chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Confusional state, Decreased appetite, Delirium, Drug screen positive
Clinical narrative: 78 YOF with recently diagnosed COVID-19 after tested positive on 10/16, who presented with weakness, general malaise and mental confusion. She was not hypoxic on presentation though had elevated CRP and evidence of ground glass opacities particularly in lower lung field.  She was admitted for observation. During her stay she remained on room air with no change in work of breathing. Her mental status continued to improve. Current suspicious is likely delirium due to acute illness, COVID-19 and ?intake of valume as husband had found his bottles of med at her room and her Utox was also positive for oxazepam. She has been strongly advised to avoid using benzodiazepine without discussing further steps with anxiety management with her PCP.  Upon discharge, patient's CRP has trended down, she is off O2 and reports overall improvement. Given mild- mod presentation for COVID-19, She has completed her 10days of isolation.  She has a hx of chronic DOE  With dilated RV on prior work up and no CAD in 2020 cath. She has been on verapamil and lasix as outpatient. As her PO intake is low and she has no signs of volume overload, her lasix has been on hold while here and she has been instructed to hold while she is unable to eat much. She has been instructed to start if edema or rapid weight gain develops.  She is on verapamil at baseline ( 240mg BID), however BPs have been running low at times while here with occasions of need to hold verapamil. As such she is instructed to take half usual dose for now and check VS at home. Consider advance to usual home dose if BPs are ok.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage decreased, Fibrin D dimer, Glomerular filtration rate, Haematocrit normal, Haemoglobin normal
Clinical narrative: 78 YOF with recently diagnosed COVID-19 after tested positive on 10/16, who presented with weakness, general malaise and mental confusion. She was not hypoxic on presentation though had elevated CRP and evidence of ground glass opacities particularly in lower lung field.  She was admitted for observation. During her stay she remained on room air with no change in work of breathing. Her mental status continued to improve. Current suspicious is likely delirium due to acute illness, COVID-19 and ?intake of valume as husband had found his bottles of med at her room and her Utox was also positive for oxazepam. She has been strongly advised to avoid using benzodiazepine without discussing further steps with anxiety management with her PCP.  Upon discharge, patient's CRP has trended down, she is off O2 and reports overall improvement. Given mild- mod presentation for COVID-19, She has completed her 10days of isolation.  She has a hx of chronic DOE  With dilated RV on prior work up and no CAD in 2020 cath. She has been on verapamil and lasix as outpatient. As her PO intake is low and she has no signs of volume overload, her lasix has been on hold while here and she has been instructed to hold while she is unable to eat much. She has been instructed to start if edema or rapid weight gain develops.  She is on verapamil at baseline ( 240mg BID), however BPs have been running low at times while here with occasions of need to hold verapamil. As such she is instructed to take half usual dose for now and check VS at home. Consider advance to usual home dose if BPs are ok.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Hypotension, Immature granulocyte count, International normalised ratio normal, Lung opacity
Clinical narrative: 78 YOF with recently diagnosed COVID-19 after tested positive on 10/16, who presented with weakness, general malaise and mental confusion. She was not hypoxic on presentation though had elevated CRP and evidence of ground glass opacities particularly in lower lung field.  She was admitted for observation. During her stay she remained on room air with no change in work of breathing. Her mental status continued to improve. Current suspicious is likely delirium due to acute illness, COVID-19 and ?intake of valume as husband had found his bottles of med at her room and her Utox was also positive for oxazepam. She has been strongly advised to avoid using benzodiazepine without discussing further steps with anxiety management with her PCP.  Upon discharge, patient's CRP has trended down, she is off O2 and reports overall improvement. Given mild- mod presentation for COVID-19, She has completed her 10days of isolation.  She has a hx of chronic DOE  With dilated RV on prior work up and no CAD in 2020 cath. She has been on verapamil and lasix as outpatient. As her PO intake is low and she has no signs of volume overload, her lasix has been on hold while here and she has been instructed to hold while she is unable to eat much. She has been instructed to start if edema or rapid weight gain develops.  She is on verapamil at baseline ( 240mg BID), however BPs have been running low at times while here with occasions of need to hold verapamil. As such she is instructed to take half usual dose for now and check VS at home. Consider advance to usual home dose if BPs are ok.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Malaise, Mean cell volume normal, Monocyte percentage, Neutrophil count
Clinical narrative: 78 YOF with recently diagnosed COVID-19 after tested positive on 10/16, who presented with weakness, general malaise and mental confusion. She was not hypoxic on presentation though had elevated CRP and evidence of ground glass opacities particularly in lower lung field.  She was admitted for observation. During her stay she remained on room air with no change in work of breathing. Her mental status continued to improve. Current suspicious is likely delirium due to acute illness, COVID-19 and ?intake of valume as husband had found his bottles of med at her room and her Utox was also positive for oxazepam. She has been strongly advised to avoid using benzodiazepine without discussing further steps with anxiety management with her PCP.  Upon discharge, patient's CRP has trended down, she is off O2 and reports overall improvement. Given mild- mod presentation for COVID-19, She has completed her 10days of isolation.  She has a hx of chronic DOE  With dilated RV on prior work up and no CAD in 2020 cath. She has been on verapamil and lasix as outpatient. As her PO intake is low and she has no signs of volume overload, her lasix has been on hold while here and she has been instructed to hold while she is unable to eat much. She has been instructed to start if edema or rapid weight gain develops.  She is on verapamil at baseline ( 240mg BID), however BPs have been running low at times while here with occasions of need to hold verapamil. As such she is instructed to take half usual dose for now and check VS at home. Consider advance to usual home dose if BPs are ok.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Nucleated red cells, Platelet count normal, Prescription drug used without a prescription, Protein total decreased, Prothrombin time prolonged
Clinical narrative: 78 YOF with recently diagnosed COVID-19 after tested positive on 10/16, who presented with weakness, general malaise and mental confusion. She was not hypoxic on presentation though had elevated CRP and evidence of ground glass opacities particularly in lower lung field.  She was admitted for observation. During her stay she remained on room air with no change in work of breathing. Her mental status continued to improve. Current suspicious is likely delirium due to acute illness, COVID-19 and ?intake of valume as husband had found his bottles of med at her room and her Utox was also positive for oxazepam. She has been strongly advised to avoid using benzodiazepine without discussing further steps with anxiety management with her PCP.  Upon discharge, patient's CRP has trended down, she is off O2 and reports overall improvement. Given mild- mod presentation for COVID-19, She has completed her 10days of isolation.  She has a hx of chronic DOE  With dilated RV on prior work up and no CAD in 2020 cath. She has been on verapamil and lasix as outpatient. As her PO intake is low and she has no signs of volume overload, her lasix has been on hold while here and she has been instructed to hold while she is unable to eat much. She has been instructed to start if edema or rapid weight gain develops.  She is on verapamil at baseline ( 240mg BID), however BPs have been running low at times while here with occasions of need to hold verapamil. As such she is instructed to take half usual dose for now and check VS at home. Consider advance to usual home dose if BPs are ok.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count decreased, Red cell distribution width normal, SARS-CoV-2 test positive, Troponin I increased, White blood cell count normal
Clinical narrative: 78 YOF with recently diagnosed COVID-19 after tested positive on 10/16, who presented with weakness, general malaise and mental confusion. She was not hypoxic on presentation though had elevated CRP and evidence of ground glass opacities particularly in lower lung field.  She was admitted for observation. During her stay she remained on room air with no change in work of breathing. Her mental status continued to improve. Current suspicious is likely delirium due to acute illness, COVID-19 and ?intake of valume as husband had found his bottles of med at her room and her Utox was also positive for oxazepam. She has been strongly advised to avoid using benzodiazepine without discussing further steps with anxiety management with her PCP.  Upon discharge, patient's CRP has trended down, she is off O2 and reports overall improvement. Given mild- mod presentation for COVID-19, She has completed her 10days of isolation.  She has a hx of chronic DOE  With dilated RV on prior work up and no CAD in 2020 cath. She has been on verapamil and lasix as outpatient. As her PO intake is low and she has no signs of volume overload, her lasix has been on hold while here and she has been instructed to hold while she is unable to eat much. She has been instructed to start if edema or rapid weight gain develops.  She is on verapamil at baseline ( 240mg BID), however BPs have been running low at times while here with occasions of need to hold verapamil. As such she is instructed to take half usual dose for now and check VS at home. Consider advance to usual home dose if BPs are ok.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Polymenorrhoea, Urticaria
Clinical narrative: 1. Was on 4th day of menstrual period on day of vaccine , period became heavy and prolonged after vaccine, lasted for 9 days , has never lasted for more than 5 days in 30 yr menstrual history . Have bleeding again after 1 week.  2. Urticaria strarted on 11/9/11, taking over the counter cetirizine, still present. Never had urticaria prior to this in my entire life .
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Headache
Clinical narrative: Headaches 8/10 lasted 76 hours with no relief. Due date January 2, 2021.
Age: 0.75
Sex: U
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: VACCINE EXPOSED TO TEMPERATURE OUTSIDE OF RECOMMENDED STORAGE RANGE, UNKNOWN POTENCY AND VIALBILITY PER MANUFACTURER.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Lethargy, Migraine, Muscle twitching
Clinical narrative: Severe sinus pain and associated migraine headache: onset 11/09/21 @ 11AM. Chills, muscle twitches, lethargy, muscle  & joint pain as well
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Sinus pain
Clinical narrative: Severe sinus pain and associated migraine headache: onset 11/09/21 @ 11AM. Chills, muscle twitches, lethargy, muscle  & joint pain as well
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Condition aggravated, Diarrhoea, Headache
Clinical narrative: They injected through a little white sticky thing - like a band-aid; I had horrible itchiness at the injection site afterwards. That itchiness lasted for days. That never happened before but I've never had a sticky band-aid in place before injection.  Saturday and Sunday, I had headache, stomachache, and diarrhea; Monday - felt like a migraine - it was so bad. I couldn't function. I slept for a few hours and that is not what I do. I don't get headaches or migraines anymore - I got them a long time ago when I used to work swing shift. I don't ever get a headache three days in a row. I called into work and that was my first call-in of the year. I got the injection on a Friday so I wouldn't have to call-in.  I had stomach symptoms after the vaccine. The stomachache and diarrhea had stopped. I took Tylenol every one of the days that I had a headache. I got sick then a week later - I got cold symptoms - the following Tuesday. I went to Urgent Care on Thursday - bad sore throat and bad congestion. It was like a bad cold. They didn't do a throat culture; they listened to my lungs and looked at ears and nose. Every single time I go to a cold, it usually goes into asthmatic type symptoms and must go on to Prednisone and nebulizer treatment but this time, I didn't have to. It didn't go to asthmatic symptoms and so it was very strange. It was different than what usually happens with me with a cold. I took Mucinex. I'm still having symptoms - still sneezing and having congested but it's not the worse cold. It's not making me have trouble breathing and it's not going into a bronchitis.  I got a flu vaccine a week before this vaccine - I got it on my left arm. I was literally itching both arms after both the flu and the COVID-19 vaccine. I normally don't get any reactions after a flu vaccine; I'll never do that again getting these two vaccines so close together. Not sure which brand of the flu vaccine it was. I got it at work.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Impaired work ability, Injection site pruritus, Migraine, Mobility decreased
Clinical narrative: They injected through a little white sticky thing - like a band-aid; I had horrible itchiness at the injection site afterwards. That itchiness lasted for days. That never happened before but I've never had a sticky band-aid in place before injection.  Saturday and Sunday, I had headache, stomachache, and diarrhea; Monday - felt like a migraine - it was so bad. I couldn't function. I slept for a few hours and that is not what I do. I don't get headaches or migraines anymore - I got them a long time ago when I used to work swing shift. I don't ever get a headache three days in a row. I called into work and that was my first call-in of the year. I got the injection on a Friday so I wouldn't have to call-in.  I had stomach symptoms after the vaccine. The stomachache and diarrhea had stopped. I took Tylenol every one of the days that I had a headache. I got sick then a week later - I got cold symptoms - the following Tuesday. I went to Urgent Care on Thursday - bad sore throat and bad congestion. It was like a bad cold. They didn't do a throat culture; they listened to my lungs and looked at ears and nose. Every single time I go to a cold, it usually goes into asthmatic type symptoms and must go on to Prednisone and nebulizer treatment but this time, I didn't have to. It didn't go to asthmatic symptoms and so it was very strange. It was different than what usually happens with me with a cold. I took Mucinex. I'm still having symptoms - still sneezing and having congested but it's not the worse cold. It's not making me have trouble breathing and it's not going into a bronchitis.  I got a flu vaccine a week before this vaccine - I got it on my left arm. I was literally itching both arms after both the flu and the COVID-19 vaccine. I normally don't get any reactions after a flu vaccine; I'll never do that again getting these two vaccines so close together. Not sure which brand of the flu vaccine it was. I got it at work.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Oropharyngeal pain, Pruritus, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: They injected through a little white sticky thing - like a band-aid; I had horrible itchiness at the injection site afterwards. That itchiness lasted for days. That never happened before but I've never had a sticky band-aid in place before injection.  Saturday and Sunday, I had headache, stomachache, and diarrhea; Monday - felt like a migraine - it was so bad. I couldn't function. I slept for a few hours and that is not what I do. I don't get headaches or migraines anymore - I got them a long time ago when I used to work swing shift. I don't ever get a headache three days in a row. I called into work and that was my first call-in of the year. I got the injection on a Friday so I wouldn't have to call-in.  I had stomach symptoms after the vaccine. The stomachache and diarrhea had stopped. I took Tylenol every one of the days that I had a headache. I got sick then a week later - I got cold symptoms - the following Tuesday. I went to Urgent Care on Thursday - bad sore throat and bad congestion. It was like a bad cold. They didn't do a throat culture; they listened to my lungs and looked at ears and nose. Every single time I go to a cold, it usually goes into asthmatic type symptoms and must go on to Prednisone and nebulizer treatment but this time, I didn't have to. It didn't go to asthmatic symptoms and so it was very strange. It was different than what usually happens with me with a cold. I took Mucinex. I'm still having symptoms - still sneezing and having congested but it's not the worse cold. It's not making me have trouble breathing and it's not going into a bronchitis.  I got a flu vaccine a week before this vaccine - I got it on my left arm. I was literally itching both arms after both the flu and the COVID-19 vaccine. I normally don't get any reactions after a flu vaccine; I'll never do that again getting these two vaccines so close together. Not sure which brand of the flu vaccine it was. I got it at work.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Somnolence
Clinical narrative: They injected through a little white sticky thing - like a band-aid; I had horrible itchiness at the injection site afterwards. That itchiness lasted for days. That never happened before but I've never had a sticky band-aid in place before injection.  Saturday and Sunday, I had headache, stomachache, and diarrhea; Monday - felt like a migraine - it was so bad. I couldn't function. I slept for a few hours and that is not what I do. I don't get headaches or migraines anymore - I got them a long time ago when I used to work swing shift. I don't ever get a headache three days in a row. I called into work and that was my first call-in of the year. I got the injection on a Friday so I wouldn't have to call-in.  I had stomach symptoms after the vaccine. The stomachache and diarrhea had stopped. I took Tylenol every one of the days that I had a headache. I got sick then a week later - I got cold symptoms - the following Tuesday. I went to Urgent Care on Thursday - bad sore throat and bad congestion. It was like a bad cold. They didn't do a throat culture; they listened to my lungs and looked at ears and nose. Every single time I go to a cold, it usually goes into asthmatic type symptoms and must go on to Prednisone and nebulizer treatment but this time, I didn't have to. It didn't go to asthmatic symptoms and so it was very strange. It was different than what usually happens with me with a cold. I took Mucinex. I'm still having symptoms - still sneezing and having congested but it's not the worse cold. It's not making me have trouble breathing and it's not going into a bronchitis.  I got a flu vaccine a week before this vaccine - I got it on my left arm. I was literally itching both arms after both the flu and the COVID-19 vaccine. I normally don't get any reactions after a flu vaccine; I'll never do that again getting these two vaccines so close together. Not sure which brand of the flu vaccine it was. I got it at work.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pain, Lymphadenopathy, Nausea, Pyrexia
Clinical narrative: Injection site pain. Then overnight (after getting shot), armpit lymph node swelled. Felt a little fatigued and nauseous (11/7/2021-11/8/2021). The next day (11/9/2021), had a slight fever. Treatment: use cold and heat compress. Found out also I had a sinus infection and had to take antibiotics.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: Injection site pain. Then overnight (after getting shot), armpit lymph node swelled. Felt a little fatigued and nauseous (11/7/2021-11/8/2021). The next day (11/9/2021), had a slight fever. Treatment: use cold and heat compress. Found out also I had a sinus infection and had to take antibiotics.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood sodium increased, Blood urea increased, Body temperature increased, Chest X-ray abnormal
Clinical narrative: 10/30/21 0200 SpO2 88% 2at 1L via nasal cannula, rr 32, increased moaning/facial grimacing with HS care. LS dim with occasional congested cough. Repositioned in mid Fowler's position; PRN Oxycodone administrated per order with good relief. RR 20, O2 94% at 2L n/c.. Rapid Covid test negative. 11/1 Continued with decline, desat 80s 2.5 l oxygen via n.c, labored resp, audible congested cough and secretions. res repositioned, large amount of dark yellow/brown mucus from mouth.. skin pale, nail beds dusky, res lethargic. afebrile. o2 placed 3l. Daughter updated, wants comfort care here. Dr. updated. new order Rocephin 1gm IM x7 days. duo nebs tid x7 days as res unable to use scheduled inhalers. cbc, bmp and chest x ray in am. Rocephin 1gm IM administered to l glut. daughter ok with plan. wants f/u palliative. 11/1 MD updated on elevated WBC and Na level and aware of overall condition with hospice referral pending. New orders obtaine to d/c rocephin 1 gram, start zosyn 3.375g Q6hr x7 days and start 1/2 NS @75cc/hr continuous for now, CBC/BMP in AM. Daughter updated and consents to current plan of care at this time. Plan for admit to Hospice Services. Iv started and infusing for additional hydration and comfort. 11/2 Admitted to Hospice. 11/2 Comfort maintained throughout the day with family at bedside.Resident hospice today, 02 stats dropping into 80s today. Family and MD updated, family in for visits throughout the day. N.O morphine started this morning. No s/s of pain or discomfort noted. PRN morphine given this morning for SOB. Resident resting comfortably throughout the shift, family at bedside. Priest called in for visit. Hospice nurse in for eval see n.o., 02 at 93% on oxygen via n.c. Mouth care provided throughout the shift, reposistioned throughout the morning throughout the shift. Currently family sitting bed side. 1500 11/2:increase on overall decline this AM. Oxygen saturation <90% on 4L, tachypnea, increase congestion. Family notified by floor nurse. MD updated on resident status, new order for morphine sulfate 20mg/ml 5mg PO Q4HRS PRN for pan/dyspnea, d/c oxycodone, change PRN Tylenol to suppository for elevated temp, and CMO. Hospice Nurse in shortly after with new recommendations and discontinuation of non essential medications, MD aware, see new orders. Family updated on new orders and consent to POC. Reverend in to provide sacrament of the sick. Resident resting comfortably at this time with family at bedside. 11/2 1410-Passed away with family at bedside.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Dyspnoea, Full blood count, Grimacing
Clinical narrative: 10/30/21 0200 SpO2 88% 2at 1L via nasal cannula, rr 32, increased moaning/facial grimacing with HS care. LS dim with occasional congested cough. Repositioned in mid Fowler's position; PRN Oxycodone administrated per order with good relief. RR 20, O2 94% at 2L n/c.. Rapid Covid test negative. 11/1 Continued with decline, desat 80s 2.5 l oxygen via n.c, labored resp, audible congested cough and secretions. res repositioned, large amount of dark yellow/brown mucus from mouth.. skin pale, nail beds dusky, res lethargic. afebrile. o2 placed 3l. Daughter updated, wants comfort care here. Dr. updated. new order Rocephin 1gm IM x7 days. duo nebs tid x7 days as res unable to use scheduled inhalers. cbc, bmp and chest x ray in am. Rocephin 1gm IM administered to l glut. daughter ok with plan. wants f/u palliative. 11/1 MD updated on elevated WBC and Na level and aware of overall condition with hospice referral pending. New orders obtaine to d/c rocephin 1 gram, start zosyn 3.375g Q6hr x7 days and start 1/2 NS @75cc/hr continuous for now, CBC/BMP in AM. Daughter updated and consents to current plan of care at this time. Plan for admit to Hospice Services. Iv started and infusing for additional hydration and comfort. 11/2 Admitted to Hospice. 11/2 Comfort maintained throughout the day with family at bedside.Resident hospice today, 02 stats dropping into 80s today. Family and MD updated, family in for visits throughout the day. N.O morphine started this morning. No s/s of pain or discomfort noted. PRN morphine given this morning for SOB. Resident resting comfortably throughout the shift, family at bedside. Priest called in for visit. Hospice nurse in for eval see n.o., 02 at 93% on oxygen via n.c. Mouth care provided throughout the shift, reposistioned throughout the morning throughout the shift. Currently family sitting bed side. 1500 11/2:increase on overall decline this AM. Oxygen saturation <90% on 4L, tachypnea, increase congestion. Family notified by floor nurse. MD updated on resident status, new order for morphine sulfate 20mg/ml 5mg PO Q4HRS PRN for pan/dyspnea, d/c oxycodone, change PRN Tylenol to suppository for elevated temp, and CMO. Hospice Nurse in shortly after with new recommendations and discontinuation of non essential medications, MD aware, see new orders. Family updated on new orders and consent to POC. Reverend in to provide sacrament of the sick. Resident resting comfortably at this time with family at bedside. 11/2 1410-Passed away with family at bedside.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Lung infiltration, Metabolic function test, Moaning, Nail bed disorder
Clinical narrative: 10/30/21 0200 SpO2 88% 2at 1L via nasal cannula, rr 32, increased moaning/facial grimacing with HS care. LS dim with occasional congested cough. Repositioned in mid Fowler's position; PRN Oxycodone administrated per order with good relief. RR 20, O2 94% at 2L n/c.. Rapid Covid test negative. 11/1 Continued with decline, desat 80s 2.5 l oxygen via n.c, labored resp, audible congested cough and secretions. res repositioned, large amount of dark yellow/brown mucus from mouth.. skin pale, nail beds dusky, res lethargic. afebrile. o2 placed 3l. Daughter updated, wants comfort care here. Dr. updated. new order Rocephin 1gm IM x7 days. duo nebs tid x7 days as res unable to use scheduled inhalers. cbc, bmp and chest x ray in am. Rocephin 1gm IM administered to l glut. daughter ok with plan. wants f/u palliative. 11/1 MD updated on elevated WBC and Na level and aware of overall condition with hospice referral pending. New orders obtaine to d/c rocephin 1 gram, start zosyn 3.375g Q6hr x7 days and start 1/2 NS @75cc/hr continuous for now, CBC/BMP in AM. Daughter updated and consents to current plan of care at this time. Plan for admit to Hospice Services. Iv started and infusing for additional hydration and comfort. 11/2 Admitted to Hospice. 11/2 Comfort maintained throughout the day with family at bedside.Resident hospice today, 02 stats dropping into 80s today. Family and MD updated, family in for visits throughout the day. N.O morphine started this morning. No s/s of pain or discomfort noted. PRN morphine given this morning for SOB. Resident resting comfortably throughout the shift, family at bedside. Priest called in for visit. Hospice nurse in for eval see n.o., 02 at 93% on oxygen via n.c. Mouth care provided throughout the shift, reposistioned throughout the morning throughout the shift. Currently family sitting bed side. 1500 11/2:increase on overall decline this AM. Oxygen saturation <90% on 4L, tachypnea, increase congestion. Family notified by floor nurse. MD updated on resident status, new order for morphine sulfate 20mg/ml 5mg PO Q4HRS PRN for pan/dyspnea, d/c oxycodone, change PRN Tylenol to suppository for elevated temp, and CMO. Hospice Nurse in shortly after with new recommendations and discontinuation of non essential medications, MD aware, see new orders. Family updated on new orders and consent to POC. Reverend in to provide sacrament of the sick. Resident resting comfortably at this time with family at bedside. 11/2 1410-Passed away with family at bedside.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pallor, Respiratory tract congestion, SARS-CoV-2 test negative, Secretion discharge
Clinical narrative: 10/30/21 0200 SpO2 88% 2at 1L via nasal cannula, rr 32, increased moaning/facial grimacing with HS care. LS dim with occasional congested cough. Repositioned in mid Fowler's position; PRN Oxycodone administrated per order with good relief. RR 20, O2 94% at 2L n/c.. Rapid Covid test negative. 11/1 Continued with decline, desat 80s 2.5 l oxygen via n.c, labored resp, audible congested cough and secretions. res repositioned, large amount of dark yellow/brown mucus from mouth.. skin pale, nail beds dusky, res lethargic. afebrile. o2 placed 3l. Daughter updated, wants comfort care here. Dr. updated. new order Rocephin 1gm IM x7 days. duo nebs tid x7 days as res unable to use scheduled inhalers. cbc, bmp and chest x ray in am. Rocephin 1gm IM administered to l glut. daughter ok with plan. wants f/u palliative. 11/1 MD updated on elevated WBC and Na level and aware of overall condition with hospice referral pending. New orders obtaine to d/c rocephin 1 gram, start zosyn 3.375g Q6hr x7 days and start 1/2 NS @75cc/hr continuous for now, CBC/BMP in AM. Daughter updated and consents to current plan of care at this time. Plan for admit to Hospice Services. Iv started and infusing for additional hydration and comfort. 11/2 Admitted to Hospice. 11/2 Comfort maintained throughout the day with family at bedside.Resident hospice today, 02 stats dropping into 80s today. Family and MD updated, family in for visits throughout the day. N.O morphine started this morning. No s/s of pain or discomfort noted. PRN morphine given this morning for SOB. Resident resting comfortably throughout the shift, family at bedside. Priest called in for visit. Hospice nurse in for eval see n.o., 02 at 93% on oxygen via n.c. Mouth care provided throughout the shift, reposistioned throughout the morning throughout the shift. Currently family sitting bed side. 1500 11/2:increase on overall decline this AM. Oxygen saturation <90% on 4L, tachypnea, increase congestion. Family notified by floor nurse. MD updated on resident status, new order for morphine sulfate 20mg/ml 5mg PO Q4HRS PRN for pan/dyspnea, d/c oxycodone, change PRN Tylenol to suppository for elevated temp, and CMO. Hospice Nurse in shortly after with new recommendations and discontinuation of non essential medications, MD aware, see new orders. Family updated on new orders and consent to POC. Reverend in to provide sacrament of the sick. Resident resting comfortably at this time with family at bedside. 11/2 1410-Passed away with family at bedside.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Tachypnoea, White blood cell count increased
Clinical narrative: 10/30/21 0200 SpO2 88% 2at 1L via nasal cannula, rr 32, increased moaning/facial grimacing with HS care. LS dim with occasional congested cough. Repositioned in mid Fowler's position; PRN Oxycodone administrated per order with good relief. RR 20, O2 94% at 2L n/c.. Rapid Covid test negative. 11/1 Continued with decline, desat 80s 2.5 l oxygen via n.c, labored resp, audible congested cough and secretions. res repositioned, large amount of dark yellow/brown mucus from mouth.. skin pale, nail beds dusky, res lethargic. afebrile. o2 placed 3l. Daughter updated, wants comfort care here. Dr. updated. new order Rocephin 1gm IM x7 days. duo nebs tid x7 days as res unable to use scheduled inhalers. cbc, bmp and chest x ray in am. Rocephin 1gm IM administered to l glut. daughter ok with plan. wants f/u palliative. 11/1 MD updated on elevated WBC and Na level and aware of overall condition with hospice referral pending. New orders obtaine to d/c rocephin 1 gram, start zosyn 3.375g Q6hr x7 days and start 1/2 NS @75cc/hr continuous for now, CBC/BMP in AM. Daughter updated and consents to current plan of care at this time. Plan for admit to Hospice Services. Iv started and infusing for additional hydration and comfort. 11/2 Admitted to Hospice. 11/2 Comfort maintained throughout the day with family at bedside.Resident hospice today, 02 stats dropping into 80s today. Family and MD updated, family in for visits throughout the day. N.O morphine started this morning. No s/s of pain or discomfort noted. PRN morphine given this morning for SOB. Resident resting comfortably throughout the shift, family at bedside. Priest called in for visit. Hospice nurse in for eval see n.o., 02 at 93% on oxygen via n.c. Mouth care provided throughout the shift, reposistioned throughout the morning throughout the shift. Currently family sitting bed side. 1500 11/2:increase on overall decline this AM. Oxygen saturation <90% on 4L, tachypnea, increase congestion. Family notified by floor nurse. MD updated on resident status, new order for morphine sulfate 20mg/ml 5mg PO Q4HRS PRN for pan/dyspnea, d/c oxycodone, change PRN Tylenol to suppository for elevated temp, and CMO. Hospice Nurse in shortly after with new recommendations and discontinuation of non essential medications, MD aware, see new orders. Family updated on new orders and consent to POC. Reverend in to provide sacrament of the sick. Resident resting comfortably at this time with family at bedside. 11/2 1410-Passed away with family at bedside.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm, Eyelid function disorder, Facial paralysis, Vision blurred
Clinical narrative: Right eye began twitching  / clamping shut within 2 days time. AS of 11/10/21, eyelid appeared to droop; vision is blurred in right eye at times.Right side of face is asymetrical when compared to left. No other facial discrepancies; no other notable neurological symptoms noted by mother, who is LPN
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Migraine, Urine analysis
Clinical narrative: I been having migraines for about 3 weeks now. I have increased fatigue as well. I went to the doctor about this. They did blood work and urine sample. They diagnosed me with migraines.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Chills, Feeling abnormal, Hyperhidrosis, Pain
Clinical narrative: Woke up approx 5am with body aches, fever, sweating, chills, scratchy throat. Patient took 800mg ibuprofen. Went back to bed, woke up approx 9 and face "felt funny", went back to bed. Woke up at 10 am and could not see out of right eye, right upper eyelid, right cheek down into neck swollen. No pain. Ice pack applied and 5mg Zyrtec taken per patient report.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling face, Swelling of eyelid, Throat irritation
Clinical narrative: Woke up approx 5am with body aches, fever, sweating, chills, scratchy throat. Patient took 800mg ibuprofen. Went back to bed, woke up approx 9 and face "felt funny", went back to bed. Woke up at 10 am and could not see out of right eye, right upper eyelid, right cheek down into neck swollen. No pain. Ice pack applied and 5mg Zyrtec taken per patient report.
Age: 10.0
Sex: U
Vaccine: FLU4
Symptoms: Product storage error
Clinical narrative: VACCINE EXPOSED TO TEMPERATURE OUTSIDE OF RECOMMENDED STORAGE RANGE.  UNKNOWN POTENCY OR VIABILITY PER MANUFACTURER.
Age: 67.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Impaired driving ability, Injection site erythema, Injection site swelling, Walking aid user
Clinical narrative: PATIENT CALLED 11/10/2021 AT ABOUT 11AM  - SHE SAID THE INJECTION SITE IS  SWOLLEN, RED AND CHING THAT PREVENTS  DRIVING. SHE ALSO SAID SHE IS WEAK TO THE POINT OF USING WALKING CANE AND ALL THESE STARTED 11/08/2021 AFTER THE VACCINATION. SHE SAID SHE HAS CALLED HER PRIMARY CARE PHYSICIAN ON 11/09/2021 AND HAS AN APPOINTMENT FOR 11/12/2021. SHE SAID SHE IS FEELING MUCH BETTER TODAY 11/10/2021
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Lymphadenitis, Metabolic function test, Muscle spasms, Neck pain
Clinical narrative: LYMPHADNITIS IN AXILLA AND SUPRAPCLAVICULAR REGION. NECK MUSCLE SPASM & PAIN / TORTICOLLIS
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Torticollis
Clinical narrative: LYMPHADNITIS IN AXILLA AND SUPRAPCLAVICULAR REGION. NECK MUSCLE SPASM & PAIN / TORTICOLLIS
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Hypoxia, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: HYPOXIA FATIGUE DECREASING OXYGEN SATURATION
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Peripheral swelling
Clinical narrative: Armpit pain and swelling in left arm
Age: 52.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Influenza like illness, Rash, Rash pruritic
Clinical narrative: Patient exhibited flu like symptoms the next day then 2 days after vaccine (November 7) she developed a head to toe rash.  Somewhat itchy with the scalp being severely itchy.  By Tuesday morning November 9 the rash had mostly subsided after patient took benadryl and an oatmeal bath
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Swelling face, Vaccine positive rechallenge
Clinical narrative: face around nose/cheeks + under lips were swollen and red for all shot during all doses
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: extremely dizzy and almost fell like fainting right  after receiving vaccine.  Patient was laid down, ice on her head  after about 20 minutes patient  was fine and son drove her home
Age: 12.0
Sex: U
Vaccine: HPV9
Symptoms: Product storage error
Clinical narrative: VACCINE EXPOSED TO TEMPERATURE OUTSIDE OF RECOMMENDED STORAGE RANGE.  UNKNOWN VIABILITY AND POTENCY PER MANUFACTURER.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Pain
Clinical narrative: Chills,  constant aches and pains since the Moderna booster.  Joint pain, back pain, body aches.  Constant pain.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The patient is 9 years old and received the adult dose instead of the pediatric dose.  Patient was monitored for 30 minutes in store with no adverse events. Patient was followed up with 24 hours after vaccine was given and still no adverse events occurred.  The patient's pediatrician was also contacted and made aware of the situation.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Pruritus
Clinical narrative: Significant flare of dermatitis with itching.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: Patient described having a sore arm "feeling" where the shot was 6+ months post injection. Patient stated it caused functional limitations.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Epilepsy, Seizure
Clinical narrative: Daughter said the patient is having on and off epileptic episodes. Patient does NOT have epilepsy though. Pt is convulsing for seconds to minutes on and off. Pt was advised to seek medical attention immediately.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Chills, Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Chills, fever, joint, swelling and redness at injection sight.
Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia, Pyrexia
Clinical narrative: Muscle aches and slight fever
Age: 0.67
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Product storage error
Clinical narrative: VACCINE EXPOSED TO TEMPERATURE OUTSIDE OF RECOMMENDED STORAGE RANGE. UNKNOWN POTENCY/VIABILITY PER MANUFACTURER.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Condition aggravated, Dehydration, Fatigue
Clinical narrative: FELT SLIGHTLY WEAK FOR FIRST TWO DAYS AFTER VACCINE.  THIRD DAY NASEAU, SEVERE HEADACHE, EXTREME FATIGUE SET  IN.  COULD NOT EAT OR DRINK MUCH OF ANYTHING FOR 2-1/2 WEEKS.  HAD PCP CALL IN SCRIPT FOR NASEAU AND HEADACHE.  HEADACHE STOPPED AFTER A LITTLE OVER A WEEK.  NASEAU PERSISTED.  WENT TO URGENT CARE ON NOVEMBER 2.  GOT BAG OF IV FLUIDS AND WAS DISCHARGED.  WENT TO EMERGENCY DEPARTMENT ON NOVEMBER 4 DUE TO PERSISTENT NASEAU, DEHYDRATION AND BACK PAIN.  RECEIVED 2 BAGS OF IV FLUID, SOMETHING FOR NASEAU AND A DOSE OF MORPHINE FOR BACK PAIN.  WAS DISCHARGED.  CAREGIVER SAID SHE THOUGHT THERE WAS AN AUTOIMMUNE COMPONENT TO MY SYMPTOMS.  WENT BACK TO EMERGENCY DEPARTMENT ON NOVEMBER 6.  WAS GIVEN 60MG PREDNISONE AND PRESCRIBED 40 MG FOR FIVE ADDITIONAL DAYS.  IT APPEARED THAT THE COVID VACCINE TRIGGERED AN AUTOIMMUNE FLARE.  DISCHARGED.  PREDINSONE APPEARS TO BE HELPING.  FOLLOW UP WITH RHEUMATOLOGIST AND GASTROENTEROLOGIST ON NOVEMBER 8.   SOME LABS STILL OUT OF NORMAL RANGE.  WAITING FOR INSTRUCTIONS FROM PHYSIAN ON NEXT SEPS
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding disorder, Headache, Laboratory test, Nausea
Clinical narrative: FELT SLIGHTLY WEAK FOR FIRST TWO DAYS AFTER VACCINE.  THIRD DAY NASEAU, SEVERE HEADACHE, EXTREME FATIGUE SET  IN.  COULD NOT EAT OR DRINK MUCH OF ANYTHING FOR 2-1/2 WEEKS.  HAD PCP CALL IN SCRIPT FOR NASEAU AND HEADACHE.  HEADACHE STOPPED AFTER A LITTLE OVER A WEEK.  NASEAU PERSISTED.  WENT TO URGENT CARE ON NOVEMBER 2.  GOT BAG OF IV FLUIDS AND WAS DISCHARGED.  WENT TO EMERGENCY DEPARTMENT ON NOVEMBER 4 DUE TO PERSISTENT NASEAU, DEHYDRATION AND BACK PAIN.  RECEIVED 2 BAGS OF IV FLUID, SOMETHING FOR NASEAU AND A DOSE OF MORPHINE FOR BACK PAIN.  WAS DISCHARGED.  CAREGIVER SAID SHE THOUGHT THERE WAS AN AUTOIMMUNE COMPONENT TO MY SYMPTOMS.  WENT BACK TO EMERGENCY DEPARTMENT ON NOVEMBER 6.  WAS GIVEN 60MG PREDNISONE AND PRESCRIBED 40 MG FOR FIVE ADDITIONAL DAYS.  IT APPEARED THAT THE COVID VACCINE TRIGGERED AN AUTOIMMUNE FLARE.  DISCHARGED.  PREDINSONE APPEARS TO BE HELPING.  FOLLOW UP WITH RHEUMATOLOGIST AND GASTROENTEROLOGIST ON NOVEMBER 8.   SOME LABS STILL OUT OF NORMAL RANGE.  WAITING FOR INSTRUCTIONS FROM PHYSIAN ON NEXT SEPS
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Ear pain, Headache, Oropharyngeal pain
Clinical narrative: Per patient: "I got the booster shot on late Friday afternoon.  On Saturday, I had a headache, sore throat, and earache.  I felt this way after my second COVID shot and it lasted 24 hours then.  I took all my medications Saturday and my sleeping med before bed, but all night Saturday night I had a hard pain in my chest.  It was not a stabbing pain or I would have called the rescue squad.  For 24 hours my chest hurt and for 12 hours I worried I was having a heart attack. I was back to normal by Monday, but thought the FDA and Moderna should know about my side effects."
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blepharospasm, Chills, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Received 1st dose of Moderna, Symptoms started around 12am, during night, onset of severe chills, muscles throughout body contracting and relaxing which became painful, teeth chattering due to severe chills, slight shortness of breath, and fever. By the next day 11/01 around 730am, headache, runny nose, extreme fatigue, soreness on right arm (injection site), brain fog and left eye twitching. Effects still occurring today, left eyelid twitching occur 2-3 times per day. Also getting occasional right hand tremors
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Muscle contracture, Myalgia, Pyrexia
Clinical narrative: Received 1st dose of Moderna, Symptoms started around 12am, during night, onset of severe chills, muscles throughout body contracting and relaxing which became painful, teeth chattering due to severe chills, slight shortness of breath, and fever. By the next day 11/01 around 730am, headache, runny nose, extreme fatigue, soreness on right arm (injection site), brain fog and left eye twitching. Effects still occurring today, left eyelid twitching occur 2-3 times per day. Also getting occasional right hand tremors
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Tremor
Clinical narrative: Received 1st dose of Moderna, Symptoms started around 12am, during night, onset of severe chills, muscles throughout body contracting and relaxing which became painful, teeth chattering due to severe chills, slight shortness of breath, and fever. By the next day 11/01 around 730am, headache, runny nose, extreme fatigue, soreness on right arm (injection site), brain fog and left eye twitching. Effects still occurring today, left eyelid twitching occur 2-3 times per day. Also getting occasional right hand tremors
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pateint received booster dose of Moderna (0.25mL IM) around 11:30AM. Patient waited in observation area for 15 minutes after receiveing vaccine with no adverese effects reported. Patient left vaccination area to board a bus to return to his living headquarters. Patient reports feeling light headed and faint 15 minutes after leaving the observation area. Patients blood pressure was taken and recorded at 190/100 and a subsequent reading at 232/104. EMS were notified and arrived at 12:15PM to take patient to the hospital.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis
Clinical narrative: myocarditis, mild.
Age: 0.33
Sex: U
Vaccine: DTAPIPVHIB
Symptoms: Product storage error
Clinical narrative: VACCINE EXPOSED TO TEMP. OUTSIDE REC. STORAGE RANGE. UNKNOWN VIABILITY/POTENCY PER MANUFACTURER.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Headache, Metabolic function test, Phonophobia, Photophobia
Clinical narrative: severe headache with phono- and photo-phobia beginning 12 hours after vaccination and unabating for 11 days Not responsive to ibuprofen, acetaminophen, sumatripan, caffeine No neck stiffness, normal CN and neurological exam, no confusion or cognitive symptoms.  No nausea/vomiting Had brief 1-2 day headache after 2nd dose that resolved spontaneously
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: Breakthrough menstrual bleeding/spotting with IUD in place
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Arthritis, C-reactive protein increased, Rheumatoid factor negative
Clinical narrative: transient arthritis requiring long course of steroids. Resolved after 2 months.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Hypoaesthesia, Insomnia, Magnetic resonance imaging head
Clinical narrative: Headaches, numbness in temples and head. Pressure on sides of head.  Pain in back of head and pressure in eyes.  These things made it impossible to sleep more than 3 or 4 hours each night.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular discomfort
Clinical narrative: Headaches, numbness in temples and head. Pressure on sides of head.  Pain in back of head and pressure in eyes.  These things made it impossible to sleep more than 3 or 4 hours each night.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hot flush, Thirst
Clinical narrative: PATIENT RECEIVED VACCINATION AT 4:20PM. AT 4:23PM PATIENT COMPLAINED HE WAS THIRSTY AND FEELING BAD. CLINICIAN ATTENDED AND NOTICES PATIENT WAS FLUSH. CLINICIAN GAVE HIM WATER AND HAD HIM LAY DOWN ON THE FLOOR.  PATIENT SEEM TO START RECOVERING. AS A PRECAUTION CLINICIAN CALLED EMT. EMT ARRIVED AT 4:30PM AND ATTENDED TO PATIENT. PATIENT RECOVERED. EMT PERSONNEL OFFERED TO TRANSPORT TO HOSPITAL FOR FURTHER EVALUATION  BUT PATIENT DECLINED
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Adult dose given to 9-year-old child. Monitored for 30 minutes. Child stated he felt okay. Counseled mom on possible side effects: flu-like symptoms, fever and muscles aches.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash
Clinical narrative: Quarter sized rash/redness near left wrist