HAD HAPPENED.  THE EMTS ARRIVED AND TOOK HIS VITALES AND ALL WERE WITH NORMAL LIMITS.  HIS MOTHER ARRIVED, WE SAT WITH THEM FOR ABOUT 20 MINUTES AND THEN SHE TOOK HIM HOME
Age: 25.0
Sex: M
Vaccine: FLU4
Symptoms: Tremor
Clinical narrative: PATIENT SAID HE WAS DIZZY, I HAD HIM PUT HIS HEAD BETWEEN HIS KNEES AND HE PASSED OUT BEFORE HE COULD DO THAT.  I HAD THE STAFF CALL 911 AND THEN HE REGAINED CONSCIOUSNESS SO THEY CANCELLED THE CALL.  HE SAT DOWN AND WAS SPEAKING TO ME AND TOLD ME THAT THIS HAS HAPPENED TWICE BEFORE.  HE DID NOT REPORT THIS ON HIS VAR.  HE THEN PASSED OUT AGAIN AND HAD A LARGE TREMOR.  I CALLED FOR  911 AGAIN, WE CALLED HIS MOTHER AND HE AGAIN REGAINED CONSCIOUSNESS.  HE WAS PALE AND SWEATY AND THIRSTY BUT WAS ABLE TO SPEAK.  HE DID NOT KNOW WHAT HAD HAPPENED.  THE EMTS ARRIVED AND TOOK HIS VITALES AND ALL WERE WITH NORMAL LIMITS.  HIS MOTHER ARRIVED, WE SAT WITH THEM FOR ABOUT 20 MINUTES AND THEN SHE TOOK HIM HOME
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Healthcare consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working with the Dept of Public Health and Environment on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 43.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Incorrect route of product administration
Clinical narrative: No Wheal on first administration. 2nd administration was successful.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Healthcare consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 4.0
Sex: F
Vaccine: MMRV
Symptoms: Blister, Rash, Rash erythematous
Clinical narrative: patient woke up the morning after vaccination with 3 red bumps on face (right below L eye, nose, jawline L side) and one fluid filled spot of L arm.  Mother reported to this nurse, who reported to a provider in the office.  Discussed symptomatic care (antihistamine PRN, hydrocortisone/calamine lotion, staying away from unvaccinated persons).
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Influenza like illness, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I don't think I had an adverse event for the vaccinations, per se.   I got covid in July, 2022.  I traveled to another country at the end of June.  On the return flight from on 6/28/22.  I think I was exposed.  But I live in a state, where covid is common.  On 7/3/22 I had flu like symptoms and was PCR positive.  I took paxlovid, per my family physician, and recovered quickly. I was PCR negative on 7/11/22. But I became antigen positive again on 7/22/22 and had a mild fever and cough for a couple of days.  I was antigen negative by 7/29/22.  It took some weeks for the cough to go away but this is common when I get a cold or the flu.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: Patient received a vaccine that was stored beyond the 30 days recommended in the refrigerated state. This event was reported to the manufacturer. The manufacturer tested the lot number in question. Data revealed that the vaccine administered did not maintain activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. Healthcare consulted with the Dept of Public Health and Environment and recommended repeating this dose in question. Patient was sent a letter to inform them of the need to repeat the dose in question. Healthcare is working with the Dept of Public Health and Environment on a compliance improvement plan and has been reinstated vaccination privileges.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Wrong technique in product usage process
Clinical narrative: PATIENT CAME TO PHARMACY TO RECEIVE MODERNA VACCINATION. AFTER GIVING BOOSTER DOSE OF VACCINE, PATIENT THEN PRESENTS VACCINATION RECORD CARD TO REVEAL SHE NEEDED THE SECOND PRIMARY VACCINATION. ADDITIONAL 0.25mL WAS GIVEN TO THE PATIENT. NO ADVERSE EVENTS OR OTHER COMPLAINTS NOTED.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock
Clinical narrative: I went into anaphylactic shock. Received an Epi shot and breathing treatment.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Balance disorder, Blood test, Chest pain, Muscular weakness
Clinical narrative: In the months after my shot, my arms have gotten weaker. I have had pain in my spine from the neck to the bottom of my back. In my legs, I have had pain and it has affected my balance. The pain has gotten worse as time has progressed. I have seen a neurologist and a vascular doctor so far. I have had chest pains on and off for the last 5 months and go to see a cardiologist soon for that. Had to go to the urgent care for my feet twice and to the ER because of pain in my stomach.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Spinal pain
Clinical narrative: In the months after my shot, my arms have gotten weaker. I have had pain in my spine from the neck to the bottom of my back. In my legs, I have had pain and it has affected my balance. The pain has gotten worse as time has progressed. I have seen a neurologist and a vascular doctor so far. I have had chest pains on and off for the last 5 months and go to see a cardiologist soon for that. Had to go to the urgent care for my feet twice and to the ER because of pain in my stomach.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Resident expired.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under Age.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient under age.
Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site pain, Loss of personal independence in daily activities, Product administered at inappropriate site
Clinical narrative: PATIENT STATES THAT AT THE MOMENT SHE RECEIVED THE INJECTION SHE HAD MORE PAIN THAN ANY OTHER VACCINE SHE HAS HAD IN THE PAST YEARS. (NO OTHER RECENT VACCINES)  SHE REPORTS THAT SHE FELT THAT THE VACCINE WAS GIVEN HIGHER ON THE DELTOID THAN SHE HAD PREVIOUSLY EXPERIENCED BY OTHER VACCINES IN HER LIFETIME. HER PAIN IS WORSE WITH MOVEMENT, EXAMPLE SHE GAVE WAS THAT PULLING ON HER PANTS IS CHALLENGING. HER PAIN IS DESCRIBED AS CONSISTENT AND NOT IMPROVING SINCE SHE GOT THE VACCINE 8/24/2022, 1 WEEK AGO.  SHE HAS TRIED ADVIL WITH NO RELIEF.  SUGGESTED SHE MAY TRY TYLENOL AND COOL PACKS ON HER ARM. SHE HAS BEEN TRYING TO CONTACT HER PRIMARY PHYSICIAN BUT HAS NOT BEEN ABLE TO GET THROUGH, THE LINE HAS BEEN BUSY.  SHE WILL CONTINUE TO REACH OUT TO HER PRIMARY MD TO DISCUSS THIS WITH HER. REPORTED TO PHARMACY INCIDENT HOTLINE
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time prolonged, Acute myocardial infarction, Acute respiratory failure, Alanine aminotransferase normal, Albumin globulin ratio
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Aortic arteriosclerosis, Aortic dilatation, Aortic disorder, Aspartate aminotransferase normal
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial flutter, Base excess increased, Basophil count increased, Basophil percentage increased
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bicarbonate increased, Blood bilirubin normal, Blood calcium decreased
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride decreased, Blood creatinine normal, Blood gases, Blood glucose normal, Blood osmolarity decreased
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pH increased, Blood potassium decreased, Blood sodium normal, Blood urea decreased, Blood urea nitrogen/creatinine ratio
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, Carbon dioxide increased, Cardiac failure congestive
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Congestive cardiomyopathy, Differential white blood cell count, Echocardiogram
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction, Eosinophil count decreased, Eosinophil percentage decreased, Full blood count, Glomerular filtration rate normal
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypotension, International normalised ratio increased, Lung infiltration
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume decreased
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Metabolic function test, Monocyte count increased, Monocyte percentage increased, Neutrophil count increased
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage increased, Oxygen saturation normal, PCO2 increased, PO2 decreased, Platelet count normal
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Procalcitonin, Protein total normal, Prothrombin time prolonged, Pulmonary congestion
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, Red blood cell count normal, Red blood cell sedimentation rate normal, Red cell distribution width increased, Respiratory failure
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin I normal, Troponin increased, White blood cell count increased
Clinical narrative: Age:75 y.o. Admit Date:  7/6/2022 Discharge Date:  7/17/2022      Principal Diagnoses:  Principal Problem:   Acute on chronic respiratory failure with hypoxemia     Discharge Diagnosis:  Acute on chronic hypoxic respirtory failure, COVID 19, Afluter, Hypotension, dilated cardiomyopathy, Dm2,    Hospital Course:  The patient was admitted with the above. She was treated with 5/5 days remdesevir and 10 days steroids. She improved back to her baseline of 2 liters home oxygen. He was noted to have an elevated troponin on admission and cardiology was consulted. They felt that it was a type 2 MI due to COVID 19. 2D echo showed an E fof 45-50%., We tried to place her on entresto and metprolol but she became hypotensive with this. Her metoprolol was decreased to 12.5 mg po BID and she was placed on lisinipril 2.5 mg po daily and she seemed to tolorate this. She was debilitated on dischrge so she was sent to a nursing home for rehab.    Consults to: Cardiology.   Significant Diagnostic Studies: 2D echo.    Procedure(s): None.    Disposition:  SNF   Discharge Condition:  fair
Age: 40.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Soft tissue swelling
Clinical narrative: 10 days after administration, patient reported tenderness and induration at injection site. Painful upon touch, and 1cm circumferential soft tissue swelling and hardening still to this day.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient underage.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood creatinine increased, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge:  NP  Admission Date: 8/21/2022 Discharge Date: 8/29/2022  PRESENTING PROBLEM: Acute and chronic respiratory failure with hypoxia (HCC) [J96.21] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: HPI: 79-year-old lady with medical history of hypertension, CKD stage 4, Morbid Obesity (BMI> 70), GERD, gastric bypass, depression and dementia presenting to hospital on 08/21 with cough, headaches, rhinorrhea.  Patient resides in a nursing home, states that she had headaches body aches and chills when she woke up in the morning.  She started having cough which was dry but then started producing yellowish sputum. No fever reported. A home COVID test was done which was positive.  She did not have any chest pain or tightness or discomfort.  No lightheadedness or dizziness.  She came to hospital where he was found to be tachycardic and hypoxic in mid 80's and was put on nasal cannula 2 L. CXR remarkable for Right lobe infiltrate/effusion.  She does have some memory deficits and unable to provide complete history.  She knows the children's name and where they are located. She would like her daughter be the DPOA. She would like to remain full code for resuscitation.      HOSPITAL COURSE: Patient treated with dexamethasone x 10 days,  She recieved 5 days of empiric abx for poss  bacterial pna (Rocephin/Azithromycin).  All cx were no growth to date.  Pt has now been weaned off supplemental oxygen, we will reassess prior to discharge.  Her vital signs have been stable.  Her creatinine is 2.09.  She will need close follow-up with this, of note her creatinine 1.7 in October 2001, 1.99 in February 2022. range in October 2021 Pt is stable for discharge.  Patient will need assistance at home.  I have discussed the case with her daughter.  Patient has been working with therapy and showing gains
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Culture negative, Headache, Hypoxia, Lung infiltration
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge:  NP  Admission Date: 8/21/2022 Discharge Date: 8/29/2022  PRESENTING PROBLEM: Acute and chronic respiratory failure with hypoxia (HCC) [J96.21] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: HPI: 79-year-old lady with medical history of hypertension, CKD stage 4, Morbid Obesity (BMI> 70), GERD, gastric bypass, depression and dementia presenting to hospital on 08/21 with cough, headaches, rhinorrhea.  Patient resides in a nursing home, states that she had headaches body aches and chills when she woke up in the morning.  She started having cough which was dry but then started producing yellowish sputum. No fever reported. A home COVID test was done which was positive.  She did not have any chest pain or tightness or discomfort.  No lightheadedness or dizziness.  She came to hospital where he was found to be tachycardic and hypoxic in mid 80's and was put on nasal cannula 2 L. CXR remarkable for Right lobe infiltrate/effusion.  She does have some memory deficits and unable to provide complete history.  She knows the children's name and where they are located. She would like her daughter be the DPOA. She would like to remain full code for resuscitation.      HOSPITAL COURSE: Patient treated with dexamethasone x 10 days,  She recieved 5 days of empiric abx for poss  bacterial pna (Rocephin/Azithromycin).  All cx were no growth to date.  Pt has now been weaned off supplemental oxygen, we will reassess prior to discharge.  Her vital signs have been stable.  Her creatinine is 2.09.  She will need close follow-up with this, of note her creatinine 1.7 in October 2001, 1.99 in February 2022. range in October 2021 Pt is stable for discharge.  Patient will need assistance at home.  I have discussed the case with her daughter.  Patient has been working with therapy and showing gains
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pleural effusion, Productive cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge:  NP  Admission Date: 8/21/2022 Discharge Date: 8/29/2022  PRESENTING PROBLEM: Acute and chronic respiratory failure with hypoxia (HCC) [J96.21] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: HPI: 79-year-old lady with medical history of hypertension, CKD stage 4, Morbid Obesity (BMI> 70), GERD, gastric bypass, depression and dementia presenting to hospital on 08/21 with cough, headaches, rhinorrhea.  Patient resides in a nursing home, states that she had headaches body aches and chills when she woke up in the morning.  She started having cough which was dry but then started producing yellowish sputum. No fever reported. A home COVID test was done which was positive.  She did not have any chest pain or tightness or discomfort.  No lightheadedness or dizziness.  She came to hospital where he was found to be tachycardic and hypoxic in mid 80's and was put on nasal cannula 2 L. CXR remarkable for Right lobe infiltrate/effusion.  She does have some memory deficits and unable to provide complete history.  She knows the children's name and where they are located. She would like her daughter be the DPOA. She would like to remain full code for resuscitation.      HOSPITAL COURSE: Patient treated with dexamethasone x 10 days,  She recieved 5 days of empiric abx for poss  bacterial pna (Rocephin/Azithromycin).  All cx were no growth to date.  Pt has now been weaned off supplemental oxygen, we will reassess prior to discharge.  Her vital signs have been stable.  Her creatinine is 2.09.  She will need close follow-up with this, of note her creatinine 1.7 in October 2001, 1.99 in February 2022. range in October 2021 Pt is stable for discharge.  Patient will need assistance at home.  I have discussed the case with her daughter.  Patient has been working with therapy and showing gains
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Sputum discoloured, Tachycardia
Clinical narrative: Discharge Provider:  MD Primary Care Provider at Discharge:  NP  Admission Date: 8/21/2022 Discharge Date: 8/29/2022  PRESENTING PROBLEM: Acute and chronic respiratory failure with hypoxia (HCC) [J96.21] COVID-19 [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: HPI: 79-year-old lady with medical history of hypertension, CKD stage 4, Morbid Obesity (BMI> 70), GERD, gastric bypass, depression and dementia presenting to hospital on 08/21 with cough, headaches, rhinorrhea.  Patient resides in a nursing home, states that she had headaches body aches and chills when she woke up in the morning.  She started having cough which was dry but then started producing yellowish sputum. No fever reported. A home COVID test was done which was positive.  She did not have any chest pain or tightness or discomfort.  No lightheadedness or dizziness.  She came to hospital where he was found to be tachycardic and hypoxic in mid 80's and was put on nasal cannula 2 L. CXR remarkable for Right lobe infiltrate/effusion.  She does have some memory deficits and unable to provide complete history.  She knows the children's name and where they are located. She would like her daughter be the DPOA. She would like to remain full code for resuscitation.      HOSPITAL COURSE: Patient treated with dexamethasone x 10 days,  She recieved 5 days of empiric abx for poss  bacterial pna (Rocephin/Azithromycin).  All cx were no growth to date.  Pt has now been weaned off supplemental oxygen, we will reassess prior to discharge.  Her vital signs have been stable.  Her creatinine is 2.09.  She will need close follow-up with this, of note her creatinine 1.7 in October 2001, 1.99 in February 2022. range in October 2021 Pt is stable for discharge.  Patient will need assistance at home.  I have discussed the case with her daughter.  Patient has been working with therapy and showing gains
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspepsia, Hot flush
Clinical narrative: Consistent heartburn and hot flashes on my arms and torso.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: I had a rash on my neck. It began on the back left side (above the injection site) and then moved around to the front of the neck.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Cognitive disorder, Computerised tomogram head normal
Clinical narrative: Discharge Provider: Private MD. Primary Care Provider at Discharge: Private MD. Admission Date: 8/21/2022- Discharge Date: 8/26/2022. PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]. HOSPITAL COURSE: Patient is an 81 year old man who presented with profound weakness and fever with recent sick contacts. He was found to be Covid-19 +. He had mild AMS and chronic cognitive deficits. He has been vaccinated and received one booster. He had a normal CTH and CXR. He was treated supportively. He was seen by PT who recommended subacute rehab. Referrals were made by care management, with patient placed at local facility, where he can be treated with PT and OT despite his positive COVID test. Despite his positive COVID test, the patient remained stable, with good oral intake, afebrile without hypoxia. Patient does have a history of cognitive dysfunction. Patient's daughter reports that despite his cognitive dysfunction he had continue to drive. The patient's daughter reported that her mother was becoming exhausted caring for him, as he got up frequently at night. Currently it is unclear if the patient will be able to return to home after subacute rehab. As patient is clinically stable, he was discharged to local skilled Nursing on 08/26/2022.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Exposure to communicable disease, Mental status changes, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Discharge Provider: Private MD. Primary Care Provider at Discharge: Private MD. Admission Date: 8/21/2022- Discharge Date: 8/26/2022. PRESENTING PROBLEM: Generalized weakness [R53.1] COVID-19 [U07.1]. HOSPITAL COURSE: Patient is an 81 year old man who presented with profound weakness and fever with recent sick contacts. He was found to be Covid-19 +. He had mild AMS and chronic cognitive deficits. He has been vaccinated and received one booster. He had a normal CTH and CXR. He was treated supportively. He was seen by PT who recommended subacute rehab. Referrals were made by care management, with patient placed at local facility, where he can be treated with PT and OT despite his positive COVID test. Despite his positive COVID test, the patient remained stable, with good oral intake, afebrile without hypoxia. Patient does have a history of cognitive dysfunction. Patient's daughter reports that despite his cognitive dysfunction he had continue to drive. The patient's daughter reported that her mother was becoming exhausted caring for him, as he got up frequently at night. Currently it is unclear if the patient will be able to return to home after subacute rehab. As patient is clinically stable, he was discharged to local skilled Nursing on 08/26/2022.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against then tested positive for COVID-19
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient under age
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Atrial fibrillation, COVID-19 pneumonia, Dialysis, Encephalopathy
Clinical narrative: Arrived from a residential facility on 8/10 with anemia and worsening repiratory failure. Previous hospitalization 7/27-8/5 for covid pneumonia. Started IV antibiotics and consulted nephrology for dialysis. Patient was too hypotensive for first dialysis attempt.  Midodrine was intitiated with fluid resuscitation. Next day tolerated dialysis but could not pull any fluid. Started cardizem drip due to worsening RVR.  Unable to tolerate dialysis consistently and became encephalopathic and nonverbal after first full session.  POA involved in care being given and requested comfort care.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Respiratory failure, Resuscitation, Speech disorder
Clinical narrative: Arrived from a residential facility on 8/10 with anemia and worsening repiratory failure. Previous hospitalization 7/27-8/5 for covid pneumonia. Started IV antibiotics and consulted nephrology for dialysis. Patient was too hypotensive for first dialysis attempt.  Midodrine was intitiated with fluid resuscitation. Next day tolerated dialysis but could not pull any fluid. Started cardizem drip due to worsening RVR.  Unable to tolerate dialysis consistently and became encephalopathic and nonverbal after first full session.  POA involved in care being given and requested comfort care.
Age: 69.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain upper, Diarrhoea, Headache, Nausea, Retching
Clinical narrative: She got her Dtap vaccine, she felt fine initially.  Within 10 minutes of her drive home her stomach started cramping, and then had a headache.  She got home, had loose stool and then felt like she was going to throw up and was dry heaving.  She felt nauseated as well, and then had some diarrhea.  Her stomach then cramped a little the rest of the day, but she has been fine ever since the following day.  When she went to get the vaccine she answered yes to latex, and she had also eaten within 30 minutes of getting the vaccine.  She called and told the pharmacist and was told that it was not usually symptoms, but did tell her it was listed on the printout she was given.  She also informed her doctor of this and she informed her that it was a reaction.  Her arm has not been sore or stiff, just the stomach issues.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursion occurred and moderna determined the vial "maintained the activity necessary to protect against the  SARS CoV-2 virus at the time of administration".   Patient reported no adverse reactions.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine was expired, no temperature excursions occurred and moderna determined the vial "maintained the activity necessary to protect against the SARS CoV-2 virus at the time of administration".  Patient reported no adverse reactions.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Drainage, Rash
Clinical narrative: Rash all over scalp, neck and trunk- draining foul odors
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Atrial fibrillation, COVID-19, COVID-19 pneumonia
Clinical narrative: Physician Discharge Summary: Patient: "PRIVATE", Age:82 y.o. DOB:3/8/1940. Admit Date: 7/6/2022- Discharge Date: 7/10/2022. Principal Diagnoses: Principal Problem: Pneumonia due to COVID-19 virus. Active Problems: PAF (paroxysmal atrial fibrillation); Essential hypertension; Type 2 diabetes mellitus, with long-term current use of insulin; Coronary artery disease involving native coronary artery of native heart without angina pectoris; Acute renal failure superimposed on stage 3b chronic kidney disease; Hyponatremia; Diastolic CHF, chronic; Metabolic encephalopathy; Morbid obesity; Elevated troponin. Discharge Diagnosis: Acute on chronic hypoxic respiratory failure, COVID 19, Hyponatremia. Elevated trop, Metabolic encephalopathy, Dm2, HTN. Hospital Course: The patient was admitted with the above. He was treated with 4 days of remdesivir and steroids. He also was placed on rocephin for possible bacterial super infection. He improved greatly and was on room air as I saw him on the day of discharge. It was not felt that a 5th day of remdesivir would improve him any more than he was so he was placed on one day of Omnicef. No steroids were given as he was not longer acutely hypoxic. His course was complicated by elevated troponin which cardiology felt was due to COVD and not ACS. He was asked to follow up outpatient. Consults to: cardiology. Significant Diagnostic Studies: none. Procedure(s): None. Disposition: home. Discharge Condition: fair.