chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Pruritus, Rash
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Pt describes painless itchless rash that "moves around" arm and has appeared and disappeared in multiple locations.  one rash appeared on torso with mild itching.  unresolved 7 days post vaccine.  counseled to seek provider care if rash lasts for two weeks from vaccination or gets worse, and seek PCP advice on receiving second shingrix vaccination.  No breathing or facial swelling issues.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Diplegia, Hypoaesthesia
Clinical narrative: Systemic: Numbness (specify: facial area, extremities)-Severe, Additional Details: Son of the patient called and informed us of the event.  Patient had bilateral paralysis of the lower extremeties.  The event happened the night of the injection at 2am, the patient was hospitalized and with 24 hours the symptoms had resolved.
Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Pain, Rash, Rash vesicular
Clinical narrative: Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Severe, Additional Details: Pts Husband said his wife has develoved severe rash all over the body, begging Jan 2nd post COVID booster. Says wife is in alot of pain as rash is severe and wide spread over all areas of the body. Husband says the rash is in teh form of blisters throughout the body.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: during out covid site visit from Agency on 12.15.22 It was discovered that we had a pfizer  batch in frig past BUD date. during the Agency investigation they went back through all the covid injections that were given and saw this patients lot number was given past BUD date. patient has been contacted and revaccination wsa offered. manufacture was notified and reports were filed pending outcome.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Pain in extremity
Clinical narrative: Client was to receive Pfizer Bivalent Booster. Client was instead administered Pfizer monovalent shot. Client had no symptoms or adverse effects while being self-monitored in the waiting lounge for 15-25 minutes. Client was called on the listed phone number on 1/5/23 @ 1106. Talked to father. Father stated that client is sleeping at the time and will let her know. Client father stated that client had initial arm soreness that dissipated after 24-48 hours. Client father was shared the vaccine administration difference and educated. Was offered Bivalent administration in 8 weeks from date. Client father stated no further needs or concern at this time.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Limb discomfort, Loss of personal independence in daily activities, Muscular weakness, Sleep disorder
Clinical narrative: During the second Vaccination it was painful receiving the shot compared to the first one. Months later the pain was still there in the injection area and my arm started to feel heavy and weak at night. As time went on it became difficult to perform everyday activities because of the weakness feeling. During the night the pain became unbearable, so I contacted my physician, and she ordered an Xray and physical therapy to start. Meanwhile I started taking Tylenol or Aleve to subside the pain to get rest.
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood test, Chest pain, Computerised tomogram pelvis, Computerised tomogram thorax
Clinical narrative: Multiple Pulmonary Embolisms, chest pain and difficulty breathing, xeralto for approx 6 months
Age: 28.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, Ultrasound Doppler, Ultrasound pelvis, Ultrasound scan
Clinical narrative: Multiple Pulmonary Embolisms, chest pain and difficulty breathing, xeralto for approx 6 months
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 4/1/21, 4/22/21, 12/6/21. Positive on 1/2/23
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine increased, Blood glucose normal, Blood test abnormal
Clinical narrative: Discharge Date: Jan 11, 2023 Discharge Provider: MD Primary Care Provider : MD  COVID positive date 1/5/2023 PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia   HOSPITAL COURSE: 92-year-old male with past medical history of chronic diastolic heart failure, chronic respiratory failure with hypoxia on 3 L of oxygen at daytime, 4-6 L with sleep, presented with cough, dyspnea, and increasing lower extremity swelling.  Patient tested positive for COVID-19 and influenza A and was also found to be on acute on chronic diastolic heart failure.  Patient was admitted and was started on Tamiflu for influenza a, dexamethasone for COVID -19, and IV Lasix for CHF exacerbation.  Patient initially had poor urine output on Lasix 40 mg IV 2 times a day so this was increased to 80 mg IV 2 times a day with the better urine output response.  Because patient was just recently admitted for another CHF exacerbation last month, Cardiology was consulted for assistance in management and outpatient follow-up.  With improvement of symptoms and decrease in weight, patient was eventually transitioned to torsemide 40 mg in the morning and 20 mg in the afternoon.  This was a change from his previous regimen of Lasix 40 mg orally twice a day.  Patient was discharged home on improved condition and will followed up with Cardiology as an outpatient.  Patient was also discharged on potassium 40 mEq daily. BMP check in 1 week
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cardiac failure acute, Cardiac failure congestive, Cardiorenal syndrome, Cerebral ischaemia
Clinical narrative: Discharge Date: Jan 11, 2023 Discharge Provider: MD Primary Care Provider : MD  COVID positive date 1/5/2023 PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia   HOSPITAL COURSE: 92-year-old male with past medical history of chronic diastolic heart failure, chronic respiratory failure with hypoxia on 3 L of oxygen at daytime, 4-6 L with sleep, presented with cough, dyspnea, and increasing lower extremity swelling.  Patient tested positive for COVID-19 and influenza A and was also found to be on acute on chronic diastolic heart failure.  Patient was admitted and was started on Tamiflu for influenza a, dexamethasone for COVID -19, and IV Lasix for CHF exacerbation.  Patient initially had poor urine output on Lasix 40 mg IV 2 times a day so this was increased to 80 mg IV 2 times a day with the better urine output response.  Because patient was just recently admitted for another CHF exacerbation last month, Cardiology was consulted for assistance in management and outpatient follow-up.  With improvement of symptoms and decrease in weight, patient was eventually transitioned to torsemide 40 mg in the morning and 20 mg in the afternoon.  This was a change from his previous regimen of Lasix 40 mg orally twice a day.  Patient was discharged home on improved condition and will followed up with Cardiology as an outpatient.  Patient was also discharged on potassium 40 mEq daily. BMP check in 1 week
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head abnormal, Condition aggravated, Confusional state, Cough
Clinical narrative: Discharge Date: Jan 11, 2023 Discharge Provider: MD Primary Care Provider : MD  COVID positive date 1/5/2023 PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia   HOSPITAL COURSE: 92-year-old male with past medical history of chronic diastolic heart failure, chronic respiratory failure with hypoxia on 3 L of oxygen at daytime, 4-6 L with sleep, presented with cough, dyspnea, and increasing lower extremity swelling.  Patient tested positive for COVID-19 and influenza A and was also found to be on acute on chronic diastolic heart failure.  Patient was admitted and was started on Tamiflu for influenza a, dexamethasone for COVID -19, and IV Lasix for CHF exacerbation.  Patient initially had poor urine output on Lasix 40 mg IV 2 times a day so this was increased to 80 mg IV 2 times a day with the better urine output response.  Because patient was just recently admitted for another CHF exacerbation last month, Cardiology was consulted for assistance in management and outpatient follow-up.  With improvement of symptoms and decrease in weight, patient was eventually transitioned to torsemide 40 mg in the morning and 20 mg in the afternoon.  This was a change from his previous regimen of Lasix 40 mg orally twice a day.  Patient was discharged home on improved condition and will followed up with Cardiology as an outpatient.  Patient was also discharged on potassium 40 mEq daily. BMP check in 1 week
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Diuretic therapy, Dyspnoea, Hallucination, visual, Hypoxia, Influenza
Clinical narrative: Discharge Date: Jan 11, 2023 Discharge Provider: MD Primary Care Provider : MD  COVID positive date 1/5/2023 PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia   HOSPITAL COURSE: 92-year-old male with past medical history of chronic diastolic heart failure, chronic respiratory failure with hypoxia on 3 L of oxygen at daytime, 4-6 L with sleep, presented with cough, dyspnea, and increasing lower extremity swelling.  Patient tested positive for COVID-19 and influenza A and was also found to be on acute on chronic diastolic heart failure.  Patient was admitted and was started on Tamiflu for influenza a, dexamethasone for COVID -19, and IV Lasix for CHF exacerbation.  Patient initially had poor urine output on Lasix 40 mg IV 2 times a day so this was increased to 80 mg IV 2 times a day with the better urine output response.  Because patient was just recently admitted for another CHF exacerbation last month, Cardiology was consulted for assistance in management and outpatient follow-up.  With improvement of symptoms and decrease in weight, patient was eventually transitioned to torsemide 40 mg in the morning and 20 mg in the afternoon.  This was a change from his previous regimen of Lasix 40 mg orally twice a day.  Patient was discharged home on improved condition and will followed up with Cardiology as an outpatient.  Patient was also discharged on potassium 40 mEq daily. BMP check in 1 week
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test positive, Left ventricular failure, Oedema peripheral, Peripheral swelling, Renal function test
Clinical narrative: Discharge Date: Jan 11, 2023 Discharge Provider: MD Primary Care Provider : MD  COVID positive date 1/5/2023 PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia   HOSPITAL COURSE: 92-year-old male with past medical history of chronic diastolic heart failure, chronic respiratory failure with hypoxia on 3 L of oxygen at daytime, 4-6 L with sleep, presented with cough, dyspnea, and increasing lower extremity swelling.  Patient tested positive for COVID-19 and influenza A and was also found to be on acute on chronic diastolic heart failure.  Patient was admitted and was started on Tamiflu for influenza a, dexamethasone for COVID -19, and IV Lasix for CHF exacerbation.  Patient initially had poor urine output on Lasix 40 mg IV 2 times a day so this was increased to 80 mg IV 2 times a day with the better urine output response.  Because patient was just recently admitted for another CHF exacerbation last month, Cardiology was consulted for assistance in management and outpatient follow-up.  With improvement of symptoms and decrease in weight, patient was eventually transitioned to torsemide 40 mg in the morning and 20 mg in the afternoon.  This was a change from his previous regimen of Lasix 40 mg orally twice a day.  Patient was discharged home on improved condition and will followed up with Cardiology as an outpatient.  Patient was also discharged on potassium 40 mEq daily. BMP check in 1 week
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Urine output decreased, Weight decreased
Clinical narrative: Discharge Date: Jan 11, 2023 Discharge Provider: MD Primary Care Provider : MD  COVID positive date 1/5/2023 PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia   HOSPITAL COURSE: 92-year-old male with past medical history of chronic diastolic heart failure, chronic respiratory failure with hypoxia on 3 L of oxygen at daytime, 4-6 L with sleep, presented with cough, dyspnea, and increasing lower extremity swelling.  Patient tested positive for COVID-19 and influenza A and was also found to be on acute on chronic diastolic heart failure.  Patient was admitted and was started on Tamiflu for influenza a, dexamethasone for COVID -19, and IV Lasix for CHF exacerbation.  Patient initially had poor urine output on Lasix 40 mg IV 2 times a day so this was increased to 80 mg IV 2 times a day with the better urine output response.  Because patient was just recently admitted for another CHF exacerbation last month, Cardiology was consulted for assistance in management and outpatient follow-up.  With improvement of symptoms and decrease in weight, patient was eventually transitioned to torsemide 40 mg in the morning and 20 mg in the afternoon.  This was a change from his previous regimen of Lasix 40 mg orally twice a day.  Patient was discharged home on improved condition and will followed up with Cardiology as an outpatient.  Patient was also discharged on potassium 40 mEq daily. BMP check in 1 week
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Pain in extremity
Clinical narrative: Client was given Pfizer Monovalent instead of a Bivalent Booster. Client waited for 30 mins self monitored in waiting area. Reported no symptoms. Client was called on 1/5/23 at 1106. Explained the error. Client reported no symptoms other then initial soreness that was relieved in the arm after 24-48 hours. Client educated on Monovalent versus Bivalent, offered Bivalent 8 weeks since date. Client states no other needs or concerns at this time.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Pain in extremity
Clinical narrative: Client was given Pfizer Monovalent instead of a Bivalent Booster. Client waited for 30 mins self-monitored in waiting area. Reported no symptoms. Client was called on 1/5/23 at 1106. Explained the error. Client reported no symptoms other than initial soreness that was relieved in the arm after 24-48 hours. Client educated on Monovalent versus Bivalent, offered Bivalent 8 weeks since date. Client states no other needs or concerns at this time.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: An adverse effect did not occur. Patient was to receive Moderna Bivalent but was given 0.5ml of Moderna Monovalent. Per CDC if patient still desires to have the bivalent vaccine the patient has to wait for 2 months before receiving that vaccine.
Age: 2.0
Sex: M
Vaccine: COVID19-2
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient presented as new pt to the practice.  He had two state immunization records - same name, DOB.  The first record had zero covid vaccines listed.  The second had two previous COVID vaccines listed.  So our office gave him what we presumed to be dose #3.  But the state database that listed 2 previous dosses was wrong and he erroneously received dose #1 as bivalent.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: during our covid site visit on 12.15.22, it was discovered that we had a pfizer batch in the frig past BUD date. During the investigation they went back through all the covid injections that were given and saw this patients lot number was given past BUD date. patient has been contacted and revaccination was offered. manufacture was notified and reports were filed pending outcome.
Age: 63.0
Sex: F
Vaccine: COVID19-2
Symptoms: Basal cell carcinoma, Biopsy skin abnormal, Scab, Skin operation
Clinical narrative: I noticed a scab on my scalp that wasn't going away. I went to the Dermatologist, and they did a biopsy and determined the Basal Skin Cancer. Then she told me I have another spot on my temple. They are performing Mohs surgery to remove one spot today and in one month they remove the other.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, No adverse event
Clinical narrative: No adverse effects. Patient came in to get the Moderna bivalent vaccine and was given Moderna monovalent.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Pain, Pain in extremity, Parosmia, Pyrexia
Clinical narrative: Around 12/26/2022, I noticed, while asleep, I was experiencing shooting pain in my feet and toes. It would wake me up and I needed to take ibuprofen. I was almost nervous to go to sleep in fear of waking up with the pain. I also started to experience intense body aches, things tasted different, felt congested, slight fever and I always felt like I was smelling burnt toast. I tested myself at home, on an expired test, and it came back positive. I had a feeling the test was correct, but I went to the pharmacy to get tested and that test came back positive as well. I did not contact my doctor because when I looked on the website, it showed that they were not doing anything with patients that tested positive. I asked my husband's doctor if there was anything I should do, and he told me to just stay home, take ibuprofen/TYLENOL and rest. I am still experiencing head congestion as of today.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sleep disorder, Taste disorder
Clinical narrative: Around 12/26/2022, I noticed, while asleep, I was experiencing shooting pain in my feet and toes. It would wake me up and I needed to take ibuprofen. I was almost nervous to go to sleep in fear of waking up with the pain. I also started to experience intense body aches, things tasted different, felt congested, slight fever and I always felt like I was smelling burnt toast. I tested myself at home, on an expired test, and it came back positive. I had a feeling the test was correct, but I went to the pharmacy to get tested and that test came back positive as well. I did not contact my doctor because when I looked on the website, it showed that they were not doing anything with patients that tested positive. I asked my husband's doctor if there was anything I should do, and he told me to just stay home, take ibuprofen/TYLENOL and rest. I am still experiencing head congestion as of today.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Heart rate increased, Immediate post-injection reaction, Laboratory test normal
Clinical narrative: Patient recieved the Moderna Bivalent vaccine. States immediately after injection she experienced a fast heart beat and chest pains. Patient states she did not report her symptoms to anyone at the time and left after her wait time.  After 2 hours, she continued to feel worse and went to the ER. Tests were ran that did not show a heart attack and she was released. Patient states she felt better when she left the ER but then became nauseated and fatigued that night and the next day.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient recieved the Moderna Bivalent vaccine. States immediately after injection she experienced a fast heart beat and chest pains. Patient states she did not report her symptoms to anyone at the time and left after her wait time.  After 2 hours, she continued to feel worse and went to the ER. Tests were ran that did not show a heart attack and she was released. Patient states she felt better when she left the ER but then became nauseated and fatigued that night and the next day.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arrhythmia, Atrial fibrillation, Cardiac ablation, Echocardiogram abnormal
Clinical narrative: I had atrial fibrillation. My heart was out of rhythm, and I could feel my heartbeat in my chest. My pulse rate was over 100 which is unusual for me. I went to my GP and had an EKG done which showed that I was in atrial fibrillation. I had an appointment with a cardiologist and was placed on ELIQUIS. It didn't help, it just helped me not have a stroke. This started on the 20th of August and continued until the 27th of August. I had an ablation done in June of 2022. Throughout this time, I would get palpitations for sporadically. After the ablation the symptoms did not change so I am scheduled to have another one on February 02, 2022.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Mitral valve prolapse, Palpitations, Pulse abnormal
Clinical narrative: I had atrial fibrillation. My heart was out of rhythm, and I could feel my heartbeat in my chest. My pulse rate was over 100 which is unusual for me. I went to my GP and had an EKG done which showed that I was in atrial fibrillation. I had an appointment with a cardiologist and was placed on ELIQUIS. It didn't help, it just helped me not have a stroke. This started on the 20th of August and continued until the 27th of August. I had an ablation done in June of 2022. Throughout this time, I would get palpitations for sporadically. After the ablation the symptoms did not change so I am scheduled to have another one on February 02, 2022.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Antineutrophil cytoplasmic antibody increased, Antineutrophil cytoplasmic antibody positive, Blood test abnormal, Chest X-ray abnormal, Computerised tomogram abnormal
Clinical narrative: I had coughing, congestion, extreme fatigue is how it started in 11/01/2022 it worsened my doctor did a CT scan and found spots that could indicate an infection. My doctor prescribed doxycycline 11/22/2022 and I began to feel a little better. My doctor also prescribed benzonatate on 11/18/2022 and prednisone on 11/22/2022. Albuterol was also prescribed on 11/22/2022 and an inhaler ARNUITY ELLIPTA as well. OTC guaifenesin XR and TYLENOL. Follow up CT scan showed numerous nodules still present but some faded. Follow up CT scan recommended in 3-6 months.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Infection, Nodule, Respiratory tract congestion
Clinical narrative: I had coughing, congestion, extreme fatigue is how it started in 11/01/2022 it worsened my doctor did a CT scan and found spots that could indicate an infection. My doctor prescribed doxycycline 11/22/2022 and I began to feel a little better. My doctor also prescribed benzonatate on 11/18/2022 and prednisone on 11/22/2022. Albuterol was also prescribed on 11/22/2022 and an inhaler ARNUITY ELLIPTA as well. OTC guaifenesin XR and TYLENOL. Follow up CT scan showed numerous nodules still present but some faded. Follow up CT scan recommended in 3-6 months.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray abnormal
Clinical narrative: I had coughing, congestion, extreme fatigue is how it started in 11/01/2022 it worsened my doctor did a CT scan and found spots that could indicate an infection. My doctor prescribed doxycycline 11/22/2022 and I began to feel a little better. My doctor also prescribed benzonatate on 11/18/2022 and prednisone on 11/22/2022. Albuterol was also prescribed on 11/22/2022 and an inhaler ARNUITY ELLIPTA as well. OTC guaifenesin XR and TYLENOL. Follow up CT scan showed numerous nodules still present but some faded. Follow up CT scan recommended in 3-6 months.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Dehydration, Diarrhoea, SARS-CoV-2 test positive
Clinical narrative: 12/15/22 presents to ED for "diarrhea""dehydration"  PMHx of "Diabetes mellitus, type II (CMS/HCC), DVT (deep venous thrombosis) (CMS/HCC) (1980), Dyslipidemia, Gout, Hypertension, Neuropathy"
Age: 3.0
Sex: M
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: Hives on face, trunk, and arms 4 hours after vaccine administration. Worst hives on left arm where shot was administered.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Myalgia, Pyrexia
Clinical narrative: Fever, chills, muscle aches and site pain
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Dizziness, Fall, Malaise, Mobility decreased
Clinical narrative: The day after receiving the vaccine I was very sick and stayed in bed for the day. On 01/05/2023, I had a dizzy spell and I suddenly fell down beside my bed. I had a blood pressure cuff at my bedside and checked it. I contacted my doctor and left a message. I will be making an appointment for Monday. On off since 01/05/2022, I have dizzy spells and just don't feel good. I tested positive for COVID-19 between dose 1 and dose 2 on 06/30/2022.
Age: 72.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The day after receiving the vaccine I was very sick and stayed in bed for the day. On 01/05/2023, I had a dizzy spell and I suddenly fell down beside my bed. I had a blood pressure cuff at my bedside and checked it. I contacted my doctor and left a message. I will be making an appointment for Monday. On off since 01/05/2022, I have dizzy spells and just don't feel good. I tested positive for COVID-19 between dose 1 and dose 2 on 06/30/2022.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Acute kidney injury, Anticoagulant therapy, Asthenia, Atrial fibrillation
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Bedridden, Blood chloride decreased, Blood creatinine increased, Blood culture, Blood gases
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea increased, Brain natriuretic peptide increased, COVID-19, Chest X-ray normal
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen normal, Computerised tomogram thorax abnormal, Death, Decreased appetite, Deep vein thrombosis
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Ejection fraction normal, Endotracheal intubation
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Haemofiltration, Hypophagia, Laboratory test
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lung consolidation, Lung opacity, Malaise, Metabolic acidosis, Nausea
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Renal function test abnormal, Renal impairment, SARS-CoV-2 test positive, Shock
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Staphylococcus test positive, Ultrasound Doppler abnormal, Vomiting, White blood cell count normal
Clinical narrative: Discharge Provider: MD Primary Care Physician at Discharge: PA-C Admission Date: 1/6/2023 COVID positive Date 1/3/2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxemia    HOSPITAL COURSE: 60 y/o female with hx of ESRD - s/p kidney transplant 2014(on Cellcept, prednisone and Prograf), HTN, DM-2, gastritis, left femoral DVT 7/2022 (Eiiquis) and anxiety disorder. She was seen at emergency department January 3 and at that time had complained of SOB and fatigue. She had been sick for 4 days with nausea, vomiting, diarrhea and was essentially bedridden. Workup in the emergency department revealed a COVID-19 infection and AKI. CXR at that time was without infiltrate.  She opted to be discharged at that point with close outpatient follow-up. She presented again on January 5 with similar complaints, was given a dose of dexamethasone, azithro and Rocephin. Chest CT on 1/6 showed patchy ground glass and consolidation predominately in right lung with scant patch of GGO in medial LLL,  and also a 12 mm x 6 mm x 10 mm pleural based nodule along medial RLL. CT of A/P without acute pathology. Labs significant for AKI, metabolic acidosis, elevated BNP, elevated D-dimer and normal WBC. She was intubated. Post-intubation ABG: 7.10/48/84 on 100% FIO2. She was started on a bicarb gtt which was later stopped d/t concern for volume overload as well as norepi for post intubation shock. LE dopplers (+) for acute left common femoral DVT with 5 cm segment free from vein wall and only tethered by more proximal thrombus. MRSA screen (+). Echo showed LVEF 75%, RV grossly normal. Hypoxemia and renal function continue to worsen. CRRT started 1/9 with negative fluid balance. Paralyzed 1/10. Proning was attempted but unsuccessful as CRRT wouldn't run when in the prone position. Developed fever 1/11, new blood cultures obtained. Went into afib with RVR. Given Cardizem x 1.Multiple family members arrived at bedside and were given medical update. All family in agreement that further aggressive care would not be in align with patient wishes. Patient transferred to comfort care once all family arrived. Passed away peacefully with family and chaplin at bedside,.
Age: 31.0
Sex: M
Vaccine: SMALL
Symptoms: Chills, Dizziness, Pallor
Clinical narrative: Donor completed a full plasma donation and then proceeded to medical personnel to receive smallpox vaccination as part of a specialty program. Donor received vaccination via left arm at 8:26 am and at 8:30am donor began to feel lightheaded and lost facial parlor. At approximately 8:31 am donor began to shiver. Donor was placed in recovery position and vitals obtained and was given oral electrolyte hydration.
Age: 4.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: large 6 x 7 cm erythema and mild induration, warm on left lateral and anterior thigh, itchy