chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: FLUC4, FLUA4
Symptoms: Thermal burn
Clinical narrative: Looked  like burn mark size of half dollar
Age: 67.0
Sex: M
Vaccine: FLUC4, FLUA4
Symptoms: Injection site discolouration
Clinical narrative: Looked  like burn mark size of half dollar
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Mental fatigue, Pain
Clinical narrative: Aches, chills, headache, intense mental disturbance (the aches were so bad, my mind kept trying to think of ways to rearrange them within my body. It felt like a horrible anxiety attack, and my brain felt exhausted).
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Muscle spasms, Renal pain
Clinical narrative: Bad back/kidney pain. Muscle cramps to the point I almost fell down the stairs
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Upon returning home patient noticed immediate bruising at injection site. The bruising enlarged as well as swelling and area of redness around vaccination site. The patient said that the vaccine hurt upon administration. Patient presented to pharmacy on 10-10-2023 the arm was still bruised, with a red raised surrounding that was hot to touch. Patient also said the area itched after administration. Pharmacist advised patient seek advice of physician.
Age: 66.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site warmth
Clinical narrative: Upon returning home patient noticed immediate bruising at injection site. The bruising enlarged as well as swelling and area of redness around vaccination site. The patient said that the vaccine hurt upon administration. Patient presented to pharmacy on 10-10-2023 the arm was still bruised, with a red raised surrounding that was hot to touch. Patient also said the area itched after administration. Pharmacist advised patient seek advice of physician.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anaemia, Anticoagulant therapy, Asthenia
Clinical narrative: Patient is a 65 y.o. female patient of MD presented with generalized weakness, SOB due to COVID-19 infection. She was treated with remdesivir and decadron while inpatient and requiring supplemental O2. She was successfully weaned on 9/19 and stable for discharge. Patient developed new onset atrial fibrillation while hospitalized. Rate controlled with Toprol XL 100mg, started on Eliquis prior to discharge with  plans for echo and cardiology follow up in one month.   COVID 19 infection Acute hypoxic respiratory failure Date of onset of symptoms: 9/14 Symptoms present on admission: Nausea, decreased oral intake, weakness and shortness of breath Date of covid positive test: 9/16 Vaccination status: vaccinated Moderna x2 in 2021 Imaging: Chest x-ray on 9/16 showed mild cardiomegaly, mild fluid/atelectasis in the right lung base.  Small fluid/atelectasis in left lung base Oxygen requirements on admission: 4 L Current oxygen requirements: 2 L Medical therapy: remdesivir and steroids Consultants following: ID consulted Anticipated special isolation end date: 9/26   AKI, improved Creatinine 1.86 secondary to dehydration and volume depletion, 9/19 labs in process SCREATININE 0.96 09/18/2023 Continue IV fluids Recheck labs while inpatient -improved on discharge     Atrial fibrillation with RVR As needed diltiazem Continue Lovenox 1 mg/kg twice daily Status post Cardizem x1 in ER Continue telemetry monitoring Initiated on Toprol-XL 25 mg, up titrated to Toprol-XR 50mg daily Cardiology consulted, increased metoprolol to 100mg Patient will require transition from lovenox to eliquis prior to discharge. Order placed, working on affordability/coverage. Medication covered. bubble echo ordered, if not completed inpatient, can be completed as OP procedure per cardiology Will require outpatient follow up with Dr.   Fall Denies hitting head or losing consciousness; able to walk and bear weight without pain Fall precautions PT/OT/UM consulted, discharge to home   Anemia         Lab Results Component Value Date   HGB 10.6 (L) 09/18/2023 Continue home iron Recommend continued outpatient follow-up   Essential hypertension Restarted home metoprolol but changed to XL, now 100mg. Continue BP monitoring while inpatient   Generalized anxiety/ depression Continue home Xanax and Effexor   GERD Continue home PPI
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Atrial fibrillation, Blood creatinine increased, COVID-19, Cardiac telemetry
Clinical narrative: Patient is a 65 y.o. female patient of MD presented with generalized weakness, SOB due to COVID-19 infection. She was treated with remdesivir and decadron while inpatient and requiring supplemental O2. She was successfully weaned on 9/19 and stable for discharge. Patient developed new onset atrial fibrillation while hospitalized. Rate controlled with Toprol XL 100mg, started on Eliquis prior to discharge with  plans for echo and cardiology follow up in one month.   COVID 19 infection Acute hypoxic respiratory failure Date of onset of symptoms: 9/14 Symptoms present on admission: Nausea, decreased oral intake, weakness and shortness of breath Date of covid positive test: 9/16 Vaccination status: vaccinated Moderna x2 in 2021 Imaging: Chest x-ray on 9/16 showed mild cardiomegaly, mild fluid/atelectasis in the right lung base.  Small fluid/atelectasis in left lung base Oxygen requirements on admission: 4 L Current oxygen requirements: 2 L Medical therapy: remdesivir and steroids Consultants following: ID consulted Anticipated special isolation end date: 9/26   AKI, improved Creatinine 1.86 secondary to dehydration and volume depletion, 9/19 labs in process SCREATININE 0.96 09/18/2023 Continue IV fluids Recheck labs while inpatient -improved on discharge     Atrial fibrillation with RVR As needed diltiazem Continue Lovenox 1 mg/kg twice daily Status post Cardizem x1 in ER Continue telemetry monitoring Initiated on Toprol-XL 25 mg, up titrated to Toprol-XR 50mg daily Cardiology consulted, increased metoprolol to 100mg Patient will require transition from lovenox to eliquis prior to discharge. Order placed, working on affordability/coverage. Medication covered. bubble echo ordered, if not completed inpatient, can be completed as OP procedure per cardiology Will require outpatient follow up with Dr.   Fall Denies hitting head or losing consciousness; able to walk and bear weight without pain Fall precautions PT/OT/UM consulted, discharge to home   Anemia         Lab Results Component Value Date   HGB 10.6 (L) 09/18/2023 Continue home iron Recommend continued outpatient follow-up   Essential hypertension Restarted home metoprolol but changed to XL, now 100mg. Continue BP monitoring while inpatient   Generalized anxiety/ depression Continue home Xanax and Effexor   GERD Continue home PPI
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Dehydration, Dyspnoea, Fall
Clinical narrative: Patient is a 65 y.o. female patient of MD presented with generalized weakness, SOB due to COVID-19 infection. She was treated with remdesivir and decadron while inpatient and requiring supplemental O2. She was successfully weaned on 9/19 and stable for discharge. Patient developed new onset atrial fibrillation while hospitalized. Rate controlled with Toprol XL 100mg, started on Eliquis prior to discharge with  plans for echo and cardiology follow up in one month.   COVID 19 infection Acute hypoxic respiratory failure Date of onset of symptoms: 9/14 Symptoms present on admission: Nausea, decreased oral intake, weakness and shortness of breath Date of covid positive test: 9/16 Vaccination status: vaccinated Moderna x2 in 2021 Imaging: Chest x-ray on 9/16 showed mild cardiomegaly, mild fluid/atelectasis in the right lung base.  Small fluid/atelectasis in left lung base Oxygen requirements on admission: 4 L Current oxygen requirements: 2 L Medical therapy: remdesivir and steroids Consultants following: ID consulted Anticipated special isolation end date: 9/26   AKI, improved Creatinine 1.86 secondary to dehydration and volume depletion, 9/19 labs in process SCREATININE 0.96 09/18/2023 Continue IV fluids Recheck labs while inpatient -improved on discharge     Atrial fibrillation with RVR As needed diltiazem Continue Lovenox 1 mg/kg twice daily Status post Cardizem x1 in ER Continue telemetry monitoring Initiated on Toprol-XL 25 mg, up titrated to Toprol-XR 50mg daily Cardiology consulted, increased metoprolol to 100mg Patient will require transition from lovenox to eliquis prior to discharge. Order placed, working on affordability/coverage. Medication covered. bubble echo ordered, if not completed inpatient, can be completed as OP procedure per cardiology Will require outpatient follow up with Dr.   Fall Denies hitting head or losing consciousness; able to walk and bear weight without pain Fall precautions PT/OT/UM consulted, discharge to home   Anemia         Lab Results Component Value Date   HGB 10.6 (L) 09/18/2023 Continue home iron Recommend continued outpatient follow-up   Essential hypertension Restarted home metoprolol but changed to XL, now 100mg. Continue BP monitoring while inpatient   Generalized anxiety/ depression Continue home Xanax and Effexor   GERD Continue home PPI
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin, Hypophagia, Hypovolaemia, Nausea, Pulmonary oedema
Clinical narrative: Patient is a 65 y.o. female patient of MD presented with generalized weakness, SOB due to COVID-19 infection. She was treated with remdesivir and decadron while inpatient and requiring supplemental O2. She was successfully weaned on 9/19 and stable for discharge. Patient developed new onset atrial fibrillation while hospitalized. Rate controlled with Toprol XL 100mg, started on Eliquis prior to discharge with  plans for echo and cardiology follow up in one month.   COVID 19 infection Acute hypoxic respiratory failure Date of onset of symptoms: 9/14 Symptoms present on admission: Nausea, decreased oral intake, weakness and shortness of breath Date of covid positive test: 9/16 Vaccination status: vaccinated Moderna x2 in 2021 Imaging: Chest x-ray on 9/16 showed mild cardiomegaly, mild fluid/atelectasis in the right lung base.  Small fluid/atelectasis in left lung base Oxygen requirements on admission: 4 L Current oxygen requirements: 2 L Medical therapy: remdesivir and steroids Consultants following: ID consulted Anticipated special isolation end date: 9/26   AKI, improved Creatinine 1.86 secondary to dehydration and volume depletion, 9/19 labs in process SCREATININE 0.96 09/18/2023 Continue IV fluids Recheck labs while inpatient -improved on discharge     Atrial fibrillation with RVR As needed diltiazem Continue Lovenox 1 mg/kg twice daily Status post Cardizem x1 in ER Continue telemetry monitoring Initiated on Toprol-XL 25 mg, up titrated to Toprol-XR 50mg daily Cardiology consulted, increased metoprolol to 100mg Patient will require transition from lovenox to eliquis prior to discharge. Order placed, working on affordability/coverage. Medication covered. bubble echo ordered, if not completed inpatient, can be completed as OP procedure per cardiology Will require outpatient follow up with Dr.   Fall Denies hitting head or losing consciousness; able to walk and bear weight without pain Fall precautions PT/OT/UM consulted, discharge to home   Anemia         Lab Results Component Value Date   HGB 10.6 (L) 09/18/2023 Continue home iron Recommend continued outpatient follow-up   Essential hypertension Restarted home metoprolol but changed to XL, now 100mg. Continue BP monitoring while inpatient   Generalized anxiety/ depression Continue home Xanax and Effexor   GERD Continue home PPI
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is a 65 y.o. female patient of MD presented with generalized weakness, SOB due to COVID-19 infection. She was treated with remdesivir and decadron while inpatient and requiring supplemental O2. She was successfully weaned on 9/19 and stable for discharge. Patient developed new onset atrial fibrillation while hospitalized. Rate controlled with Toprol XL 100mg, started on Eliquis prior to discharge with  plans for echo and cardiology follow up in one month.   COVID 19 infection Acute hypoxic respiratory failure Date of onset of symptoms: 9/14 Symptoms present on admission: Nausea, decreased oral intake, weakness and shortness of breath Date of covid positive test: 9/16 Vaccination status: vaccinated Moderna x2 in 2021 Imaging: Chest x-ray on 9/16 showed mild cardiomegaly, mild fluid/atelectasis in the right lung base.  Small fluid/atelectasis in left lung base Oxygen requirements on admission: 4 L Current oxygen requirements: 2 L Medical therapy: remdesivir and steroids Consultants following: ID consulted Anticipated special isolation end date: 9/26   AKI, improved Creatinine 1.86 secondary to dehydration and volume depletion, 9/19 labs in process SCREATININE 0.96 09/18/2023 Continue IV fluids Recheck labs while inpatient -improved on discharge     Atrial fibrillation with RVR As needed diltiazem Continue Lovenox 1 mg/kg twice daily Status post Cardizem x1 in ER Continue telemetry monitoring Initiated on Toprol-XL 25 mg, up titrated to Toprol-XR 50mg daily Cardiology consulted, increased metoprolol to 100mg Patient will require transition from lovenox to eliquis prior to discharge. Order placed, working on affordability/coverage. Medication covered. bubble echo ordered, if not completed inpatient, can be completed as OP procedure per cardiology Will require outpatient follow up with Dr.   Fall Denies hitting head or losing consciousness; able to walk and bear weight without pain Fall precautions PT/OT/UM consulted, discharge to home   Anemia         Lab Results Component Value Date   HGB 10.6 (L) 09/18/2023 Continue home iron Recommend continued outpatient follow-up   Essential hypertension Restarted home metoprolol but changed to XL, now 100mg. Continue BP monitoring while inpatient   Generalized anxiety/ depression Continue home Xanax and Effexor   GERD Continue home PPI
Age: 36.0
Sex: M
Vaccine: FLU4
Symptoms: Expired product administered, Medication error, No adverse event
Clinical narrative: medication error. nurse administered an expired vaccine dose.  no signs or symptoms.
Age: 15.0
Sex: F
Vaccine: COVID19-2, FLUC4
Symptoms: Asthenia, Dizziness, Syncope
Clinical narrative: Patient experienced syncope within minutes of receiving the vaccines. Patient was seated, ambulance was called,   they continued to feel dizzy and weak, went with ambulance to continue monitoring.
Age: 69.0
Sex: F
Vaccine: COVID19-2
Symptoms: Atrial fibrillation, Condition aggravated
Clinical narrative: Afib x multiple times in and out Has not resolved  140 BPM heart rate x 1.5 hours steady
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cachexia, Chest X-ray normal, Cough
Clinical narrative: Patient is a 100 y.o. female with a history of dementia who presented to Hospital 9/23/2023 from her ALF with fever, poor p.o. intake and increased cough with ambulatory COVID test positive. She was found to be mildly hypoxic in the ER. She was admitted as a DNRCC. Patient was weaned from oxygen, but reportedly spontaneously turned blue and ceased to breathe. She ultimately passed on 9/24/23 at 1038 AM.   1. COVID 19, lethargic only no encephalopathy: Noted decreased p.o. intake, lethargy and worsening cough on 9/22. Ambulatory and ER testing +ive for COVID. Vaccinated x3. Mild hypoxia. CXR non acute. Inflammatory markers ordered. Initiated Decadron, gentle IVF for 1L as appeared dry on exam.  2. Acute hypoxic RF: Secondary to above. Admitted on 2 L. Weaned to RA. 3. Elevated troponin: Noted on admission high sensitive troponin of 37. Suspected demand ischemia in the setting of above. EKG without acute ST changes. No ischemic work-up per goals of care. 4. End stage dementia, functional quadriplegia: Per history, patient nonverbal at baseline, bedbound and did not perform any ADLs. Cargivers provide pureed diet and crushed meds. Admitted at baseline. 5. Severe malnutrition with cachexia POA: BMI 15.62. Due to end stage dementia.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Death, Dementia, Electrocardiogram normal, Hypophagia
Clinical narrative: Patient is a 100 y.o. female with a history of dementia who presented to Hospital 9/23/2023 from her ALF with fever, poor p.o. intake and increased cough with ambulatory COVID test positive. She was found to be mildly hypoxic in the ER. She was admitted as a DNRCC. Patient was weaned from oxygen, but reportedly spontaneously turned blue and ceased to breathe. She ultimately passed on 9/24/23 at 1038 AM.   1. COVID 19, lethargic only no encephalopathy: Noted decreased p.o. intake, lethargy and worsening cough on 9/22. Ambulatory and ER testing +ive for COVID. Vaccinated x3. Mild hypoxia. CXR non acute. Inflammatory markers ordered. Initiated Decadron, gentle IVF for 1L as appeared dry on exam.  2. Acute hypoxic RF: Secondary to above. Admitted on 2 L. Weaned to RA. 3. Elevated troponin: Noted on admission high sensitive troponin of 37. Suspected demand ischemia in the setting of above. EKG without acute ST changes. No ischemic work-up per goals of care. 4. End stage dementia, functional quadriplegia: Per history, patient nonverbal at baseline, bedbound and did not perform any ADLs. Cargivers provide pureed diet and crushed meds. Admitted at baseline. 5. Severe malnutrition with cachexia POA: BMI 15.62. Due to end stage dementia.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Lethargy, Malnutrition, Pyrexia, Quadriplegia
Clinical narrative: Patient is a 100 y.o. female with a history of dementia who presented to Hospital 9/23/2023 from her ALF with fever, poor p.o. intake and increased cough with ambulatory COVID test positive. She was found to be mildly hypoxic in the ER. She was admitted as a DNRCC. Patient was weaned from oxygen, but reportedly spontaneously turned blue and ceased to breathe. She ultimately passed on 9/24/23 at 1038 AM.   1. COVID 19, lethargic only no encephalopathy: Noted decreased p.o. intake, lethargy and worsening cough on 9/22. Ambulatory and ER testing +ive for COVID. Vaccinated x3. Mild hypoxia. CXR non acute. Inflammatory markers ordered. Initiated Decadron, gentle IVF for 1L as appeared dry on exam.  2. Acute hypoxic RF: Secondary to above. Admitted on 2 L. Weaned to RA. 3. Elevated troponin: Noted on admission high sensitive troponin of 37. Suspected demand ischemia in the setting of above. EKG without acute ST changes. No ischemic work-up per goals of care. 4. End stage dementia, functional quadriplegia: Per history, patient nonverbal at baseline, bedbound and did not perform any ADLs. Cargivers provide pureed diet and crushed meds. Admitted at baseline. 5. Severe malnutrition with cachexia POA: BMI 15.62. Due to end stage dementia.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory arrest, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is a 100 y.o. female with a history of dementia who presented to Hospital 9/23/2023 from her ALF with fever, poor p.o. intake and increased cough with ambulatory COVID test positive. She was found to be mildly hypoxic in the ER. She was admitted as a DNRCC. Patient was weaned from oxygen, but reportedly spontaneously turned blue and ceased to breathe. She ultimately passed on 9/24/23 at 1038 AM.   1. COVID 19, lethargic only no encephalopathy: Noted decreased p.o. intake, lethargy and worsening cough on 9/22. Ambulatory and ER testing +ive for COVID. Vaccinated x3. Mild hypoxia. CXR non acute. Inflammatory markers ordered. Initiated Decadron, gentle IVF for 1L as appeared dry on exam.  2. Acute hypoxic RF: Secondary to above. Admitted on 2 L. Weaned to RA. 3. Elevated troponin: Noted on admission high sensitive troponin of 37. Suspected demand ischemia in the setting of above. EKG without acute ST changes. No ischemic work-up per goals of care. 4. End stage dementia, functional quadriplegia: Per history, patient nonverbal at baseline, bedbound and did not perform any ADLs. Cargivers provide pureed diet and crushed meds. Admitted at baseline. 5. Severe malnutrition with cachexia POA: BMI 15.62. Due to end stage dementia.
Age: 53.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Feeling hot, Peripheral swelling
Clinical narrative: Face turned red, swelling and very hot to the touch. Redness and swelling in the right arm. These started approximately 21 hours after the shot.  I started taking Benadryl 50mg every 4 hours until the heat and swelling came down. The redness is still apparent, but no more swelling or heat.
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Angiogram pulmonary abnormal, Blood culture negative, COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease
Clinical narrative: Patient is a 77 year old female patient with PMH of COPD who presents for shortness of breath and cough for the past 11 days.   COVID 19+ Influenza A + Acute COPD exacerbation  Viral sepsis, POA Onset of symptoms - 9/15, positive test- 9/26 Fully vaccinated, boosted per notes Meets SIRS criteria on admission with leucocytosis, tachypnea and tachycardia CXR showed COPD changes, CTAPE showed no evidence of PE, 2mm LUL pulm nodule  Legionella, strep pneumo negative BC x 2 - NGTD  On solumedrol for COPD exacerbation, transitioned to prednisone Continue tamiflu at this time given symptoms and oxygen requirements  Continue breathing treatments  Chest physiotherapy  Now weaned to room air ID consulted and appreciate recs, no further recommendations  SW following for DC needs.  Home health set up.   Today, pt stable, symptoms improved so will dc home. Pt advised to f/u with her PCP in 1 week.   Leukocytosis Possibly secondary to above.  Steroids contributing Continue to monitor   Depression Continue citalopram   Discharge Planning ? Medically Stable for Discharge Date: Today ? Patient requires continued hospitalization due to: COVID, influenza  ? Discharge Location: home
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Condition aggravated, Cough, Depression, Dyspnoea, Influenza
Clinical narrative: Patient is a 77 year old female patient with PMH of COPD who presents for shortness of breath and cough for the past 11 days.   COVID 19+ Influenza A + Acute COPD exacerbation  Viral sepsis, POA Onset of symptoms - 9/15, positive test- 9/26 Fully vaccinated, boosted per notes Meets SIRS criteria on admission with leucocytosis, tachypnea and tachycardia CXR showed COPD changes, CTAPE showed no evidence of PE, 2mm LUL pulm nodule  Legionella, strep pneumo negative BC x 2 - NGTD  On solumedrol for COPD exacerbation, transitioned to prednisone Continue tamiflu at this time given symptoms and oxygen requirements  Continue breathing treatments  Chest physiotherapy  Now weaned to room air ID consulted and appreciate recs, no further recommendations  SW following for DC needs.  Home health set up.   Today, pt stable, symptoms improved so will dc home. Pt advised to f/u with her PCP in 1 week.   Leukocytosis Possibly secondary to above.  Steroids contributing Continue to monitor   Depression Continue citalopram   Discharge Planning ? Medically Stable for Discharge Date: Today ? Patient requires continued hospitalization due to: COVID, influenza  ? Discharge Location: home
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: Influenza A virus test positive, Legionella test, Leukocytosis, Malaise, Pulmonary mass
Clinical narrative: Patient is a 77 year old female patient with PMH of COPD who presents for shortness of breath and cough for the past 11 days.   COVID 19+ Influenza A + Acute COPD exacerbation  Viral sepsis, POA Onset of symptoms - 9/15, positive test- 9/26 Fully vaccinated, boosted per notes Meets SIRS criteria on admission with leucocytosis, tachypnea and tachycardia CXR showed COPD changes, CTAPE showed no evidence of PE, 2mm LUL pulm nodule  Legionella, strep pneumo negative BC x 2 - NGTD  On solumedrol for COPD exacerbation, transitioned to prednisone Continue tamiflu at this time given symptoms and oxygen requirements  Continue breathing treatments  Chest physiotherapy  Now weaned to room air ID consulted and appreciate recs, no further recommendations  SW following for DC needs.  Home health set up.   Today, pt stable, symptoms improved so will dc home. Pt advised to f/u with her PCP in 1 week.   Leukocytosis Possibly secondary to above.  Steroids contributing Continue to monitor   Depression Continue citalopram   Discharge Planning ? Medically Stable for Discharge Date: Today ? Patient requires continued hospitalization due to: COVID, influenza  ? Discharge Location: home
Age: 77.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive, Streptococcus test negative, Tachycardia, Tachypnoea, Viral sepsis
Clinical narrative: Patient is a 77 year old female patient with PMH of COPD who presents for shortness of breath and cough for the past 11 days.   COVID 19+ Influenza A + Acute COPD exacerbation  Viral sepsis, POA Onset of symptoms - 9/15, positive test- 9/26 Fully vaccinated, boosted per notes Meets SIRS criteria on admission with leucocytosis, tachypnea and tachycardia CXR showed COPD changes, CTAPE showed no evidence of PE, 2mm LUL pulm nodule  Legionella, strep pneumo negative BC x 2 - NGTD  On solumedrol for COPD exacerbation, transitioned to prednisone Continue tamiflu at this time given symptoms and oxygen requirements  Continue breathing treatments  Chest physiotherapy  Now weaned to room air ID consulted and appreciate recs, no further recommendations  SW following for DC needs.  Home health set up.   Today, pt stable, symptoms improved so will dc home. Pt advised to f/u with her PCP in 1 week.   Leukocytosis Possibly secondary to above.  Steroids contributing Continue to monitor   Depression Continue citalopram   Discharge Planning ? Medically Stable for Discharge Date: Today ? Patient requires continued hospitalization due to: COVID, influenza  ? Discharge Location: home
Age: 71.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Erythema, Feeling abnormal, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: That evening fever, aches, overall miserable, sore arm 4 days later my arm is still swollen and red.
Age: 71.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Pyrexia
Clinical narrative: That evening fever, aches, overall miserable, sore arm 4 days later my arm is still swollen and red.
Age: 71.0
Sex: F
Vaccine: RSV, RSV
Symptoms: Injection site pain, Pain in extremity, Peripheral swelling, Skin warm, Tenderness
Clinical narrative: That evening fever, aches, overall miserable, sore arm 4 days later my arm is still swollen and red.
Age: 73.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Left deltoid skin area with slight erythema.  Tender to touch.  Received injection 10/2/23. Symptoms began 10/6/23.
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered
Clinical narrative: medication error. nurse administered an expired vaccine dose.  no signs or symptoms.
Age: 0.33
Sex: M
Vaccine: RV1, UNK
Symptoms: Barium double contrast, Crying, Intussusception, Lethargy, Pain
Clinical narrative: Within a week of routine vaccinations for infants, my child had intusseption. Extreme crying, extreme pain, extreme lethargy.
Age: 0.33
Sex: M
Vaccine: RV1, UNK
Symptoms: Procedural failure, Small intestinal intussusception reduction, Ultrasound scan, X-ray
Clinical narrative: Within a week of routine vaccinations for infants, my child had intusseption. Extreme crying, extreme pain, extreme lethargy.
Age: 13.0
Sex: F
Vaccine: FLU4, HPV9, MNQ, TDAP
Symptoms: Posture abnormal
Clinical narrative: Client anxious prior to immunizations-held mom's hand held her breath. When shots completed she briefly slumped in the chair.  She was responsive when staff raised her head up while in the chair.  T-97.2, P-73, BP 142/72. Recheck 130/80.  O2Sats 99%.  Recommended that she go to the ER if any other concerns arise 10/10/2023-F/U call to father of who reports that she is fine and that he felt that she had a panic attack about getting the vaccines.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Pt received both a flu and covid vaccine and passed out immediately after. No history of passing out after vaccines. Only passed out once after a blood draw.
Age: 17.0
Sex: F
Vaccine: HPV9, MMR, VARCEL
Symptoms: Exposure during pregnancy
Clinical narrative: Client  was seen by PCP on 10/9/2023 for initial medical exam. During exam client collected urine for HCG test, test results read negative. When getting ready to discard the pregnancy test it showed positive and minor had been administered all vaccines including live vaccines by PCP staff. PCP staff advised us of the incident.
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal pain upper, Computerised tomogram head normal, Hypoaesthesia, Injection site hypoaesthesia, Laboratory test normal
Clinical narrative: 10/5/23 woke up with numbness from injection site down to left arm & epigastric pain.  Seen in employee health clinic. 10/9/23  Reports she woke up with above s/s continuing along with numbness up in to left side of face.   Dr. sent employee directly to ED where lab work and CT head were completed.   Labs & CT negative; no significant findings. 10/10 Employee health clinic symptoms remain the same but reports numbness to left shoulder has improved some.   Schedulke appointment with Dr. neurology and MRI brain ordered. & scheduled for 10/18/23.
Age: 57.0
Sex: F
Vaccine: PNC20
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site haematoma, Injection site swelling, Injection site warmth
Clinical narrative: LEFT ARM REDNESS @ INJECTION SITE, 3CM HEMATOMA UNDER INJECTION SITE AND LOWER PART OF BICEP AREA WARM TO TOUCH AND IN BACK OF UPPER ARM AS WELL - SWOLLEN - LIMITED MOTOR
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Asthenia, Atrial fibrillation, Cardiac pacemaker insertion, Chills, Condition aggravated
Clinical narrative: terrible chills, fever
Age: 70.0
Sex: F
Vaccine: RSV
Symptoms: Pyrexia
Clinical narrative: terrible chills, fever
Age: 17.0
Sex: M
Vaccine: FLUC4
Symptoms: Anxiety, Syncope
Clinical narrative: patient fainted after vaccine due to anxiety
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fatigue, Headache
Clinical narrative: Severe headache and extremely tired for about 5 days
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Tremor, Vomiting
Clinical narrative: about 12 hours after shot the pt got short of breath, was trembling and throwing up
Age: 24.0
Sex: M
Vaccine: FLU4
Symptoms: Burning sensation, Hypoaesthesia, Orthopnoea, Tachypnoea
Clinical narrative: 02:15 on 10/4/23 I woke up in the middle of the night to excruciating burning in my hands, most notably on my palms. At 0300, the burning had stopped but I had lost all sensation in bilateral hands. I also experienced serious orthopnea and tachypnea that lasted until I got out of bed for the day. The complete loss of sensation in my hands lasted until approximately 1900 on this same day 10/4/23. I was finishing my shift at work and had discovered that I had feeling again in my hands. I never lost function or movement of my hands. I have no residual numbness or burning in either of my hands at time of writing.
Age: 61.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site swelling, Joint range of motion decreased, Peripheral swelling
Clinical narrative: Injection site swelling with pain and reduced range of motion due to pain.  Swelling spread across entire top of the arm and shoulder
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: I now have Guillain-Barre Syndrome. I went to a Hospital, rehab, and then a nursing home.  Neurologist
Age: 66.0
Sex: F
Vaccine: FLUA4, RSV, UNK, UNK
Symptoms: Anxiety, Crying, Depression, Fatigue, Feeling abnormal
Clinical narrative: 10/6/2023 (24 hrs post):  Mild headache, sore throat, tiredness; headache and sore throat resolved with acetaminophen.  10/7/2023 (33 hrs post): ~2 hrs after retiring, awoke abruptly with acute depression: overwhelming invasive thoughts of lack of self-worth, dread and anxiety. Took 1 hr to return to a troubled sleep.  10/7/2023 (41 hrs post): Awoke listless with pervasive invasive feeling of worthlessness,  depression, uncontrollable sobbing. No suicidal thoughts, but a desire to sleep forever or just disappear.  10/7/2023 (45 hrs post): Overwhelming fatigue, slept ~3 hours. Afterwards, was tired but  depression/invasive thoughts were absent. 10/8/2023: Woke with normal stamina and demeanor I am a 66 year-old retired physician, active with no chronic medical conditions and no history of mental illness/severe depression. The depressive episode was acute in both onset and resolution. Curiously, although the feelings seemed true and certainly frightened my spouse, my underlying rational thought processes, such as the ability to search for the reported rare side effects of the vaccines, remained unchanged throughout the episode.
Age: 66.0
Sex: F
Vaccine: FLUA4, RSV, UNK, UNK
Symptoms: Feelings of worthlessness, Headache, Increased need for sleep, Initial insomnia, Intrusive thoughts
Clinical narrative: 10/6/2023 (24 hrs post):  Mild headache, sore throat, tiredness; headache and sore throat resolved with acetaminophen.  10/7/2023 (33 hrs post): ~2 hrs after retiring, awoke abruptly with acute depression: overwhelming invasive thoughts of lack of self-worth, dread and anxiety. Took 1 hr to return to a troubled sleep.  10/7/2023 (41 hrs post): Awoke listless with pervasive invasive feeling of worthlessness,  depression, uncontrollable sobbing. No suicidal thoughts, but a desire to sleep forever or just disappear.  10/7/2023 (45 hrs post): Overwhelming fatigue, slept ~3 hours. Afterwards, was tired but  depression/invasive thoughts were absent. 10/8/2023: Woke with normal stamina and demeanor I am a 66 year-old retired physician, active with no chronic medical conditions and no history of mental illness/severe depression. The depressive episode was acute in both onset and resolution. Curiously, although the feelings seemed true and certainly frightened my spouse, my underlying rational thought processes, such as the ability to search for the reported rare side effects of the vaccines, remained unchanged throughout the episode.
Age: 66.0
Sex: F
Vaccine: FLUA4, RSV, UNK, UNK
Symptoms: Listless, Middle insomnia, Oropharyngeal pain, Sleep disorder
Clinical narrative: 10/6/2023 (24 hrs post):  Mild headache, sore throat, tiredness; headache and sore throat resolved with acetaminophen.  10/7/2023 (33 hrs post): ~2 hrs after retiring, awoke abruptly with acute depression: overwhelming invasive thoughts of lack of self-worth, dread and anxiety. Took 1 hr to return to a troubled sleep.  10/7/2023 (41 hrs post): Awoke listless with pervasive invasive feeling of worthlessness,  depression, uncontrollable sobbing. No suicidal thoughts, but a desire to sleep forever or just disappear.  10/7/2023 (45 hrs post): Overwhelming fatigue, slept ~3 hours. Afterwards, was tired but  depression/invasive thoughts were absent. 10/8/2023: Woke with normal stamina and demeanor I am a 66 year-old retired physician, active with no chronic medical conditions and no history of mental illness/severe depression. The depressive episode was acute in both onset and resolution. Curiously, although the feelings seemed true and certainly frightened my spouse, my underlying rational thought processes, such as the ability to search for the reported rare side effects of the vaccines, remained unchanged throughout the episode.
Age: 56.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Rash, X-ray
Clinical narrative: Extreme joint pain Knee pain Rash around knee
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling hot, Headache, Pain
Clinical narrative: CHILLS, HEADACHE, BODY ACHE AND FELT KINDA WARM , I HAD TO LAY DOWN AND TAKE 1 ADVIL WHICH ALL STARTED A WEEK LATER  ABOUT 1PM SUNDAY  AND WENT ON TILL ABOUT 6PM THE SAME DAYAND MOVED ON.
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Confusional state, Crying, Feeling abnormal, Flushing, Head injury
Clinical narrative: Patient tolerated vaccine well and had no reactions while in the clinic office. Patient stated that she felt fine and was sent back to class.  Approximately 10-15 minutes after leaving the clinic office, we received a phone call that the provider in the office was needed in the 2nd grade class room ASAP, the teacher stated that the patient has just passed out while in class.  Per her teacher, patient had stated that her face felt "tingly and tight" and that she did not feel well.  Patient stood up to walk over to her teacher and collapsed into the floor. Teacher stated that patient hit her head off a desk and also her left hand as she fell. Patient did not know who her teacher was once she came too, teacher described her as "dazed".  Patients face was flushed, she was crying, slightly confused, sweaty, but she was able to talk to clinic staff and answer questions.  Pulse: 85-95 O2: 97%-99% Temp: 98.4 ?
Age: 8.0
Sex: F
Vaccine: FLU4
Symptoms: Hyperhidrosis, Loss of consciousness, Malaise, Paraesthesia, Syncope
Clinical narrative: Patient tolerated vaccine well and had no reactions while in the clinic office. Patient stated that she felt fine and was sent back to class.  Approximately 10-15 minutes after leaving the clinic office, we received a phone call that the provider in the office was needed in the 2nd grade class room ASAP, the teacher stated that the patient has just passed out while in class.  Per her teacher, patient had stated that her face felt "tingly and tight" and that she did not feel well.  Patient stood up to walk over to her teacher and collapsed into the floor. Teacher stated that patient hit her head off a desk and also her left hand as she fell. Patient did not know who her teacher was once she came too, teacher described her as "dazed".  Patients face was flushed, she was crying, slightly confused, sweaty, but she was able to talk to clinic staff and answer questions.  Pulse: 85-95 O2: 97%-99% Temp: 98.4 ?
Age: 47.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Extra dose administered, No adverse event
Clinical narrative: CLIENT WAS GIVEN AN EXTRANEOUS AND UNNEECESSARY VACCINE OF HEP B. CLIENT WAS INFORMED OF THIS FINDING. NO ADVERSE REACTION AT THE TIME OF VACCINATION. CLIENT STATES "i WAS FINE WHEN I RECIEVED THE DOSE OF HEP B.
Age: 74.0
Sex: F
Vaccine: FLUA4
Symptoms: Feeling abnormal, Insomnia, Palpitations
Clinical narrative: PT STATED HEART RACING, INABILITY TO SLEEP, INABILITY TO UNWIND 12 HOURS AFTER RECEIVING VACCINE.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, COVID-19, Flatulence, Hernia, Nausea
Clinical narrative: Attestation signed by (M.D.) at 9/30/2023  3:48 PM   I saw and examined the patient.  I agree with the findings and the plan of care as documented in the note.      EMERGENCY GENERAL SURGERY PROGRESS NOTE Initiated:  9/30/2023 by  DO   Hospital Day(s): 8     Operations & Procedures: ? none   Summary / Hospital Course: Patient is a 80 Y female presents to the ED with N/V and LLQ pain admitted for obs for non-strangulated herniation 2/2 resection with colostomy for colon cancer done in 1998 with reversal. Hx of chemo and radiation. Asymptomatic, Covid positive. Improved on bowel rest with NGT and placed on clear liquids after NGT was removed.  ______________________________________________________________________   SUBJECTIVE and 24 hour events:   Denies N/V with intake, Denies ab pain, reports passing gas, reports BM   Latest Vitals: BP 123/69  | Pulse 72  | Temp 97.8 °F (36.6 °C)  | Resp 18  | Wt 81.6 kg (180 lb)  | SpO2 92%  | Breastfeeding No  | BMI 32.92 kg/m²
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Attestation signed by (M.D.) at 9/30/2023  3:48 PM   I saw and examined the patient.  I agree with the findings and the plan of care as documented in the note.      EMERGENCY GENERAL SURGERY PROGRESS NOTE Initiated:  9/30/2023 by  DO   Hospital Day(s): 8     Operations & Procedures: ? none   Summary / Hospital Course: Patient is a 80 Y female presents to the ED with N/V and LLQ pain admitted for obs for non-strangulated herniation 2/2 resection with colostomy for colon cancer done in 1998 with reversal. Hx of chemo and radiation. Asymptomatic, Covid positive. Improved on bowel rest with NGT and placed on clear liquids after NGT was removed.  ______________________________________________________________________   SUBJECTIVE and 24 hour events:   Denies N/V with intake, Denies ab pain, reports passing gas, reports BM   Latest Vitals: BP 123/69  | Pulse 72  | Temp 97.8 °F (36.6 °C)  | Resp 18  | Wt 81.6 kg (180 lb)  | SpO2 92%  | Breastfeeding No  | BMI 32.92 kg/m²
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Odynophagia
Clinical narrative: two days after receiving the vaccines, I, the patient began experiencing swollen lymph nodes, particulally around the throat that made it uncomfortable to swallow. They became more uncomfortable as they progressed, regardless of fluid/hydration. As of this current date, my lymph nodes are palpable vertically on both sides of my adams apple and along the sides of my jaw.
Age: 2.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: None reported by parent
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Asthenia, Dizziness, Fatigue, Gait disturbance, Headache
Clinical narrative: I got very weak. I could not walk well. I was dizzy and I had a terrible headache.  The headache went away after one day. After 2 days of staying in bed, I felt a bit better and went for a walk, that was Saturday. On Sunday I was even better and thought I was on my way to doing well. I went swimming and felt fine. The next day, Monday,  I was sick again but with a runny nose as well. I felt very weak and tired. It was as if I relapsed but added another symptom. Now today is Tuesday and I am the same if not worse with a runny nose. I'm not sure if this is a continuation of the vaccine, or if I simply caught a cold.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: Mobility decreased, Rhinorrhoea
Clinical narrative: I got very weak. I could not walk well. I was dizzy and I had a terrible headache.  The headache went away after one day. After 2 days of staying in bed, I felt a bit better and went for a walk, that was Saturday. On Sunday I was even better and thought I was on my way to doing well. I went swimming and felt fine. The next day, Monday,  I was sick again but with a runny nose as well. I felt very weak and tired. It was as if I relapsed but added another symptom. Now today is Tuesday and I am the same if not worse with a runny nose. I'm not sure if this is a continuation of the vaccine, or if I simply caught a cold.
Age: 70.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Fatigue, Formication, Laboratory test, Pyrexia, Swelling face
Clinical narrative: Patient experienced fatigue, vomiting, face swelling, fever, sensation of bugs crawling on him and biting him. Patient was taken to the ER by paramedics and had work up there.
Age: 70.0
Sex: M
Vaccine: SMALLMNK
Symptoms: Vomiting
Clinical narrative: Patient experienced fatigue, vomiting, face swelling, fever, sensation of bugs crawling on him and biting him. Patient was taken to the ER by paramedics and had work up there.
Age: 22.0
Sex: M
Vaccine: FLU4, HEPAB, MMR, VARCEL
Symptoms: Extra dose administered
Clinical narrative: Patient presented to the Health Department both on 09/07/2023 and 10/06/2023 with a I.D showing the birthdate of patient and without a shot record from out of the country. With this in mind, clerical staff did not find a IR for this information and treated the patient as having no shots. Patient presented and received shots on both dates before it was recognized there was another IR with the same birthdate which he indicated was correct. With this also in mind, he had presented a foreign shot record to "Global Health Department" that was not provided to our Health Department. With all of this said, patient received in total 2 MMR's, one IPV, and one hepatitis B that he did not need.
Age: 21.0
Sex: F
Vaccine: UNK
Symptoms: Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Colleague received 2023 flu vaccination on 10/8/2023 at 1pom. She did not notice she had had a reaction until 10/10 at 11:00. She went to scratch her RUE as it was itchy and found the site to be slightly raised and red and hot. The area is approx 2 " in size and barley raised. It is warm and pink.
Age: 65.0
Sex: F
Vaccine: COVID19-2
Symptoms: Headache, Pain in extremity, Pyrexia
Clinical narrative: Fever, headache, sore arm
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4, RSV
Symptoms: Arthralgia, Asthenia, Fatigue, Gait disturbance, Injection site pain
Clinical narrative: Within twelve hours of getting three vaccines, I experienced soreness and tenderness at the injection sites. Then, fever (101.2); muscle, joint and body aches; extreme fatigue; weakness; joint pain; difficulty walking. Today - day 4 - left arm tenderness minimal, but unable to use right arm because of pain and tenderness of whole deltoid area; joint pain and fatigue and difficulty walking persists.
Age: 74.0
Sex: F
Vaccine: COVID19, FLU4, RSV
Symptoms: Mobility decreased, Myalgia, Pain, Pyrexia
Clinical narrative: Within twelve hours of getting three vaccines, I experienced soreness and tenderness at the injection sites. Then, fever (101.2); muscle, joint and body aches; extreme fatigue; weakness; joint pain; difficulty walking. Today - day 4 - left arm tenderness minimal, but unable to use right arm because of pain and tenderness of whole deltoid area; joint pain and fatigue and difficulty walking persists.
Age: 76.0
Sex: M
Vaccine: COVID19-2
Symptoms: Fatigue, Gaze palsy, Oropharyngeal pain
Clinical narrative: Sore throat, headache, fatigue
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase, Appendicitis, Aspartate aminotransferase normal, Blood bilirubin normal, Blood calcium
Clinical narrative: Signed    Status Post Procedure(s): LAPAROSCOPY DIAGNOSTIC (9/28/2023)   9 Days Post-Op   Subjective: His pain is being controlled adequately with multimodal pain control.  He is NPO, tolerating nasogastric tube out.   He has ambulated.  He has expected incisional pain. No COVID sx.   Objective: Temp (24hrs), Avg:97.6 °F (36.4 °C), Min:97.5 °F (36.4 °C), Max:97.9 °F (36.6 °C)   BP 116/56  | Pulse 78  | Temp 97.9 °F (36.6 °C)  | Resp 18  | Ht 5' 10"  | Wt 74 kg (163 lb 2.3 oz)  | SpO2 97%  | BMI 23.41 kg/m²    Intake/Output Summary (Last 24 hours) at 10/7/2023 1454 Last data filed at 10/7/2023 1000  Gross over last 24 hours Intake ? Output 2320 ml Net -2320 ml     Physical Exam General appearance - alert, and in no distress Chest - clear to auscultation, no wheezes, rales or rhonchi Heart - regular rate and rhythm Abdomen - appropriate tenderness Extremities -  no clubbing, cyanosis or edema Surgical incision -  incision clean, dry and intact and no erythema or drainage Drain - minimal serous   Selected Lab Results, if applicable: Electrolytes  Recent Labs   10/07/23 0700 10/06/23 0428 10/05/23 0649 NA 138 138 138 K 4.8 4.5 4.4 CO2 26 25 24 CL 106 107 106 BUN 11 10 10 CR 1.08 0.98 0.87 RBS 129 129 113 CA 8.5* 8.2* 8.0* PHOS 3.8 3.9 4.2 MG 2.3 2.3 2.2   CBC  Recent Labs   10/07/23 0700 10/06/23 0428 10/05/23 0649 WBC 10.4 10.0 10.2 HGB 9.0* 8.7* 8.5* HCT 29.5* 28.3* 26.7* PLT 601* 541* 443* MCV 95 93 90   LFTs  Recent Labs   10/07/23 0700 AST 11 ALT 7 ALKP 91 TBILI 0.4   Lactate No results for input(s): "LACTATE" in the last 72 hours.   Assessment and Plan:  Active Hospital Problems   Diagnosis   ? (Principal) APPENDICITIS       With fecalith       Assessment:  Resolving post Op Ileus   Plan:  Increase activity/ambulate. Advance diet. Local wound care. D/C isolation.              Note Details  Author (M.D.) File Time 10/7/2023  2:56 PM Author Type Physician Status Signed Last Editor  (M.D.) Specialty Surgery, General  Admit Date 9/22/2023  ED to Hosp-Admission (Discharged) on 9/22/2023  ED to Hosp-Admission (Discharged) on 9/22/2023   Detailed Report  Note shared with patient Care Timeline  09/22   Admitted from ED 1955 09/28   LAPAROSCOPY DIAGNOSTIC 10/09   Discharged 2043