chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Axillary pain, Chest discomfort, Dyspnoea, Extrasystoles
Clinical narrative: After 8 minutes, I got a warm feeling and felt tight and short of breath in my chest area.  My heart felt like it was was skipping and flipping.  It lasted  about 10 seconds but then of course it created anxiety and my heart started racing.  I waited another 20 minutes before I left.  I also had swollen lymph nodes the next morning and sporadic pain in the armpit which gradually got better over the next 3 to 4 weeks.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Lymphadenopathy, Palpitations
Clinical narrative: After 8 minutes, I got a warm feeling and felt tight and short of breath in my chest area.  My heart felt like it was was skipping and flipping.  It lasted  about 10 seconds but then of course it created anxiety and my heart started racing.  I waited another 20 minutes before I left.  I also had swollen lymph nodes the next morning and sporadic pain in the armpit which gradually got better over the next 3 to 4 weeks.
Age: 65.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt admit with Covid.  Pt had full Covid Vaccine panel
Age: 43.0
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt had Covid Vaccine.  Pt admit to hospital with Covid
Age: 1.33
Sex: M
Vaccine: COVID19, DTAP, HIBV, PNC
Symptoms: Joint swelling, Rash, Rash macular, Respiratory viral panel
Clinical narrative: ~ 90 h after vaccine developed diffuse E-M minor rash w R wrist, L knee swelling. Pt. did not improve on Zyrtec, and Orapred (prednisolone) given 15mg daily. Pt had a quick improvement and these were discontinued after 4d
Sex: F
Vaccine: TDAP, VARZOS
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Redness, swelling, painful when touched
Age: 1.5
Sex: F
Vaccine: DTPPVHBHPB, PNC13
Symptoms: Pyrexia
Clinical narrative: fever 103, given Tylenol & Advil at Hospital
Age: 16.0
Sex: F
Vaccine: HPV9, UNK
Symptoms: Myalgia, Painful respiration
Clinical narrative: Received Hpv vaccine along with 2 others at the pediatrician's office. Today, my child began experiencing terrible muscle aches, pain at the base of her neck, and in her shoulders when she takes a breath. Otc Pain relievers are not helping.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness bilateral, Pain
Clinical narrative: After receiving Pfizer Covid vaccine booster on April 20, 2022, I experienced pain and loss of hearing in my right ear. The problem then spread to left ear. Multiple visits to ENT doctor due to hearing loss in both ears.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Presented for J&J COVID vaccine. Pt States she is an emancipated minor, received documentation of emancipation. Educated on preference of MRNA vaccine. Pt confirmed desire for J&J vaccine. Pt waited in lobby 15 minutes per policy. After administration realized patient did not qualify for J&J due to her age. Notified patient, supervisor and Agency.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise
Clinical narrative: The patient hospitalized due to COVID-19 7/15/2022  7/27/2022. Medications to treat symptoms included folic acid 1mg daily, thiamine 100mg PO daily, ascorbic acid 1000mg PO daily, vitamin D 25mcg PO daily and zinc sulfate 150mg PO daily.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Cough, Headache, Pain in extremity
Clinical narrative: Arm pain. Fever. Cough. Weakness. Two ER visits with chest pain left arm pain weakness in legs severe headache
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Arm pain. Fever. Cough. Weakness. Two ER visits with chest pain left arm pain weakness in legs severe headache
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case   dose 1 Pfizer 4/14/21 EW0169 dose 2 Pfizer 5/6/21 EW0175
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Late-
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood culture negative, COVID-19, Chest X-ray normal
Clinical narrative: 4/18/2022- Presents to ED c/o chest pain and c/o of n/v with coffee ground emesis. EKG showed no changes, H&H stabe, trop was negative. Covid - on admission. Upper GI Endo-large hiatal hernia present 4/19/2022-Hiatal hernia, conservative tx due to cardiac concerns. PPI. 4/20/2022- New onset A fib with RVR, HR elevated (107-150) BP 92/60. Placed on 3.5 L NC. Chest pain resolved Trop - x 3. Toprol changed to Lopressor and Digoxin. Amlodipine d/c.  4/21/2022- BP stable, sinus rhythm with HR in 80's. temp-100.9, on empiric antibiotics for possible aspiration pneumonia due to vomiting.  4/23/2022-Temp wnl. BC, show no growth. Currently 98% o2 on 3 L NC.  4/24/2022-Covid + bebtelovimab given. Supplemental o2 at 2 L.  4/25/2022- Started Remdesivir. D/C ceftriaxone and Doxy, start Zosyn. VSS. 4/26/2022- D dimer 970 4/29/2022 - Repeat CXR- no acute disease. Currently satting 93-97% on 2L.  5/6/2022- segmental/subsegmental emboli, right upper and right lower lobe pulmonary arteries. D Dimer 1,946.Heparin Started.  5/10/2022- Chest pain and coffee ground emesis resolved.  Stable H & H, started on eliquis. D/C to Home.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram normal, Endoscopy upper gastrointestinal tract abnormal, Fibrin D dimer increased, Haematemesis
Clinical narrative: 4/18/2022- Presents to ED c/o chest pain and c/o of n/v with coffee ground emesis. EKG showed no changes, H&H stabe, trop was negative. Covid - on admission. Upper GI Endo-large hiatal hernia present 4/19/2022-Hiatal hernia, conservative tx due to cardiac concerns. PPI. 4/20/2022- New onset A fib with RVR, HR elevated (107-150) BP 92/60. Placed on 3.5 L NC. Chest pain resolved Trop - x 3. Toprol changed to Lopressor and Digoxin. Amlodipine d/c.  4/21/2022- BP stable, sinus rhythm with HR in 80's. temp-100.9, on empiric antibiotics for possible aspiration pneumonia due to vomiting.  4/23/2022-Temp wnl. BC, show no growth. Currently 98% o2 on 3 L NC.  4/24/2022-Covid + bebtelovimab given. Supplemental o2 at 2 L.  4/25/2022- Started Remdesivir. D/C ceftriaxone and Doxy, start Zosyn. VSS. 4/26/2022- D dimer 970 4/29/2022 - Repeat CXR- no acute disease. Currently satting 93-97% on 2L.  5/6/2022- segmental/subsegmental emboli, right upper and right lower lobe pulmonary arteries. D Dimer 1,946.Heparin Started.  5/10/2022- Chest pain and coffee ground emesis resolved.  Stable H & H, started on eliquis. D/C to Home.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Heart rate increased, Hiatus hernia, Nausea
Clinical narrative: 4/18/2022- Presents to ED c/o chest pain and c/o of n/v with coffee ground emesis. EKG showed no changes, H&H stabe, trop was negative. Covid - on admission. Upper GI Endo-large hiatal hernia present 4/19/2022-Hiatal hernia, conservative tx due to cardiac concerns. PPI. 4/20/2022- New onset A fib with RVR, HR elevated (107-150) BP 92/60. Placed on 3.5 L NC. Chest pain resolved Trop - x 3. Toprol changed to Lopressor and Digoxin. Amlodipine d/c.  4/21/2022- BP stable, sinus rhythm with HR in 80's. temp-100.9, on empiric antibiotics for possible aspiration pneumonia due to vomiting.  4/23/2022-Temp wnl. BC, show no growth. Currently 98% o2 on 3 L NC.  4/24/2022-Covid + bebtelovimab given. Supplemental o2 at 2 L.  4/25/2022- Started Remdesivir. D/C ceftriaxone and Doxy, start Zosyn. VSS. 4/26/2022- D dimer 970 4/29/2022 - Repeat CXR- no acute disease. Currently satting 93-97% on 2L.  5/6/2022- segmental/subsegmental emboli, right upper and right lower lobe pulmonary arteries. D Dimer 1,946.Heparin Started.  5/10/2022- Chest pain and coffee ground emesis resolved.  Stable H & H, started on eliquis. D/C to Home.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test positive, Troponin normal, Vomiting
Clinical narrative: 4/18/2022- Presents to ED c/o chest pain and c/o of n/v with coffee ground emesis. EKG showed no changes, H&H stabe, trop was negative. Covid - on admission. Upper GI Endo-large hiatal hernia present 4/19/2022-Hiatal hernia, conservative tx due to cardiac concerns. PPI. 4/20/2022- New onset A fib with RVR, HR elevated (107-150) BP 92/60. Placed on 3.5 L NC. Chest pain resolved Trop - x 3. Toprol changed to Lopressor and Digoxin. Amlodipine d/c.  4/21/2022- BP stable, sinus rhythm with HR in 80's. temp-100.9, on empiric antibiotics for possible aspiration pneumonia due to vomiting.  4/23/2022-Temp wnl. BC, show no growth. Currently 98% o2 on 3 L NC.  4/24/2022-Covid + bebtelovimab given. Supplemental o2 at 2 L.  4/25/2022- Started Remdesivir. D/C ceftriaxone and Doxy, start Zosyn. VSS. 4/26/2022- D dimer 970 4/29/2022 - Repeat CXR- no acute disease. Currently satting 93-97% on 2L.  5/6/2022- segmental/subsegmental emboli, right upper and right lower lobe pulmonary arteries. D Dimer 1,946.Heparin Started.  5/10/2022- Chest pain and coffee ground emesis resolved.  Stable H & H, started on eliquis. D/C to Home.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arteriospasm coronary, Cardiac stress test, Catheterisation cardiac, Chest pain, Dizziness
Clinical narrative: Instant elevated high blood pressure - 190/100 Dizziness Now suffer from incontrollable high blood pressure and also coronary vasospasm's.  I have been hospitalized several times and have constant chest pain.   Now also diagnosed with Coronary Microvascular Disease.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Immediate post-injection reaction, Laboratory test, Magnetic resonance imaging, Microvascular coronary artery disease
Clinical narrative: Instant elevated high blood pressure - 190/100 Dizziness Now suffer from incontrollable high blood pressure and also coronary vasospasm's.  I have been hospitalized several times and have constant chest pain.   Now also diagnosed with Coronary Microvascular Disease.
Age: 71.0
Sex: F
Vaccine: PPV
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Dizziness, Fall, Flushing, Hyperhidrosis
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: HE GOT DIZZY FOR A SECOND AND FELL DOWN, GOT UP IN A SECOND. HE WAS SWEATING LITTLE BIT. OFFERED HIM TO REST FOR 15-20 MIN AND GAVE WATER. AND OFFERED TO CALL SOMEONE OR EMS (DECLINED).
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient was admitted to the hospital for COVID symptoms 7/15/2022- 7/21/2022,  Medications given included zinc sulfate 50mg PO daily, ascorbic acid 1000mg PO daily, cholecalcifero 25mcg PO daily.
Age: 63.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Grunting, Hyperhidrosis, Pallor, Pupil fixed, Tremor
Clinical narrative: Nurse called another nurse over to her station.  Client was talking to partner.  Suddenly went silent and started grunting.  Client pale and sweating.  Eyes wide open, fixed and dilated.  Client's tongue was out.  One ammonia tablet was popped with no effect another was popped and EMS was called.  Client remained unresponsive for 45 seconds.  Suddenly client awakened and started shaking head and pushing ammonia tablet away.  Client began talking and color returned to his face.  He was being fanned and given water and apple juice.  Client continued to sweat but said he "felt better."   Paramedics arrived.  Client alert and oriented and stated that he did not need to go to the hospital.  Once the paramedics cleared him, he sat for another 30 minutes to ensure there were no other issues.  Client stated he did not eat breakfast so food was advised at the time of departure.   Client walked out with no assistance.
Age: 63.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Unresponsive to stimuli
Clinical narrative: Nurse called another nurse over to her station.  Client was talking to partner.  Suddenly went silent and started grunting.  Client pale and sweating.  Eyes wide open, fixed and dilated.  Client's tongue was out.  One ammonia tablet was popped with no effect another was popped and EMS was called.  Client remained unresponsive for 45 seconds.  Suddenly client awakened and started shaking head and pushing ammonia tablet away.  Client began talking and color returned to his face.  He was being fanned and given water and apple juice.  Client continued to sweat but said he "felt better."   Paramedics arrived.  Client alert and oriented and stated that he did not need to go to the hospital.  Once the paramedics cleared him, he sat for another 30 minutes to ensure there were no other issues.  Client stated he did not eat breakfast so food was advised at the time of departure.   Client walked out with no assistance.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium
Age: 57.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient was admitted for COVID symptoms on 7/15/2022- 7/19/2022.   Medications given included zinc sulfate 50mg PO BID, ascorbic acid 1000mg PO daily, cholecalciferol 25mcg PO daily,
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Heart rate increased
Clinical narrative: Systemic: patient complained of incresed heart rate of 75 at rest and 120 walking-Mild, Additional Details: patient called to complain of increase heart rate after taking shingrix, reported hr of 75 when still and 120 when exercise. pt was told this is within normal range but still insisted on reporting.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 66.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Called today with swelling warm to touch and itching. Advised patient to take benadryl tonight and continue to watch. If worsening is seen tomorrow to let us know for further advisement. Patient was not overly concerned but did want to let us know and see what she should do.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Asthenia, Blood creatinine increased, Blood urea increased, Confusional state
Clinical narrative: Facility reported to me that patient became confused in the morning, 3 days after receiving her 2nd Moderna booster (she had J&J 1st).  She also was observed to have weakness, falling,decreased fluid intake and output and was more lethargic.labs showed increased BUN/creatinine but urine culture was negative and other labs were negative.  When I visited the nursing home in July staff said she was still not acting herself.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine negative, Fall, Fluid intake reduced, Laboratory test abnormal, Lethargy
Clinical narrative: Facility reported to me that patient became confused in the morning, 3 days after receiving her 2nd Moderna booster (she had J&J 1st).  She also was observed to have weakness, falling,decreased fluid intake and output and was more lethargic.labs showed increased BUN/creatinine but urine culture was negative and other labs were negative.  When I visited the nursing home in July staff said she was still not acting herself.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: The patient was hospitalized for COVID-19 symptoms 7/14/2022- 7/18/2022.  Medications given included cholecalciferol 25mcg PO daily, zinc sulfate 50mg PO daily, ascorbic acid 1000mg PO daily, dexamethasone 6mg IV daily,
Age: 45.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Blood test, Cardiac imaging procedure, Cerebrovascular accident, Computerised tomogram, Echocardiogram
Clinical narrative: On July 6th,2022 I was admitted to the hospital for 3 days, after being rushed to the Emergency Room after having a TIA Stroke
Age: 45.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Electrocardiogram, Magnetic resonance imaging head abnormal, Scan with contrast abnormal, Transient ischaemic attack
Clinical narrative: On July 6th,2022 I was admitted to the hospital for 3 days, after being rushed to the Emergency Room after having a TIA Stroke
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient was admitted for COVID-19 symptoms on 7/18/2022- 7/20/2022.  Medications given included ascorbic acid 1000mg PO daily, cholecalciferol 25mcg PO daily, zinc sulfate 50mg  PO daily,
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Echocardiogram abnormal, Inappropriate schedule of product administration, Pericardial effusion, Pericarditis
Clinical narrative: ACUTE  PERICARDITIS - treated with colchicine, took colchicine for 2 month after the hospital visit.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Decreased appetite, Diarrhoea, Dysuria, Hallucination
Clinical narrative: Headache, temp up to 102.4 for three days, loose stool, frequent urination, loss of appetite, mild hallucination, inability to urinate, pain during urination
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pollakiuria, Urinary retention
Clinical narrative: Headache, temp up to 102.4 for three days, loose stool, frequent urination, loss of appetite, mild hallucination, inability to urinate, pain during urination
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: Moderna 5/12/21, 8/4/21. Positive on 8/27/22
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac operation, Echocardiogram, Magnetic resonance imaging, Pericardial drainage
Clinical narrative: Acute Pericarditis, heart surgery - pericardial liquid drain and permanent pericardial window. 6 month on colchicine.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial excision, Pericarditis, Ultrasound scan, X-ray
Clinical narrative: Acute Pericarditis, heart surgery - pericardial liquid drain and permanent pericardial window. 6 month on colchicine.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 69.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Swollen red arm
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, COVID-19, COVID-19 pneumonia, Cardiac failure, Chest X-ray abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: NP Admission Date: 8/12/2022 Discharge Date: Aug 28, 2022  PRESENTING PROBLEM: Respiratory failure with hypoxia [J96.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is an 84y/o man with HFpEF, mixed RLD and COPD baseline 3L O2 at home. Previously admitted and discharged this month for  pseudomonas pneumonia and heart failure exacerbation. The patient had a negative COVID test at that time.  The patient was diuresed at that time and completed a course of antibiotics and was sent home on a tapered dose of steroids.  The patient presented emergency room on 08/12/2022 with complaints of orthopnea and worsening hypoxia with oxygen saturation of 70% on 4 L.  COVID test was positive.   In the emergency department, the patient was started on BiPAP, methylprednisolone, DuoNebs and magnesium.  He then was switched to high-flow nasal cannula he and initially required 6 liters/minute of 70% FiO2.  His requirement increased and he ultimately required 95% HFNC.  The patient was afebrile and hemodynamically stable.  Chest x-ray showed improvement in bibasilar airspace disease.  Patient ultimately was admitted to intensive care unit.  Duplex scan was ordered and was negative for DVT but showed likely reactive lymph node in the left groin.   Once his oxygenation requirement decreased to 70% patient was transferred to CC2.  Pulmonary Medicine was consulted, they recommended to stay on dexamethasone 6 mg daily for total of 10 days.  The course was completed on 08/21/2022.  Additionally they had recommended to complete a 7 day course of antibiotic with vancomycin and Zosyn which was completed on 08/18/2022.   Patient's oxygen requirements were trending down and he was eventually transferred out of the CC2 when he was requiring 45% of 30 L HFNC.   The patient remained stable and was weaned down of oxygen slowly. He was weaned to 5L of NC (baseline was 3L). PT/OT was consulted and had recommended subacute rehab initially but while awaiting for SAR he improved significantly and was abe to be discharged home   Of note, the patient glucose level has been elevated during his stay.  Insulin was titrated accordingly to better control his glucose levels.   The patient was discharged home on 08/28/2022 is stable condition.  He was provided with a BiPAP q.h.s. and had respiratory events was informed 5 increase and oxygen requirement.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Diuretic therapy, Hypoxia, Intensive care, Lung disorder
Clinical narrative: Discharge Provider: MD Primary Care Provider: NP Admission Date: 8/12/2022 Discharge Date: Aug 28, 2022  PRESENTING PROBLEM: Respiratory failure with hypoxia [J96.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is an 84y/o man with HFpEF, mixed RLD and COPD baseline 3L O2 at home. Previously admitted and discharged this month for  pseudomonas pneumonia and heart failure exacerbation. The patient had a negative COVID test at that time.  The patient was diuresed at that time and completed a course of antibiotics and was sent home on a tapered dose of steroids.  The patient presented emergency room on 08/12/2022 with complaints of orthopnea and worsening hypoxia with oxygen saturation of 70% on 4 L.  COVID test was positive.   In the emergency department, the patient was started on BiPAP, methylprednisolone, DuoNebs and magnesium.  He then was switched to high-flow nasal cannula he and initially required 6 liters/minute of 70% FiO2.  His requirement increased and he ultimately required 95% HFNC.  The patient was afebrile and hemodynamically stable.  Chest x-ray showed improvement in bibasilar airspace disease.  Patient ultimately was admitted to intensive care unit.  Duplex scan was ordered and was negative for DVT but showed likely reactive lymph node in the left groin.   Once his oxygenation requirement decreased to 70% patient was transferred to CC2.  Pulmonary Medicine was consulted, they recommended to stay on dexamethasone 6 mg daily for total of 10 days.  The course was completed on 08/21/2022.  Additionally they had recommended to complete a 7 day course of antibiotic with vancomycin and Zosyn which was completed on 08/18/2022.   Patient's oxygen requirements were trending down and he was eventually transferred out of the CC2 when he was requiring 45% of 30 L HFNC.   The patient remained stable and was weaned down of oxygen slowly. He was weaned to 5L of NC (baseline was 3L). PT/OT was consulted and had recommended subacute rehab initially but while awaiting for SAR he improved significantly and was abe to be discharged home   Of note, the patient glucose level has been elevated during his stay.  Insulin was titrated accordingly to better control his glucose levels.   The patient was discharged home on 08/28/2022 is stable condition.  He was provided with a BiPAP q.h.s. and had respiratory events was informed 5 increase and oxygen requirement.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Orthopnoea, Pneumonia pseudomonal, Positive airway pressure therapy, Respiratory failure
Clinical narrative: Discharge Provider: MD Primary Care Provider: NP Admission Date: 8/12/2022 Discharge Date: Aug 28, 2022  PRESENTING PROBLEM: Respiratory failure with hypoxia [J96.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is an 84y/o man with HFpEF, mixed RLD and COPD baseline 3L O2 at home. Previously admitted and discharged this month for  pseudomonas pneumonia and heart failure exacerbation. The patient had a negative COVID test at that time.  The patient was diuresed at that time and completed a course of antibiotics and was sent home on a tapered dose of steroids.  The patient presented emergency room on 08/12/2022 with complaints of orthopnea and worsening hypoxia with oxygen saturation of 70% on 4 L.  COVID test was positive.   In the emergency department, the patient was started on BiPAP, methylprednisolone, DuoNebs and magnesium.  He then was switched to high-flow nasal cannula he and initially required 6 liters/minute of 70% FiO2.  His requirement increased and he ultimately required 95% HFNC.  The patient was afebrile and hemodynamically stable.  Chest x-ray showed improvement in bibasilar airspace disease.  Patient ultimately was admitted to intensive care unit.  Duplex scan was ordered and was negative for DVT but showed likely reactive lymph node in the left groin.   Once his oxygenation requirement decreased to 70% patient was transferred to CC2.  Pulmonary Medicine was consulted, they recommended to stay on dexamethasone 6 mg daily for total of 10 days.  The course was completed on 08/21/2022.  Additionally they had recommended to complete a 7 day course of antibiotic with vancomycin and Zosyn which was completed on 08/18/2022.   Patient's oxygen requirements were trending down and he was eventually transferred out of the CC2 when he was requiring 45% of 30 L HFNC.   The patient remained stable and was weaned down of oxygen slowly. He was weaned to 5L of NC (baseline was 3L). PT/OT was consulted and had recommended subacute rehab initially but while awaiting for SAR he improved significantly and was abe to be discharged home   Of note, the patient glucose level has been elevated during his stay.  Insulin was titrated accordingly to better control his glucose levels.   The patient was discharged home on 08/28/2022 is stable condition.  He was provided with a BiPAP q.h.s. and had respiratory events was informed 5 increase and oxygen requirement.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound Doppler abnormal
Clinical narrative: Discharge Provider: MD Primary Care Provider: NP Admission Date: 8/12/2022 Discharge Date: Aug 28, 2022  PRESENTING PROBLEM: Respiratory failure with hypoxia [J96.91] Pneumonia due to COVID-19 virus [U07.1, J12.82]   HOSPITAL COURSE: Patient is an 84y/o man with HFpEF, mixed RLD and COPD baseline 3L O2 at home. Previously admitted and discharged this month for  pseudomonas pneumonia and heart failure exacerbation. The patient had a negative COVID test at that time.  The patient was diuresed at that time and completed a course of antibiotics and was sent home on a tapered dose of steroids.  The patient presented emergency room on 08/12/2022 with complaints of orthopnea and worsening hypoxia with oxygen saturation of 70% on 4 L.  COVID test was positive.   In the emergency department, the patient was started on BiPAP, methylprednisolone, DuoNebs and magnesium.  He then was switched to high-flow nasal cannula he and initially required 6 liters/minute of 70% FiO2.  His requirement increased and he ultimately required 95% HFNC.  The patient was afebrile and hemodynamically stable.  Chest x-ray showed improvement in bibasilar airspace disease.  Patient ultimately was admitted to intensive care unit.  Duplex scan was ordered and was negative for DVT but showed likely reactive lymph node in the left groin.   Once his oxygenation requirement decreased to 70% patient was transferred to CC2.  Pulmonary Medicine was consulted, they recommended to stay on dexamethasone 6 mg daily for total of 10 days.  The course was completed on 08/21/2022.  Additionally they had recommended to complete a 7 day course of antibiotic with vancomycin and Zosyn which was completed on 08/18/2022.   Patient's oxygen requirements were trending down and he was eventually transferred out of the CC2 when he was requiring 45% of 30 L HFNC.   The patient remained stable and was weaned down of oxygen slowly. He was weaned to 5L of NC (baseline was 3L). PT/OT was consulted and had recommended subacute rehab initially but while awaiting for SAR he improved significantly and was abe to be discharged home   Of note, the patient glucose level has been elevated during his stay.  Insulin was titrated accordingly to better control his glucose levels.   The patient was discharged home on 08/28/2022 is stable condition.  He was provided with a BiPAP q.h.s. and had respiratory events was informed 5 increase and oxygen requirement.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: Patient was admitted to the hospital with COVID-19 symptoms 7/20/2022- 7/28/2022. Medications given included dexamethasone 6mg IV daily, ascorbic acid 500mg PO BID, cholecalciferol 50mcg PO daily, baricitinib 2mg PO daily.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine was given
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient admitted to the hospital with COVID-19 symptoms on 7/24/2022- 7/27/2022.  Medications given included cholecalciferol 25mcg PO daily, remdesivir daily x 2  days, ascorbic acid 1000mg PO daily, zinc sulfate 50mg PO daily, dexamethasone 6mg IV daily,
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: BOOSTER DOSE OF MODERNA COVID VACCINE GIVEN TO PT. NO ADVERSE EFFECTS.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: MODERNA COVID-19 BOOSTER GIVEN TO 13 YO
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: reports that he tested positive on PCR test performed at physician office 8/28/2022.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Device malfunction, Echocardiogram normal, Exercise tolerance decreased, Heart rate decreased
Clinical narrative: He got his vaccine, he got a little soreness in the arm the next day.  When he checked his BP which also reads his pule rate he noticed that it was down.  It normally runs around 60.  It continued to be below 60 BPM since 5/21/22 on average.  This is his pacemaker bottom limit.  This concerned him and he made an APT with his first cardiologist who said that everybody has AE from it.  He then went to see an Electrocardiologist from Facility and that his pacemaker was fine, but that he had an irregular heart beat that he detected.  He followed up with a nuclear stress test, and the results of that showed that he had no blockages in his heart valves.  He then followed up with an echocardiogram and that showed that his valves were working properly and it is now a mystery to see why it is not staying in paces, and he has a FU appointment in September.   His heart rate can get as low as 44 BPM.  He does play tennis every other day and it does go up, but at rest it's below 50.   His symptoms from it being low are when he starts exercising he has to sort of really warm up and get going first to get enough oxygen to be able to get functioning, and once he gets going he is able to work out and do the activity.  He does not have any pain, it is just quite annoying to him.  His pacemaker functioned normally until the last vaccine.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate irregular, Pain in extremity
Clinical narrative: He got his vaccine, he got a little soreness in the arm the next day.  When he checked his BP which also reads his pule rate he noticed that it was down.  It normally runs around 60.  It continued to be below 60 BPM since 5/21/22 on average.  This is his pacemaker bottom limit.  This concerned him and he made an APT with his first cardiologist who said that everybody has AE from it.  He then went to see an Electrocardiologist from Facility and that his pacemaker was fine, but that he had an irregular heart beat that he detected.  He followed up with a nuclear stress test, and the results of that showed that he had no blockages in his heart valves.  He then followed up with an echocardiogram and that showed that his valves were working properly and it is now a mystery to see why it is not staying in paces, and he has a FU appointment in September.   His heart rate can get as low as 44 BPM.  He does play tennis every other day and it does go up, but at rest it's below 50.   His symptoms from it being low are when he starts exercising he has to sort of really warm up and get going first to get enough oxygen to be able to get functioning, and once he gets going he is able to work out and do the activity.  He does not have any pain, it is just quite annoying to him.  His pacemaker functioned normally until the last vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Nasal congestion, Pneumonia, Respiratory tract congestion
Clinical narrative: Tested positive on rapid antigen 8/29/2022. Reports symptoms of chest/nasal congestion and cough. Visited physician and diagnosed with pneumonia.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Tested positive on rapid antigen 8/29/2022. Reports symptoms of chest/nasal congestion and cough. Visited physician and diagnosed with pneumonia.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Malaise
Clinical narrative: Patient admitted to the hospital due to a fall and COVID-19 symptoms (dizziness) 7/22/2022- 8/1/2022.  Medications included zinc 50mg PO daily, cholecalciferol 25mcg PO daily, ascorbic acid 1000mg PO daily.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Developed temp of 100.3ºF. Tested positive for COVID-19. Known exposure from positive roommate.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient admitted to the hospital for COVID-19 symptoms 7/24/2022- 7/27/2022.  Medications given included ascorbic acid 1000mg PO daily, cholecalciferol 25mcg PO daily, zinc sulfate 50mg PO daily.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization
Age: 89.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient was hospitalized for COVID-19 symptoms 7/29/2022- 8/2/2022.  Medications given included cholecalciferol 50mcg PO daily, dexamethasone 6mg IV daily, Remdesivir daily x 3 days, ascorbic acid 1000mg PO daily, zinc sulfate 50mg PO daily, baricitinib 1mg PO daily,
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Agonal respiration, Asthenia, Bundle branch block right, COVID-19, Death
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 11/8/21, LOT # 076C21A; pt had a positive COVID test and was hospitalized at a local health care facility on 2/5/22; dc'd to home (date not in medical records); 2/26/22 pt back to ED with increasing SOB, nausea, vomiting, generalized weakness; placed on NRB for hypoxia; hypotensive; DNR/DNI; given Rocephin; Sinus Tachycardia with right bundle branch block; pt became unresponsive prior to a test with agonal respirations; pt made comfortable and she passed away in the hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypotension, Hypoxia, Nausea, SARS-CoV-2 test positive
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 11/8/21, LOT # 076C21A; pt had a positive COVID test and was hospitalized at a local health care facility on 2/5/22; dc'd to home (date not in medical records); 2/26/22 pt back to ED with increasing SOB, nausea, vomiting, generalized weakness; placed on NRB for hypoxia; hypotensive; DNR/DNI; given Rocephin; Sinus Tachycardia with right bundle branch block; pt became unresponsive prior to a test with agonal respirations; pt made comfortable and she passed away in the hospital
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Unresponsive to stimuli, Vomiting
Clinical narrative: MODERNA COVID VACCINE #3 GIVEN 11/8/21, LOT # 076C21A; pt had a positive COVID test and was hospitalized at a local health care facility on 2/5/22; dc'd to home (date not in medical records); 2/26/22 pt back to ED with increasing SOB, nausea, vomiting, generalized weakness; placed on NRB for hypoxia; hypotensive; DNR/DNI; given Rocephin; Sinus Tachycardia with right bundle branch block; pt became unresponsive prior to a test with agonal respirations; pt made comfortable and she passed away in the hospital
Age: 1.33
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear infection, Pyrexia, Rhinorrhoea
Clinical narrative: COVID-19 positive day after 2nd dose vaccination. He had a fever for under 48 hours, runny nose and a bit of a cough. The symptoms were mild. Then on August 20th he started with ear infection symptoms and had a fever for about 2-3 days. Then on the on the 22nd in the evening we went to the doctor. They gave him an antibiotic.
Age: 1.33
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: COVID-19 positive day after 2nd dose vaccination. He had a fever for under 48 hours, runny nose and a bit of a cough. The symptoms were mild. Then on August 20th he started with ear infection symptoms and had a fever for about 2-3 days. Then on the on the 22nd in the evening we went to the doctor. They gave him an antibiotic.
Age: 41.0
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: 1.17
Sex: M
Vaccine: VARCEL
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine administered on 8/25/22 has expired on 8/20/22. No adverse outcome. Reporting per guidance of the state. Pt and family notified.
Age: 100.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case after three vaccines  Moderna 3/30/21 Lot#025B21A;  Moderna 4/27/21 Lot# 006C21A;  Moderna 1/4/22 Lot# 030H21B
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Headache, Immunisation reaction, Impaired work ability, Nasal herpes
Clinical narrative: PATIENT EXPERIENCED FATIGUE/FEVER (SATURDAY/SUNDAY After Vaccine administration) She WENT TO THE DOCTOR TUESDAY FOR ANNUAL CHECK UP AND THE DOCTOR SAW BREAK OUT OF HERPES IN NOSE, MOUTH, ON LIPS AND TONSILS BUT ONLY ON THE LEFT SIDE. Patient had EXTREME/SEVER HEADACH/PAIN IN NECK THAT CAUSED HER TO GO TO THE ER on Thursday AND THEY TOLD HER SHE WAS HAVING A Herpes Outbreak as a REACTION TO THE SHINGRIX VACCINE. SHE WAS GIVEN A SHOT OF TORADOL WHICH HELPED TREMENDOUSLY. Has BEEN ON VALTREX AND ADVIL. PATIENT IS STILL Fatigued BUT FEELING MUCH BETTER. NOT SURE IF HOSPITAL REPORTED THE ADR OR NOT. HAS NOT BEEN TO WORK SINCE. WAS TOLD BY ER DR.THAT THE REACTION WOULD LAST ABOUT 10 DAYS
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Oral herpes, Pyrexia
Clinical narrative: PATIENT EXPERIENCED FATIGUE/FEVER (SATURDAY/SUNDAY After Vaccine administration) She WENT TO THE DOCTOR TUESDAY FOR ANNUAL CHECK UP AND THE DOCTOR SAW BREAK OUT OF HERPES IN NOSE, MOUTH, ON LIPS AND TONSILS BUT ONLY ON THE LEFT SIDE. Patient had EXTREME/SEVER HEADACH/PAIN IN NECK THAT CAUSED HER TO GO TO THE ER on Thursday AND THEY TOLD HER SHE WAS HAVING A Herpes Outbreak as a REACTION TO THE SHINGRIX VACCINE. SHE WAS GIVEN A SHOT OF TORADOL WHICH HELPED TREMENDOUSLY. Has BEEN ON VALTREX AND ADVIL. PATIENT IS STILL Fatigued BUT FEELING MUCH BETTER. NOT SURE IF HOSPITAL REPORTED THE ADR OR NOT. HAS NOT BEEN TO WORK SINCE. WAS TOLD BY ER DR.THAT THE REACTION WOULD LAST ABOUT 10 DAYS
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 2/20/21 Lot# 031L20A;  Moderna 3/20/21 Lot# 030A21A;  Moderna 12/1/21 Lot# 013F21A;  Moderna 6/24/22 Lot# 059A22A
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, COVID-19, Chest tube insertion, Computerised tomogram thorax abnormal, Death
Clinical narrative: 2/19/22 EMS called to pt's house; pt in severe respiratory distress, found on the floor with gurgling respirations; pt became unresponsive; intubated and bagged; pt never lost pulse; bradycardic; had outpatient CT yesterday with pneumonia dx; started on ABX; found to be positive for COVID; experienced pneumothorax in hospital, chest tube placed; ICU; no improvement; family decided upon palliative extubation; pt passed away in the hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Increased bronchial secretion, Intensive care, Pneumonia, Pneumothorax
Clinical narrative: 2/19/22 EMS called to pt's house; pt in severe respiratory distress, found on the floor with gurgling respirations; pt became unresponsive; intubated and bagged; pt never lost pulse; bradycardic; had outpatient CT yesterday with pneumonia dx; started on ABX; found to be positive for COVID; experienced pneumothorax in hospital, chest tube placed; ICU; no improvement; family decided upon palliative extubation; pt passed away in the hospital
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: 2/19/22 EMS called to pt's house; pt in severe respiratory distress, found on the floor with gurgling respirations; pt became unresponsive; intubated and bagged; pt never lost pulse; bradycardic; had outpatient CT yesterday with pneumonia dx; started on ABX; found to be positive for COVID; experienced pneumothorax in hospital, chest tube placed; ICU; no improvement; family decided upon palliative extubation; pt passed away in the hospital
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 12/30/20 Lot# 025L20A;  Moderna 1/27/21 Lot#004M20A;  Moderna 10/26/21 Lot# 041C21A;  Moderna 4/11/22 Lot# 027L21A
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Death on  08/16/22
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient administered expired dose. No other events, treatments or outcomes noted.
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19, Death, Dyspnoea
Clinical narrative: pt to hospital with c/o dyspnea x 2 days; placed on NRB with O2 saturation on NRB 84%; found to be positive for COVID; started on steroids, ABX and fluids; septic shock; required intubation; pneumonia; AHRF; hypotension; AKI; no improvements; pt's condition worsened; family decided on palliative extubation; pt passed away in the hospital
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Hypotension, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: pt to hospital with c/o dyspnea x 2 days; placed on NRB with O2 saturation on NRB 84%; found to be positive for COVID; started on steroids, ABX and fluids; septic shock; required intubation; pneumonia; AHRF; hypotension; AKI; no improvements; pt's condition worsened; family decided on palliative extubation; pt passed away in the hospital
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Septic shock
Clinical narrative: pt to hospital with c/o dyspnea x 2 days; placed on NRB with O2 saturation on NRB 84%; found to be positive for COVID; started on steroids, ABX and fluids; septic shock; required intubation; pneumonia; AHRF; hypotension; AKI; no improvements; pt's condition worsened; family decided on palliative extubation; pt passed away in the hospital
Age: 2.0
Sex: M
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 5.0
Sex: U
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received a dose of MODERNA 6 month- 5 years Covid-19 vaccine today. He should have received a dose of PFIZER 5-11 years Covid-19 vaccine, as that was the product used as the first dose in the series, on 07/22/2022. No physical reaction.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Bacteraemia, Bedridden, COVID-19, Cerebrovascular accident
Clinical narrative: 2/17/22 pt sent to hospital from another facility after CVA; c/o abdominal pain and hypokalemia; pt bedbound; watery stools; dehydrated; ileus; found to be positive for COVID; given Decadron; started on O2 supplementation; developed Bacteremia from Staphylococcus aureus; respiratory status worsened requiring BiPAP; no improvement; pt was DNR; pt passed away in the hospital
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dehydration, Diarrhoea, Hypokalaemia, Ileus
Clinical narrative: 2/17/22 pt sent to hospital from another facility after CVA; c/o abdominal pain and hypokalemia; pt bedbound; watery stools; dehydrated; ileus; found to be positive for COVID; given Decadron; started on O2 supplementation; developed Bacteremia from Staphylococcus aureus; respiratory status worsened requiring BiPAP; no improvement; pt was DNR; pt passed away in the hospital
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Respiratory disorder, SARS-CoV-2 test positive, Staphylococcal infection
Clinical narrative: 2/17/22 pt sent to hospital from another facility after CVA; c/o abdominal pain and hypokalemia; pt bedbound; watery stools; dehydrated; ileus; found to be positive for COVID; given Decadron; started on O2 supplementation; developed Bacteremia from Staphylococcus aureus; respiratory status worsened requiring BiPAP; no improvement; pt was DNR; pt passed away in the hospital
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain, Peripheral swelling, Skin reaction
Clinical narrative: Patient presented to the pharmacy  on Thursday, she showed me her arm which was swollen and red on her deltoid area. She received her first Shingrix vaccination on Tuesday, administered by me. Proper vaccine and technique was utilized (i.e. cleaning area of administration on arm with alcohol swab). She said it has been burning and painful, Neosporin ointment has been applied and has helped with these sensations. She is already taking diclofenac (NSAID), advised she can take acetaminophen to help with the swelling and pain. Also advised her to mark the area to watch if the area of redness gets larger or moves on her arm and that she can schedule an appointment to have this further evaluated by a medical provider. She verbalized understanding and said she will follow up the next day or next week if there is no improvement.