chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test, Alopecia, Biopsy, Blood test, Diffuse alopecia
Clinical narrative: 1st dose Pfizer 6/3/21; 2nd dose Pfizer 6/24/21; 9/24/21 telogen effluvium with diffuse shedding - duration of telogen effluvium 3mo; scalp radiating heat/hot & on-fire feeling/tingling/inflammation, RX Closbetasol Prop 0.05% Sol 50ML - ; duration of scalp inflammation 5mo. RX Spironolactone for alopecia post 1st & 2nd dose Pfizer.    Pfizer Booster 1/27/22; 4/2022 telogen effluvium with diffuse shedding - duration of telogen effluvium 3mo; Scalp radiating heat/hot & on-fire feeling/tingling/inflammation, RX Closbetasol Prop 0.05% Sol 50ML; duration of scalp inflammation 5mo
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Paraesthesia, Skin burning sensation, Skin warm
Clinical narrative: 1st dose Pfizer 6/3/21; 2nd dose Pfizer 6/24/21; 9/24/21 telogen effluvium with diffuse shedding - duration of telogen effluvium 3mo; scalp radiating heat/hot & on-fire feeling/tingling/inflammation, RX Closbetasol Prop 0.05% Sol 50ML - ; duration of scalp inflammation 5mo. RX Spironolactone for alopecia post 1st & 2nd dose Pfizer.    Pfizer Booster 1/27/22; 4/2022 telogen effluvium with diffuse shedding - duration of telogen effluvium 3mo; Scalp radiating heat/hot & on-fire feeling/tingling/inflammation, RX Closbetasol Prop 0.05% Sol 50ML; duration of scalp inflammation 5mo
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received a vaccine that expired one day before administration. No adverse signs or symptoms noted.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered a vaccine that had expired one day before administration. No adverse signs or symptoms reported.
Age: 4.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was accidentally given a Pfizer 6mo-4yr Bivalent instead of a 1st dose Monovalent, no treatment was needed, Mom, Manager, Immunization coordinator, Provider, and occurrence report was made.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: I was brushing my hair and noticed a lot of hair coming out. At first, I thought it was normal. Then I noticed my hair was thinning from brushing so much hair out. I really noticed more shedding towards the end of October 2022.
Age: 77.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Cough, Dizziness, Nasal congestion, SARS-CoV-2 test
Clinical narrative: Cough, stuffy nose lightheaded joint pain worsened.
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: C-reactive protein increased, Chills, Coronary artery occlusion, Fatigue, Haematocrit decreased
Clinical narrative: Several symptoms: Extreme fatigue after light exercise for a few minutes General aches and pains body-wide Night Chills and sweats
Age: 67.0
Sex: M
Vaccine: COVID19-2
Symptoms: Laboratory test, Night sweats, Pain, Red blood cell count decreased, Serum ferritin increased
Clinical narrative: Several symptoms: Extreme fatigue after light exercise for a few minutes General aches and pains body-wide Night Chills and sweats
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal mass, Asthenia, COVID-19, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 9/28/21, #FF2589;  pt to hospital ED on 8/29/22 with worsening SOB, weakness, non productive cough, poor appetite, black stools; hx from daughter states he's had COVID x 2wks and is worsening; COVID test positive in ED; admitted; CT showed large pleural effusions and nodules throughout lungs and abdomen, likely metastatic; given steroids, duonebs; DNR/DNI; comfort measures; pt quickly deteriorated and expired in the hospital
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Death, Decreased appetite, Dyspnoea, Faeces discoloured
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 9/28/21, #FF2589;  pt to hospital ED on 8/29/22 with worsening SOB, weakness, non productive cough, poor appetite, black stools; hx from daughter states he's had COVID x 2wks and is worsening; COVID test positive in ED; admitted; CT showed large pleural effusions and nodules throughout lungs and abdomen, likely metastatic; given steroids, duonebs; DNR/DNI; comfort measures; pt quickly deteriorated and expired in the hospital
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Metastasis, Pleural effusion, Pulmonary mass, SARS-CoV-2 test positive
Clinical narrative: 3RD DOSE PFIZER COVID VACCINE GIVEN 9/28/21, #FF2589;  pt to hospital ED on 8/29/22 with worsening SOB, weakness, non productive cough, poor appetite, black stools; hx from daughter states he's had COVID x 2wks and is worsening; COVID test positive in ED; admitted; CT showed large pleural effusions and nodules throughout lungs and abdomen, likely metastatic; given steroids, duonebs; DNR/DNI; comfort measures; pt quickly deteriorated and expired in the hospital
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthritis, Blood test, Gait disturbance, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: He got his vaccine, he started getting stiff where he could hardly lay on one side of his body, his right side.  It then got to where he was limping and went to the ER a month ago and they gave him something for pain.  It has gotten a little bit.  He was not able to move his right arm over his head, but it is improving.    They just treated him for arthritis.   He is improving, not at bad, said it's about a 2 on a scale of 1/10.
Age: 71.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pain, Sleep disorder, X-ray
Clinical narrative: He got his vaccine, he started getting stiff where he could hardly lay on one side of his body, his right side.  It then got to where he was limping and went to the ER a month ago and they gave him something for pain.  It has gotten a little bit.  He was not able to move his right arm over his head, but it is improving.    They just treated him for arthritis.   He is improving, not at bad, said it's about a 2 on a scale of 1/10.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: No adverse event
Clinical narrative: no negative effects
Age: 18.0
Sex: M
Vaccine: MNQ
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Gave an additional Menveo vaccine already had 2 only needed 2 gave 3 - no adverse reactions
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Patient reports that he had a stroke in September of 2021 and felt that it needed to be reported since he had the covid vaccine in March of 2021.
Age: 28.0
Sex: M
Vaccine: UNK
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came to the office to get his second COVID vaccine, and instead of that, patient was giving the Booster Bivalent vaccine.
Age: 65.0
Sex: M
Vaccine: PNC20
Symptoms: Photopsia, Vitreous detachment, Vitreous floaters
Clinical narrative: patient noticed a peripheral flash of light and a new floater in right eye.   Went in for an eye exam right away and it was diagnosed as PVD (posterior vitreal detachment).   Three days later, had the same symptoms in  left eye.
Age: 60.0
Sex: F
Vaccine: TDAP
Symptoms: Chest discomfort, Hypoaesthesia oral, Paraesthesia oral, Pharyngeal swelling, Swollen tongue
Clinical narrative: Right away, my chest felt  heavy, and a little tight.  My throat and  the back of my tongue felt like it was swelling. The middle of my tongue felt peculiar, kind of numb and tingly at the same time. This started 2 to 3 minutes after getting the shot. I had already taken a Benadryl, I have had this kind of reaction before. I did not have any trouble breathing. However, my throat and tongue swelled a little more and then after about 35-40  minutes, it started to subside. I remained in the pharmacy area for about an hour and 10 minutes total, while the pharmacist continued to check on me.
Age: 1.0
Sex: F
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Gardasil 9 was given in place of Vaxneuvance. Called Merk and they have no record data on patient safety for ages under 9. Informed parents, parents were told to monitor at home. Plan is to call and check on patient later today and again tomorrow.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Cough, Feeling abnormal, Headache
Clinical narrative: I had vaccination on 02/14/2022. About 24-48 hours later I did not feel good. I had really bad coughing, congestion in chest, and a headache. It was upper respiratory infection and I was provided 2 different antibiotics with cough syrup due to being immunocompromised. I had this upper respiratory infection for about 6 weeks. I do still presently still get week on 02/15/2023. I do not know if residual, back injury or immune system.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, Upper respiratory tract infection
Clinical narrative: I had vaccination on 02/14/2022. About 24-48 hours later I did not feel good. I had really bad coughing, congestion in chest, and a headache. It was upper respiratory infection and I was provided 2 different antibiotics with cough syrup due to being immunocompromised. I had this upper respiratory infection for about 6 weeks. I do still presently still get week on 02/15/2023. I do not know if residual, back injury or immune system.
Age: 74.0
Sex: M
Vaccine: COVID19-2
Symptoms: Extra dose administered, No adverse event, Product administration error
Clinical narrative: Patient's EHR showed that he was due for a bivalent covid vaccine, and even after the state vaccine database, no records showed until after the vaccine had been given. In other words, patient received an errant bivalent booster, as he had already had a bivalent booster in October. Patient also did not remember receiving one in October. Patient was notified of the error and it was documented in EHR appropriately. No adverse event reported for patient.
Age: 3.0
Sex: M
Vaccine: HEPA
Symptoms: Muscle strain, Rhinorrhoea, Strabismus, Tic
Clinical narrative: The vaccine was HepA. I?m not sure if it was (Havrix or Vaqta)  Motor Tics. Eyes squinting really hard, sniffing and straining in the neck. It started happening for an hour and 2-3 hours apart. After a full week it?s now down to only few times a day.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fibrin D dimer increased, Headache, Hypoxia
Clinical narrative: Hospitalized 6/8/22-6/9/22 Hypoxia, headache, cough, sore throat, malaise, dyspnea, fever, O2 supplement, elevated d-dimer,  respiratory failure
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Oropharyngeal pain, Pyrexia, Respiratory failure
Clinical narrative: Hospitalized 6/8/22-6/9/22 Hypoxia, headache, cough, sore throat, malaise, dyspnea, fever, O2 supplement, elevated d-dimer,  respiratory failure
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: BUD WAS ON 4/28/2022 AND PATIENT WAS VACCINATED 1 DAY PAST BUD ON 4/29/2022. PFIZER WAS CONTACTED AND REFERRED, VACCINE HAS A WINDOW MARGIN OF 48HRS PAST BUD, THEREFORE REVACCINATION WAS NOT NECESSARY.  COVID VACCINE PROGRAM REQUESTED VARS REPORTING
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Alanine aminotransferase increased, Antibody test negative, Aspartate aminotransferase increased, Bell's palsy, Blood creatinine normal
Clinical narrative: Bell's Palsy began 11/4/2022, numb feeling face and then face droop, admitted and stroke ruled out, MRI with contrast 11/3/22 showed inflammation in the area of the right 7th cranial nerve, treated with prednisone and briefly for lyme disease with doxycycline until confirmatory lab come back normal.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Borrelia test negative, Echocardiogram abnormal, Facial paralysis, Full blood count normal, Glycosylated haemoglobin normal
Clinical narrative: Bell's Palsy began 11/4/2022, numb feeling face and then face droop, admitted and stroke ruled out, MRI with contrast 11/3/22 showed inflammation in the area of the right 7th cranial nerve, treated with prednisone and briefly for lyme disease with doxycycline until confirmatory lab come back normal.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes simplex test negative, Hypoaesthesia, Immunology test, Lipids normal, Magnetic resonance imaging head abnormal
Clinical narrative: Bell's Palsy began 11/4/2022, numb feeling face and then face droop, admitted and stroke ruled out, MRI with contrast 11/3/22 showed inflammation in the area of the right 7th cranial nerve, treated with prednisone and briefly for lyme disease with doxycycline until confirmatory lab come back normal.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Metabolic function test, SARS-CoV-2 test negative, Scan with contrast abnormal
Clinical narrative: Bell's Palsy began 11/4/2022, numb feeling face and then face droop, admitted and stroke ruled out, MRI with contrast 11/3/22 showed inflammation in the area of the right 7th cranial nerve, treated with prednisone and briefly for lyme disease with doxycycline until confirmatory lab come back normal.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram, Laboratory test
Clinical narrative: patient had a CVA
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Rash erythematous, Rash macular
Clinical narrative: red, splotchy rash all over neck and top half of chest
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicitis, COVID-19, Decreased appetite, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 6/12/22-6/13/22 RUQ pain, Covid +, decreased appetite, appendicitis
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, COVID-19, Ligament pain, Malaise
Clinical narrative: Polymyalgia Rheumatica started in January after being sick with Covid for two weeks (even after (3) shots).   Sore muscles and ligaments in legs, hips, arms, shoulders, wrists and fingers
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Polymyalgia rheumatica, Rheumatoid factor negative
Clinical narrative: Polymyalgia Rheumatica started in January after being sick with Covid for two weeks (even after (3) shots).   Sore muscles and ligaments in legs, hips, arms, shoulders, wrists and fingers
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Feeling abnormal, Headache, Injection site rash, Nervousness, Rash erythematous
Clinical narrative: RED RASH AROUND INJECTION SITE (RASH EXACTLY MATCHES THE ADHESIVE PORTION OF THE BARRIER BANDAGE USED) NERVOUS HEADACHE DOESN'T FEEL GOOD
Age: 7.0
Sex: F
Vaccine: COVID19-2
Symptoms: Underdose
Clinical narrative: Patient came in for a moderna bivalent for the age of 7years old.  The staff administered a moderna bivalent for 6months to 5 years.  The patient has received 2 previous doses of pfizer at the age of 5 years old.
Age: 26.0
Sex: F
Vaccine: FLUC4
Symptoms: Arthralgia, Asthenia, Bursitis, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pharmacy technician administered vaccine in the shoulder. Possibly while standing. This caused presumed bursitis leading to pain, stiffness, decreased strength and range of motion in the affected shoulder. This has yet to resolve nearly 4 months later.
Age: 26.0
Sex: F
Vaccine: FLUC4
Symptoms: Musculoskeletal stiffness
Clinical narrative: Pharmacy technician administered vaccine in the shoulder. Possibly while standing. This caused presumed bursitis leading to pain, stiffness, decreased strength and range of motion in the affected shoulder. This has yet to resolve nearly 4 months later.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Vision blurred
Clinical narrative: She got her vaccine, a couple of weeks after that she started experiencing headaches.  They would last for days at a time and then go away, and come back and stay and go back and forth, and has been experiencing this ever since she got the vaccine.  She is in the process of seeing a new PCP and is scheduled to see one next month.  She has been taking Advil for the headaches, which helps sometimes, and other times it does not.    The headaches have affected her eyes which sometimes get blurry.
Age: 50.0
Sex: F
Vaccine: PNC20
Symptoms: Arthralgia, Hypoaesthesia, Musculoskeletal pain, Pain, Pain of skin
Clinical narrative: Severe left shoulder pain, radiating to shoulder blade for approximately one week.  Since then, "burning" type skin pain L shoulder blade, deeper with less than baseline / nearly numb in deep tissue if shoulder blade pressed.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Ear infection, Ear pain, Irritability
Clinical narrative: Thursday night he was fussing and complained of ear pain. On Friday February 10, we took him to the doctor. They looked in his ears and diagnosed an ear infection. He is on antibiotics and is fine with no more symptoms.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Cough, Fatigue, Illness, Influenza virus test negative
Clinical narrative: On December 26, 2022, I had a fever of 104-degrees. I had a fever on and off for a few weeks after that averaged 101-degrees. I was tested for COVID-19 and Flu. Both tests came back negative. The illness lasted for about a month. It included severe sinus pain, a lot of jaw and tooth pain, significant nasal congestion, and a horrible cough. I was also very fatigued. I treated it with TYLENOL and MUCINEX. I saw my doctor. She prescribed doxycycline. That was almost two weeks after my symptoms started. The fevers ended, but the other symptoms lasted for about a month. On February 6, 2023, I contracted COVID-19. I called the doctor. I was offered PAXLOVID, but I decided not to take it. They symptoms resolved in about a week.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasal congestion, Pain in jaw, Pyrexia, SARS-CoV-2 test positive, Sinus pain
Clinical narrative: On December 26, 2022, I had a fever of 104-degrees. I had a fever on and off for a few weeks after that averaged 101-degrees. I was tested for COVID-19 and Flu. Both tests came back negative. The illness lasted for about a month. It included severe sinus pain, a lot of jaw and tooth pain, significant nasal congestion, and a horrible cough. I was also very fatigued. I treated it with TYLENOL and MUCINEX. I saw my doctor. She prescribed doxycycline. That was almost two weeks after my symptoms started. The fevers ended, but the other symptoms lasted for about a month. On February 6, 2023, I contracted COVID-19. I called the doctor. I was offered PAXLOVID, but I decided not to take it. They symptoms resolved in about a week.
Age: 55.0
Sex: F
Vaccine: COVID19-2
Symptoms: Toothache
Clinical narrative: On December 26, 2022, I had a fever of 104-degrees. I had a fever on and off for a few weeks after that averaged 101-degrees. I was tested for COVID-19 and Flu. Both tests came back negative. The illness lasted for about a month. It included severe sinus pain, a lot of jaw and tooth pain, significant nasal congestion, and a horrible cough. I was also very fatigued. I treated it with TYLENOL and MUCINEX. I saw my doctor. She prescribed doxycycline. That was almost two weeks after my symptoms started. The fevers ended, but the other symptoms lasted for about a month. On February 6, 2023, I contracted COVID-19. I called the doctor. I was offered PAXLOVID, but I decided not to take it. They symptoms resolved in about a week.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, COVID-19, Chest pain, Echocardiogram, Electrocardiogram ambulatory
Clinical narrative: I recieved my vaccine and within 2 days I started to develop chest / heart pain in my right side.  It wasn't triggered by anything at all.  this continued for about two months then I got COVID - waste of time tog get the vaccine.  The chest/heart pain remained intermittent coming at times for a few seconds and others for a few minutes.  Nothing specifically triggered it like exertion.  this has continued for over a year now and regret not typing this out earlier.  This was the Pfizer covid booster that I had when the CDC decicded to continue the bogus fear but of Omicron.  Lies lies lies continue.  I have been worked up by a cardiologist and things are negative but the heart / chest pain remains intermittent.
Age: 77.0
Sex: F
Vaccine: DTAP
Symptoms: Pain in extremity, Pain in jaw, Sleep disorder
Clinical narrative: My chin and left arm was really really sore I took an alleve and it didn't take the pain away heating pad for 5 mins Been taking tylenol Can't go to sleep on my left side because of the pain
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Tinnitus
Clinical narrative: Immediate ringing in ears that has persisted since that date
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Paranoia, Psychotic disorder
Clinical narrative: Psychosis onset in November 2021 (two months after being given vaccine), unsuccessfully treated initially with lithium and then Abilify (which she did not stay on long enough to determine efficacy). She is now being involuntarily treated with olanzapine, which has improved but not eliminated symptoms (still some paranoid beliefs evident).
Age: 30.0
Sex: F
Vaccine: FLU4, HEP, MMR, VARCEL
Symptoms: Exposure during pregnancy
Clinical narrative: PATIENT WAS GIVEN MMR AND VARICELLA LIVE VACCINES IN PREGNANCY. wILL HAVE TO MONITOR TO DETERMINE ADVERSE EVENT
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Fatigue, Hypoxia, Oropharyngeal pain
Clinical narrative: Presents for fever, sore throat, fatigue, & SOB x 4days. Positive home COVID test x2. Admit for respiratory tract infection/sepsis due to COVID & hypoxemia. Tx: abx, tylenol, O2, dexamethasone, remdesivir. DC to home on oral abx & steroids.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract infection, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Presents for fever, sore throat, fatigue, & SOB x 4days. Positive home COVID test x2. Admit for respiratory tract infection/sepsis due to COVID & hypoxemia. Tx: abx, tylenol, O2, dexamethasone, remdesivir. DC to home on oral abx & steroids.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Atrial fibrillation, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Presents for acute SOB, positive home COVID test same day. Admit for acute hypoxemic respiratory failure due to COVID & afib RVR. Tx: O2 via NC, decadron, remdesivir, abx, zinc. DC to rehab.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Headache, Hypoxia, Pain
Clinical narrative: Presents for SOB, fever, headache, body aches. RA O2 sat "high 80s". Admit for COVID & hypoxia. Tx: O2 via NC, steroids, remdesivir, abx. DC to home on RA, abx, & steroids.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Presents for SOB, fever, headache, body aches. RA O2 sat "high 80s". Admit for COVID & hypoxia. Tx: O2 via NC, steroids, remdesivir, abx. DC to home on RA, abx, & steroids.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atypical pneumonia, COVID-19, Chest X-ray abnormal, Confusional state
Clinical narrative: Presents for sudden onset weakness & increased confusion. CXR revealed aytpical pneumonia; no respiratory sx other than unchanged chronic cough. Admit for generalized weakness & COVID. Began running fever and became hypoxic day after admission. Per ID, abx stopped & pt weaned back to RA. Tx: abx, vit c, zin, singulair, dexamethasone, O2 via NC. DC to home w/HH.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Hypoxia, Pyrexia
Clinical narrative: Presents for sudden onset weakness & increased confusion. CXR revealed aytpical pneumonia; no respiratory sx other than unchanged chronic cough. Admit for generalized weakness & COVID. Began running fever and became hypoxic day after admission. Per ID, abx stopped & pt weaned back to RA. Tx: abx, vit c, zin, singulair, dexamethasone, O2 via NC. DC to home w/HH.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Fatigue
Clinical narrative: Presents for COVID; states tested positive/diagnosed x1 wk PTA. Sx include fever, fatigue, cough, sore throat, chest congestion, SOB. RA sat 83%. Admit for pneumonia due to COVID w/hypoxia. Tx: O2 via NC, dexamethasone, zinc, vit c, abx, remdesivir. DC to home on O2.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Presents for COVID; states tested positive/diagnosed x1 wk PTA. Sx include fever, fatigue, cough, sore throat, chest congestion, SOB. RA sat 83%. Admit for pneumonia due to COVID w/hypoxia. Tx: O2 via NC, dexamethasone, zinc, vit c, abx, remdesivir. DC to home on O2.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19 pneumonia, Cough, Diarrhoea, Pyrexia
Clinical narrative: Presents for weakness; was found on floor, other sx include cough, diarrhea, and fever. Admit for sepsis due to COVID pneumonia. Tx: steroids, abx, remdesivir. DC to home.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Presents for weakness; was found on floor, other sx include cough, diarrhea, and fever. Admit for sepsis due to COVID pneumonia. Tx: steroids, abx, remdesivir. DC to home.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pain, Pain in extremity, Red blood cell sedimentation rate increased
Clinical narrative: I believe it triggered PMR.  I was in pain for three months.  It took three months to get into a rheumatology.  I never had ANY aches and pains before...not even old age.  I have been an avid walker.   After this, I was in a lot of pain in my arms and legs.  It was an effort to even push the covers off of me in the morning.  While waiting to get into rheumatology, I did go to physical therapy once a week for about 2 months.  This helped with my mental health.....and I think it kept me moving.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Colonoscopy, Dizziness, Endoscopy
Clinical narrative: Nausea, vomiting and severe abdominal pain began 1/27/22. Since then he experiences severe migraine headaches lightheadedness, chills, acute abdominal pain and vomiting. He had full lab workups, diagnostic testing's, visits.  Patient was out of work for 16 weeks and gradually went back to work continually vomiting 4-5 days out of the week along with the abdominal pain.  Multiple medications were administered on trials to see how it would benefit him.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Laboratory test, Magnetic resonance imaging, Migraine, Nausea
Clinical narrative: Nausea, vomiting and severe abdominal pain began 1/27/22. Since then he experiences severe migraine headaches lightheadedness, chills, acute abdominal pain and vomiting. He had full lab workups, diagnostic testing's, visits.  Patient was out of work for 16 weeks and gradually went back to work continually vomiting 4-5 days out of the week along with the abdominal pain.  Multiple medications were administered on trials to see how it would benefit him.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Stool analysis, Ultrasound scan, Vomiting
Clinical narrative: Nausea, vomiting and severe abdominal pain began 1/27/22. Since then he experiences severe migraine headaches lightheadedness, chills, acute abdominal pain and vomiting. He had full lab workups, diagnostic testing's, visits.  Patient was out of work for 16 weeks and gradually went back to work continually vomiting 4-5 days out of the week along with the abdominal pain.  Multiple medications were administered on trials to see how it would benefit him.
Age: 50.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Incorrect route of product administration, Mobility decreased, Pain in extremity
Clinical narrative: Shot given too high and pain ensued - could not lift arm
Age: 51.0
Sex: M
Vaccine: COVID19-2
Symptoms: COVID-19, Chills, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I tested positive for COVID on Feb. 1, 2023. My head was really congested, and I had body aches, both my head and chest were congested. The second day I started getting chills, and the third day went away, fourth day still congested. Since it's been over seven day I tested again, and it was negative. I called my doctor and let them I tested positive, and they prescribed me Paxlovid, but I didn't take it.
Age: 4.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Child was given monovalent 3rd dose rather than bivalent as recommended
Age: 13.0
Sex: F
Vaccine: HEP, HEPA, HPV9, IPV, MNQ, TDAP
Symptoms: Abnormal behaviour, Dizziness, Glassy eyes, Posture abnormal, Unresponsive to stimuli
Clinical narrative: Patient was very vocal and distraught at the sight of vaccination. Was unable to be redirected by family and by nurse. After vaccination she complained of being dizzy and mom was rushing patient out of room. Due to complaints of patient went to retrieve water and had family escort patient to waiting room. Came back with bottle of water and went to talk with clerk when mom had said patient was acting out of sorts. Went to check on patient and patient was slumped against the wall of the hallway. Patted patients arm in quick succession and asked how patient was feeling. Patient did not respond and slid down the wall onto the floor. Patient had glassy eyes and was not responding. Second nurse came into the hallway when patient came too and had her lay on the floor with her legs elevated. Patient stated she felt better at this time and other nurse asked for her to lay down for 10 minutes before leaving the clinic. Mom refused stating she had somewhere to be. Patient sat on the floor for 2 more minutes she felt well enough to stand on her own, had drank some water, and was escorted by family to the vehicle.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue
Clinical narrative: Presents for fatigue and cough x1wk, gradually worsened. Admitted for COVID. Tx: IV hydration, symptomatic tx. DC to home.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Pfizer 3/11/21 Lot# En6207;  Pfizer 4/1/21 Lot# ER8737;  Pfizer 8/28/21 Lot# Ew0198
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 3 vaccines Moderna 4/21/21 Lot# 025B21A;  Moderna 5/21/21 Lot# 043b21A;  mOderna 12/21/21 Lot# 039F21A
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Pfizer 1/19/21 Lot# EL3249;  Pfizer 2/9/21 Lot# 9265;  Pfizer 9/8/21 Lot# 30138A;  Pfizer 5/20/22 Lot# Fm017
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye disorder, Oral herpes, Pain, Pyrexia
Clinical narrative: Day after vaccine had body aches, chills, and a fever. Then over the next couple of days started having fever blisters. Started having problems with right eye 4 months later. Ended up having 2 Retina Detachments. Had a total of 2 surgeries for Retina Attachment. The first surgery didn't work and retina detached again. Recovery can take a full 3 months.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Retinal detachment, Retinopexy, Surgical failure
Clinical narrative: Day after vaccine had body aches, chills, and a fever. Then over the next couple of days started having fever blisters. Started having problems with right eye 4 months later. Ended up having 2 Retina Detachments. Had a total of 2 surgeries for Retina Attachment. The first surgery didn't work and retina detached again. Recovery can take a full 3 months.
Age: 57.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Arm numbness/tingling down to fingers since day after vaccine, still occuring
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Hypoxia, Pneumonia
Clinical narrative: Presents for hypoxia x1 day. Dx w/pneumonia by PCP. RA o2 sat 62%. Admit for pneumonia due to COVID & hypoxia. Tx: O2 via NC, abx, steroids, vit c, zinc, singulair, remdesivir. DC to home on O2.
Age: 32.0
Sex: F
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: unknown
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after 4 vaccines Moderna 3/18/21 Lot# 045A21A;  MOderna 4/15/21 Lot# 016B21A;  Moderna 12/1/21 Lot# 013F21A;  Moderna 11/16/22 Lot# 021H22A
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Eczema, Grip strength decreased, Hypoaesthesia, Inflammation
Clinical narrative: Day after shot I had a grapefruit size dark grey bruise on my shoulder that received shot. For next 3-4 months I had numbness of BOTH hands, fingers. Nerve pain in left shoulder and bicep. Weakness in grip of left hand and arm. Arm proceeded to get worse and in July of 2022 I went to ER because I woke up with racing heart heat and could not lift my arm at all, not even an inch.  Completely frozen shoulder. Orthopedic Dr prescribed steroids and physical therapy.  Shot caused extreme  inflammation in body all over. The shoulder  muscles atrophied. I also suffered with exczema and cracking skin eruption around my lips and mouth. Outbreaks of herpes sores on lips.  I have continued working with a fitness trainer and shoulder is about 90% better, still limited flexibility. I have lost strength with grip of fingers  on left hand. My grip is still weak. Limited mobility of shoulder still today. Occasional mild nerve pain still in left shoulder.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site bruising, Injection site pain, Magnetic resonance imaging, Muscle atrophy
Clinical narrative: Day after shot I had a grapefruit size dark grey bruise on my shoulder that received shot. For next 3-4 months I had numbness of BOTH hands, fingers. Nerve pain in left shoulder and bicep. Weakness in grip of left hand and arm. Arm proceeded to get worse and in July of 2022 I went to ER because I woke up with racing heart heat and could not lift my arm at all, not even an inch.  Completely frozen shoulder. Orthopedic Dr prescribed steroids and physical therapy.  Shot caused extreme  inflammation in body all over. The shoulder  muscles atrophied. I also suffered with exczema and cracking skin eruption around my lips and mouth. Outbreaks of herpes sores on lips.  I have continued working with a fitness trainer and shoulder is about 90% better, still limited flexibility. I have lost strength with grip of fingers  on left hand. My grip is still weak. Limited mobility of shoulder still today. Occasional mild nerve pain still in left shoulder.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Neuralgia, Oral herpes, Palpitations, Periarthritis
Clinical narrative: Day after shot I had a grapefruit size dark grey bruise on my shoulder that received shot. For next 3-4 months I had numbness of BOTH hands, fingers. Nerve pain in left shoulder and bicep. Weakness in grip of left hand and arm. Arm proceeded to get worse and in July of 2022 I went to ER because I woke up with racing heart heat and could not lift my arm at all, not even an inch.  Completely frozen shoulder. Orthopedic Dr prescribed steroids and physical therapy.  Shot caused extreme  inflammation in body all over. The shoulder  muscles atrophied. I also suffered with exczema and cracking skin eruption around my lips and mouth. Outbreaks of herpes sores on lips.  I have continued working with a fitness trainer and shoulder is about 90% better, still limited flexibility. I have lost strength with grip of fingers  on left hand. My grip is still weak. Limited mobility of shoulder still today. Occasional mild nerve pain still in left shoulder.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin fissures
Clinical narrative: Day after shot I had a grapefruit size dark grey bruise on my shoulder that received shot. For next 3-4 months I had numbness of BOTH hands, fingers. Nerve pain in left shoulder and bicep. Weakness in grip of left hand and arm. Arm proceeded to get worse and in July of 2022 I went to ER because I woke up with racing heart heat and could not lift my arm at all, not even an inch.  Completely frozen shoulder. Orthopedic Dr prescribed steroids and physical therapy.  Shot caused extreme  inflammation in body all over. The shoulder  muscles atrophied. I also suffered with exczema and cracking skin eruption around my lips and mouth. Outbreaks of herpes sores on lips.  I have continued working with a fitness trainer and shoulder is about 90% better, still limited flexibility. I have lost strength with grip of fingers  on left hand. My grip is still weak. Limited mobility of shoulder still today. Occasional mild nerve pain still in left shoulder.
Age: 69.0
Sex: M
Vaccine: COVID19-2
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough Case admission after 4 vaccines Moderna 2/6/21 Lot# 031K20A; MOderna 3/6/21 Lot# 032M20A;  Moderna 10/30/21 Lot# 939903;  Moderna 4/22/22 Lot# 056A22A
Age: 0.75
Sex: M
Vaccine: FLU4, PNC13
Symptoms: No reaction on previous exposure to drug, Vomiting
Clinical narrative: Within 1 hour or receiving vaccines he started vomiting.  No ill contacts and wasn't ill at time of visit.  No reactions with other vaccines prior to this visit.
Age: 3.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered, Medication error, No adverse event
Clinical narrative: IT WAS NOT AN ADVERSE EVENT , BUT A MEDICATION ERROR. THE COVID-19 BIVALENT WAS MISTAKENLY DILUTED INSTEAD OF THE MONOVALENT AND ADMINISTERED TO PATIENT. DR  SPOKE MOM , THE PATIENT IS FINE. THE DR ALSO CALLED CDC , SHE WAS TOLD THAT THE PT DO NOT NEED ANY MORE DOSES OF COVID-19 VACCINE.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal X-ray, Acute kidney injury, Acute respiratory failure, Atelectasis, Blood lactate dehydrogenase
Clinical narrative: Patient is a 64 y.o. male patient of CNP with history of MRDD, CKD, seizure disorder, hypertension, tracheostomy/GJ tube placement, who resides at nursing facility, presented with cough, shortness of breath and increased tracheal secretions, found to have acute hypoxemic respiratory failure.   Patient unable to provide history due to MRDD, I met with one of her caregivers at bedside, noted 2 days of cough, increased secretions/suctioning requirements, and shortness of breath in addition to hypoxia.    Acute hypoxemic respiratory failure Concern for pneumonia, multidrug-resistant S/p tracheostomy but no oxygen at baseline History of prolonged hospitalization secondary to pneumonia Chest x-ray 1/4 reviewed low lung volumes.  Some atelectasis versus opacities within the lower lobe bilaterally.     Chest x-ray 1/11 personally reviewed?low lung volumes with some bronchovascular crowding.   Echocardiogram in August reviewed?normal EF normal diastolic function. Some pulmonary congestion due to IV fluids. Status post 10 days of IV Zosyn.   Tracheal cultures and antigen negative. Now down to room air just using T-piece oxygenation for humidification. Okay to discharge back to group home.   Covid-19 Virus Infection Pneumonia secondary to COVID Date of onset of symptoms: 1/3/23 Symptoms present on admission: Shortness of breath  Date of covid positive test: 1/4/2023 Vaccination status: vaccinated status post 3 doses of Pfizer Imaging: Chest x-ray, past reviewed, lower lobe airspace disease Oxygen requirements on admission: Trach mask, 10 L Current oxygen requirements: RA Medical therapy: steroids Consultants following: Infectious disease starting remdesivir  Anticipated special isolation end date: January 14 LDH ESR and CRP 23.5    S/p remdesivir and dexamethasone.   AKI resolved Resolved with IV fluids.   GJ feeding tube Status ISOSOURCE HN at 20ml/hr w/ 100ml free water flush q 4 hours; ADVCANCE 10ml/hr q 4 hours to GOAL: ISOSOURCE HN at 70ml/hr w/ 100ml free water flush q 4 hours(HOLD 1 hour before and after synthroid) Abdominal x-ray reviewed satisfactory position of jejunal feeding tube
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchial disorder, C-reactive protein increased, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: Patient is a 64 y.o. male patient of CNP with history of MRDD, CKD, seizure disorder, hypertension, tracheostomy/GJ tube placement, who resides at nursing facility, presented with cough, shortness of breath and increased tracheal secretions, found to have acute hypoxemic respiratory failure.   Patient unable to provide history due to MRDD, I met with one of her caregivers at bedside, noted 2 days of cough, increased secretions/suctioning requirements, and shortness of breath in addition to hypoxia.    Acute hypoxemic respiratory failure Concern for pneumonia, multidrug-resistant S/p tracheostomy but no oxygen at baseline History of prolonged hospitalization secondary to pneumonia Chest x-ray 1/4 reviewed low lung volumes.  Some atelectasis versus opacities within the lower lobe bilaterally.     Chest x-ray 1/11 personally reviewed?low lung volumes with some bronchovascular crowding.   Echocardiogram in August reviewed?normal EF normal diastolic function. Some pulmonary congestion due to IV fluids. Status post 10 days of IV Zosyn.   Tracheal cultures and antigen negative. Now down to room air just using T-piece oxygenation for humidification. Okay to discharge back to group home.   Covid-19 Virus Infection Pneumonia secondary to COVID Date of onset of symptoms: 1/3/23 Symptoms present on admission: Shortness of breath  Date of covid positive test: 1/4/2023 Vaccination status: vaccinated status post 3 doses of Pfizer Imaging: Chest x-ray, past reviewed, lower lobe airspace disease Oxygen requirements on admission: Trach mask, 10 L Current oxygen requirements: RA Medical therapy: steroids Consultants following: Infectious disease starting remdesivir  Anticipated special isolation end date: January 14 LDH ESR and CRP 23.5    S/p remdesivir and dexamethasone.   AKI resolved Resolved with IV fluids.   GJ feeding tube Status ISOSOURCE HN at 20ml/hr w/ 100ml free water flush q 4 hours; ADVCANCE 10ml/hr q 4 hours to GOAL: ISOSOURCE HN at 70ml/hr w/ 100ml free water flush q 4 hours(HOLD 1 hour before and after synthroid) Abdominal x-ray reviewed satisfactory position of jejunal feeding tube
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Culture negative, Dyspnoea, Echocardiogram normal, Ejection fraction normal, Increased upper airway secretion
Clinical narrative: Patient is a 64 y.o. male patient of CNP with history of MRDD, CKD, seizure disorder, hypertension, tracheostomy/GJ tube placement, who resides at nursing facility, presented with cough, shortness of breath and increased tracheal secretions, found to have acute hypoxemic respiratory failure.   Patient unable to provide history due to MRDD, I met with one of her caregivers at bedside, noted 2 days of cough, increased secretions/suctioning requirements, and shortness of breath in addition to hypoxia.    Acute hypoxemic respiratory failure Concern for pneumonia, multidrug-resistant S/p tracheostomy but no oxygen at baseline History of prolonged hospitalization secondary to pneumonia Chest x-ray 1/4 reviewed low lung volumes.  Some atelectasis versus opacities within the lower lobe bilaterally.     Chest x-ray 1/11 personally reviewed?low lung volumes with some bronchovascular crowding.   Echocardiogram in August reviewed?normal EF normal diastolic function. Some pulmonary congestion due to IV fluids. Status post 10 days of IV Zosyn.   Tracheal cultures and antigen negative. Now down to room air just using T-piece oxygenation for humidification. Okay to discharge back to group home.   Covid-19 Virus Infection Pneumonia secondary to COVID Date of onset of symptoms: 1/3/23 Symptoms present on admission: Shortness of breath  Date of covid positive test: 1/4/2023 Vaccination status: vaccinated status post 3 doses of Pfizer Imaging: Chest x-ray, past reviewed, lower lobe airspace disease Oxygen requirements on admission: Trach mask, 10 L Current oxygen requirements: RA Medical therapy: steroids Consultants following: Infectious disease starting remdesivir  Anticipated special isolation end date: January 14 LDH ESR and CRP 23.5    S/p remdesivir and dexamethasone.   AKI resolved Resolved with IV fluids.   GJ feeding tube Status ISOSOURCE HN at 20ml/hr w/ 100ml free water flush q 4 hours; ADVCANCE 10ml/hr q 4 hours to GOAL: ISOSOURCE HN at 70ml/hr w/ 100ml free water flush q 4 hours(HOLD 1 hour before and after synthroid) Abdominal x-ray reviewed satisfactory position of jejunal feeding tube
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Lung disorder, Lung opacity, Oropharyngeal suctioning, Pneumonia
Clinical narrative: Patient is a 64 y.o. male patient of CNP with history of MRDD, CKD, seizure disorder, hypertension, tracheostomy/GJ tube placement, who resides at nursing facility, presented with cough, shortness of breath and increased tracheal secretions, found to have acute hypoxemic respiratory failure.   Patient unable to provide history due to MRDD, I met with one of her caregivers at bedside, noted 2 days of cough, increased secretions/suctioning requirements, and shortness of breath in addition to hypoxia.    Acute hypoxemic respiratory failure Concern for pneumonia, multidrug-resistant S/p tracheostomy but no oxygen at baseline History of prolonged hospitalization secondary to pneumonia Chest x-ray 1/4 reviewed low lung volumes.  Some atelectasis versus opacities within the lower lobe bilaterally.     Chest x-ray 1/11 personally reviewed?low lung volumes with some bronchovascular crowding.   Echocardiogram in August reviewed?normal EF normal diastolic function. Some pulmonary congestion due to IV fluids. Status post 10 days of IV Zosyn.   Tracheal cultures and antigen negative. Now down to room air just using T-piece oxygenation for humidification. Okay to discharge back to group home.   Covid-19 Virus Infection Pneumonia secondary to COVID Date of onset of symptoms: 1/3/23 Symptoms present on admission: Shortness of breath  Date of covid positive test: 1/4/2023 Vaccination status: vaccinated status post 3 doses of Pfizer Imaging: Chest x-ray, past reviewed, lower lobe airspace disease Oxygen requirements on admission: Trach mask, 10 L Current oxygen requirements: RA Medical therapy: steroids Consultants following: Infectious disease starting remdesivir  Anticipated special isolation end date: January 14 LDH ESR and CRP 23.5    S/p remdesivir and dexamethasone.   AKI resolved Resolved with IV fluids.   GJ feeding tube Status ISOSOURCE HN at 20ml/hr w/ 100ml free water flush q 4 hours; ADVCANCE 10ml/hr q 4 hours to GOAL: ISOSOURCE HN at 70ml/hr w/ 100ml free water flush q 4 hours(HOLD 1 hour before and after synthroid) Abdominal x-ray reviewed satisfactory position of jejunal feeding tube