chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anaemia, Asthenia, Blood culture negative, Blood lactic acid
Clinical narrative: Patient is a 91 y.o. female patient of medical staff, of CVA (8/31/23), Afib on coumadin, mitral and aortic stenosis, HTN, and HLD presented with worsening shortness of breath. Of note, has had multiple recent admissions for weakness, pneumonia, mechanical falls, altered mental status and large traumatic hematoma of paraspinal musculature. At this time, patient positive for COVID and found to be in sepsis.    Acute respiratory failure w hypoxia  Sepsis due to multifocal COVID PNA Presented w hypoxia, sepsis Not on O2 at baseline and required 2L, but has been doing well on RA. HR 115-133; Leukocytosis WBC 14.41; initial elevated lactic acid 2.5 with COVID CXR:  infiltrates L>R, along with small b/l effusions MRSA DNA, S. Pneumo, Legionella, resp panel, urine/blood culture : negative, COVID positive 11/30 Procal low, viral PCR negative, Completed paxlovid  Dexamethasone for 10 days, last dose is 12/12/2023. Discharged home with home health.    A fib RVR on coumadin Severe Aortic and Mitral stenosis Elevated troponin with negative delta A fib - Fairly recent dx. Follows w/ EP/afib clinic  Valvular disease noted on echo 05/2023 - refused TEE in the past Elevated troponin likely demand ischemia from RVR and volume overload Troponin x2; with negative delta; continue to monitor Increase home lopressor to 100 mg bid   Acute diarrhea Pt states that she had diarrhea, now stopped May be related to antibiotics which have been stopped or COVID Dose of Imodium provided.    Hx of CVA, 08/2023 R hemispheric ischemic stroke R MCA MR occlusion CT angiogram head M2 right short segment occlusion Subsequently, discovered underlying A fib  Was at the time on eliquis 5 mg bid; however, due to valvular heart disease, swtiched to coumadin Uses home walker                                                                                                                                                                                               HTN Normotensive on admission Increased metoprolol to 100 mg PO for rate control    Chronic anemia Hgb 11.9; MCV 94.7
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Culture urine negative, Diarrhoea
Clinical narrative: Patient is a 91 y.o. female patient of medical staff, of CVA (8/31/23), Afib on coumadin, mitral and aortic stenosis, HTN, and HLD presented with worsening shortness of breath. Of note, has had multiple recent admissions for weakness, pneumonia, mechanical falls, altered mental status and large traumatic hematoma of paraspinal musculature. At this time, patient positive for COVID and found to be in sepsis.    Acute respiratory failure w hypoxia  Sepsis due to multifocal COVID PNA Presented w hypoxia, sepsis Not on O2 at baseline and required 2L, but has been doing well on RA. HR 115-133; Leukocytosis WBC 14.41; initial elevated lactic acid 2.5 with COVID CXR:  infiltrates L>R, along with small b/l effusions MRSA DNA, S. Pneumo, Legionella, resp panel, urine/blood culture : negative, COVID positive 11/30 Procal low, viral PCR negative, Completed paxlovid  Dexamethasone for 10 days, last dose is 12/12/2023. Discharged home with home health.    A fib RVR on coumadin Severe Aortic and Mitral stenosis Elevated troponin with negative delta A fib - Fairly recent dx. Follows w/ EP/afib clinic  Valvular disease noted on echo 05/2023 - refused TEE in the past Elevated troponin likely demand ischemia from RVR and volume overload Troponin x2; with negative delta; continue to monitor Increase home lopressor to 100 mg bid   Acute diarrhea Pt states that she had diarrhea, now stopped May be related to antibiotics which have been stopped or COVID Dose of Imodium provided.    Hx of CVA, 08/2023 R hemispheric ischemic stroke R MCA MR occlusion CT angiogram head M2 right short segment occlusion Subsequently, discovered underlying A fib  Was at the time on eliquis 5 mg bid; however, due to valvular heart disease, swtiched to coumadin Uses home walker                                                                                                                                                                                               HTN Normotensive on admission Increased metoprolol to 100 mg PO for rate control    Chronic anemia Hgb 11.9; MCV 94.7
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fall, Haematoma muscle, Haemoglobin decreased, Hypervolaemia
Clinical narrative: Patient is a 91 y.o. female patient of medical staff, of CVA (8/31/23), Afib on coumadin, mitral and aortic stenosis, HTN, and HLD presented with worsening shortness of breath. Of note, has had multiple recent admissions for weakness, pneumonia, mechanical falls, altered mental status and large traumatic hematoma of paraspinal musculature. At this time, patient positive for COVID and found to be in sepsis.    Acute respiratory failure w hypoxia  Sepsis due to multifocal COVID PNA Presented w hypoxia, sepsis Not on O2 at baseline and required 2L, but has been doing well on RA. HR 115-133; Leukocytosis WBC 14.41; initial elevated lactic acid 2.5 with COVID CXR:  infiltrates L>R, along with small b/l effusions MRSA DNA, S. Pneumo, Legionella, resp panel, urine/blood culture : negative, COVID positive 11/30 Procal low, viral PCR negative, Completed paxlovid  Dexamethasone for 10 days, last dose is 12/12/2023. Discharged home with home health.    A fib RVR on coumadin Severe Aortic and Mitral stenosis Elevated troponin with negative delta A fib - Fairly recent dx. Follows w/ EP/afib clinic  Valvular disease noted on echo 05/2023 - refused TEE in the past Elevated troponin likely demand ischemia from RVR and volume overload Troponin x2; with negative delta; continue to monitor Increase home lopressor to 100 mg bid   Acute diarrhea Pt states that she had diarrhea, now stopped May be related to antibiotics which have been stopped or COVID Dose of Imodium provided.    Hx of CVA, 08/2023 R hemispheric ischemic stroke R MCA MR occlusion CT angiogram head M2 right short segment occlusion Subsequently, discovered underlying A fib  Was at the time on eliquis 5 mg bid; however, due to valvular heart disease, swtiched to coumadin Uses home walker                                                                                                                                                                                               HTN Normotensive on admission Increased metoprolol to 100 mg PO for rate control    Chronic anemia Hgb 11.9; MCV 94.7
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Legionella test, Leukocytosis, Lung infiltration, Mean cell volume normal
Clinical narrative: Patient is a 91 y.o. female patient of medical staff, of CVA (8/31/23), Afib on coumadin, mitral and aortic stenosis, HTN, and HLD presented with worsening shortness of breath. Of note, has had multiple recent admissions for weakness, pneumonia, mechanical falls, altered mental status and large traumatic hematoma of paraspinal musculature. At this time, patient positive for COVID and found to be in sepsis.    Acute respiratory failure w hypoxia  Sepsis due to multifocal COVID PNA Presented w hypoxia, sepsis Not on O2 at baseline and required 2L, but has been doing well on RA. HR 115-133; Leukocytosis WBC 14.41; initial elevated lactic acid 2.5 with COVID CXR:  infiltrates L>R, along with small b/l effusions MRSA DNA, S. Pneumo, Legionella, resp panel, urine/blood culture : negative, COVID positive 11/30 Procal low, viral PCR negative, Completed paxlovid  Dexamethasone for 10 days, last dose is 12/12/2023. Discharged home with home health.    A fib RVR on coumadin Severe Aortic and Mitral stenosis Elevated troponin with negative delta A fib - Fairly recent dx. Follows w/ EP/afib clinic  Valvular disease noted on echo 05/2023 - refused TEE in the past Elevated troponin likely demand ischemia from RVR and volume overload Troponin x2; with negative delta; continue to monitor Increase home lopressor to 100 mg bid   Acute diarrhea Pt states that she had diarrhea, now stopped May be related to antibiotics which have been stopped or COVID Dose of Imodium provided.    Hx of CVA, 08/2023 R hemispheric ischemic stroke R MCA MR occlusion CT angiogram head M2 right short segment occlusion Subsequently, discovered underlying A fib  Was at the time on eliquis 5 mg bid; however, due to valvular heart disease, swtiched to coumadin Uses home walker                                                                                                                                                                                               HTN Normotensive on admission Increased metoprolol to 100 mg PO for rate control    Chronic anemia Hgb 11.9; MCV 94.7
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Myocardial ischaemia, Pleural effusion, Pneumonia, Polymerase chain reaction negative
Clinical narrative: Patient is a 91 y.o. female patient of medical staff, of CVA (8/31/23), Afib on coumadin, mitral and aortic stenosis, HTN, and HLD presented with worsening shortness of breath. Of note, has had multiple recent admissions for weakness, pneumonia, mechanical falls, altered mental status and large traumatic hematoma of paraspinal musculature. At this time, patient positive for COVID and found to be in sepsis.    Acute respiratory failure w hypoxia  Sepsis due to multifocal COVID PNA Presented w hypoxia, sepsis Not on O2 at baseline and required 2L, but has been doing well on RA. HR 115-133; Leukocytosis WBC 14.41; initial elevated lactic acid 2.5 with COVID CXR:  infiltrates L>R, along with small b/l effusions MRSA DNA, S. Pneumo, Legionella, resp panel, urine/blood culture : negative, COVID positive 11/30 Procal low, viral PCR negative, Completed paxlovid  Dexamethasone for 10 days, last dose is 12/12/2023. Discharged home with home health.    A fib RVR on coumadin Severe Aortic and Mitral stenosis Elevated troponin with negative delta A fib - Fairly recent dx. Follows w/ EP/afib clinic  Valvular disease noted on echo 05/2023 - refused TEE in the past Elevated troponin likely demand ischemia from RVR and volume overload Troponin x2; with negative delta; continue to monitor Increase home lopressor to 100 mg bid   Acute diarrhea Pt states that she had diarrhea, now stopped May be related to antibiotics which have been stopped or COVID Dose of Imodium provided.    Hx of CVA, 08/2023 R hemispheric ischemic stroke R MCA MR occlusion CT angiogram head M2 right short segment occlusion Subsequently, discovered underlying A fib  Was at the time on eliquis 5 mg bid; however, due to valvular heart disease, swtiched to coumadin Uses home walker                                                                                                                                                                                               HTN Normotensive on admission Increased metoprolol to 100 mg PO for rate control    Chronic anemia Hgb 11.9; MCV 94.7
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Procalcitonin decreased, Respiratory viral panel, SARS-CoV-2 test positive, Sepsis, Spinal cord haematoma
Clinical narrative: Patient is a 91 y.o. female patient of medical staff, of CVA (8/31/23), Afib on coumadin, mitral and aortic stenosis, HTN, and HLD presented with worsening shortness of breath. Of note, has had multiple recent admissions for weakness, pneumonia, mechanical falls, altered mental status and large traumatic hematoma of paraspinal musculature. At this time, patient positive for COVID and found to be in sepsis.    Acute respiratory failure w hypoxia  Sepsis due to multifocal COVID PNA Presented w hypoxia, sepsis Not on O2 at baseline and required 2L, but has been doing well on RA. HR 115-133; Leukocytosis WBC 14.41; initial elevated lactic acid 2.5 with COVID CXR:  infiltrates L>R, along with small b/l effusions MRSA DNA, S. Pneumo, Legionella, resp panel, urine/blood culture : negative, COVID positive 11/30 Procal low, viral PCR negative, Completed paxlovid  Dexamethasone for 10 days, last dose is 12/12/2023. Discharged home with home health.    A fib RVR on coumadin Severe Aortic and Mitral stenosis Elevated troponin with negative delta A fib - Fairly recent dx. Follows w/ EP/afib clinic  Valvular disease noted on echo 05/2023 - refused TEE in the past Elevated troponin likely demand ischemia from RVR and volume overload Troponin x2; with negative delta; continue to monitor Increase home lopressor to 100 mg bid   Acute diarrhea Pt states that she had diarrhea, now stopped May be related to antibiotics which have been stopped or COVID Dose of Imodium provided.    Hx of CVA, 08/2023 R hemispheric ischemic stroke R MCA MR occlusion CT angiogram head M2 right short segment occlusion Subsequently, discovered underlying A fib  Was at the time on eliquis 5 mg bid; however, due to valvular heart disease, swtiched to coumadin Uses home walker                                                                                                                                                                                               HTN Normotensive on admission Increased metoprolol to 100 mg PO for rate control    Chronic anemia Hgb 11.9; MCV 94.7
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcus test negative, Streptococcus test negative, Traumatic haematoma, Troponin increased, White blood cell count increased
Clinical narrative: Patient is a 91 y.o. female patient of medical staff, of CVA (8/31/23), Afib on coumadin, mitral and aortic stenosis, HTN, and HLD presented with worsening shortness of breath. Of note, has had multiple recent admissions for weakness, pneumonia, mechanical falls, altered mental status and large traumatic hematoma of paraspinal musculature. At this time, patient positive for COVID and found to be in sepsis.    Acute respiratory failure w hypoxia  Sepsis due to multifocal COVID PNA Presented w hypoxia, sepsis Not on O2 at baseline and required 2L, but has been doing well on RA. HR 115-133; Leukocytosis WBC 14.41; initial elevated lactic acid 2.5 with COVID CXR:  infiltrates L>R, along with small b/l effusions MRSA DNA, S. Pneumo, Legionella, resp panel, urine/blood culture : negative, COVID positive 11/30 Procal low, viral PCR negative, Completed paxlovid  Dexamethasone for 10 days, last dose is 12/12/2023. Discharged home with home health.    A fib RVR on coumadin Severe Aortic and Mitral stenosis Elevated troponin with negative delta A fib - Fairly recent dx. Follows w/ EP/afib clinic  Valvular disease noted on echo 05/2023 - refused TEE in the past Elevated troponin likely demand ischemia from RVR and volume overload Troponin x2; with negative delta; continue to monitor Increase home lopressor to 100 mg bid   Acute diarrhea Pt states that she had diarrhea, now stopped May be related to antibiotics which have been stopped or COVID Dose of Imodium provided.    Hx of CVA, 08/2023 R hemispheric ischemic stroke R MCA MR occlusion CT angiogram head M2 right short segment occlusion Subsequently, discovered underlying A fib  Was at the time on eliquis 5 mg bid; however, due to valvular heart disease, swtiched to coumadin Uses home walker                                                                                                                                                                                               HTN Normotensive on admission Increased metoprolol to 100 mg PO for rate control    Chronic anemia Hgb 11.9; MCV 94.7
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Mobility decreased, Pain, Pain in extremity
Clinical narrative: Extreme arm pain starting at time of administration 8/10  affecting range of motion and mobility . Seen by PMD on December 22-   Pain subsides if  arm is immobilized . Appointment with Shoulder specialist  Dr scheduled for Jan 16th. 2024   Currently taking Tylenol at night and using warm soaks .Spoke with Pharmacist day after vaccine administration about adverse reaction .
Age: 72.0
Sex: F
Vaccine: FLUA4, RSV, RSV
Symptoms: Biopsy, Burning sensation, Contusion, Debridement, Nerve injury
Clinical narrative: Approx. 12 hours after injections I was awakened by INSENSE burning, deep in my arm. Benadryl and Ibuprophen had no effect. By morning it felt like a Shingles attack. A Bruise-like apparition, about 3-4 inches across formed. There were three distinct black circles within the perimeter. Fearing necrosis, my family physician referred me to the immediate care of a dermatologist. After debriding the now huge scab that formed, I was left with a 2+ inch circle , over a quarter inch deep wound that exposed the fat layer in my arm. The flesh is literally burnt away. I have been doing a daily wound treatment as well as weelky (just changed to beweekly) preventative antibiotic injections.  The wound has closed to about 1.5 inches but is leaving a substancial scar and nerve damage.
Age: 72.0
Sex: F
Vaccine: FLUA4, RSV, RSV
Symptoms: Scab, Scar, Skin discolouration, Sleep disorder, Thermal burn
Clinical narrative: Approx. 12 hours after injections I was awakened by INSENSE burning, deep in my arm. Benadryl and Ibuprophen had no effect. By morning it felt like a Shingles attack. A Bruise-like apparition, about 3-4 inches across formed. There were three distinct black circles within the perimeter. Fearing necrosis, my family physician referred me to the immediate care of a dermatologist. After debriding the now huge scab that formed, I was left with a 2+ inch circle , over a quarter inch deep wound that exposed the fat layer in my arm. The flesh is literally burnt away. I have been doing a daily wound treatment as well as weelky (just changed to beweekly) preventative antibiotic injections.  The wound has closed to about 1.5 inches but is leaving a substancial scar and nerve damage.
Age: 72.0
Sex: F
Vaccine: FLUA4, RSV, RSV
Symptoms: Wound
Clinical narrative: Approx. 12 hours after injections I was awakened by INSENSE burning, deep in my arm. Benadryl and Ibuprophen had no effect. By morning it felt like a Shingles attack. A Bruise-like apparition, about 3-4 inches across formed. There were three distinct black circles within the perimeter. Fearing necrosis, my family physician referred me to the immediate care of a dermatologist. After debriding the now huge scab that formed, I was left with a 2+ inch circle , over a quarter inch deep wound that exposed the fat layer in my arm. The flesh is literally burnt away. I have been doing a daily wound treatment as well as weelky (just changed to beweekly) preventative antibiotic injections.  The wound has closed to about 1.5 inches but is leaving a substancial scar and nerve damage.
Age: 72.0
Sex: F
Vaccine: FLUA4, RSV, RSV
Symptoms: Hypersensitivity, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Approx. 12 hours after injections I was awakened by INSENSE burning, deep in my arm. Benadryl and Ibuprophen had no effect. By morning it felt like a Shingles attack. A Bruise-like apparition, about 3-4 inches across formed. There were three distinct black circles within the perimeter. Fearing necrosis, my family physician referred me to the immediate care of a dermatologist. After debriding the now huge scab that formed, I was left with a 2+ inch circle , over a quarter inch deep wound that exposed the fat layer in my arm. The flesh is literally burnt away. I have been doing a daily wound treatment as well as weelky (just changed to beweekly) preventative antibiotic injections.  The wound has closed to about 1.5 inches but is leaving a substancial scar and nerve damage.
Age: 72.0
Sex: F
Vaccine: FLUA4, RSV, RSV
Symptoms: Injection site swelling, Pruritus, Rash
Clinical narrative: Approx. 12 hours after injections I was awakened by INSENSE burning, deep in my arm. Benadryl and Ibuprophen had no effect. By morning it felt like a Shingles attack. A Bruise-like apparition, about 3-4 inches across formed. There were three distinct black circles within the perimeter. Fearing necrosis, my family physician referred me to the immediate care of a dermatologist. After debriding the now huge scab that formed, I was left with a 2+ inch circle , over a quarter inch deep wound that exposed the fat layer in my arm. The flesh is literally burnt away. I have been doing a daily wound treatment as well as weelky (just changed to beweekly) preventative antibiotic injections.  The wound has closed to about 1.5 inches but is leaving a substancial scar and nerve damage.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, Atrioventricular block first degree, Back pain
Clinical narrative: Patient is a 77 y.o. male patient with pmh pulmonary fibrosis with chronic respiratory failure with hypoxia on 5LNC at home, cad, htn who presents to ED with cough and weakness for the past 1 week. CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities. COVID positive. ID started remdesivir, completed remdesivir 12/14. Patient to complete 10 days total of decadron, prescribed below. Spoke with patient and family is concerned about risk of covid transmission. I stated there is a chance his family has already had contact with covid as he had been home before he was hospitlalized so unsure when truly was positive. I recommended to keep his distance/wear a mas I recommended to keep his distance/wear a mask at home and have his wife wear a mask for peace of mind until patient completes his at least 10 days from his positive test. Recommended follow up as below, patient agreed to follow up with his pulmonologist within next week.    Discharge Diagnoses:   Acute on chronic hypoxic respiratory failure, on 5L NC at home  2/2 Covid-19 pneumonia, hx of idiopathic pulmonary fibrosis  CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities COVID positive ID started remdesivir, complete remdesivir 12/14, will DC 12/15 Complete 10 days of decadron    Hypotension- resolved   Bp as low as the 60's treated with ivf in ED Will continue to monitor BP, restart BP medications prior to DC   AKI- resolved   Creatinine 3.29 (1.06 4/10/23), down trending UA unremarkable Abdominal US showed no hydro  Trend RFP daily    Falls Back pain Suspect hypotension and acute illness contributing CT head unrevealing, CT cervical/thoracic/lumar showed no acute fracture. Moderate multilevel degenerative changes of the cervical spine PT/OT, AM- PAC- 21  2-3 days per week of skilled therapy recommended, OP referral for therapy in place    Elevated troponin, suspect 2/2 demand ischemia in setting of respiratory failure, poor renal clearance in setting of AKI  EKG showed NSR with first degree block, t wave inversion noted in III, aVF Troponin 25, 17 (-8 delta) 2D echo showed EF- 57%, no LV dysfunction noted    CAD History of CABG (per chart review) Asa 81 ordered, continue statin Essential HTN Holding home BP medications d/t relatively low BP
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, COVID-19, COVID-19 pneumonia, Computerised tomogram head normal, Computerised tomogram spine abnormal
Clinical narrative: Patient is a 77 y.o. male patient with pmh pulmonary fibrosis with chronic respiratory failure with hypoxia on 5LNC at home, cad, htn who presents to ED with cough and weakness for the past 1 week. CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities. COVID positive. ID started remdesivir, completed remdesivir 12/14. Patient to complete 10 days total of decadron, prescribed below. Spoke with patient and family is concerned about risk of covid transmission. I stated there is a chance his family has already had contact with covid as he had been home before he was hospitlalized so unsure when truly was positive. I recommended to keep his distance/wear a mas I recommended to keep his distance/wear a mask at home and have his wife wear a mask for peace of mind until patient completes his at least 10 days from his positive test. Recommended follow up as below, patient agreed to follow up with his pulmonologist within next week.    Discharge Diagnoses:   Acute on chronic hypoxic respiratory failure, on 5L NC at home  2/2 Covid-19 pneumonia, hx of idiopathic pulmonary fibrosis  CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities COVID positive ID started remdesivir, complete remdesivir 12/14, will DC 12/15 Complete 10 days of decadron    Hypotension- resolved   Bp as low as the 60's treated with ivf in ED Will continue to monitor BP, restart BP medications prior to DC   AKI- resolved   Creatinine 3.29 (1.06 4/10/23), down trending UA unremarkable Abdominal US showed no hydro  Trend RFP daily    Falls Back pain Suspect hypotension and acute illness contributing CT head unrevealing, CT cervical/thoracic/lumar showed no acute fracture. Moderate multilevel degenerative changes of the cervical spine PT/OT, AM- PAC- 21  2-3 days per week of skilled therapy recommended, OP referral for therapy in place    Elevated troponin, suspect 2/2 demand ischemia in setting of respiratory failure, poor renal clearance in setting of AKI  EKG showed NSR with first degree block, t wave inversion noted in III, aVF Troponin 25, 17 (-8 delta) 2D echo showed EF- 57%, no LV dysfunction noted    CAD History of CABG (per chart review) Asa 81 ordered, continue statin Essential HTN Holding home BP medications d/t relatively low BP
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Cough, Echocardiogram normal, Electrocardiogram T wave inversion
Clinical narrative: Patient is a 77 y.o. male patient with pmh pulmonary fibrosis with chronic respiratory failure with hypoxia on 5LNC at home, cad, htn who presents to ED with cough and weakness for the past 1 week. CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities. COVID positive. ID started remdesivir, completed remdesivir 12/14. Patient to complete 10 days total of decadron, prescribed below. Spoke with patient and family is concerned about risk of covid transmission. I stated there is a chance his family has already had contact with covid as he had been home before he was hospitlalized so unsure when truly was positive. I recommended to keep his distance/wear a mas I recommended to keep his distance/wear a mask at home and have his wife wear a mask for peace of mind until patient completes his at least 10 days from his positive test. Recommended follow up as below, patient agreed to follow up with his pulmonologist within next week.    Discharge Diagnoses:   Acute on chronic hypoxic respiratory failure, on 5L NC at home  2/2 Covid-19 pneumonia, hx of idiopathic pulmonary fibrosis  CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities COVID positive ID started remdesivir, complete remdesivir 12/14, will DC 12/15 Complete 10 days of decadron    Hypotension- resolved   Bp as low as the 60's treated with ivf in ED Will continue to monitor BP, restart BP medications prior to DC   AKI- resolved   Creatinine 3.29 (1.06 4/10/23), down trending UA unremarkable Abdominal US showed no hydro  Trend RFP daily    Falls Back pain Suspect hypotension and acute illness contributing CT head unrevealing, CT cervical/thoracic/lumar showed no acute fracture. Moderate multilevel degenerative changes of the cervical spine PT/OT, AM- PAC- 21  2-3 days per week of skilled therapy recommended, OP referral for therapy in place    Elevated troponin, suspect 2/2 demand ischemia in setting of respiratory failure, poor renal clearance in setting of AKI  EKG showed NSR with first degree block, t wave inversion noted in III, aVF Troponin 25, 17 (-8 delta) 2D echo showed EF- 57%, no LV dysfunction noted    CAD History of CABG (per chart review) Asa 81 ordered, continue statin Essential HTN Holding home BP medications d/t relatively low BP
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Hypotension, Interstitial lung disease, Lung opacity, Myocardial ischaemia
Clinical narrative: Patient is a 77 y.o. male patient with pmh pulmonary fibrosis with chronic respiratory failure with hypoxia on 5LNC at home, cad, htn who presents to ED with cough and weakness for the past 1 week. CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities. COVID positive. ID started remdesivir, completed remdesivir 12/14. Patient to complete 10 days total of decadron, prescribed below. Spoke with patient and family is concerned about risk of covid transmission. I stated there is a chance his family has already had contact with covid as he had been home before he was hospitlalized so unsure when truly was positive. I recommended to keep his distance/wear a mas I recommended to keep his distance/wear a mask at home and have his wife wear a mask for peace of mind until patient completes his at least 10 days from his positive test. Recommended follow up as below, patient agreed to follow up with his pulmonologist within next week.    Discharge Diagnoses:   Acute on chronic hypoxic respiratory failure, on 5L NC at home  2/2 Covid-19 pneumonia, hx of idiopathic pulmonary fibrosis  CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities COVID positive ID started remdesivir, complete remdesivir 12/14, will DC 12/15 Complete 10 days of decadron    Hypotension- resolved   Bp as low as the 60's treated with ivf in ED Will continue to monitor BP, restart BP medications prior to DC   AKI- resolved   Creatinine 3.29 (1.06 4/10/23), down trending UA unremarkable Abdominal US showed no hydro  Trend RFP daily    Falls Back pain Suspect hypotension and acute illness contributing CT head unrevealing, CT cervical/thoracic/lumar showed no acute fracture. Moderate multilevel degenerative changes of the cervical spine PT/OT, AM- PAC- 21  2-3 days per week of skilled therapy recommended, OP referral for therapy in place    Elevated troponin, suspect 2/2 demand ischemia in setting of respiratory failure, poor renal clearance in setting of AKI  EKG showed NSR with first degree block, t wave inversion noted in III, aVF Troponin 25, 17 (-8 delta) 2D echo showed EF- 57%, no LV dysfunction noted    CAD History of CABG (per chart review) Asa 81 ordered, continue statin Essential HTN Holding home BP medications d/t relatively low BP
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Spinal osteoarthritis, Troponin increased, Ultrasound abdomen normal
Clinical narrative: Patient is a 77 y.o. male patient with pmh pulmonary fibrosis with chronic respiratory failure with hypoxia on 5LNC at home, cad, htn who presents to ED with cough and weakness for the past 1 week. CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities. COVID positive. ID started remdesivir, completed remdesivir 12/14. Patient to complete 10 days total of decadron, prescribed below. Spoke with patient and family is concerned about risk of covid transmission. I stated there is a chance his family has already had contact with covid as he had been home before he was hospitlalized so unsure when truly was positive. I recommended to keep his distance/wear a mas I recommended to keep his distance/wear a mask at home and have his wife wear a mask for peace of mind until patient completes his at least 10 days from his positive test. Recommended follow up as below, patient agreed to follow up with his pulmonologist within next week.    Discharge Diagnoses:   Acute on chronic hypoxic respiratory failure, on 5L NC at home  2/2 Covid-19 pneumonia, hx of idiopathic pulmonary fibrosis  CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities COVID positive ID started remdesivir, complete remdesivir 12/14, will DC 12/15 Complete 10 days of decadron    Hypotension- resolved   Bp as low as the 60's treated with ivf in ED Will continue to monitor BP, restart BP medications prior to DC   AKI- resolved   Creatinine 3.29 (1.06 4/10/23), down trending UA unremarkable Abdominal US showed no hydro  Trend RFP daily    Falls Back pain Suspect hypotension and acute illness contributing CT head unrevealing, CT cervical/thoracic/lumar showed no acute fracture. Moderate multilevel degenerative changes of the cervical spine PT/OT, AM- PAC- 21  2-3 days per week of skilled therapy recommended, OP referral for therapy in place    Elevated troponin, suspect 2/2 demand ischemia in setting of respiratory failure, poor renal clearance in setting of AKI  EKG showed NSR with first degree block, t wave inversion noted in III, aVF Troponin 25, 17 (-8 delta) 2D echo showed EF- 57%, no LV dysfunction noted    CAD History of CABG (per chart review) Asa 81 ordered, continue statin Essential HTN Holding home BP medications d/t relatively low BP
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Patient is a 77 y.o. male patient with pmh pulmonary fibrosis with chronic respiratory failure with hypoxia on 5LNC at home, cad, htn who presents to ED with cough and weakness for the past 1 week. CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities. COVID positive. ID started remdesivir, completed remdesivir 12/14. Patient to complete 10 days total of decadron, prescribed below. Spoke with patient and family is concerned about risk of covid transmission. I stated there is a chance his family has already had contact with covid as he had been home before he was hospitlalized so unsure when truly was positive. I recommended to keep his distance/wear a mas I recommended to keep his distance/wear a mask at home and have his wife wear a mask for peace of mind until patient completes his at least 10 days from his positive test. Recommended follow up as below, patient agreed to follow up with his pulmonologist within next week.    Discharge Diagnoses:   Acute on chronic hypoxic respiratory failure, on 5L NC at home  2/2 Covid-19 pneumonia, hx of idiopathic pulmonary fibrosis  CT chest no PE, diffuse interstitial fibrosis bilaterally with ground glass opacities COVID positive ID started remdesivir, complete remdesivir 12/14, will DC 12/15 Complete 10 days of decadron    Hypotension- resolved   Bp as low as the 60's treated with ivf in ED Will continue to monitor BP, restart BP medications prior to DC   AKI- resolved   Creatinine 3.29 (1.06 4/10/23), down trending UA unremarkable Abdominal US showed no hydro  Trend RFP daily    Falls Back pain Suspect hypotension and acute illness contributing CT head unrevealing, CT cervical/thoracic/lumar showed no acute fracture. Moderate multilevel degenerative changes of the cervical spine PT/OT, AM- PAC- 21  2-3 days per week of skilled therapy recommended, OP referral for therapy in place    Elevated troponin, suspect 2/2 demand ischemia in setting of respiratory failure, poor renal clearance in setting of AKI  EKG showed NSR with first degree block, t wave inversion noted in III, aVF Troponin 25, 17 (-8 delta) 2D echo showed EF- 57%, no LV dysfunction noted    CAD History of CABG (per chart review) Asa 81 ordered, continue statin Essential HTN Holding home BP medications d/t relatively low BP
Age: 32.0
Sex: F
Vaccine: RAB
Symptoms: Myalgia, Pyrexia
Clinical narrative: fever and muscle aches, self administered Tylenol and ibuprofen, fever and muscle aches resolved.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy breast abnormal, Breast cancer female, Breast mass, Breast pain, Mammogram
Clinical narrative: In 2022 I had COVID Arm.  11-29-2023 I have a lump & burning sensation in my left breast.  Biopsy is showing Malignant Carcinoma
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: In 2022 I had COVID Arm.  11-29-2023 I have a lump & burning sensation in my left breast.  Biopsy is showing Malignant Carcinoma
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Malaise, Mobility decreased, Pyrexia
Clinical narrative: Patient's husband said that about 12 hours after shot patient started to not feel well. She felt like she had a fever and chills, also could not get out of bed since she felt weak. Her husband called 911. They did not take her to the hospital since she felt like better after tyenol. Today her husband came to the pharmacy to let me know that this never happened with other covid shots but wanted to let me know. Today she feels like an "8 out of 10".
Age: 67.0
Sex: F
Vaccine: RSV
Symptoms: Cough, Fatigue, Malaise, Respiratory tract congestion
Clinical narrative: Congestion, cough, fever (99.8), fatigue, general malaise
Age: 13.0
Sex: F
Vaccine: HPV9, MNQ, TDAP
Symptoms: Dizziness, Syncope
Clinical narrative: Patient reported feeling light headed to mother, mom reports she fainted briefly, mom laid her down, did not hit her head or obtain any injuries. After lying down for approximately 5 minutes she was feeling better.
Age: 85.0
Sex: F
Vaccine: RSV
Symptoms: Arthralgia, Asthenopia, Fatigue, Feeling abnormal, Myalgia
Clinical narrative: Approximately 10 min after the vaccination she felt very tired, she couldn't read (eyes too tired), head fuzzy, aches and pains and muscles and joints hurt (neck, hips, ankle). This reaction didn't start to go away until around 24 hours after. Patient took OTC tylenol/ibuprofen.
Age: 85.0
Sex: F
Vaccine: RSV
Symptoms: Pain
Clinical narrative: Approximately 10 min after the vaccination she felt very tired, she couldn't read (eyes too tired), head fuzzy, aches and pains and muscles and joints hurt (neck, hips, ankle). This reaction didn't start to go away until around 24 hours after. Patient took OTC tylenol/ibuprofen.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Dizziness, Gait inability, Ultrasound scan
Clinical narrative: Emergency room and hospitalization.  Extreme dizziness. Inability to walk without assistance.
Age: 65.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Injection site swelling, Pain in extremity, Sleep disorder
Clinical narrative: Patient's daughter called on 1/6 to to ask for advice because of worsening pain in the arm and shoulder area of the patient. She described him as a farmer and someone that doesn't complain about pain usually but the previous night had trouble sleeping due to shoulder/arm pain. She also noted that the site of injection was still symptomatic and swollen. I advised them that pain a month out from injection is highly unusual and that they should make an appt to be seen by a physician. I offered advice to also use topical and oral NSAIDS to help manage pain in the meantime. She was overall pleased with the interaction and said they would be following up with a physician.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid oedema, Influenza virus test, Productive cough, Respiratory syncytial virus infection, SARS-CoV-2 test
Clinical narrative: Bilateral intermittent upper eyelid edema plus deep productive cough. On day 4 Answer to questy21 unknown at this time
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pustule
Clinical narrative: Developed pustules in armpit of right arm
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Hypersensitivity, Injection site erythema, Injection site nodule, Injection site pain
Clinical narrative: patient got shot on 12-30-23 and the next day the injection site got red, sore, with a knot at the site and pain spreading across the patient's shoulders. it subsided after a few days and then about a week after a red circle about 3.5 inches in diameter appeared at the bottom of the injection site. Patient came to the pharmacy to consult with me (pharmacist) and she stated that she had only been using tylenol and had no fever as far as she was aware I suggested she go to a walk-in clinic to get checked out. She then returned to the pharmacy and said the provider advised her she had an allergic reaction, was given a steroid shot and a taper and was feeling better with the swelling and redness decreasing. She was also advised to not get the second shot.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling
Clinical narrative: patient got shot on 12-30-23 and the next day the injection site got red, sore, with a knot at the site and pain spreading across the patient's shoulders. it subsided after a few days and then about a week after a red circle about 3.5 inches in diameter appeared at the bottom of the injection site. Patient came to the pharmacy to consult with me (pharmacist) and she stated that she had only been using tylenol and had no fever as far as she was aware I suggested she go to a walk-in clinic to get checked out. She then returned to the pharmacy and said the provider advised her she had an allergic reaction, was given a steroid shot and a taper and was feeling better with the swelling and redness decreasing. She was also advised to not get the second shot.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash papular, Rash pruritic
Clinical narrative: Diffuse, pruritic, papular rash that started on the abdomen then developed on chest, bilateral arms, and bilateral legs.  Today (1/6/24) will be day 9 of symptoms. On 1/4/24, started prednisone and Benadryl which are helping relieve the itchiness. Still itchy but more bearable with meds.
Age: 40.0
Sex: F
Vaccine: HEP
Symptoms: Dyspnoea, Headache, Nausea, Pyrexia
Clinical narrative: Around 3 hours after receiving the vaccine, the recipient started to feel shortness of breath, fever of 101-102.6 degrees Fahrenheit, body aches, headache, and nausea the next morning. Recipient drank Pedialyte, took 2 Advil every 4 hours, and used Albuterol inhaler. All symptoms resolved within the next two days and she felt better by the morning of December 11, 2023.
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Cough, Myalgia, Pain, Rash
Clinical narrative: Afluria given on Wed 3rd Jan 2024 around 1pm.   Soreness and bumpy by evening and next day Thr 4th Jan 2024.  On Sat 6th Jan 2024, feeling body and muscles are achy, no fever, no chills, but a developing cough.  Completing the form toda6 Sat 6th Jan 2024.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anti-thyroid antibody, Blood creatine phosphokinase increased, Impaired work ability, Muscular weakness, Neck pain
Clinical narrative: Severe bilateral lower greater than upper extremity muscle weakness with 1st, 4th & 5th vaccines.  5th vaccine flared neck pain (forminal stenosis) as well as extremity weakness and required five weeks off from work. 4th vaccine administered 9/3/22, 5th vaccine administered 10/20/23.   CPK mildly elevated two weeks after extremity weakness subsided in 2022.  TPO > 1000 10/22 & 12/23
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vertebral foraminal stenosis
Clinical narrative: Severe bilateral lower greater than upper extremity muscle weakness with 1st, 4th & 5th vaccines.  5th vaccine flared neck pain (forminal stenosis) as well as extremity weakness and required five weeks off from work. 4th vaccine administered 9/3/22, 5th vaccine administered 10/20/23.   CPK mildly elevated two weeks after extremity weakness subsided in 2022.  TPO > 1000 10/22 & 12/23
Age: 69.0
Sex: F
Vaccine: RSV
Symptoms: Blood electrolytes normal, Chest X-ray normal, Chest pain, Full blood count normal
Clinical narrative: Chest pain, exertional
Age: 4.0
Sex: M
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema
Clinical narrative: red left deltoid area 1/5/2024
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Cardiac monitoring, Electrocardiogram normal, Palpitations
Clinical narrative: I have had painful heart palpitations ever since we started the Covid -19 vaccinations. I have worn heart monitors. They say my heart is firing off sooner than it should out of rhythm. They say that EKG show nothing concerning however I don?t think painful palpitations is no concern I?m afraid this vaccine has given me permanent damage and it?s debilitating. I?m afraid to work out. They happen sometimes without any added stress. I don?t know what to do.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea
Clinical narrative: Coughing, hard breathing
Age: 24.0
Sex: F
Vaccine: HPV9
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Immediate post-injection reaction, Injection site pain
Clinical narrative: When given the vaccine it immediately started burning and feeling like fire was injected into my arms. I then proceeded to get extremely hot and dizzy, the nurses had me wait longer than usual to make sure the effects didn?t worsen before leaving. Once I left I proceeded to have pain in my right arms for days. I saw my doctor again and told him about the pain and had him feel the marble size welt that formed in my arm. I told him it was from the vaccine and he denied it, and said it was nothing to worry about and probably a bruise. The welp proceeded to get bigger and cause me pain to where I couldn?t use my arm in less than a week. Before I knew it, it was the size of a golf ball in my right arm. One day at work I started to get extremely hot, started running a fever, sweating, nausea, dizziness and then a sharp pain. The golf ball size welp in my arm exploded. I was rushed to the emergency room. They gave me liquids, pain medications and ran some tests. I told them about the welp, the vaccine and how the welp decreased in size in less than 5 hours. The doctor denied that the cause for my symptoms would have anything to do with that. But yet the doctor said I was fine and nothing was wrong and sent me away within a few hours.
Age: 24.0
Sex: F
Vaccine: HPV9
Symptoms: Mass, Mobility decreased, Nausea, Pain in extremity, Pyrexia
Clinical narrative: When given the vaccine it immediately started burning and feeling like fire was injected into my arms. I then proceeded to get extremely hot and dizzy, the nurses had me wait longer than usual to make sure the effects didn?t worsen before leaving. Once I left I proceeded to have pain in my right arms for days. I saw my doctor again and told him about the pain and had him feel the marble size welt that formed in my arm. I told him it was from the vaccine and he denied it, and said it was nothing to worry about and probably a bruise. The welp proceeded to get bigger and cause me pain to where I couldn?t use my arm in less than a week. Before I knew it, it was the size of a golf ball in my right arm. One day at work I started to get extremely hot, started running a fever, sweating, nausea, dizziness and then a sharp pain. The golf ball size welp in my arm exploded. I was rushed to the emergency room. They gave me liquids, pain medications and ran some tests. I told them about the welp, the vaccine and how the welp decreased in size in less than 5 hours. The doctor denied that the cause for my symptoms would have anything to do with that. But yet the doctor said I was fine and nothing was wrong and sent me away within a few hours.
Age: 24.0
Sex: F
Vaccine: HPV9
Symptoms: Urticaria
Clinical narrative: When given the vaccine it immediately started burning and feeling like fire was injected into my arms. I then proceeded to get extremely hot and dizzy, the nurses had me wait longer than usual to make sure the effects didn?t worsen before leaving. Once I left I proceeded to have pain in my right arms for days. I saw my doctor again and told him about the pain and had him feel the marble size welt that formed in my arm. I told him it was from the vaccine and he denied it, and said it was nothing to worry about and probably a bruise. The welp proceeded to get bigger and cause me pain to where I couldn?t use my arm in less than a week. Before I knew it, it was the size of a golf ball in my right arm. One day at work I started to get extremely hot, started running a fever, sweating, nausea, dizziness and then a sharp pain. The golf ball size welp in my arm exploded. I was rushed to the emergency room. They gave me liquids, pain medications and ran some tests. I told them about the welp, the vaccine and how the welp decreased in size in less than 5 hours. The doctor denied that the cause for my symptoms would have anything to do with that. But yet the doctor said I was fine and nothing was wrong and sent me away within a few hours.